Word: without
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Dates: during 2000-2009
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...other big barrier is information: evidence-based medicine is hard to practice without evidence. There are studies showing that generic and over-the-counter drugs for hypertension, heartburn and psychosis are often just as effective as costlier brand-name alternatives; that stents can work miracles when inserted quickly after heart attacks but don't seem to help much as preventive measures; that the areas with the most hospital beds, imaging machines and specialists spend the most on excess hospital stays, MRIs and specialty care. But the big money in medical research goes to testing new drugs and cutting-edge technologies...
...without incentives to use it, information alone will not lead to reform. Obama wants to make evidence-based medicine financially attractive so that providers are rewarded rather than punished for reducing readmissions and unnecessary procedures. "We can't just do research and let it sit on a shelf," Orszag says. It is fair for industry groups to insist on an independent agency to oversee the effectiveness research, so that decisions about what to study are separate from decisions about what to reimburse. And some of Obama's quality incentives are fairly straightforward, like extra dollars for primary care, prevention...
...several points, Obama found himself jousting with the newly feisty crowd. He tried twice, without any success, to limit a reporter to only a single question. He criticized McClatchy's Margaret Talev for prefacing a personal question about his smoking habit with a discussion of its policy implications. "I think it's fair, Margaret, to just say that you just think it's neat to ask me about my smoking as opposed to it being relevant to my new law," Obama chided. The President accused Tapper of playing "ombudsman" for pointing out that the President had declined to answer...
...been affected by this obvious terror." Like Ethiopian leaders, however, Odinga stopped short of publicly committing troops. Reports from Somalia's western border with Ethiopia claimed that Ethiopian troops had entered Somalia on June 22, despite a statement from Addis Ababa that it would not enter the country without an international mandate. Ethiopia invaded Somalia in late 2006 to topple a previous Islamist government...
...power goes beyond just the physical instruments of communication. He has perfected the art of politics as an around-the-clock magician's act. And in Italy, the only thing more difficult than trying to imagine how he can avoid disappearing is imagining what public life would be like without...