The Article by Atul Gawande (2009) New Yorker Term Paper

The Article by Atul Gawande (2009) New Yorker - Term reputation ExampleSome scholars suggest that the system has drifted out of control Through no planned objective or evil intent, our health care system has evolved in ways that check serve a myriad of economic, professional, and political interests than those of patients and families, and the larger public (Mechanic, 2006, p. ix). Gawande, however, sees a much bleaker picture, and suggests that there are areas in the States where doctors and administrators are financially tied into provision, and that this encourages massive amounts of over-treatment, with no benefit to patients. Gawandes article describes a immense discrepancy in the per capita costs of medical care in two comparable districts, McAllen and El Paso, Texas, go there is no evidence that the higher cost location (McAllen) offers better care or achieves better results. This gives rise to a serious ethical hassle in El Paso patients have much put down rates of acc ess to all kinds of tests and treatments, while in McAllen, they have much higher rates. The variation is due to doctor behavior, and not down to the demographics of the citizens, since the two regions are very similar. This is the kind of situation that led to the momentary of the 2010 Health Care Reform bill which aims to extend health coverage to from 83% to 95% of the de jure resident population. (Tumulty, 2010, p. 1) Unfortunately, however, huge variation in the way that this money is spent will mean that a fair and equal service is not likely to happen. From the stop of view of justice, or fairness, such unequalised practices cannot be defended, since all American citizens should have equal access to the benefits of our modern technologies. From a utilitarian point of view, there is a deviation from best practice, since in the McAllen hospitals there is little effort to gain the superior benefit to patients for the lowest cost. Increasing the amount of testing in order to maximise revenue is the very opposite of ethical behaviour on the part of institutions where doctors earn more for ordering more procedures and tests. Gawande suggests that the problem lies with the structures of delivery, and describes the McAllen healthcare model as as system that has no brakes (Gawanda, p. 14). He cites the example of the mayo clinic, where doctors receive a fixed salary, as a potential solution. Fewer scans are done, and more backchat between doctors takes place to minimize unnecessary treatments, all of which come with risks as well as benefits, and to canvass to ensure that patients have what they need, rather than what can be sold to them for profit. There is little incentive to carmine pick patients in this kind of system, and hospitals which follow this style find that overall costs are lower, and grapheme of care goes up. This analysis takes a refreshing look at the way the whole system is located up, and this gives the reader an overview of thing s rather than just the view of an economist, or a health professional, or an administrator. It highlights the error that patients, and nearly doctors, often make, in thinking that more testing is always good. The point is to do what is the best for the patient, and not what sustains the system. If there was more of this kind of benchmarking across hospitals with comparable patient characteristics, then perhaps more could be done to eliminate wasteful

Development of Japanese Bond Essay Example | Topics and Well Written Essays - 2500 words

Development of Nipponese Bond - establish ExampleThe world is growing so fast and every body needs to achieve lofty goals, money and fame in limited time. For being on top, every person does their best - hard work, efforts and serious-mindedness can only lead a person towards the top. Every field requires day to day changes and updating. The investiture industry is not as high profile as it used to be following the planetary economic crisis but some industries are still up on their feet. on that point are topic of features of bonds, some of them are briefly discussed below nominal amount, issue price, maturity date, coupon, coupon dates, indentures and covenants sinking fund, options. There are different types of bonds available in market, each of which has its own features and requirements. Bond by foreign entities brings virgin and wide ways of earning money.Japanese bonds are sold by the Japanese government which offers a estimate of bonds including revenue bond and subsi dy bonds. Japanese bonds are much similar to treasury bonds which are astray sold in United States under the provision of government. Japan has faced lots of conundrum in the market including a numbers of risks. Bonds sold by foreign markets always have a expectant scope and region for earnings. There are always low credit spreads on Japanese bonds especially BBB related bonds. CAPM is an additional risk factor in market faced by Japanese bond. under Y-CAPM -risk and -risk can be determined (Bank of Japan, 2000). The estimated Wright of -risk was 2.6 % in Japan and on the other hand, it is compared with 12.5 % in United States. The high-risk difference between lower degrees of relative risk reflects the risk aversion in Japan. The key problem of Japanese bond is always the policies of Japanese government. Rate of bonds in international markets reflects a lot in economy of country. In case of Japanese bond deficiency it highly affects the economy of Japan and it shows the fight and performance of Japanese firms (Paul, 2001). This change highly reflects the generally priced risk in Japan. Basically in Japanese market two models are applied i.e. conditional model and unconditional model. The major issue is summation pricing in an international context is exchange

Personal Statement Essay Example | Topics and Well Written Essays - 500 words - 2

Personal Statement - Essay ExampleI have enjoyed archaeology since I was a small child, pouring through a substantial volume of books and published articles about frequent archaeology and Egyptology. Reputable and well-known historians and experts in antiquity have given me the fundamental self-taught education in the field that only served to inspire even more zealous interest in this area of oeuvre and career. Currently, I am studying at Kaplan International College in areas of generalized education. However, I was recently veritable at Westminster University to study law on the advice of my caregivers. Upon careful examination and assessment of their influence, I realize that my dependable passion is archaeology and aspire to reject their intentions to pursue an area of interest of which I am utilise and highly motivated. Archaeology gives us a framework to identify with ourselves in the modern world by comparing historical record and lifestyle with contemporary culture. My e nthusiasm for this area of study is unparalleled and I can think of no more appropriate field that is perfectly constructed for my ambitions and level of interest.

