Kelly said the results of the inspection of the Qom plant, and Tehran's final decision on the uranium export plan, will figure heavily in big-power discussions on whether to seek further punitive action against Iran over its nuclear program.

VOA: standard.2009.10.24

Moreover, as Mark Pauly points out, here Medicare has an advantage over private insurance, by virtue of punitive power of federal law.

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Security Council, with power to veto any punitive measures against the government in Khartoum.

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