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[From our Sr. Correspondent Tim Schwabedissen, 17-5-10] 4,783-gt Malta-flagged cargo MV Clydenes (IMO 910154600) ran aground at Koge in Denmark on May 13. The vessel was refloated the next day. [From our Sr. Correspondent Tim Schwabedissen, 17-5-10] 11,935-gt Gibraltar-flagged chemical tanker Sten Moster (IMO 9341184), coming from 100mg viagra dose Oxel–¬ Sound, was in collision with 5,110-gt Dutch-Antilles-flagged Sierra Leyre (IMO 306873000), coming from Antwerp, 30-km off the Belgian coast on May 14. Both vessels incurred significant damage and proceed to Flushing under own medicin.

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Closer attention from the public and the profession, and careful study are necessary to ensure that the ‚medical-industrial complex‚ puts the interests of the public before those of its stockholders. This article has 3 main goals: (1) to examine the extent of corporate transformation within the medical-industrial complex today; (2) to assess the impact of these changes on health care costs and primary health care access; and (3) to offer some suggestions for more effective cost containment as a means to make health care more affordable and to improve access to care. Extent of Corporate Transformation. The corporatization of American medicine has extended into all parts of the health care system, including expansion into the public sector (eg, for-profit mental health programs under state Medicaid contracts. )2 Increasingly, Wall Street and the interests of shareholders have replaced Main Street in shaping the organization of health care, the market, and even clinical decisions.

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