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Care providers today recognize the compelling need to enhance the patient experience in the care process. Patients today demand prompt, personalized and compassionate care, the conveniences offered by technology as well as safe, high quality, cost effective treatment. This throws up complex challenges for hospital managers who need to finely balance the conflicting pressures of increased patient load, scarce resources and constrained budgets.

Civilizations based on conquest inevitably decline when they meet their matchor just run out of energy. Civilizations that expend their energy building huge monuments have little energy left to defend themselves against invaders or other challenges. But perhaps most often, civilizations die like humans, from the inside out. They develop power structures, aka government, with almost exclusive monopolies on the use of violence. Then, elite groups get control of the government and use it to shift more resources and energy to themselves. The rich get richer. That is why government is fundamentally a reactionary institution; it is almost always used to protect existing interests. Future interests don’t votechildren don’t stab you in the backand tomorrow’s industries don’t make campaign contributions. In effect, government moves energy from the future to the pastfrom what will be to what used to beand finally, to what will be no more.

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“It’s not about Nuba Mountains, it’s not about Darfur, it’s not about Blue Nile,” said Yasir Arman, the secretary general of the Sudan People’s Liberation Movement North (SPLM N), the political arm of the opposition group, told Enough in a phone interview. “It’s about democracy and transformation. The issue is about how Sudan is going to be ruled.”
