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Absorbing the Cost

By Dan Gorenstein on Tuesday, March 11, 2003.

In health care circles, people talk more and more about something called cost shifting.

Cost shifting happens every time a doctor treats a patient who has no insurance.

Some of those costs, get passed along to insurance companies, businesses, and other patients.

Yesterday in Manchester NHPR’s Exchange held a town hall meeting on the uninsured, and cost shifting was central to the conversation.

NHPR’s Dan Gorenstein reports.

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In Health Care More is Not Better

By Jon Greenberg on Tuesday, March 11, 2003.

This week, NHPR launches Project Health, a 3-year effort to follow developments in the debate over health care.
It is a debate dominated by concern that costs will continue to rise and quality will drop.
That fear assumes that spending more gets you more.
But recent work by researchers at Dartmouth Medical School throws that assumption into doubt.
Dr. Elliott Fisher led a 5-year study that found that in health care, more is not better.
In fact, Fisher estimates that as much at 30% of all treatment is unneeded.
He ranked every hospital center in the country from places with the lowest spending to those with the highest.
Speaking with NHPR’s Jon Greenberg, he says, the high spending areas all had one thing in common.

The complete report as published in the Annals of Internal Medicine.
http://www.annals.org/issues/v138n4/toc.html

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The Teacher Shortage Looms Large for Towns

By John Milne on Tuesday, March 11, 2003.

New Hampshire citizens vote on school district issues this week in addition to their Town Meeting debates.

The school debates have taken place as rising local taxes increase the pressure on spending decisions.
But this week many communities will be debating under pressure from another direction.

There’s a teacher shortage, and officials say the need to retain existing teachers and recruit new ones approaches crisis proportions.

N-H-P-R political correspondent John Milne filed this report:

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Proposed Bike Trail Filled with Legal Potholes

By Brian McWilliams on Tuesday, March 11, 2003.

The town of Durham could find itself in the middle of dueling lawsuits over a proposed bike path. Some observers say it's a classic case of individual rights versus the public interest. NHPR correspondent Brian McWilliams reports.

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Town Meeting is Short and Sweet

By Trish Anderton on Tuesday, March 11, 2003.

Voters in many places around the state will go to their annual town meeting tonight.

Those meetings can often be contentious. Battles over a new police cruiser or renovating the library sometimes carry on past midnight.

But that probably won't happen in New Hampshire's smallest town, Hart's Location. Fewer than forty people live in Hart's Location, and town meetings there tend to be short and peaceful.

NHPR's Trish Anderton visited town clerk Marion Varney and filed this report.

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Benson Hits The Road To Defend Budget

By Josh Rogers on Tuesday, March 11, 2003.

Governor Craig Benson is mounting a counter-offensive to blunt public criticisms of his proposed budget. Benson says he wants to get out of Concord and take his message directly to the people.

New Hampshire Public Radio's Josh Rogers has more.

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