Health Care Delivery System in the United States Essay Example for Free

Health Care Delivery System in the United States Essay Introduction: The problem: Access to health care physically and financially, healthcare system in today’s society has failed to provide quality care for the U.S. Americans. There are so many ways that the system falls short in providing proper care. The healthcare is mainly based on the government to provide care for a particular group of people according to their income and not everyone has the same treatment, some having to pay for care through some type of insurance premium. When looking at this system of care, families are all dealing with the same issues in relations to not getting the treatment and quality care that they need. Many providers is having to see more patients in clinics than anticipated in terms causes a shorter visit with patients to address any kind of concerns and with uncoordinated care this leads to decrease in quality care of patients. High risk patients could be an issue for providers, because of the risk of malpractice, and increase of having malpractice insurance therefore providers are reluctant to see these patients which causes the patients to have less options for treatment choices. Healthcare Expenditure: this will continue to increase and families will continue to struggle and stress over how they will pay their medical bills. Healthcare systems are not slowing down on their costs and most of them are not willing to give families an efficient healthcare system for a better quality of care. The healthcare expenditures are increasing and the families incomes are not sufficient to compensate which makes this so stressful and hard for families to afford. When looking at the pharmaceutical spending, this has increased drastically. Medications is continuing to increase in costs, therefore, families are not able to get medications that are needed for care. Quality of care: has been a proven factor to be declined, patients with chronic and long term disease are not getting the therapy and drug regimen that is needed to give them a better quality of life. Many elderly patients and patients with disabilities are not able to receive homecare services that are needed to assist them with care. This is an ongoing battle with many American families who are uninsured as well as insured families. Care is not being coordinated and managed for patients with long term and chronic illnesses. Internal Factors: finance and delivery systems should be combined, both of these factors work together for the improvement of each other. Delivery system and payments are declined because the quality and effectiveness are not valued in the healthcare system therefore we have less quality of care and increasing in costs. Without improvements in these two areas the healthcare system will continue to fail in providing a more efficient system for our families and ou t-of-pocket payments are burdening families and care is being refused, emergency rooms are overflowing and office visits are declining. External Factors: The development of new technology affecting the healthcare system in ways as such advance equipment to treat certain diseases that wasn’t offered in the past and patients are not able to afford the treatment because of the increase in costs. Many advance technology procedures are performed in surgery that is consuming our incomes. Patients with chronic diseases are not able to receive the care because of new technology and the price increase that goes with the technology. Solution to health care access physically and financially, According to (Nichols, 2007) all Americans must take on a responsibility for their own health and the health of their children. This means having policies established which would be affordable for American families and polices established to assist the families who need financial assistant in acquiring an insurance policy. Guidelines also must be followed with this plan with the responsibility of the individual and the insurance comp any. This would be balanced to assist families with affordable insurance and benefit the insurance market that would create a quality delivery system as well as cost efficient. The responsibilities to the family is following the guidelines and policy, maintaining their health by having their yearly check-ups, scheduling routine appointments to see their provider as necessary when a problem may arise and maintaining their insurance coverage. The shared responsibilities is the insurance companies provide a stable plan that will improve the delivery system by making American families a priority with having access to a health care system in which quality care is provided and affordable to the family. Solution to health care expenditure, Preventive measures and promoting health can help with health care spending. Management of long –care diseases and establishing a good foundation with advance health technology well build better patient satisfaction, along with cost effectiveness. The reforms improvements values is not a routine step, many believe that the change in delivery systems may decrease the costs, but some feel that it should be more stable in costs by establishing guidelines that are more promising and effective. These guidelines and policies should be put in place to improve the health care system.(brennan, cafarella, kocot, mckethan, morrison, nguyen, shepherd and Williams,2009). Solution to quality of care, According to (fingado), electronic health record system will allow a continuum of patient care for better quality and manageable coordination to patient records. When coordinating patient care all systems must be involved to get a better outcome. Health care systems through health care electronic employee record helps with continuation of patient care and prepare better management plans. This health care system also allow staff to advance knowledge through training and exercise to improve better patient care outcome. Why my response is correct, Me as a health care professional have witness patients who are non-compliance regarding their health and working with uninsured families have different outcomes than patients who is compliance with preventive care usually are in better physical health than families who are not. There are many preventive measures that families can initiate better health, exercising on a regular basis, selecting healthier choices in diet menu, seeking preventive care as necessary, and be in compliance with treatment regimen, prevent bad habits such as smoking and alcohol abuse. Patients who maintain good health behaviors usually have better outcomes during surgical procedures, healing process is less and better outcomes with other treatment plans. Conclusion, according to our reading, Americans should have an effective health care system where families are provided with safe care and an affordable health care plan for the continuum of care. Explanation is given how many patients visit their health care provider and usually never see their primary care provider and how care should be directed toward patient satisfaction. Our reading mentions The Patient Protection and Affordable Care Act that extends health care plans to primary care that would benefit most Americans to having a better outcome and assessing why acute visits happen so frequently. According to (Thorpe and ogden,2010) excessive spending is being directed towards Fee-For-Service where the main focus is on the amount of patient being seen and costs instead of patient care improvements. The new health reform law is establishing changes to remove this system away from Medicare and other payers. References Niall Brennan, Nichole Cafarella, S. Lawrence Kocot, Aaron Mckethan, Marisa Morrison, Nadia Nguyen, Mark Shephard and Reginald D. Wiliams. (2009). improving quality value in the U.S. Health Care System. Retrieved August 2009, from www.brookings.edu/reports/2009/08/21-bpc-qualityreport Nichols, L. M. (2007). A Sustainable Health System for all Americans. Retrieved July 2007, from www.newamerican.net/files/NSC%20Health%20Policy%20Paper Thorpe, K. E., Ogden, L. L. (2010, June 2010). Analysis Commentary The Foundation That Health Reform Lays For Improved Payment, Care Coordination, And Prevention. Health Affairs, 29,6, 1183.

