With health care reform underway, the results of the study by Sharma et al emphasize the foundational role of primary care in our multimorbiditybased chronic care system. They found that the majority of patients with 14 high-cost chronic conditions saw general rather than specialist physicians. They suggest that the level of dependence that this chronically ill population has on primary care ma...

Policy rules . . . anticipate that key causal connections observed in the past will remain fixed over time. . . . But we have found that very often historical regularities have been disrupted by unanticipated change. . . . The evolving patterns mean that the performance of the economy under any rule, were it to be rigorously followed, would deviate from expectations. . . . In an ever changing w...

Openness to experience is a personality factor in the five-factor model of personality, and it is composed of six facets. Facets of openness appear conceptually analogous to overexcitabilities (OEs), which are displays of inner energy guiding individuals toward advanced potential according to the theory of positive disintegration. This study examined the similarity of OEs to corresponding openn...

Numerous articles have been written about alcohol and American Indians. These articles have focused primarily on the etiology of drinking, the magnitude of the problem, the drinking patterns of American Indians, and the effects of alcohol consumption on American Indians' health and lifestyle. Few studies have actually addressed possible solutions to the problem. Dr. Phillip May's paper on alcoh...