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...spends more on health care than any other country does, and studies have suggested that as much as 30% of it - perhaps $700 billion a year - may be wasted on unneeded care, mostly routine CT scans and MRIs, office visits, hospital 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...

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

...other big barrier is information: evidence-based medicine is hard to practice without evidence. There are studies showing that generic and over-the-counter drugs for hypertension, heartburn and psychosis are often just as effective as costlier brand-name alternatives; that stents can work miracles when inserted quickly after heart attacks but don't seem to help much as preventive measures; that the areas with the most hospital beds, imaging machines and specialists spend the most on excess hospital stays, MRIs and specialty care. But the big money in medical research goes to testing new drugs and cutting-edge technologies...

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

...news about Mayo's success: it's not sustainable. The harsh reality is that smart, conservative, data-driven, patient-focused medicine is not necessarily profitable medicine. Last year, Mayo lost $840 million on $1.7 billion in Medicare work. It compensated by charging private insurers a premium for the Mayo name, but they're starting to balk. "The system pays more money for worse care," says Mayo CEO Denis Cortese. "If it doesn't start paying for value instead of volume, it will destroy the culture of the organizations with the best care. We might have to start doing more procedures...

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

...that angered academics and activists in China and the U.S., Wang decided to omit the word vagina from the play's title - at least for half the run. In Beijing, the production was billed as The V Monologues. In Shanghai, two months later, the original title was restored. The name change was not endorsed by Ensler's camp, and critics were quick to spot the irony. "The point is to speak it out," says Ai Xioaming, a professor of women's studies at Sun Yat-sen University. But Wang insists that his decision was pragmatic: in Beijing, he could...

Author: /time Magazine | Title: In China, V Is for The Vagina Monologues | 6/22/2009 | See Source »

...Many Iranians know victims of MEK violence or still feel the fear and fury its name provokes," says a French counterterrorism official who has followed the NCRI and MEK. "Because MEK remains widely hated in Iran, the mere threat by Iranian leaders that it and NCRI are waiting to take over in the event of crisis tends to chill musings of regime change in Iranian streets...

Author: /time Magazine | Title: In Iran Crisis, Paris Exile Group Plays Disputed Role | 6/22/2009 | See Source »

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