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 NOVEMBER 05, 2021 _ VOL.177 _ NO.16

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 LOS ANGELES

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NEWSWEEK.COM 9
INTELLECTUAL VENEER
Éric Zemmour is reaping
WKHEHQHɿWVRIEHLQJDQ
outsider like Trump, but
has a more cerebral image,
a plus in French politics.

10 NEWSWEEK.COM
 “A person can become globally depleted to
the point where they have no resources” » P.16

FRANCE

Is Zemmour the
French Trump?
The pundit has gone from peddling far-right rhetoric on the French
version of Fox News to serious political contender

éric zemmour becoming president of
France would be a “disaster,” one political op-
erative in Paris tells Newsweek as the shadow of the
far-right TV host looms increasingly over next year’s
election.
Over the last few weeks, Zemmour—who was
born in Paris to a Jewish family from Algeria—has
been promoting his best seller France Hasn’t Had
Its Last Word, which claims that Islam and immi-
gration will destroy the country.
On screen and on the front pages,
the 63-year-old is riding a wave of
media prominence built upon his
popular talk show on CNews, a right-
wing television network likened to BRENDAN COLE
&217285ʔ*(77<%5$1'21/$8)(1%(5*ʔ*(77<
has been criticized for his pronouncements on the
same topics and who also has been the subject of
speculation over a potential presidential run.
Many commentators have also dubbed Zem-
mour “the French Trump,” pointing to parallels
between the Frenchman and the former darling
of Fox News, ex-President Donald Trump, whom
Zemmour admires and channels in his anti-estab-
lishment rhetoric.
“There are plenty of points in common with
Trump—the television aspect, there
is also an aspect in attitudes to women
BY and femininity,” says Emmanuel Riv-
ière, director of international polling
at Kantar Public, a respected political

Fox News that in May became France’s @brendanmarkcole bellwether in France.

No. 1 news network for the first time.
He openly promotes the “Great Replacement”
narrative—a conspiracy theory that white people
are being “replaced” by non-white, non-European
immigrants; has been condemned for homopho-
bic views; and in a show last year, called unaccom-
panied migrant children “robbers,” “murderers”
and “rapists.”
It is the kind of demagoguery not out of place on
Fox’s Tucker Carlson Tonight, for which the anchor
“There is also a parallel in that they
appeal to an alliance of older conservatives and
wealthy people and frustrated and anxious, white
blue-collar workers,” Rivière says.
“The ethnocentric feeling has mostly declined
over the last 15 years, but Zemmour has increased
the freedom to express some radical ideas,” he adds.
Zemmour has not declared his candidacy, but
one survey in early October indicated his chances
were good if he were to throw his hat in the ring

Photog raph b y S T E P H A N E G R A N G I E R NEWSWEEK.COM 11

Periscope
for the ballot’s first round on April
10, 2022, with a possible runoff two
weeks later.
A Harris Interactive poll predict-
ed Zemmour would get 17 percent
of the vote, only seven points behind
the centrist President Emmanuel
Macron.
More significantly, he was two
points ahead of far-right mainstay
Marine Le Pen, who has tried to
broaden her base in recent years,
renaming the party her father once
led from Front National (National
Front, in English) to Rassemblement
National (National Rally).
“He is fishing in the same water
as Marine Le Pen,” Rivière says. “He
can get some support from the cen-
ter-right or the political right because
he has a better image among older
people who have been hostile to
Front National and the Le Pen name.”
In a country in which Macron
managed to take the presidency in
2017 without having held elected
office before—as Trump did in the
U.S.—there is concern among the es-
tablishment that the era of the out-
sider could prevail again.
‘Huge Differences’:
Trump and Zemmour
rivière say, however, that his
pollster’s monthly barometer of po-
litical sentiment conducted since
1976 for the newspaper Le Figaro,
which Zemmour has worked for,
suggested the CNews host had a long
road ahead to becoming president.
When asked which figure people
wanted to play an important politi-
cal role in the coming months, he was
only in 12th place, with 19 percent.
“We have never had a personality
at this ranking at this level of popu-
larity in October becoming president
the following year,” says Rivière who
sees “two huge differences” between
12 NEWSWEEK.COM
FRANCE
Trump and Zemmour.
“As opposed to Trump, Éric Zem-
mour will never have the opportunity
to be supported by a strong political
party,” he says.
“The second is that Trump was fa-
mous as a businessman and in the
U.S. being successful as a business-
man makes you credible to run the
economy of a big country. This could
be the weakness for Zemmour. He has
no such background.”
Pushback from the center and the
right is likely to build in the coming
months. More than 3.8 million tuned
in to September’s televised debate
between Zemmour and left-wing
Jean-Luc Mélenchon, the founder of
democratic-socialist party La France
Insoumise (France Unbowed).
Meanwhile, Macron, who has not
declared his candidacy, is set to use
former conservative insiders from
the administration of ex-center-right
President Nicolas Sarkozy to help his
campaign, Reuters reports.
This is in response to concerns
that Zemmour could outflank Le
Pen on the far-right, splitting its vote
and thus giving the center-right an
open door to the election’s second
round. Polls show this poses the big-
gest threat for Macron’s chances for
a second term, the agency reported.
“The moment is particularly explo- president between 1981 and 1995.
sive in France and is even favorable Zemmour in his view, is benefiting
to the election of a Donald Trump from the media’s love of “new and un-
with a more intellectual image like expected figures who seem to upset
Zemmour, says Philippe Corcuff, the traditional frameworks.”
author of The Great Confusion: How “He has also been one of the pro-
the Far-Right Is Winning the Battle tagonists of an extreme ideological
of Ideas. right-wing movement for the past 10
“In French politics, historically, years, his person allows for a more di-
the intellectual image is important rect link with electoral politics,” says
for politicians,” he tells Newsweek, Corcuff, who is an associate professor
pointing to the urbane veneer cul- at the Institute of Political Studies in
tivated by Macron and before him, Lyon, France.
the country’s longest serving head of Corcuff says public spaces in
state, François Mitterrand, who was France, such as social media, “are
NOV E M BE R 05, 2021

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becoming far-right, but not French
society as a whole.”
However, he believes France now
has “an explosive mix of resentments
and frustrations associated with a pro-
found discrediting of professional pol-
iticians.” He says this can be captured
by the ultraconservative ideological
stance of Zemmour.
“The left is in crisis, with its nose to
the grindstone,” says Corcuff. “It has
long developed an arrogance about
its supposed intellectual superiority.”
“It does not want to believe that
the victory of a Zemmour is possi-
A LOT OF TALK Clockwise from top left:
Fox News pundit Tucker Carlson; far-right
demonstrators supporting Zemmour on
his book tour in 2015; President Donald
Trump in 2019; Emmanuel Macron during
a presidential campaign rally in 2017.
ble—like large parts of the American
left believed before Trump’s victory
in 2016.”
Corcuff expects polling to feed the
media coverage of Zemmour, creating
a snowball effect which gives credibil-
ity to Zemmour’s candidacy and mak-
ing possible what was until recently
unlikely, his victory next April.
On the other hand, Zemmour’s
adversaries hope his star will wane
once he declares himself a candidate,
which requires 500 signatures from
elected officials, millions of euros to
campaign and not least, a manifesto
detailing policies, not polemic.
Also, France’s media regulator
has ruled that because he should be
considered a politician, not a jour-
nalist, his airtime on CNews should
be limited.
‘A Disaster, But He Could Win’
however, his instincts honed on
France’s answer to Fox News, mean
the Tucker Carlson-style rhetoric on
the campaign trail would be likely to
grab many headlines, even if it turns
a few stomachs.
Gaspard Gantzer—former adviser
to François Hollande, Macron’s pre-
decessor—said that Zemmour will
exploit the weaknesses on the right.
“Macron is good,” he tells Newsweek,
“[The left] does not want but those within his party “seem to
to believe that the be too confident.”
victory of a Zemmour is Gantzer adds that Zemmour “pro-
poses a very simple analysis of prob-
possible—like large lems because he understands perfectly
parts of the American how to be at the center of media at-
left believed before tention.”
“It would be a disaster, but he could
Trump’s victory in 2016.” win.”
NEWSWEEK.COM 13
Periscope
O P - ED
Unvaccinated? Time to
Make an End-of-Life Plan
A good idea for anyone, advanced directives are especially
important if you’re willing to risk a potentially fatal illness
life expectancy in the united
States fell by one-and-a-half
years in 2020, the largest annual
decline in life expectancy since
World War II. Now, one-and-a-half
years into the COVID-19 pandemic,
with over 728,000 American lives
lost, we have an abundance of safe,
accessible COVID-19 vaccines, and the
Pfizer/BioNTech vaccine received full
approval beyond emergency use by the
U.S. Food and Drug Administration in
14 NEWSWEEK.COM
August. Now, eligibility for boosters
and children is expanding. Summer
2021 was supposed to be a return to
normalcy, a “hot vax” summer of con-
nection and prosperity.
Instead, we saw a fourth
wave of the COVID-19
pandemic and the return
of Center for Disease SHOSHANA
Control mask mandates, UNGERLEIDER
largely due to the over 90
million Americans who JESSE O’SHEA
VACCINE SUMMER From top: Protestors
against vaccine mandates in Michigan in
August; and a COVID intensive care ward
in Ankara City Hospital, Turkey in July,
where most patients are unvaccinated.
are eligible but remain unvaccinated,
in the setting of the highly infectious
Delta variant.
As medical professionals, we’ve
seen the cost of refusing the vaccine
firsthand: Care for serious illness
caused by SARS-COV-2 is invasive and
traumatizing at best, both for you and
for your family. Worldwide, for adults,
there is a 30 to 40 percent chance of
dying from COVID-19 if you require
intensive care. In addition, risk of
mortality can be much higher for
older adults (nearly 85 percent) and
close to 50 percent in younger adults if
you require intubation with mechani-
cal ventilation.
If you chose not to get the vaccine,
it’s time for you to let your doctors
know what ending well looks like for
you.
For most of you, COVID-19 will be
the deadliest virus you will face in your
life. If you are holding off on getting
vaccinated, there is one important
thing that you should consider doing:
complete an advance directive—a doc-
ument explaining how you want med-
ical decisions about you to be made if
you cannot speak for yourself.
Share the document with your
loved ones. Have conversations about
what matters most to you, consider
what kinds of treatment you are will-
ing to undergo for a chance to get bet-
ter, and talk through your wishes in
different scenarios for quality of life.
This helps us, your doctors, provide
BY the best possible care for you.
As scientists and physicians, we
have learned so much since the begin-
ning of the pandemic, though COVID-
and 19 continues to humble us. There is
no cure for COVID-19. If you become
NOV E M BE R 05, 2021
 Currently, the percent discussed those wishes with people, older adults and children

unvaccinated have
their health care provider. In the early who have not yet had the chance to
days of the pandemic, one health sys- receive a vaccine—then please take
more than 11 times tem saw a 4.9-fold increase in online time to ponder your wishes should

greater risk of dying completion of advance directives. you become hospitalized.

from COVID-19,
Given our experience with the pan- As health care workers, we aim
demic, we can anticipate some of the to support people in living happy,
some of whom are choices you can expect to make. healthy, meaningful lives. Regardless

young people who have In the absence of an advance direc- of your vaccination status, we will

refused the shot.

