In 1991, in the tiny town of New Berlin, in upstate New York, a young physician named Bill Thomas ... had just taken a new job as medical director of Chase Memorial Nursing Home. More farmer than doctor, [Thomas] had a Paul Bunyan beard and was more apt to wear overalls beneath his white coat than a tie. From the first day on the job, he felt the stark contrast between the giddy, thriving abundance of life that he experienced on his farm and the confined, institutionalised absence of life that he encountered every time he went to work. So, acting on little more than instinct, he decided to try to put some life into the nursing home. They moved in ... one hundred parakeets, four dogs, two cats, plus a colony of rabbits and a flock of laying hens. [They also planted] hundreds of indoor plants and a thriving vegetable and flower garden, [and introduced] on-site child care for the staff. Researchers studied the effects of this programme over two years, comparing a variety of measures for Chase's residents with those of residents at another nursing home nearby. Their study found that the number of prescriptions required per resident fell to half that of the control nursing home. The total drug costs fell to only 38 per cent of the comparison facility. Deaths fell 15 per cent. The study couldn't say why. But Thomas thought he could.