Reimburse Quotes

Every miserable fool who has nothing at all of which he can be proud, adopts as a last resource pride in the nation to which he belongs; he is ready and happy to defend all its faults and follies tooth and nail, thus reimbursing himself for his own inferiority.

The cheapest sort of pride is national pride; for if a man is proud of his own nation, it argues that he has no qualities of his own of which he can be proud; otherwise he would not have recourse to those which he shares with so many millions of his fellowmen. The man who is endowed with important personal qualities will be only too ready to see clearly in what respects his own nation falls short, since their failings will be constantly before his eyes. But every miserable fool who has nothing at all of which he can be proud adopts, as a last resource, pride in the nation to which he belongs; he is ready and glad to defend all its faults and follies tooth and nail, thus reimbursing himself for his own inferiority.

To the people who are upset about their hard-earned tax money going to things they don’t like: welcome to the f*cking club. Reimburse me for the Iraq war and oil subsidies, and diaphragms are on me!

The issue of reimbursement by payers is an important factor that should be discussed. Is it possible that if radiologists use AI to read scans, they’ll receive less reimbursement? Or to approach this from the other angle, if payers are reimbursing for the use of AI, will they pay radiologists less as a result? My discussions with insurance executives have shown that they don’t think this is likely. If the use of these technologies will improve patient outcomes and lead to fewer errors, there are benefits to them that will motivate executives to pay for them in addition to radiologists’ reading fees.

I NEVER lost as much but twice, And that was in the sod; Twice have I stood a beggar Before the door of God! Angels, twice descending, Reimbursed my store. Burglar, banker, father, I am poor once more!

Death is a thief, the grandest perpetrator of larceny of all. It robs the potential of all the things left undone and reimburses the living with bits of memories that, with each day, pass through the fingers like a handful of sand.

This was my wake-up call. I opened my eyes to the depressing fact that there are other forces at work in medicine besides science. The U.S. health care system runs on a fee-for-service model in which doctors get paid for the pills and procedures they prescribe, rewarding quantity over quality. We don’t get reimbursed for time spent counseling our patients about the benefits of healthy eating. If doctors were instead paid for performance, there would be a financial incentive to treat the lifestyle causes of disease. Until the model of reimbursement changes, I don’t expect great changes in medical care or medical education.5

Thanksgiving is recognition of a debt that cannot be paid. We express thanks, whether or not we are able otherwise to reimburse the giver.

Hatred has its pleasures. It is therefore often the compensation by which a frightened man reimburses himself for the miseries of Fear. The more he fears, the more he will hate. - Screwtape

And I hate to be a stickler for the rules but the Hibatsu Survival Settlement Charter clearly states that any individual who cannot reimburse the company in liquid assets must make it up with voluntary existence suspension.

When people want to be reimbursed for their pain they seldom are.

Where oppression does not completely and permanently break the spirit, has it not a natural tendency to produce retaliatory pride and contempt? We reimburse ourselves for cuffs and toil by a double dose of self-esteem. No one is more likely to be arrogant than a lately-freed slave.

Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current healthcare system. There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

that none might factiously aspire to public employments, which ought neither to be sold nor made burdensome by a great expense, since otherwise those that serve in them would be tempted to reimburse themselves by cheats and violence, and it would become necessary to find out rich men for undergoing those employments,

Cowardice, alone of all the vices, is purely painful- horrible to anticipate, horrible to feel, horrible to remember; hatred has its pleasures. It is therefore often the compensation by which a frightened man reimburses himself for the miseries of fear. The more he fears, the more he will hate. And hatred is also a great anodyne for shame.

Medicare reimbursement code for maggots: CPT 99070.

reimburse

people in the South who can do the work that the slaves did?” “All the more reason,” said Lincoln, reasonably, “to reimburse the slave-owners.

Silverstein held insurance policies that stipulated a maximum reimbursement for each destructive “event.

For there to be a gift, there must be no reciprocity, return, exchange, countergift, or debt. (...) For there to be a gift, it is necessary that the donee not give back, amortize, reimburse, (...)

The first symptom of the trouble appeared when Madison studied Hamilton’s proposal for the funding of the domestic debt. On the one hand, Hamilton’s recommendation looked straightforward: All citizens who owned government securities should be reimbursed at par—that is, the full value of the government’s original promise. But many original holders of the securities, mainly veterans of the American Revolution who had received them as pay for their service in the war, had then sold them at a fraction of their original value to speculators. What’s more, the release of Hamilton’s plan produced...

Fadi has been slacking off at work and jeopardizing our business, staying late to hang out, charging the business card for personal trips, even claiming reimbursement for a storage room that doesn’t exist.

Of a real, true contract, on whatsoever subject, there is no vestige in Rousseau's book. To give an exact idea of his theory, I cannot do better than compare it with a commercial agreement, in which the names of the parties, the nature and value of the goods, products and services involved, the conditions of quality, delivery, price, reimbursement, everything in fact which constitutes the material of contracts, is omitted, and nothing is mentioned but penalties and jurisdictions. "Indeed, Citizen of Geneva, you talk well. But before holding forth about the sovereign and the prince, about the policeman and the judge, tell me first what is my share of the bargain? What? You expect me to sign an agreement in virtue of which I may be prosecuted for a thousand transgressions, by municipal, rural, river and forest police, handed over to tribunals, judged, condemned for damage, cheating, swindling, theft, bankruptcy, robbery, disobedience to the laws of the State, offence to public morals, vagabondage,--and in this agreement I find not a word of either my rights or my obligations, I find only penalties! "But every penalty no doubt presupposes a duty, and every duty corresponds to a right. Where then in your agreement are my rights and duties? What have I promised to my fellow citizens? What have they promised to me? Show it to me, for without that, your penalties are but excesses of power, your law-controlled State a flagrant usurpation, your police, your judgment and your executions so many abuses. You who have so well denied property, who have impeached so eloquently the inequality of conditions among men, what dignity, what heritage, have you for me in your republic, that you should claim the right to judge me, to imprison me, to take my life and honor? Perfidious declaimer, have you inveighed so loudly against exploiters and tyrants, only to deliver me to them without defence?

Children’s duty is to house and home, simple Family life, hard work; they depart, forgetting How their skin crawled at the firm fingers Of the Priestly touch, for which the Priest Is reimbursed with a shady porch from which To shoo them to labor in the noonday sun.

Dear Hilde, I assume you're still celebrating your 15th birthday. Or is it the morning after? Anyways, it makes no difference to your present. In a sense, that will last a life time. But I'd like to wish you happy birthday one more time. Perhaps you understand now why I send the cards to Sophie. I am sure she will pass them on to you. P.S. Mom said you lost your wallet. I hereby promise to reimburse you the 150 crowns. You will probably be able to get another school I.D. before they close for the summer vacation. Love from Dad.

Psychiatry is on the verge of abandoning the field of psychotherapy. Young psychiatrists are forced to specialize in psychopharmacology because third-party payers now reimburse for psychotherapy only if it is delivered by low-fee (in other words, minimally trained) practitioners.

