...ROMNEYCARE An In-‐Depth Analysis of the Massachusetts Healthcare Reform The American Healthcare System Final Research Report By Sara Mahmood, DDS and Camille Debi 1.0 Introduction In 2006, the state of Massachusetts initiated a health care overhaul by passing a reform law with the central tenet of providing healthcare to all of its residents. Widely popular and objectively successful, the law has been dubbed “Romneycare,” named after then Governor Mitt Romney who signed the legislation into action. The law mandates that nearly every resident of Massachusetts obtain a minimum level of insurance coverage and provides free health insurance for residents earning less than 150% of the federal poverty level. It also mandates employers with more than 10 full-time employees to provide health insurance. Among its many outcomes, the law established an independent public authority with the official title of “the Commonwealth Health Insurance Connector Authority”. However, it is commonly referred to as “the Connector”. The Connector acts as an insurance broker, essentially, offering free, highly subsidized and full-price private insurance plans to residents. The website serves as a portal for Massachusetts residents that allows them to access many of the Connector’s resources, as well as the ability to register online for an insurance policy. Although it has been amended significantly since...
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...and Affordable Care Act (PPACA) is one of the most substantial reforms in Medicare since 1965. This is now considered the law of the land according to Douglas Holtz-Eaton. The PPACA portrays a “coverage first” strategy. “Sadly, a review a of the state’s experience bodes poorly for the future of national reform.” (Point/Counterpoint 177) There are two major driving factors in which could propose a threat for this reform. The first factor is it costs too much. Many decades ago, healthcare spending was at a minimum and not the focal point of American citizens. The statics show during 1970, national health expenditures were $1,300 per person and consumed 7 cents out of every national dollar, 7% of the GDP. Since the 1970, the spending per person has grown 2% more each year than income per captia. Therefore, healthcare costs have been increasing at such a high rate and will continue to threaten many decades to come. The second factor is the skyrocket of health insurance. This obviously is not mindboggling due to the fact that it is a reaction to the rapid increase of healthcare. Insurance costs have tripled over the past decade, making it hard for the average citizen to afford such outrageous premiums. As a result, less and less people are opting out of health insurance, which is no longer an option due to the new federal law making health insurance mandatory. The PPACA reform is looked upon with a “cost first” approach. This approach allows quality care to be inexpensive...
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...The first is abortion in its own and the second being the leadership of the governor. Through these two topics, it shows how the governor had signed the bills for abortion in Wisconsin in secrecy. The bill consists of multiple parts of procedures the doctor needs to perform before following through with the abortion. One bill is that doctors need to ask the patient alone if they want the abortion or if they have to oblige. The second bill is that no medical expense paid from insurance agencies unless the pregnancy is through rape, incest, or of people who need it medically. According to "Controversial Abortion Bill Among Several Walker Quietly Signed Into Law" (2012), "Another bill comes into play with Health Care Reform in 2014, banning abortion coverage sold through a health insurance exchange, except in cases of rape, incest or medical necessity” (para. 11). I do support the cause of why the governor is doing this; however, he is doing it for the wrong reasons. He signed these bills before he is leaving office and has done them secretly. According to "Leadership = Controversy With Civility" (2011), "Involve everyone in planning and problem solving. Avoid making decisions behind closed doors” (para. 10). This states that to avoid controversy that all decisions should avoid secrecy and allot everyone in the decision. This shows bad leadership by the governor. It also shows how the governor had made the decisions hastily because of the rush out of office and the want to passing...
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...you read regarding healthcare reform. Evaluate each source's CURRENCY, AUTHORITY, PURPOSE, OBJECTIVITY and WRITING STYLE on a 10-point scale (10 is the best score). You should write notes to yourself about why you scored each source as you did. If you don’t write notes, you will have a much harder time explaining your rationale for your scores. Bring this ranking sheet with you when you come to class. When you are done scoring, rank the five sources from 1-5 (#1 should be the best source; 5 should be the worst). You can discuss your rankings with your group and explain why you ranked the sources the way you did. Example: Z. Why I Hate Health Care Reform C:_9__ A:_6___ P: _5__ O: _1__ W: _9__ Total Score: _30_/50 Rating the Articles A. One Month Later: Making Healthcare Reform a Reality C:_7___ A:_5___ P: __5__ O: __5__ W: __4__ Total Score: __26__/50 Notes: B. The Five Biggest Lies in the Healthcare Debate C:__3__ A:___5 P: _6___ O: ___2_ W: ___6_ Total Score: ___22_/50 Notes: C. The Moral Case Against Healthcare Reform C:__2__ A:__6__ P: _2___ O: __6__ W: _3___ Total Score: _19___/50 Notes: D. What Happened to Healthcare Reform? C:__5__ A:__1__ P: ___7_ O: __2__ W: __9__ Total Score: __24__/50 Notes: E. Andrew Rubin on Healthcare Reform C:__4__ A:_5___...
