Word: reformations
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...centralized computer database to which 98% of primary care physicians, all hospital physicians and all pharmacists now have access. While basic records go back to 1977, a detailed history is available of all "patient contacts" since 2000. A recent study by the Commonwealth Fund, a health-care-reform nonprofit, rated the country's health-care IT systems as the most efficient in the world, with computerized record-keeping saving Danish physicians an average 50 minutes a day of administrative work. "That's essential for [U.S.] doctors," says Jeff Harris of the American College of Physicians, who points out that...
...America's health system, there are few financial incentives for providers to take proactive measures to keep people healthy: the longer and more extensively a doctor or hospital treats a patient, the more income they recoup. That's why the American College of Physicians and others are calling for reform in health-care reimbursement, with the Federal Government and large insurance companies setting up "Patient Centered Medical Homes" in which a portion of doctors' pay will be linked to performance targets. As in Germany, these homes will target chronic diseases by allowing doctors, nurses, dietitians and therapists to educate...
Aware that the idea of "rationing" health care would prove controversial in the U.S., advocates of reform - from the American College of Physicians to the advocacy group Center for Medicine in the Public Interest - have suggested a system of review that doesn't take into account the cost of new treatments. This would help doctors decide a course of treatment, as currently they have no way of comparing the efficacy of different drugs for the same condition. But it could also raise prices. "In a free-market economy the manufacturers may use the effectiveness review to charge higher prices...
...economy. Without improved roads, sewers and electricity, the companies who are betting on India's growth will eventually look for better returns elsewhere. In the absence of better opportunities, Indians will continue to seek the security of government jobs for their children, making it that much more difficult to reform India's bloated bureaucracy. Without public-sector reform, India won't be able to build the modern intelligence, police and emergency services it needs to cope with 21st century terrorism...
...Sung, Kim Jong Il's father, would routinely play the Soviet Union and China off each other. In 2002, Kim Jong Il made a well-publicized trip to China, and in Shanghai - the country's showcase of development - the Dear Leader famously said it was clear that Chinese economic reform had "worked." Less well known is that on the same trip, Kim said that North Korea's unique characteristics were such that economic reform would not work there. And, indeed, it's never really been tried, despite China's prodding its neighbor to move down that road. (See pictures...