seriously ill from the virus, there are
limited treatment options. Despite
widely published safety and efficacy
information about the vaccines, mis-
information campaigns amplified
by social media are running ram-
pant—and proving deadly. There are
increased reports of patients express-
ing regrets that they did not get vac-
cinated in their dying moments. This
trend will only continue to increase,
as COVID-19 deaths will almost exclu-
sively be among the unvaccinated.
Without immunity, COVID-19 can
infect and kill anyone, whether you are
5 years old or 85 years old. Currently,
the unvaccinated have more than
11 times greater risk of dying from
COVID-19, some of whom are young
people who have refused the shot. In
areas with low vaccination rates, hos-
pital systems are overwhelmed.
We are not out of the woods with
) 5 2 0  / ( ) 7  ( 0 , /<  ( /& 2 1 , 1 ʔ* ( 7 7 <  * 8 9 ( 1  < , / 0 $ =ʔ* ( 7 7 <
tive, an established health care proxy
or available next of kin, the default
approach is aggressive, invasive treat-
ment in the intensive care unit. This
typically includes placing a thick, hard,
plastic tube down your windpipe;
inserting needles into your blood ves-
sels and using machines to maintain
your regular bodily functions. If your
heart stops beating, you will receive
chest compressions where ribs often
crack under the pressure, which is
often very painful, and if you survive,
it can be traumatic.
We are all entitled to choices. If
you’re not interested in vaccination
to protect yourself from an infection—
or to protect immunocompromised
treat you. We took an oath to heal our
patients and relieve suffering any way
possible, but we want to do so in a
manner that is dignified.
What we really want is for you to
buck the trend of the last year, survive
this pandemic and live well. But failing
that, we want to know what we can do
to make sure you end well.
Ơ Shoshana Ungerleider, M.D. is a
practicing internal medicine physi-
cian in San Francisco, host of the TED
Health Podcast and the founder of
endwellproject.org. Jesse O’Shea M.D.,
MSc is an infectious disease specialist at
Emory University in Atlanta. The views
in this article are the writers’ own.

this pandemic.
If you or a loved one choose to roll
the dice by remaining unvaccinated,
the best thing you can do right now is
prepare an advance directive to make
your wishes known in the event you
are hospitalized.
In the U.S., only 56 percent of peo-
ple have had a conversation with their
loved ones about end-of-life wishes.
Only 27 percent have documented
their end-of-life wishes in the form of
an advance directive and less than 20

NEWSWEEK.COM 15
Periscope

BU SIN E S S

A Profit and
Loss Statement
for Your Life
One approach to dealing with stress
and burnout: Think of your emotional and
other resources like a portfolio

have you ever come home
at the end of a day too worn
out to cook or even order dinner,
and fallen asleep with your clothes
on? That point of being too tapped
out to better your own condition is
known as “resource depletion.” It’s
part of a theory called “conservation
of resources,” a way of thinking about
stress, trauma and burn-
out that has become
increasingly influen-
tial since psychologist
Stevan Hobfoll intro- ROBIN ABRAHAMS
duced it in 1989.
Everyone needs food BORIS GROYSBERG
and sleep, but the spe-
cific damage a “Hungry Night” does
depends on each individual’s circum-
stances and resources. Consider three
different people:
nightly routine for the past year.
He has no health coverage and his
English is poor.
Ơ Sandra is a 42-year-old
attorney coming home from a
night on the town with colleagues
celebrating a big win in court.
She is divorced with no children
and earns a six-figure salary with
excellent health benefits.
BY For Miguel and Alex,
each Hungry Night
chips away a little more
and at their mental and phys-
ical well-being. Sandra,
on the other hand, may
suffer headache and indigestion the
next day, but experiences her Hungry
Night as an overall positive event and our personal resources, which Hob-
source of happy memories. foll divides into four categories:

Ơ Alex is a 56-year-old ER nurse The P&L of Life Ơ Personal characteristics,

who planned to move into a less
demanding job before the pan-
demic struck. She is married with
a teenage child. She has nights
like this several times a week and
The conservation of resources (COR)
theory can be thought of like a
profit-and-loss statement for one’s
life. Universally, humans desire the
same fundamental goods: a positive
including education; self-esteem;
health; a sense of humor; opti-
mism; stamina; ability to organize
tasks; self-discipline; the feelings
of accomplishing goals and being
 8 : (  8 0 67†7 7 ( 5 ʔ* ( 7 7 <

resents her husband Lonnie for not
picking up slack at home.
Ơ Miguel is a 22-year-old immi-
grant working in a meat-process-
ing plant to support his family
back home. This has been his
self-image; health and well-being; a
peaceful life; a sense of meaning and
purpose; family and friends (and all
those good things for them, as well).
We are deeply motivated to achieve
these things. This requires investing
valued by others.
Ơ Material possessions, such as
personal transportation; clothing;
housing and furnishings; neces-
sary equipment needed for work
and housekeeping; necessities and

16 NEWSWEEK.COM NOV E M BE R 05, 2021


“extras” for children; savings and
emergency funds; insurance; retire-
ment security; growth assets.
Ơ Energies, such as the time to
spend maintaining one’s health,
relationships, and possessions;
good credit; continuing education
and training; practical help at
work and home.
Ơ Conditions, including a loving
and supportive family in good
health; status at work; at least one
close friend; a good boss and col-
leagues; involvement in a support-
ive community group.
STRESSED OUT? The point of being
too tapped out to better your own
condition is known as “resource
depletion”—a state that may have
worsened since the start of the pandemic.
These resources enable us to take
action, feel good about ourselves,
understand the world around us and
respond to it. They enable us, cru-
cially, to get more resources. And this
is what we spend a great deal of time
doing. Managing life successfully
involves putting resources where
they will do the most good.
Stress, in Hobfoll’s analysis, is
defined as anything threatening or
entailing a net loss of resources.
A sufficient series of negative
events can do damage to even the
most robust personal resource
portfolio. This is when a person
enters the state of resource deple-
tion—a Hungry Night that lasts for-
ever. A person can become globally
depleted, to the point where they
have no resources whatsoever to sus-
tain themselves, or depleted across
any particular range of resources
(for example, financially bankrupt
but with a supportive community
and in good physical health).
:KDW,V5HVLOLHQF\"
Resiliency, according to COR, is not
an inner quality that some people
possess in greater quantities than
others, but a reflection of the depth
and breadth of people’s resource
portfolios—crucially, their access
to social support from other peo-
Sometimes people ple and organizations. Individual
sustain losses grit and willpower only go so far.
that you cannot Extensive research indicates that
when people are under chronic,
RɼVHW:KHQWKLV extreme stress, their personal char-
happens, it is natural acteristics will, at some point, be
to feel frustrated unequal to the task of managing
their circumstances, and they will
DQGSRZHUOHVV enter a loss cycle.
NEWSWEEK.COM 17
Periscope
During a loss cycle, small resource
gains take on huge importance. The
brief loss cycle of a Hungry Night is
arrested by even a few hours’ fitful
sleep. The larger cycle in which this
night is nested may not have been
changed, but in the morning, even
if exhausted, Miguel will have the
energy and clarity to get some break-
fast. A little rest leads to the capacity
to get food, which provides enough
energy to get dressed and go to work.
A slightly bigger win can shift the bal-
ance in surprising ways. What if Alex
came home one night and her hus-
band had a pot of chili on the stove,
and kept on cooking dinners and
packing the leftovers for her lunch?
Imagine the difference it would
make to her health, their marriage,
her whole mental outlook—and the
well-being of her patients, to boot.
18 NEWSWEEK.COM
BUSINESS
Practical Help for
Yourself and Others
As the last example indicates, COR
is not a zero-sum game—improving
one person’s resources benefits every-
one around them. Here are some tips
to put the theory into practice:
for yourself
Do a personal resource inventory. You
may have a list somewhere of all of
your financial assets and property.
Now is the time to broaden that list
Managing life
successfully involves
putting resources
where they will do
the most good.
to include all the resources—posses-
sions, personal qualities, conditions,
and energies—that make your life
both livable and worth living. Under-
stand where your portfolio needs
strengthening and where you have a
surplus to invest.
Evaluate advice and opportunities
through this lens. Personal testi-
mony and psychological research
alike differ on whether certain con-
ditions—marriage, pet ownership,
flextime—are beneficial or not. This
is because these conditions can either
enhance or threaten a person’s other
resources. Does a flexible schedule
mean more time for your own pet
projects—or blanket permission for
your in-laws to ask for favors?
Engineer minor wins. If you see an
emotional loss cycle developing, do
anything you can to create a minor
gain and then build on that gain. Just
the feeling of taking action, or of
knowing that another person is on
your side, can give you the clarity and
energy to take one more meaningful
step and then another.
Give only what you can. Do not bank-
rupt yourself for others. This is a fre-
quently made point—“put on your
own mask before helping others.”
With its emphasis on the rapidly
accelerating nature of loss cycles,
however, COR provides an even
clearer perspective on why depleting
yourself for other people is unsus-
tainable and harmful to everyone in
the long run. At the same time, give * ( 7 7 <  5 , * + 7  * , 2 5 * , 2  ) 2 & + ( 6 $72ʔ* ( 7 7 <
what only you can: Everyone needs
many different kinds of social sup-
port, and for any given person, you
are in a position to meet some but
not all needs.
SAVE YOURSELF FIRST Feeling
burnt out? The authors say, “Do not
bankrupt yourself for others.” In the long
run, no one wins under that scenario.
NOV E M BE R 05, 2021

%DODQFH\RXUJURXSŠVSRUWIROLR Because
people have different resource port-
folios, tasks or situations that deplete
one person may take little or no toll
on another. Families and close proj-
ect teams, in particular, should be
aware of their differences, and allo-
cate tasks accordingly, particularly
during times when demands on
everyone are high.
(PSRZHURWKHUVE\OHWWLQJWKHPKHOS
\RX Feeling competent and able is,
itself, a key psychological resource
that can transfer from one situation
to another. This means that asking
others for help that they can afford
to provide can, in turn, provide them
with something of value.
helping others
There is no bright line between help-
ing yourself and helping others in the
COR paradigm—mutual aid and gain
$VXɽFLHQWVHULHVRI
QHJDWLYHHYHQWVFDQGR
GDPDJHWRHYHQWKH
PRVWUREXVWSHUVRQDO
UHVRXUFHSRUWIROLR
cycles reinforce each other.
.HHS&25LQPLQGZKHQOLVWHQLQJ
People react to loss in many different
ways—sadness, anger, fear, paralysis,
humiliation. When friends, family or
colleagues are expressing these emo-
tions, listen for what loss (or threat-
ened loss) is behind it. Acknowledge,
validate and sympathize with the
emotions. Seek to understand the
nature of the loss. Is there some
aspect of it you can offset?
'RQŠWH[WUDFWDV\PSDWK\WD[Some-
HELP GOES TWO WAYS Lending a
hand to others can be empowering:
“Asking others for help they can afford
to provide can, in turn, provide
them with something of value.”
times people sustain losses that you
cannot offset. When this happens, it
is natural to feel frustrated and pow-
erless. These feelings are yours to
deal with. Do not ask for sympathy
for saying “no” to the person you are
saying “no” to. Process those feelings
with someone else.
%DGFKRLFHVKDYHJRRGUHDVRQV A
basic tenet of COR is that people
inherently want and pursue what is
good: health, relationships, mean-
ing. We make the best choices we can
given our resources and environ-
ment—which means some people’s
choices may be, objectively, terrible.
Miguel smokes even though it is
expensive and unhealthy, for example,
because it keeps him focused and gets
him break time at work. Consider
this before judging or offering advice.
,PSURYH VXSSO\ UHGXFH GHPDQG
Helping people make better choices
is about either increasing their
resources, or reducing the demands
on those resources. What would help
Miguel stop smoking? Surgeon Gen-
eral warnings in Spanish? Probably
not. Miguel is not lacking in knowl-
edge of the effect of cigarettes on
health. The resources he needs are a
job where he is not at risk of losing a
hand if he loses focus and where all
employees are given regular breaks.
Ơ 5RELQ$EUDKDPV is a research as-
sociate at Harvard Business School.
%RULV*UR\VEHUJ is Richard P. Chap-
man professor of business administra-
tion at Harvard Business School and
co-author of TALK, INC.: HOW TRUSTED
LEADERS USE CONVERSATION TO POW-
ER THEIR ORGANIZATIONS (Harvard
Business Review Press).
NEWSWEEK.COM 19
Periscope