The right to live, the right to die. Essay -- Euthanasia Essays

Euthanasia, along with all other forms of medical involvement concerning the ending of human life has been a subject of great controversy for some time, dating back to the times of Socrates, and is a topic which has long attracted the attention of both medical and legal professionals, ethicists, and is often brought up in general public debate (Huxtable & Campbell, 2003) The term euthanasia derives from the Greek 'eu', which means 'good', and 'thanatos', meaning 'death' (Ladd, 1979). In a medical context, the Hippocratic Oath popularly believed to be undertook by all practising physicians suggests all medical practitioners will endeavour to ensure all patients' well being, it is all too easy to misinterpret the oaths' meaning in order to manipulate and justify actions that would otherwise be deemed unethical; specifically for the act of euthanasia. This essay will discuss the arguments both for and against euthanasia, with careful consideration given to all aspects related to the debate. Perhaps the most well known arguments in the euthanasia debate are that of the sanctity of life, of which holds palpable religious connotations which will be further discussed; the ending of suffering or 'low quality of life'; and the respect for patient autonomy (Huxtable & Campbell, 2003). In terms of extremities of the euthanasia debate spectrum, the Church of England (2000) have published a document greatly opposing euthanasia, whilst on the other hand, Otlowski (1997) has thoroughly researched and published an analysis of the law with the ultimate aim of ensuring euthanasia as a legal option. In terms of a religious perspective, and for purposes of extended clarity; Christian views, there is much contradiction to be found regarding euth... ...ts will invariably disagree with utilitarianists, and visa-versa, thus deeming all cases as requiring ethical investigation on an individual scale. Seemingly similar cases may have entirely different circumstances altogether, and may or may not have different outcomes. Although religion can play a major role in many cases of euthanasia, it is unlikely witnessing a relative suffering chronic untreatable pain will override any alleged desire to prolong life longer than required; however, certain circumstances often provide members of some religions with no other choice, for example, as in the case of Jehovah's Witnesses, where blood transfusion is not allowed. In conclusion to the available evidence, case studies and theoretical aspects of euthanasia, it can be argued that whilst people have the inherent right to live, they also have the right to die with dignity.

