Tuesday, October 15, 2019

Make a connection or disconnection between 2 readings. Name the Essay

Make a connection or disconnection between 2 readings. Name the readings and the connection and develop that idea - Essay Example The paper at hand intends to pinpoint themes, events, concepts, people and many more captivating things that make the essay. The first way in which the Carr from the ancient world portrays himself is Google for example when men ask for explanation after going through the book. Google does not seem to have dominated the essay in in his piece in terms of the content. The essay is about another book and it has a lot about each person’s future. When the boy reads the book, he finds it very interesting and decides to read another one by the same author but unfortunately, someone starts buying the books thus few units left and the only left option is online libraries. The search becomes an obsession that leads him to knowing everything about the author. This includes his love life, parentage and childhood. Carr discovers everything from the happenings of Google to the book burnings. Apart from the mystery being worth unraveling, the book is also interesting and very educative. For o ne to understand the book, it is important to understand the author. The book becomes more interesting when a man with a burnt face shadows Carr’s search. The essay by Carr instills fear to many and the more the two scenarios come in, people begin to dream with the book and it gets horrible. This continues as stories and everything begins to have the same meaning. People get the inception that a burnt face will haunt every search. People fear because of the past and this makes people hold back to unraveling the secrets of the present. Many kids, want to play the role of Carr in the contemporary world and in the process, these children become obsessed. The future is the present life, the present life makes the future therefore every secret of the present, and the shadows of the past greatly affect the future. The importance of the setting in this essay for example relates to other search. This emphasizes patriarchal violence threat just like the foreground. This is similar to threatening of the sons by the legacy of their fathers. The adopted and biological sons fear literary when trying to become real men like their fathers. The setting is also important because the sons and readers have the need to negotiate the difficult terrain of the inheritance from the parents. The occurrences of the book depict the life in the new technological and digital trend and the readers move away from the book and start a life in the country. The book is that significant. In life, every person in one way or another goes through the life that Carr went through or what the author wrote. There is love life, dreams, threatening and people try to become like their fathers and fore fathers to secure the legacy. People may not believe in supernatural but the setting of the book provides excellent materials for the purposes of literature. Stories that have ghosts as characters help in exploration of symbolic and atavistic elements in every narrative including the shadow of the wi nd. The title of the book makes one to read it to see how the wind has a shadow. Selections from into the world Jon Krakauer is telling the story of Chris McCandles who had interest in among other things recording Alexander Super tramp. The relationship between the two is that this is one person but writing under a different allows the author write what he would not be in a position to do because of fallacies. This makes the two scenes fall under the

Lies My Teachers Told Me Essay Example for Free

Lies My Teachers Told Me Essay As I watched the video and read parts of the books, I began to wonder why they would lie. Throughout school, they teach us to be honest and truthful in everything we say and do. So therefore why would they lie to us? According to James W. Loewen, Taking ideas seriously does not fit with the rhetorical style of textbooks, which presents events so as to make them seem foreordained along a line of constant progress. He goes on to say that including ideas would make history contingent. It would present uncertainty. That would not be consider a textbook learning style. Textbooks unfold history as melodrama, instead of with drama or suspense. An example would be John Brown. The treatment of Brown, like the treatment of Slavery and Reconstructino, has changed in American history books. John Brown was considered insane from 1890 until 1970, then slowly began to change back over into sane. Some textbooks emphasize the claim that no slaves actually joined John Brown. At times, I think it would just be easier to go back in time like in the movie Bill and Teds Excellent Adventure. Not only would we get the truth, but we would have seen bits and pieces of it. I think more and more students would enjoy history more if we actually got the truth rather than lies. I think that if we had the suspense and drama, we would learn more. To me in high school, history was a mixture of english and math. All of the boring parts of those two classes combined into one. The teacher was not much better either. I think if the teacher made it more exciting.

