Saturday, August 22, 2020

Medicare Cutbacks :: essays research papers

Medicare Cutbacks Legislators, emergency clinic managers, specialists, and association pioneers the nation over are scrambling to turn around Medicare approach that has cut off, and will keep on cutting off, billions of dollars from the human services industry and power reductions in basic clinical administrations. The blend of increasing expense in the medicinal services industry and the decreasing Medicare installments are anticipated to bring about crushing impacts to numerous parts of the division. Doctors, treatment offices, clinical preparing foundations, just as recipients are for the most part defenseless against the unfavorable impacts of Medicare reductions. Across the nation, emergency clinics will lose roughly $1.6 billion yearly once new Medicare cuts go into place on October 1, 2002. The reductions contained in the monetary year 2003 spending will introduce a generous test in the days lying ahead for the projects 550,000 taking an interest doctors and its 39 million recipients (Haugh, 2002). In the despise long stretches of staffing crisis’s, risk protection value climbs, and the general lifting cost of giving human services, the Medicare reductions couldn't have come at a progressively badly designed time for social insurance authorities. Medicare installment decreases have become the additional fuel in the businesses money related emergency fire. I. Presentation A. What the anticipated reductions are. B. What incited the reductions? 1. Adjusted Budget Act of 1997 C. Who will be affected by the reductions? II. Effect on Physicians and private practice A. Repayment rate conclusion B. Medicare interest decay 1. 17 percent of family doctor have quit taking new Medicare patients (Inglehart, 2002). III. Effect on Hospitals A. Disproportional-share emergency clinic installment decrease B. Repayment rate decrease IV. Effect on preparing emergency clinics A. Backhanded clinical training installment modifications B. Significance of preparing office financing V. Effect on recipients A. Great v. Awful 1. More finances accessible for new projects, for example, tranquilize benefits. 2. Restricted access to mind. 3. Restricted decisions. VI. End References Relationship of American Medical Colleges. (2002, May 15). Human services pioneers encourage congress to stop medicare slices to educating clinics. Recovered September 10, 2002, from http://www.aamc.org/newsroom/Pressrel/2002/020515.htm Places for Medicare and Medicaid. (2002, September 5). Clinic outpatient imminent installment framework. Recovered September 11, 2002, from http://cms.hhs.gov/ guidelines/hopps/ Haugh, R. (2002, April). Dr. discontent. Clinics and Health Systems, 34-42. Haugh, R. (2002, March). Feeling the weight?. Clinics and Wellbeing Networks, 42-45. Hernandez, R. (2001, May 14). An expansive partnership attempts to head off cuts in medicare [Electronic version].

Friday, August 21, 2020

Bless Me Ultima :: essays research papers

â€Å"Bless Me Ultima†      In the book â€Å"Bless Me Ultima†, by Rudolpho Anaya, there were two families spoke to, the Marez family and the Lunas family. These two families were altogether different, yet were united by the marriage of Gabriel Marez and Maria Lunas. Through the eyes of their child Antonio one may see the examination of the two. The separation of these two families is unmistakably observable, for example, as a part of their characters, the outflow of their religion, and their ordinary lifestyles.      One can without much of a stretch see the distinction as a part of their character even down to the most fundamental things. The Marez’s are free energetic, they don't care to need to stress over things. They can be seen for the most part riding their ponies around the llano. A case of this is appeared in the book where Gabriel Marez talks about his transition to Guadeloupe at the introduction of his child, Antonio. In this he says, "The move brought down my dad in regard of his compadres, different vaqueros who clung persistently to their lifestyle and freedom." On the other hand the Lunas are increasingly rational. They are ranchers, so they remain in one spot to develop their yields, and are very land arranged. They focus more on work and less on the choice that can be found in the Marez family.      As far as religion goes the Lunas are unquestionably more strict than the Marez family. Religion has a significant influence in the life of the Lunas. They accept exceptionally in God and everything else that is engaged with the Roman Catholic religion. Maria Lunas is demonstrated to ask the Virgin Mary on various events in the book. The Lunas family has been urging Antonio to turn into a cleric for a mind-blowing duration, to the point that he accepts he is committed as well. This is unmistakably appeared in the book where Antonio states, â€Å"My mother was a passionate Catholic, thus she saw the salvation of the spirit established in the Holy Mother Church, and she said the world would be spared if the individuals went to the earth.† On the other hand the Marez family isn't strict by any means. They don’t accept that God has a significant impact in their lives.            One can even oversee the distinctions there regular day to day existences. The Marez family are exceptionally eager individuals.

