Word: costly
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There's just no way to square the cost of current recession-fighting efforts, future Medicare commitments and the various goals of the Obama Administration with the current level of taxation. Taxes are going to have to go up, and raising rates on just the very richest won't be enough. The only alternative is what some call the inflation tax--reducing the relative size of the country's debts by letting prices rise across the board. But that has its costs too. The free-lunch era is over...
Whether or not Monsarrat is always right, he’s definitely always committed. To date, he’s put in about $1,600 and 1,000 hours of time, and hasn’t received any donations. FlyBy wonders how buying notecards could cost so much money. That?...
...medicine, the idea would be to reward quality rather than quantity, to give providers incentives to keep us healthy and reduce unnecessary treatments, to encourage doctors and hospitals to promote a culture of low-cost, high-quality care. One reason the Mayo Clinic already provides low-cost, high-quality care is that it keeps its doctors on salary, insulating them from fee-for-service inducements to overserve; unfortunately, Mayo is hemorrhaging cash on its Medicare patients, because the current system penalizes responsibly conservative care. Doctors don't get paid for thinking about a case or returning a phone call...
That won't be easy to change. The 1990s managed-care boom was supposed to incentivize HMOs to keep us healthy, but it slashed needed as well as unneeded care in a frenzy of willy-nilly cost-cutting and short-term profit-taking, triggering a national backlash. And if Congress gets into the details of what would be reimbursed under a new fee-for-quality structure, the same interest-group politics that have distorted and ultimately paralyzed the current system could dominate the new system; that's why Obama has proposed to depoliticize those decisions through an independent agency similar...
...Clintons attended Foundry United Methodist Church on 16th Street, and were particularly active during the years before Chelsea left for college. But White House aides say that security measures required by the Secret Service have become stricter since 9/11 and would cause significant delays for parishioners - and at significant cost to taxpayers - on Sunday mornings. Given Obama's popularity within the African-American community, the President also worried that if he chose a local black congregation, church members would find themselves competing with sightseers for space in the pews...