Monday, October 14, 2019

Issues In Managed Care Health And Social Care Essay

Issues In Managed Care Health And Social Care Essay Managed Care has increasingly become prevalent in the United States. Overtime, it has continued to evoke strong ethical concerns regarding its applicability in our contemporary society. Such instances have been exemplified by the issue of efficacy; provision of a product or service with minimum input in terms of resources. Efficacy, as postulated, conjures more pressure on the medical practitioner to increase his/her productivity with minimized incentives. Moreover, Managed Care has been associated with capitation of contracts by Health Maintenance Organizations (HMOs) where medical officers are paid not to attend to patients. However, a clear understanding of this practice would be essential if we were to term it as ethical or unethical. The history of Managed Care can be traced back to early 19th century, when a number of healthcare structures and systems emerged to provide subsidized health services for impoverished communities. These structures appeared in different communities across the United States with the aim of helping a few selected groups access medical care. This initiative was mainly meant for rural and marginalized communities in mining, lumbering, and railroad areas. Locals were asked to pay a small amount of the fee so that they could conveniently get access to medical care. However, in urbanized societies, charitable institutions settled the fee for marginalized communities. It is believed that Health Maintenance Organizations evolved from these practices and thus later came to be known as Managed Care (Wolff Schlesinger, 2002). Nonetheless, with the different faces that Managed Care has adapted over the years, criticism for such practices has been heightened. Inasmuch as many communities have benefitted from this initiative, medical practitioners and professionals have sounded an alarm over the continued adoption of this practice. Health standards have been lowered due to the subsidized medical services. Physicians have been forced to offer their professional services at lowered prices thereby rendering poor services. This is one of the most notable ethical concern that has been associated with Managed Care. Moreover, a number of misconceptions have also been insinuated that try to render Managed Care inappropriate. However, there is need for clarifying some of these ethical concerns by determining whether they have impacted negatively on the society and as to whether its continued practice would compromise societal ethical norms. In this regard, this paper will define the social understanding of Managed Care, identify more instances where it has been associated with unethical practices, clarify such instances and describe its positive contributions towards the development in the faculty of medicine. Some of the issues to be discussed will include: efficacy in medical practice; capitation of contracts; quality in medical care and exploitation of these services. Furthermore, positive attributes such as cost-effectiveness; guarantee of medical attention; provision of preventive services and care coordination will also be evaluated thereby elucidating clear perceptions on Managed Care Plans. Therefore, the purpose of this paper will be to outline past, present and future trends in Managed Care. Furthermore, it will acknowledge the contribution made by Managed Care towards general health sustainability and clarify some of the social misunderstanding associated with it. It shall also seek to clearly distinguish between negative and positive attributes of Managed Care, thereby reducing fallacious thinking regarding universal and social approval of this practice. Lastly, it will provide a schema for further research on this subject by determining some of the areas that need further research. Conclusion Through Literary review, we have observed a number of past trends and issues in Managed Care as well as discovered present and future trends that will continue to affect Managed Care systems. Such trends include the collapse in relationships between a patient and a doctor. This has been attributed to the fact that, through Managed Care, patients are restricted to a particular doctor under a companys payroll. If a patient opted to visit a doctor that is not necessarily linked with the organization, he/she either accommodates the demands of the extra service or the company contributes just a small percentage (Wolff Schlesinger, 2002). This affects doctor-patient relationship. Moreover, patients cannot develop lasting bonds with their doctors since the company may decide to terminate the services of a particular physician or seize to be identified with a specific medical group. It is in such a case that Managed Care impacts negative in the medical field. Secondly, through capitation, some forms of Managed Care have created the provision through which doctors can now spend very little time on a particular patient. This trend has been observed in the Preferred Provider Arrangement system where for a physician to compensate for the little incentives he received, he would make sure he sees many patients. For him to see many patients, it would mean that he would spend the minimum time possible on a particular patient. Consequently, this also affects the patient-doctor bonding process, exploration of available treatment options for the patient and does not guarantee exhaustive analysis of the patients problem. Furthermore, the doctor may end up making the wrong diagnosis hence put the life of the patient in danger (Bierman, A. S., Haffer, S. C., Hwang, Y. T., 2001). There have been cases where patients have been diagnosed with the wrong illness and thus ended up succumbing due to wrong prescription or treatment. Mental care plans have been greatly discriminated by Managed Care plans. Mental problems are far much financially demanding as compared to other illnesses. Therefore, many health management organizations have tried to avoid the inclusion of this package in their Managed Care system. The gravity of this issue prompted the drafting of a number of legislations which were presented to Congress for deliberation. For instance, the watered-down parity law, which was effected in 1998, prohibited companies from defining the maximum financial limit for mentally ill patients. Currently, many insurers are championing against this law by weakening it in a bid to render it inapplicable. In this regard, Managed Care programs seem to have failed in establishing parity in all health related illnesses. This is a huge shortcoming for Managed Care practices as it exhibits aspects of biasness. Lastly, one striking trend that will pose a great challenge to Managed Care structures in the future is the issue of Medical practitioners in Medical schools influencing their students thinking towards Managed Care. Presently, it has been established that most medical students across the United States are anti-Managed Care. This is attributed to the fact that most lecturers, who are health practitioners outside lecture rooms, are influencing their students thinking towards this practice. With this trend, physicians who are in the making will ravage this practice in the future thus hurl impoverished communities back to their medical poverty. Therefore, the imparting of negative ideological mindsets by lecturers and faculty members in medical schools should be stopped before it spills out of control. We need to safeguard the much we have achieved and work towards providing more that we could provide. However, Managed Cares influence on the issues outlined below has shown its positive c ontribution towards general health sustenance. Positive conclusions can be drawn hence act as an advocate for the maintenance of this practice. Throughout history, people have struggled to gain adequate medical assistance and this has been linked to lack of financial stability. Managed Care has created a cost-effective working environment where patients, regardless of demographic, racial or cultural background can get convenient healthcare. Structural cost-effectiveness has been realized with incentive impacted cost and inter-group negotiations being simplified. The task of negotiating the price for medical services has been left for the employer and the physician thereby offloading some of the financial burden from the patient, (Bierman et al., 2001). Moreover, in extreme circumstances, patients are able to get access to professional medical care, with modern equipment, medication and follow-up activities that would guarantee a patients full recovery. This is one of the most significant achievements realized through the application of Medical Care. Quality medical practices can be defined in terms of customer satisfaction and medical outcomes, or both. Studies have indicated that Managed Care has heightened responsiveness in creating value products thereby broadening provider networks. Furthermore, it has enhanced corporative relationships among providers and consumers. Utilization controls have also been loosened as compared to fee-for-service systems. A more notable finding postulated that there was not much, if any, difference in terms of quality of services offered between Managed care and fee-for-service schemes. Moreover, a tremendous increase in quality of medical services has also been observed in marginalized areas where such services were minimal. This growth has reduced health vulnerabilities in such areas thus augmenting the general quality of health in the area. Counter claims have been made imploring whether the quality of healthcare has been lowered or raised. Nevertheless, with a reflection on the customer satis faction model and medical outcomes, most communities have acknowledged a tremendous positive growth. Lastly, perhaps the most significant contribution of Managed Care is the ease of access to medical services. Medical practitioners defined access to medical care as the ease of patient entrà ©e to medical providers and procedures. We can all affirm that the initial aim of Managed Care, which was to provide access to medical facilities, especially for impoverished populations, has been achieved. Insured and uninsured company staffs are legible for Managed Care as long as their affiliate company has provisions for Managed Care (Bierman et al., 2001). Initially, most employees opted to have their own health insurance programs which locked out those who could not afford an insurer. However, Managed Care, with some minimum fee, each employee becomes technically insured. Therefore, Managed Care has eased the way in which people get access to medical care thus achieved its primary goal. In conclusion, having critically looked at the trend that is affecting Managed Care today and which may as well pose a great challenge in the future, we are still left with one question that remains unanswered. What criterion could be used by employers and medical practitioners in selecting viable Managed Care systems? Managed Care is prone to exploitation by both employers and physicians. Moreover, while physicians are crying foul, they should have an opportunity of drafting their demands, which are reasonable and considerable, especially for the poor man, hence stop providing poor services on the pretext of underpayment. Therefore, a study should be carried out that would seek to find a neutral way of assigning medical affiliations. Patients, employers and physicians interests should be evaluated and generate a possible strategy that would be less controversial in Managed Care. This research, therefore, will also offer recommendations for proper legislation of its implementation.

