They say the proposed changes could cost American hospitals about one billion six hundred million dollars a year.

VOA: special.2009.06.02

School officials decided to make changes at Ballou after less than sixty percent of the senior class graduated in two thousand six.

VOA: special.2011.06.23

On Wednesday,Mark Zuckerberg, the twenty-six year old chief executive of Facebook, announced changes.

VOA: special.2010.05.28

The Lions were stung and made six changes for the second Test in Brisbane.

BBC: SPORT | Rugby Union | Lions in NZ | History of the Lions: Australia 1989

He also defended the decision to make six changes to the side that faced Middlesbrough.

BBC: Darren Sheridan

Liverpool coach Rafael Benitez made six changes at half-time, including the introduction of Cisse and Steven Gerrard.

BBC: SPORT | Football | Liverpool thrash Celtic