Cowardice, alone of all the vices, is purely painful—horrible to anticipate, horrible to feel, horrible to remember; Hatred has its pleasures. It is therefore often the compensation by which a frightened man reimburses himself for the miseries of Fear. The more he fears, the more he will hate.

Do you think the Prophus will reimburse me for gas?” I am glad you have your head in the game. “I’ve been in the car for almost two hours now. There’s only so many ways I can imagine getting killed. Now I want to think of happier thoughts.” Like gas reimbursement? May I remind you that we gave you this car?

Broken payment models. Because we rely on insurance companies to pay for care, the treatments offered are not necessarily the most effective or those supported by the most current evidence—they’re simply the treatments that insurance companies have agreed to reimburse. This is not evidence-based medicine, it’s reimbursement-based medicine.

But when Trump emerged from the primary, Bennett characterized those Republicans not supporting Trump as not team players who “suffer from a terrible case of moral superiority and put their own vanity and taste above the interest of the country.”22 What has changed? If he believed what he wrote in The Book of Virtues that “it is our character that supports the promise of our future—far more than particular government programs or policies,” if he believed what he wrote about Bill Clinton that “a president whose character manifests itself in patterns of reckless personal conduct…cannot be a good president,” how can Bennett support a man who brags about assaulting women and directs his own son to write checks to reimburse his lawyer Michael Cohen for hush payments to a porn star?

Washington is an example of the citizen-politician who goes to the capital of his state or nation, serves a few terms, and returns to civilian life – just as the Founding Fathers practiced and intended. Sadly, this has been almost completely disregarded by the pervasive career politicians of later generations. The current practice of politicians is to gain elected government positions and then refuse to honor voluntary term limits, thus obtaining lifetime security and prestige, exemption from laws legislated on others, and inappropriate padding of personal income through gifts from lobbyists, self-initiated increases in benefits, and lifetime pensions. Their lifestyles would shock and embarrass a selfless man like George Washington, who served eight years as commander in chief, accepting only expense reimbursements as his compensation. (See the stories on Haym Salomon and Dave Roever similar examples). On

But every miserable fool who has nothing at all of which he can be proud adopts, as a last resource, pride in the nation to which he belongs; he is ready and glad to defend all its faults and follies tooth and nail, thus reimbursing himself for his own inferiority. For example, if you speak of the stupid and degrading bigotry of the English nation with the contempt it deserves, you will hardly find one Englishman in fifty to agree with you; but if there should be one, he will generally happen to be an intelligent man.

nothing. Even when unfairness is only a minor concern, system noise poses another problem. People who are affected by evaluative judgments expect the values these judgments reflect to be those of the system, not of the individual judges. Something must have gone badly wrong if one customer, complaining of a defective laptop, gets fully reimbursed, and another gets a mere apology; or if one employee who has been with a firm for five years asks for a promotion and gets exactly that, while another employee, whose performance is otherwise identical, is politely turned down. System noise is inconsistency, and inconsistency damages the credibility of the system.

Part of what kept him standing in the restive group of men awaiting authorization to enter the airport was a kind of paralysis that resulted from Sylvanshine’s reflecting on the logistics of getting to the Peoria 047 REC—the issue of whether the REC sent a van for transfers or whether Sylvanshine would have to take a cab from the little airport had not been conclusively resolved—and then how to arrive and check in and where to store his three bags while he checked in and filled out his arrival and Post-code payroll and withholding forms and orientational materials then somehow get directions and proceed to the apartment that Systems had rented for him at government rates and get there in time to find someplace to eat that was either in walking distance or would require getting another cab—except the telephone in the alleged apartment wasn’t connected yet and he considered the prospects of being able to hail a cab from outside an apartment complex were at best iffy, and if he told the original cab he’d taken to the apartment to wait for him, there would be difficulties because how exactly would he reassure the cabbie that he really was coming right back out after dropping his bags and doing a quick spot check of the apartment’s condition and suitability instead of it being a ruse designed to defraud the driver of his fare, Sylvanshine ducking out the back of the Angler’s Cove apartment complex or even conceivably barricading himself in the apartment and not responding to the driver’s knock, or his ring if the apartment had a doorbell, which his and Reynolds’s current apartment in Martinsburg most assuredly did not, or the driver’s queries/threats through the apartment door, a scam that resided in Claude Sylvanshine’s awareness only because a number of independent Philadelphia commercial carriage operators had proposed heavy Schedule C losses under the proviso ‘Losses Through Theft of Service’ and detailed this type of scam as prevalent on the poorly typed or sometimes even handwritten attachments required to explain unusual or specific C-deductions like this, whereas were Sylvanshine to pay the fare and the tip and perhaps even a certain amount in advance on account so as to help assure the driver of his honorable intentions re the second leg of the sojourn there was no tangible guarantee that the average taxi driver—a cynical and ethically marginal species, hustlers, as even their smudged returns’ very low tip-income-vs.-number-of-fares-in-an-average-shift ratios in Philly had indicated—wouldn’t simply speed away with Sylvanshine’s money, creating enormous hassles in terms of filling out the internal forms for getting a percentage of his travel per diem reimbursed and also leaving Sylvanshine alone, famished (he was unable to eat before travel), phoneless, devoid of Reynolds’s counsel and logistical savvy in the sterile new unfurnished apartment, his stomach roiling in on itself in such a way that it would be all Sylvanshine could do to unpack in any kind of half-organized fashion and get to sleep on the nylon travel pallet on the unfinished floor in the possible presence of exotic Midwest bugs, to say nothing of putting in the hour of CPA exam review he’d promised himself this morning when he’d overslept slightly and then encountered last-minute packing problems that had canceled out the firmly scheduled hour of morning CPA review before one of the unmarked Systems vans arrived to take him and his bags out through Harpers Ferry and Ball’s Bluff to the airport, to say even less about any kind of systematic organization and mastery of the voluminous Post, Duty, Personnel, and Systems Protocols materials he should be receiving promptly after check-in and forms processing at the Post, which any reasonable Personnel Director would expect a new examiner to have thoroughly internalized before reporting for the first actual day interacting with REC examiners, and which there was no way in any real world that Sylvanshine could expect

But I wasn’t like Archer Sylvan in other ways; I was never given the opportunity to try. Archer would sleep on tour buses with bands or camp in the desert with an actor or do ayahuasca with a politician and come to the realization that he had to divorce his wife and marry his research assistant, whom he now realized he knew twelve lives ago. He got lost for days waiting for a reclusive rock star. He spent $7,000 on stripper tips once, submitted the expense without a receipt (naturally), and was reimbursed even though no stripper ended up in the story. Once, I had to check a second bag on a flight from Europe where I was interviewing an actor and I got a pissed-off call from our managing editor and I never did it again.