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...For US citizens covered by private health insurance, receiving treatment is not necessarily easy with many insurance contracts containing terms and conditions excluding treatments which would be covered under the NHS. This has led to scandals where individuals have died as a result of not reading the fine print on their insurance contracts a massive 21% of claims in California are rejected by private insurers. (Reuters 2011) The profit-driven running of companies that are essentially meant to provide coverage guaranteeing the maintenance of health has seen managers receiving salaries exceeding 13 million dollars compared with the NHS’s top salary of less than half a million US. Not covering an individual for expensive treatment thus saves the company money and provides stockholders with dividends or capital gain a very dangerous approach to the provision of healthcare coverage. An estimated 62% of individuals’ bankruptcies are related to healthcare bills, and of these,80% had health insurance numbers which would cause widespread revolt among Europeans. The private nature of US healthcare has resulted in pharmaceutical companies directly advertising to consumers the infamously endemic “ask your doctor if MagicMarioMix is suitable for you” tagline. Consumers thus ask their doctors about the advertised drug, and every 1 US dollar spent on advertising by pharmaceutical companies’ results in $4.20 of sales. The quick-fix or one-pill solution approach, rife among Americans, is reflected...
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...The article that I am reviewing is called “Healthcare Reform: The Importance of a Public Option” by Stephen Gorin. The article discusses the issues that we are now currently dealing with well the House and the Senate debate and try to create the healthcare reform that would make sure that everyone has healthcare coverage. The big issue within this article is creating a level playing field for all the parties: the non covered public, the already covered public, the healthcare companies and the government. As if you didn’t already know this is not the easiest task as everyone wants to have a say on how it is going to be accomplished. One of the big things discussed in this article is the public plan option that is currently being debated in the legislation. Many people don’t feel that it would create a “level playing field”. One person described the public option as "a Trojan horse for government control and the progressive destruction of Americans' private health insurance coverage.” They are stating that there would be no way that with a public option would insurance companies is able to compete with a government public option. They cover what would have to happen to make this plan also work. They stated that to make the public option work that they would have to reduce rates to providers who could in turn refuse to see these patients with this coverage. They then go to discuss that they would have to create a payment system to providers that is equal and they close the gap...
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...changing focus of public health by Maria Joyce Key sections include: Environment, infectious disease, locating public health, the enlightenment, the Sanitarians, national provision of services, the inception of the National Health Service, ‘crisis in health’, The New Right, The Third Way, new public health. Public health, the new ideology may be taken to mean the promotion of healthy lifestyles linked to behaviour and individual responsibility supported by government action; whereas traditionally the description tended to relate more to sanitary reform and ‘healthy conditions’. The chronological development of public health is mapped out, supported by the outlining and discussion of the emerging themes and influences pertaining to the study of public health. The approach to public health is positioned alongside the health of the population and the prevailing political/societal influence at the time. Public health is impacted on by poverty and environmental factors. Presently government policy to improve public health is delivered in a strategy that recognises the need for health improvement at times when the greatest impact on health is poverty and exclusion. The evidence reviewed demonstrates clearly that poor health without appropriate resources or intervention is cumulative and that the ‘right’ form of intervention can bring about long term health gains. Intervention from a national agenda needs to include individual’s health and the health of the community brought...
