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...great - start would be to strengthen secular schools, so that education is not hijacked by those madrasahs valuing reckless faith over studied reason and mutating misguided youths into mindless fanatics. Many of those leaders were created by a military establishment to harass India. But today, the real enemy is within, a radicalism that, like Frankenstein's monster, has turned on its former patron. What they once sowed, Pakistanis are now - tragically and shamefully - having to reap...

Author: /time Magazine | Title: The Moment | 10/26/2009 | See Source »

...doctor's pay is not fixed in advance. Salaries are pegged so that they stay within 80% of the national average, but up to 20% of income is based on teams' achieving performance goals. If the cardiac group keeps its complication and readmission rates below a certain level, paychecks get fatter because costs decrease. Ditto for the pediatric orthopedic team, which must successfully treat kids for, say, spinal curvature without being too quick with the knife for those who don't need surgery or too slow for those who do. "We keep cash compensation flexible and incentivized," Steele says. "That...

Author: /time Magazine | Title: Is There a Better Way to Pay Doctors? | 10/26/2009 | See Source »

...Massachusetts has required all its citizens to have health insurance, about 20% of which involves some kind of global coverage - handling all of a patient's health-care needs for the duration of the policy. In July, the state announced plans to go further, eliminating fee-for-service entirely within five years and mandating global care statewide. Similar plans are ramping up in Minnesota and Wisconsin. "We're going to do this incrementally," says JudyAnn Bigby, Massachusetts' secretary of health and human services. "We want to increase pay-for-performance first and episode payments next." Is five years enough...

Author: /time Magazine | Title: Is There a Better Way to Pay Doctors? | 10/26/2009 | See Source »

...another for patients taking lifesaving kidney drugs. The kidney results have been especially striking: by better determining the proper dosage for individual patients and training them to self-administer their meds, the hospital has saved $3,800 per patient per year while more than doubling the number who score within the parameters of good kidney health...

Author: /time Magazine | Title: Is There a Better Way to Pay Doctors? | 10/26/2009 | See Source »

...country there. The stakes are high. This tiny country half the size of North Carolina is the rawest point of contact between the rising confidence of Russia and the eastward encroachment of the great Western alliances - NATO and the E.U. Yet the most crucial conflict may be the one within Saakashvili himself, between his enormous ambitions for Georgia and the impetuousness that could yet spoil his young democracy or bring more bloodshed to the Caucasus...

Author: /time Magazine | Title: The World According to Misha: Georgia's Saakashvili | 10/26/2009 | See Source »

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