To match special report USA-HEALTHCARE/GEISINGER
Geisinger Health System maternity ward nurse Nichole Madara (L) places one-day-old Derrick back in his bassinet after advising new mother Elizabeth Byler on caring for him at Geisinger Medical Center in Danville, Pennsylvania October 29, 2009. Based in central Pennsylvania, a rural region once dominated by coal mining, the Geisinger system has recently earned a reputation for high-quality care at a lower-than-average cost. The White House refers to it as an "island of excellence" in the nation's murky healthcare waters. Picture taken October 29, 2009. To match special report USA-HEALTHCARE/GEISINGER REUTERS/Brad Bower (UNITED STATES HEALTH BUSINESS SOCIETY)