Health insurers had predicted big, painful changes for many of their Medicare Advantage customers after the federal government said in February that the amount it pays per person for the popular coverage could fall more than 2 percent in 2014.

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But she said it had put the issue on the agenda and enabled some big changes, such as bringing all the governments websites together at gov.uk.

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Then peers turn to the Public Service Pensions Bill - a measure which makes big and painful changes, but which has had a surprisingly smooth passage through parliament.

BBC: Week ahead

Mr Simson took the helm promising big changes at the company, which, like other conglomerates, had fallen out of favour with the market.

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We chose to look at the period between 1970 and 1980 and then again between 2002 and 2012, because these time frames both had big deficits and loose monetary policy, and they straddle the time in which the most significant changes to the CPI methodology took effect.

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Mr. Ryan, continuing his push, said later that Republicans had to do a better job of explaining to Americans what would happen to Medicare and Medicaid if big changes weren't made.

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