As a result, if an observation status patient receives additional treatment at a nursing facility, the patient, and not Medicare, must pay for that post-discharge care.

FORBES: What the Ongoing Battle over Medicare's Observation Stays Means for Seniors

Miller consolidated departments and paperwork, trimmed the workforce and began making customers pay 50% upfront, the remainder upon discharge.

FORBES: Miracle Worker

Instead, the Annex 1 countries might be encouraged to pay for them in exchange for permission to discharge a bit extra themselves.

ECONOMIST: A cooling off period