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Can the ethical mission of health care survive among organizations competing for survival in the marketplace? On this question hinges not only the future of health care in the US, but that of the health care systems of all advanced countries. This book presents both an analytic framework and a menu of pragmatic answers. The team of authors, physician-ethicists from Harvard Medical School and the National Institutes of Health, worked with a consortium of health care organizations to explore some of the most challenging dilemmas in health care today: How can health plans determine medical necessity in a way that ensures quality care, controls costs, and builds trust with patients and physicians? What are the strategies for caring for vulnerable populations that meet their special neds without dramatically increasing costs? To answer these and other similar questions the authors blend ethical analysis with real-world example. The outcome is a rich analysis of the ethical challenges facing health care organizations, combined with tangible examples of exemplary methods to address these challenges. This book will help health care leaders, regulators, and policy makers incorporate exemplary practices, and the underlying themes they embody, into the very heart and soul of health care organizations.

The MARSHALLTOWN Margin Trowel’s slim flat-nosed design helps you easily level and spread mortar or tile adhesive into tight places where larger trowels won’t fit. The blade and tang are forged from a single piece of durable high carbon steel that is then tempered, ground, and polished for maximum balance and flexibility. Durasoft handle provides a soft feel, reduces fatigue and offers great durability.

Record book offers the performance and appearance of leather at the cost of vinyl. Design provides comfort as well as archival-safe, Eye-Ease heavyweight ledger paper, sewn into the bindings and lithographed with brown and green inks. Each archival-safe, acid-free sheet is numbered and faintly ruled with margin lines. Design includes a black Texhide cover, burgundy spine and corners, perfect binding and sewn construction for strength and durability.

Record book offers the performance and appearance of leather at the cost of vinyl. Design provides comfort as well as archival-safe, Eye-Ease heavyweight ledger paper, sewn into the bindings and lithographed with brown and green inks. Each archival-safe, acid-free sheet is numbered and faintly ruled with margin lines. Design includes a black Texhide cover, burgundy spine and corners, perfect binding and sewn construction for strength and durability.

Record book offers the performance and appearance of leather at the cost of vinyl. Design provides comfort as well as archival-safe, Eye-Ease heavyweight ledger paper, sewn into the bindings and lithographed with brown and green inks. Each archival-safe, acid-free sheet is numbered and faintly ruled with margin lines. Design includes a black Texhide cover, burgundy spine and corners, perfect binding and sewn construction for strength and durability.

Record book offers the performance and appearance of leather at the cost of vinyl. Design provides comfort as well as archival-safe, Eye-Ease heavyweight ledger paper, sewn into the bindings and lithographed with brown and green inks. Each archival-safe, acid-free sheet is numbered and faintly ruled with margin lines. Design includes a black Texhide cover, burgundy spine and corners, perfect binding and sewn construction for strength and durability.

Record book offers the performance and appearance of leather at the cost of vinyl. Design provides comfort as well as archival-safe, Eye-Ease heavyweight ledger paper, sewn into the bindings and lithographed with brown and green inks. Each archival-safe, acid-free sheet is numbered and faintly ruled with margin lines. Design includes a black Texhide cover, burgundy spine and corners, perfect binding and sewn construction for strength and durability.

Record book offers the performance and appearance of leather at the cost of vinyl. Design provides comfort as well as archival-safe, Eye-Ease heavyweight ledger paper, sewn into the bindings and lithographed with brown and green inks. Each archival-safe, acid-free sheet is numbered and faintly ruled with margin lines. Design includes a black Texhide cover, burgundy spine and corners, perfect binding and sewn construction for strength and durability.

VEVOR Coil Spiral Binding Machine, Manual Book Maker 34-Holes Binding 120 Sheets, Adjustable Side Margin, for Letter Size, A4, A5Compatible with Multiple SizesEasy to UseDurable ConstructionWide ApplicationsIncludes A Debris TrayHigh-Capacity BindingPrimary Materials: Iron Base (Powder Coated) + ABS Plastic Shell + Metal Side Arms,Item Model Number: STD12A,Product Weight: 10.8 lbs/4.9 kg,Product Size: 15.2x9.7x14.4 inch/385x246x367 mm

