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As public administration became more complex in the 20th century, specialized categories of civil servants were created to bring into the service doctors, scientists, architects, naval constructors, statisticians, lawyers, and so on.
The official government spokesman painted a rosier picture: After 21 years of tireless service, doctors have advised him to rest for a few weeks to recover from health complications caused by overwork.
The statement from his spokesman's office on Monday said the medical committee, made up of university and medical professors and prison service doctors, had reviewed the medical condition of Mr. Mubarak, who is 84, and had performed additional tests.
"When any health insurance provider contracts to provide a service, doctors know ahead of time what the payment rate is going to be, this isn't a shock," said Joe Luchok, communications manager of the Health Insurance Association of America, a Washington-based organization that represents health insurance and managed care companies.
Kenny MacAskill, the Scottish justice minister, said prison service doctors were "clear" that he had less than three months to live; al-Megrahi is now free and living at home in Tripoli, to the dismay of many US relatives of the 270 passengers and crew killed in the 1988 bombing.
The lack of information given to emergency medical service doctors on the phone sometimes led to unwanted hospitalizations for patients receiving palliative care at home.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com