Such lack of understanding has in turn led to many problems pertaining to the guiding principles in policy making and in detailing rules for implementation and regulation as well.

这种认识上的偏差导致了医疗服务政策从指导思想到具体规则的种种问题，同时更导致了医疗服务实践既缺乏效率也缺乏公正。

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They cite the Emergency Planning and Community Right to Know Act of 1986, which led to the development of a Toxic Release Inventory detailing the pollution habits of various companies.

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In a supplemental release detailing the restatement, the bank said traders in CIO may have tried to mask the losses, which led the firm to reevaluate its marks from the first quarter.

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