Article Review Assignment Commonwealth Fund Article Essay

Article Review Assignment Commonwealth Fund Article - Essay Example A lot of money is required to fight with the health expenditures. Health care expenditures are rising at a fast pace with every passing year. It has risen to an alarming figure since the past 6 years imposing threats and stress on the income, businesses and families.1 US has been making efforts to reduce the expenses by increasing the quality of health care and insurance systems. They are making every possible endeavor to slow down the rate of expenditures that is spent in large amounts on medicines. To control this even healthier environment should be provided so that the public comes across less hazardous situations and this way the expense can be controlled to quite a limit. Health care expenditures are posing a threat on the federal budget too since a large amount is spent on health issues whereas this amount can be used towards a much better direction. Efforts were made to organise public care to reduce the size of the budget which is being lavishly spent on health care. Over the last few years it has risen to triple the amount from 5 percent to 50 percent. Reports show that U.S. spends approximately 16% of GDP on health care compared to 8 to 10 percent in most major industrialised nations.2 Studies show that efforts by third party payers to lower cost growths have achieved mixed results. Although private insurance payers have reduced their expenditures but still a large number of parties still fail to do so. This leaves the overall figure of health care expenditure unchanged to quite an extent. Some of the worth mentioning and cosiderable factors contributing to these problems are inadequate and inefficient use of care,incentives or rewards provided to the workers are very high which exceed the normal budget and as a result the economy suffers. The price of the medicines and cure provided is way too high. It is not at all compatible with normal man's 12income. This leads to frustration and mental stress which itself requires a cure. There is lack of care. Public is not aware of the precautionary measures that need to be taken and thus they suffer from diseases which require expensive medicines. There is not accurate transfer of information. Inadequate information can lead to wrong prescription which can be equally harmful. Long Term Factors Contributing to Health Expenditure: A few long term factors are also responsible for the high expenditures. They are also considered as the most primary ones. This includes introduction of innovative technology, new ideas and machinery without instructions for their proper use. If the ideas are not properly put into action they might give birth to ineffective and simultaneously wrong use. Proper guide will not be provided and thus it is bound to enhance the problem even more. If the services of some other hospitals are taken into consideration, they increase the federal budget consequently giving rise to expenses. Chronic diseases are rapidly increasing and the federal budget sometimes does not allow purchase of the appropriate medicines and even if this is done, it sometimes badly affects the country's economy and poses threat to the country's budget. This situation makes it even more difficult to cope up with other expenses the state has to cater to.4 One major reason United States suffers more than

That which is accepted as knowledge today is sometimes discarded Essay - 3

That which is accepted as knowledge today is sometimes discarded tomorrow. Consider knowledge issues raised by this statement in two areas of knowledge - Essay Example Clearly, from all indications, society is dynamic. Cultures change and people change in different timeframes. Thus, it is apparent that as time changes, what is regarded as true in one era might not be taken as accurate or correct in another generation. Culture refers to the way a group of people live and carry out their activities. Schabracq identifies that cultural change and knowledge have a symbiotic relationship2. This is because as knowledge increases in a given community or society, the way they do things and the way they perceive things also changes. This is because the worldview of a given people is based on their understanding of the world at every point in time. And this defines their values, norms and morals at every given point in time. This indicates that culture knowledge is bound to also change as the culture changes. This is because in a situation where a nations culture changes, what they define as â€Å"truth† will also change. This implies that the views and ideas of people are tied to the dominant culture and the dominant views of doing things. In the Western world today, people who were defined as deviant and illegals for their indulgence in same-sex affairs 50 years were humiliated and demeaned in the society. This is because the society had the belief that same sex activities were evil and defined as wrong by the dominant rules of the society. Many people were forced to seek treatments and others were discriminated against. However, due to changes in what these people call the â€Å"truth† or â€Å"knowledge†, the Western world has increasingly taken an acceptive approach to same sex partnerships. This shows that there is a trend towards changes and modification in a given society and this changes the definition of knowledge from time to time. The advances in knowledge and understanding of concepts and ideas puts an obligation on the authorities in a given sector to discard previous knowledge and take

