To curb future costs, it has also been proposed to include stewardship of resources ( avoiding the overuse and misuse of diagnostic tests ) as a general competency of the Accreditation Council for Graduate Medical Education / American Board of Medical Specialties for residency training and evaluation . 12 Value based insurance design and personalized medicine are other methods being touted as solutions to bending the cost curve and reducing overutilization.
42.
The 2010 U . S . health care reform, the Patient Protection and Affordable Care Act, did not contain serious strategies to reduce overuse; " the public has made it clear that it does not want to be told what medical care it can and cannot have . " Uwe Reinhardt, a health economist at Princeton, said " the minute you attack overutilization, you will be called a Nazi before the day is out ".
43.
According to the FWS the criteria that need to be meet in order to add a species to endangered species list, and to keep them on the list are : 1 . the present or threatened destruction, modification, or curtailment of its habitat or range; 2 . overutilization for commercial, recreational, scientific, or educational purposes; 3 . disease or predation; 4 . the inadequacy of existing regulatory mechanisms; 5 . other natural or man-made factors affecting its survival.
