Twenty-eight years were to pass between Kennedy's death and substantial reform of the welfare state.

This is a hospital that has already made substantial reforms.

In 1987, the government introduced substantial reform and regulation which included a program to monitor standards.

None of the parties offer substantial reform for the economy.

In return for aid, there had to be substantial reforms.

This week produced more political theater than substantial fiscal reform.

In the late 19th century, the Ottoman legal system saw substantial reform.

Basically, nobody wants substantial reform of the works councils, certainly not before the next European elections.

Health and social care services are undergoing a period of substantial reform.

Valencia committed his administration to substantial economic and social reforms.