20 NEWSWEEK.COM NOV E M BE R 05, 2021

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 HEALTH

bi hammond hardly fits the to conflicting statements by public health officials

profile of an anti-vaxxer. The to misinformation and lies from conspiracy theo-
30-something gym owner and rists and political opportunists. Two years into the
strength and fitness coach con- pandemic, medical understanding of the virus has
siders herself “middle of the made enormous leaps, but public understanding has
road politically,” lives in blue lagged. Cutting through the confusion may mean
state Connecticut and has not only kept her two the difference between a return to something like
children, ages 7 and 11, up to date on their vaccina- normal or a continuation of periodic waves of emer-
tions but also makes sure they get flu shots every year. gency and lockdown.
But she won’t be first in line if, as expected, the For vaccinating kids, a lot of confusion stems
U.S. Food and Drug Administration (FDA) approves from the fact that there are two medical arguments
COVID-19 vaccines for children under 12 early next in favor of it. Both of them involve the slippery
month. She’s not sure if she’ll get in line at all. question of risk.
“I’m really conflicted,” she says. “Is the level of The first, which has been made by public health
Above: Pediatric infectious
illness that significant in children? I don’t know experts for some time, is that vaccinating kids disease specialist Dr.
what the answer to that is. Initially you hear, ‘This would reduce the overall spread of the virus. Chil- Michael Klatte. Right:
is not serious for kids at all.’ And then it came time dren are at much lower risk of serious illness or Remote learning students
doing schoolwork at the
for the vaccine to be rolled out for kids. And it was death than adults from the virus, but they appear Olivet Boys & Girls Club
like, ‘It’s actually very serious for kids, too.’ And I’m to be just as likely to spread it. To many parents in Reading, Pennsylvania,
like, ‘Wait a second…’ The dialogue keeps changing. with doubts, however, that rationale sounds like this January. Below: Kids
having their temperatures
It’s confusing. And it’s become so political.” experts asking them to risk their kids in order to checked before being
On October 20, the White House, in anticipation protect somebody else. allowed onto a playground.
of FDA approval, released details of its plans to have
kids vaccinated through pediatricians’ offices, hos-
pitals and other locations. Previously, the White
House had told governors to start preparing to
vaccinate children as young as 5 by early November.
Administration officials said they had purchased
65 million pediatric doses of the Pfizer/BioNTech
vaccine, enough to vaccinate all 28 million children
who would become eligible if the FDA approves
the shots for children between the ages of 5 and
11 when it meets to consider the issue. An advisory
committee is slated to offer a recommendation on
October 26, and is widely expected to be all for it.
Parents? Not so much. According to a Kaiser
Family Foundation poll, four in 10 parents with
children between 5 and 11 plan to “wait a while to
see how it is working” before vaccinating their kids.
Their reservations run the gamut: Some worry the
vaccine is not safe. Others believe the government
has exaggerated the threat COVID-19 poses to kids.
A small percentage are opposed to all vaccines. But
many, like Hammond, who says she plans to “wait
until the dialogue settles a bit,” are simply confused
by all the noise.
From the beginning of the pandemic there has
been plenty of noise, ranging from honest scientific
uncertainty about how to deal with the pandemic

24 NEWSWEEK.COM NOV E M BE R 05, 2021

C LO C K W I S E F RO M TO P : DAY TO N C H I L D R E N ’ S H O S P I TA L ; % ( 1  + $67 <ʔ* ( 7 7 <  . $ / ,  1 , 1 ( ʔ* ( 7 7 <
The dialogue keeps changing. ‘You need one shot.
You need two shots. Now you need a third booster.’
It’s confusing. And it’s become so POLITICAL .”
The second argument, which has gained strength
with the spread of the Delta variant and may prove
more compelling to hesitant parents, is that, amid a
recent sharp rise in cases, the risks to kids are higher
than had first been thought. How high? To put it into
some context, in a typical year the disease that kills
the most children in the U.S. is cancer (about 1,800
deaths), followed by heart disease (about 600 deaths).
The Centers for Disease Control (CDC) estimates that
over the last two years, COVID-19 has killed roughly
570 American kids. and hospitalized about 22,000.
“Even though this doesn’t represent the same de-
gree of death and hospitalization as you’re seeing in
adults, it still represents a major cause of death and
hospitalization in children,” says Yvonne Maldonado,
an expert in pediatric infectious diseases at Stanford
University who chairs the infectious disease commit-
tee of the American Academy of Pediatrics (AAP),
which has taken a leadership role in urging parents
to get eligible children vaccinated. “The question is
do we want to prevent deaths in children?”
That question may have an easy answer for doc-
tors and public health experts. But it is not so clear
to parents like Hammond, and they are the ones
that are going to need to be convinced—or com-
pelled—to get their kids vaccinated.
‘Unprecedented Strain’
last year, lockdowns, home-schooling and
other mitigation measures may have masked the
vulnerability of kids and helped create the false
impression that children were protected. Pediatric
NEWSWEEK.COM 25

We’ve often reduced the quantification
of risk to a simple ‘have to,’ ‘must’ or
‘need to’ get a vaccine. But what is the
ACTUAL RISK for a healthy child?”
cases, however, ticked up dramatically in the late
summer and early fall, driven by Delta and a return
to classrooms. The number of children and adoles-
cents hospitalized with confirmed COVID-19 had
already risen in August, largely due to Delta. When
schools opened in September, new cases soared to
more than 250,000 a week, reaching levels exceed-
ing even those seen during the spike last winter.
In August and September, COVID-19 was the
leading cause of death for Americans ages 35 to 54,
and the sixth or seventh leading cause of death for
children, according to recent numbers released by
the Kaiser Family Foundation. And at one point,
the situation was so dire, the Children’s Hospital
Association, which represents 220 hospitals, sent
a letter to President Joe Biden warning that many
hospitals were nearing capacity, experiencing “un-
precedented strain” and pleading for help.
In recent weeks, those numbers—in both chil-
dren and adults—have begun to wane signifi-
cantly, thanks in part to rising natural immunity
from those who have already been infected, new
26 NEWSWEEK.COM
restrictions and growing vaccination levels in the
hardest- hit areas. But many frontline medical pro-
viders say what they have seen in their hospitals
only highlights the importance of vaccinations.
“One thing we have clearly learned in 2021, which
may not have been as clear in 2020, is that pedi-
atric COVID must be taken seriously,” says James
Versalovic, pathologist-in-chief at Texas Children’s
Hospital in Houston, which has hospitalized 1,400
children for COVID-19 since the start of the pan-
demic. “I have seen too many children here walking
through our ICU, in our emergency centers or on
ventilators. These are serious setbacks for children.”
Michael Klatte, chief of the infectious disease
division at 182-bed Dayton Children’s Hospital in
Ohio, says all the kids he has seen in recent months,
including those over 12, were unvaccinated. “If you
could walk in my shoes for a day and see what we’re
seeing here,” he says. “I’m a parent and when you see
other parents, who’ve been up for multiple nights
with their children in the hospital breaking down, it’s
tough.” He adds, “I had my 12-year-old vaccinated,
but I also have a child who is under 11. You can bet
that as soon as the vaccine has been given authori-
zation for kids 5 to 11, I’ll be in line with her.”
Real Risks
despite surges in infections among kids,
however, many parents are staying away from the
vaccines because they fear side effects or worry
the drugs were rushed through and we don’t know
enough about them.
The AAP’s Maldonado, who leads clinical trials
for 5-to-11-year-olds at Stanford University Medi-
cal Center, explains to her patients that the mRNA
technologies used in the Pfizer/BioNTech and Mod-
erna vaccines have been around for two decades.
She says the speed at which the COVID-19 vaccines
were developed and tested was due in part to the
amount of money available to fund trials.
“The funding to do rapid acceleration of the vac-
cine trials was really not available for other vaccines,”
she says. “These [COVID-19] vaccines were actually
done with protocols that are just as safe as vaccine
trials that have been done for other diseases over
the many years vaccines have been given to children.
They are highly, highly scrutinized vaccines—prob-
ably more than any other vaccine in history.”
The side effects seen so far in the vast majority
NOV E M BE R 05, 2021

