We need innovation and affordable access.

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In essence, just as the Fortune 500 must relearn how to manage so as to generate continuous innovation, the health care system also needs to learn how to manage in a radically different way so as to generate reliable and affordable care through continuous innovation.

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This innovation made it affordable to fence vast areas of land, and led to the practice of animal husbandry on a much larger scale.

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The best practice approach to systems is that they must be open, capable and affordable, enabling both process and computing innovation.

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The ITU has said a new treaty was needed to ensure "the free flow of information around the world, promoting affordable and equitable access for all and laying the foundation for ongoing innovation and market growth".

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What could have a significant impact on our energy security, however, would be to invest the hundreds of billions in potential federal revenues from oil and gas royalties to accelerate clean tech innovation and deployment, helping America develop the clean and affordable energy sources needed to truly diversify our energy mix and secure our freedom from oil.

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At some point disruptive innovation transformed all these industries, making their products and services affordable and accessible, so that people with less training could competently provide them.

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Obama also does even more to empower the Independent Payment Advisory Board, a controversial body created in the Affordable Care Act that will inevitably act as a brake on American medical innovation.

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Intellectual-property protection is needed for innovation but this must be balanced against the needs of millions of poor people for affordable medicines.

ECONOMIST: Letters | The