Street Violence and the Media Essay example -- Argumentative Persuasiv

Violence Imitates the Media    In this essay we explore the increasingly apparent connection between the violence brutalizing teachers and kids in our schools, and the violence which the media regularly serves us through films, TV shows, shock jocks, and other supposedly innocuous outlets. Is it any wonder that reporters and journalists are picking up the John Paul II phrase "culture of death" to refer to America's culture? In the anxious hours following the Columbine High School shootings, America's television screens repeatedly showed a slow-motion film clip in which a black-clad, shotgun-toting boy bursts into a classroom and fills his fellow students full of buckshot. The gunman was teen idol Leonardo DiCaprio, the star of Titanic, and the clip came not from a surveillance camera but from Scott Kalvert's The Basketball Diaries, the 1995 movie said to have been a favorite of Eric Harris and Dylan Klebold, the black-clad, shotgun-toting boys who strolled into their school one bright April morning and murdered a teacher, twelve of their classmates, and themselves, leaving behind 51 homemade bombs for the police to defuse. (Basketball) Though The Basketball Diaries was promptly pulled from video stores by the studio that released it, the long-simmering debate over graphic portrayals of violence in the media had long since boiled over. Not that anything new was said-the only difference was the glib immediacy conferred by the shedding of blood. The argument itself remains as agonizingly familiar as a family quarrel: Did movies and television make us what we are today, or do they merely show us what we have become? In the case of The Basketball Diaries, the thing speaks for itself. To watch that horrific clip is to... ...philosophically trained pope is not given to shallow sound bites, and when he speaks of the culture of death, he has in mind a deep-seated, collective nihilism of which illegal drugs, idiot shock jocks, and mindlessly violent movies are mere symptoms. How to break its stranglehold? We all know the answer, but rarely is the question put so starkly to any of us as it was to 17-year-old Cassie Bernall. Trapped at gunpoint in the library of Columbine High School, she was asked by one of her attackers whether she believed in God. "Yes, I believe in God," she replied, and then he shot her dead. It is hard to imagine a more dramatic scene-and harder still to imagine that anyone in Hollywood, least of all Doug Liman, would dare to put it into a movie. Sources Consulted: The Basketball Diaries  Ã‚  Ã‚   http://www.suntimes.com/ebert/ebert_reviews/1995/04/975715.html

Health Insurance and Medicare Essay

I. Introduction The Patient Protection and Affordable Care Act (PPACA) was signed into law on March 23, 2010 by President Barack Obama. Along with the Health Care and Education Reconciliation Act (HCERA), it represents the momentous transformation of the U.S. health care system. Its main goal is to decrease the amount of uninsured citizens as well as to reduce the overall costs of health care. It is a vastly complex reform that will affect many people in aspects of their health care, costs, and the country. There are many opinions about how this reform will affect the nation, some saying it will make us better off, others saying we will be worse off, and those who do not think it will make a difference. But regardless of these opinions, what the majority does agree on is that these laws may be difficult to understand and that many are not even aware of these changes. There are many problems that the health care industry is facing. The cost of health care may arguably be the most important factor that people are concerned about. Many think that health care policies and premiums are too expensive. Coupled with the fact that our population is aging, meaning that there will be more elder people with more health problems, health care costs are rapidly growing and take up a huge chunk of the federal budget. There are also many loopholes within the current health care system. Individuals who are looking to buy insurance can be denied based on their pre-existing conditions. Some insurance policies even have a lifetime limit on benefits. What all these examples basically sum up is that the people who are in need of health care the most are those who are also the most unlikely to be insured, or are under insured. In an attempt to address these issues, the PPACA and Reconciliation Act were established. The Health Care and Education Reconciliation Act was enacted to amend the PPACA. It is divided into two titles, one addressing the health reform and the other addressing student loan reform. It makes changes to some parts of the PPACA. That is why many people commonly refer to the overall health reform as just the PPACA. The most noted change this brings  is that it requires almost all citizens to have health care insurance, or to pay a penalty. Some examples and cases regarding this issue will be discussed later on. The PPACA also considerably expands public insurance as well as funds private insurance coverage. It will close loopholes such as setting life time limits as well as making it illegal to reject coverage for those with pre-existing conditions. In terms of affordability, the PPACA will expand Medicaid to cover low-income families and individuals across the nation. It also aims to cut down and reconstruct Medicare spending, which will be the main focus of this paper. II. The Impacts of the PPACA and HCERA on Medicare and Health Physicians The PPACA is made up of 10 titles. I will be discussing selected provisions in Titles II, III, IV, and V regarding Medicare. These include program modifications and payment to Medicare’s fee-for-service program, the Medicare Advantage, prescription drug programs, Medicare’s payment process, changes to address, waste, fraud, and abuse, and other miscellaneous Medicare changes. As for the HCERA, the first title has provisions detailing health care and revenues. Subtitle B of Title I involves provisions that change provisions PPACA relevant to those listed above (Medicare Advantage, fee-for-service, and prescription drug programs). Subtitle D has provisions regarding decreasing fraud, abuse, and waste in Medicare. Subtitle E discuses revenue related provisions such as a provision that changes Medicare tax provision in PPACA. A. Impacts on Medicare According to the Congressional Budget Office (CBO), the provisions in PPACA as amended by the HCERA will reduce direct spending by an estimated $390 billion (CRS, 2010). The provisions that are predicted to produce the largest savings include the following: (1) developing an Independent Payment Advisory