PROTECTION
From top: Pediatric
infectious disease expert
Dr. Yvonne Maldonado; a
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of the 10 million adolescents who have received
COVID vaccines have been small, says Lee Savio
Beers, a pediatrician and AAP’s president. The worst
side effects for most kids is a low-grade fever and
mild-flu like symptoms that quickly pass.
“We’ve continued post-vaccine monitoring with
them as we have with the adults as we do with all
vaccines,” she says. “That’s a pretty routine thing and
[we] continue to see that the vaccine is safe, effective.”
Among adults, dangerous complications have
arisen in extremely rare cases. According to the CDC,
more than 90 million doses of the vaccines were
administered in the U.S. from December 14, 2020
through September 27, 2021. Among people who
received a vaccine, there were 8,164 reports of death
(0.0021 percent). In the vast majority of those cases,
the deaths were found under closer inspection to
have been incidental—not the result of the vaccine.
The notable exceptions were the 47 (out of roughly
15 million doses) confirmed reports of blood clots—
“extraordinarily rare”—roughly 12 to 13 cases per
“Compared to the hundreds of children that have
“much more severe,” with a much higher likelihood
HE A LT H
thrombosis with thrombocytopenia syndrome (TTS),
a rare and serious adverse event—following admin-
istration of the Johnson & Johnson/Janssen vaccine.
There is a “plausible causal relationship” between
those complications and some deaths, the CDC said.
Other complications have been scary, but treat-
able. Approximately 2 to 5 people per million vac-
cinated in the United States have had a severe aller-
gic reaction known as anaphylaxis. Most have been
rapidly treated. Some people who received the J&J/
Janssen vaccine have had Guillain-Barré syndrome
(GBS), a rare disorder in which the body’s immune
system damages nerve cells, causing muscle weakness
and sometimes paralysis. Most people fully recover
from GBS, but some have permanent nerve damage.
In young people receiving the Pfizer/BioNTech
or Moderna vaccines, the biggest story has been
reports of myocarditis or pericarditis, dangerous
inflammation of the heart muscles, among men
aged 30 and younger. Beers says those cases are
million—and have mostly been “very mild.” At Tex-
as Children’s Hospital, Versalovic says he has not
seen many cases of vaccine complications. Dayton
Children’s Hospital’s Klatte says he had one hospi-
talized patient, who was discharged after three days.
been hospitalized at Dayton Children’s to date with
acute COVID infection, it doesn’t compare,” he says.
By contrast, children are much more likely to be
hospitalized with myocarditis from COVID-19 than
as a vaccine side effect and those cases have been
of hospitalization for a prolonged period of time,
Beers says.
“Weighing all those risks and benefits, the risk of
becoming infected with COVID far outweighs the
potential risk of the vaccine,” Beers says. “Many ex-
perts in pediatric infectious disease, pediatric cardi-
ology, epidemiology have looked very carefully at this
data both within the FDA and the CDC, including
many of our own experts, and are overwhelmingly
confident that the vaccine is safe and effective for all
the age groups for which it’s authorized.”
Adds Maldonado: “We know how vaccines work.
There are at least five different federal and non-fed-
eral mechanisms to track vaccine uptake and safety
on an ongoing basis. That data is monitored ex-
tremely carefully. And there are no signals show-
NEWSWEEK.COM 27
ing that there’s a problem with getting vaccinated.
In the meantime, you have already seen how many
people are dying or being hospitalized with this
disease. Is it really worth it to wait?”
Mixed Messages
the answer to that question depends on
who you ask. As of mid-September, 75 percent of
adult Americans had been vaccinated, accord-
ing to a recent Gallup survey. But there was a wide
disparity between political parties—92 percent
of Democrats reported being vaccinated; only 56
percent of Republicans (and 68 percent of inde-
pendents) did. Roughly 23 percent of Republi-
cans said they will “definitely not” get vaccinated.
COVID-19 was deeply politicized during the
28 NEWSWEEK.COM
Trump Administration, as Democrats criticized the I have seen too many
former president for downplaying the public health
threat and Trump accused them of exaggerating it,
often contradicting his own public health officials.
In recent months, widely watched Fox News hosts
like Tucker Carlson and Laura Ingraham have re-
peatedly challenged the recommendations of the
nation’s leading health experts on their primetime
shows, suggested public health experts are not being
straight about the risks of the vaccines and argued
that Biden’s efforts to increase vaccination rates are
a violation of civil liberties and a waste of taxpayer
dollars. In September, Carlson, Fox’s highest rated
host, suggested Biden’s efforts to mandate vaccines
in the military was part of a plotted “takeover” of the
U.S.’s armed forces. When the Biden Administration
NOV E M BE R 05, 2021

children here walking through our ICU, in our EMERGENCY CENTERS or on ventilators.”
announced plans to go door-to-door to try and con-
vince holdouts to get the vaccine, Ingraham called
it “creepy” and the conservative news outlet News-
max ran a headline on its website that read “Biden
( 5 , 1  & / $ 5 . ʔ 7 + (  % 2 672 1  * /2 % ( ʔ* ( 7 7 <
Blasted for ‘Sick’ Door-to-Door Vaccine Campaign.”
But Republicans and Fox News watchers are by
no means the only parents who have doubts. Jac-
queline Becker, 47, a mother of two boys, 12 and 14
in Sarasota, Florida, says she voted for Joe Biden, but
has also become deeply skeptical of American health
care authorities in recent months. Becker, a former
journalist, began researching vaccine studies after
an appointment to receive the one-shot J&J/Janssen
H E A LT H
vaccine was canceled last spring when reports of po- PANDEMIC MEASURES
Examining a 14-month-
tentially deadly side effects surfaced (that pause was old patient in a pediatrics
eventually lifted by health officials). tent set up outside
When she dove into the scientific literature, she of Boston Medical
Center in April 2020.
was surprised to find some contradictory evidence
about the vaccines’ effectiveness and alarmed at
how quickly doctors, scientists and journalists who
questioned the consensus were castigated and dis-
credited. The narrative, she says, on whether the
vaccine can actually prevent transmission has been
constantly changing. “It’s become Democrat versus
Republican—red versus blue—with policy driven by
panic porn,” she says. “I’ve never seen so much cen-
sorship and bullying and division. It just seems like
Democrats are trying to do the opposite of Trump.”
In July, Becker and her two boys contracted mild
cases of COVID-19 and recovered. Around that time,
Becker learned, the United Kingdom’s Joint Commit-
tee on Vaccination and Immunization (JCVI), which
advises U.K. health departments on immunization,
publicly stated that the health risks to children aged
12-to-15 were so low, vaccination would offer only
“marginal gain” and there was thus “insufficient”
evidence on the basis of health alone to suggest it
needed to be offered to the entire age group. (The
advisers suggested children with underlying health
conditions should be vaccinated.) In September, the
chief medical officers of all four nations (Britain,
Scotland, Northern Ireland and Wales) ruled that
children aged between 12 and 15 should be offered
one dose of a COVID-19 vaccine anyway, to help
reduce transmission and disruption in schools. Pub-
lic health officials in France, Italy, Canada, Spain,
Israel and many other countries reached a similar
conclusion to the U.S., where public health officials
concluded that the benefits of protecting children
over 12 “far outweighed” the potential risks.
By then, however, Becker had decided to hold
off on vaccinations. She believes that public health
authorities are downplaying the protective power
of immunity gained through infection.
Some reputable experts say she may be right.
Marty Makary, a professor at Johns Hopkins
University School of Medicine and a Fox News
NEWSWEEK.COM 29
 HEALTH

contributor who has spoken out in favor of vac-
cines but against mandates, says the data is not as
clear cut when it comes to children as many public
health officials suggest.
“COVID illness in children is a vaccine-preventable
illness and vaccines save lives,” he tells Newsweek.
“What’s been absent is quantifying risk. We’ve often
reduced the quantification of risk to a simple ‘have
to,’ ‘must’ or ‘need to’ get a vaccine. But what is the
actual risk for a healthy child? What percent of the
570 children who died of COVID over the last two
years were healthy and how many had preexisting
conditions? Nobody has the answer to that question.”
In September, Makary argued in a Washington
Post op-ed that the U.S. government was undercut-
ting its credibility by failing to acknowledge the
power of previous infection to prevent the disease.
He pointed to a number of studies suggesting vacci-
nations might not be necessary for people who had
been infected, including a 700,000-person Israeli
study that found that those who had already been
infected with COVID-19 were 27 times less likely to
get sick again than those who had been vaccinated.
“Universal indiscriminate vaccination policy for
children sometimes does not account for previous
immunity and these special considerations—what’s
lost is nuance,” Makary says. “I think that there are
important considerations based on individual situ-
ations and most people should have a conversation
with a pediatrician who can assess these risk-benefits.”
That, at least, is a solution people on opposing
sides of the vaccine question can likely agree on. A
recent survey from the Kaiser Family Foundation
found that 85 percent of Americans trust their kids’
doctors. That’s compared to 71 percent who said
they trust the CDC, 69 percent who said they trust
the FDA, 58 percent who said they trust President
Biden and 57 percent who said they trust Dr. An-
thony Fauci.
have received vaccinations for other diseases and
she is optimistic COVID vaccination, once fully ap-
proved, will fit neatly into that arsenal.
“For the most part, this is a culture that accepts
childhood vaccination,” she says. “There’s a whole
part of the population that at the very beginning
said, ‘I just want to wait and see, I don’t want to be
the first person who takes this vaccine.’ And they
waited and they saw their friends are getting vac-
cinated. We’re going to go through that same kind
of cycle with the childhood vaccination, as more
evidence of children getting vaccinated appears,
people will feel more comfortable.”
The importance of peer influence is especially As more evidence
significant in minority communities, says Thomas
LaVeist, dean of the School of Public Health and
Tropical Medicine at Tulane University, and co-
chair of the governor’s task force on COVID-19
Health Equity for the state of Louisiana. He says
for many holdouts in minority communities, the
issue comes down to larger distrust of health care
institutions. “It’s a long history of many different
things that have happened within health care that’s
led to this distrust,” he says. “Every Black person
has got a story of going to a hospital or health care
facility and of being treated in a discourteous way.
Everyone’s got a neighbor or a friend or a relative

‘Not Unreasonable Questions’

trust in the vaccines themselves—and those
pushing for them—is likely to increase when the
FDA grants full approval to their use for kids, rather
than continuing to offer them through emergen-
cy use authorization, says Kathleen Hall Jamieson,
director of the Annenberg Public Policy Center at
the University of Pennsylvania and a co-author of
papers on vaccine hesitancy. She says most children

