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There are many forms of governments in the world at present. Of them the democratic form is most cherished, though ironically China, the most populated nation in the world does not follow a parliamentary form of democracy, in the ideal sense. Democracy in the United States too is somewhat skewed. India too is virtually surrounded by dictatorial regimes both on the east and the west. Indian democracy is also not devoid of blemishes. In this paper we try to portray some of the most glaring drawbacks, which affect the lives of the people living on the margins in India. [ABSTRACT FROM AUTHOR]

Congress passed the Boren Amendment to allow states to develop and implement alternative reimbursement methodologies that promote the efficient and economical delivery of hospital and nursing facility services. However, courts have interpreted Boren in ways that limit state discretion and impede their ability to meet budgetary constraints.