Friday, January 24, 2020
Essay --
There is a higher incidence of hypertensive disorder of pregnancy in Black women than in White women. This is possibly related to lower socioeconomic status, their lifestyle and prior undiagnosed preexisting hypertension. Black women have greater risk of hypertensive disorder of pregnancy and preeclampsia than nulliparous White women. Irwin D et al. researched the relationship between race and risk of hypertension disorder of pregnancy in a cohort of active duty military women. Researchers assessed the sociodemographic and reproductive characteristics of Black and White women. It is explained from the results that White women are more likely to be married (75% vs 56%), over the age of 35 (3.4% vs 1.6%), were higher ranked officers (9% vs. 2%) and had education post high school (21% vs 17%). Moreover, it was also suggested that nulliparous have higher risk of hypertensive disorder of pregnancy (Relative risk (RR)= 2.2, 95% Confidence Interval (CI)=1.8 ,2.7), Transient gestational hype rtension (RR= 2.0, 95% CI= 1.5, 2.7) and preeclampsia (RR=2.8, 95% CI=2.0,3.9). Among parous women thi...
Thursday, January 16, 2020
Factors thata effect health and well-being Essay
Elizabeth is providing her body with the energy her body needs to perform well and succeed in her work through exercising. Exercise provides stimulation for the brain. Stimulation improves brain function, which will improve many things like learning new skills and concentration. Also, people who remain physically active as they age have a reduced risk of dementia. Elizabeth goes swimming every Saturday with her children. This is an example of the social benefits of exercise. This could help Elizabeth have a positive self- image and have positive self-esteem. Exercise also has many psychological and emotional benefits. When you exercise endorphins are released in the brain Endorphins are the bodyââ¬â¢s natural feel good chemicals, and when they are released through exercise, your mood is boosted naturally. As well endorphins, exercise also releases adrenaline, serotonin, and dopamine. All of these chemicals improve mood. Endorphins are the bodyââ¬â¢s natural painkillers. The endorphins released during exercise could help Elizabeth with the pain she gets from her Ulcerative colitis. Altogether exercise will improve Elizabethââ¬â¢s health, mental state and provide stimulation for her brain, which will help her with many different aspects of life. Regular exercise is benefiting Elizabethââ¬â¢s physical, intellectual, emotional and social health and well-being. It is vital that she maintains this positive factor in her life. Supportive Relationships Elizabeth has many supportive relationships in her life. She has a loving family, a good relationship with her partner and a stable group of friends. Research shows that healthy and supportive relationships can reduce stress and improve your overall health and sense of well-being. The main advantages of having supportive relationships are the psychological benefits. On average, people who have supportive relationships are less likely to have mental health problems. Elizabeth does not, and never has, suffered from any mental health problems. This may be because she has people she can talk over any worries or problems with. This will help Elizabeth cope with things like stress and feeling of depression. If Elizabeth feels she has people she can trust and confide in she will be less likely to let these sort of feeling get out of control, she will be able to confront things before they become problems. If Elizabeth did not have such supportive relationships she would be at risk of suffering form stress, which would affect her physical health in many ways. Elizabeth sufferers from Ulcerative Colitis, and although the cause of it is unknown, it is suspected that stress can increase symptoms. So Elizabethââ¬â¢s physical well being will be benefiting from supportive relationships because it will help prevent stress causing any flare upââ¬â¢s of her Ulcerative Colitis. Elizabethââ¬â¢s intellectual development will benefit because she will be less likely to take time off work, and she will be more likely to take part in things that will stimulate her brain such as exercise. Conversation may also provide stimulation. Elizabeth will benefit in ever aspect of her health and well-being because she has good supportive relationships in her life.