Board to create changes in Medicare payment rates is presumed to save about $16 billion (2) decreasing Medicare payments to hospitals that aid a vast number of low-income patients, is expected to reduce expenditures by an estimated $22 billion (3) permanent deductions to Medicare’s fee-for-service payment rates (4) changing the high-income adjustment for Part B premiums, and (5) making maximum payment rates in Medicare Advantage closer to spending in fee-for-service Medicare. However, it is critical to  note that these are just estimates. Medicare is made up of four parts that are each accountable for paying for various benefits, dependent on different eligibility criteria. Under traditional Medicare, Part A and Part B services are usually paid by a fee-for-service basis (services supplied to a patient is reimbursed through a separate payment). Part A supplies coverage for skilled nursing facility (SNF) services, inpatient hospital services, hospice care, and home health care, which are subject to some limitations. Provisions that reduce Part A spending make up a large part of the savings related to this legislation through either payment changes or constraining payment updates. PPACA will alter Medicare’s payment updates to Part A hospitals to account for cost savings, which will significantly reduce Medicare spending in the next 10 years. Under PPACA (Title III Subtitle A Section 3001), beginning for discharges on October 1, 2012 hospitals will acquire value-based incentive payments from Medicare. The first year of the value based purchasing (VBP) program will aim at collecting data and assessing performance. Starting in 2013, adjustments to hospital payments will be made based on performance by the VBP program. There will also be VBP standards established (i.e. levels of improvement and accomplishments), as well as a method for assessing how hospitals perform. Hospitals with the highest score will obtain the biggest VBP payments. Those that meet or go beyond the standards are able to receive an increased DRG payment for each discharge within the year. However, to provide for these VBP incentive payments the DRG payments will be reduced by a certain percentage: 1.0% in 2013; 1.25% in 2014; 1.5% in 2015; 1.75% in 2016; and 2.0% in 2017. An alternate choice to receive covered benefits would be Medicare Advantage (MA). Private health plans are paid a per person amount to supply all Medicare-covered benefits to those who enroll in the plan under MA. The payments made to MA plans are decided by comparing the maximum amount Medicare will pay for benefits with a plan’s cost of providing those required benefits. If the plan’s cost is below the maximum, then it is paid  the cost plus a rebate equal to 75% of the difference to the maximum. But if the plan’s cost is above the maximum, then it is paid and must also charge the enrollee the difference between the cost and the maximum. PPACA modifies how the maximum payment is decided. Beginning in 2012, it will implement benchmarks (maximum amount Medicare will pay for benefits) calculated as a percentage of per capita FFS Medicare spending. It will also increase benchmarks depending on the quality of the plan. Those with a high quality rating will get an increase in their benchmark while new plans or those with lesser enrollments may also qualify to get an increase. PPACA will also vary the plan rebates based on quality with new rebates set from 50% to 70%. In regards to changes affecting Medicare’s prescription drug benefits, the health reform makes a few changes to the Medicare Part D program. PPACA increases the premiums held by higher income enrollees. The income standards are set to be at the same manner and level as that in Part B. Beginning in 2011, those enrolled in Part D will have a 50% discount for drugs during the coverage gap. In extension, HCERA will supply a rebate of $250 to those who enter the gap in 2010. Hopefully this phases out the â€Å"donut hole† (coverage gap) by slowly lessening the cost-sharing and coverage gap for generic and brand name drugs. Medicare’s finances are operated through two trust funds, the Hospital Insurance (HI) and the Supplementary Medical Insurance (SMI) trust fund. The main provider of income to the HI fund, which pays for Medicare Part A, is the payroll taxes paid by employers and employees. Medicare Part B and D are funded by general revenues and monthly premiums. In addition to all the previous provisions addressing Medicare’s financial issues, there is another precautionary step being taken. The PPACA has a provision to establish an Independent Payment Advisory Board with the goal of decreasing Medicare spending. B. Impacts on Physicians The PPACA and HCERA make various changes to the Medicare program, which in turn affects physicians and how they practice. Some of these provisions have clear consequences, such as immediately changing physician reimbursement, while others have indirect influences on how physicians may practice in the  future by modifying the incentives to improve the delivery and quality of care. PPACA broadens the Medicare Physician Quality and Reporting Initiative (PQRI) incentive payments though 2014 and administers a penalty for those who fail to report quality measures starting in 2015. It also supplies for a further bonus to physicians who meet the requirements of an assessment program, such as the Maintenance of Certification Program, while penalizes the physicians who fail to meet those standards in the future. Under Section 3002 of Title III, Medicare claims data will be used to provide reports to physicians that measure resources used to provide care for Medicare beneficiaries. Under Section 3007 of Title III, the Secretary of HHS is obliged to create and administer a separate payment modifier to the Medicare physician fee schedule. This payment should be based on the relative cost and quality of the care provided by physicians. The quality of care should be assessed based on risk-adjusted measure of quality determined by the Secretary. Costs are also assessed based on measures determined by the Secretary. Risk factors such as ethnicity, demographic, socioeconomic characteristics, and health status should be taken into account. By January 1, 2012 these explicit measures of cost and quality, along with implementation dates of the adjusted payments should be published. III. Regulations & Implementation With such significant changes and provisions being made, there should be a way to keep track of how each is being regulated and implemented. I will discuss the regulations, time limits, and effective dates on how each are being done so by year. The first changes of 2010 start with Medicare provider rates. This includes reductions in the annual