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Sugar daddy. Most Americans know Medicare as the health insurance program for the elderly, but to providers, it's a jobs program, a capital financier and a safety net.

Most Americans know Medicare as the health insurance program that covers the elderly. But to providers it's much more that. The program pays for medical education, finances capital projects and subsidizes care for the indigent. Should Medicare continue making those add-on payments? Is that the program's mission? The debate is intensifying.

Aged↗

Reconfiguring services. Slow motion.

A scheme to reconfigure mental health services took 10 years from agreement in principle to the opening of the new unit. A plan to finance it under the private finance initiative had to be abandoned when the private investor pulled out. The original design was substantially altered in response to service users' requests. The trust allocated 1 per cent of the budget for artworks in the new unit.

Architecture↗