Medicaid today pays doctors and hospitals such low fees that the poor on the program face great difficulties in finding timely health care.
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The risks are greatly magnified because all of the projected population increases will occur in less-developed regions that will have great difficulties in absorbing the changes.
One of the great difficulties of evaluating the comparative advantages and disadvantages of deterrence versus preemption is that once we have taken preemptive action, it is almost never possible to know whether deterrence would have worked as well or better.
The Commission, set up by the Treasury, recognises there would be great technical difficulties for big banks, such as Royal Bank of Scotland and Barclays, in insulating their retail activities, that concentrate on providing services to households and smaller businesses, from investment banking.
The sad news is also the latest reason why Segway makes for a great case study in the difficulties of introducing new technologies.
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United, our nation of 1.33 billion people will overcome difficulties and challenges and make great contribution to world peace and development.
Around the world, there are great restrictions on women, we all know the difficulties women face in different countries.
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As the world's largest democracy, India knows a great deal about large scale elections - and their practical difficulties.
Nuclear reactors, they say, often look great on paper, but are then plagued by practical difficulties and prove impossible to build on time or to budget.
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The SHA said that of the 10 smaller hospitals in the East of England, only the James Paget Hospital, in Great Yarmouth, Norfolk, does not have significant financial difficulties.
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He uses his landline to get internet access, which ties up the phone line, but he faces added difficulties as the mobile phone reception is not great where he lives.
Often, Mr Lawton and his fellow management team would spend a great deal of time helping members of staff with learning difficulties with important life skills, such as understanding their household bills.
However Anna Brychan, director of head teachers' union NAHT Cymru, warned that her members were concerned about the practical difficulties involved with the proposals, despite their "great eagerness to make maximum use of new technologies in education".
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The author said that initially she had not envisioned a trilogy because "I thought the difficulties of carrying the back story into a third novel would be too great".
The gargantuan Irfan continued to have difficulties: with his fielding, with his bowling - which despite his great height was again wicketless and largely unthreatening - and then to cap it all, with his fitness.
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