Word: systemically
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Walid's story is hardly unusual, judging from a report on the Israeli military-justice system in the West Bank compiled by the Palestine office of the Geneva-based Defense for Children International, which works closely with the U.N. and European states. Human-rights groups in Israel and elsewhere have also condemned the punishment meted out to Palestinian children by Israeli military justice. Most onerous, says Sarit Michaeli of the Israeli human-rights group B'Tselem, is that inside the territories, the Israeli military deems any Palestinian who is 16 years and older as an adult, while inside Israel...
North Korea's woes are a direct result of the regime's refusal to change its outdated economic system. Unlike China's leaders, who linked market-oriented reforms to the Communist Party's survival, Kim Jong Il and his cohorts see economic openness as a threat to their power and have in recent years intensified state control over the economy...
Undoing these waste-promoting incentives - the "fee-for-service" payment system that awards more fees to doctors and hospitals for providing more services, and the regulated electricity rates that reward utilities for selling more power and building more plants - would not solve all our health-care and energy problems. But it would be a major step in the right direction. President Obama has pledged to pass massive overhauls of both sectors this year, but if Congress lacks the stomach for comprehensive reforms - and these days it's looking like Kate Moss in the stomach department - a more modest effort...
...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 or explaining why an MRI isn't necessary; hospitals don't get paid when their discharged patients don't have to go back to the hospital. Our goal for our health-care...
...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 to the military-base-closing commission. Still, changing the dysfunctional payment system while safeguarding patient rights (and perhaps protecting doctors who practice evidence-based medicine from frivolous malpractice suits) would be easier...