Well, this was predictable. House Republicans last week acceded to an extension of the Export-Import Bank for at least the next nine months. The Export-Import Bank is far from the worst example of government-business cronyism. I just completed a history of American political corruption and actually had to leave Ex-Im on the cutting room floor. Its cronies are pikers compared with the corporate moguls that take advantage of tax preferences like the G.E. and Apple loopholes. They also cannot hold a candle to the American Medical Association, which is basically free to write the reimbursement rates for Medicare Part B. And nothing compares to Fannie Mae and Freddie Mac from 1991-2008. The two mortgage giants kept the entire D.C. political class bent over a barrel for almost 20 years as its top executives reaped enormous bonuses while putting the broader economy at risk.

We will be evaluating some nasty oils. You will have to put them in your mouth.* For the good of science. For the good of olive oil. We are here to help the producers, to tell them, What attributes does the oil have, does it have defects, what can they do differently next year—treat the olives better, pick them at a different time, et cetera.” There will be no pay. No one will reimburse for the seven-dollar parking-garage fee. The existing panelists are known to have some prickle, to borrow an official olive-oil sensory descriptor. “You may be thinking, wow, I really don’t want to be on this thing.” The faint of heart are invited to pack up and go. No one moves. “All right then.” Langstaff surveys the room. “Shields up.” She is referring to removable panels used to partition the room’s long tables into private tasting booths. This way, you aren’t influenced by the facial expressions (or test answers) of the people seated next to you.

Sometimes reparations is used to justify a feeding frenzy in which minority claimants simply raid the U.S. Treasury en masse while government bureaucrats facilitate a large transfer of wealth from the taxpayer to these so-called historical victims. A scandalous example of this is the Pigford case. Some ninety-one black farmers had sued the U.S. government alleging a legacy of bias against African Americans. Rather than settle the suit and pay the farmers a reasonable compensation, the Obama administration used the lawsuit to make an absurdly expensive settlement. It agreed to pay out $1.33 billion to compensate not only the ninety-one plaintiffs but also thousands of Hispanic and female farmers who had never claimed bias in court. Encouraged by this largesse, law firms began to conjure up new claimants. Later reviews showed that some of these claimants were nursery-school-age children and even urban dwellers who had no connection to farming. In some towns, the number of people being paid was many times greater than the total number of farms. According to the New York Times, one family in Little Rock, Arkansas, had ten members each submit a claim for $50,000, netting $500,000 for the family without any proof of discrimination. Then the Native Americans got in on the racket, and the Obama administration settled with them, agreeing to fork over an additional $760 million. The government also reimbursed hundreds of millions of dollars in legal fees, a cornucopia for trial lawyers who also happen to be large contributors to Obama and the Democratic Party. Altogether the Pigford payout is estimated to have cost taxpayers a staggering $4.4 billion.3

The Clintons’ last act before leaving the White House was to take stuff that didn’t belong to them. The Clintons took china, furniture, electronics, and art worth around $360,000. Hillary literally went through the rooms of the White House with an aide, pointing to things that she wanted taken down from shelves or out of cabinets or off the wall. By Clinton theft standards $360,000 is not a big sum, but it certainly underlines the couple’s insatiable greed—these people are not bound by conventional limits of propriety or decency. When the House Government Reform and Oversight Committee blew the whistle on this misappropriation, the Clintons first claimed that the stuff was given to them as gifts. Unfortunately for Hillary, gifts given to a president belong to the White House—they are not supposed to be spirited away by the first lady. The Clintons finally agreed to return $28,000 worth of gifts and reimburse the government $95,000, representing a fraction of the value of what they took. One valuable piece of art the Clintons attempted to steal was a Norman Rockwell painting showing the flame from Lady Liberty’s torch. Hillary had the painting taken from the Oval Office to the Clinton home in Chappaqua, but the Secret Service got wind of it and sent a car to Chappaqua to get it back. Hillary was outraged. Even here, though, the Clintons got the last laugh: they persuaded the Obama administration to let the Clinton Library have the painting, and there it hangs today. In Living History, Hillary put on a straight face and dismissed media reports about the topic. “The culture of investigation,” she wrote, “followed us out the door of the White House when clerical errors in the recording of gifts mushroomed into a full-blown flap, generating hundreds of news stories over several months.”17

[on interest from loans] Now that I have loaned you them (100 gulden), you cause me a double loss due to my not being able to pay on the one hand nor buy on the other, so that I have to lose on both sides, and this is called duplex interesse, damni emergentis et lucri cessantis.... on hearing that John sustained losses on his loan of 100 gulden and demands just damages, they rush in and charge double on every 100 gulden, such double reimbursement, namely, for the loss due to non-payment and to inability to make a profit on a bargain, just as though these 100 gulden had the double loss grown on to them, so that whenever they have 100 gulden, they loan them out and charge for two losses, which they have not at all sustained... Therefore you are a usurer, who takes damages out of his neighbour's money for an imaginary loss that you did not sustain at all, and which you can neither prove nor calculate. This sort of loss is called by the jurists non verum, sed phantasticum interesse. It is a loss which each conjures up for himself... It will not do to say, therefore, that there could have been losses because I could not have been able to pay or buy. Else it would mean ex contingente necessarium, which is making something out of a thing that is not, and a thing that is uncertain into a thing that is absolutely sure. Would not such usury devour the world in a few years? ... If an unhappy accident befalls him against his will, and he must recover from it, he may demand damages for it, but it is different in trade and just the reverse. There they scheme to profit at the expense of their needy neighbours, how to amass wealth and get rich, to be lazy and idle and live in luxury on the labour of others, without any care, danger, and loss. To sit by the stove and let my 100 gulden gather wealth for me in the country and yet keep them in my pocket, because they are only loaned, without any danger or risk; my friend, who would not like that?

Give us an idea of…” Noya Baram rubs her temples. “Oh, well.” Augie begins to stroll around again. “The examples are limitless. Small examples: elevators stop working. Grocery-store scanners. Train and bus passes. Televisions. Phones. Radios. Traffic lights. Credit-card scanners. Home alarm systems. Laptop computers will lose all their software, all files, everything erased. Your computer will be nothing but a keyboard and a blank screen. “Electricity would be severely compromised. Which means refrigerators. In some cases, heat. Water—well, we have already seen the effect on water-purification plants. Clean water in America will quickly become a scarcity. “That means health problems on a massive scale. Who will care for the sick? Hospitals? Will they have the necessary resources to treat you? Surgical operations these days are highly computerized. And they will not have access to any of your prior medical records online. “For that matter, will they treat you at all? Do you have health insurance? Says who? A card in your pocket? They won’t be able to look you up and confirm it. Nor will they be able to seek reimbursement from the insurer. And even if they could get in contact with the insurance company, the insurance company won’t know whether you’re its customer. Does it have handwritten lists of its policyholders? No. It’s all on computers. Computers that have been erased. Will the hospitals work for free? “No websites, of course. No e-commerce. Conveyor belts. Sophisticated machinery inside manufacturing plants. Payroll records. “Planes will be grounded. Even trains may not operate in most places. Cars, at least any built since, oh, 2010 or so, will be affected. “Legal records. Welfare records. Law enforcement databases. The ability of local police to identify criminals, to coordinate with other states and the federal government through databases—no more. “Bank records. You think you have ten thousand dollars in your savings account? Fifty thousand dollars in a retirement account? You think you have a pension that allows you to receive a fixed payment every month?” He shakes his head. “Not if computer files and their backups are erased. Do banks have a large wad of cash, wrapped in a rubber band with your name on it, sitting in a vault somewhere? Of course not. It’s all data.” “Mother of God,” says Chancellor Richter, wiping his face with a handkerchief.

