NY Times yesterday described three separate efforts to lower the cost of medical care for the elderly, creating, as they put it, a space between hospital and hospice. Proponents believe that it is saving thousands of dollars but, sadly, here, as elsewhere in medicine, there is no formal accounting analysis to prove the truth of that belief. Also in the weekend papers was an article by a first-year medical student at Stanford bewailing the fact that medical students are taught nothing while they are in school about the medical system as opposed to medicine. In particular, they learn nothing about the accounting, or lack thereof, for medical delivery. It is a sad business that costs us dearly as a country.