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For employees, perhaps the most telling red flag from the study is that their employers may be saving money not by making them healthy but rather by shifting healthcare costs onto them. "Our evidence suggests that savings to employers may come from cost shifting, with the most vulnerable employees — those from lower socioeconomic strata with the most health risks — bearing higher costs that in effect subsidize their healthier colleagues," wrote the authors.

he findings were — so to speak — all over the map. Depending on where she lived within the state, a woman's chances of having her uterus removed varied as much as threefold. A man's chances of having his prostate removed varied as much as fourfold. And the children of Morrisville were more than 10 times as likely to have their tonsils removed as their counterparts in Middlebury.

It was the dawn of the era of big data

Medical care epidemiology is