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...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 real money...
...Mayo also has an institutional obsession with evidence-based medicine, using electronic records for in-house effectiveness research, constantly monitoring its doctors on everything from infection rates to operating times to patient outcomes, minimizing the art of medicine and maximizing the science. "We try to drive out variation wherever we can," says Charles (Mike) Harper, a neurologist who oversees Mayo's clinical practice in Rochester. "Practicing medicine is not the same as building Toyotas, but you can still standardize. Uncertainty shouldn't be an excuse to ignore data." Mayo has teams working on evidence-based protocols to reduce...
...after its 1997 victory, adhered to stringent spending plans set by its Conservative predecessors. Even after that date, as Labour's Chancellor of the Exchequer, or Finance Minister - the office that best suited Brown - he held to his "golden rule," borrowing only to invest, and resisted raising the tax rate paid by top earners to fund Labour's social-justice and equality initiatives...
...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...
Probably because Catholicism has deep roots in French history and culture and is not viewed as a foreign faith the way Islam is, which, with about 6 million practitioners, is the second largest religion in France. Its practitioners are also growing at a faster rate than Catholics. Indeed, the expanding size of Islam and fears about spreading extremism seem to have emboldened pundits and policy-makers to wade in and legislate aspects of Muslim observance and life in ways that they would be wary of doing with Catholics, Protestants or Jews...