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Cost Challenges Facing the U.S. Healthcare System
The Wall Street Journal presents a panel discussion on the challenges facing our healthcare system. Featuring Aetna CEO Mark Bertolini, Steward Health Care System Chairman and CEO Ralph De La Torre, University of Pennsylvania's Ezekiel Emanuel, and Caesars Entertainment Corp. Chairman and CEO Gary Loveman. Photo: Getty Images
This transcript has been automatically generated and may not be 100% accurate.
I ... everyone ... welcome ... welcome to honor you were viewing on line they're a lot of fuel ... I'm Stephanie over at the end of the chief of the ... open thanks to the Wall Street Journal and with me today is Ralph de McClary chairman and chief executive officer Stuart healthcare systems ... and marking only the ... chairman CEO of Aznar ... and ... Gary Loveman chairman CEO of Caesars Entertainment and seek manual who is chair of the president Chairman part of the ethics of health policy University of Pennsylvania ... and a former White House coffee in on that welcome to ... so this is the cost of care containing health care spending in the era of the Affordable Care Act ... and one day we'd like to do today is on a broad conversation event be on just a partisan debate over the merits of a lot of talk about some of the larger issues that are facing healthcare which ... I didn't leave prenatal on the market and a lot ... um so ... to begin the place actually a step back for a moment to ask a pretty basic question that might seem obvious but because of the good things for us to start a conversation ... and that is why why do we need ... to change the way we deliver to pay for health care in America are good the aam ... healthcare costs have been slowing in recent years though there's a lot of debate as to whether that's sustainable ... so aam why do we need to go and we need change I'm not a BB carry head start with you because you can talk alot about the need for change and ... the need for ... players to be able to ... have ... a moral authority to ... manage their health benefits under the law ... aam what is at stake if we do not contain health care costs ... Zeke is that a disproportionate amount of everyone suffered goes to a result it is looking in through with what we have to spend on it in and what we need to be able to do generally is to allow ... informed decision makers patients physicians care providers generally ... make ... rational decisions about what expenditures make sense for the furtherance of of their health in the provision of ongoing health problems ... but the fight being able to put that sort of information capacity in the right incentives in the hands of these decision makers weakened to a lot in the company's of ... experienced a tremendous ... own degree of success in getting people to modify their behavior in a way that makes them healthy who ... takes on greater responsibility for preventive care ... and yields a result of favorable for all the purchase price and so it gets really fundamentally what we're striving for ... the question of the degree to which the wall to get a feel for the headset is another matter if that's the ... that's the Holy Grail is putting a slight insuring ... everyone who was the Number one drugstore for those ... anyone who is in short that's really what really ... I ... in twenty twelve United States and ... two point eight seven ... trillion dollars on health care ... and put that in some context for you ... that makes ... the American healthcare system the fifth largest economy in the world ... bigger than the French economy ... it is just ever an elite ... few ... and we go we are growing at GDP plus two percent for the last forty years ... op if we don't do anything ... bike twenty forty ... one out of every three dollars is going to health care and nothing else and most of us don't think that's the best investment ... and we're not getting that much great health for ... were not number one in any category ... of ... health outcomes ... so we could improve our quality and by the way I don't think it could just be the cost of care because ... none of us wanted just cut the cost of your ... control the rate of growth without improving the quality of care and I would say that probably everyone here thinks the best way to control health care costs is actually to improve ... what were doing in terms of health care ... aam and ... for my ... you know perspective one of the main things were going to do overtime ... is ... he patients healthier ... and that can be a major way of controlling costs ... and that's good on the quality from ... the costs front ... and we have to do it ... for what ... Kerry said ... you know because ... health is important but it's not the only thing we also care about education ... we care about ... the environment we care about lots of other things that need resources ... the well house one of the challenges if you're going to be ... containing costs is maintaining quality ... there are ... a lot of Eurolot about things like accountable care organizations that are supposed to improve falling while ... lowering costs and how how was that when you were he I think he'd probably have a tiny ... part of an ACL in your system ... how how can we reduce costs of summing up the ... tort system is completely stricken as in the snow we have an entire vertical within ... the health care and from ... fall out with products on the way through the home care hospice everything in between ... I think that ... one of the one the definition of quality is what's important ... so ... in many Americans ... can see the quality is being able to obtain gas leak anything at any point in time ... for any reason ... and that doesn't translate into measurable outcomes from a population of perspective ... so we need to invest money ... to ... get a better school open for our population not just to ensure ... that end stage disease gets unit to one hundred workout ... the tomb of longer survival ... you know one of the main issues and leave me no talk about is that there is a a disconnect ... between the investment in ... prevention and wellness ... and a fruit that beer from it ... one other problems that were struggling with is when we ... look at employers have discussions with employers run wellness around preventing disease management ... orders for the last of the investments they are making the are not going to get the full set ... and no one stays in the same employee ... in this country for their long ... and for the most part with just minor changes that we've had in population management ... one really gets it to the degree that between think of you for the ages sixty five ... so in many cases the wood doing is we're funding wellness prevention and disease management ... and not in every case in many cases ... on the backs of the employer is in the people that have been weak and that's enough that ... his Medicare and the government get Medicare refuses to even have ... its patients ... take a primary care doctor ... still there's a cool disconnect between ... who bears the cost of the upfront component to wellness and prevention ... and who bears the benefit ... the responsibility of the players I know ... you talk about that as an player in the success until you've had with wellness programs as a cost-effective for the implants ... I think the issue really is what we define as a go go go ... and do we were to define how all the is ... getting people to a healthier status led to more productive ... so that are economically viable ... and therefore they're happier ... an itch cream communities of individuals like ... an awkward sure the employer solutions ... does the long run solution ... I think the long run solution and are also still missing beach with their communities ... to manage the health of the population ... we had great success with our play but tuitions are turnovers in low single digits ... we know who they are ... we have all the data and were able to influence ... their behaviors to a number of ways pull through economics but also through other incentives that last year for us to reduce our healthcare costs for seven percent of costs went up ... and so I think that so it's really about population health management ... and a fundamental way were you understand the demography of the disease burden the social ... economic cultural environmental trends of the community ... and or health system is structured ... to improve ... the health of the population ... to improve their economic ... viability through more productive and happier ... so this ... that should be the permission of ... Mark has had just been appointed acting ... news the pullback ... so for us when we ... as in the steel entered the community it is vital and essential that we capture ... the community throughout its entire age costs so what I mean about ... so when we go into a town or city it is it is important to us that way does not want peace for once in a population ... but the entire population ... therefore when we ... as a system ... put in preventive measures put in wellness disease and all these things that that bear fruit ... whether the patient ... is is on his or her contract with the seal my contract whether that nation works for employer a forum where before transcends into Medicare when we actually have to hold on to that piece of the entire continuum of their life ... and we ... are engaged in that age ... it breaks down in the market becomes segmented ... and have different systems a different provider to include in different states ... so this is somewhat slow growth ... but when you recognize that there is a disconnect with the players and what they would take ... this ... let me try to frame it slightly differently ... if you will get health care spending the day ... it's very lumpy bumpy ... ah half the population is basically out of the healthcare system uses almost twelve dollars ... ten percent of the population uses two thirds of the dollar's ... and their people with chronic illness ... if you want to control costs ... and you want to improve quality he got a focus on that ten percent ... pay ... those are people with heart disease to people with congestive heart failure with emphysema diabetes and asthma ... and ... keeping them healthy ... but for the call Tertiary curvature ... of keeping people who have the disease ... helping ... is critical to saving money ... so you got a diabetic and have a little Madonna or ... what ... you don't take care of them wound ... don't get infected will get a green you'll need an amputation ... those are all one necessary and eminently preventable ... it up ... the outcome ... so intervening early preventing things from getting worse and people in ... the West that is the intermediate ... and most important way was in control costs over the next decade ... the things about ... changing ... eating changing exercise getting people to stop smoking ... all of which are really important ... Bible ... those are about community intervention serve the public health interventions ... and always have a longer time scale ... it's incredibly important to do that but those payouts are ... longer ... by the time ... and so we need to do both ... it's not either or ... the tertiary perfection is what is over the next ten years gonna make a big difference in terms of the quality of the system ... and terms of cost control ... this other dimension diets smoking ... exercise ... that's ... a twenty year investment and I think ... you party exactly right ... the incentive structure for insurance coverage for employers to invest in that ... is all screwed up now ... because they'll reap the benefits and so we're gonna have to change that kind of incentive structure ... aam and that I think is ... a big issue but I'm really in many ways the lopsided vote upon to do in the Affordable Care Act will ... see you looking to ... go ... to ... response to the target because like the tube in Utah a true for industry like law and were we of a lot of what people would feel for just ... there's a strong incentive for Aussie supporters huge huge and will most activities or poison those becomes the sole motivating to the people who work for us ... there is interest in their care ... and when I was ten or ... email system and solutions to the sprawl the employer ... unlike ... the nurse practitioner of the employee dining room world why are we using your meals free everyday ... that tells about nutrition investor similar feeling portly go through various diagnostic procedures on ... hypertension blood sugar whenever the the ... and the ability and age ... even if you ... decide Sweeney says ... later ... the appeal was the fog was more investable testicles lack of a person ... who sees the player has his reasons being the typical remuneration ... but then so be it hits to their failings wellness comes from the operation we out I get is a great what would yours ... the investment and while ... saying implant