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We will encourage them to think creatively about how we can operate the Medicare program more simply and effectively without increasing costs or compromising quality . When another factor becomes with potential to initiate the cough is encountered , persistent coughing may occur more commonly and prominently in women . The case stratification will allow the child support agency to better match enforcement techniques to individual case circumstances , allowing the County to more effectively and efficiently utilize its staff resources . How can we shape prevention more effectively and peacebuilding more sustainably ? We suggested to managers of another plant that they pay supervisors more generously and allow employees to leave 15 minutes early if their lines met the day 's production goals . This support , in most cases , should take the form of direct work by the NACA ; in other cases , this support can more effectively and economically be obtained by providing the NACA with the contractual authority to coordinate and to support financially the work of other existing groups . In this situation , economic instruments can complement command and control mechanisms in specific cases and , these instruments can allow environmental problems to be addressed more quickly , more effectively and / or in a more cost-efficient manner . We have to learn to work far more effectively and closely in the field with NGOs . My desire to live more simply and to acquire fewer " things " began because of my strong environmental ethic , but it has gradually also become a quality of life issue for me . Robots that act like people could work more intuitively and efficiently with astronauts , he said . In Lincoln 's day , the dash was used more commonly and in more ways than in more recent times , including its use to indicate a full stop at the end of a sentence .