Sunday, October 13, 2019

The Revolutionary Armed Forces of Columbia Essay -- Politics Governmen

The Revolutionary Armed Forces of Columbia The Revolutionary Armed Forces of Columbia, or FARC, have been waging a guerilla war against the Columbian government for thirty-eight years. The organization has a Marxist-Socialist ideological base and has been terrorizing Columbia for some time now. The most recent development is Senator Martha Catalina Daniels was shot twice in the head and killed on March 3. Her body and two others were found at the bottom of a ravine about twenty-five miles west of the Columbia’s capital, Bogotà ¡. They had also been tortured. This is not unusual for the FARC. It is not commonplace, but the FARC uses kidnapping to get what they want. Extreme? Yes, but not unusual for this type of situation. Terrorist groups will often use kidnapping as a means to try to negotiate for what it is that particular group wants at that particular time. Groups also will use kidnapping to make money from rich and important people. They commit extortion and tax the drug trade to also help finance their operations. Again, this is totally extreme and not always effective. Why does a political group use extreme measures? Is it to just make money? Or does this have to do with their need to get their point across to everyone else? If that is the case, then there are much easier, and less deadly, ways to do that. Peace talks can be arranged. This idea does not always work of course, and it was not working for the Columbians either, but it is always worth a try. The Columbian government has had peace talks with the FARC for the past three years. Just last month, the Columbian government cut communication with the FARC. There reason was that the FARC hijacked a Columbian commercia... ...he Columbian government to concentrate on this group as well as the FARC. This could make trying to catch the drug traffickers harder because they would have to watch the two groups closely. It could also make it easier in the sense that if they get one group, then they know how to get the other. All in all, the FARC is on their way out. It is just going to be a matter of time before their little world comes crashing down on top of their little heads. There are definitely going to be major bumps in the road along the way, but who ever said this would be easy? With help from the United States, things should be looking up. The Columbian people should go through with and enjoy the upcoming elections. This is their choice to pick who they want to voice their opinions. Is that not something everyone should have, the ability to make his or her own choices?