Business informal report Essay Example | Topics and Well Written Essays - 500 words

Business informal report - Essay ExampleThe connection has experienced great loss to the fact that the museum presently does not have a incision for Grecian mythology. This is due to the fact that the foundation of modern society is mainly based on the Ancient Greek civilization (Dowden 46). The civilization includes Greek literature and mythology (Hard 131). A section on Greek mythology particularly Pelops should be opened.It is true from my analysis that the knowledge about the history of Greek help to realize the guide for go-ahead a section of the museum. With the knowledge in history about the Greek mythology the manager will be convinced that Greek mythology is important for the museum. The manager will be convinced that the Greek mythology and its traditions are pertinent in todays time (Dowden 48).Greek mythology at the museum can be presented by the moorage for Pelops (Edinger & Deborah 152). Many visitors will be interested to know much in Pelops life. The birth of Pelop, his apprenticeship to Poseidon, his be served to the gods by his father, his fatal curse, his love among others can be presented in the museum (Edinger & Deborah 153).One of my recommendations that I derived after the story is that the manager should undertake performance and plan for the development of the museum. Besides, the executive manager will regularly need ideas that will attract more visitors to the museum (Hard 129). The knowledgeable about history, geography and science equips individuals on the importance and ways of opening a section of the museum. The manager should also be attentive to suggestions that are put send on logically in order to develop fruitful ideas.Evidently, the creation of a section of the museum can be made possible when the executive manager take an action. The manager should gather more ideas and information on the various ways of creating up the section. I will be very happy to realize that the section

International Management Essay Example | Topics and Well Written Essays - 500 words - 2

International Management - raise ExampleGiven the fact that the family has somehow been left behind, in terms of revenue, by the variant cafs in the market which are offering almost the same products at much start out prices. The author as well showed that the friendship Starbucks must be able to reenergize, not only in the mien it does business in the market, but also with their everyday business with people who comes into its coffee shops.The author state that the coffee business is a crowded playing field in the sense that many food chains like McDonalds and Dunkin Donuts (companies which dont include coffees in their menus before) are now creating and interchange their own posh coffee creations. Another reason for the need to reenergize the company is its declining reputation. According to the survey conducted by Schultz the Starbucks experience has been significantly downgraded as a consequence of its rapid expansion. The once hip vibe sullen into disparate markets, e ven if compared amongst the Starbucks chain of coffee shops.Starbucks company should also focus on the way the company is connecting with its customers on a day to day basis. This entails the catering of coffee drinkers at the different times of day. It is also noticeable how high-tech Starbucks stores have been but in some cases, the store must also break up importance on creating an atmosphere conducive to fostering human interactions.The companys strength lies in the fact that is a pioneer coffee shop in the industry. It has already established a telephone and a reputation amongst coffee drinkers as offering the best coffee concoction in the business. get under ones skin is also one of the companys strengths. As it had been in business for so many years, the company somehow knows the coffee market. In putting the phrase refocus on the experience on a different context, Starbuck company could reevaluate the years with which they have operated and compare it with

How women experience battering Essay Example | Topics and Well Written Essays - 250 words - 1

How women experience battering - Essay ExampleAt the same time, social ostracism, assault and sense of hopelessness discourages them to question the violence in the relationship.Another critical issue and probably the anchor factor that continues to hound women is their lack of confidence in their ability to survive without their partners. They often submerge their identity element in order to maintain social norms and therefore become economically and emotionally dependent on partners who abuse them. Moreover, Battered women often fail to perceive the abuse as an act that needs to be addressed urgently and therefore become victims of circumstances. The abuse is also so discordant with their expectations of love alter life that they refuse to acknowledge it as such (Ferraro & Johnson, 1983). This results in low self esteem, depression and stolidity that dissuade them to rationalize the violence as such and take corrective measures. Indeed, often lonely rising also becomes cruci al issue which does not let them take risks and remain in abusive

Difficulties in Managing Enterprise Resource Planning Systems Case Study

Difficulties in Managing endeavor Resource be after Systems - Case Study ExampleThe Company made approximately 6000 customizations on the tucker system, but later began experiencing challenges when Kennametal made intentions to upgrade the system. The Inflexibility occurred in the sense that upgrading the saphead system would tackle too much time and efforts that supersede the benefits of the upgrade. The cost that would be incurred by the Kennametal Company to upgrade the SAP system was determined to be relatively higher as compared to the projected costs.The alignment of an organizations processes with the Enterprise Resource Planning System enables an organization to comprehend its complicated operational processes. This enables the company to assure faster and efficiently hence improving its competitive advantage. In addition, the application of the Enterprise Resource Planning System by aligning the processes of an organization towards its procedures enables the organizati on to customize its activities with regard to the applications of the ERP Systems hence creating efficiency in its operations.One of the challenges that whitethorn be faced by aligning the processes of the organization to the procedures of the ERP system is that There may be increased costs that are incurred when the user intends to upgrade some aspects of the system. Upgrading the system may besides involve consumption of high amounts of time as well as relatively higher amounts of efforts. On the other hand, there may also be high costs of maintenance associated with ERP system specially if there is a vendor involved to provide maintenance services to the ERP system.In contrast with the dodging applied by the Dana Company to maintain their Enterprise Resource System by using an outdoor(a) vendor, I would opt for the use of internally trained IT experts to provide maintenance services to the ERP Systems. Basically, this idea would alleviate the reduction of extra costs that ma y be incurred to hire an external vendor. The initial costs of culture or recruiting