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Hero Cycles , the country 's largest cycle manufacturer , has been one company that has been particularly badly hit because steel accounts for 70 per cent of its raw material costs . A teacher of writing at several colleges , Gioia founded " Teaching Poetry , " a conference dedicated to improving high school teaching of poetry and the West Chester University Conference on Form and Narrative , the nation 's largest annual all-poetry writing conference . Opening a new front in the growing rebellion against President Bush 's signature education law , the nation 's largest teachers ' union and eight school districts in Michigan , Texas and Vermont sued the Department of Education yesterday , accusing it of violating a passage in the law that says states cannot be forced to spend their own money to meet federal requirements . The anesthesiology contract went to Pacific Anesthesia Consultants , a subsidiary of Sierra Health Services , the state 's largest health insurance company , even though that group 's bid was $ 2.7 million more than that of a consortium of local doctors . In a long-awaited challenge that could affect children in every state , the nation 's largest teachers union asked a federal judge Wednesday to exempt school districts from any requirements of President Bush 's No Child Left Behind law that are n't paid for by the federal government . Using information from the Census of Retail Trade for the local economy , as well as for Wal-Mart , the town 's largest retailer , estimates of the jobs and wages required to meet that additional retail demand were obtained . Earlier this year , the Aluminium Bahrain , the country 's largest non-oil industry , approved expansion of production to increase its capacity by 50 per cent . Telia , the country 's largest telecommunications company , provides one of the lowest phone costs in the world . The miniaturized " endo-esophageal MRI coil " can be used by doctors to view the esophagus and the aorta , the body 's largest artery . Commercial and industrial development , parks , and community facilities have lagged behind home construction , but with the construction of Cottonwood Mall , the state 's largest regional mall , and its associated development , many Albuquerque businesses have opened west-side branches , concentrating in the area along Coors between Paseo del Norte and NM 528 . Medicaid , as you know , covers roughly the same number of people , roughly 40 million , pays for health and long-term coverage for 1-in-7 Americans , the country 's largest health insurer for children , six times the Children 's Health Insurance Program , single largest insurer for maternity care , 1-out-of-3 deliveries is Medicaid , single largest purchaser of nursing home care , as you know , and the single most important source of financing for hospitals like Metro in Cleveland , safety-net hospitals , inner-city hospitals , public hospitals . " " The Medicare program , the nation 's largest health insurer , has a special responsibility to demonstrate leadership in the efficient use of health care resources , " said Bruce C. Vladeck , administrator of the Health Care Financing Administration . Prior to joining The Carter Center in August 1999 , Ms. Neuman was senior staff attorney for Senior Law at Legal Action of Wisconsin , the state 's largest legal services provider for low-income persons . Later that year , the state 's largest corporate hog producers joined forces to force Watson from public office . USA Today , the country 's largest circulation newspaper , ignored the story as well .