If you make it harder for disabled people to live at home, it will cost more because more of them will have to be in hospitals and other places of full-time care.

BBC: Independent Living Fund to be shut down by 2015

In the end, the only explanation he and his colleagues could offer was this: The other doctors and hospitals in McAllen may be overspending, but, to the extent that his hospital provides costlier treatment than other places in the country, it is making people better in ways that data on quality and outcomes do not measure.

NEWYORKER: The Cost Conundrum