Comparing Two Advertisements Essay

In this essay I will compare two advertisements both of which are marketing motor vehicles. Both of these advertisements are presented on a single page but one is promoting a Nissan X-Trail jeep and the other a Fiat Seicento 2Tone car. I chose to compare these two advertisements, as they are both similar in a way that they are promoting motor vehicles. Both advertisements were found in glossy page magazines. The Seicento 2Tone I found in a â€Å"HELLO† magazine, which is read by both men and women of all ages. The Nissan X-Trail I found in a local magazine that again both woman and men of all ages read. The target audiences for the two advertisements differ. The Seicento 2Tone has many aspects that appeal to the female reader, more so then it would to the male reader. Likewise, with the Nissan X-Trail although the target audience could be male or female, it would seem to interest the men more because of the bolder sporty layout. The layout on the Fiat Seicento 2Tone is very soft and simple looking, as pale delicate colours have been used to give it a very gentle feel. The colours and background colour of the whole advertisement is very simplistic with the dull silver and slight orange trim around the car. It is very subtle, soft and feminine in contrast to the Nissan X-Trail, which is very colourful with an almost dark and rugged texture to its paper. The shining silver of the jeep, with its dark blacked out windows, gleams against the dark background with a splash of bright colour on the right hand side behind the jeep for the sporty gear, instantly appealing to the adventurous sporty type. The Fiat Seicento 2Tone appeals to the women because of its soft gentle appearance and the box with the two cars implying a pair of boots is placed at the top of the page, very large, leading down to the slinky title â€Å"Kinky Boots† automatically attracting a female readers interest and posibly mens interest as well. The title kinky boots also relates to the motto â€Å"Driven by Passion† which is appealing to women’s emotions more so than men. The second advertisement, the Nissan X-Trail, appeals more to the men because of its â€Å"Real Life Computer Game† which subtly implies an action packed ride. The image of the jeep in the Nissan X-Trail is placed in the middle of the single page, on a slant giving an off road impression. It is the main feature with most of the attention drawn to it, whereas the Fiat Seicento 2Tone is placed at the top of the page, with a wider spread surrounding. The setting of each advertisement has a similar connection to the type of car and the audience they are persuading. The Nissan X-Trail has a jam packed page full of colours and images just like an action packed computer game, in contrast to the Fiat Seicento 2Tone, which has a very unadorned almost quiet like setting with very appealing titles, logo’s and mottos to attract the readers attention. Another great aspect that attracts the female reader to the Fiat Seicento 2Tone advertisement is the use of persuasive, chatty and witty language, which would amuse the reader as well as making contact with them, by using a friendly and informal tone and style. Throughout the text sex appeal has been included for example, â€Å"turn a few heads† meaning catch people attention as you would with fashion and clothing. â€Å"Designed with exquisite details† almost like a designer dress that would stand out as the car would. â€Å"Metallic paint, matching interior trim and body, colour co-ordinated features† giving the gist that everything fits in and is matching like an out fit would. They then continue to say you could â€Å"look drop dead gorgeous† with a whole range of extra’s just for i 6199, â€Å"go on, treat yourself† as if they were talking about an item of clothing or makeup. All this would instantly attract and appeal to the female reader, whereas in the Nissan X-Trail aspects that attract the male reader to the advertisement are more male orientated features. With help of the text and language used the male â€Å"real life computer game† effect is enhanced. Short, simple sentences are used for emphasis on aspects related to the jeep. It also keeps the male readers attention as opposed to long complex sentences. It compares the car to a computer game, whereas, the Fiat car is being compared with fashion. To achieve this they used figures, mechanical and technical details, â€Å"the smooth control of a 2. 5l 180hp engine with multi mode 4WD system. † This would more than likely attract the men and create an imaginary game through driving the jeep. â€Å"Forget loading a hard drive, forget 3-D animation† meaning forget all that indoor computer fantasy life, drive the Nissan X-Trail and live the game real life or even â€Å"reboot your life. † The X-trail advertisement seems to appeal towards a male audience even though they use repetitiveness with rhythm of verse. As there are three very short stanzas in the Nissan X-Trail, all full of energy and power, it’s effective and can help to persuade the audience similar to the Fiat Seicento 2Tone with the chatty and witty informal tone. Both the Nissan X-Trail and the Fiat Seicento 2Tone use adjectives and modern language to persuade the reader. The Seicento 2Tone uses play on words such as, â€Å"Kinky Boots†, as the word ‘boots’ is cleverly linked to the image of the two cars parked next to a large shoebox. The word ‘kinky’ is a very seductive word, again introducing sex appeal. On the other hand the Nissan X-Trail does not use such obvious means of sex appeal, so instead use bold eye catching phrases. Weather it’s a monotone background with big, brash and bold white heading or an elegant refined orange heading both emphasis the subjects of both advertisements Both of the advertisements give some sort of detail, whether it is price, contact numbers or e-mail address they both give a different variety. I think that because the Nissan X-Trail was found in a local magazine there is no price list or finance offers. These are in fact found in the Fiat Seicento 2Tone as the magazine it is advertised in is found throughout the world; therefore it is open to a lot more readers and buyers. In both the advertisements there are telephone numbers and website addresses for people to contact for further information. Similarly both the advertisements have motto’s and logo’s not just advertising the car but the company itself for anyone who is interested in buying a car if its not particularly the one shown in the advertisement. At the bottom of the Fiat Seicento 2Tone there is an extra section of text in small font giving more detail about prices and payments and buying requirements. As opposed to in the Nissan X-Trail, there are no extra details. Personally, I think that both advertisements are effective but perhaps the Fiat Seicento 2Tone is more persuasive and appealing to the reader. I think this because of its informal witty sense from the text and the use of seductive feminine language. However, I think that overall the image and sense you achieve form the Nissan X-Trail is more inviting and appealing because of its boldness and adventure. I think that in an advertisement it is more important to persuade your reader then to attract them. If the advertisement has persuaded the reader, it has more that likely already attracted them. To further extent, I would conclude in saying that it is more important to be persuaded and attracted rather then just informed. I find that the Fiat Seicento 2Tone possesses both attraction and persuasion. I believe it has a greater impact and effect on the audience so; consequently it is the most successful.