Wednesday, January 8, 2020
Critique Of Methods And Suggestions - 874 Words
Critique of Methods Suggestions I believe that until this issue is 100% done away with, there is always room for improvement. There are several wonderful ways in which the issue of domestic violence is being addressed. The first method that is typically used to address intimate partner violence is the National Domestic Violence Hotline which is in place for people experiencing domestic abuse can call and get help for their needs. This is a very beneficial service because it gives people the basic idea of what is going on and what is available for victims in terms of services. I love that the people who answer the hotline phone calls are well trained in what it is they are supposed to say rather than just being a volunteer who is on the line with no knowledge of what is going on. It is good that they also refer callers to services close to them rather than having all of the information on them and giving it to the caller. I realized from personal experience working with the Domestic Violence Program that the national hotline is not always 100% accurate about the locations that they give the callers. They give the basic vicinity of where the caller is but the problem is that sometimes the place the caller is connected to may be far from where they are currently located at. The National Violence against Women Act is another great tool to help stop the occurrence of intimate partner violence. For there to be compete change, somewhere along the way money needs to be spent toShow MoreRelatedEvaluation Of Six Sigma Improvement Process Essay1519 Words à |à 7 Pagesprocess. The Define phase well-articulated in Identifying the business objectives. In this phase, the team had clearly listed down all the problems. The team had identified that their failure to understand the voice of customer is a major issue. Suggestions/Critique: - â⬠¢ The Define phase failed to give details on the magnitude or the impact of the problem statement. It should focus on the Critical-to-Quality [CTQ] expectations. â⬠¢ They failed to identify the Target Customers there are no Benchmarks usedRead MoreEvaluation Of A Research On Management Education1516 Words à |à 7 Pagesweaknesses are in four main areas: 1) argumentation, 2) systematic review methods 3) scope, and 4) implications for practice. Each point is elaborated below and with suggestions for you to consider during your revision. 1. Argumentation: Each reviewer identified concerns related to the overall argument of the paper. These are divided into different dimensions including the main focus, lack of evidence, weak evidence, and missing critique. a. Main focus. What is the main focus and structure of the articleRead MoreEssay about Reframing927 Words à |à 4 PagesChapter-by-Chapter Notes and Teaching Suggestions CHAPTER 20. BRINGING IT ALL TOGETHER: CHANGE AND LEADERSHIP IN ACTION CHAPTER 20 OVERVIEW Chapter 20 Summary ___________________________________________________ The chapter opens with a caseââ¬âRobert F. Kennedy High Schoolââ¬âdepicting the many problems facing David King, the new principal of a deeply troubled urban high school. A school that opened with high hopes only a few years ago now finds itself mired in conflict and dissatisfaction. Kingââ¬â¢sRead MoreA Case Of A Six Sigma Dmaic Implementation Essay1479 Words à |à 6 PagesDMAIC implementation. A leading waste management company has partnered with a TMS software provider to pick trash and recycle the waste. However, the process had a lot of inefficiencies in their implementation. This paper is a collaboration of suggestions and improvements on how the company can better utilize the DMAIC process. The company in context sees in a lot of downtime due to the poor implementation of the TMS software, in spite of all their efforts, the trucks of the company were not ableRead MoreArticle Critique On How Trust And Its Blocks Are Important Inside The Organizational938 Words à |à 4 PagesRunning head: ARTICLE CRITIQUE 1 Article Critique Supriya Chigurupati Full Sail University ARTICLE CRITIQUE 2 Introduction Trust within an organization has proven to produce many benefits for the organization. Benetyte, D., Jatuliaviciene, G. state teams with trust possibly make it trouble-free to gain and apply the command to difficult tasks in all organizations and in order to build trust, it is necessary to gain knowledge on how to build trust. This sets the context for the more specific researchRead MoreContradictions of Feminist Methodology1019 Words à |à 4 Pagesprocess of completing their thesis, academics generally include their methods of research within their paper. These methods generally include interviews, surveys, case studies, and true experiments with control groups, and treatment groups. In Sherry Gorelickââ¬â¢s article entitled Contradictions of Feminist Methodology, she discusses several flaws in the methodologies used in research - specifically, she identifies feminist critiques of the dominant methodological paradigms. These levels include philosophicalRead MoreIs Conceptual Critiques Relevant for Psychology?1472 Words à |à 6 PagesWe shall consider Skinnerââ¬â¢s Operant Conditioning theory as another type of example on Conceptual Critiques (Skinner, 1963). His theory states that the best way to understand a behavior is to look at the association made be tween the behavior and the consequence of that behavior. Although Skinnerââ¬â¢s primary interest was in human