Quotes & Sayings About Managed Care

If you've managed to do one good thing,
the ocean doesn't care.
But when Newton's apple
fell toward the earth,
the earth, ever so slightly, fell
toward the apple as well. — Ellen Bass

It has always struck me as the world's great fortune that the two great superpowers were the United States and the Soviet Union, who managed the Cold War with meticulous care in retrospect. Imagine the European diplomats of 1914 or 1938 armed with nuclear weapons. It is easy to believe they would not have been as cautious. — George Friedman

Maj Thapa rose to the rank of Lieutenant Colonel and served till he retired. He continued to attend almost all the Republic Day parades from 1964 to 2004. Sick and undergoing dialysis for kidney failure in Delhi, Lt Col Thapa would slip in and out of consciousness in his last year. Poornima, who was taking care of him, pleaded with him to not attend the parade that year, but he refused gently yet firmly. 'When I wear my uniform and go for the parade, I represent my soldiers; those men who fought a war with me. I cannot let them down,' he told her. Though he could hardly stand for long or even stay alert, he put on his uniform, pinned on his PVC, tilted his Gorkha hat at the perfect angle and went for the parade, remembers Poornima. Through sheer willpower, he managed to stand in the jeep till he had saluted the President. After that, he sat down. That would be the last Republic Day parade he would attend. On 5 September 2005, Lt Col Thapa died of kidney failure. He was 77 years old. — Rachna Bisht

I turned back to my work and lifted the lid of the last crate.

I sat down. Hard. And stared.

It was filled with paper. Ink. Blank journals.

In one wonderful, horrible moment I knew that I was lost. Keir, Warlord, had taken me, claimed me, made me his warprize. But somewhere, somehow, he had managed to find a way into my heart as well.

How had this happened? I'd given myself to a barbarian, a ravaging, crazed warlord, expecting little more than abuse and dishonor at his hands. But this man had offered nothing but kindness and respect to me, his property. I knew this gift was by his hand, I'd not spoken to Sal about paper or ink, and she'd not understand its importance.

Could he care so much that he paid attention to this tiny detail?

Did he want me to be happy? — Elizabeth Vaughan

Now my second story. Three years later, on a clear, bright, calm Sunday afternoon at Bondi Beach, also not far from where we now stood, from out of nowhere there came four freak waves, each up to twenty-five feet high. More than 200 people were carried out to sea in the undertow. Fortunately, fifty lifeguards were in attendance that day, and they managed to save all but six people. I am aware that we are talking about incidents that happened many years ago. I don't care. My point remains: the ocean is a treacherous place. — Bill Bryson

Some time later there was a knock at his door. He was surprised to find it was now evening and the room was quite dark. The knock sounded again. The landlord was at the door. The landlord began to talk, but Strange could not understand him. This was because the man had a pineapple in his mouth. How he had managed to cram the whole thing in there, Strange could not imagine. Green, spiky leaves emerged slowly out of his mouth and then were sucked back in again as he spoke. Strange wondered if perhaps he ought to go and fetch a knife or a hook and try and fish the pineapple out, in case the landlord should choke. But at the same time he did not care much about it. 'After all,' he thought with some irritation, 'it is his own fault. He put it there. — Susanna Clarke

When it is managed effectively, in-home nursing can become a support for caregivers and families stressed with the care of a medically fragile child. — Charisse Montgomery

There is no question that managed care is managed cost, and the idea is that you can save a lot of money and make health care costs less if you ration it. — Charlie Norwood

A study conducted in a managed-care medical group in California found that 70% of hysterectomies were inappropriate (Broder et al, 2000). — Thomas Bodenheimer

Deke: 'You know what I'm wonderin'?'
Malachi: 'No, and to tell the truth, I don't care'
Deke: 'I'm wonderin' how you've managed to live to the ripe old age of 36, when it's a known fact that you've been brain-dead since birth'

'Strength of will', was the flat reply — Lynn Turner

Because you've managed to hide the existence of a significant other from the blogs. I don't care if you're involved with a man, a woman, or a sapient pear tree. You ought to go into international espionage. I never even heard a rumor. — Mira Grant

