Březen 2013

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The October 2009 International Cost of Living Ranking, one of the most comprehensive in the world, covers 276 cities in 209 countries across 13 basket groups. Below we have listed the Top 10 most expensive countries to live in, the biggest movers up and down in country ranking and the 5 most expensive countries per basket item.

There is no change to the first and last places. Japan remains the most expensive place for an expatriate to live with palm oil processing machine the highest overall cost of living index and Zimbabwe with the lowest cost of living index.

Our 13 basket groups are the result of extensive research of actual spending habits, this allows our cost of living indices to reflect a reality-based international expenditure pattern. When comparing the cost of living between 2 locations, the difference in the aggregate cost of all the items in each of the 13 basket groups are examined in each location, this is done by using the average reported price in each location for the same quantity of each item. Cost of living is the relative differential of the local cost of the basket groups and the ruling exchange rate between the 2 selected locations. The 13 basket groups are weighted according to Expatriate expenditure norms.

Alcohol Tobacco costs for alcoholic beverages such as alcohol at oil extraction machine bar, beer, locally produced spirit, whiskey, and wine as well as tobacco products such as cigarettes is most expensive in:

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According to a recent report from The American Medical Association (AMA), hospital emergency rooms are shuttering their doors at an alarming rate in the United States. Since 1990, the total number of hospitals with emergency departments has declined by one-quarter, even as the number of emergency room visits skyrocketed by 35 percent nationwide. The obvious and inevitable result of which is longer wait times and pellt making machine poorer service, especially oil expeller in economically distressed areas.

What the problem?

America already spends more on healthcare than any other developed nation, about 17 percent of its gross domestic product (GDP). These costs show no signs of slowing down, as more and more Americans are diagnosed with chronic and expensive medical diseases and conditions, such as diabetes and heart disease. We also know that hospitals in poorer areas have a harder time balancing the books because many of their patients do not have medical insurance.

Doctors and administrators who work in impecunious areas must cut costs to the bone. Their exiguous profit margins do not allow them to purchase the latest or newest medical equipment. More often than not, they must shop around for used operating room equipment if they want to stay under budget.

The good news is that most used operating room equipment works just as well and can be purchased for a fraction of the price of new machines. Whether refurbished or second-hand, this medical equipment is always highly sought-after.

What do they buy?

Except for the most advanced machines, most medical equipment has remained essentially unchanged for decades. Hospitals can purchase these machines at fire-sale prices, especially at auctions or clearance sales.


The most effective and reliable tool for reviving patients during cardiac arrests was invented way back in 1947. Defibrillators are a staple in emergency rooms across the country. However, they are not cheap. Even basic models go for over one thousand dollars. But if a hospital buys a whole bunch of second-hand defibrillators, they can save beaucoup bucks.

Patient monitors

Every patient that undergoes a surgical procedure is hooked up to a monitor that lets the doctors and nurses keep an eye on his vital life functions. These monitors are not particularly sophisticated, which means they can often be purchased on the cheap in the second-hand market. Large hospitals generally need hundreds of these patient monitors, which is why it pays to buy used equipment in bulk quantities.

X-ray machines

Did you know that x-rays were discovered way back in 1895? Yes, the technology has been updated, but even machines that are several decades old can get the job done. Of course, these rather large pieces of medical equipment can cost a pretty penny. Some new machines cost several hundreds of thousands of dollars! It is for this reason that most hospitals that operate on a shoestring budget must purchase used models that have more than a few miles on them.

EKG machines

An essential piece of equipment on any cardiac ward, the electrocardiogram machine (EKG) has also been around for more than a century. It was invented in 1903 and is used to detect abnormalities or defects in basic heart functions. Once again, improvements have been made, but the basic system remains virtually unchanged. In other words, used operating machine equipment works just as well as the newer models. This could not be said of more advanced or modern medical equipment, but it is true of all of the aforementioned. When you buy operating room equipment second-hand, it should work just or nearly as well as brand-new machines.

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