Saturday, October 12, 2019

Knowing Me for Me :: Personal Narratives California Essays

Knowing Me for Me Who a person is can be shaped by many different things. Understanding how a person came to be who they are is important to grasping their inner-most uniqueness. People, places, and even events can shape a person. Things like having a supportive parent, growing up in a unique place, and being suddenly injured can help to define a person. This paper explains and evaluates my characteristics as they have changed through having a loving and comforting mom, living in San Diego, and getting hurt playing Water Polo. One of the most influential and most respectable people in my life is my mom. Though my dad is a close second, my mom has truly helped shape me in to who I am today. Since the day I was born my mom has always been there for me. Whether it was being in the front row of my dance recital or wiping my teenage tears away, she has always been a comfort. I went through a rough time during my sophomore and junior years of high school. A week before she found drugs in my room, my mom found out I had gotten my belly button pierced and a month later I got kicked out of a class at school. Alone and afraid were only the beginning of how I felt and would feel for a while. Of course I was in trouble, but my mom did her best to get me back on track and get me help. To this day she is amazed at how I have drastically changed, but it is all thanks to her. This is only one example. It has been a consistent pattern throughout my life. She has made me who I am; the person I want to be. The place in which a person lives can change their life forever. â€Å"California,† by Tom Petty describes the atmosphere in which I grew up. I grew up in Southern California, which is unlike any other place in the world. The busyness all around me all the time forced me to fight hard to find out just where I belonged. The high school I attended was huge with almost 4,000 students. The school however was build for 1,200. Everywhere you looked it was a sea of students you could not escape.

Friday, October 11, 2019

1920s Fashion Abstract

1920s Fashion Abstract The â€Å"Roaring† 1920s, was a period in America of social evolution. There were changes in the areas of transportation, music, art, dance, and even language just toname a few areas. Fashion endured the most dramatic changes in many phases. There were changes in dress and dressing techniques. Hairstyles and products took a turn for the better as well. As a result, many of the citizens who were able to reach new heights in dress and hair design also acquired a new attitude to accompany the new styles in fashion. Many of the elegant and expensive sacraments shared today by the modern bourgeoisie are direct results of the changes of the 1920s. The results of a horrid World War I were that America entered a period of prosperity. With the stock market flourishing and women entering the workforce there was room to expand other thanfinancially. Clothing changed with the society. The conservative dress code of women was tweaked, and sportswear became a norm for working women. Shorter and more maneuverable clothing became available for active women. Clothing that revealed skin gave women a sense of liberation. As skirts became shorter, necklaces, particularly strings of pearls, became longer. Tan or flesh colored stockings was made popular. Formal wear for men included tail coats for tuxedos, and cummerbunds. The tuxedos either had rolled collars faced in silk or notched collars. Wide leg trousers and tweed jackets were introduced for men as well. Children were also impacted during this era of fashion reform. Spotted cotton dresses and suspenders were incorporated to be worn by children. Many geometric forms and shapes were implemented into the designs of 1920s clothing, to add a level of flamboyance. Children were also impacted during this era of fashion reform. Spotted cotton dresses and suspenders were incorporated to be worn by children. Fashion had the biggest impact on women’s liberation through hairstyle. The biggest impact came with the event of women cutting their hair for a shorter hairstyle. For some families it was a problem for the wife or daughter to cut their hair, it was not considered motherly. However, with women adapting to more active lives, the shorter haircut saw an increase in the number of women wearing it. Many of these women wore hats to accompany their short hairstyle. The premier hairstyles included the â€Å"BOB†, finger waves, and marcel waves. Many of the bob hairstyles were configured to fit with the woman’s face. I noticed that many of these hairstyles were not done with â€Å"black hair† in mind. Never the less, black women were able to adapt to these styles in the years following. Fashion has always been influenced by the mode of transportation, the architecture of the period, cultivation of the earth and the customs of the people, as it was in the 1920's. Clothing developed closer relationships with art, kinetics and an increased sense of freedom with carefully selected fabrics, and an intelligent use of color. Beautifully coordinated and accessorized outfits were a feature of 1920's ladies fashions. Hats, shoes, stockings, handbags, dresses and jewelry all came together in harmony to create a unique and elegant style that can only be appreciated when seen in real-life or. Men and children also saw a fashion shift. More importantly the fashion movement of the 1920s was a symbol in the liberation of women’s rights. Bibliography All historical information derived from the following: Text book: How to make you own 1920s dress tirocchi. stg. brown. edu/514/story/fashion_twenties. html www. 1920-30. com/fashion/hairstyles www. kaboodle. com/reviews. model_behavior_1920s www. oldmagazinearticles. com

