51.   In Geneva, North Korea had agreed to freeze and eventually dismantle its existing nuclear program, which the United States suspects is directed at developing bombs.

52.   In states like California, which has a strong organic certification system, the federal government would need to approve existing programs.

53.   In Rhode Island, Republican Governor Lincoln Almond would put the money in the general fund, giving him leeway to fund existing programs.

54.   In terms of look and feel, the changes in the existing programs are not dramatic.

55.   In the meantime, the existing program is running out of money.

56.   It has built up existing programs like cancer care and neurosurgery, hiring prestigious specialists and investing heavily in equipment.

57.   Instead, it focused on squeezing savings out of the existing programs.

58.   It voted to set aside for them one percent of the new state block grants that will replace the existing Medicaid program.

59.   It urged the United States, both the Clinton administration and Congress, to devise policies on the displaced as effective and generous as existing American programs for refugees.

60.   Its voucher, from the sketchy outline provided, seems tied to the cost of the existing Medicare program, and thus offers little hope of reining in costs.