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This fixed payment scheme has led to increased exploration and debate over differences in care patterns among hospitals. For specific DRG's, the actual resources used (days in the hospital, laboratory tests, consulations, etc.) have been found to vary enormously--often several-fold. "High cost" hospitals have been predictably criticized as wasteful, and predictably defended by others on the grounds that their patients are truly sicker in ways ignored by the DRG scheme...

Author: By Donald M. Berwick, | Title: Quality Care at Reasonable Cost | 12/17/1986 | See Source »

Shultz's return to the fold, however, was balanced by a highly damaging defection. As National Security Adviser, Robert ("Bud") McFarlane had begun the secret diplomatic contacts with Iran, and pursued them on the President's behalf even after his resignation last December. In May he flew into Tehran on a secret mission -- nestling, he now admits, among crates of weapons. Yet McFarlane told the Washington Post in an interview published Thursday, "I think it was a mistake to introduce any element of arms transfers into it." Indeed, the Post account had him advising Reagan in a bedside conference...

Author: /time Magazine | Title: The Tower of Babel | 12/1/1986 | See Source »

Friction feed works like a typewriter, allowing the user to print one page at a time. This is especially useful when printing on special paper, such as personal stationary. Tractor feed mechanisms feed in continuous, fan-fold paper, through a set of wheels which grip the holes on either side of the paper...

Author: By Evan O. Grossman, | Title: Tough Choices: Finding the Perfect Printer | 11/19/1986 | See Source »

...Frances' belief, and as editor and lover, she "had put herself in the service of such people. Perhaps she had done so because she wished to be more like them, although she knew she belonged to another, lesser species, the race of people who answer their phones and fold the bath towels." Like modern folk everywhere, she also yearns for meaning in life, or at least an organizing principle, and Paul's ego is big enough to provide it, "to make life cohere, like...

Author: /time Magazine | Title: Books: Double Image Group Sex | 11/10/1986 | See Source »

...could happen in the developed world." Their work revealed that 89% of Haiti's AIDS victims had apparently contracted the disease through heterosexual activity -- more than double the percentage of two years ago -- while incidence of the disease among a study group of African prostitutes has jumped nearly 18-fold since 1980. Said Cornell University Professor of Medicine Warren Johnson: "We haven't identified anything different that would set Haiti or Africa apart from other countries...

Author: /time Magazine | Title: Medicine: The Toughest Virus of All | 11/3/1986 | See Source »

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