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...sense of just how dysfunctional American health care is, members of Congress don't need to look further than their local emergency department (ED). The overcrowding in EDs is so bad these days that patients who walk in with "immediate" needs, meaning the most severe on a clinical scale, wait an average of 28 minutes to see a doctor, according to a Government Accountability Office report released in May. That's 27 minutes more than the recommended wait time for such conditions. Between 1996 and 2006, even as some 200 EDs shut down completely, visits nationwide increased from 90 million...

Author: /time Magazine | Title: Starting Health-Care Reform in the ER | 6/19/2009 | See Source »

...those daunting stats aren't enough to get lawmakers thinking about EDs in the context of the debate over health-care reform, two others certainly are: after the state of Massachusetts mandated health insurance for all its citizens, visits to already overcrowded EDs jumped 7% in two years, and ED costs increased 17%, according to data obtained by the Boston Globe. In other words, if any health-reform package expands insurance to cover some or all of the nearly 50 million Americans without it now, EDs are likely to be one of the first places to feel the impact...

Author: /time Magazine | Title: Starting Health-Care Reform in the ER | 6/19/2009 | See Source »

...Many people have long assumed that health-care reform would be a cure for overburdened EDs. But while a growing number of uninsured Americans are getting medical care that way, they are not the major reason EDs are becoming standing-room only; uninsured patients make up less than 20% of ED populations, and the number of uninsured ED patients is growing at a slower rate than that of patients with private or public insurance. Instead, the culprits of ED overcrowding are many of the same ones contributing to the entire health system's woes. Among them: insured patients who come...

Author: /time Magazine | Title: Starting Health-Care Reform in the ER | 6/19/2009 | See Source »

...This may all be ancient history to Iran's fledgling democratic movement, and history the Op-Ed pages of our newspapers would prefer to forget. But at the very least, it should be a reminder that, when it comes to political leaders, there are no good choices in Iran. It is a promising sign that Mousavi has put his violent past behind him, as has Iran for the most part, but let's not completely forget his far-from-democratic roots...

Author: /time Magazine | Title: Robert Baer: Don't Forget Mousavi's Bloody Past | 6/18/2009 | See Source »

...which was published last year) is full of warnings that when he says long run he really means long run--say, 20 to 30 years. It's also partly because in March 2000, just as the stock market was peaking, Siegel warned in a Wall Street Journal Op-Ed column that technology stocks were headed for a precipitous fall. But it's mainly that, despite the market carnage of the past year and decade, Siegel's basic argument that "stocks will remain the best investment for all those seeking long-term gains" hasn't really been discredited...

Author: /time Magazine | Title: Are Stocks Still Good for the Long Run? | 6/15/2009 | See Source »

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