30 NEWSWEEK.COM

of children getting vaccinated
appears, people will feel MORE COMFORTABLE.”
‘SAFE, EFFECTIVE’ who has a story about something that’s happened
Clockwise from top left:
to them where they didn’t get the quality of care
American Academy of
Pediatrics president Dr. they should have gotten before they went to the
&/2 &.:,6()520723/()7&+,/'5(1Š61$7,21$/+263,7$/$5,$1$' 5 (+ 6 / (5 ʔ$) 3ʔ* ( 7 7 <  3$8 /  + ( 1 1 ( 6 6<ʔ* ( 7 7 <
Lee Savio Beers; doses emergency room. And that produces the distrust.”
RIWKH3ɿ]HU%LR17HFK
For skeptics of all races, the most important factor
vaccine at Rady Children’s
Hospital in San Diego; is taking the time to answer questions and debunk
a drive-thru testing and conspiracy theories, says LaVeist. “It’s not so norma-
vaccination site in Orlando,
tive that people are anti-vaxxers—most groups are
Florida this August.
going to vaccinate their children,” he continues. “But
many people have legitimate questions. ‘So is it really
safe? Were the studies done correctly? Did they test
the vaccine children long enough? How are they
certain about the dosing and whether the dosing is
right?’ These are not unreasonable questions. And I
think those are questions that need to be answered
and explained to people. And I think in many cas-
es, when people get a reasonable elxplanation and
ask those questions, they will opt to have their child
vaccinated.”
LaVeist says, “The only thing that I know works
with people that are hesitant is to sit down with
them, take the time to answer their questions and
walk them through it. And that works, but that’s
very time consuming.”
To reach holdouts, the state of Louisiana has
launched a series of informational campaigns
through social media and local media, with billboard,
television, radio and public service announcements
from celebrities like football coaches. The state has
offered a million-dollar lottery. Other states have paid
people to get vaccinated. At the University of Mary-
land, a group has been working to educate barbers
about the benefits of vaccination so they can pass on
that knowledge to their customers—a strategy used
by public health officials during the AIDS crisis to ed-
ucate African American communities. Other leaders
identified as “trusted messengers” in polling have also
been targeted, including clergy and other community
leaders. In Philadelphia, Jamieson and her colleagues
have been running fact checks about vaccinations,
debunking misinformation via the iHeart Radio
Network, allowing them to reach people in their cars.
In the end, however, people on both sides agree
that there will be a core group of holdouts who
don’t intend to vaccinate themselves or their chil-
dren. For them, the last tool in the public health ar-
senal is also the most controversial one: mandates.
Many public health officials are looking toward
the start of the 2022 school year, hoping the ma-
jority of children entering then will be vaccinated,
says Georges Benjamin, the executive director of
the American Public Health Association. But he
expects the debate over mandating vaccination
to heat up “right out of the box” and quickly grow
red-hot when most state legislatures go into session
right after the first of the year.
In some areas, the debate has already started. In
early October, California governor Gavin Newsom
announced plans to add COVID-19 to the list of
vaccinations required to attend California schools
in-person once the vaccines receive full approval
from the FDA. Florida Governor Ron DeSantis has
signed executive orders aimed at preventing schools
from requiring masks, directed state agencies to en-
sure that school safety protocols do not interfere with
parents’ rights to make health care decisions about
their children and empowered the state commis-
sioner of education to withhold state funding from
school districts that do not comply. “The COVID-19
vaccine is safe, effective, & our best defense against
the virus, but should always remain voluntary & nev-
er forced,” he said in a tweet announcing the orders.
Back in Connecticut, Abi Hammond has been
watching all of this closely and still hasn’t decided
what to do.
“If push comes to shove and the school says they
have to do it,” she says, “I’ll do it. And probably
won’t be too upset about that. But it’s hard to know.
It’s not something I’m excited to do right now.”
NEWSWEEK.COM 31
 mbulatory surgical centers
have become a big part of Am-
erican medicine. These are
facilities where patients can
have specific surgical procedures that usually
don’t require hospitalization, meaning they
can have an operation and then be back home
quickly, often the same day. Currently there
are over 5,000 Medicare-certified ambulatory
surgical centers nationwide in all the major
surgical specialties, such as orthopedic surgery,
cardiac surgery, eye surgery and spinal surgery.
To help our readers make knowledgeable
choices when they seek care for themselves
or loved ones, Newsweek has again partnered
America’s
Best
Ambulatory
Surgery
Centers
2 0 2 2
32 NEWSWEEK.COM
with respected global research firm Statista
to name America’s Best Ambulatory Surgery
Centers. This year our list spotlights 470
facilities in the 25 states with the most am-
bulatory surgical centers. The states are Ari-
zona, California, Colorado, Florida, Georgia,
Illinois, Indiana, Kansas, Louisiana, Maryland,
Michigan, Minnesota, Mississippi, Missouri,
New Jersey, New York, North Carolina, Ohio,
Oregon, Pennsylvania, South Carolina, Ten-
nessee, Texas, Washington and Wisconsin.
We hope these trustworthy, carefully vetted
rankings of America’s Best Ambulatory Surgery
Centers help you make choices with confi-
dence. Ơ Nancy Cooper, Global Editor in Chief
GETTY
Methodology
America’s Best
Ambulatory Surgery
Centers 2022
highlights the nation’s top
ambulatory surgery centers
based on quality of care,
performance data and peer
recommendations relative
to in-state competition.
Centers in the 25 states
with the highest number of
ambulatory surgery centers
(ASCs), according to the
Centers for Medicare &
Medicaid Services (CMS),
were included in the study.
Included ASCs operate
exclusively for the purpose
of providing surgical services
to patients not requiring
hospitalization and in which
the expected duration of
services would not exceed
24 hours following admission.
Over 4,600 ASCS in the
25 states were analyzed.
The 470 best ASCs in the
25 states were awarded
by Newsweek and Statista,
resulting in a varying number
of ASCs awarded per state:
California had the most
with 83, while Mississippi
is represented with 4.
To create the ranking, a
score was calculated for
each ASC that was part of
the analysis. The overall
score is based on reputation
and KPI data scores.
The reputation score is
based on three sub-scores:
for recommendations, for
quality and for handling of
COVID-19 (as of September
2021). In cooperation with
Newsweek, Statista invited
thousands of medical
experts (nursing assistants,
registered nurses, therapists,
medical doctors, surgeons,
administration and staff
34 NEWSWEEK.COM
working in ASCs) to an
online survey. Additionally,
experts from all over the U.S.
were able to participate in
a survey on newsweek.com.
All data was collected from
July to September 2021.
Participants were asked
WRUHFRPPHQGXSWRɿYH
ASCs in their home state
or a state they are familiar
with if their home state was
not one of the 25 included.
Additionally, participants
were asked to rank the
quality dimensions which
LQʀXHQFHWKHTXDOLW\RI$6&V
Participants were asked
to differentiate between:
1. Management during
COVID-19 crisis (e.g.,
safety & hygiene measures)
2. Management of waiting
time (e.g., appointments)
3. Quality of surgery
preparations (e.g.,
consultation with
doctor, information)
4. Quality of surgical care
(e.g., procedure)
5. Quality of follow-up care
(e.g., physical therapies)
Ơ For the KPI score, CMS
ɿQDOL]HGWKH$PEXODWRU\
Surgical Center Quality
Reporting (ASCQR) Program
which provides KPI data for
ASCs. The KPI data includes
the following measures:
MEASURE 1: Endoscopy/
Polyp Surveillance:
Appropriate Follow-up
Interval for Normal
Colonoscopy in Average
Risk Patients
MEASURE 2: Cataracts—
Improvement in
Patient’s Visual
Function within
90 Days Following
Cataract Surgery
MEASURE 3: Facility
7-Day Risk-Standardized
Hospital Visit Rate
after Outpatient
Colonoscopy
MEASURE 4: Normothermia
Outcome
MEASURE 5: Unplanned
Anterior Vitrectomy
for Cataract Patients
Ơ For an ASC to receive
a KPI data score it must
have reported a minimum
of 2 measures within the
reporting period. ASCs that
reported fewer measures did
not receive a KPI data score
and were rated based on the
reputation survey score only.
The overall rating is the
weighted average of the
reputation score and the KPI
data score. The weight for
the reputation score is 67
percent and the CMS-based
KPI data score is weighted
with 33 percent toward
the overall score of each
center. ASCs were ranked
within their respective state
based on their overall score.
The information
provided in this ranking
should be considered
together with other
information about ASCs or,
if possible, accompanied
by an in-person visit.
Ơ The full methodology
is online at newsweek.
com/basc-2022
arizona
1 82.6% Mayo Clinic - Building
Scottsdale
scottsdale
2 76.9% Surgery Center of Gilbert
mesa
3 73.7% United Surgical Partners
International - Camp
Lowell Surgery Center
tucson
4 73.3% Dignity Health - St. Joseph’s
Outpatient Surgery Center
phoenix
5 73.0% Tucson Gastroenterology
Specialists Pc
tucson
6 71.2% Central Arizona
Endoscopy LLC
mesa
7 70.5% Central Arizona GI
and Liver Institute
gilbert
8 69.9% Arizona Digestive Health -
Scottsdale Endoscopy Center
scottsdale
9 68.1% Arizona Digestive Health -
Scottsdale Gelzayd
scottsdale
10 67.9% United Surgical Partners
International - Mountain
View Surgery Center Glendale
glendale
california
1 96.0% UCLA Health - Ambulatory
Surgery Center Westwood
los angeles
2 92.3% Cedars Sinai - 90210
Surgery Medical Center
beverly hills
3 90.8% Surgical Care Affiliates -
Surgical Center of San Diego
san diego
GETTY
4 88.2% Hoag Endoscopy Center
newport beach
NOV E M BE R 05, 2021
 22 81.0% Surgery Partners – Specialty
Surgical Center of Encino
encino

23 80.7% Surgical Care Affiliates -

University Ambulatory
Surgery Center
san diego

24 80.1% Surgical Care Affiliates -

Glenwood Surgery Center
riverside

25 79.6% Surgical Care Affiliates -

Grossmont Surgery Center
la mesa

26 79.4% Surgical Care Affiliates -

San Diego Endoscopy Center
san diego

27 79.3% Surgical Care Affiliates -

MemorialCare Surgical
Center at Orange Coast
fountain valley

28 79.3% Surgical Care Affiliates -

Barranca Surgery Center
irvine

5 87.5% Sutter Health - Surgery 13 82.6% The Oaks Surgery Center LP 29 78.9% Scripps - Mercy
Center Mountain View murrieta Surgery Pavilion
mountain view san diego
14 82.6% Scripps - Clinic
6 87.0% Newport Beach Rancho Bernardo 30 78.9% Surgical Care Affiliates -
Surgery Center san diego North Coast Surgery Center
newport beach oceanside
15 82.5% Surgical Care Affiliates -
7 85.6% Surgical Care Affiliates Inland Surgery Center 31 78.9% Los Robles Surgicenter
- UCSD Center for redlands thousand oaks
Surgery of Encinitas
encinitas 16 82.4% Sutter Health - Surgery 32 78.5% Sutter Health - Sierra
Center Palo Alto Surgery Center
8 84.4% Surgical Care Affiliates - La palo alto roseville
Veta Surgical Center
orange 17 82.1% La Peer Surgery Center 33 78.5% Mid Valley Surgery Center
beverly hills ontario
9 83.9% Surgery Partners - Aspen
Surgery Center 18 81.9% Los Gatos Surgical Center 34 78.3% Sutter Health - Surgery
simi valley los gatos Center Fremont
fremont
10 83.4% Desert Care Network - El 19 81.9% Scripps - Clinic
Mirador Surgery Center Carmel Valley
palm springs san diego 35 78.2% Surgical Care Affiliates -
Outpatient Surgery
11 83.1% Sutter Health - Roseville 20 81.5% Aspen Surgery Center Center of La Jolla
Endoscopy Center walnut creek la jolla
roseville
21 81.4% MemorialCare - The Surgical 36 78.0% Waverley
12 82.6% Otay Lakes Surgery Center Center at Saddleback Surgery Center
chula vista laguna hills palo alto

V I E W T H E L I S T O N L I N E AT 1 ( :6: ( ( . & 2 0ʔ%$6&ʝ

37 77.5% Huntington Ambulatory 52 75.7% Scripps - Encinitas 60 75.2% North Orange County
Surgery Center Surgery Center Surgery Center
pasadena encinitas anaheim

38 77.3% Sutter Health - Santa 53 75.7% Crown Valley Outpatient 61 75.2% Sutter Health - San Francisco
Barbara Endoscopy Center Surgical Center Endoscopy Center
santa barbara mission viejo san francisco

39 77.2% Surgical Care Affiliates - 54 75.5% Monterey Peninsula 62 75.1% Associated Gastroenterology
Channel Islands Surgicenter Surgery Centers Medical Group -
oxnard monterey Endoscopy Center
anaheim
40 77.1% Scripps - Ambulatory 55 75.5% MemorialCare -
Surgery Center - Digestive Care Center 63 75.1% Forest Surgery Center
Ximed Building laguna hills san jose
la jolla
56 75.4% Physicians’ Surgery 64 74.9% Sutter Health - Sutter
41 77.1% Sutter Health - Capitol Center of Downey LLC North Surgery and
City Surgery Center downey Endoscopy Center
sacramento yuba city
57 75.4% Loma Linda University
42 77.0% Sutter Health - Surgery Health Beaumont-Banning 65 74.9% Surgical Care Affiliates
Center San Carlos beaumont - Arcadia Outpatient
san carlos Surgery Center
58 75.3% United Surgical arcadia
43 76.8% Four Seasons Surgery Partners International -
Centers of Ontario Magnolia Surgery Center 66 74.8% Cedars Sinai - Precision
ontario westminster Ambulatory Surgical Center
beverly hills
44 76.8% Sutter Health - Santa 59 75.2% SoCaleye -
Rosa Surgery and Surgery Center 67 74.7% Pacific Heights Surgery Center
Endoscopy Center long beach san francisco
santa rosa

