It means the health service is caught between a rock and a hard place.
What do you do when you are between a rock and a hard place?
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All of which leaves Saudi Arabia's rulers between a rock and a hard place.
On the face of it, Mr Gandhi may be caught between a rock and a hard place.
With the cost of undergraduate education steeply increasing recently, the average student is between a rock and a hard place.
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But as data caps fall and prices go up, many consumers find themselves between a rock and a hard place.
Many mortgage holders are caught between a rock and a hard place.
Top Conservatives generally hope the UK will remain in the EU. The problem is that they are caught between a rock and a hard place.
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"The Bank remains between a rock and a hard place in trying to strike a balance between the rising pressures of inflation and supporting the economic recovery, " he said.
It's not exactly a choice between a rock and a hard place when the stakes are between fruitful first-class passengers--and a workforce that now seems prone to taking industrial action.
"We were compelled to do it because we were between a rock and a hard place, " explained Lutfullah Kamran, a 24-year-old computer-science graduate who is commander of the new Andar ALP.
The unemployed who turn age 62 are caught between a rock and a hard place: jobs are scarce but if they take their Social Security now to supplement their unemployment it will permanently reduce the benefit.
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Prime Minister Binyamin Netanyahu is stuck between a diplomatic rock and a political hard place.
In a way, speculators on both sides are caught between a rock and hard place.
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So there Bernanke sits and shivers, caught between an inflation rock and a housing hard place, paralyzed.
Too many people have concluded from studies like these that women are stuck between a gender rock and leadership hard place but men are not.
With projected federal spending topping 34 percent of GDP and the known politically acceptable levels of federal tax revenues falling below 20 percent of GDP, we are between the proverbial rock and a hard place.
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