When Manu met Mahāsammata

Conclusions When Manu met MS is a story told to explain the origins of the dhammathats. This is where the text came from implies the corollary ... and that is why we must obey the contents of the text. The special feature of this story, which rendered it unsuitable for inclusion in our Postcanonical Adventures survey, is that MS shares equal billing with Manu. The legitimation of law is such a heavy task that it requires the combined efforts of two culture heroes. Forchhammer and Lingat recognised the strangeness of this shared responsibility and interpreted it in terms of sources. Putting their shared position in colloquial language:     

Setting limits through global budgeting: hospital cost containment in Rhode Island

In 1974, hospitals in Rhode Island have participated in annual negotiations with state officials and representatives from Blue Cross to determine the allowed increase in statewide hospital costs (the "Maxicap") for the next fiscal year, based on projected increases in hospitals' revenues, changes in patient volume and operating expenses. Individual hospital budgets may be above or below the Maxicap as long as the total increase in hospital costs for all hospitals in the state does not exceed the negotiated amount. At a time when regulatory solutions are increasingly under fire, continued support for Rhode Island's approach to hospital cost containment from third party payers, providers and public officials stands in stark contrast to other states where rate setting was either dismantled or discredited as a cost control strategy. A negotiated global cap on hospital expenditures offers an alternative to formula-based state rate-setting methodologies which could be incorporated as part of an all-payer reimbursement methodology or as an incremental step towards more comprehensive reform.