45 76.5% Archibald Surgery Center

rancho cucamonga

46 76.4% Surgical Care Affiliates -

Golden Triangle Surgicenter
murrieta

47 76.1% Pacific Ambulatory

Surgery Center
alhambra

48 76.1% Carlsbad Surgery Center

carlsbad

49 75.9% Surgical Care Affiliates -

MemorialCare Surgical
Center Laguna Niguel
laguna niguel

50 75.8% Nvision - Pacific Hills

Surgery Center
laguna hills

51 75.7% Vituity Healthcare -

Surgery Center of
Northern California
redding

36 NEWSWEEK.COM NOV E M BE R 05, 2021

 68 74.7% Cedars Sinai - Surgery 82 74.0% El Camino Health
Center of the Pacific - Ambulatory Surgery
florida
Santa Monica Center - Mountain View
santa monica mountain view 1 92.2% The Surgery Center at TGH
Brandon Healthplex
69 74.6% Pacific Surgery 83 74.0% West Hills Surgical Center tampa
Center of Ventura west hills
ventura 2 91.1% Florida Medical
Clinic - North Tampa
70 74.6% Casa Colina Surgery c olorad o tampa
Center LLC
pomona 1 86.1% UCHealth Longs Peak 3 90.5% Coral Gables Surgery Center
Surgery Center miami
71 74.5% Monterey Bay GI
longmont
Consultants Medical 4 88.5% USF Health - Ambulatory
Group Inc - Monterey Bay 2 84.0% Health One - Midtown Surgery Center
Endoscopy Center LLC Surgical Center tampa
monterey denver
5 87.8% Surgical Care Affiliates - Sand
72 74.4% Eye Surgical and Medical 3 83.2% Sky Ridge Surgical Center Lake Surgery Center
Associates Inc - Noble lone tree orlando
Surgery Center
visalia 4 82.7% Foothills Surgery Center 6 86.5% Surgical Care Affiliates -
boulder Boca Raton Outpatient
73 74.3% Santa Clarita Surgery Surgery & Laser Center
Center LP 5 82.6% Surgical Care Affiliates - boca raton
santa clarita Denver Surgery Center
denver 7 85.5% Lakeland Surgical &
74 74.3% Surgery Partners - Diagnostic Center -
Specialty Surgical Center 6 81.5% Surgical Care Affiliates - Griffin Campus
of Westlake Village Surgical Center lakeland
westlake village of the Rockies
colorado springs 8 85.1% Surgical Care Affiliates -
75 74.2% Los Angeles Orlando Center for
Endoscopy Center 7 80.2% Health One - Surgery Outpatient Surgery
los angeles Center of the Rockies orlando
aurora
76 74.2% United Surgical Partners 9 84.7% Bayside Ambulatory
International - Pacific 8 78.5% Surgical Care Affiliates - Surgery Center
Endoscopy and Castle Rock Surgicenter miami
Surgery Center castle rock
fountain valley 10 84.6% Bayview Surgery Center
9 75.6% Health One - Rose sarasota
77 74.2% Solar Surgical Center Surgical Center
oxnard denver 11 84.4% Surgical Care Affiliates -
Melbourne Surgery Center
78 74.1% Premier Surgery Center 10 75.3% Clear Creek Surgery Center melbourne
of Santa Maria wheat ridge
santa maria 12 84.2% Surgery Center at
11 74.4% Surgical Care Affiliates - Coral Springs
79 74.1% United Surgical Partners Surgery Center at coral springs
International - Folsom Cherry Creek
Surgery Center denver 13 83.8% SurgCenter Pinellas
folsom largo
)6 35 2 ' 8& 7 , 2 16ʔ* ( 7 7 <

12 74.0% Arapahoe
80 74.1% Fremont Surgery Center Endoscopy Center 14 82.9% Delray Beach Surgery Center
fremont littleton delray beach

81 74.0% Loma Linda Ambulatory 13 73.6% Surgical Care Affiliates - 15 82.4% Bayfront Ambulatory
Surgical Center Podiatry Corp Mile High SurgiCenter Surgical Center
loma linda greenwood village st. petersburg

9 , ( :7 + ( / , 6 7  2 1 / , 1 (  $7 1 ( :6: ( ( . & 2 0ʔ%$6&ʝ

16 82.3% Florida Medical
Clinic - Zephyrhills
zephyrhills

17 82.1% Day Surgery Center

winter haven

18 81.6% Surgical Park Center

miami

19 81.0% Venture Ambulatory

Surgery Center
north miami beach

20 80.7% Advanced Surgery Center

of Palm Beach County
lake worth

21 80.4% Mayo Clinic - Jacksonville ASC

jacksonville

22 79.2% Baptist Health South

Florida - Endoscopy
Center Galloway South
miami

23 77.9% BayCare - Surgery

Center (Trinity)
trinity

24 77.9% Ambulatory Surgery

Center Tampa
tampa
32 75.7% Surgery Center of Weston LLC 39 75.0% Kendall Endoscopy
25 77.4% Central Florida SurgiCenter weston and Surgery Center
lakeland miami
33 75.7% Titusville Center for
26 77.2% North Pinellas Surgery Center Surgical Excellence 40 75.0% Bethesda Outpatient
dunedin titusville Surgery Center LLC
boynton beach
27 76.9% Surgical Care Affiliates - 34 75.5% North Miami Beach
Alliance Surgical Center Surgical Center 41 74.9% Jacksonville Surgery Center
lake mary north miami beach jacksonville
28 76.8% Lakeland Surgical & 35 75.4% North Florida 42 74.8% Suncoast Endoscopy
Diagnostic Center - Surgical Pavilion of Sarasota LLC
Florida Campus gainesville sarasota
lakeland
36 75.3% Surgery Partners - 43 74.7% Surgery Partners - Lake
29 76.7% Intercoastal Medical Jacksonville Beach Mary Surgery Center LLC
Group - Ambulatory Surgery Surgery Center lake mary
Center in Sarasota jacksonville beach
sarasota 44 74.3% Hernando Endoscopy
37 75.3% United Surgical Partners and Surgery Center
30 76.6% Eye Surgery Center International - Winter Haven brooksville
of North Florida Ambulatory Surgery Center
jacksonville winter haven 45 74.2% United Surgical Partners
International - Laser
%6 , 3ʔ* ( 7 7 <

31 76.6% Surgical Care Affiliates - 38 75.2% Tampa Eye and Specialty and Surgery Center of
Maitland Surgery Center Surgery Center the Palm Beaches
maitland tampa palm beach gardens

38 NEWSWEEK.COM NOV E M BE R 05, 2021

 7 75.6% Atlanta Gastroenterology - 5 80.7% Ingalls Same Day Surgery
Northern Crescent Endoscopy tinley park
atlanta
6 78.0% Surgical Care Affiliates -
8 75.5% Eye Consultants of Golf Surgical Center
Atlanta - Buckhead des plaines
atlanta
7 77.8% Northwest Community
9 75.5% Surgical Care Affiliates - Healthcare - Day
Gainesville Surgery Center Surgery Center
gainesville arlington heights

10 75.2% Emory Healthcare - Emory 8 77.5% Silver Cross Surgery Center

Clinic at 1365 Clifton Rd new lenox
atlanta
9 76.9% Rush SurgiCenter
11 75.1% Thomas Eye Group chicago
Surgery Center
sandy springs 10 76.9% Surgical Care Affiliates -
Naperville Surgical Centre
12 74.9% Surgical Care Affiliates - naperville
Perimeter Surgery Center
atlanta 11 76.0% Hinsdale Surgical Center
hinsdale
13 74.3% Coliseum Same Day
Surgery Center Lp 12 75.7% Good Samaritan
macon Surgery Center
mount vernon
14 74.2% North Georgia Eye
Surgery Center 13 75.6% Gailey Eye Clinic -
gainesville Bloomington Eye Institute
bloomington
15 74.1% Summit Endoscopy Center
fayetteville 14 75.4% Surgery Partners - Novamed
ge orgia of Chicago Northshore
16 73.9% Surgery Partners - chicago
1 86.6% Emory Healthcare - Premier Surgery
Emory Ambulatory Center of Georgia 15 75.2% Surgical Care Affiliates -
Surgery Center brunswick Hawthorn Surgery Center
atlanta vernon hills

2 81.4% Redmond Regional illinois 16 75.1% Surgical Care Affiliates -

Medical Center - Surgery Tinley Woods Surgery Center
Center of Rome tinley park
1 85.2% Surgical Care Affiliates -
rome
Center for Minimally
3 78.2% Surgical Care Affiliates -
Invasive Surgery indiana
mokena
Chatham Orthopaedic
Surgery Center 1 83.0% Community Health
2 84.0% Springfield Clinic - Network - Community
savannah
Ambulatory Surgery & Surgery Center South
4 77.8% Digestive Healthcare of Endoscopy Center indianapolis
Georgia - Mountainside springfield
jasper 2 81.2% Community Health Network
3 82.9% Elmhurst Outpatient - Hancock Surgery Center
5 76.8% Surgery Center of Athens Surgery Center greenfield
athens elmhurst
3 80.5% Community Health
6 76.1% Digestive Healthcare 4 82.3% Surgical Center of Network - Community
of Georgia - Atlanta DuPage Medical Group Surgery Center North
atlanta lombard indianapolis

9 , ( :7 + ( / , 6 7  2 1 / , 1 (  $7 1 ( :6: ( ( . & 2 0ʔ%$6&ʝ

4 80.5% Community Health 6 73.8% WestGlen Endoscopy Center  7 75.1% Privia Medical Group -
Network - Community shawnee Advanced Surgery
Surgery Center Howard rockville
kokomo
louisiana 8 74.7% Frederick
5 78.9% Franciscan Health - Surgical Center LLC
Surgery Center 1 84.7% Ochsner Health - Outpatient frederick
indianapolis Surgery Suite
slidell 9 73.8% SurgCenter of Western
Maryland LLC
6 77.0% Carmel Ambulatory
2 76.0% Oil Center Surgical Plaza cumberland
Surgery Center
lafayette
carmel
10 73.5% Court Endoscopy Center
3 75.0% Imperial Calcasieu of Frederick Inc
7 76.9% United Surgical Partners
Surgical Center frederick
International - Indiana
lakes charles
Specialty Surgery Center
11 73.2% Maryland Diagnostic
bloomington
4 74.4% Louisiana Endoscopy Center and Therapeutic
baton rouge Endo Center
8 76.3% Parkview Health - Inverness annapolis
Surgery Center 5 73.1% United Surgical Partners
fort wayne International - Christus 12 73.0% Medstar Endoscopy
Cabrini Surgery Center Center At Lutherville
9 76.1% IU Health Ball Memorial
alexandria lutherville
Outpatient Surgery Center
muncie 6 72.9% Thibodaux Endoscopy 13 72.8% Endoscopy Center of
thibodaux North Baltimore
10 76.0% Unity Surgical Center
towson
lafayette 7 72.7% Bayou Region Surgical Center
thibodaux 14 72.1% Urbana Gi Endoscopy
11 75.6% The South Bend Clinic
Center LLC
Surgery Center 8 72.3% GastroIntestinal Specialists, ijamsville
south bend A.M.C. - Shreveport
Endoscopy Center 15 72.0% Surgical Care Affiliates -
12 75.4% IU Health Saxony shreveport Massachusetts Avenue
Surgery Center
Surgery Center
fishers
bethesda
maryland
kansa s 1 90.4% Johns Hopkins Health Care & michigan
Surgery Center - White Marsh
1 85.0% The University of Kansas nottingham 1 83.3% Copper Ridge - Northwest
Health System - KU MedWest Michigan Surgery Center
Outpatient Surgery Center 2 88.2% Johns Hopkins Endoscopy traverse city
shawnee & Surgery Center
columbia 2 82.0% Novi Surgery Center
2 84.5% Mid-America Surgery novi
Institute 3 81.1% University of Maryland
overland park Medical Center - Ambulatory 3 80.0% Clarkston Surgery Center
Surgery Center clarkston
3 80.6% Physicians Surgery Center columbia
prairie village 4 75.8% Lapeer County
4 80.6% Cumberland Valley Surgery Center
4 79.6% Cypress Surgery Center Surgery Center lapeer
67 ( 9 (  ' ( % ( 1 3 2 57ʔ* ( 7 7 <

wichita hagerstown
5 75.3% Surgery Partners - Lakes
5 78.2% The University of Kansas 5 75.9% Leonardtown Surgery Center Surgery Center
Health System - Ambulatory leonardtown west bloomfield
Surgery Center at Indian
Creek Campus 6 75.5% Maple Lawn Surgery Center 6 75.2% Muskegon Surgery Center
overland park fulton muskegon

