Word: fees
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...Bangkok, the concerns are more immediate. Pong, the female manager of Babylon Sauna, Bed and Breakfast, which depends on foreigners to stay afloat, frets that she may be forced to close. Babylon welcomed 800 visitors per day before the recession hit. That number now hovers around 500. "The entrance fee is already low, so dropping it won't make a difference," Pong says. So what's a sauna manager to do? "Pray...
...major problem with American health care today is what policy experts call "perverse incentives." Doctors and hospitals bill insurers for every individual service - every office visit, MRI or hour of operating-room time - a "fee for service" model that drives health-care inflation by rewarding providers who order potentially unnecessary tests, perform potentially unnecessary surgeries and even make mistakes. A hospital readmission caused by avoidable complications just means more billable expenses...
...doctors have so far managed to avoid such reform in their own practices, and lawmakers may be running full speed into a minefield with any efforts to change their behavior. Physicians will accuse politicians of getting in the way of the doctor-patient relationship; devicemakers will say a "bundled" fee structure will force providers to use cheap, outdated equipment; and hospitals, already strapped for cash, will resist any reform that decreases their reimbursements...
...talk endlessly about delivering health care more efficiently and providing better preventive care - two essential factors for the reduction of overall health-care costs - but providers have been discussing the same factors as long as the idea of health reform has existed. Meanwhile, health-care costs, fueled by the "fee for service" model, are growing some 10% annually. In the end, the only way to get change may be to get real about the fact that, no matter how uncomfortable it makes us, health care and money are inseparable...
...privilege and don’t have a set itinerary. High-speed lines seem like a logical choice if you want to travel a sizeable distance, since local lines will take all day. However, because these trains are apparently very popular, rail pass holders must pay an additional fee to reserve a seat (anywhere from 3 to 45 Euros and up). Most trains require a reservation, and it has to be done at a train station, not online. The timetable that comes with the pass isn’t very useful either –the train station agent...