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People move on and jump ship to get higher pay grades.
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Although more than half a million women worked for the federal government, they made up 1.4 percent of the civil-service workers in the top four pay grades.
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He acknowledged a 1% cap was "tough" but said many public sector workers would be helped by "pay progression" - annual increases in salary grades - even when pay was frozen.
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The British government, for instance, wants an external review of the way the commission handles money, and an overhaul of grades, pay scales and disciplinary procedures for civil servants.
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The union claims the move would lead to skilled workers, including electricians, pipe-fitters and plumbers, being forced to work on semi-skilled grades and losing up to a third of their pay.
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But today Health Grades' methodology is an industry standard, and top hospitals pay for its advice.
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Vitrogonski's son Sacha(ph) is a medical student who says many medical school applicants pay thousands of dollars in bribes to pass their entrance exams and continue giving gifts to insure good grades.
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They are used throughout our lives from grades in school that encourage learning and higher performance, to the incentives we use at work through pay, bonuses and promotions to recognize and encourage accomplishment.
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