market basket updates for hospital services. Currently, there have been productivity adjustments added to market basket update in 2012. The Centers for Medicare and Medicaid Services (CMS) have issued these updates for varying provider types starting in August 2010. The  implementation of the Medicare Beneficiary drug rebate, which supplies a $250 rebate to those in the Part D coverage gap, started January 1, 2010. In May 2010, the CMS published a brochure containing information about the coverage gap in Medicare Part D. As of March 22, 2011, about 3.8 million people have received the $250 rebate (HHS, 2011). As for closing the Medicare drug coverage gap, on December 17, 2010 CMS sent a letter to pharmaceutical companies addressing guidelines to the Medicare Coverage Gap Discount Program. This program became effective on January 1, 2011. Moving onto provisions implemented in 2011, Medicare payments for primary care will provide a 10% bonus payment for services. It will also provide the same bonus to general surgeons working in areas with a shortage of health professionals. This is being implemented starting in January 1, 2011 through December 2015. As for the MA payment changes, they will restructure payment to private plans and prohibit higher cost-sharing requirements. This has been in effect since January 1, 2011. The CMS issued a notice to MA plans in April 2010 addressing the freeze in 2011 payment rates at 2010 levels. A Medicare Independent Payment Advisory Board made up of 15 individuals to arrange proposals and recommendations to decrease the per capita rate of growth in spending if it exceeds targeted rates was planned to be established. On October 1, 2011, funding was made available and the first proposals are due January 15, 2014. In 2012, the second part of the MA plan payments, which reduce rebates paid and provide bonuses to high quality plans, went into effect on January 1, 2012. On February 28, 2012 the CMS sent out a letter to MA plans addressing the payment rates for 2012. Fraud and abuse prevention was also implemented on January 1, 2012. It establishes procedures for screening and reporting those who participate in Medicare. On March 23, 2011 CMS issued a notice addressing the fee that providers would have to pay to fund the screenings. Later on in the year, on October 1, 2012 Medicare value based purchasing was put into effect. This creates a program to pay hospitals based on their quality of performance. This coming year in 2013, there will be a few provisions to come into effect  starting off the new year. On January 1, 2013 the Medicare tax increase (increases the Medicare Part A tax rate on wages by 0.9% on incomes of $200,000), Medicare bundle payment pilot program (program to create and assess payments for certain services), and the latter part of the prescription drug coverage gap (reducing coinsurance) will be put into effect. As for 2014, the last of the Medicare provisions will be implemented. The Medicare Advantage plan loss ratios are mandated to be no less than 85%; this will begin at the start of the year on January 1, 2014. The second implementation for that year will be Medicare payments for hospital-acquired infections; it will decrease payments to those hospitals for their hospital-aquired conditions by 1% and this process will continue onto 2015. IV. Cases Challenging PPACA When the PPACA and HCERA were signed into law, many people opposed and sued claiming that the reform was unconstitutional for a number of reasons. The most controversial was the mandate that require most citizens to obtain health insurance coverage, and if failing to do so would have to pay a penalty in the form of an individual tax. Another debated provision was the expansion of the Medicaid program to cover even more individuals, such as those with low income. All of these separate cases were then merged into a single case, The National Federation of Independent Business v. Sebelius, 567 U.S. (2012). When ruled, it was a momentous Supreme Court decision in which the Court maintained Congress’s authority to enact the provisions of the Affordable Care Act and the Reconciliation Act. In December 2011, it was announced that there would be a 6 hour oral argumentation heard by the Court over a time span of three days beginning on March 26, 2012 and ending on March 28, 2012 discussing varying debatable topics of these provisions. By a vote of 5 to 4, the Court maintained the Individual Mandate aspect of the PPACA as a binding exercise of Congress’s authority to lay and collect taxes. The critical characterization of this financial penalty as a tax is what passed the mandate as constitutional. Preceding this landmark case there were many previous hearings held, all  having similar conflicting opinions. The Eleventh Circuit was also dealing with arguments in relative cases challenging PPACA. While it was assumed that the Fourth Circuit, which had heard oral arguments before the Eleventh Circuit, would issue a decision on PPACA first, the Eleventh Circuit was actually the second to issue its opinion, on August 12, 2011. In Florida ex rel. Bondi v. U.S. Department of Health & Human Services (2011) the plaintiffs of the case were two private individuals, the National Federation of Independent Business, and 26 individual states. The Eleventh Circuit then published a 300-plus page opinion finding by a 2:1 majority that the Individual Mandate (requiring health insurance coverage) is unconstitutional, and thus created a split of authority between the two Circuits. The Eleventh Circuit heard this appeal from the United States District Court for the Northern District of Florida, which saw the Individual Mandate to be an unconstitutional exercise of Congress’s authority. The district court also found that the Individual Mandate was not applicable to the rest of the PPACA, meaning that the whole act was invalid. The plaintiffs in the district court case also debated that the PPACA’s expansion of Medicaid was unconstitutional, but the district court granted the government judgment on that issue and the Eleventh Circuit agreed to that court’s decision. These two cases show how divided opinions can be and how difficult it was and is to pass a health reform law. Opinions are still divided, concerning many aspects such as the Medicaid expansion, the Commerce Clause, and the Necessary and Proper Clause. On the issue of Medicaid expansion, no one, single opinion had the support of the majority of the Justices. Also, on the issue of if the Individual Mandate was within the authority of Congress under the Commerce Clause and the Necessary and Proper Clause, again there was no single opinion that was supported by the majority of the Court. Despite all these controversies, and