While Brad and Ryan initially fight each other, they ultimately decide that Dina is not worth either of their lives and choose to sacrifice her. A massive crowd witnesses the scene through the storefront window as the game begins. Otherwise, Dina will be killed by the third blade. To save Dina, Brad and Ryan have to shove the contraption away from themselves and kill their opponent. Jigsaw's mechanical ventriloquist puppet informs them that one of them will have to die within the next 60 seconds. Suspended above the third one is Dina, Brad and Ryan's girlfriend, who cheated on both of them. Both are chained to a contraption consisting of three circular saw blades. The scene shifts to an unknown point in the timeline, where two young men, Brad and Ryan, wake up inside a store in the center of a public square.

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Given the swingeing cuts that local government has suffered in recent years and the resulting crisis in social care provision, this makes sense. It is striking that the three major London health think tanks have joined forces to argue that social care is the most urgent priority for any funding increase this autumn. This discrepancy between what the Government claims it gave to the NHS and what senior NHS leaders argue they have actually (not) had, has been the subject of much debate in recent weeks.ДЄs we approach the Autumn Statement, it seems very unlikely that the Treasury will be giving extra funds to the NHS, for there appears to be a view within Government that the NHS asked for more in 2014, was given it in the CSR, and now needs to live within its means. A year ago, the Comprehensive Spending Review (CSR) gave ВЈ8 billion of extra funding to the NHS for the period up to 2020, but commentary at the time noted that this was in fact вЂa crisis deferred not avertedвЂ™ for about half of the extra funding was not new and was in fact coming from other Department of Health budgets such as capital spending, public health and training. The NHS is under severe pressure, as evidenced by the National Audit OfficeвЂ™s new report on NHS finances, which concludes that the situation of continually rising deficits is both endemic and unsustainable.

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