gets out of health insurance ... like it looks like someone going to do ... but ... does that mean it's not being interested in moments absolutely not ... because of a major component of wireless is not about healthcare costs is about to absenteeism ... it's about the Judaism it's about visibility ... and so I think what you're going to see is ... that players much more interested in well lit ... Mark and I think that somehow their costs ... but because of all these other benefits motivation ... be ... wanting to come to work ... on having disability and I think that's a very interesting haven't been to invest and how they are to be in the city walls and actually internationally refinements the workplace safety groups and employers can imagine ... that you know will show yet ... because to get the word and it is the vocal kerfuffle about what ... the world was talking about different things ... and you know back when you are making ... the buildings that so to say that everything's a step ... when you're forty ... you rely ... on gaining weight ... a borderline that ... Paulson new lenient and these ... internationally legally you're not exercising due to the guy ... in your sixties is out of school he started in the last heart disease ... the new Sunday at heart attacks to justify being ... in the late seventies utilize helping my you like it on this ... tour ... the ... DAX this time ... Mr. her we intervened and aspect of that will benefit me as a society in ... I would be seen now ... and in the scene ... what is the man and that I come home and on ... I hate your diet then you go through the lesson is easy getting you will ... now watch them on ... it's not seniors whose painting back home ... the vast majority of those patients to Medicare patients are still eligible to the difference is the vast majority ... I ... the turn of events and wellness through the lens of Massachusetts Mutual tech follow-on congressional plan is ... implemented ... we're ... really been into doing it when you fall in international global population which ... we believe ... that ... we got to push back inside ... putting ... those systems ... literally he ... and his team ... structure ... systems ... I mean again I keep coming back ... anybody has handled it needs adding a primary care doctors in IPO ... why ... are all about the role of doctors ... to Yulong Amour positions ... Larry weaving gatekeepers they they were all a test of uncertainty that ... I'm ... I ... on and it ... didn't help the start of the you've written about doctors need embrace this role of war and it should doctors be considered costs when they are making a medical decision ... absolutely the BBB read clear what I mean by that the colleges ... cure for cancer patients ... we are lots ... of just give you an example ... stomach cancer ... you look at the guidelines ... twenty flavors or more of chemotherapy and they will produce the same survival ... I ... the difference between those wanting flavors of chemotherapy ... for six cycles of chemotherapy roughly six months ... one thousand dollars to fifty five thousand now ... BT I hold that reason writes ... exactly the same outcome ... now why should I consider the rights ... in that context ... where there's not a difference in outcome ... so when you have interventions that are exactly the same and there are plenty of that ... why shouldn't try to be an important component of your decision making ... well I think that's a theory legitimate ... consideration ... um I think ... it's something that we got to be quite clear about ... aam and so that's ... a diarist is the case ... but that's all lot of cases like that in American medicine ... another one ... they Ardi cashed ... in front of all artificial ... in any given market place there vastly different prices for the very affordable people meaning the actual cost ... every second boring about rationing of care The and that is the rationing of care ... what I just a with the outcomes are the same ... right ... that's exactly the Asean worm point twice that I wanted to be Beery careful here ... that's not mentioning the ... cops are saying we're not asking a patient ... all in six months longer willing to give a cheap stuff ... that's not ... will we have to go that is not an issue ... that we get to confront this point in time and it's not a matter of rationing ... and talk about where the outcome of the same but the repeated so there's no confusion out there ... and you know that's the way ... the the the the same cost absolutely ... right when you when you go all out to the shopfront in and out and it ... doesn't and other in ... the same crowd ... and the costs of Nestle different ... well I think it into perspective you one of ... the main ... index ... you know with all due respect e e e e e ... you when you visit me I mean ... short and you can point to some cases where that is true with the cost of this ... and the obvious ... but that's not been easy dilemma between outpaces assignment aren't long-awaited isn't worth paying an extra hundred thousand live treatments are when two hundred thousand listings ... where millions live two years ... that's the dilemma that we really are going to find some in the future that's the dilemma ... we need to start ... thinking about ... any theme park doctors in a position ... at the isn't that ... basically what happened in our role in society and that the people we elect ... to make those tough decisions ... and were putting it in front of disease condition should be a defense attorney for dear life ... can you imagine the news and a defense attorney and public and to ... um so I'm you know you have to start managing everyday is defending every person based on cost how long is can it be ... don't be a tremendous up for this country ... I think a good one disagrees with that comparative effectiveness research ... U S thinking the same as being part of ... your ... understanding costs and making decisions based on cost ... our investors and that is it pure basic compared to this research I would not to be one with wings and completely with what he said ... up and on the level we really talk about we talk about ... decisions be in line cost was asking physicians ... to make decisions as to ... what is the high end value of all why including Ford is the hundred thousand million as it out ... when you buy ... it you're buying a new phase of thousand dollars to get you glued to six months ago but he was a great ... that cost a hundred million anybody would say that's crazy ... the data to find a society it's alright with doctors and nurses in position to make those decisions just as we know ... what to do so but for Copel little grilled in most cases you will so people are suffering from ... life threatening chronic pain for example ... there are a lot to win streak of good we observed when you look at the data due for an appealing one of the venture to these enormous attention innings ... the patterns are a function of how physicians are trained or what ... technologies as the supply side of the Nicholson's to the search will tell ... in these are things that can be your trust I think with all reason the article points broadly described in these debates Robles always taken to the streets ... of the end of life care of it a lot of his other very valid very pressing conditions but ... didn't know they're all kinds of Sokol circumstances with tremendous resource expenditure ... think of the Russian was that the true he's leaving a dog in the early ... two ... thousand and eight the patient have some responsibility for the March will be true that decision ... and what are the sort of like taking the BBB the emergency room to light with the story are ... or will I call when the nurse that ... hallmarks company provides to see if I really do think the the the ... over his remarks ever ... these are the cases that are or think are much more cost and ... avoid the space is because the outcome this passes we can tell right ... that's right um different you know and and and ... I would use it I think actually the ... situation I just thought well maybe most ... apparent in the ... gastric cancer case and I gave you ... is not at all ... ALM that God that extreme we have lots of cases where ... different ... kinds of KR ... result in the same outcome ... as best as we can tell the price differences are very high end ... why do we tolerate ... any expenditure when you can get the same outcome ... Lindsey is the ... in some cases and colleges serve and please them more expensive chemotherapy returned from a vice I agree with the manufacturer ... so they've got a choice of eight ... am the one that is fifty five the icing them in the right way so the structure of the reimbursement ... and the way you knew you pay for it will have a dramatic Shanghai with the biggest opportunities that if a bank or ... does every time Medicare changes of name will ... provide the right and so we get the red today because the Lord to spare we have ... well I guess I actually read you and I get to the issue well for a long time we have to shift off the fee for service system ... the fee for service system ... and ... in medicine Justice in any other area is ... to pay people to do more ... so guys ... don't do more ... I'm we chatted medicine ... and it's a ... serious problem it's not the only probably get the system and so we need an alternative payment system ... up ... the variety out there there's trouble payment to be accountable care organizations would pay an organization ... ay there's the patient ... and I think we need to shift to those we can shift though ... most systems are already overnight ... we need and a quarterly predictable timeline to ship about advocating for ... all these many years since the day I got out of the White House ... that that is a cute crucial element that we need ... and we need to shift the ... different payment action can also just the hosting a meeting with ... players like ... March through ... the ... Medicare and others to try to say ... how can we do this and cancer ... so we have ... agreed however that I was ten years or organization ... the vast majority of not over ninety percent of our commercial ... contract so basically for ResCap ... our chemo drugs or average wholesale price plus five percent ... so we've taken out of the way you think you just described ... in sold out ... the biggest problem facing us right now is a massive contagion effect ... of applying always protocols ... and population management control ... has sixty percent of our population is Medicare and Medicare you cannot get into engaging in a sea of or any kind of realistic in that ... all the others know you can tackle that ... when reading the one thing that I knew ... his address Medicare is like a walking fool but culpable wanted to know about your balls all whole wheat phone through every time and and ... and I push harder for the last quarter pneumatic of the dramatic change the payments system ... I think literally in a period of the year and a half years ... if they will play ball a line ... under the Bodhi CEO on the lines and yes yes ... yes and they have ... been involved in the ACO experiment is even trying to experiment there really doesn't care that the underlying opportunities in new CEOs ... there were doing ... with their wealth ... and are really came to the far wall robust well ... and so the sooner you can win under the currency of the moment or ... in any dramatic worship and the result of higher in twenty oh ... the detour twenty five medical groups of going into the Medicare BCO right ... now though ... with four million Medicare patients in that so that we saw people out there think that this is an important we're trying a bit of damage to ... the drawing eleven and and you guys get Medicare to do things I wanna be your defending CNX ... and and Medicare ... op ... they have done some ... things in ... beefing up they had the government and under severe restrictions on what they can try and what they can try ... at every time they tried something pretty awful to get better three hundred mm so ... BBM to what they're trying to do and give them credit ... right ... they could penalize ... op hospital where he seriously Apple quieted actions ... medication errors and other things and ... Gus was hacked ... hospitals are taken a real serious or whatever the Affordable Care at ... that's can it be both quality improvement cost a ... re imagined ... your chance before the ACEA if you were sixty five years and older ... up after discharge from hospital of returning to the hospital was twenty percent ... one insight within thirty days ... we will do that kind of unacceptable be one of the plan ... that began with the diseases and has already expanded ... to say ... you know you gotta bring the need ... for unity candle ... gas well every hospital is now looking seriously at bigger and having known read now and the quality improvement ... costing ... the ACLU's another ... I agree with