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...potential for gigantic savings if the rest of the U.S. could imitate them. One Dartmouth study found that if nationwide spending had mirrored the modest rate of that in Rochester, Minn. - where care is dominated by the renowned Mayo Clinic - Medicare would have reduced its costs for chronically ill patients by $50 billion from 2001 to 2005. As the old inflation-adjusted saying goes, pretty soon you're talking about real money...
...stays, minor procedures and brand-name prescriptions that are requested by patients and ordered by doctors every day. Orszag is particularly obsessed with research by the Dartmouth Institute for Health Policy and Clinical Practice, documenting huge regional variations in costs but virtually no variations in outcomes. For example, chronically ill patients in Los Angeles visited doctors an average of 59.2 times in the last six months of their life, vs. only 14.5 times in Ogden, Utah; they still ended up just as dead. Medicare now pays three times as much per enrollee in Miami as in Honolulu, and costs...
...What makes Mayo different? It's clearly avoided the oversupply trap - the UCLA center had about 50% more beds, and its chronically ill Medicare patients spent about 50% more time in the hospital. But that's just part of the "Mayo way." (See the top 10 medical breakthroughs...
Before he joined the group of operatives that broke into the Democratic National Committee office at Washington's Watergate apartment complex, CIA agent Bernard Barker, 92, helped recruit Cuban exiles to support the ill-fated 1961 Bay of Pigs invasion...
...then place them at jobs in cities, tying the child to the agency until he or she pays off the money given to his family. The June court statement issued out of Delhi was over the case of local couple who had been accused by police of hiring and ill-treating a 15-year-old girl working as their maid. The couple pleaded that they did not know the girl was a minor, and that the placement agency told them that she was over 18. The case put the spotlight back on the thousands of illegal agencies operating...