Word: bethe
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Father's Day. Maybe the title should be Divorcee's Day. Three highly articulate women (Tammy Grimes, Susan Tyrrell, Mary Beth Hurt) who have been ditched by their husbands indulge in distinctly inflammatory remarks about the male as s.o.b. Alternating between poignance and dipsy mirth, this drama takes a 20/20 look at divorce, U.S. style...
Marian (Tammy Grimes) is ultracivilized, a paragon of taste and class. She holds no lasting grudge over the divorce and even goes to bed with her ex from time to time. Estelle (Mary Beth Hurt), the most recently separated, is bewildered and scarcely able to cope with the enormity of the experience. An orphan who married an orphan, she had a glowing faith that building a nest would be the golden tie that binds forever...
...Mitchell T. Rabkin '51, general director of Beth Israel Hospital and associate professor of Medicine, says, unlike most of his colleagues, that "the Saikewicz decision was a wise one." But he, too, feels that doctors read the ruling too strictly--that every time one wants to withhold treatment from incompetents, one must seek the court's approval. Rabkin feels this is not appropriate for a dying patient...
...Beth Israel Hospital is working on "articulation of our own policy," according to Rabkin. It is trying to determine criteria for competence, and incurable illness. And the hospital staff is closely examining the decision process, "bending over backwards" to preserve the rights of patients and to consider opinions which "cannot be dismissed." In most cases the hospital will respect the wishes of the family, except when "the family asks for something medically unrealistic," Rabkin says...
...Government should revise Medicare and Medicaid reimbursement formulas to pay hospitals a set amount for, say, removal of a gallstone, rather than costs-plus. Says Dr. Mitchell Rabkin, director of Beth Israel Hospital in Boston. "I'd like to see a system of incentives?say, if we saved money, that money could be split between the insurer and the hospital." Califano and some state regulators also are launching a drive to require that a majority of the directors of any Blue Shield plan be laymen. At present, many Blue Shield plans are dominated by doctors, who, to put it delicately...