behavior, most of his research was done on animals using laboratory apparatus well known as the Skinner box. Hence, in his experiment, Skinner placed rats in the Skinner boxRead MoreQuantitative Critique Essay1200 Words à |à 5 PagesRunning head: QUANTITATIVE RESEARCH CRITIQUE 1 Quantitative Research Critique By Elisabeth Bryant A Paper Submitted in partial fulfillment of the requirements for NU 533 Advanced Nursing Research University of South Alabama College of Nursing Spring 2011 QUANTITATIVE CRITIQUE 2 Quantitative Research Critique This is a critique of the quantitative research article titled Influence of Obesity and Type 2 Diabetes on Gluconeogenesis and Glucose Output in Humans studied by Amelia GastaldelliRead MoreAnalysis Of The Book When Mirko Lauer Sent Us A Review786 Words à |à 4 Pagesfundamental questions of Culturas hà bridasâ⬠¦ is ââ¬Å"Can one be radical without being fundamentalist?â⬠, which means that this dilemma is not only methodological, but political (p. 134). According to Franco, Culturas hà bridasâ⬠¦ ââ¬Å"is a book in search of a methodâ⬠(p. 134) and ââ¬Å"is excellent in its careful monitoring of the cultural effects of privatization, the new kinds of authorship and reception that have been introduced by the electronic media, and the use made of these by different social groups (p. 136)Read MorePublic Policy And Slave Security798 Words à |à 4 Pagesin the proportion of free blacks to the overall black population should have a positive impact on the market value of slavesâ⬠. To test these propositions, the authors used the augmented Dickey-Fuller (ADF) unit root test and the Johansen-Juselius method. The data used to test the two propositions consisted of the measures real slave prices, P, real wages, W, the ratio of free blacks to the overall black population, FB, and the real price of cotton, COT. 3) Explain the article s conclusion and relevance
Tuesday, December 31, 2019
Monday, December 23, 2019
Is North Windsor High School - 987 Words
We are currently living in a digital age where our students are notably technologically proficient. This poses a challenge with how some of our students are currently learning (or trying to learn) in our classrooms. Many students have grown tired of reading dense texts for homework assignments and tired of listening to long, boring lectures from teachers at school. The way in which students are currently analyzing and interpreting texts that they read and videos that they watch have not been up to our standards here at North Windsor High School. The thing is, a lot of our teachers are also struggling between teaching with both print text and by digital means. North Windsor High School acknowledges the fact that many seniors graduate not having the digital skills and print text literacy necessary to lead successful lives after high school. We are beginning to implement some changes with our teaching methods and hope to incorporate technology and print text in different and more en gaging ways. Many of our students have smartphones, laptops, and tablets they use throughout the school day for school work. While some students depend on their devices to look up the current fashion trends and football stats, we feel that technology has also enabled students to think in a different way. Many students are quick on their feet to Google information to prove their friend wrong, send texts and emails in less than 10 seconds, and get excited when they are allowed to use theirShow MoreRelatedAnalysis Of The Windsor Football Team889 Words à |à 4 Pages ââ¬Å"Losers talk about losing and winners talk about winning.â⬠Wise words from The North County coach, a High school football team that we played earlier in the season. This regular season was more of a bust for the Windsor football team than anything. After putting up a decent season last year going 4-6, but leading the area in total offense, Windsor had high hopes for this season. Unfortunately Windsor dropped off and not only had one of the worst defenses in the area, but also one of the worse offencesRead MoreInequality Between Aboriginals and Non-Aboriginals Living in Canada872 Words à |à 4 Pagestimeline of events and the laws implemented since the arrival of the Europeans in North America it can be considered a miracle that so many aspects of the rich culture and tradition of these people have survived to see today. It is a blessing that these people have been able to pass down the languages, cultural and societal beliefs, as well as their stories from generation to generation so that the people of North America and the world today may be able to know and study these civilized and multifacetedRead MoreHow Immigrants Have Benefited North America1827 Words à |à 8 Pagesdiverse world. Over the past 16 years, there has been many immigrants that moved to North America. Immigrants are people who go through governmental paperwork to travel to a different country and live there as a new citizen. There are numerous things that immigrants have provided for everyone in various environments. Immigrants have benefitted North America very much since the year 2000. Immigrants have benefited North America by helping people on a personal level, contributing to the economy, and creatingRead MoreBeyond the Bean639 Words à |à 3 Pagespm weekdays and until midnight on weekends - A few months later hopefully they could hire additional staff - Maximum capacity of 50 customers The Industry - Unemployment in the city 8.8% higher than any other major