you better go necessarily go full steam ahead ... one of the other things we'd be doing the Affordable Care Act was ... let's give a high of ten billion dollars to run experiments and demonstrations ... not every one of the carpet clean design ... not everyone in the midst of a sixteen ... all we have been trying more about this awful lot says the government decided to forward their holdings in China when trying to say is that we're going to single B is very ... fixing our nation's that is getting health care costs and what agreement right ... and so we don't do this more than seventy percent less than trillion dollars of that in this nation ... has come from healthcare were great we fix that ... the no seven hundred fifty billion always remember Wheaton payback I wanted to ... sell it we we were really serious about that ... instead of raising eligibility age is turning people away based on means testing or whatever and as ... and we actually fix that not ... all health care costs while from its bond buying ... in the ... U S to make this payment reform dramatic and more and an industrywide ... due to the word when he did agree to read and so we have been sold to them I mean we get ... that Silverman the ... business on the last shuttle to you the the ... not only on the payroll yet you say if we got payment for across the industry but we get the health care inflation to GDP but here ... I mean we do better ... I agree ... the renewed the agreement with the events ... tend to be doing in here in ways I agreed with the capacity of the system ... for people who are known to have access to commute formal care where we will find the first when we get a name change ... we can actually get ... we debated the ... anger online banking in what was an early and I ... I actually don't agree with you the ACU Program said that after ... these two programs or twenty years ago haven't connect ... I mean did did not there's nothing novel about a little while ... I knew one of the twenty three remaining by news ... that the U ... S through and what he can were adding to ... the dollar down what we do on commercial ... duties and yet ... it is a unit in our pioneer ECL divisional we cannot tell a patient at trying to make ... it absolutely ludicrous ... and then you see all the other ones this year St ... come up in just a means of your own neutral from Ginny and I mean what do you ... think the most expensive spending ... setting possible to eliminate air ... and Intel neutral ... and until yesterday we had to expand ... its call management in here ... and actually ... are there so ... we were to stay ... the reform seriously ... damage that ... worked in government and private and public sector net debt ... the driver over the next eighteen to twenty four months am ... when you bet your order or in ... clinical his backers to go after those individuals were really succeed in driving up for health care costs ... we all hope your costs flat ... I don't even need a minute or form write a mean that for whatever sold an accounting of ... what I just I just wanna ... go back to this ... yet one that I don't disagree with you that there's a more aggressive model of the CEO's that the government of the dot but here's their dilemma I just might try to explain ... as best as I understand it I mean I ... understand it perfectly ... you have this ... I'll challenge ... you ... to him at all are really in shape to ... push the limit ... how many other groups across the country are ready to push eleven ... show you how to design a program where you'll get enough people in the running ... and you can be at the front and whither point one percent of stocks can do it that that Medicare one actually design a program which you think if you now it's like putting on fine now run my main goals ... there are challenges we have to make sure enough groups can ... participate in the program to make it realistic tact ... that the bailout of the regulator that the government level ... and I understand your frustration which is ... you know what any free and I can show you how we can actually ... read that management read render her fair complexion and really get costs under control and quality ... as a position ... which you can find any ... care management program ... did did have a primary curable ... I ... the the you are the the the the the the regular doctor ... let's get to the basics of ... I would agree that it would ... be unseemly is just not ... comply with what we need to go in and I would agree with you that what we really ... want these people to sign up for a CEO's and make a commitment ... and be there but that is a big culture change for Medicare and I think that the people that think you're running it ... well that the ... program was not ready for that big a culture change and wants that ... I would agree with new ... signing up having a primary care doc committing to their primary care doc especially since you probably had him or her for a long time ... is probably an essential element of good health ... and I think we're going to get there ... the reason I'm optimistic is ... over the next ... four or five years ... not only the Medicare program but through the exchanges were going to get there ... we are people that commit to a primary care doc and buying a network that the private care doctors are up and down lol while much better management of patients who were not can have an open market ... so I don't even need you ... to all the TD deal of the demon on whether there truly is a doctor shortages in the end of the conversation for another day ... I mean it adding that can perform as something beyond the consider fee for service to consider we ... would have been you know coming in and I know that there has been such experiments that are out there and a lot of it all something that would ... hominid of captives ... so um I'd like to ask a question about that I've asked this a lot and always and then we have seen what the answer to ensure that term before ... we heard that before nineteen swear tube that doctors were the system gets ... the money ... and in a ... cover that that the patient population for that they may lead you to come in under ... so which is the way people tend to understand the notion that he's the ... sort of flavors of it that so what did not like it was ... different ... so in the nineties I use to deliver ... to petition charts providers office ... and they show all agree the report of all this that ... and had two rubber bands around ... and underneath the rubble band was a chalk ... and revoke or have the patience a missile security number there member number in the among the chalk ... and that was the ... last seven years that page report ... which is really just of ... a larger ... Faurecia makes money ... and no ... essentially are cordially ... hospitals operator ... revenue basis ... doctors were going cash basis ... the whole notion of there are foreign liabilities of mining reserve for aren't there ... what's different today is that the data systems are available to see workstation is an almost and ... don't understand what level of care giving you more than giving ... them the more closely says Tom ... think are we incapable the system is ... more opportunity you have for managing within that dollar club ... where a fine wine ... was a great idea for the ten day we have these laws instead of a physician group said the Ph most paid for a ... sale so that kept Asia retreated to the smaller scores in California ... and no we've not come back from ... his home about how Alcoa's beat in making and ... how how do I get out of your input on how you ... use it because it's a no lose investment up front ... photo too ... big and use it to relate to ... anyhow that he did send him I with the doctors that includes opportunities in the hostels from the pier ... from the home care hospice ... he ... the bill for two weeks to get her silent and incentives to drive their own individual reviews them at ... the end of the data transfer and the integration of care across all different styles ... so the solution is the isthe integrated system so I'll what you are not used to walk this ... is we ... have unrest in Iran he not only with are employed positions with all of our sushi is if ... we aren't formats with that ... with the hospital ... with a home here with their houses with everything all together ... and it's all worked out ... now ... then the next question always comes of this ... country that match ... the system ... you can you ... know ... we've eliminated by doing it all an integrated fashion ... playing games with the Messiah ... and again on ... the way to new and used to construct the system with actuarial balance exists between quality and a switch in Asia and designate and in the Madrid ... in other words it becomes impossible to mimic care ... without costing yourself much on the following methods to get paid ... then when you get on with us ... and therein you balance do that kind of Scripture the incentives so that your number one incentive is to provide artist quality care possible and we have hundreds of metrics to measure ... and that has a secondary he did come in ... it becomes important to ... once that's done ... to make sure that the right thing ... to do it with a capacity ... misaligned system which is what is false lead and it ... feels so vulnerable watch the ... musical was so tempted to skip missions very word ... I like the we don't we don't use to fish for more ... and and what happens is ... this from oh please security move of the house for the opposition to the office of the community and the whole ... and so ... the degree gets a ... he was driving Karen Wallace Kaufman ... and then you one driver of the lowest cost provider with the matter ... oh wait especially for the primary care ... physician extended periods notes or partners practitioners ... massage therapist acupuncturist ... to failing that ... and and that's were a new start to have an impact versus having to ration care ... you reuse the capacity to formally define weighing gauging Ali actors losses ... that creates a healthier system ... and a ... the money and the site ... the point that the UK doctors and hospitals home to ... celebrate ... there is just gonna be a food fight over who gets the laughs about it ... Bekah ... if he actually keeping patients healthier and out of the hospital the hospital loses read ... and that ... for the home culture agency will make more right ... and that'll just created couple of months there is some way of rationalizing that cost ... similarly if all you do is candidate without being done about whose average previews the health care services ... that the thirty one households have a hard time identifying those people ... so what are the things that can happen over the next decade is a much closer alignment between insurers who have a lot of data and information in catalytic capacity ... to find out and identify was in high risk ... gamble either ... and say listen ... you know what sin is the thirty percent risk of being ... white in the next two years ... write ... it pays to invest today ... in that nation on the outpatient setting ... I don't know what it is yours well ... rather than half ... off thirty percent risk and reduce the risk of consultation ... and five to whatever it is ... that we're data comes in and we didn't have that data ... in the nineties ... the second thing is things quality matters that can be recorded ... on a real-time base is gonna be essential to have electronic health records to get to those quality Mattrick ... instantaneously ... and you can feel it that a doctor because all we had our walk ... we collect quality Mattrick six monthly be given to the doctor was six months I forgot what I did before I in no way of ... facing get probably the patients and an inner Cargill was asked what about when I'm supposed to do so ... ecosystem that we need to create ... a line between the hospital the doctors and other providers ... set by data on that identifies high risk patients ... in a real-time manner ... that's gonna be ... enabled by electronic health records ... we are just about to get there we're not quite there that that says Collins ... Stewart and company have that ... the problem though entire American health care system were not quite yet ... we now have you know majority of doctors are getting wired up the ... electronic records are still not perfect in that regard ... again keep your eye the ball I said that the American health care systems of the largest economy in the world ... may ... you not can it change it ... in two three four years it's gonna take the end of the decade ... he ended a decade we are really gonna be in this ... very robust place at all costs are talking about ... and that's can it be the moment we were really going to be able to see ... a dramatic ... slowing of health care costs ... when you say to a doctor says I don't know Ackman isn't going to announce that my my pieces are not a good