Word: coste
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Dates: during 2000-2009
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...Miami's cost problem isn't a medical supply-and-demand issue. In fact, it's just the opposite, says Linda Quick, president of the South Florida Hospital and Healthcare Association. As a result of the deluge of doctors and hospitals that have moved to the retiree mecca since the 1960s and '70s, chasing the lucrative Medicare business as well as the area's population boom, South Florida has an "excess capacity of health-care providers and institutions," Quick notes. And to make sure they all get a piece of the action, they've created a wasteful and ill-coordinated...
...Reports like the Milliman Index, however, point up the just as troubling relation between high health-care costs and low-wage demographics like Miami's. Cities and regions with higher income and education rates tend to have access to more efficient health-care plans. In turn, they bear health-care costs that, while they might seem high in places like New York City (which is second behind Miami in the Milliman Index), are usually more in line with what residents can afford and require relatively less out-of-pocket contributions. Locales like Miami, by contrast, often offer residents "less access...
...Fitch of Milliman notes, the most urgent prescription is to get payers and providers in cities like Miami "to be more penalized and incentivized" on the cost-savings front. Even if health-care plans stopped paying hospitals for unnecessary inpatient stays, others says, that kind of abuse still won't end if the plans don't also stop paying patients' doctors for visits during those stays - a major moneymaker for physicians. Those doctors should instead be motivated, financially or otherwise, by plans to focus more on preventive health-care treatments. Either way, when it comes to reforming health-care albatrosses...
...strategies and tactics long discredited, both in the battlefield and in the military classroom. Since they appear to have worked against the Tigers, other countries wracked by insurgencies - from Pakistan to Sudan to Algeria - may be tempted to follow suit. But Rajapaksa's triumph has come at a high cost in civilian lives and a sharp decline in democratic values - and he is no closer to resolving the ethnic resentments that underpinned the insurgency for decades. Perhaps Sri Lanka's success should come with a warning label for political leaders and military commanders elsewhere: Do not try this at home...
...busiest port. "The pile up of ships in the Straits is a reflection of the collapse in trade until the early part of this year," says P.K. Basu, Asia economist for the Daiwa Institute of Research. Mirroring that drop is the Baltic Dry Index, which tracks the average cost of shipping a container of goods. It has plummeted more than any stock market, from a peak of 11,000 in mid-2008 to roughly 2,600 today...