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...tariffs have already been used with considerable success in European countries like Spain and Germany, where renewable power has achieved greater penetration than in the U.S. But there seems to be little chance of that happening in Washington, in part because the nascent renewable-energy industry lacks lobbying might. "It's hard out there for us," says Duprey. "We're not as well organized as the coal or nuclear industry." Renewables like wind may have science on their side - but that may not matter until they can make their voice heard in Washington...

Author: /time Magazine | Title: Can Wind Power Get Up to Speed? | 6/23/2009 | See Source »

...Some of this is transparent posturing, but there are legitimate concerns about politicians' deciding when treatments are effective enough - or, more controversially, cost-effective enough - to be reimbursable. Medical knowledge is constantly evolving, and treatments that seem to lack solid evidence today might seem indispensable tomorrow. Wasteful tests and procedures don't come with labels marked "wasteful," and most patients and providers genuinely believe the care they're getting and giving is necessary. Comprehensive studies of what works can be slow, expensive and inconclusive. Even Orszag admits the savings from cutting out unneeded care would take a decade to materialize...

Author: /time Magazine | Title: How to Cut Health-Care Costs: Less Care, More Data | 6/23/2009 | See Source »

...visit to Rochester last month, I watched a hospice team of nurses, social workers, a chaplain and just one doctor talk about dying patients in ways that might have baffled the white coats on Emanuel's cancer ward: platelets were discussed, but so were spiritual needs, family tensions, hobbies and anything else relevant to quality of life. It sounds squishy, but Mayo patients who request palliative care have 84% lower hospital costs, 53% lower overall costs and higher satisfaction. Mayo has computerized medical records that provide instant access to patient histories, improving information-sharing, reducing pharmacy errors and eliminating...

Author: /time Magazine | Title: How to Cut Health-Care Costs: Less Care, More Data | 6/23/2009 | See Source »

...receive fixed salaries. They don't make more if they do more to patients, and they don't make less if they take more time to talk to them - even if they use the time to explain why a CT scan or a wonder drug advertised on TV might not be advisable. They don't have to worry about reimbursements that overvalue radiological tests and invasive prostate treatments, undervalue preventive care and watchful waiting and put zero value on returning a phone call or thinking about a case. "We've been able to buffer our staff from the harsh realities...

Author: /time Magazine | Title: How to Cut Health-Care Costs: Less Care, More Data | 6/23/2009 | See Source »

...North Korea's pronounced track record of mischief and crime could make a greater Internet presence a mixed blessing. Some observers worry that the desperately poor country might be tempted to try its hand at any number of cybercrime ventures. North Korea already has a small (100 personnel) cyberwarfare unit trying to hack into U.S. and South Korean military networks, South Korea's Yonhap news agency reported in early May. The report came a day after Seoul's Defense Ministry said it had signed an accord with the Pentagon to strengthen its cooperation in fighting against cyberthreats...

Author: /time Magazine | Title: North Korea Tries to Ramp Up Tech Infrastructure | 6/22/2009 | See Source »

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