That's been a constant theme of discussions everywhere, it's certainly a constant theme of discussions which has informed this fire service dispute but it affects every area of public service - education, health and so on.
The FDA staff members, who wear uniforms as members of the Public Health Service, are providing hands-on medical assistance.
But anyone hoping for a truly radical revamp of the country's high-quality but hugely expensive and inefficient public health service will be glum.
As a House of Lords committee report has suggested, the gift of longer life could cause a "series of crises" in the public service - not only in terms of health and social care, but for pensions, housing and employment.
He undermined Mr Blair's public-service reforms, with the result that the government has failed to deliver improvements in education and the health service sharp enough to meet voters' rising expectations.
David McNarry moved a UUP amendment calling for a re-allocation of resources to key public services including the health service.
Stephen Dorrell, did his best to redefine the cost of the NHS to the public purse in terms what he called "the best-value health service".
"The health care service - like everyone else across the public sector - has got its contribution to make to reducing the national deficit, " he said.
Professor David Warhurst, of the Public Health Laboratory Service malaria reference laboratory, said it was true that fast-dividing cells were more susceptible to a host of chemical agents.
What he failed to do was convince Blairite ministers that he would be on their side in accelerating the involvement of the private sector in public-service delivery, particularly by increasing capacity and breaking down monolithic provision in health care and secondary education.
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They calculate that if a rightist government is elected this summer, it will have an awful lot of unpopular work to do: both to get public finances in shape (not least under pressure from Brussels) and to cope with an ageing population it will have to take on the public-sector unions, slim the civil service and reform pensions, tax, education and health care.
The results are visible in increasing levels of public dissatisfaction in Britain with waiting lists in the health service, congested roads and trains, over-crowded classrooms and an under-educated population.
To help combat the spread of the virus among young children, the Department of Health and Human Services announced Wednesday that it is re-releasing a series of public service announcements featuring the popular Sesame Street character Elmo.
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Yet a new survey, conducted by Robert Blendon at the Harvard University School of Public Health, and the New York-based Commonwealth Fund, suggests that the British are much less unhappy with their health service than Americans, and see little reason to redesign their health-care system.
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