Reform.
As in Health Service, Police force, Public Sector, Country's Finances, Civil Service, etc.
It seems to mean (i) cut, (ii) fiddle around with, (iii) privatise and/or outsource, (iv) screw over or (v) any selection of these.
Why can't a reform add efficiency and save money in a service for the public good by moving it to the public sector, insourcing or adding more budget? They would all work, clearly. But it seems they aren't reforms in our current political discourse.
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