Word: systemic
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...reform addressed? The Senate Finance Committee does not have jurisdiction over malpractice law, but the committee's bill includes a section expressing support for malpractice reform. The section specifically endorses reform approaches like those expressed by President Obama: funding for pilot programs to study ways to reform the malpractice system without capping malpractice awards...
...Would illegal immigrants be allowed to participate in any new health-insurance system established in the bill? No. The bill would require individuals and families eligible for subsidies to prove their citizenship by providing their names, Social Security numbers and dates of birth. Those who cannot prove their citizenship would not be allowed to purchase insurance through the exchanges, with or without subsidies...
...disturbing as they are, the allegations of abuse are just one of many in the federal report focusing on four of New York State's worst juvenile-justice institutions. The report, which warns that the Federal Government could take over the system if the "constitutional deficiencies" are not remedied, is a shocking indictment of both excessive force and mangled, unprofessional mental-health treatment; one 15-year-old, with no agreed-upon diagnosis, was found to be on six psychotropic medications at once. The unions for the guards and professional staff both say they also want to see improvement but insist...
...youth facilities need to be changed, there is much less consensus about how best to go about doing that. "Nobody said this was going to be easy," says New York State assemblywoman Barbara Lifton, an Ithaca-area Democrat who helped uncover a gross lack of oversight of the entire system. "This is like turning the Queen Mary around...
...easy, but reform advocates like Gladys Carrion, who took over as commissioner of the state's nearly $4 billion Office of Children and Family Services at the start of 2007, think they know what the broader solution is: changing the culture of a juvenile-justice system that currently uses a correctional model - detaining youth in facilities with varying degrees of security up to prison-like settings - to one more focused on treating the traumas at the root of their bad behavior. Many of the estimated 100,000 young offenders across the nation are from troubled families in which there...