Enter the physician management companies, which promise to take efficient care of business while doctors do the doctoring.

The managed-care companies that are making huge inroads in the region demand more efficient medical care.

Rep. Paul believes that the more government interference in medicine, the higher prices rise and the less efficient care becomes.

Operationally, that means getting the waste out of the system by striving for more appropriate and efficient care.

At more than 85 percent occupancy, they have difficulty providing safe and efficient care.

That group's experience with diabetics would, in theory, allow it to provide more efficient care than an insurer could.

He said he hoped the model developed for efficient care can be extended to other countries.

"Of course patients would like choice, whatever that means, but what they really want is efficient medical care."

Not that efficient academic care mattered much in Zanny's case.

"The program was brought to this institution to deliver more efficient care with the same or improved quality."