HMOs: A New Trend in Health Care Costs
Health maintenance organizations are expanding nationwide to control rising medical costs. A five year NEJM study shows HMO members in Puget Sound had 40 percent fewer hospital admissions and about 25 percent lower overall costs than fee-for-service patients. HMOs emphasize prevention, limited provider choice, and prepaid coverage. To choose wisely, examine doctor access, emergency definitions, out-of-area coverage, and staff specialties, and consult the county extension office for a guide titled Questions To Ask Before Joining An HMO.
MENTIONED IN THIS ARTICLE
Wisconsin
United States
New England Journal of Medicine
Health Cooperative of
Puget Sound
HMO
Ann Landers clarifies celibate versus chaste meanings
The column notes readers debate celibacy versus chastity with Ann Landers admitting prior misunderstanding. A Seattle reader asks about a 12 year old daughter's chores as parents seek guidance on behavior and responsibility.
Passive aggressive daughter counseling suggested
A reader describes a daughter who withholds chores and action, prompting parental frustration. Ann Landers advises family counseling to uncover quiet hostility and suggests observing underlying issues. The column notes this is a passive aggressive behavior pattern and offers guidance.
Communication gaps in marriage and family life
The piece argues that poor communication drives relationship strain from childhood through adulthood. It contrasts male and female attention, noting men respond to facts while women seek feelings, then humorously recounts a parent child exchange about listening and factual impact, ending with a bored, sleepy reaction to facts.
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