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In Palestine, doctors are working with the health minister to establish a national committee on clinical effectiveness. In Thailand, the Ministry of Health and the National Health Services Research Institute are setting up an office to guide a national quality assurance programme (A Supachutikul, personal communication). In South Africa, the Medical Research Council has committed support to the production of systematic reviews and evidence based practice (J Volmink, personal communication).

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“I don’t think you could have gotten the Democrats to walk out of the statehouse if you tried to fix one or two issues on the basis of that walkout. But what happened was, one legislator was upset about this piece of legislation, another one was upset about another. I would not be surprised if [Indiana Democrats] are having trouble in Illinois figuring out what they see as a victory or what they are willing to sacrifice,” Mr. Downs says.

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