city in Ont. Other than Windsor - Loss of discretionary spending, but this can be an inexpensive form of recreation - Even during the recession the growth rate of 20 % annually during the last decade in the US, similar to Canada (assumption) - Board game popularity increasedRead MoreHartford, City That Has Developed Into A Concentric Zone Fashion Essay1405 Words à |à 6 Pagesand the Commuter Zone. Each zone consists of different qualities that can all be found in Hartford. Hartford is very similar to Chicago based on the description of Chicago given by Dr. Burgess. Just like Chicago, Hartford is also a city that has a high crime rate. The first zone is the Central Business District. This zone is a majority of non-residential buildings and has an emphasis on business and commerce. Downtown Hartford would be considered a central business district. This zone also has aRead MoreHow Immigrants Have Benefited North America1916 Words à |à 8 Pagesyears, there have been many immigrants that moved to North America. Immigrants are people who go through governmental paperwork to travel to a different country and live there as a new citizen. There are numerous things that immigrants have provided for everyone in various environments starting in the year 2000. ((Immigrants have benefitted North America very much since the year 2000.)useless info + waste of a sentence)) Immigrants have benefited North America by helping people on a personal level, contributingRead More pharmacy technician Essays1030 Words à |à 5 PagesCommunity Pharmacies - Health clinics - Hospitals - Doctor?s Offices - Pharmaceutical Companies Educational Background: In order to become a pharmacy technician, you should take math, chemistry, and biology courses in high school. After receiving your high school diploma, you should complete a program specifically for pharmacy technicians. These programs are offered at community colleges and also at technical institutions and they can take anywhere from five months to two years to completeRead MoreLEADERSHIPââ¬âWHAT IS IT?13338 Words à |à 54 Pagesleadership is about influencing a group of people who are engaged in a common goal or purpose. This can be a small Center for 1 01-Rowe-45233.qxd 3/26/2007 12:53 PM Page 2 2 â⬠¢ CASES IN LEADERSHIP Management Development in a business school with a staff of four, a naval ship with a shipââ¬â¢s company of 300 (a destroyer) or 6,000 (an aircraft carrier), or a multinational enterprise such as Starbucks with more than 10,500 stores worldwide and in excess of 100,000 partners (employees). ThisRead MoreLego: Building for the Future1964 Words à |à 8 PagesTable I m p a c t s i g n s o f p o r t e r ââ¬â¢s f o r c e s Sign Impact Moderate Positive Negative Negative Bargaining power of buyer Bargaining power of supplier Threat of substitutes Threat of new entrants Moderate Low High High Internal rivalry High Negative Note:- As most of the forces in this model are negative therefore the industry in which LEGO operates is unattractive industry Goals Objectives Desire to stimulate children s creativity ââ¬ËCreativity unlimitedâ⬠¦Read MoreThe Importance of Uk Visitor Attractions to Tourism. Essay examples2083 Words à |à 9 PagesTowers; these are 70% of people from Staffordshire because they are flexible. Promoting cultural exchange- Britainââ¬â¢s culture is the kings and queens such as the Royal Family. The UK also has landscapes and castles such as Warwick castle and the Windsor castle. There are other festivals that also take place in the UK such as the Glastonbury festivals and also T4 on the beach. Other traditional British culture is the food, such as fish and chips and the Sunday roast and the mince pies. Other traditions
Sunday, December 15, 2019
Miscarriages of Justice Free Essays
ââ¬Å"Itââ¬â¢s a general problem not specific to the law of the United Kingdom a criminal justice system characterized by an emphasis on crime control rather than due process will inevitably produce miscarriage of justice. â⬠In an imaginary world the law would always give the correct results but in a real world itââ¬â¢s the other way. When they donââ¬â¢t which way do they tend to err? Which way do we want to err? We want the law to err on the side of acquitting guilty people rather than convicting ones. We will write a custom essay sample on Miscarriages of Justice or any similar topic only for you Order Now It is generally accepted that the price of a fair Criminal Justice System will be acquittal on a technicality of those who have committed criminal offences or because of a failure of evidence, where as conviction of the innocent is never acceptable and should it arise speedy measures should be taken to rectify the injustice. The criminal law must be enforced efficiently by the agencies to police the criminal law. There are two main values that influence the criminal Justice System, the crime control model which focuses to free society from crime and the due process model which focuses on individual liberties to be protected. The crime control model ensures that a civilized society can protect all of its citizens from victimization by criminals. But whether this has happened is questionable because when the Criminal Justice System is tilted more towards crime control there is a chance of an innocent person being convicted of a crime he never committed thus forming a miscarriage of justice. In recent times countries like United Kingdom, America, Canada and Ireland have tilted more towards crime control