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...virtually no variations in outcomes. For example, chronically ill patients in Los Angeles visited doctors an average of 59.2 times in the last six months of their life, vs. only 14.5 times in Ogden, Utah; they still ended up just as dead. Medicare now pays three times as much per enrollee in Miami as in Honolulu, and costs are growing twice as fast in Dallas as in San Diego. Patients in higher-spending regions get more tests, more procedures, more referrals to specialists and more time in the hospital and ICU, but the Dartmouth research has found that if anything...
...basalt cliffs in Fukui prefecture, north of Kyoto on the western coast of Japan, are a well-known site for suicide in a country with one of the highest suicide rates in the world; at 23.8 per 100,000, Japan's rate is significantly higher than that of the U.S., for example, where the rate is 11 per 100,000. One in 5 Japanese men and women has seriously considered taking his or her life, according to a recent government survey; each year over the past decade, more than 30,000 people have killed themselves. And as the economic downturn...
...result is we hear a lot about going back to "the winning ways of Ronald Reagan." Well, I love Reagan too. But demographics no longer do. In 1980, Reagan beat Jimmy Carter by 10 points. If that contest were held again today, under the current demographics of the electorate per exit polls, the election would be much closer, with Reagan probably winning by about 3 points. (See pictures of polarizing politicians at LIFE.com...
...make a deal with the publishers, it can always just become a publisher. That's where Princess Alera of Hytanica makes her royal entrance. Last year, speaking to Publishers Weekly, Bezos pooh-poohed the idea of Amazon publishing books: "I'm not sure we have any skills per se to be a content originator," he said. "Why would we be better at it? It's a well-served industry." That it may be. But as Amazon Encore demonstrates, Amazon does have one very important skill: it gathers better data on how readers buy books than anybody else. "We're lucky...
...regime's overriding security preoccupations. Key power and telecom transmissions are buried underground, which complicates much needed maintenance and upgrades. More communications also means eroded state control, which is a vital regime concern. There are currently only a little more than 1 million domestic phone lines - about 5 per 100 inhabitants - although just 10% belong to individuals or households. Unauthorized international calls abroad can lead to fines and arrest and in one case reportedly led to the public execution of a plant manager in October 2007, according to Good Friends, a Seoul-based aid organization. The same fears...