chance it will ... then there's always another aspect of evidence based medicine was something that my patients that idea and not to actively know what doctors can't possibly keep up with the evolution of scientific thought and healthcare to the ... committee should perform with old support and technology ... so you have any metrics which you wanna be would do is say you know what ... part given him the move over me once in the last eighteen months and then some of the Christine Gregoire ... and they're waiting zero calling in time you come and get read ... because that improves quality ... that's a quality in this ... and that it is available today and we can deliver that ... so doctors refuse to do it now why he'd retire ... the lesser known yet about the position ... he can get at the heart of what is going on ... is that that is ... why ... many of the industry's ... ongoing modernization ... and who are ... the signs are mine just like the car industry in China ... during the two modernization ... what are ... you ... to remain in legal ... costs so they can be made affordable to everyone ... and while he's he's getting really good news ... right ... now are ... mutated diamond modernization ... he doesn't mean that ... the ... high performers back ... in the dark days ... are better off ... right ... the studio already on a Ferrari engine distilling mortgages car ... columnist ... but it is not in the Crucible phenomenon ... but so what happens is ... you know the differential ... and the average gains rates ... so are their own green ... physicians a handful of brilliant physician who can outperform ... the study ... yes so I ... mean he would be ... it was on it yes there are however that is not ... the way to manage population based ... we have to narrow the gap ... and Brady is ... the entire quality across the entire population ... and that's what we're trying to get it but I think they have been careful not to say that here is the ... absolute superstar position to which ... the new worm ... doesn't apply to his own but causing no can go ... when you really come out of cussing I think which are doing is to provide a new low of the sham ... that allows people to become of Tata Steel Michael was the patient ... become a better position to what the hell you did the dishes is really the social peace that this is this that that patients have to be better informed and better motivated to make sensible decisions to gauge the care of their own health and their families sell ... and in the diesels observer effect of this Medicare is supposedly conducts ... for people to rescue dogs that certain basic screening ... tests are going to be the best stroller so the problem like coincidence right ... that that that they're getting three goals and arresting wanted do with the likes of the prescription ran out after thirty six months of the Vikings were well it's ... been a lot of these things were very basic things that can it be tremendously expensive health particularly unstable board ... but the euro has been don't require ... unanimously sophisticated system in response to trying ... get the the I like it they they they don't want to play and for ... them the the ... that's the case of ... the experience ... means that the people to ... employees and people were in some very ... tough health care is the country ... and here's the deal knew you had the right to tells Bobroff that it's going ... to fifty bucks a picture ... all ... if you live the good fortune or check to one of the BTG what's yours truly to run ... but you have to pay for the right to abort your health ... if anybody and you'd like to know if if your benefit will look after since been generally unit recalcitrant people attended the be all about my age ... the segment is the ... we are actually get what the church to get ... the DTG OSU from infected Schaueble and increasingly frail health ... the mysteries of good things Latham for forcible wasn't adult ... the cookbook medicine ... charge because I do think it's very important to be clear ... in the ninety percent of patients said I would be in ... the Dow the residence where we have algorithms and there are plenty of things we don't know ... the ten percent of people who are unusual ... had ... twenty percent in depending on what to look at ... how the intrigue the patient ... right ... we know because of clinical trials ... write ... clinical trials fail to ride in patients with conditions ... and tell us what the best way to go is ... they are DEL rhythm driven ... why did I there is just ... yes the Whitnall Widens ... guessing when the evidence you make on an individualized here but many still be here ... because it's got no evidence based behind it ... if you've agreed that we need evidence to guide ... a doctor ... that evidence comes from a trial which is an algorithm driven ... sell the idea that we don't think we can engage in global mentioned twice in the face of ... how often we Guinea get the oven for Wal-Mart ... or ... shares in the end I can now with out ... having an algorithm under there ... we ... recognize ... we didn't try all people who work in the trial that this characteristic ... this woman has a very unusual breast cancer and it doesn't fit the categories ... that's the five or ten percent or twenty percent depending on the condition ... that is un usual and even had ... something different ... at the meeting at that point ... we are counting on edge for well worth the one we are going on our intuition but we should be ... distinguished ... in the July kit which is intuition been driven from ... Standard Ikea which is data driven ... when you think is likely to get to better care in the long run ... you really think ... gassing is the way to treat patients that's ... and ... I don't I need to do this cuz I completely agree with what you're saying I just want to be so absolute black and white ... indeed your blog it is a little different ... if you haven't and using the new the weather ... and the statistics say when you get huge cohort studies ... data to six centimeters years continuing a ... you should get operated on ... because it has licensed it to risk is at ... the ... back of course that all the sudden you know if you want the surgeons EU and one line though ... who has two hundred in the senior who's ... in and enjoy year after year after year morbidity and mortality beginning of two hundred one Q ... is one ... of the museum is the need for comparison ... and our nation comes to you ... do you advocate ... doing it earlier rather than later he did you know in your hands after ten years of having ... ten times of all animals turned into ... can you can do it better than the study that was reported ... the the the swabs an analyst with the outliers but I think it's important to understand ... while ... and then again I wanna come back a little bit too ... we're talking about is ... talking in dealing with age ... you know ... as much as I'd be up on a tear in a few really wanted the title and he does one then again ... aam I think it's important for us to understand that the patients that commercial carriers ... can employers in the ... busy very different population ... if you are willing to create a system where the two females ... and through you know that you're going to communicate with the average Medicare Medicaid patient ... you will go bankrupt ... to lose your patients are radically different than the million plus Medicare patients that we have ... every dinner system ... Internet population ... thirty four year olds into walls that have been people between eighteen and commercial population is very different ... than the goal eligible in the Medicaid Medicare populations ... so we have been nice ... remember that as we roll out costs ... and I come back from a population ... the future of containing costs and that it doesn't hurt America ... is gonna be much more on the government's ... Medicare Medicaid and the government and then it will be on the commercial site and we need to get the government proactively DG one of the commercial industry ... but the technology still don't ... own a new low for Medicare population because you can connect a type of touch ... soon the huge slap that you still cannot meet the dead people so you don't ... know what you have is in keeping people the whole logistics issue you going to write first without wants to ... win the evidence I have which may be the voice in the home is only of the dishes ... one way to me I mean greenery of adapting to just you know ... we have the young patients in a prison population aging quarrels in the law on the market here and one of the way with the need to care themselves ... into ... the new money ... great the kids are healthy ... and yes the wired up and they're checking ... most your Medicare patients are not checking and unit to provide personal care to that ... at this point in time for growing in all we take many weeks ago almost unlimited members and we over each of its universal ... now when you get into the building next to Melbourne to view this is done with tax the state governments provide the old homes ... in a lot of places for the Medicaid program and so you can reach them ... through their technology and he was in ... the air was great to it ... video one size fit all the attention ... that innovations and demographic that you know you're smarter market are due to the half to figure out ... how you ... that this patient population ... I'm that that ... yes young healthy people who buy Michael has a whole lotta healthcare ... develop virtual ... pet whether it's E-mail ... mentioned ... by ... and that could be wed in the euro Medicaid population ... the elation for ... tech savvy and find it a little folding it into the more personal life but ... the law to differ ways ... the ACA the car the hospital ... at home or in the eye wall clock settings and that transformation ... is worth a lot of money ... just add your goal with the job sweet little complicated incentives to promote the polluters to keep voters in it ... the the ... the sustainability of the trade ... the ... highly diluted reflected decisions be just what you said ... so if we say that ... did you were the QQQ bike test we will save you this much money to do so here are the ... lessons of the bill hits the recession ... when you build the government will lead me to ideas and ... right now about how the islands that I would argue the biggest inside of this loss of our carrots and sticks and More Wall ... it is so loving dad who made it so easy seventy one pm fuel so one ... thing you know they're a member ... maybe they get a message before they even know in a parking spot right ... and so the whole why in the nineteen forty two percent the population uses of your system and a summit this is ... the better definition of Paulina population is going to be competing yet it's easy for me to use the healthcare system ... I didn't managing my pal I'm not manage my health care ... will have to go to the wimpy and systems that some people do ... to make sure that I'm doing the right thing for myself ... and so that I think what you're going to do with your clients in every day ... is what we need to do in the health care system ... from a body experience up front which form of posts you will that earlier in the next few weeks ... and going through topics the Falcons the city of Arsenal to get the few weeks ago that ... I'd go into a light ... duty as the US to visit to get repetitive service ... it all out to be in the day before that I wanna be together ... I went to a facility to get a blood test ... and I sit there for forty minutes ... for two minute proceed ... and they didn't like Intel restaurant ... saying I want your cellphone number will send you a text message five minutes before your spot comes up ... there has never had to be in the sun is business ... as ... we go again this is business ... because ... people like me and ... many others and be able to make decisions now on ... the up exchanges ... with the added ... convenience making it easy ... it's gonna be an important area ... that I think the important criteria for a minute of my time ... may be valuable to the season is pretty valuable to me ... and waiting to enter and having them and ... in all nineteen eighties technology it seems to me to be crazy ... until I think this is gonna be one of the many areas where we see big improvements ... well I mean ... the next settling into our next they were getting at the end of our time ... and I would ... open up the likes of questions ... and ... I hope it isn't like I did this available if anybody has passed and although the fall of Rome the problem is a beacon of light ... I ... I and and and and when you ... go with them ... I ... I ... mom ... a onetime International in other countries the militants in tribal culture costs are breaking the bank ... so with the assault despite having the government before ... they have the same issues in their systems been built on a