"We have to build capacity at every level - hospital, bureaucracy, insurance companies - for effective implementation of the scheme," says Swarup.

“我们需要在医院、管理部门、保险公司等每一层面开展能力建设以便有效实施方案”，Swarup说。

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Organizations usually have some governance practices in place (such as PMOs, ISO, CMMI) that necessitate a level of bureaucracy and documentation

组织中通常已经有一些管理实践（如PMO，ISO，CMMI）。 这使得一个行政级别和一些文档不可缺少。

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The scheme itself is creating extra costs through another level of bureaucracy.

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The WEF bases its report on 71 indicators, which range from the level of bureaucracy in a particular country to the price that its residents pay for cellphone service.

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Napo head Harry Fletcher is also concerned the reorganisation could see an huge increase in red-tape as a new level of regional bureaucracy is created.

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