Word: bypass
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Dates: during 1990-1999
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...before Bill Clinton's health speech, the President and Hillary told reporters about their conversation with a hospital administrator. The man told them his institution had received a 92-year-old man for a quadruple-bypass operation, which would cost tens of thousands of dollars and extend his life marginally. Hillary asked why. The answer: Because there was no way to turn him away. Later, a journalist asked a sensitive question: If the old man hadn't been admitted, would it have been a form of rationing, er, "prioritizing"? This time the President answered, knowing the question was really about...
...Coronary bypass operations for patients over 80 generally produce bills twice as high as those for younger people, says Robert Jones, professor of surgery at North Carolina's Duke University. Jones, who heads a federally financed project to establish guidelines for cardiovascular surgery, explains that people like the nonagenarian of Clinton's anecdote stay in the hospital longer than younger people because of age-related surgical complications and the lack of people to care for them when they go home. As a result, says Jones, the pressure to turn down such high-risk, expensive patients "will be more than subtle...
Going up? Unless you're Richard Simmons or a truly dedicated Stair Master user, that likely means doing anything possible to bypass one or more of Harvard's 2,000 flights of stairs...
...micro-settlements for thousands of small guilty parties. "Nobody at EPA is after the pizza-parlor guy who may have sent his waste to a municipal landfill," she says. "That's not what Superfund is about." She also hopes to reduce litigation by suggesting, among other solutions, that corporations bypass lawyers by sending their ceos to negotiate with senior EPA officers. "This is not to denigrate lawyers," she says, "but the ceo can see the company's interest as a whole and will often move when his lawyers are paralyzed." Assuming, of course, that it is remotely in his interest...
...rates significantly higher than their white counterparts, according to a new study. Not only that: when the heart stoppage occurs outside a hospital, blacks survive the episode only one-third as often as whites. Another study indicates that whites are more than twice as likely to have expensive bypass surgery as blacks...