Modern Business Statistics with Microsoft excel Essay Example for Free

Modern Business Statistics with Microsoft excel Essay When are you entitled to deduct interest? If you run a business in part of your home, you are entitled to deduct part of the interest on money you borrowed to buy your home if: part of your home is set aside exclusively as a place of business and is clearly identifiable as such, and that part of the home is not readily adaptable for private use, for example, a doctor’s surgery located within a doctors home. If you rent out part of your home with access to general living areas on an arm’s length basis, you are entitled to deduct part of the interest on money borrowed to buy the home (see Taxation Ruling IT 2167). In these situations you would satisfy the interest deductibility test. This means you would not obtain a full main residence exemption and so would have to pay tax on part of any capital gain made when you sell your home. You may satisfy the interest deductibility test even if you didn’t borrow money to acquire your home – you must apply it on the assumption that you did borrow money to acquire it. You also satisfy the test if you were entitled to claim a deduction for the interest, even if you didn’t actually claim the deduction. There is a special rule to work out the amount of your capital gain or loss if you first use your home to produce income in a way that satisfies the interest deductibility test after 20 August 1996. Last Modified: Tuesday, 30 June 2009 Main residence exemption the effect of using your home to produce income Where you first use your home to produce income after 20 August 1996 If you start using your home to produce income (in a way that would satisfy the interest deductibility test) for the first time after 20 August 1996, there is a special rule for working out your capital gain or loss. In this case, you are taken to have acquired your home at its market value at the time it is first used to produce income if all of the following apply: you acquired the home on or after 20 September 1985Â  you first used it to produce income after 20 August 1996 Â  you would get only a part exemption because the home was used to produce assessable income during the period you owned it, and you would have been entitled to a full exemption if you had sold the home immediately before you first used it to produce income. The effect of this rule applying is that the period before the home is first used by you to produce income is not taken into account in working out the amount of any capital gain or loss . The extent of the exemption for the period after the home was first used to produce income depends on the proportion of the home used to produce income. Example: Home first used to produce income after 20 August 1996 Louise purchased a home in December 1991 for $200,000. The home was her main residence. On 1 November 2001 she started to use 50% of the home for a consultancy business. At that time the market value of the house was $220,000. She decided to sell the property in August 2002 for $250,000. The capital gain is 50% of the proceeds less the cost base. Percentage of use X (proceeds – cost base) = capital gain 50% X ($250,000 – $220,000) = $15,000 Louise is taken to have acquired the property on 1 November 2001 at a cost of $220,000. Because she is taken to have acquired it at this time, Louise is taken to have owned it for less than 12 months and therefore cannot apply the indexation or discount method to calculate her capital gain.