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...Media Literacy Project medialiteracyproject.org Introduction to Media Literacy Media literacy is a set of skills that anyone can learn. Just as literacy is the ability to read and write, media literacy refers to the ability to access, analyze, evaluate and create media messages of all kinds. These are essential skills in today's world. Today, many people get most of their information through complex combinations of text, images and sounds. We need to be able to navigate this complex media environment, to make sense of the media messages that bombard us every day, and to express ourselves using a variety of media tools and technologies. Media literate youth and adults are better able to decipher the complex messages we receive from television, radio, newspapers, magazines, books, billboards, signs, packaging, marketing materials, video games, recorded music, the Internet and other forms of media. They can understand how these media messages are constructed, and discover how they create meaning – usually in ways hidden beneath the surface. People who are media literate can also create their own media, becoming active participants in our media culture. Media literacy skills can help children, youth and adults: • Understand how media messages create meaning • Identify who created a particular media message • Recognize what the media maker wants us to believe or do • Name the "tools of persuasion" used • Recognize bias, spin, misinformation and lies • Discover the part of the story...
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...The Effects of Globalization and Neoliberalism on African Societies Globalization and neoliberalism are concepts that can be applied to the analysis of any aspect of modern day society. Social life in a particular area is filled with the constant spread of ideas, practices and beliefs due largely to globalization. This paper will provide an in depth view on the effects Globalization and neoliberalism has had on culture and development in African societies. Within Africa lies various intricate backgrounds from its colonialism roots to the shift towards globalization in the effort to promote development. Exposing the dynamics of globalization as well as its impact on African societies will lead to a better understanding of the relationship between Africa and the international community. Globalization, as defined by Held et al. , sees the issue “as a process (or set of processes) which embodies a transformation in the spatial organization of social relations and transactions--assessed in terms of their extensity, intensity, velocity and impact--generating transcontinental or interregional flows and networks of activity, interaction and the exercise of power.” (Held et al. 2004: 68), It involves the increased interaction between nations and the exchange of ideas, practices, relations and organization. (Ritzer 2008:574). One must be aware that the theory of globalization can be expressed through economic terms as well as sociologically. The...
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...The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine PREPUBLICATION COPY: UNCORRECTED PROOFS Copyright © National Academy of Sciences. All rights reserved. The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 65815 between the National Academy of Sciences and the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies...
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...U.S. Food and Drug Administration (FDA) drug review bears a structural similarity to many decisions made by other regulatory agencies: high uncertainty, low reversibility, avoidance of observable error, and high political stakes that induce lobbying by interested parties. This project explores the policy lessons to be learned from viewing FDA drug review as a politically shaped exercise in information processing. I argue that the incentives facing regulators induce limits on the degree to which drug review can be accelerated, that the same incentives could render privatization initiatives problematic, and that political pressures could play a useful role in identifying priority drugs. Patients, more than pharmaceutical firms, shape the political costs to the FDA of delaying drug approval. Consider two hypothetical consumers, one a pharmaceutical consumer (“patient”) who wishes to try a new drug for some ailment, the other a vitamin consumer who wishes to take zinc supplements to ward off a cold or flu. There are few institutional restrictions upon the consumption decisions of the vitamin consumer, at least in the United States. She is free to purchase vitamin products over the counter, and the vitamin manufacturer is free to sell them without prior authorization or licensing. Not so with pharmaceuticals. The marketplace for pharmaceuticals is one of the most highly regulated industries in the U.S. economy.1 To use any new pharmaceutical product, the patient must secure the...
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...Rizal’s Nationalist Project: An Analysis of his Major Works Alvin Campomanes University of the Philippines-Diliman University of Asia and the Pacific This study guide aims to: provide a historical background of Rizal’s major works – (Noli Me Tangere and El Filibusterismo, his Annotation of Sucesos de las Islas Filipinas, Sobre la Indolencia de los Filipinos and Filipinas Dentro de Cien Años; critically analyze the content of these works; explain the relationship of the ideas contained in these works in order to understand Rizal’s concept of nation, nationhood, and nationalism But before we proceed, here is an overview of Rizal’s life-history 1861-1882 birth, childhood in Calamba, studies in Biñan and Ateneo, execution of the GOMBURZA, imprisonment of Doña Teodora, encounter with police brutality, discrimination in the literary competition of the Liceo Artistico-Literario (where he won first prize for his El Consejo de los Dioses) 1882-1887 trip to Europe, education at the Universidad Central de Madrid, growth of his nationalism, El Amor Patrio (1882), brindis (speech) in honor of Juan Luna and Felix Resureccion Hidalgo (1884), publication of the Noli Me Tangere (1887). 1887-1888 According to historian Floro Quibuyen, the Calamba Hacienda Case was a turning point in Rizal’s life – it marked the beginning of his radicalization; a critical examination of his correspondences reveals a subversive Rizal – a separatist 1888-1892 second trip...