40 NEWSWEEK.COM NOV E M BE R 05, 2021

 mississippi

1 76.7% Surgery Partners -

Desoto Surgery Center
southaven

2 75.5% North Mississippi

Health Services -
North Mississippi
Surgery Center
tupelo

3 73.6% Meridian Surgery Center

meridian

4 73.2% Hogan Eye Clinic &

Surgical Center
gulfport

missouri

1 85.3% The Surgical Center

at Columbia
Orthopaedic Group
7 75.0% St. Joseph Mercy Ann Arbor 5 83.6% Surgical Care Affiliates -
columbia
Outpatient Surgery Center Maplewood Surgery Center
ypsilanti maplewood
2 83.7% Saint Luke’s - East Hospital
8 74.8% TruVista Surgery Center 6 82.7% Midwest Surgery Center Surgery Center
troy woodbury lee’s summit

9 74.5% Grand Valley Surgical 7 81.9% M Health - Fairview Clinics and 3 81.3% St. Joseph Center for
Center LLC Surgery Center - Maple Grove Outpatient Surgery
grand rapids maple grove st. joseph

10 74.3% West Michigan Surgery Center 8 80.1% Surgical Care Affiliates - 4 77.9% CoxHealth
big rapids Centennial Lakes Surgery Center
Surgery Center springfield
edina
minnesota 5 74.7% SSM Health - St. Clare
9 79.9% Surgical Care Affiliates - Surgical Center
1 89.9% Surgical Care Affiliates - Ridges Surgery Center fenton
WestHealth Surgery Center burnsville
plymouth 6 73.6% CSA Surgical Center
10 75.0% MNGI Digestive Health - columbia
2 86.6% Surgical Care Affiliates - St. Plymouth Endoscopy
Cloud Surgical Center Center & Clinic 7 73.4% St. Louis Eye Surgery
st. cloud plymouth & Laser Center
st. louis
3 85.6% M Health - Fairview 11 75.0% MNGI Digestive Health
Clinics and Surgery - Eagan Endoscopy 8 72.8% JCMG Outpatient
Center - Minneapolis Center & Clinic Surgery Center
minneapolis eagan jefferson city

4 83.9% North Memorial 12 74.7% MNGI Digestive Health - 9 72.8% Surgery Center
Ambulatory Surgery Bloomington Endoscopy At Liberty Hospital
Center of Maple Grove Center & Clinic liberty
maple grove bloomington

V I E W T H E L I S T O N L I N E AT 1 ( :6: ( ( . & 2 0ʔ%$6&ʝ

10 72.7% Surgical Care Affiliates - 13 78.7% Virtua Health - Center for
South County Ambulatory and Minimally
Surgical Center Invasive Surgery
st. louis eatontown

14 78.2% Surgical Care Affiliates -

Raritan Valley Surgery Center new york
new jer sey somerset
1 90.2% Gramercy Surgery
1 87.3% Saint Peter’s Healthcare 15 78.0% Wayne Surgical Center
Center - New York
System - CARES Surgicenter wayne
new york
new brunswick
16 77.6% Hudson Crossing
2 83.6% Gramercy Surgery
2 86.8% Summit Surgical Center Surgery Center
Center - Queens
voorhees fort lee
flushing
3 86.8% Surgical Care Affiliates - 17 77.3% Virtua Health - Gastro Surgi
Surgical Center Center of New Jersey 3 82.9% Mount Sinai - East
of South Jersey mountainside Side Endoscopy
mount laurel new york
18 77.1% RWJBarnabas Health -
Ambulatory Surgical Pavilion 4 79.2% Brooklyn Surgery Center
4 86.5% Virtua Health - Jersey
at Robert Wood Johnson brooklyn
Shore Ambulatory
Surgical Center new brunswick
5 75.8% South Shore Ambulatory
somers point
Surgery Center
19 76.8% Mercer County
lynbrook
5 86.3% Virtua Health - Center Surgery Center
for Surgery Washington lawrenceville
Township
sewell 20 76.4% Rockland Surgical Project
ramsey
6 85.2% Wills Eye Surgical
Network - Surgery 21 76.3% Union County Surgery Center
Center in Cherry Hill union
cherry hill
22 76.2% New Jersey Eye
7 84.5% Saddle River Valley Center - Bergenfield
Surgical Center bergenfield
paramus
23 76.1% Surgery Center at Hamilton
8 84.2% Somerset Ambulatory hamilton
Surgical Center
somerville 24 75.9% Virtua Health -
Memorial Ambulatory
9 83.3% Surgical Specialists Surgery Center
at Princeton mount holly
princeton
25 75.4% Surgical Care Affiliates -
10 81.4% Surgical Care Affiliates - University SurgiCenter
Surgicare of Central Jersey east brunswick
watchung
26 75.1% Summit Health - Berkeley
11 80.1% Advanced Endoscopy Heights Campus
& Surgical Center berkeley heights
eatontown
27 75.1% AtlantiCare Surgery
12 79.2% Centennial Surgery Center Center - Little Egg Harbor
%6 , 3ʔ* ( 7 7 <

voorhees little egg harbor

9 , ( : 7 + (/ , 6 72 1 / , 1 ($7 1 ( :6: ( ( . & 2 0ʔ%$6&ʝ

6 75.7% Carnegie Hill 14 73.9% Endoscopy Center of 5 82.6% Morganton Eye & Surgery
Endoscopy Central New York Centers - Morganton
new york fayetteville Eye Physicians PA &
Surgery Center
7 75.2% Manhattan Surgery Center 15 73.7% Upstate Orthopedics - morganton
new york Ambulatory Surgery Center
east syracuse 6 81.0% Duke Health - Duke
8 75.0% Brighton Surgery Center LLC Triangle Endoscopy Center
rochester durham
north carolina
9 74.2% Manhattan Endoscopy 7 79.1% Surgical Care Affiliates -
new york Charlotte Surgery Center
1 89.5% Capital City Surgery Center - Museum Campus
10 74.1% St. Peter’s Surgery & raleigh
charlotte
Endoscopy Center
albany 2 86.0% NHRMC Physician Group
8 78.3% Surgical Care Affiliates -
- Endoscopy Center
Blue Ridge Surgery Center
11 74.1% Meadowbrook wilmington
Endoscopy Center raleigh
westbury 3 85.0% Novant Health -
Ballantyne Outpatient 9 78.0% Wake Forest
Surgery Center Endoscopy Center
12 74.0% Eastern Orange Ambulatory
charlotte wake forest
Surgery Center
cornwall 10 77.8% UNC REX Healthcare -
4 83.4% Vidant Health -
Surgery Center of Cary
13 73.9% Dutchess Ambulatory Vidant SurgiCenter
cary
Surgical Center greenville
poughkeepsie
11 77.5% Duke Health - Davis
Ambulatory Surgical Center
durham

12 77.5% Gastroenterology Associates

of the Piedmont, P.A.
winston salem

13 77.4% Novant Health - Huntersville

Outpatient Surgery Center
huntersville

14 77.4% Atrium Health - Carolinas

Gastroenterology Center -
Medical Center Plaza
charlotte

15 76.9% SouthPark Surgery Center

charlotte

16 76.8% Wilmington SurgCare

wilmington

17 75.2% Surgical Care Affiliates -

Greensboro Specialty
Surgical Center
greensboro

18 75.1% Surgical Care Affiliates -

The Eye Surgery Centers
of the Carolinas
southern pines

NEWSWEEK.COM 43

ohio
1 85.0% Surgical Care Affiliates -
Dublin Surgery Center
dublin
2 84.6% The Toledo Clinic - Outpatient
Surgery Center - Main Campus
toledo
3 83.5% UH - Suburban Health Center
south euclid
4 82.1% Knightsbridge Surgery Center
columbus
5 80.1% Chagrin Surgery Center
beachwood
6 80.1% Cleveland ASC - Cleveland
Surgical Suites
richmond heights
7 79.2% Cleveland Clinic - Wooster
Milltown Specialty and
Surgery Center
wooster
8 78.5% Central Ohio
Surgical Institute
new albany
9 78.4% Ohio State Outpatient
Surgery - East Hospital
columbus
17 75.1% OhioHealth - Riverside 5 77.0% Surgical Care Affiliates -
Surgery Center Oregon Outpatient
columbus Surgery Center
tigard
18 74.7% Eye Care Associates
Inc - Boardman 6 76.0% Ashland Surgery Center
poland ashland
19 74.6% The Christ Hospital 7 75.5% Surgical Care Affiliates -
Surgery Centers - Red McKenzie Surgery Center
Bank Surgery Center eugene
cincinnati
8 75.5% The Portland Clinic -
20 74.3% Surgery Partners - Alberty Surgical Center
Valley Surgical Center tigard
steubenville
pennsylvania
ore g on
1 88.9% Wills Eye Surgical
1 82.2% East Portland Surgery Center Network - Surgery Center
portland in Northeast Philadelphia
philadelphia
2 80.3% Surgical Care Affiliates -
Northbank Surgical Center
2 86.1% Allegheny Health Network -
salem
Monroeville Surgery Center
monroeville
3 78.9% Surgical Care Affiliates -
Grants Pass Surgery Center
3 85.9% Abington Surgical Center
grants pass
willow grove
4 77.0% Surgery Center at
Tanasbourne 4 85.6% WellSpan - Dr. Roy A.
Himelfarb Surgery Center
hillsboro
chambersburg

