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Dear Francis Donovan, I have been asking myself if your reaction (LQ no. 58) to my letter to the Queen really merits a response. If I have chosen to reply, it is for my colleagues in Ireland.

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By GRAHAM BOWLEY and LIZ ALDERMAN
Last Updated: 6:22 HAEC http://www.nytimes.com/

It has happened time and again in recent months as Europe’s debt crisis has played out. Stocks stage a strong comeback on expectations that a solution has been found. Then they quickly resume their decline as hopes dissipate, leaving investors puzzled and frazzled.

What is going on?

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September 29, 2011, 10:00 pm

Friday: Officially Starts to Work

By DEB AMLEN
 
20110930-191333.jpgDavid Hunsinger for The New York Times Bailey, a Brittany, with her litter of one-day-old puppies.
Premium Crossword Friday Puzzle »
By Joe Krozel

FRIDAY’S PUZZLE Recently, I have been the lucky recipient of mail from people who tell me that they do not always understand when I am joking.

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September 29, 2011, 12:01 am

Why Doctors Order So Many Tests

By PAULINE W. CHEN, M.D.
Stígur Karlsson

One afternoon when I was running later than usual, I recognized a familiar face among the patients waiting to see me. A voluble newspaper fanatic, the gentleman, in his 70s, was usually eager to discuss the latest headlines with me. That day, however, he was remarkably quiet. He was suffering from the flu. “I’m really feeling no good,” he rasped.

After hearing about his symptoms and examining him, I suggested fluids, rest and maybe a cough suppressant and nasal decongestant. I saw the corners of his eyes and mouth fall. I understood.

He was waiting for me to offer him a prescription, or to order more tests.

I knew that he didn’t really need blood drawn or a chest X-ray, and he certainly didn’t need antibiotics for the virus that was causing his symptoms. But I also knew what would happen if I took the time to explain why and to answer all the questions that would no doubt follow: irritated looks from other patients, the staff or even my colleagues because of the time I spent with one patient.

Offering unnecessary care would, in fact, be faster.

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September 29, 2011

An Icy Political Vision

Taxes, spending and jobs dominate the conversation in Washington, but there is a great deal more at stake in next year’s election, as Republicans know well. It sometimes seems as if they are the only ones who talk about their values, but they put forward an elitist and narrow vision that largely favors the upwardly mobile, the healthy, the native-born American and the needs of the corporation.

This cold message is disguised, of course, cloaked in warm-sounding talk of solid American traditions and values. Democrats, including President Obama, have shied away from these issues or have been too late and too weak in providing voters with an alternative vision, with their own larger goals for the nation.

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