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The AARP just met with the leadership of the Mayo Clinic, one of the most outstanding medical institutions in the country. They provide excellent care at a cost that is less than most other parts of the healthcare system - and with improved outcomes. We asked them about their secret to success.\n\nMayo has an electronic medical record and all their patients have their information online. The physicians are on salary, so there's no incentive to order unnecessary tests or procedures, and Mayo has an ethic of patient-centered care, with a long history of attracting the best people and rewarding them.\n\nIf Mayo can do it, why can't everyone else? The AARP believes that the potential is there for most communities to have excellent care - we must emulate the care delivery of institutions like the Mayo Clinic, and put in place payment and information systems that will coordinate care management better. It's a big job and will take some investment, but we have many opportunities to do a better job than we're doing today.

"Quasi-Corporatism: America's Homegrown Fascism". By Robert Higgs. The Freeman and The Independent Institute. January 31, 2006.

"Quasi-Corporatism: America's Homegrown Fascism". By Robert Higgs. The Freeman and The Independent Institute. January 31, 2006.

"We the people have given away our sovereign money-creating power to private, for-profit lending institutions, which have used it to siphon wealth from the productive economy. Some states are moving to take that power back. "

Lots of good points, @Karoli; much to meditate on. Would love clarification on the following comment, though: "Can anyone familiar with history point to any time where a bill has made it this far, been pulled back by proponents, and lived as a stronger version of itself?" How is it a "stronger version of itself?" I don't follow Congressional maneuvers with the same background knowledge or attention to detail that you do; I'm probably missing some key information that would clarify your meaning. Really like your myth-busting data. It's refreshing to see a recap of details that can easily escape us. In some cases, your data gives me a point of departure for further research, so I can come to my own conclusions. Without your article, sorting out the key questions to investigate would be much harder for me. Also, I agree that waiting for a better bill, with so many "people hanging by a thread," is a luxury that only the well-heeled can afford. For many legislators, insulated from financial woes, much of this healthcare debate is about anything and everything except healthcare reform. All that said, I'm obviously an idealist who yearns for global, systemic change. I would want to change the fundamental nature of dance competition's culture, if my daughter were involved. It would be hard for me to keep my eye on the pragmatic truths: deep, systemic change of any cultural institution (socioeconomic, sociocultural, or sociopolitical) is a project for centuries, for eons. It's evolutionary. For today, how does your daughter keep following her passion in a system that's unfair? For today, how do we facilitate efforts to get as many health insurance benefits for the most people in a system that's unjust? I'm not sure I entirely buy your solution―but overall, it's a hell of a lot more practical than the one I was about to employ: sinking into helplessness, hopelessness, and depression... In fact, it's a hell of a lot more idealistic than sinking into despair, too! I fe

Can financial reforms straighten out one of America's most byzantine institutions, the Federal Reserve?

What happens now that democracy's institutions have all metastasized into something dangerous? <<>> What happens now that democracy + free market have fused into a single predatory organism?

"The public bank concept is gaining ground on the state level, attracting proponents across the political spectrum. "

Wednesday, September 16, 2009 Goldstone Report Finds Israeli Military Guilty of War Crimes in Gaza The Independent reports that a United Nations fact-finding inquiry has found that Israel committed war crimes during its attack on Gaza last winter, as did the Palestinian Hamas. The lion's share of blame in the report, however, falls on Israeli forces, which stand accused of planning out a disproportionate use of force, the punishing of a civilian population, and reckless disregard for civilian lives-- all of which are war crimes in international law. The report suggests that some Israeli actions may have gone beyond being mere war crimes to being crimes against humanity. The report will go to the UN Human Rights Commission, which will likely accept it. The findings could in theory drag Israeli officials before the World Court in the Hague, though in practice this outcome is highly unlikely. Both the Israeli government and Hamas rejected the report as biased, which is a pretty good indication that it is even-handed.