Word: carefuls
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21st Century First Lady A spot-on insight into Michelle Obama, with one exception: you forgot to mention our First Lady's sorely needed attention to the families of our armed services [June 1]. Our returning soldiers, especially the wounded, need to know we care about them, and she is reminding us of that. David Jensen, Stamford, Conn...
...that in the words of Peter Mandelson, Business Secretary and Brown's de facto deputy, was "intensely relaxed about people getting filthy rich." But it still prioritized the needs of ordinary Britons. "When you see politicians charging for small things, like a bathroom plug, you know they don't care about the common people," says Mehta. The message from opinion polls is unequivocal: the majority of Britons favor an early election to restore faith in Parliament. Mehta concurs. The only difference between Britain and a dictatorship, he says, "is that here they cling onto power legally. There should...
...costs a lot more to fix something that's broken than it does to prevent it from breaking down in the first place. Our ailing health-care system is long past the point at which we can stop it from breaking down, and it will cost hundreds of billions of dollars to fix. But I trust it's different for most of us. When it comes to individual health care, the model these days is not treating illness but preventing it. The prescription is prevention. Three-quarters of our health-care costs are attributable to chronic, preventable diseases...
...Brent Asplin, chair of the Department of Emergency Medicine at the Mayo Clinic, says health-care reform, if it's done comprehensively, can harness the financial value of EDs: "We're the last stop before the hospital bed - the last opportunity to connect people back to a primary-care provider," where regular monitoring costs less than an expensive hospital stay for a more serious condition. "I can spend tens of thousands of dollars on an ICU bed [for a stroke patient], and nobody questions it, but if I try to get them an office visit and routine blood-pressure medication...
...Whether insured or uninsured people are crowding in, an overreliance on EDs means that less preventive medicine and less chronic-disease management is happening, which is part of the reason prevention is a central tenet of the current health-care-reform discussion. In other words, if the ED is the last, and sometimes only, resort for very sick people, then the health-care system as a whole is still very ill. "We can't hospitalize our way to human health," says Asplin. "One of the tragedies of the uninsured is that when they get to us, sometimes...