East Cleveland medic Anthony Savoy says his city's ambulances are diverted frequently to a hospital further away, and that can add one or two minutes to response times.
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The upshot from a study of more than 75,000 low-risk births is that "childbirth in the United States is very safe regardless of where you decide to do it," says Dr. Michael Greene, who directs obstetrics at the Massachusetts General Hospital in Boston.
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Connecticut Gov. Dannel Malloy unveiled his budget to the legislature last February, but the year's expenditures were greater than income. Connecticut's leaders voted to cut hospital funding to help close the gap.
In response to Medicare's penalty program, UCLA Health has focused on decreasing the use of catheters at its hospitals, including at Ronald Reagan UCLA Medical Center in Los Angeles.
Mendocino, Calif., lures vacationing tourists and retirees. But the lone hospital on this remote stretch of coast, in nearby Fort Bragg, is struggling financially.