Saturday, March 14, 2020
Health Essays
Medicare And Its Financial State/Health Essays Medicare And Its Financial State/Health Paper Medicare And Its Financial State/Health Paper Medicare is planned health insurance generally for older persons over 65 year old, younger persons with special medical conditions or persons with permanent Kidney failure. Medicare was formally signed into law on July 30, 1965 and has served the American people ever since. It is important to note that it took another year for beneficiaries to sign up for coverage on July 1, 1966. Medicare was operated primarily by the federal government and subsequently other Medicare plans such as Health Maintenance Organization plans (HMOs) and Preferred Provider Organization plans (PPOs) are offered through private organizations. In recent times there has been active debate on the future, finances and scope of this health insurance. Medicare coverage primarily consists of two parts: Part A (the hospital insurance) and Part B (the medical insurance). Part A covers inpatient care at a hospital, hospice, nursing home or home health care. Part B mainly covers health care by doctors, outpatient care or some other medicines to prevent diseases. Medicare coverage offers options in that persons may choose part A, part B or both parts. It is useful to note that other plans: part C and D are now being offered to cover other services such a purchase or prescription drugs. Plans such as HMOs are chiefly for group health insurance plans which are purchased by groups such as companies, while PPOs are plans where health care providers such as clinics and hospitals sign up with the PPO to provide care for persons who are insured with the organization. Persons with Medicare coverage pay less on doctor visits from their pockets albeit, the actual amount paid to the doctor is determined by factors such as whether it is a participating physician, a non-participating physician who accepts assignments on a case-by-case basis or a non-participating doctor who does not accept assignments.. The board of trustees of the Federal Hospital Insurance (HI) and Supplementary Medical Insurance (SMI) trust funds in their report to congress in 2006 state that there was deterioration in Medicare’s financial health since the previous year. This report stated that the Hospital expenditure would exceed non-interest revenue in 2006 and that the trust fund faced serious financial conditions to the extent that there would not be enough resources to provide coverage in future years. In addition the report showed that the federal government would have to proffer addition financial aid which would negatively impact the Gross Domestic Product (GDP). It was noted that Hospital Insurance (HI) fund would be depleted in 2019, two years earlier than expected. The projection showed that there would be a need for a serious injection of capital or the future of Medicare would be dire. In its annual report in 2008, the board of trustees of the Federal Hospital Insurance (HI) and Supplementary Medical Insurance (SMI) trust funds, reported that there were still serious problems relating to the financial health of Medicare. The report paints a gloomy picture where the long run costs of running the program would exceed inflows and this process would be unsustainable. A vastly burgeoning number of aging baby boomers would put a serious strain on financial resources of Medicare and fiscal deficits are projected in future years. During the 2008 presidential election, there were debates on what to do with health care for the nation and the new government is actively looking at Medicare with the view to doing a complete overhaul including providing increased funding and coverage. The warnings about the potential demise of Medicare and the deleterious impact on America’s aging population has been sounded again by the trustees of (HI) and the new government seems to be awakening to the exigencies that now face the nation. The Medicare report in 2008 pointed to the need for an increase of over 122% in payroll taxes which would mean a move from 2. 9% to 6. 44% to balance inflows with outflows. It is now time for action on the part of the Government to prevent a dismal future for Medicare. References Centers for Medicare and Medicaid Services (2007). Acute Inpatient Prospective Payment System. Retrieved on November 15, 2007 from cms. hhs. gov/AcuteInpatientPPS/04_outlier. asp#TopOfPage U. S. Department of Health Human Services (2007), What are the Medicare premiums and coinsurance rates for 2008? Retrieved on November 15, 2007 from hhs. gov/faq/medicaremedicaid/650. html Medicare (2004). Questions. Retrieved on May 3, 2004 from medicare. gov/. Medicare (2004). Participating Physician Directory. Retrieved on May 3, 2004 from http://www3. medicare. gov/Physician/Search/PhysicianSearch. asp. Social Security Administration (1935, August 14). History. Retrieved March, 06, 2009 from: ssa. gov/history/hfaq. html American Academy of acturies (2008). Medicare’s Financial Condition: Beyond actuarial balance. Retrieved March 6, 2009 form: actuary. org/pdf/medicare/trustees_08. pdf
