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Believe It Or Not!

This excerpt was created in the absence of an abstract.

Amid the honky-tonk that was once New York's Times Square stood an emporium of mystical proportions where barkers beckoned you with tales of the exotic world that lay behind the turnstile. They assured you that once inside you could "Believe It Or Not." The rest of the nation was treated to a less grandiose version of these oddities in Robert Leroy Ripley's syndicated newspaper column. In the weird world of "Ripley's Believe It Or Not," everything strained credibility. Recently, as I perused my mail, I could not help but recall Ripley's old refrain.

In my mail, I found a brochure from one of the nation's largest purveyors of physical therapy services, one of those megacorporations that now provide therapists to facilities of all kinds. On a glossy, three-colored sheet of paper, a headline trumpeted the message of the flier: "Program Effectiveness: Expected vs Observed."...

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