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The third, most optimistic scenario requires thoroughgoing reforms that will lift total factor productivity growth (ie, over and above the effects of merely adding more capital) to 2%, and allow GDP growth to rattle along at 4.3% a year.In the next few years, the worst scenario may look the most likely.
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They even acknowledged that thoroughgoing reform -- like single-payer health care system -- is the only way to control those rising costs.
Sooner or later, more thoroughgoing reform will be essential".
Furthermore, the army's intransigence means the end of hopes that the changes which allowed her to become an MP three years ago were the beginnings of more thoroughgoing reform.
More generally, it recognised that the state needed to be radically trimmed and set about a thoroughgoing reform of education, welfare, policing, pensions and much more besides.
Isn't it time to consider a unified "single payer" insurance arrangement ("Medicare for all") coupled with thoroughgoing reform of the delivery side as well?
For those many Catholics who wish to see thoroughgoing reform, especially in their church's stance on gender and sexuality, he was the best pope they never had.
"What's required is the kind of thoroughgoing reform that Mr. Abe doesn't seem to have the vision or stomach for," said Jun Okumura, a senior adviser for the Eurasia Group, a political risk research and consulting firm, and former official at the Japanese Ministry of Economy, Trade and Industry.
Orry drew up detailed memoranda advising not only the centralization of financial administration but also a thoroughgoing reform of the governmental system in which political power would be transferred from the royal councils, dominated by nobles with strong vested interests, to a number of ministers, similar to the French secretaries of state, who would be loyal to the crown.
"We are rapidly approaching a situation," Mr. Todd said, "where Congress and the administration are unwilling to confront bankers on the need of thoroughgoing reform of everything involving household finance and credit reporting/credit scoring because it would cost the bankers money to do so".
Pressure for much more thoroughgoing reform has also been building in recent months.
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