1.   Backed by such organizations, they returned to mainstream institutions with the aim of achieving genuine reform.

2.   People in the medical profession are pressing for genuine reforms in policy.

3.   But there are signs of genuine reform.

4.   Genuine reform of these draconian laws is long overdue.

5.   Genuine reforms, ranging from changes in the tax system to application of the rule of law, are surely necessary to get the Russian economy moving.

6.   Genuine reform is a coordinated, systematic effort combining numerous measures aimed at a single goal.

7.   If the Republicans pick up seats, then any chance for genuine reform will have been squandered.

8.   In doing so, he virtually acknowledged that he and his wrecking crew lacked enough support from fellow Republicans to prevent passage of genuine reform.

9.   Indeed, the only purpose of these amendments is to kill genuine reform.

10.   Neither would lead to genuine health care reform.