mainly because of the terrorist attacks that shook those nations. Moreover the racial attitude in the police and also in the society has led the crime control to be harsh on the society. The miscarriages that happen maybe due to discriminatory police practices, it may be due to incompetent scientific evidence or the over-reliance of the court on expert testimony. Where mistakes, made by those who have power within the process so this power when abused can have critical consequences. The protection of innocent remains fundamental to the process of justice and for many the sole purpose, it should not be absolute according to Ashworth (1998). The acquittal of guilty persons can also be seen as a miscarriage of justice. The process of justice is one marked by the use of agency and individual discretion, most notably by the police. Both the due process and crime control models allow for that discretion, although the former does seek legislative means for reducing its use and influence. The crime control model relies on presumption of guilt, the recognition that victims should have more rights than the accused, belief that prison and other punishment must be unpleasant in order to work, belief that sentences must be long to protect the public and belief that keeping order on the street is more important than following the letter of the law. The crime control model is about focusing the purpose of the Criminal Justice Process on the demands of the majority of citizens who are law abiding. It seems clear that the current Criminal Justice Process was designed for the much lower level of crime that existed in the past and is too bureaucratic, time consuming and inefficient to deal effectively with the sheer volume of crime that now exists. This system demands a high level of informal fact finding, the case is dealt with outside of the formal court setting as much as possible. The model rightly assumes that offenders ââ¬Å"rights are less important than victim rights and justice is for the majority of law abiding citizens not for the minority of repeat offenders. This model of justice accepts that there will be a few aberrant cases where the innocent are convicted, but this is justified by the notion that crime control overwhelmingly achieves the greater good for the majority. At the international level miscarriage of justice is the subject of norms but its meaning is imprecise. Lord Phillip and Brown presume ââ¬Ëthe man on the street would define ââ¬Ëmiscarriage of justiceââ¬â¢ as the conviction of the innocent. It was stated in the Court of Appeal case of Exp. Bateman(1994) that man might define the term more broadly, to include those convicted when they should not have been. In countries the policing the law we see that more power has been vested in the police which is one reason for the crime control model to cause miscarriages of justice. Specially in America after the 9/11 terrorist attack the government has taken measures to prevent crimes as much as possible. The 9/11 attack not only influenced the government but influence the society to look at people an a suspicious way. For example after the 9/11 attack a muslim person, with his beard and his dress code, walks in the street with a bag on his hand or back, people look at him as if he is a terrorist with a bomb. This view of society should change for it is society that subjects the police and the government to undue pressure. In 2005 the terrorist attack in London (7/7) killed 56 people and 700 were injured. This was the largest and deadliest terrorist attack in London in history. It is clear that law enforcement agencies powers have increases with the statutes that have been implemented. The Terrorist Act 200 created a power to carry out blanket stop and searches. The Anti- Terrorism Crime and Security Act 2001 introduced new powers for the Treasury to freeze terrorist funds and control orders on terrorist suspects can be imposed under the Terrorism Act 2005. The Terrorist Act 2006 gives police the power to detain terrorist suspects up to 28 days. Not only the acts gave the police powers but it always helped them misuse it. The Police Reform Act 202 supplements existing police powers which follow the established trend towards broadening powers of law enforcement agencies and diluting the safeguards for the suspect. The ââ¬Ëwar on terrorââ¬â¢ is now a common feature of crime prevention and detection in United Kingdom. Police appear to tour the streets in far greater numbers than they did prior to 9/11 and 7/7 attacks. More over there is an issue as to an ethnic minority in the law enforcement agencies. Local communities, where those being policed have felt for some years that powers possessed by the police have become too intrusive and are being used in a discriminatory way to target particular groups within the community. Research has shown that that Black and Asian people are more likely to be stopped under the provisions of the Terrorism Act 2000 than white people. When police powers are increased for the protection of citizens from terrorist attack they need to be employed even more carefully to ensure that citizens do not become as vulnerable to the police as they do to the terrorist attack. However increased powers of policing maybe necessary to contain the threat of terror and to ensure national security is maintained. Recent cases have showed that where police and other agencies have made a mistake or has been misused their powers there has been a miscarriage of