One major concern is the rise of managed health care and its accompanying decreases in clinical earnings, which have traditionally helped to subsidize the costs of medical education.

人们关注的一大问题是，伴随着管理式医疗保健的兴起，门诊收入相应下滑，而门诊收入长期以来一直用于补贴医学教育的开支。

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As corporate earnings decrease, GDP growth decreases.

FORBES: Deflation Threat Still Real

While 75% of its incentives continue to be based on earnings per share growth, the Guardian reported that the remaining 25% include environmental footprint and decreases in carbon emissions.

FORBES: Executive Bonuses And Corporate Responsibility