Word: smalleness
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Less Is Much More In the years since the reviled health-maintenance organizations (HMOs) were at their peak, all manner of fixes have been proposed to the health-care system, from small tweaks to wholesale overhauls. There's pay-for-performance: compensation depending on doctors' success in keeping costs down and getting patients well. There's episode care: a fixed price for a procedure like a heart bypass that covers everything from pre-op to surgery to full recuperation. Most broadly, there's global care, which provides access to a diverse team of caregivers who cover all of a patient...
...Geisinger uses a little of all three strategies. Founded in 1915 as a 70-bed hospital in a small, underserved rural community, the operation now spans a 43-county region, with a total of 67 sites - stretching from one-doctor offices and in-store clinics to a sprawling main campus in Danville, Pa. Like Kaiser, the 13,000-employee Geisinger is both a care provider and an insurer. About 30% of its 783,000 patients have the in-house coverage; the remaining 70% are covered by other private insurers or Medicare...
Despite those numbers, the banking system is no longer at risk of collapse. Megabank JPMorgan Chase, for instance, announced on Oct. 14 it earned $3.6 billion in the third quarter. Most of the institutions in danger are small. But those failures are straining the FDIC, which underwrites the nation's saving and lending by insuring deposits. When a bank fails, the FDIC makes up the difference between what's left and what's owed depositors, up to $250,000 per person per bank. Two years ago, the FDIC had about $52 billion in its deposit-insurance fund. Today that fund...
Such developments left the New York Times - which that year ran a story headlined IN SMALL TOWN, U.S.A., WOMEN'S LIBERATION IS EITHER A JOKE OR A BORE - in the awkward position of identifying Gloria Steinem as "Miss Steinem, editor of Ms. magazine." At that point, even the late language guru William Safire called for surrender. The Times refused on the grounds that the title had not passed into common usage. "We reconsider it from time to time," the editors mused, but "to our ear, it still sounds too contrived for news writing." Only in 1986 did the Times relent...
...like an overgrown adolescent. Cameras caught him chewing nervously on his tie during last August's war, a gesture he has been careful not to repeat. In my presence, he caught himself several times gnawing, ever so slightly, on the corner of a handkerchief. But these tics are a small price to pay for his biggest asset: his tremendous, limitless energy. Columbia's Mitchell calls it "government by adrenaline." Saakashvili is addicted to quick, dramatic acts of leadership. Particularly in the early years, he got results. One example: when he came to power, Georgia's traffic police were notorious bribe...