western novel in the Western nations ... retire Here window last ... and so you see different forms of rationing in those countries religion still have the capacity ... to deter people who were doing in China the Middle East is around systems that are now or merging with middle classes enter emerging ... and they are very cognizant of ... the Western health care system regardless who pays the bill isn't working I designed it ... this country back in the seventy shopping people are are probably most important thing is ... that they're all systems planners ... because they don't live in your system buying more technology and putting another hospitals ... and we really spend that time which were doing and Emma Agnew weary of Kim's in China ... nor do in the Middle East is recalling them design ... we just stopped our system worked starter apartment women ... manager populations are still working on population who uses the support of his everybody from all the will ... of the will economic Forum ... just nearly two years ago said ... health care costs ... are one of the top two drivers in the world economy ... so it's not sold ... to ... go ... the ... I ... people are doing a bit of their family different for him I don't have the animation that we have ... I and millions of model it means to a merger of the sciences to support the population ... is in a largely ... quiet but in Palm economies with health insurance as a mechanism is more government ... ALM so one of the infrastructure of this is it's also important to his no one solution because there's no one homogeneous and people ... we all are different countries different demographics to police the ... values that ... so I can ... be in and ... in constructing their noses and that's ... the ... best in the world because of the population is received or how the new health care isn't it how we knew each other and society and there was I it's so good ... I think leading to a position will be CEO of the country doesn't bear ... doesn't work because ... that country is very ... important and it might be in a demographic makeup ... says ... for some of it ... now ... but during the whole exchanges which are starting to get started in ... nineteen hours ... it seems that the key one of the keys will be ... listing young people ... to want to talk about some carriers serving or who encounter there ... well ... let us be clear ... you can buy beginning October first you can buy to get insurance for twenty fourteen all the way to December thirty one second you can buy into ... awful way to March thirty first of ... all make ... you know October first like his big day even if it doesn't although I want over thirty first y'all hope the breakthroughs can be found to be ... you know we've got ... three months before opening day is the words of love with a winner at another step to begin providing care sold at the wheel with three of the October first way too much in ... my humble opinion ... so the Congressional Budget Office in all the full fiscal projections are based upon seven million ... people signing up for the changes in the first year ... so that would be in the first six months ... with ... that two point seven million of them being young people not ... up ... I think we're actually in a sea of ... that and probably more or ... aam and I think we do we have had a communication problem I think it's improving people are talking about the exchanges ... on the new you know a couple of ... my stories I was ... talking to a guide to garner from California ... for a probable that I'm doing on health care ... and ... you know ... he ... his guys don't make a lot of money seventeen thousand dollars working sixty to week eight hours a day and you want to provide health care he says he's going to get a ... bit ... hundred dollars a month or we can afford it ... he now wears hearing about California changes he's seen the leniency set ... at two hundred or slightly under two hundred dollars a month for his people ... he can fit in ... and he's gonna do ... is he generalized the ball ... I think if you look at the California Change and it's not the only one ... the prices there are pretty remarkable you know if you are twenty five to roll ... not a smaller you to be able to get and they pay ... me up top for about thirty four dollars a month subsidize ... than a hundred fifty percent of ... the war ... so what are some of ... the year ... that's pretty good deal ... so I think the real lesson is how good of the deals out there ... and I think the deals for most young people that the subsidy for going to be pretty ... darn good remember again ... young people engaged Artie don't need a viable plan to combine catastrophic plan and again this another way of inducing them into the experience ... of buying insurance ... the key not only knew how to keep in mind the whole world yet ... I'm not April worse it's gonna be ... two point seven million ... people is that the number that caught me and board ... that beats the heck I for one more question that will leave that ... for the month on a ballroom at ... up yours ... he sees a doctor ... two years ... for a change in my pjs ... the Demons discussion ... so what's in sch and silly or continues to give our employees ... the influence they have even been given the proper incentives get across a new job gains we apply concentrations of people ... we can bring your directly to where they work or folks were more than three ships the workweek gives ... the green ... light to kill providers right alongside me to make it easy for these partnerships work I think ... what did you define debts were fittingly the need to find alternative models of care where ... we can ... you know when one of the US will worship with employees say ... together we have to address health care costs to get the health of you in your family ... and to do so we're gonna provide information or to provide counseling reply was what resources ... in the willingness to really engage in this in a way to the top half of this is as it has been historically ... but as informed and active than in Wellington ... the terrorists that ... works for me to cut costs ... and so far been intertwined or twenty seven year old alternatives to ... try out my Kovalev ... to lose a master let me tell you about metabolic syndrome in damages to know ... the militants are no they're handled the placement part of their friends ... because the consequences are too far away ... would you make it simple and convenient bring the people of the workplace ... you don't have to wait forty minutes for CBC in some hostile much of the powers ... from the Indigo two he didn't seem yes on the way to work in the morning ... you have a fundamentally different kinds of people willing to ... get in it so that's that that make it simple ... in addition honesty ... see I didn't ... really communicate with patients ... make sure that they understand the ramifications of what you doing ... for short term ... and long hair ... can be on the site to actually critical ... yummy I would add to the exchanges is that ... we don't need to reinvent the wheel we know what ... I mean it in Massachusetts I've lived for years in Massachusetts ... and ... that's what I had the ACAT good while replicating a lot of the weekend don't you can learn from mistakes we ... radio over over that ... time thank you very


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Medicines for Autism
Medicines have a limited role in improving symptoms of autism . But some may help prevent self-injury and other behaviors that are causing difficulty. Medicines may also take a child to a functional level at which he or she can benefit from other treatments.
There is no standard medicine for the treatment of autism. The American Academy of Pediatrics (AAP) suggests targeting the main one or two problem behaviors when considering medicines. footnote 1
Medicines that are sometimes used to treat behaviors related to autism include selective serotonin reuptake inhibitors (SSRIs) and antipsychotic medicines. footnote 1
Selective serotonin reuptake inhibitors (SSRIs)
Selective serotonin reuptake inhibitors (SSRIs) include citalopram, fluoxetine , and sertraline. These medicines may help with depression, anxiety, and obsessive behaviors. SSRIs have side effects, such as weight gain, insomnia, and increased agitation, but the side effects tend to be less serious than those of antipsychotic medicines.
FDA advisory. The U.S. Food and Drug Administration (FDA) has issued an advisory on antidepressant medicines and the risk of suicide. The FDA does not recommend that people stop using these medicines, but they do recommend that people who use these medicines be watched for warning signs of suicide . This is especially important at the beginning of treatment or when the dosage is changed.
Antipsychotic medicines
Antipsychotic medicines, such as haloperidol, risperidone, and thioridazine work by changing the effects of brain chemicals. They may help decrease problem behaviors that can occur with autism. Risperidone has been shown to reduce tantrums, aggression, and self-harming behavior in children with autism. footnote 2
But these medicines can have side effects, including sleepiness, tremors, and weight gain. Their use is usually considered only after behavior management has failed to address the problem behaviors.
Other medicines that are sometimes used include: footnote 1
- Clonidine (Kapvay) and guanfacine (Intuniv). These medicines are used to treat impulsive and aggressive behaviors in children with autism.
- Lithium (Lithobid) and anticonvulsants, such as carbamazepine and valproic acid. Children who are occasionally aggressive may become more stable when using these medicines, although monitoring the level of the drug in the body through regularly scheduled blood tests is required.
The effectiveness of these medicines varies by individual. Side effects are possible and should be discussed with your doctor. Some doctors may advise going off a medicine temporarily, to identify whether it is having a positive or negative effect.
The U.S. Food and Drug Administration (FDA) has issued a warning on anticonvulsant medicines and the risk of suicide and suicidal thoughts. The FDA does not recommend that people stop using these medicines. Instead, people who take anticonvulsant medicine should be watched closely for warning signs of suicide . People who take anticonvulsant medicine and who are worried about this side effect should talk to a doctor.
- Myers SM, et al. (2007, reaffirmed 2010). American Academy of Pediatrics clinical report: Management of children with autism spectrum disorders. Pediatrics, 120(5): 1162-1182.
- U.S. Food and Drug Administration (2006). FDA approves the first drug to treat irritability associated with autism, risperdal. FDA News. Available online: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/2006/ucm108759.htm.
Current as of: May 3, 2017
Author: Healthwise Staff
Medical Review: John Pope, MD - Pediatrics & Louis Pellegrino, MD - Developmental Pediatrics

subset: commoncrawl


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Subscribe To Daniel Radcliffe Could Be Joined By Toby Kebbell Or Jack Huston In New Frankenstein Adaptation Updates
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When it was announced earlier this month that 20th Century Fox had officially announced a release date for their upcoming version of Frankenstein, it was a clue that the production is finally ready focus on putting all of its pieces together in order to get ready for cameras to start rolling. It was revealed that Fox wants to have the movie ready to be released in theaters on October 17, 2014 - just in time for the celebration of Halloween - and while they have some key positions set, there's still quite a bit of work to be done. Screenwriter Max Landis, who wrote Chronicle and made headlines recently for bashing Zack Snyder's Man of Steel, has penned the script; Paul McGuigan, who hasn't directed a movie since 2009's Push, is helming the film, and Harry Potter himself Daniel Radcliffe is attached to play Igor. But what the filmmakers and studio is looking for now is someone to play the title role.
Deadline has gotten their hands on a shortlist of actors being considered to play the brilliant Dr. Victor Frankenstein, and while the sites says that there potentially other stars being looked at, there seem to be two that are leading the pack, namely Toby Kebbell and Jack Huston.
Kebbell, who made his first film appearance in the 2004 British crime thriller Dead Man Shoes, isn't quite an A-list name yet, but has worked with some big filmmakers on some big projects, including Oliver Stone's Alexander, Woody Allen's Match Point, Guy Ritchie's Rocknrolla, and Steven Spielberg's War Horse. Most recently he starred as Doc in the Sundance hit The East, alongside Brit Marling, Alexander Skarsgard and Ellen Page, and is currently in production on Fox's Dawn of the Planet of the Apes (which could possibly give him an edge).