As part of the agreement to expand Medicaid, the states were required to increase Medicaid reimbursement to 100% of Medicare fees for the first few years of the Medicaid program’s expansion, partly to calm hospitals’ and physicians’ concerns that low reimbursement

Brian was busy filling out a complicated form that estimated his expected costs for the meal and notified the accounting department to prepare to reimburse him for possible expenditures

Nancy Lopez, Multi-Certified Revenue Cycle Manager of BillingParadise shares her views and guidance how health care practice administrators and managers can handle value-based care challenges. She explained how practice administrators must be prepared to help hospitals and medical practices thrive in the current value-based reimbursement climate, while answering a question of a practice manager during BillingParadise’ client conference held at Texas. For More Details, Contact Through BillingParadise 2009 N. Lynn Taylor, TX 76574, United States. Phone: +1 214-783-6295

States, in the name of austerity, have stopped providing prisoners with essential items including shoes, extra blankets, and even toilet paper, while starting to charge them for electricity and room and board. Most prisoners and the families that struggle to support them are chronically short of money. When they go broke—and being broke is a frequent occurrence in prison—prisoners must take out prison loans to pay for medications, legal and medical fees, and basic commissary items such as soap and deodorant. Debt peonage inside prison is as prevalent as it is outside prison. Prisoners are charged for visits to the infirmary and the dentist. Prisoners must pay the state for a fifteen-minute deathbed visit to an immediate family member, or for a fifteen-minute visit to a funeral home to view the deceased. New Jersey, like most other states, forces a prisoner to reimburse the system for overtime wages paid to the two guards who accompany him or her to the visit or viewing, plus mileage cost. The charge can be as high as $945.04 in New Jersey. It can take years to pay off a visit with a dying father or mother when you make less than $30 a month.

How can we share the gifts of nature? By sharing the monetary value that human beings assign to nature. The fundamental thing we need to abolish is the mechanism by which people unfairly profit from land. The solution is simple: Property owners merely need to pay the communities from which they receive benefits through their exclusive use of land the exact market value of the benefits they receive. When land users pay significant proportions of the rental value of land to their local communities, they rightfully reimburse their communities. These can be called Community Land Contributions. Unlike, land value taxes, CLCs relate to the rental value (which subsumes all natural and social benefits) not land price. Also, a tax implies land users are being taxed on their land values while CLCs emphasize that land is a community good.

One way for communities to create affordable housing is for local communities to adopt land-use rights. Local governments or community land trusts would provide financing to homebuyers, who would then make land contributions on their properties in perpetuity. As a result, communities would get reimbursed for the goods and services they provide to homeowners, while property buyers would primarily become home buyers not land buyers.

NSEL Case: Role of Brokers uncovered In the trade business – it's implied that the merchants administer the business sectors. In the NSEL case, the merchants were the culprits of the installment default. For every one of the confirmations they spread to reimburse the speculators' cash, they didn't make a move. Perusing ShantanuGuha Ray's book 'The Target Book' opened my eyes about these specialists trusting whom I put resources into the share trading system. It is stunning I can't resist feeling that it could transpire tomorrow. Imagine a scenario in which a merchant is utilizing my KYC subtle elements for his or her own riches creation, I think about what will happen whether I am slapped with a sudden notice by the trade specialists.

Dr. Ornish “realized reimbursement is a much more powerful determinant of medical practice than research.”97

In medicine, there is something known as the ROAD specialties, which is an acronym for the four specialties that have the best reimbursement to hours ratio. Basically, great lifestyle with lots of money. ROAD stands for: Radiology Ophthalmology Anesthesiology Dermatology Naturally,

Srivastava first found the fraud committed by Shumana Sen by illegally granting a reimbursement of Rs.1.46 crores ($325,000[11]) to NDTV by fudging the accounts and Tax Returns of NDTV. He then found a series of favors she received from NDTV for hushing up fudging in accounts by the TV channel, which employed her husband at an exorbitant salary of more than Rs.15 lakhs per annum in 2005, while most of the prominent journalists were getting around half of that. Many favors were granted to Shumana Sen including all expenses paid foreign vacations with entire family [affidavit of Ms. Shumana Sen and her partner-in-fraud Ashima Neb before Delhi High Court, Writ Petition (C) No.1373 of 2011 titled as “Shumana Sen and Anr. Vs. S K Srivastava and Ors.”, para 3.43]. Srivastava also found that Ashima Neb was part of this racket and had actively colluded and conspired with Shumana Sen and Abhisar Sharma in facilitating NDTV frauds and had shared the spoils of the grand fraudulent exercise for laundering the illegal black money of NDTV through evasion of Income Tax.

There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed.

Even among the uninitiated - men and women who were unaware of how a day's labor had been defined through years of tense negotiation - extracting such large drafts of labor required extraordinarily coercive measures. Violent confrontations between masters and slaves seemed to grow as the lower Mississippi Valley became a slave society. Wielding the lash with greater frequency if not greater force, planters struggled to bend slaves to the new order. Slaves resisted with equal ferocity. Unrest increased and rumors of rebellion boiled to the surface. During the 1790s and into the new century, the lower Mississippi Valley was alive with news of revolt, as one intrigue after another came to light. In 1791, 1795, and again in 1804 and 1805, planters uncovered major conspiracies. They responded with the lash, mutilating many rebels and suspected rebels, deporting others, and executing still others, often after grotesque torture. Yet behind this bloody facade, master and slave began to renegotiate the terms under which slaves lived and worked. Many of these involved the pace of labor; others originated in the organization of labor and the authority of the masters' subalterns, as overseers became a fixture on the largest estates. From the planters' perspective, the large units on which sugar and cotton were grown made movement from plantation to plantation - a prominent feature of slave life in eighteenth-century Louisiana - unnecessary and undesirable. But perhaps the most intense conflicts arose over the slaves' economy: their free Sundays and half-Saturdays, their gardens and provision grounds, and their right to sell their labor and market its product. Slaves in the lower Mississippi Valley had a long tradition of independent productive activities. Planters, who once saw advantages in allowing slaves to subsist themselves, pressed for an allowance society in which rations replaced gardens and the right to market. ... Under the new regime, plantation slaves frequently worked from dawn to noon and then, after a two hour break, until 'the approach of night.' As the planters' demands intensified, the time left for slaves to work their gardens grew shorter. Sustaining them took an extraordinary commitment. The frantic pace at which slaves worked in their own plots was captured by an emigre from Saint Domingue in 1799, who observed that a slave returning form the field 'does not lose his time. He goes to work at a bit of the land which he has planted with provisions for his own use, while his companion, if he has one, busies herself in preparing some for him, herself, and their children.' 'Many of the owners take off a part of that ration,' noted another visitor. Slaves 'must obtain the rest of their food, as well as their clothing, from the results of their Sunday labors.' Planters who supplied their slaves with clothes forced them to work on Sunday 'until they have been reimbursed for their advances,' so that the cash that previously went into the slaves' pockets went to the masters'.

