Wednesday, November 27, 2019
ann frank essays
ann frank essays Anne Frank was a Jewish girl who lived in Amsterdam during the time of the Holocaust. Her life is pretty normal. Her father is a successful buisness man, she has good grades, has a caring family, and is kinda popular. The problem is is that she does not have a real friend. Besides her cat, that she loves to death. Of course she has the girls that she hangs out with, but they don't confide in eachother. Therefor, she doesn't consider them her real friends. Then on her 13th birthday she recieves a diary in which she puts her thoughts into or confides in. She now calls this her friend. She even gives it a name. It is Then she meats this 16 year old boy who calls himself Hello. They start to become close and tell eachother things. When all of a sudden her older sister Margot recieves a call-up by the German officers. Her family does not want her sent to a concentration camp, so they are forced into hiding. They run to her fathers office with the help of Miep and some other people that work for her father. The office is a three storie building, but the bottom floor is the only floor that is really used. Leaving the other 2 floors supposively for storrage. The Franks take the 2nd floor and they're friends, the van Daan's, have the 3rd floor. The van Daan's consist of Mr. van Daan, Mrs. van Daan, and Peter; their 16 year old son. Both families hardly get along with eachother and find eachother in quarrels quite often. Mrs. van Daan and Mrs. Frank do not get along. Anne and Mrs. van Daan do not get along. Also Anne and Margot are not the best of friends at times. And Peter is a whinner so he does not get along with hardly anyone. Anne feels that her father is the only one that understands her at all, and this really upsets her mother. So the neighbors do not notice that they are there, they have to have dark cloth ...
Saturday, November 23, 2019
Trinity Community Hospital Development
Trinity Community Hospital Development Introduction Trinity community hospital operates in an environment that is influenced by national trends and policy frameworks. Currently, the hospital aspires to establish elaborate orthopedic, cardiovascular and cancer centers. Opening such centers will imply increased spending on the part of the hospital.Advertising We will write a custom case study sample on Trinity Community Hospital Development specifically for you for only $16.05 $11/page Learn More Despite the hospitalââ¬â¢s strong strategies and planning, the revenues from the anticipated increase in volumes of patients have not been forthcoming leading to a drop in profit margins. The rationale is that national policies have affected the hospitalââ¬â¢s financial performance negatively. While the self-pay program is yielding marginal revenues for Trinity Community Hospital, there has been a surge in Medicare and Medicaid utilization. Governmentââ¬â¢s increased involvement in health care has seen the rise of new health care policies. Ideally, national policies seek to increase health insurance covers to more people although it is detrimental in the end. This paper discusses the impacts of national trends and policies on the hospital and prescribes a possible legislation. Impacts of National trends on Trinity Community Hospital National health policies have changed dramatically over the recent years. The government hopes to increase the number of uninsured individuals by rolling out a policy that has seen public health care providers record increased membership. Medicaid and Medicare health care providers are public funded and as such, it is hard for private hospitals and health care insurers to compete effectively. There is a clear negative impact on community hospitals and private health care facilities. Trinity Hospital has had a declining financial performance. In fact, the revenues dropped from $462 million to $ 427 million in a period of two years. Trinity hospita l therefore contends with the question of reduced revenues. Reduced revenues have many impacts for Trinity Community Hospital. Chiefly, there is an apparent need for the hospital to open oncology, orthopedic and cardiovascular centers within the community.Advertising Looking for case study on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Oncology services remain a major concern for the hospital given that the demand for such services is anticipated to increase exponentially in future. Besides, oncology services remain poorly organized in the hospital with only a few cardiologists liaising with the hospital to facilitate the diagnoses and prevention processes. To establish functional centers, the hospital needs to prioritize on urgently demanded service centers. For orthopedic and cardiovascular services, Regional Hospital and Tertiary Medical Center provide efficient services. Hence, the hospital ought to prio ritize on oncology services that are absent or poorly organized in other hospitals. National trends therefore will imply a review of the strategic plan to grapple with diminishing revenues. This is in agreement with David Jointââ¬â¢s perspective that the government has become far too involved in the health care sector at the expense of health facilities. Second, the hospitalââ¬â¢s goal of establishing high quality centers that provide oncology, orthopedic and cardiovascular services is at risk. Quality service centers imply more medical practitioners and employees. Nonetheless, the physiciansââ¬â¢ returns do not match the heightened costs and as such, Trinity Community Hospital stands to lose a substantial number of already employed members of the staff while putting up with strained ability to hire skilled professionals. This will in turn make the hospital unable