We are closer to a health care reform system that works for all Americans than we have ever been.
So one of my biggest priorities when I came in was, how do we reform the system overall?
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The rail regulator's problems stem from the government's failure to reform the system after Railtrack was forced into liquidation.
It has tried to reform its system, but what has really happened is that the new has grown alongside the old.
But will the politicians pluck up the courage to reform the system?
Already, the cost of failing to reform the system, both for present and future pensioners and for pension-providing companies, has been huge.
One is how to clean up the current mess and the second is how to reform the system once the crisis is over.
The government says it wants to push ahead with proposals announced last year to reform the system for identifying children with special educational needs and providing support services.
The government has announced plans to reform the system in a bid to make it easier to adopt while ensuring safeguards for some of the country's most vulnerable children.
The Soviets at last understood that the best they could hope for was to be allowed to reform their system, not to impose it on the rest of the world.
Health Secretary Alan Milburn said the 48-year-old Cambridge graduate, who has worked in various divisions of the NHS for 14 years, had the wealth of experience needed to reform the system.
The pretence that he would be allowed to reform a system carefully designed to keep Mr Moi's hands on the reins of power, and on the purse-strings, was gone before he was dismissed.
The charity and some MPs and peers are also concerned about government plans to abolish the office of chief coroner - a post introduced two years ago to try and reform the system and cut waiting times.
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Reform of the way the GPs work, reform of the hospital system, reform of the doctors and the consultants and the nurses and the way that they work, reform of the systems within the health service, and every single pound of money we put into the health service is going to be independently inspected and audited by an independent body.
BBC: News | BREAKFAST WITH FROST | Interview with Prime Minister Tony Blair
Just this week, we've taken steps to protect American consumers and homeowners, and to reform our system of government contracting so that we better protect our people while spending our money more wisely. (Applause.) The -- it's a good bill. (Laughter.) The engines of our economy are slowly beginning to turn, and we're working towards historic reform on health care and on energy.
We must act now to change the debate from health care reform to health system invention.
This is fine for now, leaving more comprehensive tax system reform for some future date.
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But reform of this system requires not only approval by Congress but ratification by the provinces.
Not many voters will care about Mr Blair's failure to reform the electoral system.
That would leave much to do, especially to unleash growth and to reform the banking system.
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Some observers hope that the latest revelations might provide the shock needed to reform the whole system.
Like Mr Suharto, neither man can institute fundamental reform of the system without undermining his own position.
The President believes that we need to reform our immigration system to compete in the 21st century economy.
Mr Clarke argued that this made his efforts to reform the penal system and cut reoffending even more important.
In 2001 a former prime minister, Junichiro Koizumi, was welcomed precisely because he sought to reform the political system.
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We will need to stabilize, repair and reform our banking system and get credit flowing again to families and businesses.
That means we fight discrimination against gays and lesbians, and we make common cause to reform our immigration system.
His party called for legislation to reform the planning system, change the school term and ban smoking in cars carrying children.
And just the competition alone has actually spurred 46 states so far to initiate legislation designed to reform the school system.
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