Word: work
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...well. He, his wife and three sons live in a mud-walled shack in the fly-infested village of Marathwakadi in Vidarbha, and aside from a free plow, the government's ample funds have yet to trickle his way. Sidam gets no subsidies for his seeds, no guaranteed rural work has been available in the area and no new water resources have been developed near his farm, nor did he get state help with his $350 debt. Government agricultural officials hardly ever visit the village, he says, and he appears uninformed about the new initiatives that might help...
...could not be more different. Tall, elegant, and ostentatiously erudite, Villepin was a career diplomat who gained the Matignon without ever having run for office. Short, petulant and sparking with excessive energy, Sarkozy marched to the Elysée Palace by winning an election, using old-fashioned political grunt work and his Cabinet posts to establish a reputation for delivering results. Along the way, the two men's conflicting styles and rival aspirations turned them into bitter enemies. Now, two years after Sarkozy won a sometimes vicious scrap to become the conservative presidential candidate, they are facing off again...
...there are ways to fix what ails the docs - and repair the health-care system in the process. In the rolling hills of central Pennsylvania, the Geisinger Health System is trying something different. The 726 physicians and 257 residents and fellows who work there don't do piecework. They are paid a salary - benchmarked against the national average - plus potential bonuses based on how well their patients do under their care. One result is that Geisinger is able to hang on to its PCPs while other hospitals are losing theirs. Another is that Geisinger makes money...
Geisinger's brand of care can take some getting used to - at least for the doctors. Come to work for Geisinger and the first thing you notice is that your days as a medical free agent are over. You are now an employee, an idea that may seem like a very bad thing - until you get used to it and realize that it can be a very good thing. (See pictures of angry health-care debates...
...Geisinger over to a prix fixe, episode-care model for surgery, starting with the heart bypass. Under the new system, a closely coordinated team of caregivers would be responsible for every stage of a bypass patient's treatment and recovery. The hospital would submit a single bill for all work and include a 90-day warranty. If a patient checked back in with a complication like a postsurgical infection, that work would be on Geisinger's dime. "We'll do it right, or we won't send a bill" was how Steele put it to his staff...