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The Obama administration is hoping for a surge of year end enrollments to show that the technical problems were merely a temporary setback. That would also go a long way toward easing concerns that insurance companies won’t be able to sign up enough young, healthy people to keep prices low for everyone.

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The study, published this week in the New England Journal of Medicine, compared the effectiveness of various types of birth control in a group of about 7,500 sexually active women in the St. Louis area. Over a period of three years, 9.4% of women using birth control pills, patches, or vaginal rings became pregnant accidentally, compared to just 0.9% of women who opted for IUDs or implants.The difference in these so called contraceptive failure rates was especially dramatic among teenagers and young women, a group at high risk for unintended pregnancies.Women under age 21 who used short https://en.wikipedia.org/wiki/Barbour term birth control were nearly twice as likely as their older counterparts to become pregnant, whereas the failure rate for IUDs and implants was less than 1% regardless of age.

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they seem to mean to liberate the NHS from managers. The idea is that managing can be done by those who are already doing another job general practitioners. It may be that the NHS is currently top heavy, and it may not be as good as it might be. However, I have several ethical concerns about devolving commissioning responsibility to GPs.

I couldn’t accept that someone as smart as Gatsby could be so in love with someone as shallow as Daisy who ”gets foolish ideas in her head and doesn’t know what she’s doing” and who (with husband Tom) ”smashed up things and creatures and then retreated back into their money or their vast carelessness”.

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