even though the act has passed, there are still those who are continuing to pursue litigation in order to repeal and defeat the PPACA. V. Conclusion Medicare spending has been increasing much more rapidly compared to the general economy, and this definitely raises concerns about Medicare’s  long-term sustainability. The provisions in the Affordable Care Act and the Reconciliation Act were established to decrease Medicare program costs by about $390 billion over the following 10 years through modifications in payments to various providers, by leveling payment rates between fee-for-service Medicare and Medicare Advantage, and by boosting efficiencies of how health services are delivered and paid for. Overall, the PPACA and HCERA are momentous pieces of legislation that will restructure the future of the U.S. health care system. It is still unclear of how well these provisions have been implemented, with some still having yet to be so. The main concern is probably how well costs will be contained or reduced. With all of these new taxes, hopefully the reform will actually reduce the federal deficit over the next ten years that these provisions are being implemented. There is still much work to be done within the next few years, to see how this reform works out. Many people are glad that it has passed and support this reform as well as encourage it to be expanded, while others oppose the reform arguing that it creates too much government involvement in the issue. But since it has passed and is enacted in the present, people should make use of what is being provided. Some are not even aware of the changes in the health care industry and are oblivious to how they are being affected. That is why it is important to stay informed and make decisions, after all this is what directly affects your future. References CRS Analysis of CBO (March 20, 2010). Estimates of the effects of PPACA and the Reconciliation Act combined. Congressional Budget Office. Retrieved October 31, 2012 from: http://www.cbo.gov/ftpdocs/113xx/doc11379/AmendReconProp.pdf Barrett, Paul M. (June 28, 2012). Supreme Court Supports Obamacare, Bolsters Obama. Bloomberg Businessweek. Retrieved November 3, 2012 from: http://www.businessweek.com/articles/2012-06-28/supreme-court-supports-obamacare-and-bolsters-obama Congressional Budget Office (March 2009). An Analysis of Health Insurance Premiums Under the Patient Protection and Affordable Care Act. Letter to the Honorable Evan Bayh. Congressional Budget Office, Washington, DC. Retrieved November 3, 2012 from: http://www.cbo.gov/doc.cfm?index=10781. Kaizer, J. (2010). Implementation Timeline. Health Reform Source. Retrieved November 5, 2012 from: http://healthreform.kff.org/timeline.aspx Hilgers, David W. (February 2012) Physicians post-PPACA: not going bust at the healthcare buffet. The Health Lawyer, Vol. 24. Retrieved November 4, 2012 from: http://www.americanbar.org/content/dam/aba/publishing/health_lawyer/health_mo_premium_hl_healthlawyer_v24_2403 Pozgar, George D. (2009). Legal essentials of health care administration. Missisauga, Ontario: Jones and Bartlett Publishers, Michael Brown. National Federation of Independent Business v. Sebelius, Secretary of Health & Human Services 567 U.S. (2012) No. 11-393 Argued March 26-28, 2012 – Decided June 28, 2012 Florida ex rel. Bondi v. U.S. Department of Health a& Human Services, 780 F.Supp. 2d. 1256 (N.D. Fla. 2011), order clarified by 780 F.Supp. 2d. 1307. (N.D. Fla. 2011).

Climate Change Environmental Agencies Essay - 2237 Words

Issue one: climate change Environmental agencies focus on fossil fuels as the big bad baddy of greenhouse gas emissions leading to global warming, suggesting alternative energy, carpooling, hybrid cars, and biking, but animal agriculture accounts for more carbon dioxide per year than all transportation methods combined. A conservative 2006 study by the United Nations food and agricultural study placed animal agriculture at 7,516 million tons per year or 18% of annual global green house gas emissions with a far more thorough 2009 WorldWatch Institute study taking into account overlooked livestock respiration, land use, methane and other oversights of the Food and Agricultural Organization of the United Nations with the ultimate outcome of at least 32,564 million tons of carbon dioxide per year coming from animal agriculture. That’s 51 percent of all global emissions compared to the 13 percent of all combined transportation. And what do the environmental agencies point to? Reducing fossil fuel usage. If we completely stopped all use of gas, oil, fuel, electricity et cetera, and never used them ever again, we would still exceed our carbon equivalent greenhouse gas emissions of 565 gigatons by the year 2030 just with the impact of livestock alone. [10][11] So not using fossil fuels at all, which would be the wet dream of every environmental agency, we’re still gassing out the planet with the one contributor–the main contributor–which they refuse to even address. In a similarShow MoreRelatedThe Effects of Global Climate Change Essay1372 Words   |  6 Pagesenvironment everywhere right this very moment. What is causing the damage? Global climate change contributes a great amount of devastation to the world every day. This is important because the change is affecting humans, animals, plants and just about anything else that is living. As a result of global climate change, regions, ecosystems, and agriculture will be greatly affected. There are many things causing global climate change such as the burning of fossil fuels and deforestation. One may notice thatRead MoreHow Is Managing Climate Change, Changes America s Health1144 Words   |  5 PagesManaging Climate change, Changes America’s Health Fady Estany Tennessee State University What is Climate Change? Climate change is a change of environment patterns. In specific the change was obvious from the mid to late 20th century. The reason of the dramatic change was due to large increased levels of atmospheric carbon dioxide produced by the use of fossil fuels. We as people can barely or see no change at all. But the truth is that our Earth is warming little by little. Minor changes inRead MoreA Energy Source For The State Of Florida1285 Words   |  6 PagesUnited States, Florida’s use of renewable energy production is nearly nonexistent at 1.51% (Florida Public Service Commission 2). Environmental Impact of Energy Finding an energy source that is both environmentally friendly and able to keep up with Florida’s growing energy needs is important for many reasons. These reasons include global warming/climate change, environmental damage, the availability of non-renewable resources, and national security. Global warming The rising world temperatures attributedRead MorePublic Agency Employees Should Remain Neutral And Apolitical During Agency Decision Making And Policy Implementation937 Words   |  4 PagesGlobal Climate Change: â€Å"Public agency employees should remain value neutral and apolitical during agency decision making and policy implementation.