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Undoing these waste-promoting incentives - the "fee-for-service" payment system that awards more fees to doctors and hospitals for providing more services, and the regulated electricity rates that reward utilities for selling more power and building more plants - would not solve all our health-care and energy problems. But it would be a major step in the right direction. President Obama has pledged to pass massive overhauls of both sectors this year, but if Congress lacks the stomach for comprehensive reforms - and these days it's looking like Kate Moss in the stomach department - a more modest effort...

Author: /time Magazine | Title: The Key to Fixing Health Care and Energy: Use Less | 6/29/2009 | See Source »

...medicine, the idea would be to reward quality rather than quantity, to give providers incentives to keep us healthy and reduce unnecessary treatments, to encourage doctors and hospitals to promote a culture of low-cost, high-quality care. One reason the Mayo Clinic already provides low-cost, high-quality care is that it keeps its doctors on salary, insulating them from fee-for-service inducements to overserve; unfortunately, Mayo is hemorrhaging cash on its Medicare patients, because the current system penalizes responsibly conservative care. Doctors don't get paid for thinking about a case or returning a phone call...

Author: /time Magazine | Title: The Key to Fixing Health Care and Energy: Use Less | 6/29/2009 | See Source »

...babies too difficult to contemplate. Such highly tuned empathy can ultimately make them better caregivers, even if a four-second exposure to the idea is painful. "Everyone will try to get away from a stimulus that feels like a punishment and hold on to one that feels like a reward," Elman says...

Author: /time Magazine | Title: Is an Ugly Baby Harder to Love? | 6/24/2009 | See Source »

...more if you stay longer and come back often; doctors get paid more if they do more tests and procedures - and you come back often. More services, more fees. "You've got to follow the money," says former Senator Tom Daschle, Obama's initial choice for health czar. "We reward volume, so that's what we get." Obama wants to reward quality instead...

Author: /time Magazine | Title: How to Cut Health-Care Costs: Less Care, More Data | 6/23/2009 | See Source »

...claims and counterclaims miss the bigger point. While Iranian leaders obsessively hate the NCRI for historical reasons, he says, the NCRI is largely an irrelevancy these days. "Tehran uses it as a scarecrow with its own change-hungry public, while Western nations use it as a way of rewarding or punishing Iran," Roy says. "More or less consideration given to [NCRI] can act as punishment or reward for Iranian action. Meanwhile, the group itself does little beyond grow weaker with time...

Author: /time Magazine | Title: In Iran Crisis, Paris Exile Group Plays Disputed Role | 6/22/2009 | See Source »

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