Thursday, February 27, 2020
Personal Change Essay Example | Topics and Well Written Essays - 500 words
Personal Change - Essay Example no longer loved my grandmother; instead, it was the result of the fact that she no longer spent so much time watching me due to the fact that I grew up and no longer needed such a high level of care. The ending to the situation came about right after my grandmother had a stroke. It was at this point that she was no longer capable of taking care of herself and required nearly constant care by either a loved one or a professional caretaker. As the situation progressed, I reclused into a type of neutral zone where the feelings, thoughts, and childhood closeness I shared with my grandmother were but a distant memory; although a happy one. Due to the fact that she was just a shell of her former self during this time, it was impossible for me to rebuild the relationship we had once enjoyed during my youth. It was at this point that I made the fateful decision to withdraw myself from her and not spend the time that I would have been happy to spend with her had this occurred during my early youth. Sadly, the new beginning only came after my grandmother had passed away from a second stroke. This new beginning was of course something that I should have realized far sooner but due to my own selfish motives and lack of patience, had not come to grips with yet. Due to my grandmother’s passing, I instantly regretted the fact that I had not made a more concerted effort to be with her during her final years. Although I still loved her deeply, I realized that it was my own selfish nature that had kept us apart and caused me to miss out on the very last chance I would ever have to speak with and spend time with my grandmother. As the old saying goes, â€Å"you never appreciate something until you lose it†. In this way, this new beginning caused me to come to a full and complete appreciation for this as well as purposing within my own mind to not let another such situation occur without me doing all my best to spend the quality time with the loved one prior to the risk of
Tuesday, February 11, 2020
Home work 1 Article Example | Topics and Well Written Essays - 250 words
Home work 1 - Article Example The contact method used was through online alternatives that could provide statistical data. The financial information and sales of both companies is available through investor information about the company. The research panel of Canalys was able to gather the information from this then find the statistical comparisons between the two companies to show how each is doing in the competitive arena. There were also other statistics gathered from the companies which had Smartphones but were not as competitive in the market. This allowed the same data to be collected with both companies and provided a specific set of answers to the overall competitiveness within the companies. The main data was then distributed to AFP to finish the study and to provide information to the general public. The information provided by the survey included several statistics related to both Smartphones. The comparison began with the fourth quarter results of 2010 with both Smartphones, which included sales of 32 .9 Androids and 31 million Symbians. The Google percentage of sales was also compared, which included 8.7% of sales in 2009 and 32.5% in 2010, compared to Nokia, which was 44% in 2009 to 30.6% in 2010.
Friday, January 31, 2020
How to Teach Someone Something Essay Example for Free
How to Teach Someone Something Essay If I had the opportunity to teach someone something is would be how to play Black Ops 2. Black Ops 2 is a challenging game when you start out playing the game at first, but when you get used to it pretty simple and easy to master. What you need is a game system that the game would work on like Play station 3, Xbox 360, or a Wii. The first thing you need to do is turn on the game system you have and insert the Black Ops 2 game and go to the section where the game is showing and select the game. After you select the game you wait for the game to load, and once it loads you press the â€Å"start†button as it says, and it would be located in the center on the controller you are using. Once you have done that you want to play on companion mode because that’s where they teach you all the controls. Second thing you wanna do is watch the story they tell you or you can skip it by pressing the â€Å"X†button if you are playing on playstation and if you are on the xbox it would be the â€Å"A†button. While you are in the game mode and you are going to start taking out your enemy targets to aim you want to press the Left trigger button and its on playstation 3 and on Xbox. The shooting button is the right trigger button. On the triggers it will say â€Å"L1†and â€Å"R1â€
Wednesday, January 22, 2020
Grapes Of Wrath :: essays research papers
