Word: reformations
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...reform won't be worth selling if it doesn't include real cost restraints, and the early versions floating around Capitol Hill have been a bit disappointing. Obama has promised that reform will shift medical incentives from quantity to quality, from paying for volume to paying for outcomes. But except for a couple of demonstration projects designed to investigate why care costs so much more in some parts of the country, that hasn't been the focus of congressional legislation. "We've got to get the incentives aligned, or else we'll keep punishing excellent care, and we'll keep...
...thing not to emphasize cost-cutting because you think it's a political loser. But it's another thing not to do cost-cutting because you think it's a political loser. If reform simply expands a system of unaffordable care, then the town-hall crazies will have a legitimate point. Then Obamacare really will make the crisis worse...
...Mexico's cops are too corrupt and ill trained to do the job. That money should be released by the end of August. But when U.S lawmakers come back to Mérida next year for its final disbursement, many feel they need to shift its priorities toward police reform...
...enjoys a far more effective and trustworthy police culture. "Security in Mexico: Implications for U.S. Policy Options" recommends that since Calderón's military crusade can only be a short-term drug-war strategy, the U.S. must "engage in a strategic partnership with Mexico that emphasizes reform and longer-term institution-building." One goal, aside from reining in police corruption, is to bridge the chaotic gaps between federal, state and local police that let Mexico's drug cartels divide and conquer the country's cops so easily. Says Agnes Schaefer, lead author of the Rand study: "Congress needs...
Schaefer applauds Calderón and Mexico for the fledgling reform efforts started so far, which she urges the U.S. to do more to promote - especially since Calderón has dropped Mexico's hypernationalist, antigringo guard for a while to let Washington take a more active role. "Mexico is on the right track," she says, "but we have to take better advantage of this window of opportunity that Calderón has given us before he leaves office...