Leadership Assignment Example | Topics and Well Written Essays - 1000 words - 1

Administration - Assignment Example I lead my guaranteeing that the individuals in my group are driven, spurred and fulfilled. This would then assistance guarantee that the assignment is finished on schedule. Considering the Leadership Grid by Blake and Mouton, I would state that my administration styles is like that of a group director. I scored 58% in task and 78% in individuals, this spots me in the position featured underneath: My fundamental concern consistently has been to guarantee that the individuals in my gathering are glad and roused. I work together with my companions and cohorts when in a group. My first point is to make cohesiveness in the gathering and afterward I push ahead to characterize an activity plan. At whatever point I am made the pioneer of a gathering, I don't move towards the job that needs to be done. I ensure the colleagues realize one another and afterward we choose together the jobs of each colleague dependent on their specialized topic. I guarantee that my group is happy with the undertaking they are given so they are agreeable and inspired towards the errand. I accept that the group the board style offers the most points of interest. This is on the grounds that it concentrates more on the individuals. It is these individuals who are given the errand of making the group effective. This style guarantees roused individuals who take responsibility for task given to them. The persuaded individuals in the individuals partake in cooperating and for the group. This at that point brings about improved outcomes and profoundly diminishes the odds of group disappointment. Colleagues assume liability of the group in their own particular manners. In this style, the contentions are settled in the open. It is unavoidable that contention will emerge in a group yet the group the board style deals with getting the contention settled through the support of the colleagues. The individuals inside the group feel esteemed and in this manner are eager to determine strife together. This administration style is especially compelling when the individuals in the gathering are gifted yet need inspiration. The group the board style would be truly appropriate for groups where

Monday, July 13, 2020

What Happens in Anger Management Class

What Happens in Anger Management Class Stress Management Management Techniques Print What Happens in Anger Management Classes? By Amy Morin, LCSW facebook twitter instagram Amy Morin, LCSW, is a psychotherapist, author of the bestselling book 13 Things Mentally Strong People Dont Do, and a highly sought-after speaker. Learn about our editorial policy Amy Morin, LCSW Medically reviewed by Medically reviewed by Steven Gans, MD on February 20, 2019 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on March 08, 2019 More in Stress Management Management Techniques Physical Techniques Relaxation Time Management Effects on Health Situational Stress Job Stress Household Stress Relationship Stress In This Article Table of Contents Expand Attendance Classes or Individual Therapy Curriculum Getting Help View All Back To Top Whether you’ve been mandated to attend anger management or you’re interested in attending a class on your own accord, you might wonder what to expect or how it could help. While there are many different ways a class might be led, in general, anger management classes aim to teach people the skills they need to regulate their emotions and calm themselves down. Attendance Attending a class may feel a little intimidating at first. But, you could learn valuable life skills that could help you gain better control over your emotions so anger doesn’t cause problems in your life. Anger management classes may be taken by anyone who wants to get a better handle on their anger. A mother who yells at her kids, a partner who says mean things during arguments, or a supervisor who blows up at his employees are just a few examples of the type of people you might encounter in an anger management class. Sometimes, anger management classes are court ordered. A judge may order a violent offender to complete an anger management program. Or, a judge may mandate a parent attend anger management class as part of a custody agreement. Anger management classes are sometimes used in residential settings. People with traumatic brain injuries, for example, may attend anger management classes while in a psychiatric setting. How to Develop an Anger Management Plan Classes or Individual Therapy Many anger management classes are more like educational class rather than a group therapy. Usually, a trained instructor walks participants through a series of anger management strategies. Then, armed with new strategies to help them manage their emotions and curb their aggressive behavior, participants can reduce their aggressive behavior and reduce the anger in their lives. Sometimes, people who are attending an anger management group may also require individual therapy. An individual who has experienced past trauma, for example, may benefit from having an individual therapist to help them process their trauma while they’re simultaneously learning skills in an anger management class. Anger management can also be taught in individual therapy. Individual therapy can offer more flexibility in terms of scheduling and it can provide more individual attention, as well as privacy. An anger management class typically costs much less than individual therapy, however. Additionally, participants may learn from their classmates. Hearing what works for another individual or watching a fellow classmate role play a situation may lead to new understanding. Curriculum There are many different curriculum used in anger management classes. Most of them are based on cognitive behavioral therapy strategies. The cognitive behavioral approach to anger management involves teaching participants how to recognize the warning signs when their anger is on the rise. They’re taught relaxation strategies and calming techniques (behavioral changes). They’re also taught how to change the thoughts that fuel their angry feelings (cognitive changes). The strategies can be adapted for various groups, such as adolescents, individuals with substance abuse issues, or parents. Depending on the type of curriculum and the needs of the group, anger management classes may range from 8 sessions to 28 sessions. Classes usually take place on a weekly basis and they are usually one to two hours in length. Classes are usually fairly smallâ€"10 people for example might be a common number of people. Completion of the class may result in a “diploma” or certificate of completion. Members may be given a workbook. There may also be weekly homework assignments that give participants an opportunity to practice the skills they’ve gained. Getting Help Attending an anger management class could help you gain better control over your anger. But, finding a class can feel a bit overwhelming when you aren’t sure where to look. Get Help With the 7 Best Online Anger Management Classes If you think you could benefit from an anger management class, talk to your physician. Your physician may be able to help you locate a class or refer you to a mental health agency who can assist you in locating resources. You might also contact your local community mental health center. They may offer a class or may be able to direct you to a class in your community. Dos and Donts of Dealing With Anger