Paths Of Overprotected And Neglected Children Young People Essay

Paths Of Overprotected And Neglected Children Young People Essay Commercials and posters flood our daily lives by projecting images of helpless children who are in desperate need. Many people are aware of the children living in poverty, orphans, and abusive households. The media portrays neglected children who suffer from malnutrition, starvation, and the absence of love. In return, the advertised organization seeks for a small contribution of a dollar a day to help make a childs life better. However, what about the child who endures the exact opposite of neglect? Less attention is veered towards the silent abuse of parents who control their child to the extreme that they are actually hindering their development and performance by not allowing their child to grow and experience life healthily. Does a child who is overly cared for and overly protected by their extremely overprotective parent still possess a better life than the child who is neglected? Or is the overprotected child just as helpless as the neglected? Significance: The children today are the future and faces of tomorrow. A childs future is greatly influenced by his or her parents. A parent who is abusive restricts a child from possessing a healthy lifestyle and developing healthy relationships with other individuals. However, a parent who is over controlling will limit a child from developing essential skills necessary to govern and direct their own life in a positive and healthy manner. Yet many fail to acknowledge this and assume that parents are just being loving and caring; emotions that all parents and guardians are expected to express. Therefore, many people do not listen to these children and believes that their problems are not as severe as the children who suffer from physical or verbal abuse. This is significant to human development because many children suffer from the limitations their overprotective parents impose and do not have access to the same amount of help and assistant as children with abusive parents. Problem Statement: Through my research, I hope to raise public awareness of this silent abuse. Most importantly, I hope to reach out to parents who are over controlling, as well as abusive, and have them place their childs interests before their own. If a parent, who is over protective of their child, cares about their child deeply, then they should care more about their childs wellbeing rather than their own personal desires and expectations of their child. Literature Review: Parents who overprotect their child to the extreme can prevent their child from acquiring the basic fundamental skills of life. As a result, the child can become emotionally handicap and rely on his or her parent throughout their life. As stated by Cossentino, children in this situation are not able to develop a knowledge of independence and remains bound to the parent while the parent is bound in a cycle of overprotection (The Overprotected Child). This dangerous cycle leaves the child and parent bonded together in such a way that it is unhealthy for both members. The child relies on their parent immensely that the parent is responsible to attend to every single matter of the childs life; from basic chores, resolving a conflict, to communicating with acquaintances of the child. This often stifles the growth and development of a child, who cannot live without authority. Thus, the parent cannot leave this cycle because the parent raised the child in this manner. Children lack a knowledge of resolving conflicts and have a high chance of being rejected by their peers due to low confidence and an inability to stand up for oneself (Cossentino). With parents always protecting them, the child will never be aware of how to stand up for oneself and is unable to confront the realities of life. These children have the inability to be very social among others besides their own parents, which causes them to develop a low self-esteem as well as low self-confidence. The inability to make decisions on his or her own can cause a child to be unprepared for the future and is unable to live without a parent or authority figure. As stated by Cossentino, children will lack life-experiences of decision making, life skills, age appropriate freedom, and conflict resolution. An overprotected child becomes bound to a parent in a way that is similar to how a baby is bounded to its mother for the rest of its life. The child is completely unprepared for freedom and responsibility, finding it hard to exercise self-discipline and is more vulnerable to getting emotionally hurt. As argued by Guthrie and Matthews, Overprotecting parents can lead children to develop Peter Pan Syndrome (No More Push Parenting, 44). The Peter Pan Syndrome affects people who do not want or feel unable to grow up. In other words, people with the body of an adult but the mind of a child. Peter Pan was a fictional character who refused to grow up and had a never-ending childhood. Those with this syndrome do not know how or do not even want to stop being children and start being adults. These people are unable to grow up and take on adult responsibilities; they see the adult world as very problematic and glorify being a child, which is why they want to stay in that state of privilege. Children who have been neglected on the other hand are in complete control of their life and are forced to survive on their own. Neglected children do not have an authority figure and may be more likely to replace the unknown feeling of love with hate and anger. Children tend to try and please their parents to gain affection. However, when they cannot please their parents, they become filled with rage and take their anger out destructively (Nguyen). The violence neglected children seek for may be towards other individuals or other substances, but for some, they seek to hurt themselves. Children repress rage only to become depressed and suicidal (Watkins, A3). These children possess a great amount of emotion built up inside them that it becomes unbearable and hard to deal with. Thus, they try to fill the void of love in their life with other things or someones acceptance. As Andron stated, Children with low self-esteem search for someones acceptance, which usually winds down a damagin g path eventually set up for death or become life-threatening (23). More than likely, they fall under peer pressure or experiment with drugs and alcohol, anything to make them feel accepted. Because they lack a knowledge of what is normal or who to trust, they are more vulnerable to perpetrators and are often abused by their peers. One form of violence an individual may express is through school. For example, the University of Texas massacre in Austin left 18 dead while the Columbine High School took a death toll of fifteen, and the highest toll of thirty-three lives was the Virginia Tech massacre (Watkins, A3). When an individual commits a crime, he or she is questioned for the reason of their action. However, few people turn to the parents or even glance at the childs home life. Children turn to destructive manners for coping as a way to test if their parents really care for them or not (Nguyen). By hurting oneself, an individual tests the love of a parent, or to see if anyone else bothers to really care. Many parents are incapable of seeing the damaging effects of placing their own needs before their childs. They fail to see the atmosphere and living situation they created and forced their child to endure. Most importantly, they fail to treat and raise their child healthily. By overprotecting to the extreme, a parent not only shields a child from pain, but also robs the child of their adulthood by keeping them from developing friendships, intimate relationships, and independent skills along their journey of life. Thus, through neglect, a child is forced to learn how to survive through life on their own without the protection of a parent, without the love and guidance a parent has to offer, and without the comfort of a real family. Therefore, what is worse: overprotection or abandonment? Methodology: By listening to the personal stories of my volunteered subjects, I hope to obtain data that reflects whether or not both children, who are on opposite ends of the spectrum, share the same difficulties. The individuals I will choose will be children and their parents who reside in Cambodia. Cambodia is a poverty-stricken country and the home to many neglected children who roam the streets begging for food. Sadly, because of this, it will not be difficult to find a neglected child to speak with. The difficulty will be trying to find the parent or guardian of the neglected child and persuading him or her to share their own personal story. In addition, families who are wealthy have higher expectations for their children and try to mold their child into what they want by controlling every aspect of their childs life. Because of this, I will listen to the stories of a child is in a more well-off family and his or her parents story .