Why shouldn't Mom trust me, Dad" Why are you so determined to make me out to be the bad guy all the time?" I stared at the side of his face, willing him to make eye contact. He didn't. "I've been doing really good late and you don't even care."
"Yet you still managed to get into trouble tonight," he said.
"You have no idea what happened tonight," I said, my voice ratcheting up a notch. "All you know is that, because I was involved, I'm somehow guilty of something. You could at least pretend to care, you know. You could at least try to understand."
Dad gave a sardonic little laugh. "I'll tell you what I understand," he said. "I understand that when you're left to your own devices you get into trouble, that's what I understand. I understand I was trying to have a happy, restful evening with Briley and once again you screwed it up. — Jennifer Brown

The World Has Need Of You"

everything here
seems to need us
- Rainer Maria Rilke

I can hardly imagine it
as I walk to the lighthouse, feeling the ancient
prayer of my arms swinging
in counterpoint to my feet.
Here I am, suspended
between the sidewalk and twilight,
the sky dimming so fast it seems alive.
What if you felt the invisible
tug between you and everything?
A boy on a bicycle rides by,
his white shirt open, flaring
behind him like wings.
It's a hard time to be human. We know too much
and too little. Does the breeze need us?
The cliffs? The gulls?
If you've managed to do one good thing,
the ocean doesn't care.
But when Newton's apple fell toward the earth,
the earth, ever so slightly, fell
toward the apple. — Ellen Bass

I have never yet managed to see the moment of the petals of a bud unfurling. I might dedicate the rest of my life to it and might still never see it. No, not might, I will: I will dedicate the rest of my life, in which I walk forward into this blossoming. When there's no blossom I will dead-head and wait. It'll be back. That's the nature of things.
As it is, I am careful when kissing, or when taking anyone in my arms. I warn them about the thorns. I treat myself with care. I guard against pests and frost-damage. I am careful with my roots. I know they need depth and darkness, and any shit that comes my way I know exactly what to do with. I'm composed when it comes to compost. — Ali Smith

MODERN SCIENTIFIC CAPABILITY has profoundly altered the course of human life. People live longer and better than at any other time in history. But scientific advances have turned the processes of aging and dying into medical experiences, matters to be managed by health care professionals. And we in the medical world have proved alarmingly unprepared for it. — Atul Gawande

If I believe we need free personal care, we need an honest discussion about what it costs with a well-managed, well-trained workforce. — Johann Lamont

Every major country on earth, whether it's the U.K., whether it's France, whether it's Canada, has managed to provide healthcare to all people as a right and they are spending significantly less per capita on health care than we are. So I do not accept the belief that the United States of America can't do that. — Bernie Sanders

It is true that if care is taken to use only a language that it's understood by graduates in law and economics, you can easily prove that the masses have to be managed from above. — Frantz Fanon

It is my custom to have sherry in the drawing room at eight-thirty and supper at nine. In future, please join me here promptly at eight-thirty, Alexandra."
Fire ignited in Alexandra's eyes, but she managed to keep her voice level. "You've already told me where I may sleep, where I may go, who must accompany me, and when I must eat. Would you care to instruct me as to when I may breathe? — Judith McNaught

I went without health insurance until 'Roger & Me,' basically - from about age 20 till about age 35. With 'Roger & Me,' I joined the Directors Guild and the Writers Guild, and since then I've had excellent health care managed by the union. — Michael Moore

The U.S. has a so-called health care system that has nothing to do with the promotion of health. Those who run this system do not care about your health, and it's far from being a system. It's a fragmented patchwork of procedure-oriented services that are meshed in a voluminous trail of paper payments, with little relevance to community-based needs. This misdirected, disease-managed non-care system of symptom suppression demands more and more treatment at higher and higher costs. If they cared at all, you'd be treated like a human, not like a number resembling, quite frankly, the ear tags on a cattle herd. — Gary Tunsky

