By Barbara O. Wynn
This document info the analyses RAND played to estimate theindirect educating bills linked to pediatric discharges and explorealternative allocation guidelines for the kid's health center Graduate MedicalEducation fund. given that FY 2000, the well-being assets and providers management in theDepartment of overall healthiness and Human companies has administered a Children'sHospital Graduate clinical schooling (CHGME) software to help graduate scientific schooling in kid's hospitals. this system presents investment for either the direct and oblique clinical schooling expenses linked to working licensed GME courses. investment for the oblique scientific schooling charges relies at the oblique costs linked to the therapy of extra seriously sick sufferers and the extra sufferer care expenditures relating to residency education courses. This document information the analyses that RAND played to aid HRSA's overview of strength methodologies to allocate the cash for oblique scientific schooling expenditures. It describes RAND's research of concerns with regards to estimating oblique clinical schooling charges particular to pediatric discharges. The document offers the result of multivariate regression analyses to enquire the impact of residency education courses on pediatric bills consistent with discharge utilizing various measures of educating depth and illustrates the influence of utilizing the regression coefficients to set up substitute regulations for allocating the oblique scientific schooling cash to eligible kid's hospitals.
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Extra info for Analysis of the Children's Hospital Graduate Medical Education Program Fund Allocations for Indirect Medical Education Costs
The turnover rates are off the scale! Here in Danville, and in Decatur, there are skilled workers who want jobs, but I think in order to keep the unions out, [the compa- 28 FROM WORKING CLASS TO WORKING POOR nies] don’t want a lot of big manufacturing jobs here, because this has been a highly union town forever. —maquiladoras—like sweatshops, with no unions and no beneﬁts. And they pay them peanuts to work like slaves. I don’t blame those people for taking our jobs. They need to eat, too. ” BUYING AMERICAN Both for people like Dave and Judy, who worked in secure blue-collar jobs, and for millions of Americans who have worked in mid-level managerial jobs, the bottom line is that the corporate culture of mergers, acquisitions, and downsizing has created a context in which the kinds of jobs that historically carried beneﬁts, stability, and upward mobility have been dramatically destabilized, leaving millions of workers susceptible to the pull of the death spiral.
During the past few years, however, all that has changed as waves of plant closings have devastated the local economy. The 2001 Firestone closing is the one that made the news, linked in the media to defective Firestone tires (which, as people in Decatur 24 FROM WORKING CLASS TO WORKING POOR angrily pointed out, actually were manufactured while the union was on strike and nonunion replacements, known as “scabs,” were working at the plant). But other plants have been laying off as well, more quietly.
It would, however, keep Dave healthy enough to continue bringing some money into the household; and it might help 36 FROM WORKING CLASS TO WORKING POOR Judy break out of some of the worst layers of the grieving process, help temper some of her overwhelming sorrow, and enable her to once again contribute to the ﬁnancial stability of her household. ” They do not have a long history of being chronically unemployed, they are not without marketable skills, and they are not mired in decades of unpaid bills.