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Why are the Brits so less concerned about being sued? I can only guess that Britain���s practice of forcing losers in civil cases to pay for court costs has lessened the number of lawsuits, and thus the paranoia about lawsuits from which American medical services suffer. British doctors, nurses and physical therapists also seem to put much more stock in the spiritual side of healing. Not to say that they bring religion into the ward. (In fact, they passed right over my wife���s insistence that prayer played a part in what they had to admit was a miraculously quick return of movement to her left side.) Put simply, they invest a lot of effort at keeping one���s spirits up. Sometimes it���s a bit over the top, such as when the physical or occupational therapists compliment any tiny achievement with a ���Brilliant!��� or ���Fantastic!��� But better that than taking a chance of planting a negative suggestion that can grow quickly and dampen spirits for a long time. Since we returned, we���ve actually had two American physical therapists who did just that--one who told my wife that she���d never use her hand again and another who said she���d never bend her ankle again. Both of these therapists were wrong, but they succeeded in depressing my wife���s spirits and delaying her recovery for a considerable period. For the life of me, I can���t understand how they could have been so insensitive, unless this again was an attempt to forestall a lawsuit: I never claimed you would walk again. Having praised the caregivers, I���m forced to return to the inefficiencies of a health system devoid of incentives. One can tell that the edge has disappeared in treatment in Britain. For HYLAND 9

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