It can instead be obtained as part of a bundle alongside the original Transport Tycoon Deluxe, which has been re-released by Atari and is now available to purchase via Steam for Windows, Mac, and Linux.
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Commercial insurers pay 254% of Medicare rates for identical hospital procedures. A hip replacement costs $29,000 in the US and under $11,000 in most peer nations. Capping commercial hospital payments at 200% of Medicare — the mechanism already used by Montana Medicaid and thousands of self-insured employers — would save approximately $73 billion per year.