More people are moving out of the U.S. than moving in for the first time since the Great Depression—a bad omen for the $38.8 trillion national debt

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But there are plenty of wild cards ahead, as Ullrich and others are quick to acknowledge.

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В России допустили «второй Чернобыль» в Иране22:31

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But she added: "We have been clear that we cannot go further on pay this year, but there is shared ambition to explore and address some of the unique additional costs that resident doctors incur through their training and work."