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Her daughters , too , attained to a degree of education higher than was usual at that epoch , and they so combined with their learning the industries peculiarly appropriate to their sex , that Ferdinand the Catholic could imitate Charlemagne in using no article of clothing that had not been spun or sewn by his consort and his daughters . Recommendations have been made on the subject of education , the Breakthrough Collaborative , reimbursement policies among HRSA and CMS , medical examiners , and disparities in transplant rates . It reflected not only the shameless methods of recruitment but also the shoddy quality of what was being offered - - the inevitable result of the profit-driven commodification of education . When a school division wishes to add or change courses to be included in an Alternative Grade 10 , 11 , or 12 Program , a letter with a brief description must be sent to the Regional Director by the director of education . But , he said , it is how they approach the task that makes the difference in the kind of education residents receive .