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Hospital executives are responding to the assault of specialists by building and aggressively marketing profitable "service lines," like cancer, heart and brain centers. They're snapping up $1.4 million computed tomography (CT) scanners, which produce palpably detailed, 3-D pictures of bones and organs, and $2.2 million "high field" MRI machines that can watch the brain at work. The inflationary dynamic spawned by this expansion of health-care capacity exposes flaws in the payment system that sustains U.S. health care. Those flaws partly explain why Americans spend $2 trillion, or 16% of their GDP, for medical care, an outlay that...

Author: /time Magazine | Title: The Hospital Wars | 12/5/2006 | See Source »

...limited resources or opportunities, thus preserving the power for those who have benefited in the past. On the other hand, today and in recent past, those who are privileged can oppose policies such as affirmative action in the name of reverse discrimination. So, ultimately, who wins? ANNA WOOD Fairfield, CT December 3, 2006 The writer is an adjunct professor at Fairfield and Quinnipiac Universities...

Author: By Anna Wood | Title: Affirmative Action Controversy does not Yield Easy Answers | 12/4/2006 | See Source »

...there yet. One thing to consider is that ultrasound tests, unlike CT and MRI scans, are extremely operator dependent; the results could vary widely from facility to facility. Also, your doctor, like most other physicians, would probably want to see more studies of the new test before being comfortable with calling off a biopsy. Barr already has that in the works. He is preparing a multicenter international trial with 2,000 patients that will start in January and take about a year. In the interim, women should not forget a yearly mammogram starting at age 40. For now, it remains...

Author: /time Magazine | Title: A New Breast Cancer Test | 12/3/2006 | See Source »

Doctors diagnose 173,000 cases of lung cancer in patients each year, 95% of whom will die from it--more than from breast, prostate and colon cancer combined. But New York--Presbyterian Hospital/Weill Cornell Medical Center researchers found that low-dose, spiral-computed-tomography (CT) screening drastically improved the odds. In a study of 31,567 people, annual CT screening (about 600 images per scan) detected Stage 1 lung cancer in 412 patients, and when the cancer was surgically removed within one month of diagnosis, their 10-year survival rate was an impressive...

Author: /time Magazine | Title: The Year In Medicine From A to Z | 11/26/2006 | See Source »

...Lung-cancer patients' 10-year survival rate when Stage I cancer is detected and treated early. A new study by researchers at New York--Presbyterian Hospital and Weill Cornell Medical Center suggests annual CT lung scans could save millions of lives...

Author: /time Magazine | Title: Numbers: Nov. 6, 2006 | 10/29/2006 | See Source »

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