Cleveland Clinic, for example, opened nine regional hospitals in northeast Ohio, as well as health centers in southern Florida, Toronto, and Las Vegas, and is now going international, with a three-hundred-and-sixty-four-bed hospital in Abu Dhabi scheduled to open next year.

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Serco, for example, runs private prisons in Britain as well as the Dubai metro and American military field hospitals.

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But Orszag says that, for example, under the reimbursement system known as disproportionate share payments, government funding is provided to hospitals in large part to help meet the cost of caring for the uninsured.

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In Oregon, for example, the documents also are stored in a state registry so emergency medical technicians as well as hospitals have access to them.

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