The reality of administration is very painful.
Ignorance about the realities of public administration implies that scientific research often may lack relevance and its results may not be fully utilized.
The five proposed values correspond to the impact that varying proportions of treatment given by DOT are likely to have on adherence and much better conform to the realities of therapy administration in local health departments.
Now, in the words of one senior administration official, "the realities of governing have begun to overwhelm the memories of campaigning".
In short, the emollient Bush words about loving the environment did not match the reality of the administration's destructive actions.
"America has had enough of empty words, of declarations detached from reality of an administration with no strategy or no intention of victory," he said.
"America has had enough of empty words, of declarations detached from reality of an administration with no strategy or no intention of victory," said Republican presidential contender Jeb Bush in a foreign policy speech to a military college in Charleston, South Carolina.
He recently wrote: "Right now Mr. Obama's backers seem to lack all conviction, perhaps because the prosaic reality of his administration isn't living up to their dreams of transformation.
My colleague in columny, Anthony Lewis, who I suspect reads the British press, noted that "the emollient Bush words about loving the environment did not match the reality of the administration's destructive actions".
The reality of aid administration is that, it is a big deal to experience a life changing reality of the post project outcome, but it is not a serious deal to produce a perfect document during the implementation and the post project evaluation periods.
