Consultants work more efficiently if they have medical secretaries and other clerical support.

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On the lower rungs, adult women are still the majority of minimum wage earners and the majority of clerical support workers, and the pay gap between women and men working full time and year-round is just under 20%.

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At healthcare companies like HCA, the most popular job titles are nursing support, administration and clerical roles and physicians.

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In recent days Mr Rafsanjani has reportedly been in the clerical capital, Qom, rallying support, though he has not yet openly shown his hand.

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That is an understandable sentiment in regions where the Vatican has lent support to dictators or their clerical apologists, and in places where the church seems to have ignored or even exacerbated the problems of the most vulnerable, especially women.

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