At Netflix you don’t have to complete a purchase order and wait for approval to buy something. You just buy it, take a photo of the receipt, and submit it directly for reimbursement. But that doesn’t mean no one pays attention to what you spend. The finance team offers two routes for eradicating unwise expenditure. Managers can choose which route to take or can combine the two. The first method leans lightly toward an ethos of Freedom and Responsibility (or F&R, as we say at Netflix). The second choice jumps all in.

Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current healthcare system. There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed.

reimbursement is a much more powerful determinant of medical practice than research.”97

Nowhere is our reactive instead of proactive model or care more apparent than in the stupefying fact that you currently need to be diagnosed with a mental health disorder to receive insurance reimbursement for mental health counseling. That's like needing to have the flu before you're allowed to wash your hands.

You’ll reimburse me for rent, food, clothing, gifts, and the services of my staff. You came into this sham marriage with nothing, and you will leave with nothing.” It was a small price to pay, but she couldn’t just let him walk away free and clear. Her anger wouldn’t let her. She had to have a nominal compensation. If she didn’t, her magic would exact its own price. “I don’t have that kind of money,” he said. “I’m not interested in your financial troubles,” she said. “I financially supported you all these years, and you don’t get to take advantage of me. I’ll have my lawyer draft an invoice, and you will pay it in full, or I will force you to make a much more public apology.

Washington, May 26—At the request of the Department of Justice, the United States Secret Service has undertaken the work of investigating the charge of peonage, or holding another in servitude to work out a debt, which has been made against persons living in the vicinity of Montgomery, Ala. The punishment provided by the statute for this crime is a fine of not less than $1,000 nor more than $5,000 or imprisonment of not less than one year nor more than five. One man, named Robert N. Franklin, has already been indicted for keeping a negro in servitude for at least a year. Information in the hands of [Secret Service] chief Wilkie tends to show that a regular system has been practiced for a long time between certain magistrates and persons who want negro laborers. It is said the plan is to bring a poor negro before a magistrate on a flimsy charge. He is convicted and, having no money to pay a fine, the white man offers to advance him the money, provided the negro will make a labor contract with him for a length of time sufficient to reimburse him for the money and trouble he has taken to

4. Priceless versus worthless: The cost of materials today ranges from $0.1 per kg for wood to $4 trillion per kg for certain pharmaceuticals (reimbursable by health insurance). With revolutions in smart materials and molecular engineering, all materials and objects could be reduced to the range of $0.2 per kg (electronics, clothes, foods, cosmetics, and so on)—or people could spend more and more for less and less via clever branding, copyright and patent laws, elaborate licensing and regulatory schemes, and the like. Or is there a way of artfully combining and integrating all of the above?

Families are finding that they are getting funding from a variety of sources. One typical family has counseling covered through their insurance for family counseling, and counseling funded by a federally funded adoption support program for their child. They receive respite care funded through the Division of Developmental Disabilities. They pay privately for Sibshop, a well-loved program for the siblings of their special needs children. Since the Sibshop is through a non-profit organization, it is particularly affordable. Their school district pays for tutoring. After they specifically requested a review, they received an adoption subsidy available to older children through their state. The cost of braces was partially reimbursed by the adoption support system, as well. The combination of resources and financial relief allowed the parents to enjoy some outings, plan a simple family vacation, and get some household help. They said, “Without this help, we would not have made it as an emotionally intact family. We would not have disrupted, but we would not have been the unit that we are today.

THE VARIOUS GAINS OF FLIGHT DELAY DAMAGES Travelling byair is one of the handiest means to get from one point to another. It's quick, safe, and hassle-free. Obviously, hassle-free is a subjective term as some folks find all the safety precautions cumbersome. Since there are much fewer plane accidents when compared with automobile accidents however, it's a good deal better mathematically talking. Naturally, travel issues are not merely limited to injuries and crashes; occasionally, the ones that are most problematic are the small things that eventually become larger. Having the flight postponed for 5 - 10 minutes does not seem much to most folks. However, for people who will be catching a connecting flight after, this really is an extremely large difficulty. They need to run across the next airport simply to make it in time or they will need to get it rescheduled and watch for the next available flight. Either way, it's a very big hassle and it all came from a 5 minute delay. What You Can Get That is why you should be aware of the many benefits that you can get. Flight delay compensation isn't a simple thing that airlines give just to keep customers satisfied; the law requires to give damages for faulty service as mandated them. Different areas have different laws regarding this but it usually means that if your flight got delayed, the airline must help you during that time. If, for example, you may end up late to your connecting flight, then you can certainly ask aid from the airline to assist you look for an accessible connecting flight, have it reserved, and even request financial compensation as you need to wait for the brand new boarding time if it's a few hours more. Typically, you can demand help for the amount of money you are going to be spending simply because your flight was delayed. This can happen whether the flight was delayed for a very long time due to technical issues. That those can get somewhere to sleep in, some airports will open up the VIP lounge. Also, they are going to be given free food and drinks especially if they must stay for more than one night. Inclusions and Exceptions Flight delay settlement is all about getting compensated for hassle and all the trouble that an undue delay has brought on. Delays caused by neglect or some other reason which was a result of the airline can be deemed as such. This implies that if they couldn't have prevented the issue no matter what, you won't be able to seek damages. For example, if the weather suddenly took a turn for the worse and the whole airport was locked down and no airplanes are permitted to fly, then this is a problem that they couldn't avert. It would not be safe to fly with such conditions and no one can do anything about it. Naturally, you can still seek assistance but remember that they have no obligation to do so and you've got no right to demand money as reimbursement for the delay. In the end, the biggest difference between force of nature accidents and those due to negligence is that you can ask for aid but they're just required to do so during the latter. They have to give money for the hassle to you as well if it was their fault.

The taking of trophies, especially the mutilation attendant to beheadings and scalping, was elemental to the genocide of Native peoples. Reinforcing the savage, animal, and inhuman nature of their victims lay behind the collection of such trophies by the perpetrators. 117 Wright and his men were rewarded economically with bounties paid by the community and reimbursement and pay by the state, and socially with adulation from their local communities. In part, this helps to explain the rise of a category of men known as "Indian hunters," who came to prominence in northern California during the r85os and i86os.