Huston, who is the nephew of Anjelica Huston and Danny Huston and grandson of great director John Huston, has been making his way through Hollywood both on the big screen and the small. He is perhaps best known for playing the scarred Richard Harrow on HBO's Boardwalk Empire, and last starred in David Chase's music drama Not Fade Away. Similar to how Kebbell has a connection to the studio through his next blockbuster, Huston actually previously had the chance to collaborate with Radcliffe, the two stars coming together for the indie Kill Your Darlings, in which the two actors play Jack Kerouac and Allen Ginsberg, respectively. The film will be getting a limited release this October.
Deadline's sources say that the decision regarding who will play Frankenstein will be determined either this week or next, but fails to mention when the production is actually planning on getting going. There is still a lot of work to be done and more actors to find - who will they get to play the monster? - but presumably those slots will be filled in the coming weeks.


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// ES: another indicator of web decline. Yahoo is in real trouble.
(Bloomberg ) Google Inc. (GOOG), drawing from its $56.5 billion cash pool, is spending more money than five of its biggest U.S. competitors combined to buy into new markets as growth in Web advertising slows.
Including this week's announced deal to buy Nest Labs Inc. for $3.2 billion in cash, Google has spent more than $17 billion in the past two years to purchase hardware, software and advertising-technology companies, according to data compiled by Bloomberg. Apple (AAPL) Inc., Microsoft (MSFT) Corp., Facebook (FB) Inc., Amazon (AMZN).com Inc. and Yahoo! Inc. have spent less than $13 billion in total to buy companies in the same period, based on deals with disclosed prices.
The spending blitz, which is mostly in cash instead of stock, underlines how Google is paying top dollar to expand its reach and acquire the talent necessary to push deeper into areas such as smartphones and Web-enabled gadgets. While Google has dominated Internet search, a business that generates billions of ad dollars each quarter, the company is seeking new revenue from other sources and turning to its cash hoard to provide an advantage.
"They're looking at what's next," Sameet Sinha, an analyst for B. Riley & Co. in San Francisco, said in an interview. "They're saying we're going to keep our cash for acquisitions."
Leslie Miller, a spokeswoman for Mountain View, California-based Google, declined to comment.
Slowing Growth
Google's cash and equivalents jumped 24 percent from a year earlier in the third quarter to $56.5 billion, while net revenue increased by 5.2 percent to $11.9 billion. Google gets 84 percent of sales from Internet ads, even after diversifying into hardware and other areas.
Revenue growth slowed last year and is expected to do so again in 2014 based on analysts' estimates as more online activity shifts from personal computers to smartphones, tablets and other connected devices. That hurts Google's sales because mobile ads typically cost less and because search is less prominent on other devices. By 2017, PCs will account for 13 percent of connected-device shipments worldwide, down from 29 percent in 2012, according to researcher IDC. Tablets will make up 17 percent by 2017, and smartphones will account for 71 percent, IDC said.
Nest Benefits
Google's all-cash acquisition of Nest, its third biggest, gives the company a maker of smart thermostats and smoke alarms built by Tony Fadell, who previously helped Apple co-founder Steve Jobs create the iPhone. Fadell's co-founder Matt Rogers is also an Apple alumnus, as are at least 97 Nest employees, according to LinkedIn Corp. That's talent Google can put to use.
"They know from their Apple days how to scale something," said Rob Coneybeer, a partner at Shasta Ventures in Menlo Park, California, which was an early investor in Nest. "These guys are not just good startup designers who can work on a shoestring, but they know how to deploy and leverage lots of capital."
The Nest deal follows the June 2013 purchase of mobile mapping software maker Waze Inc. for almost $1 billion in cash, Google's fifth-largest acquisition. Waze provides social tools that Google can incorporate into maps, along with showing real-time road hazards and alternate routes. Facebook had been in talks to buy Waze before Google succeeded with its offer.
Google's biggest acquisition was its $12.4 billion deal for Motorola in 2012, which gave the company a smartphone maker along with a portfolio of wireless patents. It's all part of Google's recognition that the Internet is everywhere, with search and display ads making up just a piece of it, according to Frank Gillett, an analyst at Forrester Research Inc. in Cambridge, Massachusetts.
Crossing Boundaries
"In this world of interacting with lots of different connected products, the integration of hardware, software and cloud service will be really important," Gillett said. "At some point, really good advertising starts to cross the boundary into assistance and advice."
Google later sold off a piece of Motorola for more than $2 billion to Arris Group Inc.
Among top U.S. competitors, Microsoft has been the biggest buyer in the past two years after Google, spending about $9 billion. Most of that was on the pending $7.4 billion purchase of Nokia Oyj's handset unit and the $1.2 billion acquisition of business-software provider Yammer Inc.
Facebook's biggest deal was mobile photo-sharing application Instagram Inc. for more than $700 million in 2012. The company was spurned in its effort last year to purchase mobile app Snapchat Inc. for $3 billion, a person with knowledge of the matter said in November.
Amazon, Apple
Amazon's only notable deal in the past two years was for robotics company Kiva Systems Inc., which cost about $700 million. Yahoo's disclosed deals total about $1.2 billion, with most of that spent on blogging startup Tumblr Inc. last year.
Apple's spending amounted to less than $1 billion since early 2012, with about $350 million spent on fingerprint-technology company AuthenTec Inc. The company has been using its cash, which totaled $146.8 billion at the end of September, to placate shareholders like Carl Icahn, who are demanding greater returns. The company paid out $2.8 billion in dividends and bought back $5 billion of its shares in the fiscal fourth quarter.
Other Spending
While Google has resisted returning cash to shareholders, not all of its money is being spent on acquisitions. The company is investing internally on products like computerized Google Glass eyewear and driverless cars.
To bolster its experiments in robotics, Google acquired Boston Dynamics Inc. in December. The company, which makes robots for the U.S. Defense Department, will be part of a new product area led by Andy Rubin, former head of the Android software unit.
Gene Munster, an analyst at Piper Jaffray Cos., said Google will need to continue making "big bets" to move its leadership in search into new areas.
"They're trying to solve bigger longer-term problems, and to do that they need platforms," said Munster, who has the equivalent of a buy rating on the shares. "They're willing to pay up for those platforms."


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Incorporating Energy Efficiency into Western Interconnection Transmission Planning. 2014. LBNL-6578E..
Insights from Smart Meters: Identifying Specific Actions, Behaviors and Characteristics that drive savings in Behavior-Based Programs. State and Local Energy Efficiency Action Network (SEE Action), 2014. LBNL-182663..
Insights from Smart Meters: The Potential for Peak-Hour Savings from Behavior-Based Programs. State and Local Energy Efficiency Action Network (SEE Action), 2014. LBNL-6598E..
Integrating Solar PV in Utility System Operations. 2014. LBNL-6525E..
"A method to estimate the size and remaining market potential of the U.S. ESCO (energy service company) industry." Energy 77 (2014) 362-371..
"On-Bill Finance: From Policy to Promise to Practice." 2014 ACEEE Summer Study on Energy Efficiency in Buildings. Asilomar Conference Center, Pacific Grove, California: ACEEE, 2014..
"Photovoltaic System Pricing Trends: Historical, Recent, and Near-Term Projections - 2014 Edition." 2014..
The Program Administrator Cost of Saved Energy for Utility Customer-Funded Energy Efficiency Programs. 2014. LBNL-6595E..
Relationship between Wind Turbines and Residential Property Values in Massachusetts. 2014. LBNL-6371E..
"Renewable Electricity Futures for the United States." IEEE Transactions on Sustainable Energy 5.2 (2014) 372 - 378..
Residential Prosumers: Drivers and Policy Options (Re-Prosumers). International Energy Agency (IEA)- Renewable Energy Technology Deployment, 2014. LBNL-6661E..
"Selling an Energy Efficiency Loan Portfolio in Oregon: Resale of the Craft3 loan portfolio to Self-Help Credit Union." 2014..
"Spatial Hedonic Analysis of the Effects of US Wind Energy Facilities on Surrounding Property Values." The Journal of Real Estate Finance and Economics (2014)..
Strategies for Mitigating the Reduction in Economic Value of Variable Generation with Increasing Penetration Levels. 2014. LBNL-6590E..
A Survey of State-Level Cost and Benefit Estimates of Renewable Portfolio Standards. 2014. LBNL-6589E..
"Survey of Western U.S. Electric Utility Resource Plans." Energy Policy 66 (2014) 90-103. LBNL-6545E..
"The Total Cost of Saving Electricity Through Utility Customer-Funded Energy Efficiency Programs." 2014..
Tracking the Sun VII: An Historical Summary of the Installed Price of Photovoltaics in the United States from 1998-2013. 2014. LBNL-6858E..
"Tracking US photovoltaic system prices 1998-2012: a rapidly changing market." Progress in Photovoltaics: Research and Applications (2014) n/a - n/a..
2012 Wind Technologies Market Report. . 2013. LBNL-6356E..
"An Analysis of Residential PV System Price Differences Between the United States and Germany." American Solar Energy Society Annual Meeting. Baltimore, Maryland, 2013..
"An Analysis of Residential PV System Price Differences Between the United States and Germany." 39th IEEE Photovoltaic Specialists Conference . Tampa, Florida, 2013..


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EDMONTON - The Edmonton region could reach 1.5 million people within a decade if the working-age population keeps rising at its current rapid pace, city economist John Rose says.
The number of people in the area over age 15 increased by about 30,000 in the past year, a boost of 3.1 per cent, he said Wednesday during a year-end interview.
That's more than double the national average growth of 1.2 per cent, driven mainly by the booming job market and low unemployment.
"It's significantly stronger than what I was expecting," Rose said, adding the region's population is quickly heading to 1.5 million from the current 1.2 million.
"I wouldn't be surprised to see us getting to those type of numbers in five to 10 years … You will see a much more diverse economy and community, and a city that's able to sustain a much broader range of activities."