to attend to the needs of the hospital. This is not only detrimental for the hospitalââ¬â¢s ability to meet its objectives but also lead to a farther reduction in revenues in addition to worsened shortage of medics (Marshall Rossman, 2009). Another impact that is embedded in the imminent shortage of physicians is an increase of demand for healthcare services, which at the current situation will not be met. This is not only at Trinity Community hospital but also at the community level.Advertising We will write a custom case study sample on Trinity Community Hospital Development specifically for you for only $16.05 $11/page Learn More Regional Hospital and Tertiary Medical Center will be unable to meet the demands of the patients given the impending shortage of physicians. Therefore, the national objective of increasing provision of health care to numerous people will not be achieved in the long term. Finally, Trinity Community Hospital may not be able to realize its objectives and goals stipulated in the strategic plan. It is therefore critical to review the stra tegic plan to match the current trends. This would in turn insinuate a delayed realization of the hospitalââ¬â¢s goals to provide health care services that are high of quality while at the same time complying with the national policies and trends that have made the services inaccessible contrary of the objectives of the national policies. Possible Solution and Legislation There are numerous impacts that will ensue after the legislators and policymakers allow a policy that reduces physiciansââ¬â¢ payments to guide health care facilities. To arrive at a solution and a possible framework that will see the attainment of both the government and hospitalââ¬â¢s objectives, there is the need to explore alternatives. At the outset, it is apparent that the government would like to see the number of people without health covers reduce significantly. The policy reflects a short-term antidote for an entrenched problem. Joint and Holland are right in their assertion that there is a need for Trinity Community Hospital to be proactive in the activities of Hospital Political Action Committee that will propose a feedback to the legislators as well as the national policymakers. Primarily, working closely with the Committee will enhance lobbying. According to Krugman Wells (2006), a strong body that addresses the issues and impacts surrounding the current policies and national trends will have a better chance of convincing the policymakers than when Trinity confronts the policymakers as a single organization.Advertising Looking for case study on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The committee will also allow the members to address pertinent issues and explore alternatives for the policies (Krugman Wells, 2006). For Trinity Community Hospital, alternatives that it will present to the committee include the following although they are not limited to the Boardââ¬â¢s opinion. First, it is important for the national legislators to appreciate that the current policies are inadequate to address the issues of rising demand for specific health services. Evidently, oncology and cancer services are not meeting the current demand of patients in the hospitals located within the community. Coupled with the fact that the government legislations seek to reduce physiciansââ¬â¢ payments, the demand is poised to increase in the long term. As such, policies that address the issue of access to quality services for specific medical areas as orthopedic, oncology and cardiovascular could be the starting point during the feedback presentation. Besides, it is important to arti culate the rising shortage for physicians in different sectors through the Hospital Political Action Committee. For oncology services, Trinity Community Hospital alongside other hospitals is yet to establish functional centers that provide cancer services to the members of the community partially because of the apparent shortage of medical professionals in the area. To that end, the policymakers will have to understand the glaring crises that may typify health care system in future. Subsequently, a possible legislation ought to prioritize on the areas that need staffing. While some health care services are readily available to the community, others remain elusive and it is upon the government to introduce a special category of physicians whose payments will be forthcoming. This does not only allure more people to join medical schools to pursue professions whose services are needed but also increase the ability for the hospital to retain current medics and provide improved health car e services. Further, Trinity Hospital will use this platform to explicate that the numbers of uninsured patients continue to rise. Although Medicaid and Medicare constitute substantial percentage of health care insurance, increasing numbers of people have no medical covers and insurance to access health care in the community. An alternative policy ought to focus on reducing the number of uninsured members of the community while also ensuring that they prioritize on areas whose demand for services is high. Finally, the legislators ought to enhance a more comprehensive policy that addresses prevention healthcare as opposed to curative care. In line with Trinity Hospitalââ¬â¢s objectives of embarking on community outreaches and sensitization to the members of the community, the policies ought to give priority to prevention programs that will not only reduce demand for health care services but also facilitate reduction of the current workload amongst physicians. It should be made a p olicy for members of the community to access basic information regarding orthopedic, cardiovascular and oncology