But when you look at where Democrats, you know, how well they're doing, even in the solid South, its turn out as well as enthusiasm can be a big problem for Saxby Chambliss.

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Wouldn't it be the role of a physician to sort of look over that and say well here's how you can avoid the pain?

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If you think adding debt to Dell will save it from the market shift, just look at how well that strategy worked for fixing Tribune Corporation.

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Anand Shukla, from national childcare charity Daycare Trust, said: "No matter how well qualified the members of staff, there are practical considerations when you increase the number of children that they have to look after, " he said.

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