The heart of the changes show an emphasis on preventive services, end-of-life conversations, prescription drug coverage, insurance company restrictions, with little focus on how this will all effect your doctor, accessibility of services, or your premiums.
'Could there be something to all the talk of an Obama effect, after all?
Staffing reductions are going into effect all over airports, from security-screening officials to customs officers to air-traffic controllers.
This is all the cumulative effect of 1% lower growth rates for decades.
Mr Mackenzie said he believed poor summer weather, extra bank holidays and the popularity of online shopping had all had an effect.
But protesters have been ignoring orders to this effect all week.
It will include the present Article Five, which declares that an attack on any member will be an attack on all and in effect commits their armed forces to the defense of the endangered country.
"It's hard to see how a cop will be able to leave the station house without some potential adverse impact on his personnel folder if it all goes into effect, " said Eugene O'Donnell, a professor of police studies at John Jay College of Criminal Justice.
When they looked at correlations between a man's income and his height at the ages of seven, 11 and 16, as well as his adult height, Dr Persico and his colleagues found that all of the effect of height on income was actually attributable to height at the age of 16.
In short newly literate women have a positive ripple effect on all development indicators.
Drugs, food and habitual behaviors all have a direct effect on the biology of stress.
What has been the effect of all this extra money flowing upward in the economy?
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Harbaugh: I think everybody's, anybody's experiences we'll all use to cumulative effect thing, yeah.
The cumulative effect of all that info could reduce the aggression so vital to the game.
What effect do all the successive fiscal cliffs, ceilings and sequesters, have on public confidence?
The effect of all this bravura glasswork is, predictably, a constrained outward view for the driver.
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If true, that could prove to be the most fascinating long-tail effect of all.
But the combined effect of all this stuff is faint indeed, a playful obliqueness that seems somewhat pointless.
The folks over at Save Game have designed cocktails after all your favorite Mass Effect 3 characters.
In effect, all it can do is propose to cut payments to providers.
The JCT estimates the revenue effect of all tax proposals and it prepares an annual compendium of tax expenditures.
It could also tell when nothing happened (Republican convention, no effect at all).
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