justice. In Dabilola Taylorââ¬â¢s case it was observed how lack of techniques and skills on the part of the investigating officers resulted in bringing to justice who killed Dabilola. In Stephen Lawrence case it was proved that there was racism in the police force. In Confait it was revealed that the conviction based on confession had been made subject to oppression. Jean Charles de Menezes was shot by the Metropolitan Police armed forces who believed he was a terrorist but later found out he was not. Moreover the changes that have been taken place within the statutes also may cause a miscarriage of justice. In Sam Hallamââ¬â¢s case the witnessââ¬â¢s evidence was not inconsistent with the earlier evidence. The long standing rule at common law was that where a witnessââ¬â¢s testimony in court was inconsistent with a previous statement, it could not be treated as evidence as to the truth of its contents. Juries could not take account of the contents of such statements in reaching their verdict. This rule was changed by section 119 of the Criminal Justice Act 2003 which now allows previous inconsistent statements to be admitted in evidence. Reforms and recommendations have been implemented to reduce the rate of crime and not let an innocent person be guilty of a crime he never committed. The Criminal Procedure and Investigations Act 1996 came into force The CCRC is charged with reviewing convictions and sentences referring them to the appropriate court if it finds a ââ¬Å"real possibilityâ⬠that the court will judge a conviction unsafe or a sentence excessive. The CCRC covers England Wales and Northern Ireland and receive almost 1000 new applications each year. One could say that the implementation of the CCRC has been a big impact because it gives the proper result. The CCRC first review was that of Derek Bentley where the Court of Appeal quashed the conviction unsafe, which was a victory for the commission but not for Derek Bentley, who was hung way back in 1953. The commissions do produce good result but the fact is that it takes a long time to deliver the goods. Many reforms have been implemented in recent years have eliminated or significantly reduced the number of wrongful convictions arising as a result of or permitted because of lax procedures, notably Police and Criminal Evidence Act and the rules on the disclosure of evidence by the Crown. According to Roskill report crime control strategies tend to stress towards The English System has been charactarised in some ways by the move from crime control to due process over the last 15-20 years. It is notable that the society wants to be free of crime and also they need their liberties to be protected but it is hard thing to achieve. All of human activity, the criminal justice included is imperfect and sadly justice will not always prevail. Some of the causes are beyond the criminal justice agencies or even the content of procedural rules and substantive law. As the cases show the crime control model does causes more miscarriage of justices. Therefore it is rightly to conclude that a criminal justice system characterized by an emphasis on crime control rather than due process will inevitably produce miscarriages of justice. How to cite Miscarriages of Justice, Papers
Saturday, December 7, 2019
Accountable Care Organizations free essay sample
The Next generation of Healthcare in America| | Accountable Care Organizations and the National Healthcare System The Next Generation of Healthcare in America National healthcare has been a hot button issue around dinner tables in America for years. Everyone seems to have an option on what will or will not work, how our county will afford it and what a plan would entail. Although we are unsure of how a plan would affect the country or the average American. Whether one is for or against the current healthcare plans that have been put in place by our government, We can all agree that the need for a national healthcare system is due to rising healthcare cost, the rapidly rising rate of uninsured American in our county and the rising cost of the average insured healthcare premiums through their employer based healthcare coverage plan. Accountable Care Organizations Could be part of the answer to the healthcare puzzle ACOââ¬â¢s offer a several befits to help to help curb spending and over utilization of healthcare by setting accountability, quality, and Healthcare standards. We will write a custom essay sample on Accountable Care Organizations or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page No one can argue that the United States of America has a grave need for some type of national healthcare system one reason for this is the rapidly rising cost of health care. The rising cost of healthcare is due to several factors. The main causes are technology, prescription drugs, chronic diseases, aging populations, and rising administrative cost. The cost of technology and prescription drugs has sky rocketed over the last several years. Analysts agree that the rising demand for the development of technology driven services and prescription drugs whether they are more effective than previous technologies and drugs or not has a large direct effect on the total healthcare cost. Consumers are demanding availability of these more expensive technologies and drugs as they are developed, even if they are not as cost effective as other services that are available. United States Congress) Accountable Care Organizations Could help reduce some of