Thursday, October 10, 2019

Indian Education

Felippe Wancelotti Mrs. Amelkin AP Lang 10/4/2012 â€Å"Indian Education† Subject: Sherman Alexie delivers an essay portraying his life from a yearly view-point encompassing the 1st to 12th grade. Occasion: Indian misconceptions, mistreatments, stereotypes, and discriminations all affected Alexie on his educational highway and served as a basis for the writing of â€Å"Indian Education†.Audience: Alexie’s audience is primarily those interested in the lifestyle of Native Americans. Purpose: Alexie highlights how he ultimately overcame the hardships suffered during his early years due to his Indian ethnicity and displays how Native Americans were, and continue, to suffer from discrimination. Tone: His tone is saddened and bitter, almost as if he feels sorry for those who couldn’t achieve success alongside him.Thesis In his essay, â€Å"Indian Education†, published in the story collections The Lone Ranger and Tonto Fistfight in Heaven in 1993, Sherman Alexie highlights how he ultimately overcame the hardships suffered during his early years due to his Indian ethnicity and displays how Native Americans were, and continue, to suffer from discrimination.With the use of clever identically constructed sentences to contrast his academic ascendency with the decline of those around him, powerful segment conclusions to create a spatial effect between different periods of his life in relation to environment and discrimination, and a thematic transition to display how discrimination became imprinted in his mind through consecutive years of mistreatment, Alexei portrays the bitterness associated with the loss of a society. Writing Strategy 1. Alexie sets the scenes up in separate sections with labeled headings to further differentiate each period of his yearly â€Å"life†.His narrative technique provides a spatial effect; each section feels like a new or different period in his life, something that cannot be easily achieved with conti nuous sentences. He does so to show how rapidly his environment could change, but how his treatment as an individual and the discrimination he received remained the same. 2. The brief conclusions all serve to indicate cold, harsh, and impactful conclusions to his yearly cycle which further emphasize the schism between school years. Some of the conclusions serve different functions, though.For example, when he ends his third grade segment with â€Å"I’m still waiting. † it is short and impactful; but, when he ends the fifth grade segment with a rhetorical question â€Å"Oh, do you remember those sweet, almost innocent choices that the Indian boys were forced to make? † the segment seems to linger on for a moment longer, portraying that the event had a stronger impression than the previous, shorter conclusion. 3. The thematic transition in the seventh grade segment occurs when he kisses the white girl, and almost as if he betrays his tribe, is sent away to a farm town.Through the seventh grade transition, the theme transcends from social outcast and discrimination to somewhat unconscious discrimination but social acceptance. Prior to the seventh grade segment, he is explicitly mistreated and bullied, alienated from society. After the seventh grade though, at the farm town, he doesn’t display any direct discrimination, everything he relates and portrays as discrimination is completely indirect and taken as such. 4.I think he ends with the Class Reunion section to display how the drastic change in his life during seventh grade affected his outcome. The effect this image shows is that the author had to alienate himself from his own society in order to succeed. Those he left behind stayed behind. Language 1. No capitalization serves the purpose of not identifying Indians as a racial ethnicity; the teacher views Native Americans as severely inferior to both herself and society. 2.Alexie uses the hyperbole to display how no one wanted to be seen around an Indian; they avoided him for â€Å"500 years† when they discovered he was Native American. The hyperbole exaggerates the factuality of the event, but it probably felt like 500 years to him. 3. The irony in paragraphs 67 and 68 is that the â€Å"Indians† (the school) lost a football game due to him, an Indian. Alexie cannot seem to eradicate these indirect discriminations, and associates them at an emotional level. 4.Alexie uses the similarly structured sentences to compare himself to those around him. He is different to his environment and its population in almost every way. In paragraphs 29 and 31, Alexie’s sentence regarding himself shows an interest in mathematics, whilst the sentence regarding his cousin, although related to sciences, has a derogatory connotation. In paragraphs 70 and 72 the same style of writing occurs. Alexie is looking â€Å"toward the future† whilst his classmates â€Å"look back toward tradition†. He is the only one moving forward.