His latest projections show the city of Edmonton reaching nearly one million residents by 2025, but he said that forecast might be changed as a result of the strong economic growth.
While a bigger population usually indicates there are plenty of jobs, it also means governments must spend more to serve all those new residents, Rose said.
"This is a real challenge. Obviously, the city … has to be ahead of that growth. We have to invest in new recreation centres, fire halls and everything else in anticipation of that increase in population."
Most of the people coming to Edmonton are in their prime working years, from their late 20s to late 40s, and many want to live in apartments, condos and townhouses rather than traditional suburban bungalows, he said.
This means there should be a market for homes in downtown condos and the City Centre Airport project.
"The economic fundamentals suggest there's going to be people over the next 10 to 15 years to fill those developments, but it's going to be over the long term, particularly the airport lands," Rose said.
"It's going to take time for that to be built out."
But one potential roadblock to the continued strong economy is a shortage of labour.
To avoid this possibility, Edmonton must ensure it's attractive to the workers it needs, he said.
"They're young, they're well-trained, they can go anywhere," he said.
"The city has to maintain and enhance its image as a community not just to go to because you want a job. It's a community to go to because it has a good quality of life. It's a good place to live."


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Elvenhome almost always refers to Eldamar (which is "Elvenhome" in the Elves' own tongue), the homeland of the Elves in Aman,[1] but also was a general term for a land inhabited by Elves.
For example, Elvenhome can also refer to Doriath,[2] and an Elvenhome is mentioned in the Hobbit-poem The Hoard,[3] obviously modelled after Nargothrond.[source?]
See also
- ↑ J.R.R. Tolkien, Christopher Tolkien (ed.), The Silmarillion, "Index of Names"
- ↑ J.R.R. Tolkien, The Lord of the Rings, The Fellowship of the Ring, "A Knife in the Dark"
- ↑ J.R.R. Tolkien, The Adventures of Tom Bombadil, "The Hoard"


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Beautiful, beautiful, beautiful. Every thing was PERFECTION! Thank you. We only have praises. The food was tended to until very late: there was no rush to dismantle things. There was not a single empty can or bottle left behind. The staff in the office and at the event was so friendly, yet professional and attentive. We are glad we have discovered Puff 'n Stuff. You have mastered your trade!
Your staff was truly a dream come true! They were extremely attentive and on the ball from our first contact. Kelly McVeigh truly helped make my evening magical and all of your staff from the supervisor and chef to the servers and bartenders were absolutely professional as well as fun. I couldn't have made a better choice. Among all of the caterers I talked to, Puff 'n Stuff is number one in our book. We plan to work with you in the future if we ever plan another event.
All I can say is WOW. I never knew catered food could taste so good! My parents and husband were all blown away. I got so many compliments on how fantastic the food was. In fact, I spent too much time eating my own wedding dinner rather than visiting with my guests. No regrets here though – the food was that good! I found the wait staff very professional and they tended to my every need. I HIGHLY recommend them to any bride. You will NOT be disappointed!
Absolutely amazing! The quality of food, the presentation, the value all exceeded any expectation we may have had. We worked with Lauren throughout the planning process and Lindsay the day of, both of whom were top notch. My husband as well as all our guests raved about how great the food was. We originally chose Puff 'n Stuff because of their uniqueness and that did not disappoint. Best caterer in Tampa Bay hands down.
If the quality and taste of your food is important to you, this is the place to go! My guests still talk about how delicious the food was! Heidi and Heather were great to work with. They helped me choose a menu that met our expectations, yet allowed us to stay within our budget. As the bride and groom, we were constantly taken care of and always had someone checking up on us. Thank you for the amazing service and food!
Puff 'n Stuff went way beyond my expectations! All of my guests LOVED the food and couldn't stop talking about it! They took care of everything! It was so nice to not worry about anything. They even dealt with a downpour of rain and they still came through! I definitely recommend them to everyone no matter what the occasion is!
Puff 'n Stuff was not only the most amazing food, but the unbelievable service and attention to detail. They took everything we want and made it happen.
My husband and I were looking for a very personalized menu, and were worried that it wouldn't be presented the way we had hoped. They paid attention to everything we asked for and made it beautiful.
The event was a complete success! Thanks so much for all of your help and attention to detail. We will certainly keep you at the top of our list for catering services the next time we find a need in the Orlando area.
I just wanted to take a minute and shoot you an e-mail to thank you and your staff for all the wonderful work that you do. My relationship started with your company a few years back when my wife and I got married. Mary Brumley was a life saver and made the whole event spectacular. As she can attest I am very detail oriented and out of all the vendors Mary and your staff was the one that I had no concerns on delivering a wonderful presentation and great food.
When I recently had to plan an open house for my new employer, Emily and her team came to my rescue. With a strict budget, an estimated 50 guests and two CEOs with very different tastes, I knew this project was my initiation into the family. One wanted to go full out catering and one was cool with Publix chicken tenders. Given our company is one of the most prominent IT firms in the Orlando and Jacksonville markets… I knew the V.I.P. treatment was a given.
Puff 'n Stuff Catering is a full service wedding, corporate & holiday event caterer.


text:
Found 6 resultsAuthor [ Title] Type Year
Filters: Author is Hayes, Daniel [Clear All Filters]
Disentangling climatic and anthropogenic controls on global terrestrial evapotranspiration trends. Environmental Research Letters. 10(9):094008.. 2015.
Global land carbon sink response to temperature and precipitation varies with ENSO phase. Environmental Research Letters. 12(6):064007.. 2017.
Global Patterns and controls of soil organic carbon dynamics as simulated by multiple terrestrial biosphere models: current status and future directions. Global Biogeochemical Cycles. :n/a-n/a.. 2015.
Global patterns of drought recovery. Nature. 548120552650044912911053915264037164349213639132911663293417411117447125110348372561527126110118(7666):202-205.. 2017.
The need for "apples-to-apples" comparisons of carbon dioxide source and sink estimates. Eos, Transactions American Geophysical Union. 93(41):404.. 2012.
Toward "optimal" integration of terrestrial biosphere models. Geophysical Research Letters. 42(11):4418-4428.. 2015.


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Flotation is the heart of your business. Trust it to someone with the commitment to achieving the best performance at the lowest cost. Nalco Water's flotation programs are developed to overcome common industry problems encountered in a variety of metals and minerals operations, resulting in improved performance, increased recovery and optimal separation from host minerals. Our holistic product line, in conjunction with our unique collector and frother chemistries, provides a toolkit to optimise the performance of your flotation circuits. Additionally, our flotation experts provide on-site assistance and in-depth industry knowledge.
Explore our Flotation Offerings
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Vivian Hernandez-Jackson's Guide to San Diego Sweets
In her popular Ocean Beach bakery Azúcar, Vivian Hernandez-Jackson combines her classic French training with her Cuban roots. Yet despite being surrounded by more than worthy candidates to satisfy any sugar cravings—take a look at the the Cray-Nut or the Divina, for example—she still maintains fierce loyalties to a host of sweets scattered all over San Diego. Here are her picks, from early morning sugar bombs like pineapple upside down pancakes to a bread that's so chocolatey it's liable to put you into a chocolate coma.
Vivian's picks
Rachel King's Coconut Lemongrass Tapioca: It is coconut heaven: creamy, sweet, and tart. My husband and I each have to get our own. Rachel says she'll be adding it to the dessert menu at Nine-Ten, where she's the new pastry chef.
Cannoli at Pomodoro: I am a huge cannoli fan and Pomodoro in Point Loma has the best. They're very dense, not full of "fluff". Even if I am stuffed after dinner I get one to-go for breakfast.
Pineapple Upside Down pancakes at Snooze: I love these for a sweet breakfast treat. The custard sauce on top is craaaaazy.
Spumoni at Gelato Vero Caffe: This is my favorite gelato. It has a little bit of everything: cherries, nuts, and chocolate.
Salted White Chocolate Cookie at Tender Greens: This cookie is just awesome. I always grab one to balance out my healthy salad.
Cinnamon Roll (with raisins) from Con Pane: I never get to eat much of this, as I have to pry it out of my two year old's hands. I wonder where her love of sugar comes from....
Amaretti Cookies from Bread and Cie: I love almond flavors and Bread and Cie makes these little amaretti cookies that rock. I also love the chocolate pain latte but I need to make sure there is nothing else I need to get done for the day before I consume this. Chocolate coma. OMG so good.
Salted Chocolate Crunch Bar from Chuao: This is dangerous, as in I will inhale it in the car on the way home
Lemon Mist Cake at Sea Side Market: The lemon mist cake (available by the slice at the their deli counter) reminds me of a childhood favorite. I lived off of this through both my pregnancies. Everyone showed up at the hospital with lemon cake! Much better than flowers.
Torte Lion Belge from Michele Coulon: I love all the texture in this dessert. Layers of rich chocolate cake, chocolate meringue, chocolate mousse and chocolate cream.This is definitely a treat for me, it is chocolate to the extreme.
Chocolate Cake at D Bar: I just love this chocolate cake. Don't be fooled by its simple appearance, it is crazy good.
All products linked here have been independently selected by our editors. We may earn a commission on purchases, as described in our affiliate policy.


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CCTV Sharjah : CCTV Camera Installation and Repair Services In Sharjah – UAE
We provide the best in class CCTV camera installation and repair for all Residential, Business and Commercial in Sharjah and across UAE.
Are Looking to improve / enhance your current surveillance security system in Sharjah to the next level.
CCTV Dubai HQ offers an ideal solution for Homes, Business and commercial organization with our highly professional and experience team that provides a complete security solution throughout Dubai and UAE.