What Tully said of war may be applied to disputing: "It should be always so managed as to remember that the only true end of it is peace." But generally true disputants are like true sportsmen,
their whole delight is in the pursuit; and the disputant no more cares for the truth than the sportsman for the hare. — Alexander Pope

She heard music. Angels singing? she thought, dizzy. It seemed odd for angels to sing after table sex. She managed to swallow on a throat wildly dry. "Music," she murmured.
"My phone. In my pants. Don't care."
"Oh. Not angels."
"No. Def Leppard. — Nora Roberts

And Kate thought about a time, long ago, when she had witnessed an ongoing romance between two mental patients. As a teenager watching their unlikely relationship unfold in front of her, she had understood that people did whatever they needed to do to be happy, regardless of their unfortunate circumstances. She supposed her mother's day care center was born out of the desire to feel needed, while making use of the skills that were practically all she had managed to acquire during decades of battling a debilitating illness. — Sabrynne McLain

Because I don't care anymore, Ms. Beezemeyer, I want to say. Not about Amade Malherbeau, my classes, college or much of anything. Because the gray world I've managed to live in for the past two years has started to turn black around the edges. — Jennifer Donnelly

Just don't. Don't tell me whatever reason you managed to cook up after last night, because whatever it is, we both know the real reason, the real problem is that you won't even entertain the idea of letting me in. That's just fucked up because I could have fallen in love with you. Hell, I probably already did. I have shit to take care of, so I guess I'll see you around. — Jay Crownover

Nay," she said stubbornly. "I have just been told that the only chance I have for freedom is in your hands and by all that is holy, you will deliver me my freedom or I shall see to it that you live out the rest of your life in merciless misery."
He gaped at her. On any other man such an expression would have looked foolish, but to credit Lord Stryder, even when taken by surprise, he still managed to carry off an air of supreme authority and handsomeness. "I beg your pardon? Have you gone completely mad?"
"Not I, but rather the king you love so well. It appears he would see us marry."
"My hairy arse."
She gave him a droll stare. "That is much more information about your person, Lord Stryder, than I care to know. — Kinley MacGregor

I didn't realize when I brought him back here that you'd inflict more damage." I said, once I'd finished the story.
"I was defending your honor." Adrian gave me that devil-may-care smile that always managed to both infuriate and captivate me. "Pretty manly, huh? — Richelle Mead

Myriam and I are both hard workers, and together we make a strong team. We found ways to make a living, educate our children, and to take care of my parents until their last days, and we managed to have fun doing it. ...The friendships we made along the way were the biggest treasure of all. — Marc Ashton

Historically, shamans have always been part of the society where they lived, taking care of its problems, whenever they were allowed to operate. For centuries shamanic cultures have been persecuted in the western world until they were almost entirely exterminated. They have managed to survive in secrecy or through complex esoteric camouflage. Nowadays there seems to be more freedom and this ancient knowledge can re-emerge and be used in our own cultural context and not relegated somewhere else. The world needs shamans able to function on the roads, among the electronic equipment and engines, in the squares and markets of our contemporary society. — Franco Santoro

What we're really trying to do is level out the health care system. It has gotten so one-sided as more and more people have been put into managed care; in fact, about 70 percent of the patients in the country. — Charlie Norwood

I have seen human beings who have forged "intellectual" armor to shield themselves from adversity. They seemed stronger than most. They said, "I couldn't care less," and laughed at everything, but when adversity managed to pierce their armor, it caused terrible damage.
I have seen human beings suffer from the slightest adversity, the slightest annoyance, but still remain open-minded and sensitive to everything, learning something from each attack. — Bernard Werber

She leaned in and hugged me. "I know. Thanks. I love you, too. And for the record, Cheyenne and Landon are soul mates and if they don't end up together, I want you to find a poltergeist to haunt the Easton Heights writers."
She pulled back, smiling at me, then reaching out to ruffle Lend's hair. "Take care of each other, you two obnoxious kids."
Then, throwing her shoulders back and staring straight forward, she walked through the gate. I watched, dreading seeing her turn into dust or something, but gasped in relief and joy as her ruined, unnaturally preserved body blossomed into something new, something strong and proud and undeniably alive.
She turned back, just once, and although she was nearly unrecognizable, I could see our Arianna in her smile that managed to maintain its trademark ironic twist.
"I'm going to miss her," I said.
"What?" Lend shouted.
"I said, I'm going to miss her!"
"I can't hear you! I'm going to miss her! — Kiersten White

