Cutting waste in health care can shift down the level of spending.
Exchanges like this one in Ohio highlight the importance of making sure that a Medicaid reform is not simply a cost shift down to the states.
If that balance continues to shift down market, Mr Birt, once vilified as a Thatcherite scourge, may yet come to be seen as the last of the old guard.
Each side in the debate has spoken of a watershed moment in the Church's history, with even a modest shift down the road towards ordaining gay people likely to change its character.
To some extent, the shift is down to the recession, according to Dr Stuart Roper, a corporate reputation expert at Manchester Business School.
According to the report, over a third of FDI inflows to developing countries now originate in other developing countries, a trend which is predicted to increase as emerging economies further industrialize and shift production down the value chain.
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To select a bunch of text at once, you swipe in the keyboard area while holding down shift.
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The concentration of power among retailers has led to another stage in the shift in power down the food chain.
The Bill is a big boost for the creation of academies and free schools and, according to government sources, this is in itself a shift of power down to individual school level.
"We're seeing a dramatic shift on Fifth Avenue down to 42nd street, " Mr. Sitt says.
And the manner in which the managerial responsibility is communicated is different: communications shift from top-down to adult-to-adult conversations.
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Perhaps the way to go faster is to slow down and shift the focal point from the conversion to the conversation.
So fresh off an all-day shift, he barreled down the highway and battled the blaze all night with thousands of others.
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"Frances is someone who can sit down and shift the pressure points of something you might have been dealing with and sit and talk to you about life, about family, about what we've seen on telly, " she says.
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The shift key pans a camera down, and the mouse controls a laser pointer.
In a forthcoming study of voters undertaken after the recent presidential elections, Nonna Mayer, a professor at Sciences Po, argues that the increase in support for the National Front can almost entirely be put down to a shift in the allegiance of working-class women.
Next, he tracked down the second-shift manager for the plant that made the product.
At the same time, Lenovo didn't have to shrink down the Enter, Shift or Caps Lock key to compensate.
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As dunes build up absent a storm to knock them down they shift closer to the high-tide line, and nesting space shrinks.
Mr Smith also alleged safety instructions on machinery had been taken down on the last shift, ahead of temporary staff being brought in.
Most of the operators have at least a dozen different software platforms in the market, which slows down the application environment shift through cost and complexity.
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Spiegel speculate that as the baby boomer generation ages, they are likely to shift from buying stocks to selling their equity holdings to finance retirement, and this shift could be a factor holding down equity valuations over the next two decades.
Writing the brunt of this review on the panel itself didn't require us to shift our usual hand position too much, either -- the function row has been shrunken down, but there are two full sized Shift keys.
The coyotes had to shift tactics after the Border Patrol clamped down on the urban border crossings.
Analysts have said the shift to such hardware will help cut down on the cost to build the device.
Supporters of the U.S. private-pay system fear a shift in power to Washington will cut down on the innovation and choice that comes with the free market.
Other measures include "bell to bell" working, whereby workers will not be able to down their tools until their shift is over even if they have filled their quota.
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For brands, all the fuss when it comes to digital boils down to one big behavioral shift: consumers are talking to each other before they are talking to brands.
Francis' approach marks a shift from that of Benedict, who stepped down in February, citing his advanced age and frailty.
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