Call us Today! (055)-227-9226 for a free site visit.
Located In Beautiful Sharjah City
CCTV Sharjah
Phone: +971 4 770 7217
Secondary phone: +9715 590 7064
Email: [email protected]
URL: https://www.cctvdubaihq.com
CCTV Brands That We Serve
CCTV Installation Service In Sharjah
Why Choose Us
Below are the reason to choose us as your CCTV Supplier and Installer in Sharjah and across UAE.
Why do you need CCTV Camera Installation in Sharjah?
CCTV is a very powerful tool in the fight against crime. Not only does CCTV provide a fantastic visual deterrent – footage can be used to provide evidence against anti-social behavior, theft, vandalism and burglary – saving you thousands in the long run.
All About CCTV Cameras You Need To Know
PTZ CCTV Camera
Pan/Tilt/Zoom (PTZ) dome cameras have become the most popular choice for applications that require the ability to position and zoom the camera to a specific area of interest. CCTV Dubai has a comprehensive line of PTZ domes with models to fit a wide variety of applications.
Dome CCTV Camera
One of our most requested CCTV camera lines, the selection of fixed domes is comprehensive and boasts an impressive array of features and functions. From indoor to vandal resistant environmental model, CCTV Dubai have the dome cameras you've been looking for.
IP Fisheye CCTV Camera
The new IP fisheye camera's feature a new 360° omni-directional surveillance range with a fisheye lens and various viewing options. This advanced technology is equipped with 3MP, 1080p high definition images. CCTV Dubai have the IP fisheye cameras you've been looking for.
Wireless CCTV Camera
CCTV Dubai has a comprehensive line of Wireless CCTV Cameras, domes with models to fit a wide variety of applications. Connect to your router with a push of a button, register your camera on-line, open your web-browser, and start monitoring. It's that simple.
Bullet IP CCTV Camera
Bullet IP Cameras are becoming more and more popular because they make installations simple. CCTV Dubai offers a wide variety of configurations in analog bullet cameras, and is now leading the way by introducing IP camera version.
Box CCTV Camera
CCTV Dubai Box Cameras provide industry leading performance, cutting edge technology and the right form factor for those applications and installations that require a box camera.
Network Video Recorder (NVR)
For IP video applications that demand a dedicated recording appliance, CCTV Dubai offers a complete range of high performance NVRs that are designed to provide high quality images while conserving storage and network resources
Digital Video Recorder (DVR)
CCTV Dubai has a DVR to meet any application requirement which offers a complete range of high performance, H.264 DVRs that are designed to provide high quality images while conserving storage and network resources.
Video Management Servers
Video Management Servers functions as primary data managements, which allows the (NVR) to apply bandwidth to focus of video storage and viewing station by distributing bandwidth to reach maximum performance.
CCTV Installation Service Provider In Sharjah
Call US today – (055)-590-7064 – Free Site Visit and Quotation
Are you looking for a complete CCTV Surveillance System for your Home and Business in Sharjah.
Video surveillance is a very effective way, whether you reside in Sharjah or own a business venture, unmatched security is a prime requisite for your office or residence.
As a homeowner or entrepreneur, you simply can't compromise on security issues. If you are looking upgrading your existing security systems, thus making way for innovative technologies that deliver cost effective security.
Video surveillance is a very effective way to check your home or business, whether may it be for security concerns or any key vulnerability points in and around your property.
Associating with CCTV company in Sharjah will be the best thing to do in this context. However, you must be sure of making the right choice.
Choosing the best CCTV Installation services in Sharjah can prove to be an overwhelming task if you are unaware of some of the unique tips.
However, there is no denying its importance, since it helps you track intrusion or trespassing.
Here are 3 important factors that your need to remember while choosing CCTV Installation company in Sharjah.
1. Evaluating your requirements
Identifying your security requirements will be the first thing to do. See whether you wish to have both audio and video recording or simply video.
If it's both, then there will be issues of connectivity, camera, and recording. These are some of the aspects worth keeping in mind while selecting CCTV service in Sharjah.
2. Choosing the Right camera
Since it's all about CCTV installation, the camera will undoubtedly be a crucial factor worth considering. You will have to look for the correct size, appropriate designs and make sure that the camera doesn't stand out amidst all other things in your room.
If you don't want your visitors to feel intimidated by the presence of a bullet or box close-circuit camera, then choosing ceiling color blend dome-shaped cameras will be the right move. These cameras are less visible than their other counterparts helping you maintain secrecy and privacy.
3. Designating the installation location
Selecting camera is half the battle won. You will also have to identify the locations of its installations. Placing them in the appropriate corners will prove to be beneficial. Or else, you can also install them in the places where most of your valuables are kept.
Apart from these locations, you will also need to check whether your CCTV system offers pristine outdoor home security.
In most cases, security surveillance system is conducted to ensure the ongoing safety and security of the property.
In Sharjah we provide the best security camera installation service for home and business.
We know buying CCTV system can be a daunting task. There are lots of choices to be made and it can be very confusing.
We simplify the entire process and provide the best surveillance systems installation service in Sharjah at an very affordable price.
We being the master in delivering flawless installations and maintenance in Sharjah, the end to end solution we provide cover all the phases, ranging from planning to installation with the branded products.
With our cutting edge solutions allows you to monitor the situation in a detailed and much-refined way. Whatever the explanations you have, our team of specialists are here to help you.
We bring together the strategies at the early stage itself that help you to get an overview of the surveillance you are supposed to receive.
The deployment and the installation of CCTV cameras in Sharjah for any kind of commercial purpose and residence is assured with us. Call us now for a great and wonderful deal.
After completing site security evaluation, we provide you a complete blueprint for CCTV surveillance system of why and where you need your security cameras to be installed, which is obtained though placing of video cameras in strategic locations in and around your home or business place.
As a reputable and experienced CCTV installer and supplier, we can provide a dedicated CCTV installation and services with a high quality CCTV surveillance system to suite any property and budget.
We install, maintain and service industrial, commercial, and domestic CCTV installation on sites across the Sharjah and entire United Arab Emirates.
We provide cost effective evidence quality CCTV surveillance systems tailor-made to meet your requirements.
If you are looking for an affordable security surveillance system in Sharjah, then look no further. With a vast range of different equipment available, it is important to select a security cameras installation company in Sharjah that will provide the right system for your objectives.
We have the experience and expertise necessary to ensure the right equipment is chosen, meeting your objectives and budget and providing peace of mind.
Away from home? Holiday or work? We can provide CCTV Installations that allow you to view your property over the internet and on your Iphone or any smartphone from anywhere around the world! Enquire now!
Our extensive range of security services protect against more risks at more points, enabling confidence wherever people, property and profits are concerned.
We not only provide CCTV in Sharjah but we also been providing various other related services in all over United Arab Emirates like Network Infrastructure, Structured Cabling, PBAX/Telephone System, Access Control, Video Communication and much more.
Call us today and we will give you a comprehensive free, no obligation survey and written quotation.
We can work together to suite your budget and provide you with a dedicated CCTV installation that is guaranteed to monitor every moment and every angle of your premises.


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Gift Shop
From jewelry to cathedrals; KOG has been in business since 1888 for a reason: beauty is a valuable commodity in any century, in any year, for every person in their own way.
Beauty is always in demand and the best, time-tested, handcrafted techniques still make the most beautiful glass products.
Decorative glass and sculptural glass aren't just art glass: they're the light, too. When a craftsman assembles a window out of sheet glass, he's not just making a window, he's creating an atmosphere. The window stays fixed in its frame, but the light in the room is always changing and transforming depending on the angle of the sunlight streaming through the glass. In the same way other art glass and decorative glass products—suncatchers, jewelry, trophies etc.—aren't only beautiful in and of themselves, but they make everything around them more beautiful as well.
At KOG, our art glass and sculptural glass products fall into two main umbrella categories: specially made materials for the artist to use in crafting his or her own vision and finished artworks for "the collector," whether individual or corporate.
Our specially made materials consist of rondels, dalle de verre, sheet glass, stained glass windows and cast glass, in a wide spectrum of colors and styles to the exact specifications that you order. We are passionate about working with artists, and are glad to engage in fine levels of detail and to produce special orders according to your specifications.
As far as our finished artworks go, if it's glass we can do it! Our glassmakers can craft anything you can think of from suncatchers that will brighten your porch, to engraved trophies that will dignify the desk of your best employee. We are able to handle orders of any size, from individual orders to large commercial orders, and take the same care with your order whether you are a big fish, or just an individual. We make bowls, vases, custom emblems, custom stamps, custom molds; you name it. If it's glass, we can do it.
Customer service is one of our core principles here at KOG. This means that in terms of crafting and delivering the decorative glass or art glass product that you're ordering we make it a priority to make your experience smooth, and simple. We think that a good business relationship is like a work of art: the more work you put into it, the more reliable and satisfying the final product will be.
If you're in the market for decorative glass, art glass & sculptural glass, you can count on KOG.


text: Find this wine Find this wine Blackstone Syrah 2011 A surprisingly light and fruity syrah with just a hint of pepper on the nose. Almost like a purple pinot noir. Might not be for everyone. Pin It Tweet 6 years ago by Skyxie More posts Blackstone Syrah 2011 Good nice and light! 94 5 years ago by Jmrenneker Blackstone Winemakers Select Syrah 2010 Day 3, tannen still strong, blackberry diminished. $9. 6 years ago by David S. Blackstone Syrah 2009 $10 and extremely hardy and smooth 6 years ago by David S. Blackstone Syrah 2007 Syrah California 2007 9 years ago by Davidjfurth