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"Everyone comes in saying they want to reduce wasteful spending," Mr. Harrison said.
Doctors, nurses and hospitals have also taken steps to reduce wasteful treatments.
He pushed to recentralize some decision making, reduce wasteful state investment and slow the rampant expansion of polluting industries.
Moreover, Mr. Hatoyama, whose Democratic Party won a landslide election victory in August, has promised to reduce wasteful public spending.
Within months, Medicare will need to begin creating pilot programs meant to reduce wasteful care and reward good care.
The health savings accounts are meant to help reduce wasteful spending by involving consumers more directly in weighing the costs of alternative types of care.
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Walmart has saved a fortune by reducing wasteful packaging.
Decreasing energy intensity in Ukraine would take much more than withdrawing subsidies and reducing wasteful energy.
He said greater defence cooperation would also make sense economically by reducing wasteful duplication of effort by member states, and called for a defence fund by the end of the year for common research projects.
But Mr. Trump did not match those numbers with details about how the country would raise the money, other than a promise to take steps like reducing wasteful spending, which military budget analysts said would be insufficient.
By reducing wasteful, unproductive tests and procedures, experts say, it should be possible to preserve Medicare and Medicaid without wrecking Social Security and federal and state budgets, and without depriving providers of reasonable remuneration for their services.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com