Dawson Lumber Company Limited Essay - 1516 Words

Objective National Bank of Canada (NBC or the Bank) is tasked with the decision to review Dawson Lumber Company Limiteds (Dawson) request for an increase in its line of credit up to the amount of $10.8mm. Dawson intends to finance inventory and receivables with the line of credit. NBC must remain cognizant of the competitive landscape of the lumber industry and assess whether a focus on the retail segment is beneficial to Dawsons strategic plan. Given that Dawson is one of the regions largest borrowers, NBC must be careful in how it manages this relationship. The Bank cannot afford to turn away NBCs business. However, extending Dawson additional credit may increase Dawsons default risk and jeopardize the potential for NBC†¦show more content†¦Canadian Retail Hardware and Home Improvement Industry Analysis This industry, although more attractive than the lumber industry, has its own inherent flaws . The Canadian retail hardware and home improvement industry can be characte rized by high degree of rivalry, mainly due to a large number of players competing over products of low differentiation and incurring high fixed costs. Furthermore, due to low switching costs, high information, and price sensitivity, buyers are not loyal and have high bargaining power relative to retailers. Additionally, the medium threat and power of large new entrants and suppliers adds to the industrys unattractiveness. Company Overview Dawson was founded in the 1870s and has remained a private business since inception. Located in Ontario, Canada, its operations have been focused on three regions: Ottawa, primarily an urban market, Cornwall, a rural market, and Kingston, partially a resort and partially an urban market. During the last 3 years Dawsons net sales have increased considerably (21% in 1997; and 38% in 1998) putting great pressure on the way the company finances its working capital (WK). This situation is intensified by seasonal sales, typical of the construction industry. In September of 1998, Dawson pursued a strategy of forward integrating into theShow MoreRelatedDawson Lumber Company Limited1550 Words   |  7 Pages(NBC or the Bank) is tasked with the decision to review Dawson Lumber Company Limited s (Dawson) request for an increase in its line of credit up to the amount of $10.8mm. Dawson intends to finance inventory and receivables with the line of credit. NBC must remain cogniz ant of the competitive landscape of the lumber industry and assess whether a focus on the retail segment is beneficial to Dawson s strategic plan. Given that Dawson is one of the region s largest borrowers, NBC must be carefulRead MoreDawson Lumber Company1182 Words   |  5 Pagesbusiness: Dawson Lumber Company Nature of the business: Wholesale Lumber Business Marketing Analysis: The Dawson Lumber Company was founded in the 1870s by the Dawson family to market the lumber on their land. 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Schwartz Director of Marketing: David Gesell Marketing Manager: Jimmy Stephens Marketing Assistant: Alicia Dysert This book was set by GGS Book Services. It was printed and bound by R. R. Donnelley Sons Company. The cover was printed by Phoenix Color Corp. Copyright  © 2008, 2004, 2001, 1998, 1996, 1991 by Pearson Education, Inc., Upper Saddle River, New Jersey 07458. Pearson Prentice Hall. All rights reserved. Printed in the United States of America. This