Tuesday, June 30, 2020

Mimimum Wage Research Paper - 275 Words

Mimimum Wage (Research Paper Sample) Content: NameCourseInstructorDateMinimum wageAbstract The concern of raisingthe minimum wage has been controversial since the minimum wage law was incepted in 1938. Various oppositions and propositions have emerged regarding the subject. The minimum wage law, which also includes child labor laws, was implemented to protect American workers from poverty and exploitation particularly during tough and unbearable economic times (Belamn Paul, 401). Even though the law accomplished its purpose at that time, its effectiveness has been questioned over the years because the increase in the minimum wage has produced higher poverty levels and higher employment rates which are contrary to what it was intended to. This forms the sole basis for the controversy around it. A gradual increase in the minimum wage prompts the employers to try to eliminate those employees or workers who are not capable of working up to the current level of minimum wage and hire the ones who are better-skilled he nce capable of working up to the wages they are paid. An increase in thisminimum wageusually leadsto an increase in poverty and unemployment among certain population, particularly the less skilled or unskilled (Berry, 167). Entire elimination of the minimum wage law does not solve the problem, however, the minimum wage should be left at its current level for some few years because it might motivate or inspire the minimum wage earners to work extra hard to protect their financial future.IntroductionThe first federal minimum wage law was signed into effect in 1938 by President Franklin D. Roosevelt. The law was part of a larger bill referred to as Fair Labor Standards Act. The law, Minimum wage, was formulated to protect employees from being exploited. It aimed at ensuring that they are paid a fair wage for the services they render. The law ensured safe working conditions for the workers, guaranteed a fair pay for the workers and covered issues related to child labor. The lawregardin g minimum-wagewas created on theassumptionthat if employers are forced to pay their workers a mandatory minimum salary, Americans standard of living will be raised, and poverty would be eliminated. However, increasing the minimum wage has resulted to negative effects on the society contrary to the expectations (Blank, 69).Proponents viewsA good number of employees or workers, especially the less skilled ones face abusive exploitations. They work for repetitive and backbreaking low paying jobs both at daytime and at night. They feel very exhausted after finishing their respective jobs because they lost most of their time and energy for just a few dollars. These poor people always face bad situations in their struggle to sustain the life and well-being of their families. The best way to safeguardthem from this brutal, shameless and direct exploitation is to increase the minimum wage (Blaug et al 337). By applying the minimum wage law, the government can compel a wealth distribution a mong the employers or owners who have high standards of living and their lowest level workers. The federal minimum wage is usually increased overtime and is adjusted for a higher cost of living due to accumulated inflation. This gradual increase in the minimum wage is capable of helping the poor, especially less skilled ones, by substantial amount. For instance, a 75-cent per hour raise in the minimum wage results to additional $1,500 for a full-time minimum wage earner. According to Bureau of Labor Statistics, this is the amount an average family expends on groceries in six months. This funding injection is, therefore, greatly helpful to a minimum wage worker. A rise in the minimum wage is undoubtedly very favorable for low waged workers even though their current wage might be well above the minimum wage. However, the lowest wages are the ones affected the most by the increase in the minimum wage (DiÃÅ' az and Nancy, 104).People respond to incentives. Imposing higher minimum wa ge give workers a stronger incentive, as a result of this, people have a stronger effort to work. In other words, imposing higher wages generates higher profits for the employees. Even though this opinion or theory sounds too good to be true, it was proofed by Henry Ford when he opened his famous car factory. Avery generous wage in his time, he recorded one of the supreme successes in the history. The theory implies that the minimum wage presents a win-win situation to eliminate poverty (Crettaz, 120)Another advantage of minimum wage is that it offers job security. During a weak economy, employees or workers who have minimum wage jobs tend to benefit more because they are at the lower edge of the pay scale. Part time workers who make minimum wage should be given a full-time opportunity by the employer because they can assist them save the cost of