Word: mcleaned
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...reinvent themselves. In 1994 the Hartford Institute of Living, in Connecticut, merged with Hartford Hospital to avoid extinction. The nonprofit giants, the Betty Ford Center in Rancho Mirage, California, and the Hazelden Foundation in Minnesota, have both increased the amount of financial aid they offer to needy patients. McLean Hospital in Belmont, Massachusets, a 185-year-old Harvard-affiliated facility, long ago famous as a haven for addled and addicted Brahmins, has seen its average patient stay drop from 57 days to 14 since 1989 and now fills 70% of its beds with Medicaid and Medicare patients...
...specialists concede that some scamming went on in the for-profit recovery business, they nevertheless caution that for some patients, one month in a placid, nurturing environment, away from all the temptations of their old routine, is the best medicine. Dr. Frederic Schiffer, who recalls treating cocaine addicts at McLean, says he saw his patients four times a week for four weeks. "They needed the time to be held in a kind environment," he claims. "The grounds were very therapeutic. We would walk the grounds and talk...
...always, with managed care, it comes down to whose judgment prevails--the doctor or the insurer. Dr. Lloyd Sederer, senior vice president of Clinical Services at McLean, who believes that for the most part the benefit rollbacks have not caused undue harm, nevertheless is growing weary of the hours he spends dickering with insurance companies. "We have clinical responsibility but not the fiscal control," he says. "The next step is to give us a fixed budget and goals and then let us deliver our services to meet those goals...
...more serious psychiatric problem that needs lengthy treatment. In a short stay, says Jerry Spicer, president of Hazelden, "you can deal with detox, but you can't bring about a recovery. It comes down to trying to treat a chronic illness as an acute one." "What you lose," agrees McLean's Sederer, "is the ability to see patients to the next stage of recovery...
...real sign from the right came that night after dinner. Newt Gingrich told his staff he was attending a function in Chevy Chase, Maryland. Afterward he slipped onto the Beltway to McLean, where he arrived at Powell's front door sometime after eight. If Powell wanted some protection on his right flank, Gingrich would be essential. For weeks the Speaker had made positive if guarded comments about the general. But he had not done anything to actively push him into the race...