Word: provenance
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Dates: during 2000-2009
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...Alas, there's no proven link between more spending and better care. The good news is that parts of the country provide care at a low cost, so there's potential for gigantic savings if the rest of the U.S. could imitate them. One Dartmouth study found that if nationwide spending had mirrored the modest rate of that in Rochester, Minn. - where care is dominated by the renowned Mayo Clinic - Medicare would have reduced its costs for chronically ill patients by $50 billion from 2001 to 2005. As the old inflation-adjusted saying goes, pretty soon you're talking about...
...true that information alone can be helpful. Anesthesiologists sharply reduced mortality rates after their association published evidence-based guidelines; emergency-room nurses have reduced infection rates by following clinically proven to-do lists. After one pharmacy benefits manager sent letters urging customers with high cholesterol to check out the evidence-based Consumer Reports site Bestbuydrugs.org, 4.3% switched to cheaper but equally effective drugs, for savings of $12 million. Similarly, when doctors and patients are fully educated about the costs and benefits of various treatment options for prostate cancer, surgery rates drop by half...
...primary care, prevention and computerization; to discourage wasteful defensive medicine, he seems willing to limit malpractice lawsuits when doctors stick to best practices. But ultimately, rewarding quality rather than quantity will require daunting changes in Medicare reimbursement policies. That could mean lower patient costs and higher provider revenues for proven treatments, but when patients want more expensive options unsupported by data, they may have to pay the difference themselves...
...backed away from the nation's bedrooms. Privately, people enjoy relative sexual freedom - subject, for the most part, to limits set by parents, not the Communist Party. But public crackdowns on pornography and sex-related events are common, as this month's anti-porn Internet-censorship measures have proven, and they are notoriously hard to predict. At mainland China's first gay-pride festival in Shanghai last week, officials shut down two film screenings and a performance of The Laramie Project, an American play about the murder of a gay college student. The "hot body" competition and drag shows, meanwhile...
...also see that this God then had bursts of moral growth - within both Judaism and Islam - and that the proven ingredients of that growth are around today, just when another such burst is needed...