Morality in Slaughterhouse Five :: Essays Papers

Morality in Slaughterhouse Five The destruction of Dresden was not "moral," nor is any destruction, really. We as mere mortals do not have the right to judge what is moral or not, however. That jurisdiction is left to the powers that be. But, we can still make haphazard guesses as to what strikes us as moral and immoral. Killing other humans is not something we were given the authority to do. The means yes, the will, yes; but not the authority. We have no right to decide who lives or dies. Think of it this way, how would you like it if someone decided you should die for something you had done, malicious or not. Events like the utter destruction of Hiroshima or Baghdad, or anywhere else for that matter, are completely detestable. Despite the fact that the inhabitants of those places had done some things to us that were unacceptable, we still had no right to take the action we took. There is no excuse for such action, there is almost always an available alternative to annihilation. Now, Sodom and Gomorrah, on the other hand, were destroyed morally and rightly by the powers that be. The fact that Lot’s wife, and innocent in the matter (despite the fact that she had compassion for the doomed), just happened to make a foolish choice. The cities were destroyed by the powers that be, whether God or the gods, for reasons they saw fit. It would seem the lesson did not take very well. However, this was an exception to the rule. No individual or group of individuals was directly involved in this. Those that were fit to be saved, were, and those unfit for salvation were demolished. With mass killings as undertaken by mortals, there is no determining or innocence or guilt. Innocents are killed alongside guilty. Those not even involved are massacred along with the rest. That is not to say that people should be sorted through, it is just to say that there is no rhyme or reason to it. It is simply senseless killing. The morality of the crusades is also in question. Christians (a.k.a.—the crusaders) believe in acceptance, forgiveness and universality. However, they proceed to kill those that do not comply with their religion. Am I the only one missing something? It seems to me that people of a religious nature would rather discuss and compromise than storm and pillage.

Mandatory Sentencing Essay examples -- Criminal Justice

Mandatory sentencing is not anything new. It began in the 1970s. The main purpose for mandatory sentencing was to try to get rid of the drug lords and to eliminate most of the nation’s street drug selling. It was to impose that the same crime would have the same sentence all over the nation. Some of the negatives that rose from mandatory sentencing were nonviolent drug offenders and first time offenders who were receiving harsh sentences. Inmate populations and correction costs increased and pushed states to build more prisons. Judges were overloaded with these cases, and lengthy prison terms were mandated to these young offenders. Mandatory sentencing is an interesting topic in which I would like to discuss my opinions in going against mandatory sentencing. I will show the reasons for this topic, as well as give you my personal brief on which I support. To begin, Mandatory minimum sentences result in prison overcrowding, and based on several studies, it does not alleviate crime, for example crimes such as shoplifting or solicitation. These sentencing guidelines do not allow a judge to take into consideration the first time offender, differentiate the deviance level of the offender, and it does not allow for the judge to alter a punishment or judgment to each individual case. When mandatory sentencing came into effect, the drug lords they were trying to stop are not the ones being affected by the sentences. It is the nonviolent, low-level drug users who are overcrowding the prisons as a result of these sentences. Both the U.S. Sentencing Commission and the Department of Justice have determined that mandatory sentencing is not an effective way to deter crime. Studies show that mandatory minimums have gone downhill due to racial a... ... OUT OF GET TOUGH JUSTICE? Criminology & Public Policy, 5(1), 37-43. Retrieved December 6, 2010, from Criminal Justice Periodicals. (Document ID: 1016637721). DELIBERATING CRIME AND PUNISHMENT: A WAY OUT OF GET TOUGH JUSTICE? Criminology & Public Policy, 5(1), 37-43. Retrieved November 23, 2010, from Criminal Justice Periodicals. (Document ID: 1016637721). Oct 1993. Retrieved November 18, 2010. Vol. 79. 134 pages (Document ID: 0747-0088) Published by American Bar Association Mandatory Sentencing Laws and Drug Offenders in New York State. Retrieved November 15, 2010, from http://www.drugpolicy.org/library/factsheets/mandatory_ny.cfm. Compiled by Anonymous , The Correctional Association of New York. March 1999. Cindy Swirko. (2010). Florida drug sentences too harsh? Retrieved November 15, 2010 from http://www.gainesville.com/article/20100814/articles/8141011.

Nymphs Reply to the Shepherd

The nymphs reply to the shepherd is a pastoral poem about how a nymph responded to the love being asked by a shepherd. This is in reference to an ideal world which the nymph requires for them to be able to love each other. All throughout the poem, the nymph’s response to the love being given by the shepherd was all about reject. She could have loved the shepherd, if only they’d be in a different situation that what they are in that time. It is a poem about hope, yet in the end, the shepherd would just lose hope, as the nymph requires a very ideal setting for their love to flourish. One aspect which was emphasized in this poem is the inevitability of change, with reference to aging and death. Here, the nymph tells the shepherd that their love could have been possible if it would be eternal, and would exist all throughout time. However, just like the fading of flowers, the fancy of spring and sorrow of fall, things between them would surely change. The shepherd would grow old whilst the nymph would remain young with nature. At the end of the poem, the nymph directly stated that if only youth could last and love would still breed, as well as joy would not fade and none of them will age, then the nymph could stay with the shepherd and be his love. The poem uses the iambic tetrameter, wherein each line contains four iambs or two syllables which are the units of rhythm. The first syllable of this unstressed while the second syllable is stressed. Instead of using metaphors, the poem uses similes to describe one thing or attribute it to another. This is effectively used to describe the constraints why the nymph could not love the shepherd back.