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David Leonhardt ("Limits in a System That's Sick," Economic Scene, June 17) makes no mention of the most egregious form of medical care rationing — the decisions by insurance companies to pay or not to pay for medical procedures, decisions that are routinely based on cost rather than on sound medical practice.
Computational models, routinely based on stochastic optimization, support these decisions.
For monocultures, the silvicultural guidelines for appropriate and goal-oriented stand establishment, tending and thinning are routinely based on scenario analysis with growth models (Pretzsch et al. 2008).
Detection of Cryptosporidium spp. is routinely based on molecular methods such as polymerase chain reaction (PCR) and subsequent restriction fragment length polymorphism (RFLP) or gene sequencing.
Bonuses are routinely based on ill-conceived criteria that focus on short-term gains and create unnecessary risk.
As a result, their purported conclusions are often given at most token scrutiny, and decisions--including, literally, life-and-death decisions--are routinely based on what they say.
Similar(47)
Presumptive identification of different Enterobacteriaceae species is routinely achieved based on biochemical properties.
The need for colonoscopic decompression is routinely determined based on the severity of the pseudo-obstruction, and therefore early consultation with surgery or gastroenterology is appropriate.
Although different treatment approaches are not routinely employed based on the location of ocular inflammation, future studies should address this possibility.
Maintaining cuff pressure is clearly simple and should be routinely adapted based on its efficacy and low cost.
Hand washing is clearly simple and should be routinely adopted based on its efficacy and low cost.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com