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A new study published in the British medical journal Lancet says a host of factors, such as Medicare reimbursement, location and the availability of hospital beds, weigh more heavily on a doctor’s decision to operate than a patient’s needs, wants or whether surgery will improve their quality of life. And a growing number of 401(k) plan participants are bringing lawsuits against their employers (who administer the plans) for allowing poorly-performing and/or overly-expensive funds into their retirement portfolios.