Word: lessing
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...Revolution Africa, which missed out on the first Green Revolution due to poor policy and limited resources, is also witnessing the beginnings of real change. In Senegal, 2008 protests sparked by rising food prices scared the government into instituting a program to make the country of 12 million people less dependent on imported grain. Grandly named the Great Agricultural Offensive for Food and Abundance, or GOANA, policymakers aimed to boost local agricultural production by subsidizing seeds, doling out farm implements and speeding up irrigation investments. The program convinced Ngor Sarr, a subsistence farmer in the region of Fatick in western...
...spends a full day traveling by bus to a nearby town. It often takes two or three trips, and, with bus fares costing him 60? per roundtrip, he wonders if the cheaper seeds are worth the effort. What he really requires, he says, is better infrastructure to make him less dependent on the monsoon. Mandase believes that he might need a deeper well and electricity to run a pump - investments he could never afford on this own. In lieu of that, Mandase, with the local monsoon spotty, can only pin his hopes on divine intervention. In late July, Mandase visited...
...twice the outrageousness and thrice the pace. Its signature move is to cut away from a story line for a non sequitur gag (a pop-culture parody, a celebrity spoof, a Star Wars reference). The Simpsons is a satire, but it's rooted in its family. Family Guy is less a half-hour narrative about characters than a delivery system for unconnected jokes the writers can't bear to part with. (See the top 10 TV dads...
...learning to do things right. He could have cited others too: the Cleveland Clinic, the Mayo Clinic, Kaiser Permanente. What these providers have in common are the creative ways they're doing away with fee-for-service and replacing it with an imaginative mix of systems that cost less, keep patients healthier and make doctors happier. "We need a transition to rewarding the actual value of care," says Dr. Elliott Fisher, director of population health and policy at the Dartmouth Institute. "For now, our payment system is getting in the way." (See the Cleveland Clinic's smarter approach to health...
...Less Is Much More In the years since the reviled health-maintenance organizations (HMOs) were at their peak, all manner of fixes have been proposed to the health-care system, from small tweaks to wholesale overhauls. There's pay-for-performance: compensation depending on doctors' success in keeping costs down and getting patients well. There's episode care: a fixed price for a procedure like a heart bypass that covers everything from pre-op to surgery to full recuperation. Most broadly, there's global care, which provides access to a diverse team of caregivers who cover all of a patient...