Despite common perceptions, most facilities do a good job caring for very challenging patients.

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Such cuts portend huge problems in access for Medicare and Medicaid patients, either because providers refuse to treat such patients (a common occurrence for Medicaid patients already) or because facilities literally have been driven to bankruptcy.

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Common sense tells us, however, that managers of U.S. port facilities have to be read-in on government-approved plans for securing those assets.

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