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...notes Dr. Michael Sateia, director of sleep medicine at Dartmouth-Hitchcock Psychiatric Associates in Lebanon, N.H. "Sleep medicine is still in its childhood, and for decades we have lived in a culture where pharmacological therapies have been the mainstay. But we are beginning to change that mentality." Sateia's center, for example, recently hired a nurse practitioner to offer more affordable group therapy as an alternative to individual counseling by a psychiatrist. (Read: "On the Couch Online: Does Tele-Therapy Work...
Aware that the idea of "rationing" health care would prove controversial in the U.S., advocates of reform - from the American College of Physicians to the advocacy group Center for Medicine in the Public Interest - have suggested a system of review that doesn't take into account the cost of new treatments. This would help doctors decide a course of treatment, as currently they have no way of comparing the efficacy of different drugs for the same condition. But it could also raise prices. "In a free-market economy the manufacturers may use the effectiveness review to charge higher prices...
Peter Pitts of the Center for Medicine in the Public Interest says higher prices are a risk America will have to take. "Because NICE is concerned about saving money and not what's in the best interest of the patient, its methods are not only imprudent, they are unethical," he says, arguing that pharmaceutical firms use profits to fund research and development. Rawlins has a different take. "All health-care systems have implicitly, if not explicitly, adopted some form of cost control. In the U.S. you do it by not providing health care to some people. That's a rather...
...weeks ago a group of Pakistani journalists and foreign correspondents based in Pakistan gathered to meet visiting representatives of the Washington-based think tank Center for American Progress. Its members were "on a listening tour," they said, and wanted to hear the journalists' perspectives on the U.S. and Pakistan. The response was caustic. Correspondents and editors belonging to Pakistan's top local print and TV outlets let loose with accusations and complaints, particularly about American concerns that Pakistan was failing as a state. "There is no Taliban threat," said one Pakistani journalist. "Do you really think a bunch of hillbillies...
...This has the makings of a really bad movie.' TERESITA SCHAFFER, an analyst at the Washington-based Center for Strategic and International Studies, on the prospect of Zalmay Khalilzad, George W. Bush's former ambassador to Afghanistan, being awarded a key post in the Afghan government...