† As everyone knows global climate change and global warming is a big topic of debate when it comes to public policy nowadays. The question I will be answering that relates to the issue is, â€Å"Public agency employees should remain value neutral and apolitical during agency decision making and policy implementation.† To some people global climate change mayRead MoreHow Does the United Nations Support Environmental Sustainability?865 Words   |  3 Pages(Wikipedia). ‘Ensuring environmental sustainability’, climate change being one of the major factors, is one of the millennium development goals of the UN. The United Nations Environment Programme, UNEP, along with many organizations/agencies under the UN, collaboratively work towards achieving this goal. About the Chosen Aspect of Study ‘How does the United Nations support the millennium development goal of promoting environmental sustainability by limiting climate change in South and North AmericaRead MoreThe Paris Climate Agreement1292 Words   |  6 PagesThe world’s nations have already struggled to combat climate change and reduce global emissions. On Thursday, June 1st, 2017 President Trump announce that the United States would officially withdraw from the Paris climate agreement. Following through on his campaign promise, and defying the wishes of other world leaders who pleaded with him to remain a party in the pact. Governing with an American First policy, he said he was carrying out the will of the voters. â€Å"I was elected by the citizens ofRead MoreFederal / National Efforts : Under Congress1225 Words   |  5 PagesFederal/National Efforts Under Congress. Environmental initiatives did not have a fortunate path under congress. In the past 15 years, most of the innovative policies did not pass either the committee or the senate. For example, in October 2003 and again in June 2005, the McCain-Lieberman Climate Stewardship Act failed to operate. The McCain-Lieberman Climate Stewardship Act was a combination of three different acts that require corporations to be part of cap-and-trade system for greenhouse gasesRead MoreProject Proposal: Effects of Climate Change1322 Words   |  6 PagesProject Proposal: Effects of Climate Change The final research paper generated from the Project Proposal: Effects of Climate Change will discuss the question, what Americans can do to reduce climate change health effects? Various research publications by credible sources advise, global warming climate change has an affect on human health. Climate change and the impact on human health can be connected through direct or indirect variables. The Importance I feel as though if we start at a youngRead MoreShould The Environmental Protection Agency Proceed With The Clean Power?967 Words   |  4 PagesUnion of Concerned Scientists in 2011(Each Countrys Share of CO2 Emissions). The U.S. government needs to make changes by implementing environmentally friendly projects that would reverse the United States damage on the environment. In 2015, there was the Environmental Protection Agency, which created a clean power plan. President Obama announced the plan, an effort to fight climate change. The plan was to target power plants who use fossil fuels for energy. The use of these fossil fuels would emitsRead MoreEnvironmental Issues Of Human Rights Violations947 Words   |  4 Pagesdefining the environmental issues as human rights violations in legal terms is a complex task. However, in the last decade, petitions and suit cases against climate change issue were gradually filed. In 2006, the first suit case against the Environmental Protection Agency was reached to the U.S Supreme Court (Aminzade, 2006). A petition claimed that climate change through emissions and air pollutants caused harm to public health and welfare. This case grabbed the attention of multiple environmental agencies;

The Healthy People 2020 Objective Nutrition And Weight...

The Healthy People 2020 objective Nutrition and Weight Status has a goal of improving the diet of Americans, thus improving their overall health. â€Å"Diet quality is critically important to the prevention of many types of chronic disease† (Wilson et al, 2015, p. 302.) According to Healthy People 2020 (2014), â€Å"a healthful diet helps Americans reduce their risks for many health conditions, including: overweight and obesity, malnutrition, iron-deficiency anemia, heart disease, high blood pressure, dyslipidemia, type 2 diabetes, osteoporosis, oral disease, constipation, diverticular disease and some cancers† (Healthy People 2020, 2014.) This paper will evaluate links between low-income families and obesity, as well as successes and barriers to healthy lifestyles. Intervention The proposed intervention to help combat childhood obesity in low-income families will be an interactive nutrition education program for both the children and their families. This program will be needed in rural, low income areas, that otherwise would not have access to this information. Patient education is of the utmost importance when combatting the development of chronic illnesses, especially one as prevalent as obesity is the United States. A health improvement plan must include realistic interventions that are appropriate for the target population. The nutrition education program should be incorporated with WIC (Women, Infant, Children), as WIC begins in the prenatal period and continues untilShow MoreRelatedThe Healthcare Delivery System of the United States: Obesity715 Words   |  3 Pagesof Healthy People 2020, the Nutrition and Weight Status objectives for Healthy People 2020 reflect strong science supporting the health benefits of eating a healthful diet and maintain ing a healthy body weight. The objectives also emphasize that efforts to change diet and weight should address individual behaviors, as well as the policies and environments that support these behaviors in settings such as schools, worksites, health care organizations, and communities (Nutrition and weight, 2012Read MoreMobile Health Assignment : A Nutrition App Available Online, Android Or Iphone Mobile Devices853 Words   |  4 PagesHealth assignment was done on Fooducate; a nutrition app available online, Android or iPhone mobile devices. On its website Fooducate claims that it â€Å"is the only app that looks beyond the calorie to help you lose weight and keep it off†. It suggests that it can help individuals eat better, lose weight and be healthy. Fooducate