Who is Miranda? The mystery of the young blonde who has remained perfectly preserved and still holding a red rose inside a small coffin for 145 years under a house in San Francisco

| Archeaology
October 14, 2024

A team of investigators has identified a young woman found buried in a coffin in San Francisco’s Lone Mountain neighborhood a year ago
announced today.

The girl, nicknamed “Miranda Eve” by researchers, has been identified as Edith Howard Cook, who died on October 13, 1876 at the age of two.

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Edith, the second daughter of Horatio Nelson and Edith Scooffy Cook, is listed as having died of “marasmus,” a term used to describe severe malnutrition and emaciation.

Researchers said today that the emaciation could have been caused by a number of things, but was most likely linked to an infectious disease.

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The young woman in a hermetically sealed metal coffin was unearthed last May in the backyard of John and Ericka Karner’s home by a contractor doing remodeling work.

Edith was reburied at Greenlawn Memorial Park in Colma last June, but a team of researchers set out to identify her.

The area where the Karner house was built was known to have been part of the Odd Fellows Cemetery, which accepted burials from 1865 until about 1902.

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Most of the bodies in the cemetery were exhumed and moved to Greenlawn in the early 1930s, but Edith was left behind for unknown reasons.

Investigators were able to tentatively identify her through a search.
from cemetery records and then confirmed the identification through a DNA match to a living relative, Peter Cook.

Bay Area resident Peter Cook is Edith’s great-nephew and a direct descendant of her older brother, Milton H. Cook.

Review: Top 10 Healthcare Services in the USA

The U.S. healthcare industry is a complex ecosystem of providers, insurers, and technology-driven services, delivering critical care to millions. In 2025, the sector is shaped by rising costs (projected at $4.9 trillion in 2023), technological innovation, and a focus on patient-centric care. Below is a detailed review of the top 10 healthcare services in the USA, based on market presence, patient outcomes, and industry impact.

1. HCA Healthcare

HCA Healthcare, based in Nashville, Tennessee, is the largest health system, operating 220 hospitals and over 40,000 staffed beds across 20 states. Known for comprehensive services, including emergency care, surgery, and specialty treatments, it generates significant net patient revenue. Its scale and advanced technology adoption ensure high-quality care, though accessibility varies by region.

2. Universal Health Services (UHS)

UHS manages 183 hospitals across 40 states, with over 21,000 beds, focusing on acute care and behavioral health. Its facilities in Texas, Florida, and California provide diverse services, from trauma care to psychiatric treatment. UHS’s emphasis on mental health integration aligns with 2025 trends, though high costs can be a barrier.

3. Encompass Health Corporation

With 164 hospitals, Encompass is the largest operator of rehabilitation hospitals, offering specialized post-acute care for stroke, brain injury, and spinal cord injury patients. Based in Birmingham, Alabama, it operates in 37 states, delivering measurable outcomes through therapy-focused programs. Its niche focus limits broader service scope.

4. CommonSpirit Health

A Catholic-affiliated system with 142 hospitals, CommonSpirit provides acute care, outpatient services, and telehealth across 21 states. It excels in community health programs and equitable access, serving underserved populations. Its integration of AI for diagnostics enhances efficiency, but merger-related challenges can affect consistency.

5. Ascension Health

Ascension operates 139 hospitals, focusing on primary care, oncology, and cardiology. With a mission-driven approach, it serves low-income communities through charity care programs. Its adoption of value-based care (VBC) models, projected to cover 90 million lives by 2027, improves outcomes but faces staffing shortages.

6. Kaiser Permanente

Kaiser Permanente is a leading integrated healthcare provider, combining insurance and care delivery for 12.5 million members. Its ACA marketplace plans are top-rated for affordability and quality, with low deductibles and strong preventive care. Operating in eight states, its HMO model ensures coordinated care but limits patient choice.

7. Aetna (CVS Health)

Aetna, under CVS Health, provides health insurance and healthcare services, covering 39 million lives. Its ACA plans offer competitive premiums and broad networks, with telehealth and pharmacy integration via CVS. Aetna’s focus on chronic disease management and AI-driven care navigation boosts outcomes, though rural access is limited.

8. Mayo Clinic

Mayo Clinic, based in Rochester, Minnesota, is renowned for specialized care in oncology, cardiology, and neurology. With 70,000 staff and three major campuses, it serves 1.3 million patients annually. Its research-driven approach and high patient satisfaction earn it top rankings, but costs and geographic reach are drawbacks.

9. Cleveland Clinic

Cleveland Clinic, with 23 hospitals, is a leader in cardiac care and medical innovation, serving patients across Ohio, Florida, and Nevada. Its adoption of cloud computing and AI for diagnostics enhances precision medicine. High costs and limited national presence restrict accessibility for some.

10. Blue Cross Blue Shield (BCBS)

BCBS, a federation of 34 independent companies, insures 115 million Americans, offering PPO, HMO, and EPO plans. Its ACA marketplace plans are widely available, with strong provider networks and wellness programs. BCBS’s focus on digital health tools and equitable access is notable, though premiums vary by state.

Choosing the Right Service

Selecting a healthcare service depends on location, medical needs, and budget. HCA and UHS offer broad hospital-based care, while Kaiser and Aetna excel in integrated insurance and delivery. Mayo and Cleveland Clinic are ideal for specialized treatments, and BCBS provides flexible insurance options. Compare costs (e.g., average ACA premium: $635/month), provider networks, and patient reviews on platforms like Healthgrades or U.S. News. With 26 million uninsured Americans and rising costs, prioritize services with telehealth, preventive care, and VBC to maximize value.

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