I'm just saying that there are high quality materials, and when we change them then there should be a way of changing them so that you can celebrate that change - rather than just 'mix it up'.
Pay-for-procedure or fee-for-service reimbursement rewards doctors and hospitals for volume - not keeping patients healthy or being efficiency. Pay-for-Performance is clearly one tool that can change the incentives to reward quality.
Great upheavals produce shock waves that widen cracks in political, economic, and security orders. Sometimes the old orders break. Yet it can be in the power of leaders and peoples to shape the directions of change.
The thinking was that so long as the British kept our basic documents in their hands and so long as they kept the formal right to change them, changes in our system would be careful and deliberate.
I don't shoot two films at the same time. I finish one character and get into another character because I change my look for every film. It's difficult, but I enjoy doing that.
We're all living blinkered lives, and we're not seeing what's going on and looking to change it. I'm not saying that everyone has to make a political statement, but we need to be more aware of what's happening and why.
What shocks me is that so many people leave care and become homeless, and when you're homeless you get into crime, prostitution and drugs, and it is a vicious circle. That's what we need to change.
I didn't want to find out the reality that if I wanted my dream, I had to lose weight. That's a crushing dream for anybody... to change yourself to get your dream. Nobody should have to do that.
Is there climate change? I live in the shadow of some of the greatest climate change the world has ever seen. It's called the Rocky Mountains. When the glaciers went back.
You always have to be worried about something that is considered a so-called 'scientific theory' that fits every scenario. Climate change, as they've defined it, can never be disproved.
As long as the sun rises over Ontario and sets over the Pacific, I will dedicate myself to bringing the people of Oregon what they want and need most - an era of hope, change, and economic renewal.
The Senate as an institution is broken. We're not doing the work of the American people and the rules are being abused. The only way to get us back to the traditions where the Senate is doing the work of the American people is to change the rules.
People are fed up with the career politicians who created this mess or failed to prevent it and neither was acceptable, and the only way we could change that was by sending a different type of person to Washington.
There are women who make things better, there are women who change things, there are women who make things happen, who make a difference. I want to be one of those women.
From the Bush Administration to the 9-11 Commission, there is an urgent and universally recognized need to change the broken formula through which Homeland Security grant money currently is allocated to our first responders.
People feel that the EU is a one-way process, a great machine that sucks up decision-making from national parliaments to the European level until everything is decided by the EU. That needs to change.
I believe we should reframe our response to climate change as an imperative for growth rather than merely being a way of being green or meeting environmental commitments.
I want to ensure and the Government wants to ensure that Australia is well prepared to tackle dangerous climate change with a scheme which is both responsible and which meets our international commitments.
But if we had to trade with a Europe dominated by the present German trade policies, we might have to change our methods to some totalitarian form. This is a prospect that any lover of democracy must view with consternation.
Only the change on the international scene, the crisis in the gulf, and the strong, firm position of the United States against aggression between two Arab countries created realities that led to the Madrid Peace Conference.
People who have car collections - I never understood that. I always thought that was unnecessary. It's not beautiful, it's not creative. It's just showing how much money you've got.
