A paradox of American health care is that hospitals are sometimes rewarded for doing things badly.
Patients who are discharged, for example, shouldn't have to come right back because they got worse after getting home. But if they do come back, hospitals benefit because they can fill an empty bed and bill for more care.
The federal government says, in fact, that Medicare alone pays $17.4 billion a year for unnecessary return visits.
It's WEEKENDS on ALL THINGS CONSIDERED from NPR News. I'm Jacki Lyden.
MITT ROMNEY: Eight percent unemployment for over, how many, 43 months right here in Las Vegas and in Nevada. You've seen housing prices bumping along the bottom, record numbers of foreclosures. These are tough times. We have a president who says he can't fix Washington. I can. I will lead. I'll get the job done.