Word: detox
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Dates: during 1990-1999
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Just opened off-Broadway in a strong if not ideally cast production, Shopping revolves around three young London roommates. Mark (Philip Seymour Hoffman) leaves for a detox center in an effort to kick his heroin habit. Robbie and Lulu (Justin Theroux and Jennifer Dundas Lowe) keep busy by dealing drugs for a scuzzy TV producer (Matthew Sussman). They reunite when Mark brings home a young hustler (Torquil Campbell), who takes part in a sordid bout of fantasy game playing that makes Who's Afraid of Virginia Woolf? look like Scrabble...
...using the rest to bolster their overall finances. Says Bruce Vladeck, administrator of the Health Care Financing Administration, which runs the Medicare and Medicaid programs: "Until now Medicare has been giving hospitals an incentive to hire more residents. We need to change that." Even with such a generous specialist detox program, Medicare will save $300 million by compensating the New York institutions in this way. Under the new system, participating hospitals will be credited for each residency slot they leave vacant, and will be encouraged to use those funds to hire more nurses and physician assistants or other medical staff...
...using the rest to bolster their overall finances. Says Bruce Vladeck, administrator of the Health Care Financing Administration, which runs the Medicare and Medicaid programs: "Until now Medicare has been giving hospitals an incentive to hire more residents. We need to change that." Even with such a generous specialist detox program, Medicare will save $300 million by compensating the New York institutions in this way. Under the new system, participating hospitals will be credited for each residency slot they leave vacant, and will be encouraged to use those funds to hire more nurses and physician assistants or other medical staff...
Annihilating diversions in an age of addictive entertainment is one of Wallace's big themes. His variations sometimes come from stock dystopian fiction. But his drug scenes at a detox center have the bumpy rhythms and details that suggests reality rather than fantasy: "Tiny Ewell, in a blue suit and laser chronometer and tiny shoes whose shine you could read by, is sharing a dirty aluminum ashtray with Nell Gunther, who has a glass eye which she amuses herself by usually wearing so the pupil and iris face in and the dead white and tiny manufacturer's specifications...
...drunk, then fell down the stairs, nearly crashing through a window. And for many addicts, detoxification is only the beginning of treatment. Often, substance abuse overlays a more serious psychiatric problem that needs lengthy treatment. In a short stay, says Jerry Spicer, president of Hazelden, "you can deal with detox, but you can't bring about a recovery. It comes down to trying to treat a chronic illness as an acute one." "What you lose," agrees McLean's Sederer, "is the ability to see patients to the next stage of recovery...