employing and training new workers.Negative effectsIncreases in the minimum wage also create negative effects to the employers as well as to the employees. It results to significant impacts on the employers business because it is a national economic policy that is responsible for their business decisions. Although advocates for the law point to the requirement of providing a fair hourly wage to all the employees, opponents cite numerous major problems regarding the minimum wage system. Increases in minimum wage results to increase in payroll expense thereby forcing employers to raise the prices of their goods or services or reduce business costs. Since consumers may react negatively to price increases, employers are forced to lay off their employees in return. On the other hand, minimum wage increases may also present negative situations for workers. Wage increases push their annual income into higher tax brackets which impose higher marginal tax rate on them. Since minimum wage workers have lesser wealth than other people in the economic marketplace, increase in tax liability swiftly erodes their wealth. Their immed iate income is, therefore, reduced as a result of this high payroll taxes. An increase in the minimum wage level by the government often distorts the free market economies. Free market economies are typically driven by the economic theory of demand and supply (Block et al 147). The available labor supply fills. Their labor demands in the economic marketplace. The parties then assents to specific wage level for the service provided. Minimum wage laws, therefore, create higher wages that the companies cannot pay for the specific services of the employees thereby distorting the free market economies. A substantialincrease in thelevel ofminimum wage is capable of driving companies into risky financial situations because most of the businesses, for instance, hotels, fast food restaurants, retail stores and other similar industries regularly rely on these minimum wage workers to complete many business tasks. A continuous demand by governments to increase the minimum wage requires such bus inesses to pay more amount of money for an equal amount of employee service. Companies that fail to increase their prices or reduce their expenses are, therefore, faced with bankruptcy or liquidation due to this wage increase. Reduced training opportunitiesProponents of minimum wage laws argue that it pools low-income, and low-skilled workers into an artificially high flow thus removing opportunities to gain knowledge of new skills that may enable them advance in their jobs or trade. Liebler said in a 1995 study that, "Instead of raising their income, the actual effect of the law is to cut off the bottom few rungs of the employment ladder, rendering it harder for low-skilled workers to achieve moderate-paying jobs,". Pooling all low-wage workers into a single wage bracket denies developing employees an opportunity to receive crucial training since the jobs or tasks will apparently go to individuals who can already carry out the work without training. Thus, wage laws reduce training opportunities because the developing employees will benefit from fewer advancement opportunities (Flinn, 132).Effect on minoritiesSome proponents suggest that an increase in the minimum wage can harm the same minority populations they were intended to support. Liebler says low-productivity workers tend to belong to the minority groups that the law was designed to aid. Their lower ability to produce stems from differences in education, culture, motivational background, breakdown of the family unit, etc. Comparatively, the productivity of young whites is higher than that of the average minority youth." According to Lieblers analysis, employers are more probable to employ white youth when they are deprived of the option of paying a little less for a somewhat less productive minority employee because white youth out-produce them (Kau, 27). Statistical data exhibits a strong trend that this group of teenage workers is mostly influenced by the level of the minimum wage. Typical study dis covers that a ten percent rise in the level of minimum wage reduces teenage employment between one and three percent. The increase in minimum wage pushes more teens acquire jobs where they work on full-time or part-time basis. The teens are forced to reduce their studying time to perform these jobs effectively. In mostcircumstances thestudentsare forced to quitschool. The society as a whole is disadvantaged by the high dropout rate among college students or high school students in the long term as a result of enhanced wage (Mankiw, 145).How Increasing the Minimum Wage affects UnemploymentRaising the minimum wage has a very intense effect on the unemployment. Some economist proposes that this minimum wage tends to inflict a wage floor that reduces the pool of low-wage jobs since the wage floor impos...