is comprised of a lot of information regarding different foods and their ingredients, as well as user reviews about foods consumed by people on a daily basis. The Fooducate teamRead MoreResearch Paper On Rotc1737 Wo rds   |  7 Pagescollege elective consists of class and lab time, along with one hour of physical training three days per week. The program is designed to build mental toughness and leadership, while learning the military style and appropriate behaviors to remain healthy and physically fit. Demographics and Health Characteristics The ROTC population for the Wabash battalion has inclusion criteria that incorporates the following six schools: Rose Hulman Institute of Technology, DePauw University, Indiana State UniversityRead MoreCommunity Health Nursing Reflection1262 Words   |  6 Pagessettings, including community health clinics, churches, homeless shelters, and schools,† (p. 19). Community health nurses aim to improve health outcomes and improve the infrastructure used to monitor and manage disease within the community. Healthy People 2020 has established benchmarks and monitored progress over time to improve health outcomes. Each community has unique needs and the role of the community health nurse is to work with and provide comprehensive care to patients within the communityRead MoreNutritional Survival For Diabetics : The Center For Disease And Prevention1308 Words   |  6 Pagesp.256). There are many issues health issues associated with diabetes. The purpose of this journal is to conduct research of the leading healthy indicator nutrition, physical activity and obesity targeting the importance of nutritional aspects for the prevention and maintenance of diabetes. The importance of health proportion; relating to Healthy People 2020 goals, and education of nutritional diabetic plans are important aspects relating to diabetes. Introduction about Diabetes Many individualsRead MoreCommunity Teaching Work Plan (Nursing) Essay2054 Words   |  9 PagesProposal group project for the city of San Diego, and our target community is children in elementary school. We have chosen primary health promotion/prevention and will address Childhood Obesity, which falls under the category of Nutrition and Weight Status in Healthy People 2020. According to the County of San Diego, HHSA, Public Health Services, Community Health Statistics (County of San Diego, August 2011, p. 11-13), one in four children in San Diego is overweight or obese, which is slightly higherRead MoreC228 Essay2438 Words   |  10 PagesGreenville County works a white-collar job, with Greenville Health Systems providing the most jobs followed by the School District of Greenville County (â€Å"County of Greenville,† 2014). Summary of Tools Population Economic Status Assessment The Population Economic Status Assessment of the county was used to obtain population size, average household income, unemployment rates, and percentages of households below poverty level. The estimated population of Greenville County was 482,752 (â€Å"DemographicsRead MoreMethods Used For Obtaining Primary Data From My Community 25 Points1171 Words   |  5 Pagessecond health need observed was the preoccupation with weight, e.g., more than half of the women are either obese or overweight. Thus, the women were eager to go back to their pre-pregnancy weight or even better, to lose more pounds. Most of the women attributed the increased weight on their pregnancy and the tendency to overeat as a form of stress management. In addition to their own weight, the women also expressed concern about the weight of the other members in the family, e.g., husband andRead MoreEssay On Adult Obesity1032 Words   |  5 PagesMy topic was based on the nutrition and weight status health indica tor for the Healthy People 2020. The nutrition and weight status indicator based one of their objectives on adult obesity and its need for health promotion especially amongst minorities. Obesity is a major issue because it increases the risk for chronic health conditions such as diabetes, hypertension, or cancer. In this paper I will discuss 3 issues of adult obesity on the African American population such as the disease effectsRead MoreClient History : Desiree Sabugo ( Ds ) Essay1582 Words   |  7 Pagesyear- old first year nursing student who was born and raised in the Philippines. Client DS moved to Hawaii when she was 13 years old. She has a weight problem. She found out that she was underweight when her elementary school in the Philippines organized a feeding program for underweight students. Until then, DS’s weight has been below the average weight for her age and height. She was hospitalized for acute bronchitis when she was 12 years old. At the same time, her eard rum perforated from coughing

Legalizing Recreational Pot - 1507 Words

English 1B 16 February 2016 Legalizing Recreational Pot Heavy marijuana smokers are at risk for some of the same health effects as cigarette smokers, like bronchitis and other respiratory illnesses. Marijuana is the most commonly abused illegal drug in the United States and around the world. Those who support its legalization, for medical or for recreational use, fail to recognize that the greatest costs of marijuana are not related to its prohibition; they are the costs resulting from marijuana use itself. If the United States were to legalize marijuana, the number of users would increase. New users would not be limited to adults if marijuana was legalized, as regulations on alcohol and tobacco does not prevent use by youth. The†¦show more content†¦Besides the curiosity and easy accessibility, another reason the number of drug users across the United States would increase would be because marijuana is a gateway for other drugs. Since the legalization of marijuana would make smoking weed out in public and smoking in general a social norm, many users of marijuana could possibly fall under the curiosity of what other drugs can do and how they could make them feel while on them. The high that marijuana causes is what drives many people to start using. Although other drugs provide different types of high, the high people experience from marijuana may not be enough anymore if it were legalized throughout the states. Since smoking weed would be a social norm if it were legalized, there is a high chance that many users of the drug may often fall into irresponsible habits of using or even start to try new drugs because the high from marijuana is not enough for them anymore. According to the Foundation for a Free Drug World, The vast majority of cocaine users began by first using a â€Å"gateway drug† like marijuana, cigarettes or alcohol. Of course, not everyone who smokes marijuana and hashish goes on to use harder drugs. Some