10 78.3% Cleveland Eye and

Laser Surgery Center
fairview park

11 78.2% Anderson Endoscopy Center

cincinnati

12 75.8% Dayton Eye Surgery Center

dayton

13 75.7% Brecksville Surgery Center

brecksville

14 75.5% Eye Center of Columbus LLC

columbus

15 75.3% Ohio Valley Ambulatory

Surgery Center
belpre

16 75.3% Surgery Center

At Regency Park LLC
toledo

44 NEWSWEEK.COM NOV E M BE R 05, 2021

 5 83.9% Geisinger Gray’s
Woods Outpatient
Surgery & Endosc
port matilda
6 82.3% The Reading Hospital
SurgiCenter at Spring Ridge
wyomissing
7 81.9% Surgical Care Affiliates -
Huntingdon Valley
Surgery Center
huntingdon valley
8 81.4% Tri-State Surgery Center
washington
9 81.1% Turks Head Surgery Center
west chester
10 80.5% Allegheny Health
Network - Outpatient
Center Westmoreland
greenburg
11 79.8% Penn Medicine - Penn
Gastroenterology
Pennsylvania Hospital
philadelphia
12 79.6% Paoli Surgery Center
paoli
13 78.5% Bryn Mawr Medical
Specialists Association -
Endoscopy Center
bryn mawr
14 77.7% UPMC - Monroeville
Surgery Center
monroeville
15 77.0% Gamma Surgery Center
pittsburgh
16 76.8% Jefferson Health - Jefferson
Endoscopy Center at Bala
bala cynwyd
17 75.8% Eastern Pennsylvania
Endoscopy Center
allentown
18 75.8% Penn State Health Medical
% 5 2 2 .6  . 5 $ ) 7ʔ* ( 7 7 <
Group – Colonnade
state college
19 75.5% Jefferson Surgical Center
at the Navy Yard
philadelphia
20 75.1% Riddle Surgical Center LLC 7 76.8% Surgical Care Affiliates -
media Outpatient Surgery
Center of Hilton Head
21 75.1% The Physicians Surgery hilton head island
Center Lancaster General LLC
lancaster 8 76.7% Surgical Care Affiliates -
Spartanburg Surgery Center
22 75.0% Wills Eye Surgical Network -
spartanburg
Main Line Surgery Center
bala cynwyd 9 76.0% Ambulatory Surgery
Center of Spartanburg
23 74.5% Surgical Care Affiliates -
spartanburg
Pocono Ambulatory
Surgery Center 10 75.8% Lexington Medical
stroudsburg Center - Outpatient
Hospital in Lexington
24 74.5% Main Line Health - lexington
Orthopaedic Surgery Center
At Bryn Mawr Hospital 11 74.9% United Surgical Partners
bryn mawr International - Carolina
Surgical Center
25 74.5% Surgical Care Affiliates -
rock hill
Grandview Surgery Center
camp hill 12 73.9% The Surgery Center of Aiken
aiken
26 74.4% The Surgery Center
at Cranberry
cranberry township tennessee
27 74.3% Jackson Siegelbaum
Gastroenterology and West 1 84.0% Physicians Surgery Center
Shore Endoscopy Center jackson
camp hill
2 81.1% Southern Hills Surgery Center
nashville
south carolina
3 79.7% Physician’s Surgery
Center of Knoxville
1 83.7% Surgical Care Affiliates - knoxville
The Surgery Center at
Midlands Orthopaedics 4 78.0% Middle Tennessee
& Neurosurgery Ambulatory Surgery Center
columbia murfreesboro
2 80.0% AnMed Health - Medicus 5 77.4% Methodist Germantown
Surgery Center Surgery Center
anderson germantown
3 79.1% Surgical Care Affiliates - 6 76.7% East Tennessee Ambulatory
Charleston Surgery Center Surgery Center
summerville johnson city
4 77.1% Trident Surgery Center 7 76.6% Centennial Surgery Center
charleston nashville
5 76.9% Palmetto Surgery Center 8 76.3% Saint Thomas Surgicare
columbia nashville
6 76.8% Piedmont Surgery Center 9 75.7% Memphis Surgery Center
greenville memphis
9 , ( :7 + ( / , 6 7  2 1 / , 1 (  $7 1 ( :6: ( ( . & 2 0ʔ%$6&ʝ
10 75.1% Summit Surgery Center 13 80.3% Surgical Care Affiliates - 24 77.7% Surgical Care
hermitage Texas Health Surgery Affiliates - Texas
Center Craig Ranch Health Surgery
mckinney Center Bedford
texa s bedford
14 80.2% Baylor Scott & White
1 90.8% Surgical Care Affiliates - SurgiCare - Dallas 25 77.5% Kelsey-Seybold Clinic
Texas Health Surgery dallas - Ambulatory Surgery
Center Rockwall Center at Main Campus
rockwall 15 80.1% Memorial Hermann - Surgery houston
Center Texas Medical Center
2 87.0% Surgical Care Affiliates - houston 26 77.5% Surgical Care Affiliates - Texas
Texas Health Surgery Health Surgery Center Dallas
Center Denton 16 79.8% Methodist Healthcare dallas
denton - Ambulatory Surgery
Center - Medical Center 27 77.4% Surgical Center of El Paso
3 86.9% Surgical Care Affiliates - san antonio el paso
Southwest Fort Worth
Endoscopy Center 17 79.1% Baylor Scott & White 28 77.3% St. David’s Surgery Centers -
fort worth SurgiCare - Denton Bailey Square Surgery Center
denton austin
4 86.8% Surgical Care Affiliates -
Texas Health Orthopedic 18 78.9% Surgical Care Affiliates - 29 77.3% Surgical Care Affiliates -
Surgery Center Texas Health Surgery Center Hays Surgery Center
flower mound Fort Worth Midtown kyle
fort worth
5 86.5% Surgical Care Affiliates - Fort 30 77.1% Surgical Care Affiliates -
Worth Endoscopy Center Texas Health Surgery
19 78.5% Baylor Scott & White
fort worth Center Arlington
SurgiCare - North Garland
arlington
garland
6 85.7% Baylor Scott & White
SurgiCare - Rockwall 31 77.0% Surgical Care Affiliates -
20 78.3% Baylor Scott &
rockwall Cedar Park Surgery Center
White Ambulatory
Endoscopy Center cedar park
7 85.6% Surgical Care Affiliates -
Stonegate Surgery Center plano
32 76.8% Medical City - Surgery Center
austin
21 78.1% Covenant High Plains Surgery fort worth
Center - 22nd Street
8 84.7% Surgical Care Affiliates - 33 76.7% Methodist Craig Ranch
lubbock
Texas Health Surgery Surgery Center
Center Alliance mckinney
fort worth 22 78.0% Surgical Care Affiliates -
Texas Health Surgery
9 84.5% Gramercy Outpatient 34 76.6% St. David’s Surgery Centers -
Center Preston Plaza Oakwood Surgery Center
Surgery Center dallas
houston round rock
23 78.0% Eye Surgery Center
10 83.1% Medical City - Ambulatory 35 76.6% Lubbock Surgery Center
of North Dallas
Surgery Center Dallas lubbock
carrollton
dallas

11 81.2% Medical City - Calloway

Creek Surgery Center
north richland hills
12 81.0% Baylor Scott & White
SurgiCare - North Dallas
dallas
STATISTA publishes worldwide established rankings and company
listings with high-profile media partners. This research and analysis
service is based on the success of statista.com. The leading data
and business intelligence portal provides statistics, business-
relevant data and various market and consumer studies/surveys.
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46 NEWSWEEK.COM NOV E M BE R 05, 2021

 45 75.1% LoneStar Ambulatory 10 75.3% Pacific Rim Outpatient
Surgery Center Surgery Center
grapevine bellingham

46 75.1% United Surgical Partners 11 75.2% The Harman Eye Clinic

International - Doctors United arlington
Surgery Center - Preston
pasadena 12 75.1% The Everett Clinic
Kemp Surgery Center
47 75.0% United Surgical Partners everett
International - Hill Country
Endoscopy Center 13 75.1% Spokane Eye Clinic -
cedar park South Hill / Downtown
spokane
48 74.9% Surgery Partners - Novamed
Surgery Center of Tyler 14 75.1% Gastro Health - Puget
tyler Sound Gastroenterology
Seattle - Northgate
36 76.5% Memorial Hermann - 49 74.8% East El Paso Surgery Center seattle
Surgery Center el paso
Texas International 15 74.8% Evergreen Health -
Endoscopy Center Surgery Care - Tan
houston wa shington kirkland
37 76.4% Memorial Hermann -
1 84.1% Providence Health &
Endoscopy & Surgery
Services - Providence Medical wisc onsin
Center North Houston Park - Spokane Valley
houston
spokane valley 1 88.7% Froedtert Surgery Center
38 76.2% Memorial Hermann - milwaukee
Surgery Center Kirby Glen 2 79.2% Proliance Surgeons -
houston Eastside Surgery Center 2 83.7% Marshfield Clinic
kirkland Health System -
39 76.1% Surgical Care Affiliates - Outpatient Services
Texas Health Surgery 3 78.7% First Hill Surgery Center marshfield
Center Addison seattle
dallas 3 82.7% UW Health - Madison
4 78.6% Bellingham Ambulatory Surgery Center
40 76.1% Memorial Hermann - Surgery Center madison
Surgery Center Sugar Land bellingham
sugar land 4 80.8% Aspirus Health -
5 77.1% Proliance Surgeons - Pine Ridge Surgery Center
41 75.9% Memorial Hermann - The Retina Surgery Center wausau
Surgery Center Bay Area bellevue
Endoscopy Center 5 77.2% Wisconsin
houston 6 76.4% Kadlec Tri-City Regional Surgery Center
Surgery Center milwaukee
42 75.5% Surgical Care Affiliates - richland
Texas Health Surgery 6 75.4% Aurora Health Care -
Center Park Hill 7 76.3% Gastro Health - Puget Sound Aurora Surgery Center
forth worth Gastroenterology Kirkland germantown
kirkland
43 75.3% Baylor Scott & White 7 74.1% SSM Health - Davis
SurgiCare - Grapevine 8 75.9% PeaceHealth - Southwest Duehr Dean Eye Care
grapevine Washington Regional madison
Surgery Center
8 72.8% Eye Clinic of Wisconsin -
44 75.2% Surgical Care Affiliates - vancouver
EC Laser and Surgery
Ophthalmology Surgery
Institute of Wisconsin
Center of Dallas 9 75.7% Eastside Surgery Center wausau
dallas issaquah

V I E W T H E L I S T O N L I N E AT 1 ( :6: ( ( . & 2 0ʔ%$6&ʝ

Culture

portraying the beloved late princess diana would be a daunting Did you have any reservations
task for any actor, but when director Pablo Larraín asked Kristen Stew- about playing someone so iconic?
art to take on the role in his new film Spencer (November 5th), she agreed For six months, I woke up scared. It
immediately. “When I first started talking to Pablo, I didn’t even know what GHɿQLWHO\VFDUHGPHOHDGLQJULJKWXS
the project was yet. I was like, ‘I’ll do it.’” She admits, “it felt a little bit reckless,” EHIRUHZHVWDUWHGVKRRWLQJ,WZDV
but that spirit felt appropriate for Larraín’s Diana. “There was something DEVROXWHO\DSK\VLFDOPDQLIHVWDWLRQ
about this sort of psychotic confidence that he had. Something about him of deep fear.
feels unstoppable.” The film is a reimagining of a period of three days over
Christmas shortly before Diana separates from Prince Charles. “She was fight- +RZGLG\RXɿQGWKHEDODQFH
ing for her life and trying to get to the point where she could become herself between showing Diana’s
and be embodied.” Of course, a film like this has Oscar written all over it, fragile mental state while not
something Stewart is fine with because of how proud she is of Larraín and making her look unhinged?
ultimately how much she came to admire Diana. “I had so much fun playing (YHQZKHQVKHZDVEHLQJ
her, even on days that were only the dark things.” GLVDUPLQJO\FDVXDODQGEHDXWLIXO
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What was the hardest part of

your performance?

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Does all the Oscar buzz make

you uncomfortable?
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the best time with it.—H. Alan Scott

48 V i s it Ne w s w e e k .c om f o r t h e f u l l int e r v i e w