Once initiated, they run on auto-pilot without any effort to optimize the value received for the dollars expended.

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Yet eventually we listen to music, hold a conversation, and drive at the same time without any conscious effort at all.

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Sure, the technology to digitize and store medical records has been around for like, forevah, but without standards, any effort would be fruitless.

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Why do we need these things so fast, without exerting any personal physical effort?

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This finding tracks with other polls suggesting that any reform effort should fix the problems in the system without sacrificing what is working.

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Its impulse is to grow by recruiting and retaining ever more marginal students without any consideration of marginal utility--whether the result is worth the effort.

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In the months that followed, however, a closely held negotiating effort was mounted without the knowledge of or inputs from virtually any of the relevant Defense Department organizations.

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Reading the transcript, there appeared to be more of an effort to preach about the science, without even a reference to any proof (scientist, report, etc.).

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Any effort to modify global prices over a sustained period will most likely fail without substantial changes in the mechanics of supply and demand.

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The reality is that this is fundamentally an effort to create a feeling of reassurance that the current system can be upheld without any serious cutback, sacrifices or changes.

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