Many countries, green campaigners and businesses complained that the system of voluntary commitments did not provide the certainty needed to spur the development of a low-carbon economy across the globe.
This imbalance in health care delivery, together with a curative driven health system; lack of commitment to preventive and promotive services; and ineffective leadership, will ensure that health inequalities and unmet health need will persist [ 7- 9].
Patrick Vallance, a former academic who now heads up GSK's pharmaceuticals research, believes a system of advanced market commitments could be the answer, under which governments would agree to buy up new antibiotics for, say, a 10-year period.
He said to have the decision hanging over the university's head weeks before the start of the academic year in September was hugely damaging and added that it brought the whole system of "having a commitment to come and study in the UK" into question.
Social pacts are necessarily contingent institutions that, even where accompanied by supportive networks, and systems of mutual commitment and obligation, are difficult to negotiate and stabilize (see Avdagic et al. 2011).
As these are costs for one health care organisation the extrapolated, whole-of-system financial commitments are likely to be very large.
It is suggested that the strategy should start by selecting a pilot area; - Overcoming the shortcomings of the current system of standards; - Gaining commitment.
While there is virtually no public debate in China on the fate of dissidents in the country's psychiatric system, involuntary commitment of non-dissidents has become a hot topic, as reports like this one in the People's Daily Overseas edition show.
As the health system is reorganized so that management can be brought closer to communities and communities can have a voice in policy, many question the lack of focus on effective community participation in health system management and lack of commitment to engaging HCs under the new DHS.
Like Roosevelt, every President finds his commitment to the system of checks and balances tested at some point.