services. Besides, the policy should be driven by a campaign to improve peopleââ¬â¢s lifestyles and elucidate on dangers that are associated with specific lifestyles. This way, the hospital will reduce the anticipated numbers of patients seeking health care services and live within its objectives of providing quality healthcare services for patients given that their numbers will drop substantially. Summary In sum, it is important for the entire team at Trinity Community Hospital to appreciate the effects that national trends and policies will have on the hospitalââ¬â¢s plans and projections. First, the policies will lead to a farther reduction in the revenues of the hospital. The revenue margin has reduced substantially in a period of two years. With such a decline in annual revenues, Trinity Community Hospital grapples with the need to establish orthopedic, cardiov ascular and oncology centers which will be affected by diminishing revenues. Besides, legislations that seek to withdraw payments from physicians will lead to a sharp shortage of physician across the entire country. This is notwithstanding the growing demand for oncology services in particular. This is bearing in mind that, hospitals like Trinity Community Hospital are yet to organize their respective cancer departments. To address these issues, Trinity hospital ought to liaise with Hospital Political Action Committee that will increase the organizationââ¬â¢s ability to lobby the legislators (Marshall Rossman, 2009). It is through the committee that Trinity Community hospital will be able to explicate the impacts of the policies. Besides, the committee will be able articulate the review of such policies to benefit the entire community. The amendments in the current policies will also focus on the need for more improved prevention care programs. This will go a long way in reducin g the current unmet demand for services in the community. References Krugman, P. Wells, R. (2006). Health Care Policies and Impacts on Hospitals. New York: Worth Publishers. Marshall, C. Rossman, B. (2009). Healthcare Policies and Long-Term Impacts. Thousand Oaks: Sage Publications.
Thursday, November 21, 2019
Management Strategies and Practices Essay Example | Topics and Well Written Essays - 1000 words - 1
Management Strategies and Practices - Essay Example (Montana.P and B. Charnov. 2000) Management is a discipline that has gained popularity over the years. Today people study and pursue degrees in managing the organization, the processes and most definitely people. It is true that employees are the asset of an organization. They are those who make the organization and lie at the foundation of it. Therefore, it is important that they be treated well, in such a way so that their skills and potential is polished. The right attitude in prospective employees is very important in order that employees give their 100% to the organization. The right attitude means a positive inclination towards oneââ¬â¢s profession and a personality that matches the requirement of that profession. The theory lies on the premise that there must be something relevant in people that they can take up a particular profession. Just like you cannot make someone without hands, drive, it is therefore impossible to make the quietest girl in the class into a cheerleader. Hence a drive, something inborn is necessary to take up a particular profession. Therefore one must understand that while degrees, medals, reports and skills count; thereââ¬â¢s something else which distinguishes a winner from a loser. There are also certain characteristics that organizations look for in their desired candidate in keeping with the culture of the company. For example; the Women & Infants Hospital of Rhode Island looks for doctors who are calm, composed, confident, energetic and compassionate. Even though companies are still impressed by a 4.0 gpa or a degree from Harvard University; it is not the only ingredient which makes successful employees who contribute positively to the wellbeing of the organiza tion. (Kreitner.R., 2000) UPS has also been hiring employees based on their performance on attitude and behaviourial tests. It therefore considers that the right temperament for a job is
Wednesday, November 20, 2019
Greek Law Essay Example | Topics and Well Written Essays - 500 words
Greek Law - Essay Example However the parliament of Greece is rather sophisticated. The legislative branch consists of the Parliament (Vouli/Koinovoulio) and the President of the Republic (Proedros tis Dimokratias). There is only one parliament, thus Greece has a unicameral system of legislature. The main legislative function is assigned to the Parliament, which is bound to exercise its powers within the limits of the Constitution, and those set by International Conventions ratified by Greece. The Parliament votes for a Bill (Nomosxedio) to become a Law (Nomos) in three voting sessions: firstly in principle, then per article and then as a whole. Once the bill is passed, it is sent to the President of the Democracy to promulgate and publish it in the National Gazette (Efimerida tis Kyberniseos). Thus Greek Law Number 3037, was obviously well thought out. The law is applied to visitors to the country as well in an attempt to prevent illegal gambling. According to a report in the Greek newspaper Kathimerini, Gre ek police will be responsible for catching offenders, who will face fines of 5,000 to 75,000 euros (about $4,980 to $74,650) and imprisonment of one to 12 months. "The blanket ban was decided in February after the government admitted it was incapable of distinguishing innocuous video games from illegal gambling machines," the report said. Citizens are protesting the new law stating that it is not fair.