At noon, I downed a ham sandwich and Diet Coke and then I saw more patients. One eight-year-old boy had visited a chiropractor for “spinal alignment” eighty times in the past year. He had no back pain. It was a con job perpetrated by several area chiropractors. They offer the parents a free TV or VCR if they bring their kids in. Then they bill Medicaid for the visit. Medicaid is a wonderful, necessary thing, but it gets abused like a Don King undercard. I once had a sixteen-year-old boy rushed to the hospital in an ambulance—for routine sunburn. Why an ambulance instead of a taxi or subway? His mother explained that she’d have to pay for those herself or wait for the government to reimburse. Medicaid pays for the ambulance right away. At

If we cannot be properly reimbursed for the tremendous cost of our military protecting other countries, and in many cases the countries I’m talking about are extremely rich. Then if we cannot make a deal, which I believe we will be able to, and which I would prefer being able to, but if we cannot make a deal, I would like you to say, I would prefer being able to, some people, the one thing they took out of your last story, you know, some people, the fools and the haters, they said, “Oh, Trump doesn’t want to protect you.” I would prefer that we be able to continue, but if we are not going to be reasonably reimbursed for the tremendous cost of protecting these massive nations with tremendous wealth . . .Then yes, I would be absolutely prepared to tell those countries, “Congratulations, you will be defending yourself.”14

Commercial Operations, Global Pricing, Reimbursement and Market Access, Contract Strategy, Operations and Compliance for large pharmaceutical companies.

If your property damage in New Jersey, Interstate Public Adjusters can help you receive the full value for your insurance reimbursement. A public adjuster in NJ works for you, not the insurance company. This means that they safeguard your interest in receiving the full value of the insurance policy you paid for.

competition in the current system is too local, because it is centered on relatively small, self-contained local institutions catering to local needs. Services are both delivered locally and managed locally. The local bias in health care is a throwback to an earlier era when medical care was less complicated, and travel more difficult. It has been institutionalized by prevailing ownership and governance structures for provider institutions, regulatory and reimbursement practices, and a lack of local provider accountability for performance.

Phlebotomy. Even the word sounds archaic—and that’s nothing compared to the slow, expensive, and inefficient reality of drawing blood and having it tested. As a college sophomore, Elizabeth Holmes envisioned a way to reinvent old-fashioned phlebotomy and, in the process, usher in an era of comprehensive superfast diagnosis and preventive medicine. That was a decade ago. Holmes, now 30, dropped out of Stanford and founded a company called Theranos with her tuition money. Last fall it finally introduced its radical blood-testing service in a Walgreens pharmacy near the company headquarters in Palo Alto, California. (The plan is to roll out testing centers nationwide.) Instead of vials of blood—one for every test needed—Theranos requires only a pinprick and a drop of blood. With that they can perform hundreds of tests, from standard cholesterol checks to sophisticated genetic analyses. The results are faster, more accurate, and far cheaper than conventional methods. The implications are mind-blowing. With inexpensive and easy access to the information running through their veins, people will have an unprecedented window on their own health. And a new generation of diagnostic tests could allow them to head off serious afflictions from cancer to diabetes to heart disease. None of this would work if Theranos hadn’t figured out how to make testing transparent and inexpensive. The company plans to charge less than 50 percent of the standard Medicare and Medicaid reimbursement rates. And unlike the rest of the testing industry, Theranos lists its prices on its website: blood typing, $2.05; cholesterol, $2.99; iron, $4.45. If all tests in the US were performed at those kinds of prices, the company says, it could save Medicare $98 billion and Medicaid $104 billion over the next decade.

I want to sweeten Shankar’s pot. Give him a reason to keep his allegiance with us. I’ve already agreed to reimburse half his fee for today’s hunt. Now let’s give him a special pass into Sector C. I know he’s still one hunt short of membership, but I’m willing to give him that free ride if it keeps him quiet. If he doesn’t have the money, we’ll work out a deal. What I want from you is to be sure he’s ready. We can’t afford screw-ups like today’s over in C.

Reimbursement has become the primary mechanism through which the regulation of doctors occurs in the United States.2 To the extent that doctors cannot afford to do things they are not paid to do, and will gladly do more of those things they are paid handsomely to do, the decisions about whether, when, and how much to pay doctors for the various things they do has unwittingly become one of the most pervasive and powerful regulatory mechanisms ever devised.

What makes the encumbrance of reimbursement even more distortive and binding is that most prices insurers pay are not set by market forces. Rather, they are administered prices that reek of the pricing algorithms and backroom negotiations used in communist systems. Those

his new employer, Morgan Stanley, promised to reimburse his relocation expenses, he needed $8,000 to front the costs of the move—not the sort of thing a 22-year-old with little credit history could

In America’s meatpacking plants, two amputations occur each week: A band saw lops off someone’s finger or hand. Pickers in Amazon warehouses have access to vending machines dispensing free Advil and Tylenol. Slum housing spreads asthma, its mold and cockroach allergens seeping into young lungs and airways, and it poisons children with lead, causing irreversible damage to their tiny central nervous systems and brains. Poverty is the cancer that forms in the cells of those who live near petrochemical plants and waste incinerators. Roughly one in four children living in poverty have untreated cavities, which can morph into tooth decay, causing sharp pain and spreading infection to their faces and even brains. With public insurance reimbursing only a fraction of dental care costs, many families simply cannot afford regular trips to the dentist. Thirty million Americans remain completely uninsured a decade after the passage of the Affordable Care Act.[4] Poverty is the colostomy bag and wheelchair, the night terrors and bullets that maimed but didn’t finish their cunning work. In

Dr. Hale, I appreciate the work you have attempted to do with my son, but I don’t feel like he’s making any progress. As I told you two months earlier, I will no longer be paying for his sessions. I’m sorry he has not been reimbursing you himself out of his allowance, but I must reiterate that I will no longer be financing any of these therapy sessions. I’m sorry if you assumed otherwise. Best, Susan

Look,” I said into the silence, hoping she could hear me, “he’s my best friend. He came with me when I moved to LA from Minnesota. I left him with someone I thought I could trust. I love my dog. I want my dog back. Please.” She was quiet for so long that again I thought the call had been dropped. “Okay,” she whispered. I breathed a sigh of relief. “Great—thank you. And I’ll reimburse you for your time and the vet bills—” “And my ticket.” “Your ticket?” “I got a ticket for parking in the middle of Topanga Canyon Boulevard when I stopped to get him into the car.

Nowhere is our reactive instead of proactive model of care more apparent than in the stupefying fact that you currently need to be diagnosed with a mental health disorder to receive insurance reimbursement for mental health counseling.

