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However, his arrest sent shock waves through the British and Irish governments because of how they often rely on community workers to engage with loyalist communities.

The county, with a roughly $48-billion budget, also is relying on special bonds as well as on draining its rainy day fund.

"It's difficult because I feel like it's something I have had to explain since I was young - I have had to rely on different strengths," Gomes says.

With just 24 employees on site, the factory relies heavily on automation -sophisticated robots that fuse soles and trim materials - underscoring a transformation in how goods are made today.

And they have come from firms selling branded drugs - not the cheaper, generic medicines that many Americans rely on and that are made in China and India.