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I believe it is , at least in part , because the Commission has decided to use extremely complicated , complex , economic , computer , cost models . Also , an article by the Hopkins group published in the June 1 , 1995 , issue of Cancer Research reported the world 's largest series of chromosomal abnormalities in patients with pancreatic cancer . The issue is not whether , despite massive tax increases that just offset decreases in federal access fee and charges , IXCs have no net differences in costs . The Commission has yet to implement it properly , despite repeated opportunities . Thus , for example , wireless carriers will be required to pay proportionately higher costs , despite the fact that they have received no access charge reduction . In bolstering the volume of foreign admissions at Cleveland , Hutchins crafted a five-year marketing plan aimed at attracting patient referrals , including initiating affiliation agreements with 24 foreign professional societies , foreign governments and / or medical institutions . In Maryland , which has one of the highest incidence rates in the United States , 3,500 women learned last year that they had breast cancer .