Sunday, November 17, 2019
National Health Care Spending Essay Example for Free
National Health Care Spending Essay Introduction Health care in the United States is provided by many distinct organizations. Accordingly, the US Census Bureau (2010) reported that health care facilities are largely owned and operated by private sector businesses. While sixty-two percent of hospitals are non-profit, 20% are government owned, and 18% are for-profit. Furthermore, 60ââ¬â65% of healthcare provision and spending comes from programs such as Medicare, Medicaid, TRICARE, the Childrens Health Insurance Program, and the Veterans Health Administration. Most of the population under 67 is either insured by themselves or a family members employer, buy health insurance on their own, and the remainder are uninsured. Health insurance for public sector employees is primarily provided by the government. Still, the United States has a life expectancy of 78.4 years at birth, up from 75.2 years in 1990, and is ranked 50th among 221 nations, and 27th out of the 34 industrialized countries, down from 20th in 1990. Of 17 high-income countries studied by the National Institutes of Health in 2013, the United States had the highest or near-highest prevalence of infant mortality, heart and lung disease, sexually transmitted infections, adolescent pregnancies, injuries, homicides, and disability. Together, such issues place the U.S. at the bottom of the list for life expectancy. On average, a U.S. male can be expected to live almost four fewer years than those in the top-ranked country (NIH, 2013). Thesis Statement As dismal as the statistics are, in recent years, policy makers as well as leading economists have focused a considerable amount of attention onà aggregate spending increases in health care and how health care spending impacts the United States economy. Thereby, specific emphasis has been given to identifying and examining distinctive factors that have contributed to spending growth, and proposing solutions for reduction. Seemingly, factors that have contributed to spending growth encompass changes in health care utilization, population demographics, price inflation, and advances in medical technology. Thus, as more and more advanced scientific technology is developed the costs associated with providing quality health care increases. With that said, according to the World Health Organization (WHO), the United States spent more on health care per capita ($8,608), and more on health care as percentage of its GDP (17.2%), than any other nation in 2011. Yet, the United States ranked last in the quality of health care among similar countries, and notes United States care costs the most. Similarly, in a 2013 Bloomberg ranking of nations with the most efficient health care systems, the United States ranks 46th among the 48 countries included in the study. The U.S. Census Bureau reported that 49.9 million residents, 16.3% of the population, were uninsured in 2010 (up from 49.0 million residents, 16.1% of the population, in 2009). In addition, a 2004 Institute of Medicine (IOM) report said: The United States is among the few industrialized nations in the world that does not guarantee access to health care for its population.â⬠Further, with the exception of Mexico, Turkey, and the United States, all of the other countries had achieved universal or near-universal (at least 98.4% insured) coverage of their populations by 1990; and recent evidence demonstrates that lack of health insurance causes some 45,000 to 48,000 unnecessary deaths every year in the United States. In 2007, 62.1% of filers for bankruptcies claimed high medical expenses, and 25% of all senior citizens declare bankruptcy due to medical expenses, and 43% are forced to mortgage or sell their primary residence. On March 23, 2010, the Patient Protection and Affordable Care Act (PPACA) became law, providing for major changes in health insurance. The medical system has been forced to change normal procedures to meet federal regulations. The law includes a large number of health-related provisionsà to take effect over the next four years, including expanding Medicaid eligibility for people making up to 133% of FPL, subsidizing insurance premiums for peoples making up to 400% of FPL ($88,000 for family of 4) so their maximum out-of-pocket pay will be from 2% to 9.8% of income for annual premium, providing incentives for businesses to provide health care benefits, prohibiting denial of coverage and denial of claims based on pre-existing conditions, establishing health insurance exchanges, prohibiting insurers from establishing annual spending caps and support for medical research. The costs of these provisions are offset by a variety of taxes, fees, and cost-saving measures, such as new Medicare taxes for high-income brackets, taxes on indoor tanning, cuts to the