Thursday, May 21, 2020

Argumentative Essay On Just Mercy - 816 Words

Go to Chicago, New York, Paris or Madrid, on every street corner you see a person less advantaged, poor, and desperate. Then go in a store, see others carrying expensive bags, swiping their credit card left and right. We live in a world of extreme poverty, balance seems nonexistent. Poverty can result in broken homes and in turn, broken lives. In the book Just Mercy by Bryan Stevenson, Walter Mcmillian’s adult life, Trina Garnett’s childhood and Antonio Nuà ±ez’s domestic life show that poverty was the cause of their incarceration and determined the success of their lives. Many people have lived in poverty as a child and grew up to be successful people, this was the case with Walter Mcmillan; however this†¦show more content†¦But, Walter did choose to cheat on his wife with a white woman and his childhood life had a role in that. His life in poverty forced him to go into a dangerous job and â€Å"With few ordinary comfo rts in his life, the attention of women was something Walter did not easily resist†(Stevenson 26). His life in poverty forced him to find comfort in another woman. Walter was rightly punished for a poor life choice he had made but it was Walter’s childhood in poverty that evidently caused his relationship with Karen Kelly to become intimate due to his desperation forShow MoreRelatedShould Euthanasia Be Legalized?1490 Words   |  6 PagesBhavi Patel Writing 101: Jane Meek Research Argumentative Essay 1 November 2015 Word Count - 1488 Mercy or No Mercy Soul is immortal. But body is mortal. In life there could be multiple problems. Some problems could be life threatening. There are some stages in life where one has to make decisions. Imagine you are in a place where you lost all your vital abilities and you have to spend your entire life like that. Your family and friend are in pain too just like you are in pain. What would you do? EuthanasiaRead MoreShould Euthanasia Be Legalized?977 Words   |  4 PagesArgumentative Essay: Euthanasia Euthanasia is acknowledged as the practice of intentionally ending a life which liberates an individual from an incurable illness or unbearable misery. Euthanasia is known as mercy killing, perceived as an easy and painless death. Euthanasia is done from the request of a dying patient or that person’s legal representative. This is known as Voluntary Euthanasia. 