The Importance of Bookkeeping Services for Doctors Managing the financial side of a medical practice can be challenging for doctors, as they are often focused on providing quality patient care. However, maintaining accurate financial records is essential for the success of any healthcare practice. Bookkeeping services tailored specifically for doctors help ensure that their financial transactions are organized, compliant, and manageable, allowing them to focus on what they do best—caring for patients. Why Doctors Need Specialized Bookkeeping Services Doctors face unique financial complexities, such as billing for medical services, managing insurance claims, handling payroll for staff, and keeping track of medical supplies and equipment. Additionally, they must ensure compliance with healthcare regulations and tax laws. Professional bookkeeping services designed for doctors take these unique needs into account, helping physicians streamline their financial operations. As a result, they can avoid errors, reduce administrative burdens, and improve cash flow. Accurate Billing and Cash Flow Management One of the key challenges doctors face is managing billing and cash flow. With a constant flow of patients and complex insurance claims, maintaining an accurate record of all transactions is essential. Bookkeeping services ensure that billing is handled efficiently, minimizing delays in receiving payments. This service also helps manage insurance claims, reducing errors that could lead to delayed reimbursements. By keeping track of revenue and expenses, bookkeepers ensure that doctors maintain a healthy cash flow. Tax Compliance and Planning Doctors often qualify for specific tax deductions related to medical equipment, staff salaries, and office expenses. However, navigating the complexities of healthcare tax regulations can be difficult. Bookkeeping services help doctors stay compliant by keeping their financial records organized and accurate, making it easier to file taxes and take advantage of available deductions. Additionally, bookkeepers can assist in planning for tax obligations throughout the year, ensuring that there are no surprises during tax season. Financial Reporting for Growth Bookkeeping services also provide doctors with valuable financial reports that offer insights into their practice’s performance. By analyzing income, expenses, and cash flow trends, doctors can make more informed decisions about expanding services, hiring staff, or investing in new equipment. These reports give a clear picture of the financial health of the practice, enabling better long-term planning. In conclusion, specialized bookkeeping services for doctors are essential for maintaining accurate financial records, ensuring tax compliance, and improving cash flow. By outsourcing bookkeeping tasks, doctors can focus more on patient care while gaining peace of mind that their financials are in order.

The Importance of an Accountant for Doctors Managing the financial side of a medical practice can be challenging for doctors who already have demanding schedules. This is why having a specialized accountant is essential for doctors. A qualified accountant can help doctors efficiently manage their financial records, optimize tax strategies, and ensure the overall financial health of the practice, allowing physicians to concentrate on patient care. Unique Financial Challenges for Doctors Doctors face unique financial challenges that are specific to the healthcare industry. These include managing income from multiple sources, handling billing systems for patient care, dealing with insurance reimbursements, and navigating complex healthcare regulations. Additionally, doctors often need to invest in high-cost medical equipment and balance personal and business financial planning. Without professional guidance, these financial aspects can become overwhelming. Accountants with expertise in the medical field understand these complexities and can offer valuable support. The Role of an Accountant in a Medical Practice A specialized accountant for doctors provides services that go beyond traditional bookkeeping. They help with financial planning, ensuring that the practice’s income and expenses are balanced effectively. Additionally, they manage payroll, tax filing, and compliance with healthcare regulations. Furthermore, an accountant can provide strategic advice on reducing costs and optimizing cash flow, making the practice more efficient and profitable. Doctors also benefit from tax planning services, ensuring that deductions specific to healthcare professionals are maximized while keeping the practice compliant with tax laws. Benefits of Hiring a Specialized Accountant By hiring an accountant who specializes in working with doctors, medical professionals can streamline their financial operations and reduce the risk of costly errors. This partnership allows doctors to focus on patient care, knowing that the financial side of their practice is being handled efficiently. Moreover, an accountant can provide financial insights that help doctors plan for the future, such as retirement planning or business expansion. Conclusion In conclusion, a specialized accountant is invaluable for doctors who want to ensure the financial success of their practice. With expertise in the unique financial challenges doctors face, accountants provide essential services that allow medical professionals to focus on their patients while maintaining a healthy financial standing.

The Importance of an Accountant for Medical Professionals Medical professionals, including doctors, specialists, and surgeons, often face the challenge of managing both patient care and the financial aspects of their practices. An accountant who specializes in working with medical professionals can alleviate much of this burden. By offering financial expertise tailored to the healthcare industry, accountants help medical professionals maintain the financial health of their practices while ensuring compliance with tax laws and regulations. Unique Financial Challenges in Healthcare Medical professionals face distinct financial challenges that other industries may not encounter. These include managing patient billing, insurance reimbursements, and government payments. Additionally, healthcare professionals often have to handle large expenses for medical equipment and office operations while ensuring they maintain a steady cash flow. With fluctuating income and the need to comply with healthcare regulations, financial management can become complex. A specialized accountant for medical professionals understands these nuances and provides essential support to navigate these challenges effectively. Key Roles of an Accountant for Medical Professionals An accountant plays a critical role in managing the financial side of a medical practice. They assist with bookkeeping, ensuring that all financial records are accurate and up-to-date. Furthermore, they handle tax planning and filing, making sure that healthcare-specific deductions are maximized while ensuring compliance with tax laws. Additionally, accountants offer strategic advice on managing overhead costs, optimizing cash flow, and planning for future financial goals, such as retirement or expanding the practice. Benefits of Hiring a Healthcare-Specific Accountant The benefits of hiring a specialized accountant for medical professionals are numerous. By entrusting financial management to a professional, medical practitioners can focus more on patient care. Specialized accountants understand the unique aspects of healthcare finance, offering tailored solutions that enhance profitability and reduce financial risks. Moreover, they provide peace of mind by ensuring all financial matters are handled efficiently and in compliance with the law. Conclusion In conclusion, medical professionals benefit significantly from hiring an accountant who specializes in healthcare finance. With their expertise, accountants help ensure the smooth operation of the practice while providing strategic financial planning. This allows medical professionals to focus on their primary responsibility—caring for their patients—while maintaining a financially sound practice.

October 1711, the names of most victims were cleared and some families reimbursed for prison costs, still without any acknowledgment of responsibility. That ruling cleared jailers, constables, and sheriffs of any wrongdoing. It did not mention the

My father was born in 1941 and he taught me never to confuse pity with comprehension. His Quechan (Yuma) grandfather was born in a time when California’s Indian population had plummeted 90 percent because of foreign diseases, Catholic slave-labor, and the government’s hiring of private militia to bring in Indian scalps. California’s first governor, Peter Hardeman Burnett, openly promoted genocide, calling for “a war of extermination” in his 1851 second state address. With the help of the U.S. Army, the California legislature distributed weapons to vigilantes, who raided Native homes and killed 100,000 of my ancestors in the first two years of the gold rush alone. The legislature paid $1.1 million to these murderers, and when it was done, the U.S. Congress agreed to reimburse the state.

Pending the sovereigns’ final review, Talavera authorized a small sum dispensed to Colón in reimbursement of his expenses at court. Cristóbal’s utter disappointment was transparent to all. His boastfulness had made many enemies at court, and they mocked his ideas and failure.