VEVOR Coil Spiral Binding Machine, Manual Book Maker 34-Holes Binding 120 Sheets, Punch Binder with Adjustable 3/16" - 9/16" Coil Binding Spines and Side Margin, for Letter Size, A4, A5Compatible with Multiple SizesEasy to UseDurable ConstructionWide ApplicationsIncludes A Debris TrayHigh-Capacity BindingPrimary Materials: Iron Base (Powder Coated) + ABS Plastic Shell + Metal Side Arms,Item Model Number: STD12B,Product Weight: 10.8 lbs/4.9 kg,Product Size: 14.6x9.6x10.2 inch/370x245x260 mm

Proudly Made in the USA. 15 lb. Computer paper, 9-1/2" x 11" 3-Part Carbonless, White/Canary/Pink,1/2" Removable Margins.Letr-Trim perforation for clean and easy sheet removal.1100 sheets per carton. 1100SETS/CT

The Margin jeans offer a smartened take on classic pairs. Cut in a tapered shape, they're made from organic- and recycled cotton-blend denim that's left raw to retain its deep-indigo tone and finished with metal rivets and premium selvedge details. Relaxed fit, mid-rise, tapered leg, ankle length Button and zip closure Organic cotton is grown from non-genetically modified seeds without chemical fertilisers or pesticides Shell: 80% Organic cotton, 20% Recycled cotton. Pocket lining: 65% Recycled

The Margin jeans offer a smartened take on classic pairs. Cut in a tapered shape, they're made from organic- and recycled cotton-blend denim that's left raw to retain its deep-indigo tone and finished with metal rivets and premium selvedge details. Relaxed fit, mid-rise, tapered leg, ankle length Button and zip closure Organic cotton is grown from non-genetically modified seeds without chemical fertilisers or pesticides Shell: 80% Organic cotton, 20% Recycled cotton. Pocket lining: 65% Recycled

The Margin jeans offer a smartened take on classic pairs. Cut in a tapered shape, they're made from organic- and recycled cotton-blend denim that's left raw to retain its deep-indigo tone and finished with metal rivets and premium selvedge details. Relaxed fit, mid-rise, tapered leg, ankle length Button and zip closure Organic cotton is grown from non-genetically modified seeds without chemical fertilisers or pesticides Shell: 80% Organic cotton, 20% Recycled cotton. Pocket lining: 65% Recycled

The Margin jeans offer a smartened take on classic pairs. Cut in a tapered shape, they're made from organic- and recycled cotton-blend denim that's left raw to retain its deep-indigo tone and finished with metal rivets and premium selvedge details. Relaxed fit, mid-rise, tapered leg, ankle length Button and zip closure Organic cotton is grown from non-genetically modified seeds without chemical fertilisers or pesticides Shell: 80% Organic cotton, 20% Recycled cotton. Pocket lining: 65% Recycled

The Marshalltown 8 in. Margin Trowel is forged from a single piece of high-carbon steel offering long-lasting strength. Its Durasoft handle provides a soft feel, reduces fatigue and offers great durability. Used by tradesmen for patch work and cleaning other tools.

The Margin jeans offer a smartened take on classic pairs. Cut in a tapered shape, they're made from organic- and recycled cotton-blend denim that's left raw to retain its deep-indigo tone and finished with metal rivets and premium selvedge details. Relaxed fit, mid-rise, tapered leg, ankle length Button and zip closure Organic cotton is grown from non-genetically modified seeds without chemical fertilisers or pesticides Shell: 80% Organic cotton, 20% Recycled cotton. Pocket lining: 65% Recycled

Proudly made in the USA. 15 lb. Computer paper, 9-1/2" x 11" 2-Part Carbonless, Plain White,1/2" Removable Margins.Letr-Trim perforation for clean and easy sheet removal. 1650 sheets per carton. 1650SETS/CT

The Margin jeans offer a smartened take on classic pairs. Cut in a tapered shape, they're made from organic- and recycled cotton-blend denim that's left raw to retain its deep-indigo tone and finished with metal rivets and premium selvedge details. Relaxed fit, mid-rise, tapered leg, ankle length Button and zip closure Organic cotton is grown from non-genetically modified seeds without chemical fertilisers or pesticides Shell: 80% Organic cotton, 20% Recycled cotton. Pocket lining: 65% Recycled

The MARSHALLTOWN Margin Trowel’s slim flat-nosed design helps you easily level and spread mortar or tile adhesive into tight places where larger trowels won’t fit. The blade and tang are forged from a single piece of durable high carbon steel that is then tempered, ground, and polished for maximum balance and flexibility. This product has a Resilient DuraSoft handle with an integral finger guard.