In general, they have demanded that existing trade deals be better enforced and that adherence to international labor standards be a part of any trade agreement.

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Right now, generic companies are competing primarily on cost, yet one can imagine that by bundling the appropriate companion technologies to their products (e.g. technologies that improve and document adherence), they might conceivably be in a position to make more aggressive efficacy claims, to demonstrate to stakeholders that they are delivering greater value, and ultimately command somewhat higher pricing, yet still below the cost of new, branded products.

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However, Attorney General Dominic Grieve warned defying the Strasbourg court could be seen "as a move away from out strict adherence to human rights laws".

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He has been formally advised by the Pentagon that continued adherence to it has required developmental tests to be curtailed, dumbed-down or otherwise made less useful than they could, and should, be.

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But he added: "To the forces that show convinced and credible adherence to the Monti agenda, I would be ready to give my advice, my encouragement and if necessary leadership, " he said.

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Such destructive norms couldn't be sustained if there weren't people anointed to enforce rigid adherence to them.

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"Importantly, even partial adherence to statin therapy conveys a mortality benefit, suggesting that statins do not need to be taken daily to have some protective effect, " said Dr Francis.

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