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During the 1992 presidential campaign, candidate William J. Clinton praised Rochester's hospital experimental payment (HEP) program for containing costs and providing access to high quality health care. -If Rochester, New York, can do it with two-thirds of the cost of the rest of us, - Clinton asserted, -America can do it too.- This book is a detailed case study of a community that devised and implemented a unique, successful, and celebrated hospital cost containment experiment in the 1980s. Author Sarah Liebschutz describes the economic and social culture of Rochester dating to the early...

Two values often at odds with each other-competition and compassion-dominate New York's political culture. Since the eighteenth century New York has been known for its economic leadership and entrepreneurial opportunities. Its nickname, "the Empire State," reflects the state's continuing role as a national and international center of industry and commerce. Yet New York's political culture, as Daniel J. Elazar has noted, is paradoxically both individualistic and moralistic. Compassion is extended not only toward those unable to compete in the marketplace but also toward the numerous interest...