Years… Born:     1902 Died:     1968 Wrote:     He wrote The Grapes of Wrath in 1930’s and released it in 1939. It won the Pulitzer Prize in 1940. Nationality:     He was an American author who lived in Salinas, California. He was educated at Stanford University. He first worked as a fruit picker, but then moved to New York. He didn’t like it in New York so he moved back and became an author. Style:     John Steinbeck’s style is to write about something that he knows first hand. He likes to have all the details before writing his stories. Prior to writing The Grapes of Wrath, he caught up with some migrants from Oklahoma and rode with them on their journey to California.      His style in The Grapes of Wrath is to have a chapter with dialogue and the story, and to then give a picture of the times. He describes the depression of the 1930’s and gives the reader a full view of what the migrants were going through. There is a dialogue and ‘story’ chapter, which is followed or preceded by an ‘intercalary’ (between) chapter. The ‘intercalary’ chapters are what serve to show the migrant’s struggling, and the big picture of what times were like. Genre:          The Grapes of Wrath is considered a protest novel to many. Steinbeck originally wrote it to ask California farmers to have sympathy for the migrating ‘Okies’. However, today recognized as a classic, this would most likely fall under the genre of drama. Notes:          As you read The Grapes of Wrath you must take into consideration that Steinbeck has traveled with Oklahoma migrants so that he is writing from experience. However, because he wants to get sympathy for migrants he may exaggerate conditions a little. Steinbeck uses a lot of symbolism in his writing. He starts with a turtle symbolizing the Joad family and the hardships they will face. Characters symbolize and foreshadow events, and small things can play a larger role than expected. Steinbeck’s mastery of symbolism and his relating to the bible can be seen throughout the entire novel. THE GRAPES OF WRATH Conversion and the many changes that take place      Tom and his family undergo significant change due to uncontrollable forces that occur throughout the book. Through these events he and his family go through conversion, death and rebirth, migration, and are on constant pursuit for a better life. Many inner and outer changes occur throughout the entire novel. The Joad family begins the novel as self-centered individuals, and end the novel as a universal family with all the other migrants from Oklahoma, also known as ‘Okies’. Grapes Of Wrath :: essays research papers Years… Born:     1902 Died:     1968 Wrote:     He wrote The Grapes of Wrath in 1930’s and released it in 1939. It won the Pulitzer Prize in 1940. Nationality:     He was an American author who lived in Salinas, California. He was educated at Stanford University. He first worked as a fruit picker, but then moved to New York. He didn’t like it in New York so he moved back and became an author. Style:     John Steinbeck’s style is to write about something that he knows first hand. He likes to have all the details before writing his stories. Prior to writing The Grapes of Wrath, he caught up with some migrants from Oklahoma and rode with them on their journey to California.      His style in The Grapes of Wrath is to have a chapter with dialogue and the story, and to then give a picture of the times. He describes the depression of the 1930’s and gives the reader a full view of what the migrants were going through. There is a dialogue and ‘story’ chapter, which is followed or preceded by an ‘intercalary’ (between) chapter. The ‘intercalary’ chapters are what serve to show the migrant’s struggling, and the big picture of what times were like. Genre:          The Grapes of Wrath is considered a protest novel to many. Steinbeck originally wrote it to ask California farmers to have sympathy for the migrating ‘Okies’. However, today recognized as a classic, this would most likely fall under the genre of drama. Notes:          As you read The Grapes of Wrath you must take into consideration that Steinbeck has traveled with Oklahoma migrants so that he is writing from experience. However, because he wants to get sympathy for migrants he may exaggerate conditions a little. Steinbeck uses a lot of symbolism in his writing. He starts with a turtle symbolizing the Joad family and the hardships they will face. Characters symbolize and foreshadow events, and small things can play a larger role than expected. Steinbeck’s mastery of symbolism and his relating to the bible can be seen throughout the entire novel. THE GRAPES OF WRATH Conversion and the many changes that take place      Tom and his family undergo significant change due to uncontrollable forces that occur throughout the book. Through these events he and his family go through conversion, death and rebirth, migration, and are on constant pursuit for a better life. Many inner and outer changes occur throughout the entire novel. The Joad family begins the novel as self-centered individuals, and end the novel as a universal family with all the other migrants from Oklahoma, also known as ‘Okies’.