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Everyday proposes a new experience, adventure, and opportunity to learn from common mistakes in life. Process: A process essay explains how to do something, such as a procedure, which can either be informative or informative, or informal depending on the writers subject. A process essay uses transitional words andRead MoreWord Repetition in the Quran: Translating Form or Meaning?8238 Words   |  33 Pagesa sign of God’s wisdom and goodness, just as much as God’s beautiful handiwork in the material creation or His dealings in history are signs to us (Ali [3, p. 13]). The Qur’an, therefore, is the Holy Writ, sent down to us, as sà ¼rah al-Nahl reveals: ï â€ºÃ¢â‚¬ «Ã¯ º ´Ã¯ »  Ã¯ » ¤Ã¯ ²â€Ã¢â‚¬ ¬Ã®   ¡ †«Ã¯ »Å¸Ã¯ »  Ã¢â‚¬ ¬ î     î   ¦ î   ¦ î   ¢ †« ï ¹ ¾Ã¯ » ¤Ã¢â‚¬ ¬Ã®   ¦ †«Ã¯ » ¯Ã¢â‚¬ ¬Ã®    Ã¢â‚¬ «Ã¯ ºâ€˜Ã¯ º ¸Ã¯ º ®Ã¢â‚¬ ¬Ã®   ¡Ã¢â‚¬ «Ã¯ » ¯ ï » ­Ã¯ º ­Ã¯ º £Ã¯ » ¤Ã¯ ºâ€ ï » ­Ã¢â‚¬ ¬Ã®   £Ã¢â‚¬ «Ã¯ »Å¸Ã¯ »Å" ï ± ¢ ï º ·Ã¯ » ²Ã¯ ºâ‚¬ ï » ­Ã¯ » «Ã¯ º ªÃ¢â‚¬ ¬Ã®   ¦ †«Ã¯ ºÅ½Ã¢â‚¬ ¬Ã®   £Ã¢â‚¬ «Ã¯ ºÅ½Ã¯ » §Ã¢â‚¬ ¬Ã®    Ã¢â‚¬ «Ã¯ ºâ€™Ã¯ » ´Ã¢â‚¬ ¬Ã®   ¢Ã¢â‚¬ «Ã¯ ºâ€"†¬Ã®   ¦ †«Ã¯ ºÅ½Ã¯ º Ã¢â‚¬ ¬Ã®    Ã¢â‚¬ «Ã¯ » ´Ã¯ »Å¡ ï º Ã¯ ¹ ¾Ã¯ »Å¸Ã¯ »Å"ï ºËœÃ¢â‚¬ ¬Ã®   ¢Ã¢â‚¬ «Ã¯ ºÅ½ ï »â€¹Ã¯ »  Ã¢â‚¬ ¬Ã®    Ã¢â‚¬ «Ã¯ » §Ã¯ º °Ã¯ ¹ ¾Ã¯ »Å¸Ã¯ » ¨Ã¢â‚¬ ¬Ã®    Ã¢â‚¬ «Ã¯ » ­Ã¢â‚¬ ¬Ã¯   î   ¢ î     †« ï ¹ °Ã¢â‚¬ ¬Ã®     î   ¢ î     î     î   ¡ î     Ù  î   ¢ î     †«Ã¯ ¹ ¸Ã¯ »Å¾Ã¢â‚¬ ¬ î     î   ¦ î     †«Ã¯ ¹ ¶Ã¢â‚¬ ¬Ã®     î   ¨ î     [explaining all things, a guide, a mercy, and glad tidings to Muslim] (Qur’anRead MoreLogical Reasoning189930 Words   |  760 PagesEmilio have never heard of it. 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[pic] Kerry West Principal at Strategic Project Consulting; Professional Services Executive; Co-Founder - TriValleyRead MoreIgbo Dictionary129408 Words   |  518 PagesAnagbogu, and to Miss Helen Joe Okeke and Miss Ifeoma Okoye, students of Alvan Ikoku College of Education, Owerri, for last-minute [sic] help on the grammatical section of the introduction; and to the late Mr A.E. Ahunanya, Mrs Dorothy Njoku, and Miss Mercy Harry for their care over the typing. Kay Williamson Port Harcourt December, 1983 iii Igbo Dictionary: KayWilliamson. Draft of Edition II INTRODUCTION 1. Earlier lexicographical work on Igbo Igbo has been strangely neglected by lexicographersRead MoreProject Managment Case Studies214937 Words   |  860 Pagescase studies are factual. In most circumstances, the cases and situations have been taken from the author s consulting practice. Some educators prefer not to use case studies dated back to the 1970s and 1980s. It would xii PREFACE be easy just to change the dates but inappropriate in the eyes of the author. The circumstances surrounding these cases and situations are the same today as they were twenty years ago. Unfortunately we seem to be repeating several of the mistakes made previously