the overall expenses of the current healthcare model. ACOââ¬â¢s are based on a quality metric system where payment delivery reform is tied to provider reimbursement quality. They do this by looking at the reduction of the total healthcare cost of a given population. ACOââ¬â¢s use a range of different reimbursement models like fee for service and captioned Payments, it is believe that becau se of this fee schedule providers will focus more on quality of care and less on amount of patients cared for. Providers are then held accountable to third party payer for their appropriateness, efficiency, and overall quality provided. Medicare states that an accountable Care Organization is, an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it. â⬠(Brookings Institution) Chronic diseases and aging populations are also a large cause for the rising cost of healthcare. The nature of health care in the U. S. has changed dramatically over the past century with longer life spans and a greater presence of chronic illnesses. The new ageing population with chronic diseases has placed a tremendous demand on the health care system, particularly an increased need for treatment of ongoing illnesses and long-term care services such as nursing homes. Analysts have gathered that Aging population and People with chronic diseases makes up over 75% of the total healthcare cost In the United States (Centers for Disease control). Rising administrative cost is also affecting the average American healthcare cost. It is estimated that Medicare spends less than 2% on average of their total budget on administrative cost while the privately insured system spend an estimated 7% of healthcare spending on administrative cost. Some analyst argues that the mixed public-private system creates overhead costs and large profits that are fueling health care spending (history of healthcare). Accountable Care Organizations can help curb over s spending with the use of accountability factors that have been put in place. Because of the span of an ACO, the population it will oversee, and the size of the group of healthcare providers overseeing the patients needs there will be an elimination of duplicated and unnecessary healthcare service. This will also flow into their quality model of patient care where they have put in place checks and balances to make sure that a patient medical needs are being looked after to the highest standard, if providers do these effectively they will receive financial incentives. Secondly the rapid rate of uninsured Americans in the United States largely contributes to the overall cost of healthcare as well as health insurance and every American is affected. In 2004 the total cost of healthcare for the uninsured in the United States was (including both those without coverage for all or part of the year) almost $125 billion and there were 44 million Americans who were uninsured. Of the total healthcare cost accrued in 2004 by uninsured Americans uncompensated or unpaid healthcare is estimated to be $40. billion dollars. The federal government pays for over two-thirds of this by making payments to hospitals in the form of Disproportionate share hospital (DSH) paymentsââ¬âpayments intended to offset losses hospitals. These payments are appropriated when hospitals incur large shares of their patients that are unable to pay their hospital bills (Kiser commission). Over all this cost every single American, because we have to pay more taxes and health insurance cost rises to offset the under payment of others. Under the national healthcare bill that has currently been put in place every American will need to be insured. If this bill does go into effect ACOââ¬â¢s will allow the united states a way to Manage large populations and monitor healthcare cost and disease in geographic areas more effectively. (Accountable Care Stories) Lastly the Sky rocketing cost of healthcare premiums is affecting every insured American As well. Most Americans who have insurance are insured through their employer, nearly 160 million. The average cost of a family policy now exceeds $13,000 a year, having doubled over the last decade. Employees are not only paying more than their share of premiums ââ¬â $3,515 a year, on average they are getting less coverage for the money. Employeeââ¬â¢s out-of-pocket contributions are increasing through higher annual deductibles and co-payments. It is also estimated that if this trend continues these increases would translate to the average policy for a family costing around $24,000 a year in the span of one decade. (Kaiser family foundation). Accountable care Organizations should also aid in reducing the overall cost of our healthcare. Because of the standards put in place by ACOââ¬â¢s, there should be a reduction of services that are unnecessary and not beneficial to the patient. The goal of the Organization and its creators is to reduce healthcare cost, by placing the emphasis of care back on quality and not on the amount of people seen or service provided in bulk. By providing quality healthcare services the patients should see reduced insurance premiums. (Shannon Cliff, and Karen Wolk Feinstein PhD. In closing although everyone cannot agree on a national healthcare system to put in place the facts are that the system that we currently have in place is very broken and does not offer all the things that the average American needs within its limits and terms at an affordable cost.
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