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Taking the congestive-heart-failure example, here's how the payment scheme would work: A slightly overweight 60-year-old heart-failure patient comes in with coronary-artery disease and acid-reflux disease. According to a Prometheus algorithm, this patient should cost $20,750 a year to treat - including office visits, medications, blood-pressure monitoring and an allowance for complications. The incentive for the heart patient's doctor to spend less than $20,750 is that he gets to keep a portion of the difference (assuming that the patient was managed properly and happy with the outcome). And the best...

Author: /time Magazine | Title: Cutting Health-Care Costs by Putting Doctors on a Budget | 7/6/2009 | See Source »

...High Court soundly rejected that argument. "Moral indignation, howsoever strong, is not a valid basis for overriding individuals' fundamental rights of dignity and privacy. In our scheme of things Constitutional morality must outweigh the argument of public morality, even if it be the majoritarian view," the court said in its ruling. Going even further, the court found that Section 377 went against the Indian tradition and guiding political principle of inclusiveness...

Author: /time Magazine | Title: India's Historic Ruling on Gay Rights | 7/2/2009 | See Source »

...After a pilot project last year proved to be a big hit with the public, Dörentrup's council has decided to roll out the scheme for the whole village, home to 9,000 people. Utility company Lemgo says the scheme will cut down Dörentrup's carbon-dioxide emissions by around 12 tons each year compared with leaving the streetlights on all night. "We found out that on each stretch of road, people only switch on the lights up to three times each night," explains Frank Bräuer, project leader at Lemgo. "That's why this...

Author: /time Magazine | Title: Germany's Bright Idea: Street Lighting on Demand | 7/1/2009 | See Source »

...expect the streetlights to be on when they're not outside" - but says that any money saved will go toward building schools or sports facilities for the village. And although the council picks up the electricity bill every time anyone uses Dial4Light (locals only pay for the call), the scheme is still cheaper than running the streetlights through the night. "We're cutting electricity bills and we're doing something to help the environment," says Ehlert. "Everyone can do their bit." (See TIME's Heroes of the Environment...

Author: /time Magazine | Title: Germany's Bright Idea: Street Lighting on Demand | 7/1/2009 | See Source »

...Lemgo says there are plans to launch the scheme in five other countries and it has received requests for its new technology from all over the world, including Sweden, Britain, the U.S. and Dubai. With the recession biting into town-council coffers everywhere and growing pressure to reduce carbon emissions, letting residents light up the night only when they need to seems like a bright idea...

Author: /time Magazine | Title: Germany's Bright Idea: Street Lighting on Demand | 7/1/2009 | See Source »

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