never do. Others quit using marijuana altogether. But some do turn to harder drugs. One study found that youth (12 to 17 years old) who use marijuanaShow MoreRelatedShould Marijuana Be Legalized?1269 Words   |  6 PagesAbu Matar 1 Mahmoud Abu Matar English Composition 2 Research Paper 14 April 2015 Legalizing Marijuana Marijuana is most commercialized drug in the world, so why not just legalize it? Although there are legal restraints against marijuana, 1 in 3 Americans have tried it, out of curiosity at least once. Multiple studies have proven that, marijuana is psychologically and physically healing. Medical marijuana should be legalized for its beneficial advantages, such as, treating or preventing health conditionsRead MoreSoc 3311200 Words   |  5 Pagesscenarios complex situations. First scenario will be a â€Å"recreational pot smoker, who lives in a state that recently legalized growing, possessing, selling, and distributing, through state-regulated dispensaries, limited amounts of marijuana for medical use†(Ashford University online school website,2013). Second scenario â€Å"a parent living in the same state, concerned that her 12-year-old will be exposed to new and significant risks of addition of pot that will be readily available in their community† (AshfordRead MoreArgu mentative Essay : Legalization Of Marijuana1387 Words   |  6 Pagesseveral years ago legalizing marijuana for medical use and in recent years took the plunge to legalize it for recreational use. Marijuana is not always a bad thing nor is it always a good thing. A lot of people will compare it to any other mind altering substance and have very valid points. I would rather have a loved one or myself smoke marijuana or ingest it, instead of popping pain pills or other harmful substances put on the market by the pharmaceutical industry; Recreational use can be safe andRead MoreMarijuana Should Be Legal For Recreational Use873 Words   |  4 PagesRevised: There will be medical benefits if marijuana was legal for recreational use. Premise: Street justice related to drug disputes would be reduced resulting in less crowding in prisons. Revised: Legalizing marijuana will result in less crowding in prisons. Premise: States gain profit from taxing marijuana Revised: States benefit financially from the legalization of marijuana. Conclusion: Marijuana should be legal for recreational use. Marijuana has been used in herbal remedies for centuriesRead MoreShould Marijuana Be Legalized?1377 Words   |  6 PagesThe Fight to Get High For years, the fight over legalizing marijuana has always been on every state’s agenda. However, marijuana continues to stir a lot of debate as to whether or not there are benefits from its use. Some refer to marijuana as a hard drug such as cocaine or heroin, especially since it is still classified as a Schedule I substance under federal law. Nevertheless, many Americans point out the medicinal benefits of the herb from several decades of research and studies. Meanwhile, withRead MoreShould Marijuana Be Legalized?877 Words   |  4 PagesLegalize It There was a time when talks of legalizing marijuana went largely untouched by statesmen and policymakers. It seemed that considering legalization was unpopular and that the demand for it existed only in the minds of few. In this ever-changing world, we now see the rhetoric of the matter gradually fade away. That old approach of conservatism seems to be marginalized regarding this groundbreaking social topic. With 75% of the nation expecting that marijuana will find a federal path to legalityRead MoreShould Marijuana Be Legalized? Essay1265 Words   |  6 PagesMarijuana Legalize; Yea or Nay? Why is pot illegal? Kevin O’Leary an Entrepreneur, Investor, and TV Personality states, â€Å"You either make it illegal, in which case you support a huge underground economy, or you tax it within the limits people can afford.† The legalization of pot will give a wider access for medical use, it will give a boost to the economy, more effective criminal justice and law enforcement, and it has multipurpose value. The country is currently divided on the issue of legalizationRead MoreBenefits of Legalizing Marijuana Essay1374 Words   |  6 PagesBenefits of Legalizing Marijuana Every year, 400,000 Americans die of complications caused by tobacco products. Smoking kills more Americans each year than alcohol, crack, heroin, murder, suicide, car accidents, fires, and AIDS all put together. Every week, eight children under the age of eighteen die from alcohol related crashes. Alcohol abuse contributes to almost 50% of all traffic accidents, suicides, and homicides. However, despite the proven dangers of these socially acceptable drugsRead MoreMarijuan The Pseudo Gate Way Drug924 Words   |  4 Pagesthat the federal government of United States of America should legalize marijuana. Legalizing would not only benefit the people of need for medical uses but also our economy for recreational use. In the year of 2014 the state of Colorado was the one of the first few states to legalize the use of recreational marijuana. Colorado retailers sold $386 million of medical marijuana and $313 million for purely recreational purposes (Ingraham). Within one year of the legalization of cannabis, Colorado cannabisRead MoreThe Debate over Legalizing Marijuana967 Words   |  4 Pageswhich is used for recreational purposes as well as medicinal purposes. However, the medicinal use of marijuana has only been suggested in the recent years because previously it was just a drug which used to be exploited by the teenagers, adults and others for their own personal purposes. Many people get arrested for illegal possession of marijuana because it is still illegal to have marijuana despite the ongoing debate of making it legal. There are many people who are against legalizing marijuana but

The Fisherman Free Essays

