"The consequences of this would be an upward spiral; rate shock to everyone who stays in," said Karen Ignagni, president of the industry group America's Health Insurance Plans.
Through two years and more than 900 interviews, Sheehy follows Middletown through the spiral of shock, anger, grief and determination, introducing us to widows of Wall Street traders, families of police officers who died in the rescue effort and survivors who escaped.
We've already heard about the emotional spiral of shock, denial, anger, guilt and determination experienced by survivors and the families of the victims, and we've already met some of the people profiled in the book in newspaper, magazine and television interviews.
Just a couple of weeks ago, many people were tossed unexpectedly into a spiral of shock and loss.
Everything that seemed solid and certain is thrown down and shattered, the family plunged into a spiral of shock, fear, and loss.
The standard, albeit simplistic, picture of ISM phases posits that GMCs are assembled in the spiral arm shocks from diffuse interarm HI gas and then photo-dissociated back into the atomic phase by OB star formation within the spiral arms.
Watching another area team make a desultory, hopeless downward spiral might not shock New Yorkers, but seeing the steadfast Giants do it is like showing up at Carnegie Hall to find the musicians playing kazoos.
The negative spiral in cardiogenic shock could possibly be hastened by applying AVP.
The impact between the dwarf galaxy and the spiral galaxy caused a shock wave - akin to a sonic boom on Earth - that generated hot gas with a temperature of about 6 million degrees.
So the fact that Yahoo's board is now considering a sale of the company's web business — after months of pressure from activist shareholders and a mass defection of executives that has left morale spiraling — is hardly a shock.