Medicare Advantage program in favor of traditional Medicare, and fees on medical devices and pharmaceutical companies; there is also a tax penalty for citizens who do not obtain health insurance (unless they are exempt due to low income or other reasons). The Congressional Budget Office estimates that the net effect (including the reconciliation act) will be a reduction in the federal deficit by $143 billion over the first decade. Conclusion In conclusion, in contrast to the argument that rising health care spending at the Federal and State level decreases economic growth, and employee health care costs decreases job growth, a reasonable argument, could also be made that rising health care spending has important benefits, often outweighing the increased costs. I submit that improvements in quality may produce a cause and effect whereby, the cost of medical care is decreased. Subsequently, increased health care spending improves increases in access to new technologies, providing both new options of treatment and treatment for a greater number of individuals; which provides for healthier employees. Moreover, health care spending growth is more likely to create health care jobs, increases wages for health care workers, expands local tax revenues, and increases demand for related goods and services. We, as Americans, profess to be the richest, strongest, and greatest country, yet we stand by and watch homeless citizens sleeping on the streets, children going to bed at night hungry, and citizens dying because they lack health insurance. The Affordable Care Act is a good start, however we must keep legislators who oppose the bill from chipping away at it. Health care should be a humanà right, not a privilege. For example, in May 2011, the state of Vermont became the first state to pass legislation establishing a Single-Payer health care system. The legislation, known as Act 48, establishes health care in the state as a human right and lays the responsibility on the state to provide a health care system which best meets the needs of the citizens of Vermont. The state is currently in the studying phase of how best to implement this system. Of the 26.2 million foreign immigrants living in the US in 1998, 62.9% were non-U.S. citizens. In 1997, 34.3% of non-U.S. citizens living in America did not have health insurance coverage as opposed to the 14.2% of native-born Americans who do not have health insurance coverage. Among those immigrants who became citizens, 18.5% were uninsured, as opposed to noncitizens, who are 43.6% uninsured. In each age and income group, immigrants are less likely to have health insurance. With the recent healthcare changes, many legal immigrants with various immigration statuses now are able to qualify for affordable health insurance. We need to push for more. The cost for individuals that use emergency rooms as port of entry to medical care far exceeds obtaining a primary care provider. References Institute of Medicine (2004). Retrieved from http://.www.institutesofmedicine, May 09, 2014. National Institute of Health (2013). Retrieved from http://.www.nationalinstituteofhealth, May 10, 2014. U. S. Census Bureau (2010). Retrieved from http://.www.uscensusbureau, May 10, 2014. World Health Organization (2014). Retrieved from http://.www.worldhealthorganization, May 10, 2014. www.healthcare.gov (2014). Retrieved from http://.www.healthcare.gov. May 10, 2014
Friday, November 15, 2019
Essay --
ââ¬Å"Love VS Power: The Wife of Bath and Millerââ¬â¢s Comparisonâ⬠In the Geoffrey Chaucerââ¬â¢s Canterbury Tales, Chaucer illustrates the different perspective between men and women on the concept of marriage and love. In The Wife of Bathââ¬â¢s tale, it is shown the woman appreciating marriage and wanting to be able to love a man unconditionally as where in The Millerââ¬â¢s Tale, love isnââ¬â¢t anything, but sex with the man in the story. In accordance with Chaucer, the complication with marriage is that men are consumed by sexual desire and are easily abused by women like The Wife of Bath. As noticed, The Millerââ¬â¢s Tale is all about adultery. ââ¬Å"Just like men, the wives have secrets, as does Godâ⬠, says the Miller. Both have information that the other do not know about that are sacred and better left unsaid. The idea of supremacy and dignity are both present in The Wife of Bathââ¬â¢s Tale making it the central concept throughout the entirety of her story. It is assumed that her primary marriage was organized by her parents, even though The Wife of Bath does not mention them in her prologue, ââ¬Å"experience, though no authority/ were in this world, is right enough for me/to speak of the woe that is in marriage; /for, my lords, since I was twelve years of age.