Word: kaiser
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Silverman arrived in 1993, aiming to make short work of his Herculean task: draining liquid plutonium from leaking containers, venting drums of hydrogen to prevent explosions, baking plutonium metal for storage in sealed vaults. But he and cleanup contractor Kaiser-Hill ran into a brick, or rather a paper, wall. Of the 250 cleanup "milestones" set by the EPA and Colorado's Department of Health and Environment, only two dozen spelled out concrete action. The rest mostly involved producing one report after another, generating much paper but no progress. Scores of internal policy directives, set in place...
...mishap, he went ahead and emptied the three problem plutonium tanks without upgrading the entire building, and he retrained just 12 workers instead of all 150. He slashed the number of signatures needed to get visitors into high-security areas from nine to three. Ignoring bureaucratic protocol, he and Kaiser-Hill excavated toxic soils from an area known as Ryan's Pit without preparing exhaustive studies. Silverman bristles at the seemingly arbitrary personnel rules he's supposed to follow. "Why does it take 16 people to move a single barrel from one building to another?" he asks rhetorically...
...first independent surveys of the users of Health Maintenance Organizations, CareData Reports of New York has compiled a list of what it says are the best HMOs in the United States. The health plans rated most satisfactory by 10,272 members of 33 different HMOs were: Kaiser Permanente in Connecticut; Aetna Health Plan in greater Cleveland; Cigna Healthplans in Houston; Oxford Health Plans in New Jersey; and Kaiser Permanente in Southern California. Even the best could work on their bedside manner, however. CareData reports that customers who were pleased with their HMOs tended to think the medical care was better...
...kind of if-you-can't-lick-'em-join-'em move, UCLA is purchasing Santa Monica Hospital in order to launch its own managed-care network. It is also cutting deals with local HMOS -- for example, to perform all transplant surgery for subscribers to the giant Kaiser Permanente plan in Southern California...
...John G. Miller, an emergency room physicianat the Kaiser Hospital in Anaheim, called thiscontention "absurd...