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They are talking reluctantly because using the tactic, officially known as reconciliation, would present a variety of serious procedural and substantive obstacles that could result in a piecemeal health bill.
But his willingness to consider the alternative, known as an add-on account, suggested that the administration was intent on retaining as much flexibility as possible to overcome the political and substantive obstacles that have slowed Mr. Bush's drive to overhaul Social Security.
Others point out more substantive obstacles.
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Nguyen said she was nervous going into the House vote, the last substantive obstacle facing the bill.
An ephemeral, but substantive, obstacle to the implementation of SocMob was due to the unforeseen floods of 1998, when local government officials got entrenched in flood relief and rehabilitation.
Even if these politics could be countered, the courts, especially the Supreme Court, are raising new, and probably insurmountable, obstacles to substantive gun control.
The obstacles to any substantive peace agreement remain formidable on both sides, and it is unclear whether either party is contemplating real concessions, or is even fully focused on resuming the intractable peace process.
The headline moment of the trip was Mr. Obama's announcement on the United Nations seat, even though the endorsement is seemingly as much symbolic as substantive, given the serious political obstacles that have long stalled efforts to reform membership of the Security Council.
The essentials are true: a hard-luck background, serious obstacles, personal striving, substantive achievement.
The talks would also be important because they would begin to get important players needed to start substantive discussions in the same room, but the obstacles to real progress remain formidable.
The obstacles to deepening reform are significant, substantive changes will take time, and Mr. Xi and his administration may well fail, but there is at least a little more hope for change in Beijing than I have sensed in a long time.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com