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Countries can keep that key ratio from increasing, by running primary surpluses to compensate.
Collecting rubbish and running primary schools are the main areas of responsibility.
"Without the Bill, doctors and nurses will always run the risk of having their decisions second-guessed by the managers running Primary Care Trusts.
Unilateral default won't solve the competitiveness problem, and at least for now would actually worsen the fiscal squeeze, since they're all still running primary deficits.
To be sure, there has been some progress in the eurozone periphery in the last few years: fiscal deficits have been reduced, and some countries are now running primary budget surpluses (the fiscal balance excluding interest payments).
Managers who have spent the last year running primary care trusts under sentence of death must now steer their amalgamated successors into an uncertain future, while also organising recruitment into consortiums that are changing shape before being established.
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It means that, instead of running primary-source information, we have to knock on every door in the city to find out the who, what, when, where and why ourselves.
In Australia, for instance, the federal government runs primary health care but the states run hospitals.
He already runs primary and secondary schools, and a small hospital, which he says are profitable.
Governments need to run primary (ie, before interest payments) surpluses in order to pay off existing debt.
Aid groups run primary schools in Korail and other slums, but many children work or stay home to mind younger siblings while their parents work.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com