Put simply, how could ICD-10 opponents have been so wrong? Even more important, how were the opponents of ICD-10 able to convince the media and members of Congress to accept their unfounded claims without anyone successfully discrediting them? There is much to learn from the ICD-10 experience. Someday, we may view the long and arduous road to ICD-10 as an anomaly that will never be repeated. If future policy debates become as contentious, however, proponents of change need to understand the lessons of the 20-year ICD-10 saga.

I have been cruising for 30 years and have taken over 50 cruises with several different lines, initially with my late partner and more recently as a solo cruiser. When we first started sailing, cruise ships typically carried 600 to 800 passengers. Whilst facilities were few compared with todays mega ships, there was an camaraderie onboard. You felt that you were one of a crowd, not a stranger within it. Then ships got bigger and bigger, entertainment options multiplied, but somewhere along the way that camaraderie was lost. Saga ships have that camaraderie. Passengers actually talk to and socialise with one another rather than just dashing from show to show. And that's what imo makes Saga special.


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Saint-Gaudens National Historic Site is located off NH Route 12A, just north of the Cornish-Windsor covered bridge. The park preserves the home, studios and gardens of the famed American sculptor Augustus Saint-Gaudens and displays the largest collection of original Saint-Gaudens artwork in the world. The park is open daily from Memorial Day weekend through October 31. For more information, contact us at (603) 675-2175 x 100 or visit the park's website at www.nps.gov/saga. e24fc04721

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