â⬠(Chaucer 285). In that time period, it is considered that the men, such as a father, husband or even a brother are supposed to protect the women in the family. Even though The Wife of Bath does not believe in being ruled by a man, she does however like to be married to one. One will notice that when a husband passed away or left, The Wife will move to her next husband. A marriage where the wife conquers over the husband is a perfect, blissful one according to The Wife of Bath. She discovers that itââ¬â¢s not too... ... The Miller portrays Alison as a "wild and young" (205) woman throughout the entire tale, making it clear that she does not respect the relationship with her husband at all. It can also suggest that she is not an angel or the ââ¬Å"good wifeâ⬠that she likes to pretend to be. It is obvious that Alison likes to use her beauty and body in ways to make it easier to obtain the things that she desire just like The Wife of Bath indirectly hints in her tale. Though Chaucer showed multiple tales of various characters in The Canterbury Tales, the Millerââ¬â¢s and Wife of Bathââ¬â¢s tale surpassed them all on their concept of marriage and love. Both allow the reader to understand where they are coming from and their perception. While one does not seem to believe too much in love, the other does. However, both clearly believe that women control the game of love in their own respective ways.
Tuesday, November 12, 2019
Real Estate Business in Bangladesh Essay
Abstract: The term business communication is used for all messages that we send and receive for official purpose like running a business, managing an organization, conducting the formal affairs of a voluntary organization and so on. Business communication is marked by formality as against personal and social Communication. The success of any business to a large extent depends on efficient and effective communication. It Takes place among business entities, in market and market places, within organizations and between various group of employees, owners and employees, buyers and sellers, service providers and Customers, sales persons and prospects and also between people within the organization and the press persons. All such communication impacts business. Done with care, such communication can promote business interests. Otherwise, it will portray the organization in poor light and may adversely affect the business interest. Historical Background: Thousands years ago, people use to communicate orally. Greeks use a phonetic alphabet written from left to right. After that, many books appeared on written communication principles. In a result of this, Greek started her very first library. When communism was ruling China, communication had become the biggest challenge within the vast government as well as between government and people. 1st in China and then in Rome postal service was launched. After that paper and printing press was invented in china that made communication easier. Hence, todayââ¬â¢s principles of communications are founded on a mixture of ancient oral and written traditions. Background: The word ââ¬Å"communicationâ⬠derived from the Latin word ââ¬Ëcommunicareââ¬â¢ that means to impart, to participate, to share or to make common. It is a process of exchange of facts, ideas, and opinions and as a means that individual or organization share meaning and understanding with one another. In other words, it is a transmission and interacting the facts, ideas, opinion,à feeling and attitudes. It is the ability of mankind to communicate across barriers and beyond boundaries that has ushered the progress of mankind. It is the ability of fostering speedy and effective communication around the world that has shrunk the world and made ââ¬Ëglobalizationââ¬â¢ a reality. Communication had a vital role to play in ensuring that people belonging to a particular country or a culture or linguistic group interact with and relate to people belonging to other countries or culture or linguistic group. What Is Business Communication: Business communication (or simply ââ¬Å"communicationsâ⬠, in a business context) encompasses such topics as marketing, brand management, customer relations, consumer behavior, advertising, public relations, corporate communication, community engagement, reputation management, interpersonal communication, employee engagement, and event management. It is closely related to the fields of professional communication and technical communication. Media channels for business communication include the Internet, print media, radio, television, ambient media, and word of mouth. Business communication can also refer to internal communication. A communications director will typically manage internal communication and craft messages sent to employees. It is vital that internal communications are managed properly because a poorly crafted or managed message could foster distrust or hostility from employees.
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