Reform would be painful for the finance ministry, revealing years of mismanagement and concealed losses.
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Like any detox program, breaking the cycle of Medicaid dependency could be painful for a while.
This might be the least worst option, but it would be painful for eurozone taxpayers and banks.
That will be painful for the Irish, but they can draw consolation from a brighter outlook for recovery.
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He might have to encounter difficult decisions that will not only be painful for him financially, but personally as well.
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There's going to be a harmful effect on many local businesses and it's going to be painful for a lot of folks.
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That would be painful for landlords but nothing like the hit they took when bookseller Borders Group and electronics chain Circuit City liquidated.
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That would be painful for some businesses, but not as painful as a crash that could result if leverage keeps getting piled on leverage.
But the worst problem for Mr Raffarin is that reform will in practice be painful for everyone, including those who approve of it in theory.
That a Europe-wide capital-raising exercise could be painful for the Germans.
Moving away would be painful for them, especially for the elderly.
It adds that university leaders must "acknowledge that it will be painful for those colleagues who may not continue to be part of the organisation in the near future".
As it happens, the stress-test results imply that if a default were confined to Greece, it would be painful for some banks but not devastating for the integrity of the European financial system.
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The new coalition's motto is "building bridges", but the leaders have already warned voters that the new policies are going to be painful for everyone, the BBC's Anna Holligan reports from The Hague.
Anyone who has seen The Social Network and knows much about the Facebook founder knows that the movie diminishes him in ways that could be painful for almost anyone, even someone with his success.
Even for HSBC, there may be painful ramifications for many years yet of the money-laundering settlement.
The skin on a dog's stomach is thin and will be more painful for the healing process.
One is the economic downturn in the United States, which will be especially painful for Canada, Mexico and the Caribbean.
The aftermath of the war will be particularly painful for Eritrea, which has now taken on all its neighbours, achieving nothing.
Covenant-lite loans removed some of those safeguards, creating the risk that default, when it occurred, would be more painful for creditors.
The toll will be especially painful for including many children at elementary schools that hadn't been evacuated when the storm set down.
Indeed, it expressly decided not to liberalise bulk mail overnight, accepting that this would be too painful for incumbents required to deliver a universal service.
But a fall from power can be especially painful for underdogs that fall from a height that, by some measures, it never should have reached.
But in a time of great economic crisis in Europe, where each country is facing their own internal struggle, backing off may just be too painful for government.
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That will be pretty painful for Geithner, considering he was planning to exit his role as Treasury Secretary as soon as this latest round of debt ceiling debates had concluded.
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The current-account deficit, now around 5% of GDP, is a key factor: if capital flows into America slowed even more sharply, or dried up, the adjustment involved in reducing the current-account deficit could be painful both for America and the rest of the world.
As he notes, this means that getting rid of inflation could be more painful for the economy than in the past - but it also means that the cost of keeping policy "too loose", in terms of higher inflation, could be a lot smaller than before.
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