Nearly every business collects metrics on inventory, sales, and workplace process. Health care has been slow to measure these kinds of outcomes. Increasingly, general medicine, via either managed care or large practice settings, is improving by collecting data through electronic records and refining practice based on what works. — Thomas R. Insel

I've managed 25 years, and I can probably count on one hand players that I didn't really care for, and that's probably thousands of players that I've managed. I think that's pretty good. I love the players and I always will. — Jim Leyland

You should have called us. Desmond would have picked you up.'
'No I wouldn't,' Valkyrie's dad said, stepping into earshot. 'Sorry, Fletcher, but I had important fatherly duties to take care of, which included eating breakfast, showering, and finding my trousers. Of those three, I only managed two. Without looking down, can you guess which one I missed?' ... Fletcher smiled back. 'I just want to borrow Stephanie for a moment.'
'Take our daughter,' Valkryie's dad said, waving a hand airily. 'We have another one now. — Derek Landy

Indeed, this crisis was also spurred by the abandonment of professional ideals in the pursuit of profit that made managed care necessary in the first place. — Sandeep Jauhar

Before even when she lay in bed looking frail and weak she still managed to make me feel safe. Mothers do that don't they? Their very presence can help. And even if I ended up mothering her in the final days, she still was taking care of me. I miss her. — Cecelia Ahern

Life itself is a sea full of reefs and maelstroms that a human being takes the greatest care and caution to avoid; he uses all his efforts and ingenuity to wend his way through, while knowing that even if he is successful, every step brings him closer to the greatest, the total, the inescapable and irreparable shipwreck, and in fact steers him right up to it, - to death: this is the final goal of the miserable journey and worse for him that all the reefs he managed to avoid. — Arthur Schopenhauer

call me a nobody. He just had a lot on his mind. 'You ever meet your dad?' I asked. 'Once.' I waited, thinking that if he wanted to tell me, he'd tell me. Apparently, he didn't. I wondered if the story had anything to do with how he got his scar. Luke looked up and managed a smile. 'Don't worry about it, Percy. The campers here, they're mostly good people. After all, we're extended family, right? We take care — Rick Riordan

I made it two steps before he snorted. I turned to see him lying on his belly ready to jump up. He jerked his muzzle, telling me to come back.
"I thought you'd want to be - "
He cut me off with a snort. It was hard for a wolf to scowl, but he managed a good glower.
I took the switchblade from my jacket pocket. "I'll be fine. I'm armed."
A snort. I don't care. A head jerk. Get back here. — Kelley Armstrong

Real estate cannot be lost or stolen, nor can it be carried away. Purchased with common sense, paid for in full, and managed with reasonable care, it is about the safest investment in the world. — Franklin D. Roosevelt

I'm a fan of Bill Hicks. He did things that no other stand up did at the time. He was making fun of religion, at that time it was a lot harder to say those things in the States than it was here. To slag off Christianity and fundamentalist Christians, and to be pro drugs and anti gun in the deep south, that's a big ask. And he did that and made it funny. Bill Hicks was able to say things that he really thought, and he managed to make those thoughts funny without a care if it antagonised people. — Ed Byrne

Treatment Plans and Interventions for Depression and Anxiety Disorders provides clinicians with essential guidelines to treat patients in the era of managed care. Seven psychiatric disorders are described and conceptualized in cognitive-behavioral terms. The authors then provided an unusually clear, reader-friendly description of how to assess and treat each disorder with illustrative case examples, and patient forms and handouts. It should prove very useful for clinicians or clinicians-in-training who want to learn how to conduct short-term treatment through an empirically validated approach. — Judith S. Beck