In 1994 the family patriarch, Amir Amidi, found himself on the phone with Nozad, who despite no tangible experience and poor command in English had answered a television ad for a salesperson.

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The report has a specific reference to healthcare professionals following the death of a patient in Cambridgeshire who died after treatment by a German locum doctor who had previously been refused NHS work due to his poor command of English.

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Officials with the U.S. training command blamed insufficient staff and the lack of a "fully operational distribution network" for the poor record-keeping, the GAO report states.

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