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It is the culmination of a steady shift in the way most poor Americans receive their health-care treatment.Medicaid is America's single biggest health programme.
When it comes to actual power to get things done, however, Bittar is significantly worse off than his predecessor, because the last four years have seen a steady shift in influence towards the racecourses and away from the regulator.
Since the end of the Cold War, with the expansion of the Faslane submarine base on the Clyde the only significant exception, there has been a steady shift in spending and investment to the south of England.
Just four years after President Clinton, a Democrat, declared that "the era of big government is over," Mr. Corzine is perhaps the only prominent Democrat in America arguing forcefully for a reversal of the last two decades' steady shift in power from the federal government to the states.
NATO diplomats say there has also been a steady shift in the United States' position over how to deal with the Taliban, much of it thanks to the American ambassador in Kabul, William B. Wood, who has argued the case back in Washington for more flexibility.
Underlying these trends is a steady shift in values: Americans are less likely to see children as important to marriage and less likely to see marriage as important to childbearing (the generation gap on gay marriage shows up on unwed parenting as well) than even in the very recent past.
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Here's what it looks like when the central bank attempts to raise demand above potential output:The two lines still rise and fall together, but a steady shift upward in NGDP growth is not matched by a steady shift upward in employment growth.
By contrast, there has been a steady shift away from Israel in Turkey, which until a few years ago was both a strategic ally and a society welcoming to Israeli visitors and business.
Samuel J. Palmisano, I.B.M.'s chief executive, attributed the strong profit performance to the steady shift toward higher-margin software and services businesses and improved efficiency in recent years.
In addition, Greece's adoption of the euro hastened a steady shift away from agricultural production.
Cozza argues that the reason for the steady upwards shift in smartphone screen size is the increasing complex demands we place on our devices.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com