Medicare, a major healthcare program under the Centers for Medicare & Medicaid Services (CMS) has extended telemedicine services within several states in the US for different specialties for which it reimburses in order to establish a qualitative and accessible healthcare system. In parallel, it has been seen that teleradiology services by American Board Certified radiologists based offshore can significantly supplement healthcare delivery in the US by mitigating the shortage of radiologists and enhance outcomes of patient care especially for after-hours emergency work. Teleradiology can help workflow by improving workload distribution, lowering the cost of reporting, shortening turn-around-time for reports, and improving quality of life for staff. The aim of the article is to provide perspective on Medicare reimbursement of offshore telereporting services. We submit that due to its value proposition and contribution to healthcare, offshore telereporting by American Board Certified Radiologists is worthy of Medicare reimbursement and should be re-evaluated for its credits.

Scholars widely agree that modular technologies can significantly improve environmental sustainability compared to traditional building methods. There has been considerable debate about the viability of replacing traditional cast-in-place structures with modular construction projects. The primary purpose of this study is to determine the feasibility of using modular technology for construction projects in island areas. Thus, it is necessary to investigate the potential problems and suitable solutions associated with modular building project implementation. This study is accomplished through the use of qualitative and quantitative methods. It systematically examines desk research based on the wide academic literature and real case studies, collating secondary data from government files, news articles, professional blogs, and interviews. This research identifies several important barriers to the use of modular construction projects. Among the issues are the complexity of stakeholder engagement, limited practical skills and construction methodologies, and a scarcity of manufacturing capacity specialised for modular components. Fortunately, these unresolved challenges can be mitigated through fiscal incentives and governmental regulations, induction training programmes, efficient management strategies, and adaptive governance approaches. As a result, the findings support the feasibility of starting and advancing modular building initiatives in island areas. Project developers will likely be more willing to embrace and commit resources to initiate modular building projects. Additional studies can be undertaken to acquire the most recent first-hand data for detailed validation.

This paper provides a comparative perspective on infrastructure provision in developing Asia's three largest countries: China, India, and Indonesia. It discusses their achievements and shortfalls in providing network infrastructure (energy, transport, water, and telecommunications) over the past two decades. It documents how three quite distinct development paths—and very different levels of national saving and investment—were manifested in different trajectories of infrastructure provision. The paper then describes the institutional, economic, and policy factors that enabled or hindered progress in providing infrastructure. Here, contrasting levels of centralization of planning played a key role, as did countries’ differing abilities to mobilize infrastructure-related revenue streams such as user charges and land value capture. The paper then assesses future challenges for the three countries in providing infrastructure in a more integrated and sustainable way, and links these challenges with the global development agenda to which the three countries have committed. The concluding recommendations hope to provide a platform for further policy and research dialogue.

The St. Peter Sandstone of the American Midwest is presented today in textbooks as a simple and unproblematic example of “layer-cake geology.” The thesis of this paper is that the very simplicity of St. Peter Sandstone has made it challenging to characterize. In widely separated states, the sandstone appeared under different names. Several theories about how it formed began to circulate. The story of the St. Peter is not only the story of the assemblage of a stratigraphic unit over a vast area during three centuries, but also the role the study of the provenance of this unit played in the development of sedimentology in the early twentieth century, research that was made all the more challenging by its “simple” mineralogy. Indeed, the St. Peter has been controversial since it was first described.