He opens the poem using a first person narrative, mixed with a simple monosyllabic dialogue â€Å"Although can see him till†, in order to emphasis the simplistic nature of the fisherman, and Yeats adds to this effect by using a very regular rhyming pattern (ABA), and enjambment of the line in order to add a harmony and fluidity to the poem. As you carry on Yeats describes a lot of rural and naturalistic imagery ‘the freckled man†Ã¢â‚¬ ¦ Ere Condemner clothes† emphasizing the typical old simple, and hard working Irish man, and this could in fact be compared to the ‘Irish Airman’. Because both poems are connected to a specific place in Ireland, in The Fisherman’, it is Condemner, when in the ‘Irish Airman’ it is â€Å"Kiloton Cross†, also in ‘The Fisherman’, notice how the man seems to form as part of the landscape â€Å"grey place on a hill in grey’, which shows how, not only is he wearing Condemner clothes, a local material, but seems to merge with the natural environment. We will write a custom essay sample on The Fisherman or any similar topic only for you Order Now Yeats also uses a variety of different syntax’s, in order to present the Irish people, and to present their different attitudes. From the simple syntax of the fisherman, â€Å"cast his flies â€Å"reflecting the quite, simple aspects of Ireland to here people live off the land, to which in Yeats’ eyes is the perfect audience for him to write to. However the complex syntax â€Å"craven man† which is used, reflects the confusion almost, on how Yeats is traveling from his ideal reality, then arriving upon the actual reality, to which he detests. From lines eight to twenty-five, it shows Yeats bitter attack and viewpoint towards contemporary Ireland, showing a huge change in tone, and truly contrasting the old Ireland with the new. It opens with some antithesis â€Å"wise and simple. , really summing up the fisherman and Yeats’ views on the old Ireland, using a full stop to allow the reader to reflect and almost proving how wisdom and simplicity can sometimes go together. Carrying on there is another piece of alliteration â€Å"my own race And the reality’ which creates another piece of contrasting imagery, setting up Yeats for his rant against the real contemporary Ireland, â€Å"the living men that I hate†, that quote referring to the greedy, UN cultured Dublin businessmen, to which Yeats’ goes on listing all the types of people he dislikes, however cleverly juxtaposes these thoughts with â€Å"the dead man that I loved† who by many is Hough to be J. M Singe, although could be John O’Leary and therefore this poem could be compared to ‘September 191 3’ â€Å"O’Leary in the grave†. Arriving at the end of that paragraph, Yeats sums up how he truly feels, â€Å"beating down of the wise And great Art beaten down†, using repetition of the word beaten, to portray the brutality of the Irish people. He describes some of the appalled types of the Irish public, â€Å"the clever man who cries† using harsh alliteration in order to show his absolute contempt, which cuts into the lines, so Yeats really believes that the people he doesn’t admire, are somehow overcoming the wisdom of who Yeats does admire, and again this could be compared to the ‘Irish Airman’ due to the inverted line. Yeats however in the last stanza, goes back to the idea of the perfect audience and old rural Ireland, going into further detail about the fisherman â€Å"sun freckled face† and differs from the early part, which describes him, to be more Of a memory, rather than a pigment of Yeats imagination â€Å"a man who is but a dream†. Yeats uses monosyllabic wording there and anaphora’s to strengthen the line and to create an idea of nostalgia. Yeats finally ends the poem with a very interesting few lines â€Å"l shall have written him one†¦ As cold and passionate as the dawn†, Showing how he wants to write a poem for the perfect audience, using antithesis of cold and passionate, to show in my opinion how the poem is full of passion, yet tightly controlled, therefore making it enduring. That last line could also be compared to the ‘Cold Heaven’, as in the cold heaven there is a similar juxtaposition, between the cold sky and the rush of emotions. How to cite The Fisherman, Papers

Herman Miller free essay sample

Herman Miller Inc. History- Herman Miller’s roots go back to 1905 and the Star Furniture Company, a manufacturer of traditional-style bedroom suites in Zeeland, Michigan. In 1909 the company was renamed Michigan Star Furniture Company and hired Dirk Jan De Pree as a clerk. De Pree became president in 1919 and four years later convinced his father-in-law, Herman Miller, to purchase the majority of shares; De Pree renamed the company Herman Miller Furniture Company in recognition of Miller’s support. 1. Describe Herman Miller’s strategy. Is there evidence it has produced a competitive advantage and good financial performance? Explain. Herman Miller’s strategy is a growth strategy, through innovative products and production processes that focuses on renewal and reinvention. There is evidence that HMI’s strategy has produced a competitive advantage and financial performance. HMI expanded overseas and had a large market. HMI used a system of lean manufacturing techniques referred to as the Herman Miller Production System (HMPS). We will write a custom essay sample on Herman Miller or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The HMOs strove to maintain efficiencies and cost savings by minimizing the amount of inventory on hand through a just-in-time process. A key element of HMI’s manufacturing strategy was to limit fixed production costs by outsourcing component parts from strategic suppliers. This strategy allowed the company to increase the variable nature of its cost structure while retaining proprietary control over those production processes that it believed to provide a competitive advantage. In 1996 due to high prices and long lead times, Herman Miller’s IMT (Integrated Materials Technology) leaders decided to hire the Toyota Supplier Support Center, which was the consulting arm of automaker Toyota. With the help and ideas of everyone from IMT and the Toyota supplier support center, improvements were made such as a decrease in quality defects in parts per million, which decreased from 9,000 in 2000 to 1,500 in 2006. Also on-time shipments improved from 80 percent to 100 percent and safety incidents per 100 employees dropped from 10 to 3 per year. 2. How have the company’s values shaped its strategy and approach to strategy execution? Provide illustrations of how these values are reflected in company policies. HMI has codified its long-practiced organizational values and published them n its website in 2005 on a page titled â€Å"What We Believe. † Those beliefs were intended as a basis for uniting all employees, building relationships, and contributing to communities. HMI’s values are reflected in the company’s policies through the organizational values, which consist of: curiosity and exploration, engagement, performance, inclusiveness, design, found ations, a better world, and transparency. All of HMI’s employees were expected to live those values. Because of these values that were set for employees to live by, Herman Miller Inc. as able to create and maintain a profitable business that fit perfectly with the strategic approach they were taking. Also, it would make for a more comfortable feel in the workplace. 3. What is your evaluation of HMI’s financial performance? How does its performance compare to prior years? the competition? In 1930, the United States was in the Great Depression and HMI was in financial trouble.