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Bond insurers who back tax-exempt debt are losing their top credit ratings because of their exposure to complicated securities backed by sub prime mortgages. Billions of dollars in variable-rate municipal bonds are offered at auction, where they usually attract lots of institutional investors who need quick access to their money. Because of this, the market is chaotic, forcing huge increases in short-term interest rates. As a hospital CFO, you need to know how to move through this turbulent credit market. We've got the answers.