Word: paradigm
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Dates: during 1990-1999
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...renegade vision and a faith that it will work distinguishes Forbes from the other candidates, whom he calls, in his charming preppy lexicon, "sourpusses" and "gloomy-doomies." Dole, with his barbed wit and allergy to abrupt innovation, is the most vulnerable to the comparison. "There's been a paradigm shift in politics, and I don't think Bob gets it," says Jan Anton, a California entrepreneur who was the state co-chair for Dole in '88 but is leaning toward Forbes this time. "Dole's a wheeler-dealer. He's just trying to hang on and avoid mistakes. Forbes...
...timers, the idea of a stripped-down desktop machine harks back to the days of bulky mainframes, when all data and software were stored on big, centrally located computers and users had only "dumb" terminals on their desktops, with little or no memory or processing power. Today the operative paradigm is the so-called client-server model, where data may be stored on big file servers but the software runs on real, full-powered desktop computers. Over the years, the pendulum swings back and forth between the decentralized desktop and the centralized machine. In this instance, the idea...
...paradigm shift," says William Popik, Health Net's chief medical officer. "It's a shift that has taken place a lot more quickly than patients are ready for--that's absolutely true. What's shifting is, patients can't drive it anymore; patients can't decide, 'My ear hurts, so I'm going to go to the doctor today...
...maybe it's just medicine on the far side of the paradigm shift. Says Dr. Ho: "I'm sorry the panel didn't see that Health Net was doing what was best for the patient, which was to deny the treatment as investigational, and which in the end was proven the right decision...
...differently. "What should happen," he says, "is that a physician shouldn't create an expectation for a patient. Because once that expectation is completed, you start a process that is extremely difficult to change." He adds, "There are other ways to give people hope. And that's the paradigm shift...