Thus, there was no incentive for the supply side to change in response to the relatively small number of patients incented to shop more wisely in the medical market.
What we have seen since late last week, early this week, when the ticket for the other side was filled out, was this initial announcement that there was a desire for a substantive policy debate, and once that substantive policy debate focused on the critical issue of Medicare, there's been, obviously, a desire on the other side to change the subject.
The idea you can dig a hole and bury money in it, so people can dig it up for wages must be put to one side for a change.
This looks set to be in the form of an exclusively under-21 England side - a change Fifa is expected to make from the current under-23 (plus three over-age players) rule.
That's part of every campaign, and it's often the result of one side trying to change the subject when they're losing the debate on the substantive policy issues that matter most to the American people.
This would allow traders and active investors to begin trading the fund from the long side for a change, taking advantage of short-term weakness rather than short-term strength as the bull market in FXI is restored.
As I watched the crowds flock away and Redcar celebrate their derby victory, I caught up with Diamonds team manager George English, who wasn't happy with his side but touched on the struggles involved with trying to change a losing side in speedway.
Do you see anybody on the Republican side talking about a change in policy?
Rangers manager Walter Smith was forced to change his side after defender Karl Svensson failed a late fitness test.
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The Saint Lawrence, an almost constant by my side, seemed to change colour throughout the day, from choppy, muddy brown to a calm, silvery blue.
Admittedly, Bulls coach Steve McNamara, who succeeded Noble in the hotseat at Odsal, was not helped by having to change his side at the last minute.
United boss Sir Alex Ferguson, serving the first of a five-match touchline ban, was in regular telephone contact with the United dugout and acted to change his side at half-time, replacing the injured Brown with Fabio da Silva and replacing Hernandez with Berbatov.
The truth is that neither side of the issue on climate change or global warming can claim to have science on their side.
An unfortunate side effect of this perception change is the reaction by the credit rating agencies.
So which side is trying to "change the rules in the middle of the game"?
It's hard to see how this can change unless each side is really willing to yield ground.
David Pocock comes in for flanker George Smith in Australia's only change from the side which beat England.
Mostly I roll with the Balder Side Sword, though I change up armor and shields frequently depending on the situation.
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Supply-side tax cuts aim to change the incentives, and therefore the behavior, of the people whose decisions drive the economy.
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McLeish had been forced to make a change from the side that eased past Arbroath in the Scottish Cup on Saturday.
Smith is the only change from the side that beat Ireland 22-3 at Croke Park, after limping out with a groin injury.
The home side were forced into a change early on when Steven Robb was injured trying to cross the ball, with Garry Brady replacing the left-sided player.
Ireland coach Declan Kidney made only one change from the side which beat Canada in unimpressive fashion, Mike Ross coming in for Tom Court in the front row.
New Wolfsburg coach Veh made just one change from the side preferred by his predecessor Felix Magath last season with Karim Ziani starting in the midfield behind Edin Dzeko and Grafite.
While conceding the 30-year-old may have been at fault against United, Wenger is in no hurry to make a change to a side that has set a new club record of 25 matches unbeaten in all competitions.
And then on the military side, we have to change how we go about doing things on the ground, and truly move towards the principle of successful counterinsurgency, which is protect and support the people.
Crusaders made one change from the side who found St Helens too powerful at Wrexham a fortnight ago, the inspirational Jarrod Sammut returning at half-back, with Peter Lupton moving to loose forward and Frank Winterstein dropping to the bench.
The fielding side decides when to take one of these powerplays, and in a rule change introduced in October 2008, the batting side decides when the other powerplay is taken.
And after you take the medicine, be aware of any change in effectiveness or side effects.
The home side had already made one enforced change when they replaced the injured Sulley Muntari with Lee Cattermole.
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