Word: detox
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...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...
Stereotypes--sophisticated, hi-fidelity stereotypes--are introduced, are belittled, and then skillfully revealed as vivid characters. We can see this in Sabbath's sexual escapades, which have a touch of the anthropological about them. Sabbath is shame-less enough to offer a girl in a detox clinic two quarts of vodka in return for sexual favors (while, mind you, he is ostensibly visiting his wrecked second wife drying up in said clinic), he is sharp enough to describe both his target and his wife with a commited, if not exactly compassionate, eye. This unblinking veracity is the source of Roth...
...families, the pink-stucco True Way Baptist Church may well be a station on the road to salvation. Just ask Delores Mayes, 28, whose children were seized and placed in foster homes when her crack habit got out of hand. Faced with losing them for good, Mayes entered a detox program for six months but had nowhere to take them when she emerged. That is when the church, under contract to the county, stepped in: its outreach workers found her housing and furniture. She reconciled with the children's father, a former crack addict himself, who secured two steady jobs...