Thinking ahead--the rising tide of AIDS orphans.
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INTRODUCTION: The year 2005 was the centennial year of the Albert Einstein's transcendental works that changed forever the humans thoughts on the universe. It is also celebrated the 50th anniversary of his death. It was proclaimed 'World Year of Physics' and a multiplicity of celebrations have exhaustively analyzed Einstein's cardinals contributions. However, among these, the meeting of Einstein with another titanic of science, Santiago Ramon y Cajal, has passed some unnoticed. In this study the circumstances of this meeting are evoked. DEVELOPMENT: The parallelisms between the lives of both prominent figures awarded with the Nobel Prize are highlighted. They are the 'classic' authors most widely cited in the current scientific literature. The events and persons who made possible that shining but forgotten interview are detailed. Such a meeting took place in Madrid, on the occasion of the Einstein's trip to Spain in 1923. That travel exceeded his primary scientific nature, reaching the category of a social phenomenon and was widely covered by the printed mass media at that time. Finally, the curious coincidence of the invocation of Cajal's theories to justify the genius of the German physicist nearly 75 years after their meeting is mentioned. CONCLUSIONS: Although it was a brief meeting and the circumstances surrounding it largely unknown, it produced a great impression to Einstein and constitutes a supreme instant in the history of the 20th century.
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The government and third party carriers have concentrated their cost containment efforts in the wrong areas: reducing physician payments and restricting patients' access to care, while increasing bureaucratic administrative costs at all levels. There has been no net benefit from this cost containment effort. Shifting income from one group to another is not the solution. For those economists who require proof of this assertion, a study for validation is recommended. For one year a single state could be chosen to implement these recommendations: rapid reimbursement to avoid costly appeals; no utilization review or second opinions; no precertification; notification of patients before a procedure of the reimbursement amount; providing a percentage share of any insurance company savings resulting from physician review of itemized hospital bills; enacting meaningful tort reform to affect that 17% of physicians' costs and countless "defensive" lab and hospital expense; publishing comparative costs of common procedures by hospitals; and publishing comparative prices for common drugs by pharmacies. My hypothesis is that the costs of health care will be reduced below other states, while saving enormous "managed care" administrative costs. Dramatically reducing the huge noncaregiving costs of medicine, which make up at least 30% to 40% of the health care dollar, would enable all the uninsured and uninsurables to have the excellent, readily accessible health care they need at no increase over current expenditures. "Cost shifting" in all its many forms could be eliminated. We simply must cause a proper allocation of funds through appropriate regulation of insurance companies and their excessive administrative charges, meaningful tort reform, and the education of our physicians and the public in cost efficient, high-quality medical care.(ABSTRACT TRUNCATED AT 250 WORDS)
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