"There have been substantial cutbacks especially on the state level," he said.

Liberals know they lack political support for military cuts large enough to head off substantial domestic cutbacks.

But the experts said substantial cutbacks from large Gulf producers and other states would be needed to comply with the accord.

Lazio: What's going to have to happen is substantial cutbacks in Medicaid.

Mr. Sarney's televised speech also called for a substantial cutback in Government spending.

Eastern announced at the end of August a substantial cutback in its work force and its operations.

However the repayment issue is resolved, the companies are facing substantial cutbacks in Medicare reimbursements.

Congressional committees have proposed substantial cutbacks in Medicaid and Medicare, the nation's largest health insurance programs, which together cover more than one-fourth of all Americans.

Financial cutbacks and changes in service lead to the rumours of substantial cutbacks in staffs.

A health authority chairman has said a hospital facing substantial cutbacks is unlikely to lose its emergency departments.