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...EARLY CHILDHOOD EDUCATION AND CARE key lessons from research for policy makers An independent report submitted to the European Commission by the NESSE networks of experts www.nesse.fr EARLY CHILDHOOD EDUCATION AND CARE - KEY LESSONS FROM RESEARCH FOR POLICY MAKERS This is an independent report commissioned by the European Commission's DirectorateGeneral for Education and Culture. The views expressed are those of independent experts and do not necessarily represent the official position of the European Commission. The main author of this report is Helen Penn, currently Professor of Early Childhood in the Cass School of Education, University of East London, UK, and a member of the NESSE network of experts. Drafts of this report benefited from comments and advice from other NESSE network members and from other experts in this field. Reproduction is authorised provided the source is acknowledged. The electronic version of this report is available at: http://www.nesse.fr/nesse/activities/reports For further information on this report and for printed copies you can contact: Dr. Angelos Agalianos European Commission Directorate-General for Education and Culture Tel.: +32-2-29.55.098 © European Commission, 2009 ISBN: 978-92-79-12470-9 2 EARLY CHILDHOOD EDUCATION AND CARE - KEY LESSONS FROM RESEARCH FOR POLICY MAKERS FOREWORD Investing in quality Early Childhood Education and Care (ECEC) is crucial. It is at this stage that the foundations are laid for...
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...CHAP TER Separating Ideas and Shaping Content Writing Paragraphs 1. PURPOSE, AUDIENCE, TONE, AND CONTENT L E A R N I N G 1. 2. 3. 4. 6 O B J E C T I V E S Identify the differences between summary, analysis, synthesis, and evaluation paragraphs Identify the content in writing paragraphs Demonstrate how audience and tone influence content Apply purpose, audience, tone, and content to a specific assignment Imagine reading a poorly written review of a movie that you would like to see this weekend. You cannot follow the characters, action, or conflict because the author of the review rambles on and on. Without clear paragraphs, this review will likely lose your interest, and you may skip the movie altogether! When you are the writer, it is helpful to position yourself as a reader. Ask yourself whether you can focus easily on each point you make. Effective writers use a single paragraph for each new idea they introduce. Paragraphs separate ideas into logical, manageable, and distinct units. Each paragraph focuses on only one main idea and presents coherent sentences to support that single point. Because all the sentences in one paragraph support the same point, a paragraph may stand on its own. Each paragraph is shaped by Purpose: the reason why the writer composes the paragraph. < Tone: the attitude the writer conveys about the paragraph’s subject. < Audience: the individual or group whom the writer intends to address. < Content: the written material in the paragraph...
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...Anthropology Lecture 1 introduction Common Misconceptions with Drugs . The effect of a drug is caused solely by its pharmacological properties and effects. . Some drugs are instantly addictive . The gateway/ stepping stone theory - the use of 1 drug leads to the use of other more dangerous drugs What are drugs ? Krivanek's definition : Drugs are substances that are introduced into the body knowingly but not as food. Therefore illicit drugs, legal recreational drugs and legal but regulated pharmaceutical drugs that aren't recreational at all. - Whether if a drug is considered bad and is prohibited depends on the culture of the society in a particular period. What is culture ? The definition of culture = Through Roger keesing and Andrew Strathern's definition it is a system of shared ideas, rules and meanings that underlie and are expressed in the ways that human live. - This includes : law, beliefs, political economy, media and popular culture - this perceives ideas about what is normal and abnormal to society. " Culture is always changing and contested, not unified" Enthography as a method for studying drug use It is a process of observing, recoding and describing other peoples way of life through intimate participation the community being studied". - Participation observation, involving yourself in the life of the community , taking up the life of the other person, observing their actions, asking questions and learning what questions...
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