Word: fractionated
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Dates: during 1980-1989
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...order or two of magnitude greater than time spent, talking to the patient, examing the patient, counselling the patient or staying up with a sick patient at a hospital. These kinds of personal services that require a lot more time and no less skill are reimbursed at a fraction of the rate of the technical procedures...The insures, the government, and the bureaucrats are much more impressed by a procedure. If you bill a patient and say I'm charging you $50 because I spent an hour with you, talking to you and examing you the patient...
Relman: The facts are the facts. They are not a matter of opinion. I think it is true that now that AMA has a smaller regular full-dues-paying membership and a smaller fraction of the total practicing population of American doctors than a few decades ago...It's posing a real problem because if the AMA wants to speak for American medicine, it has to be able to demonstrate that it represents at least a majority and right new it does not...Now what is this due to?...The first and most obvious reason why the AMA is having...
...cost of fixing U.S. bridges could run as high as $33 billion, but states and cities can spend just a small fraction of that amount. Federal aid for bridge repairs is only $1.3 billion this year. Admits Daniel Mines, an engineer for the State of Michigan: "Bridges are falling down faster than we can rebuild them...
...During the night, the bodies settled. A hand would adjust, by a fraction, causing another's head to turn slightly. Features imperceptibly altered. 'The trembling of the sleeping night,' Pushkin called it; only he was referring to the settling of a house...
Since that "fateful day" in 1945, John Paul II told 15,000 Japanese, "nuclear stockpiles have grown . . . Even if a mere fraction of the available weapons were to be used, one has to ask whether . . . the very destruction of humanity is not a real possibility." He added: "To remember Hiroshima is to abhor nuclear war. To remember Hiroshima is to commit oneself to peace...