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Punishing the Mayo Clinic financially for efficiently and effectively providing Medicare services is just one failing of our health-care system. Attempts to lower Medicare costs, even those now under consideration, focus on lower fees--a maneuver well known to increase the number of services, many unneeded, and actually increase total costs. Truly effective care can be delivered only by integrated, cohesive, properly incentivized, Mayo-like multispecialty medical groups with strong leadership and a commitment to quality. Unfortunately, legislation pending in Congress ignores this need. Charles V. Allen, M.D., MODESTO, CALIF...
...Court of Appeals during Sotomayor's decade of service. The study used three major measures: whether the votes of each judge were in accord with his or her colleagues'; how often the judge upheld the action of another government branch; and how often the judge deferred to the lower court or agency decision under review. (Read "What the Court's Firefighter Ruling Means for Sotomayor...
...Sotomayor compares to her colleagues: "In general, judges in the Second Circuit almost always ruled unanimously - in 93% of decisions. They voted to overturn the challenged governmental action in about 1 out of every 6 constitutional cases. In over one-third of those cases, they voted to overturn the lower court or agency's decision ... Judge Sotomayor's constitutional decisions closely conformed to the overall Second Circuit profile with respect to all three indicators...
...Constitutional Dataset, as compared to a 2.7% dissent rate for such cases in the circuit overall ... [She] voted to hold the challenged governmental action unconstitutional in 23.9% of cases, slightly more often than the Second Circuit overturn rate of 20.6% in such cases. However, she voted to overrule a lower court or agency determination in civil rights cases in only 43.5% of her decisions, less frequently than the circuit's 50.9% overrule rate...
...First Amendment cases, or in less than 5% of these decisions. Additionally, in cases involving a First Amendment claim, Judge Sotomayor voted to overturn the challenged action in 25% of the time, slightly more than the Second Circuit rate of 24%. However, Judge Sotomayor voted to overturn the lower court or agency's decision less frequently than the circuit average - in 36.8% of her decisions as opposed to a circuit rate...