Of course, as with any kind of communication, delivery matters too.

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But it is not clear that this is the kind of victory that ordinary delivery men applaud, or that will spur workers in other companies to rush to join a union.

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Our most noteworthy other achievements during our brief history have consisted mainly of key activities essential to building the kind of programmatic and operational foundation that will enable delivery of the results just described.

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Russell says most patient advocates are women who have been through some kind of complicated encounter with the medical delivery system, either for themselves or a family member or spouse.

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But the kind of care being delivered to Clinton would not have been rationed under any conceivable reform of health care delivery.

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Three years ago Cemex would tell customers it would try to make deliveries of ready-mix concrete (the kind that comes in the trucks with rotating barrels) within three hours of agreed delivery times.

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Eric Park, of Ziba, a design consultancy, reckons companies must also think about drug delivery systems and patient-friendly packaging, which could create a new kind of branded intellectual property that might be more defensible than drug patents.

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