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Prior to the ACA, barriers to enrolling in Medi-Cal included lack of awareness of the program or eligibility standards, difficult application or renewal processes, burdensome documentation requirements, language and literacy obstacles, and immigrant families' concerns about consequences of enrolling for themselves or family members when a family member is undocumented.
This can be confusing, and it makes standards difficult to maintain," says the exam watchdog's consultation.
And because blatant income differences between countries make comparisons based on living standards difficult, growth rates have become the universal reference point for measuring economic success.
The lack of biomarkers of exposure for many contaminants makes setting scientific standards difficult.
It has been argued that patient volume, limited funding, the shortage of health care workers, a generally overburdened public health care system and other factors make these standards difficult to meet in resource-limited settings like South Africa [ 5, 15- 20].
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That's a standard difficult for many smaller hospitals to meet.
The rights of the states to manage their own election procedures makes having a national standard difficult.
But for many women, the new standards raise difficult questions.
Ever changing standards are difficult to apply to developing country circumstances.
"It needs a set of very strict controls in place and the standards are difficult to maintain.
TELEGRAPH Private Equity Executives Chafe at New Rules | Just over half of private equity executives find adhering to new regulatory standards a "difficult, time-consuming process," according to a recent KPMG survey.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com