The U.S. health care system runs on a fee-for-service model in which doctors get paid for the pills and procedures they prescribe, rewarding quantity over quality. We don’t get reimbursed for time spent counseling our patients about the benefits of healthy eating. If doctors were instead paid for performance, there would be a financial incentive to treat the lifestyle causes of disease. Until the model of reimbursement changes, I don’t expect great changes in medical care or medical education.5

There was also a series of top contributor lists, for the previous forty-eight hours as well as for all time, to motivate both short-term and long-term participation. And to celebrate successful participation, as well as sheer volume of participation, there was also a “best individual discoveries” page that identified key findings from individual players. Some of these discoveries were over-the-top luxuries offensive to one’s sense of propriety: a £240 giraffe print or a £225 fountain pen, for example. Others were mathematical errors or inconsistencies suggesting individuals were reimbursed more than they were owed. As one player noted, “Bad math on page 29 of an invoice from MP Denis MacShane, who claimed £1,730 worth of reimbursement, when the sum of those items listed was only £1,480.

Studies in the workplace have found that employees who sleep six hours or less are significantly more deviant and more likely to lie the following day than those who sleep six hours or more. Seminal work by Dr. Christopher Barns, a researcher in the Foster School of Business at Washington University, has found that the less an individual sleeps, the more likely they are to create fake receipts and reimbursement claims, and the more willing to lie to get free raffle tickets. Barns also discovered that under-slept employees are more likely to blame other people in the workplace for their own mistakes, and even try to take credit for other people’s successful work: hardly a recipe for team building and a harmonious business environment.

Why don’t you ask Cindy to reimburse you?” Skylar asks. “Surely, she doesn’t expect you to pay for her dry cleaning. Is that even legal if you’re an unpaid intern?” “Trust me, she doesn’t care,” Napoleon says. “Besides, I’m not sure I want to rock the boat with her right now. I have a feeling she’s finally about to give me my first writing assignment.” “You could always ask your parents for money,” Burger suggests. They all laugh.

Why don’t you ask Cindy to reimburse you?” Skylar asks. “Surely, she doesn’t expect you to pay for her dry cleaning. Is that even legal if you’re an un- paid intern?” “Trust me, she doesn’t care,” Napoleon says. “Be- sides, I’m not sure I want to rock the boat with her THE UNPAID INTERNSHIP 37 right now. I have a feeling she’s finally about to give me my first writing assignment.” “You could always ask your parents for money,” Burger suggests. They all laugh.

But perhaps most importantly, the website also featured a section labeled “Data: What we’ve learned from your work so far.” This page put the individual players’ efforts into a much bigger context—and guaranteed that contributors would see the real results of their efforts. Some of the key results of the game included these findings: • On average, each MP expensed twice his or her annual salary, or more than £140,000 in expenses on top of a £60,675 salary. • The total cost to taxpayers of personal items expensed by MPs is £88 million annually. And the game detailed: • The number of receipts and papers filed by each MP, ranging between 40 and 2,000 • The total expense spending by party and by category (kitchen, garden, TV, food, etc.) • Online maps comparing travel expenses filed with actual distance from the House of Commons in London to the MPs’ home districts, making it easy to spot MPs grossly overcharging for travel (for example, MPs from nearby districts who filed £21,534 versus £4,418, or £10,105 versus £1,680) Bringing these numbers to light helped clarify the true extent of the crisis: a far more pervasive culture of extravagant personal reimbursement than originally suspected.

However, there is an issue of confusion, as there are texts stating that actions are a reason for being safe from the Fire, such as Allah's words, “A reward for the things you used to do." There are other verses with this meaning. Verily, actions are a cause for salvation, not compensation. If actions were compensation, then one of Allah's blessings would suffice all actions. Therefore, actions are a reason for reward, but they are not reimbursed.

until their families could reimburse the sisters monetarily

I call this one my REIMBURSEMENT account.

At one point, gold, for delivery two months in the future, was trading at $400 an ounce and gold futures fourteen months out were trading for $500 an ounce. Our trade was to buy the gold at $400 and sell it at $500. If, in two months, the gold we paid $400 for was delivered to us, we could store it for a nominal cost for a year, then deliver it for $500, gaining 25 percent in twelve months. There were a variety of risks, which we fully hedged, and several “kickers”—scenarios where we would make a higher—(often much higher) rate of return. We did similar trades in silver and copper and they worked as expected, with one tiny exception. After we took delivery of our copper, some of it was stolen from the warehouse our broker used and there was a short delay while we were reimbursed from the warehouse company’s insurance.

There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

The best/worst example of this is OB/GYNs—largely women—getting paid less to do a vulvar biopsy than urologists—largely men—receive for doing a scrotal biopsy. Same procedure, same equipment, same pain level, same sexual consequences. Different reimbursement.

This means, for example, that instead of having a unique small box for each small task on your plate for the day—respond to boss’s e-mail, submit reimbursement form, ask Carl about report—you can batch similar things into more generic task blocks. You might find it useful, in this case, to draw a line from a task block to the open right-hand side of the page where you can list out the full set of small tasks you plan to accomplish in that block. When you’re done scheduling your day, every minute should be part of a block. You have, in effect, given every minute of your workday a job. Now as you go through your day, use this schedule to guide you.

Berwick captured this brilliantly in his article, “The Toxicity of Pay for Performance”: “Pay for performance” reduces intrinsic motivation. Many tasks, especially in health care, are potentially intrinsically satisfying. Relieving pain, answering questions, exercising manual dexterity, being confided in, working on a professional team, solving puzzles, and experiencing the role of a trusted authority—these are not at all bad ways to spend part of one’s day at work. Pride and joy in the work of caring is among the many motivations that do result in “performance” among health care professionals. In the rancorous debates about compensation, fees, and reimbursement that so occupy the time of health care leaders and clinicians today, it is all too easy to neglect, or even to doubt, the fact that nonfinancial and intrinsic rewards are important in the work of medical care. Unfortunately, neglecting intrinsic satisfiers in work can inadvertently diminish them.

Until the model of reimbursement changes, I don’t expect great changes in medical care or medical education.5

No, I mean things here were so much fun as it was. Gluten free only makes it better. Carly: Gluten-free pumpkin loaf for you. ;-) As I continued going up and down the aisles, Josh sent me another text. Josh: Actually, I forgot to pack deodorant. Do you mind picking some up? I’ll reimburse you, of course. Carly: Any particular kind? Josh: Anything that’s made for a man. Carly: Extra-spicy manwhore scent? Josh: That works for me. Carly: Nontoxic or… Josh: Are you being serious? Carly: Yes!

There’s more!! In addition to your $400,000/year salary, you also get: • A no-questions-asked $50,000 expense account—in other words, you’re not required to provide receipts to get reimbursed. But if you don’t spend it all, you have to give what’s left back to the Treasury Department every year. • To live rent-free in a nice big house that includes a bowling alley, putting green, jogging track, billiard room, tennis courts, swimming pool, and movie theater (with various contacts in Hollywood providing all first-run movies for free). • Five full-time chefs who are standing by to prepare the food you paid for (see above). A nice, secluded, 180-acre vacation home in Maryland called Camp David that includes numerous cabins for the president and guests, a heated pool, tennis, horseshoes, bowling, a three-hole golf course, an archery range, and a trout stream. • The presidential version of “public” transportation: limos, helicopters, and your own personal jets. • Up to one million dollars you can spend every year for “unanticipated needs,” in case you ever go over budget somewhere else.