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Japanese aid has been dwindling during the past seven years to cope with the economic recession , and it faces the risk of further cuts next year . In some cases , consumers can save money with direct marketers because these companies do not have to pay insurance agents commissions to sell their policies . ( If your doctor bills you more than the reasonable and customary charge , again you may still have to pay a portion of the bill . In the absence of a perceived Iranian flexibility , on the other hand , ElBaradei can conceivably utilize his enhanced stature to exert more pressure on Iran and , perhaps , even resort to the stick of Security Council action . As Karimov ordered the US to withdraw its military presence from Uzbekistan , US Secretary of Defense Donald Rumsfeld visited Central Asia to ensure that the US presence at Manas airbase in Kyrgyzstan and over flight rights in Tajikistan remained . That will require a two-thirds vote by shareholders at a meeting to be held in October , and probably the approval of the Kazakh government , which has had tense relations with PK in the past . The PFFS plan offers the same benefits covered under Original Medicare and may provide extra benefits , but you have to pay more for any extra benefits . After your policy is in effect 60 days , the company cannot cancel except for stated reasons , such as your failure to pay the premium or your losing your license to drive . Defense Secretary Donald Rumsfeld then traveled to the region to ensure that the US will retain access to its other base in Kyrgyzstan and overflight rights in Tajikistan , which support US and North Atlantic Treaty Organization ( NATO ) operations in Afghanistan . However , some consumers prefer to pay an additional premium for the opportunity to have a local agent available to them .