Tuesday, January 14, 2020
Food Addictives Essay
This food additives essay is basically an advantages and disadvantages essay. You need to be careful with the word ‘outweigh’ as this often confuses students. The word ‘outweigh’ can be placed in different ways in the sentence so rather than work it out, it is better to think of it simply as ‘are there more advantages or disadvantages Decide what you think there are more of and then state this in the thesis statement without mentioning the word ‘outweigh’. For example, look at the thesis statement from the food additives essay model answer: In my opinion, the potential dangers from this are greater than the benefits we receive. ‘Outweigh’ questions do suggest, though, that there are definitely both advantages AND disadvantages, so you should discuss both. However, make sure your essay supports your opinion. For example, if you have said there are more disadvantages, it would not make sense to then write mostly about advantages . As you can see from the model answer, advantages are discussed, but the focus is on the disadvantages as this is what it is stated are greater in the thesis statement. Model Essay 15 – Food Additives Essay You should spend about 40 minutes on this task. Present a written argument to an educated reader with no specialist knowledge of the following topic. Do the dangers derived from the use of chemicals in food production and preservation outweigh the advantages? Give reasons for your answer and include any relevant examples from your own experience or knowledge. You should write at least 250 words. www.ieltsbuddy.com – Free online IELTS Advice www.ieltsbuddy.com – Free online IELTS Advice Food Additives Essay Model Answer Most foods that are purchased these days in small stores and supermarkets have chemicals in them as these are used to improve production and ensure the food lasts for longer. However, there are concerns that these have harmful effects. In my opinion, the potential dangers from this are greater than the benefits we receive. There are several reasons why chemicals are placed in food. Firstly, it is to improve the product to the eye, and this is achieved via the use of colourings which encourage people to purchase food that may otherwise not look tempting to eat. Another reason is to preserve the food. Much of the food we eat would not actually last that long if it were not for chemicals they contain, so again this is an advantage to the companies that sell food as their products have a longer shelf life. From this evidence, it is clear to me that the main benefits are, therefore, to the companies and not to the customer. Although companies claim these food additives are safe and they have research to support this, the research is quite possibly biased as it comes from their own companies or people with connections to these companies. It is common to read reports these days in the press about possible links to various health issues such as cancer. Food additives have also been linked to problems such as hyperactivity in children. To conclude, despite the fact that there are benefits to placing chemicals in food, I believe that these principally help the companies but could be a danger to the public. It is unlikely that this practice can be stopped, so food must be clearly labeled a nd it is my hope that organic products will become more readily available at reasonable prices to all.
Monday, January 6, 2020
A Reflective Report on Interpersonal Management - 1150 Words
A Reflective Report on Interpersonal Management Skills Module Code: 7BSP1010 Course: Interpersonal Management Skills 1 Tutor: Helen MacKinlay Student Name: XU ZHANGYONG Student Number: 13030219 Words: 1046 December 26th 2014 The purposes of this essay is to analyse the improtances of Interpersonal management skills for successful management, and to reflect on a verbal interpersonal cultural based difference people have personally experienced and how develop the cross cultural awareness for more effective management. Interpersonal management skills for successful management In the last decade, with the fast development of the business in the world, the interpersonal management skills have become important increasingly both†¦show more content†¦Therefore, developing the self-management skills also should be paid more attention. Verbal interpersonal cultural Cross cultural awareness In modern society, interpersonal communications refer to communication betwee two or more people. Meanwhile the verbal interpersonal communication is one of the major element for interpersonal communication, such as sounds and word choice, and it is the oral, spoken and unwritten way of the communication (Beebe, 2002). During the process of communication, most people will meet the situattion about the cross-cultural. cross-cultural can be defined as the interaction and comparison of different cultures (Beebe, 2002). Therefore, the verbal interpersonal communication and cross cultural awareness will be useful. In the following, I will reflect on the verbal interpersonal cultural based my experience and analyse how to develop cross cultural awareness. Due to the cultural differences, some people who come from different counties will often have some misunderstanding in the team work or cooperation. I also meet this kind of problems in the presentation’s teamwork. In the process of cooperation, we have a lots of verbal communication, while some questions have different means for us. For example, â€Å"where are you going?†and â€Å"do you eat dinner?†, all of these questions are just greetings, but for my team members, these questions are their privacy. Thus, theseShow MoreRelatedReflection On The Business Management Module And Internship Experience By Designing Gibbs Reflective Cycle979 Words  | 4 Pagesprovide self-reflections on the business management module and internship experience by incorporating Gibbs reflective cycle. Moreover, this essay also highlighted improvement in skills by getting enrolled in this module. 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A significant relationship is found between reflective writing and academic learning, as one can identify the need for self-development, critical review, awareness of individual functions and decisions. Reflective writing is valuable for students to identify their role when working with others (Anne Sen, 2010). 1Read MoreThe Attributes of a Registered Nurse807 Words  | 3 Pagescombination of key attributes when providing care, because these attributes play a significant role in enhancing positive outcomes, not only for the patients in their care but also the practitioner and the organisation. Nurses require sound time-management skills and an effective communication approach in order to improve the provision of healthcare. 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