College application essay writing
All The Light We Cannot See Essay Topics
Thursday, September 3, 2020
Document analysis Essay Example | Topics and Well Written Essays - 2750 words
Archive examination - Essay Example The AEU was a dynamic and politically dynamic association, and various components added to its prosperity. Despite the fact that ladies were not profoundly spoken to in metalworking, the AEU had the option to gain ground due to its serious association and commitment. Diane Fieldes positions as markers of accomplishment in this specific case, ââ¬Å"The circulation of metalworkers all through the economy (by 1970 metal exchanges unionists were 17 percent everything being equal), and the customary job of the fitterââ¬â¢s rate as illustrative of all craftsmenââ¬â¢s compensation [â⬠¦ ]In the mid 1970s, whatever occurred in the metal business was a standard which different associations strove for (Fieldes, 4). In the mid seventies, ladies everywhere throughout the world were starting to practice their open rights, as they related to work and something else. The way that this case was brought to endure is incredibly characteristic of the thinking about the occasions: ladies working outside the home had started to view themselves as qualified for an equivalent and reasonable pay, started to feel that the idea of the family wage was obsolete and besides, that this equivalent idea was the wellspring of foul play. Notwithstanding the 1972 choice, the 1970s saw other significant strides for ladies in the work power. As Dalton, Draper, Weeks, and Wiseman compose, Because of long, hard campaigning by ladies unionists, the 1977 Australian Council of Trade Unions (ACTU) embraced the Working Womenââ¬â¢s Charter, and in 1979 acquired maternity leave as a privilege in modern honors (11). Society when all is said in done was starting to be responsive to such thoughts. Fieldes comments that the metalworkers association was not noted for its characteristic progressiveness, nor for its lion's share female enrollment, yet rather for its serious association and order: The last factor of note in the metalworkersââ¬â¢ unionââ¬â¢s battle for equivalent compensation is the sythesis of the unionââ¬â¢s participation. In March 1969 the
Saturday, August 22, 2020
Depiction of teenagers in magazines Essay Example
Delineation of young people in magazines Essay Example Delineation of young people in magazines Essay Delineation of young people in magazines Essay The media is an incredible manner by which one people view can be appeared to a great many individuals. Composing, film making, craftsmanship, music and news-casting can challenge your perspectives about being a piece of British society and the jobs the individuals play in it. Theres a little Quote I like to include The medias the most remarkable substance on earth. They have the ability to make the honest blameworthy and to make the liable guiltless, and that is power. Since they control the brains of the majority Introduction Do the media portray young people? Youngsters are exceptionally dazzled by entertainers on the T.V or Pop stars and friend pressure is additionally gigantic factor. Adverts appears on the T. V, intrigue youngsters to purchase costly and configuration garments or game wear or compensate for young ladies. All the young people need to look cool, design style and attempt to dazzle young men or young ladies. The young people go over Media e. g. T. V, Internet, Radio, Magazines, Bill sheets and Leaflets and they are indicated them by savagery, amazing, quality, ill bred, diverting schools or school, overstepping the law, become inebriated, get include in illicit things and most things that they have bunches of certainty. Youngsters imagine that they are generally incredible in Politics and they can make the adolescents to be productive members of society in the nation and furthermore they feel that can do anything they need, particularly the young men since they are energetic, they need to be a criminal to dazzle or to get the young ladies. The young men believe that they should have a sweetheart at 15 years old. Primary body In my conclusion in media I feel that young people are distorted on the grounds that in the Magazine they offer thoughts on how you should look and how you can pull in young men and young ladies. At the point when the young people read it, they wont follow what the book or magazine says and they simply follow their own specific manner and in their every day lives, youll see none of them like what the Magazine article says. Weave Geldof is the person who hits out at high schooler magazines, he doesnt need a magazine about how to get young ladies/young men, being a tease and the sky is the limit from there. He needs these sorts of magazines to stop since he has a 3 youngsters little girls and he stated, Its too sexual data for youthful adolescents kids. Sway Geldof looks at these magazines to pedophiles in light of the sexual substance. Two of the statements that Bob Geldof stated, Are they any less hostile than a multi year elderly person going to and multi year old and saying I am going to converse with you about sex, And If such a discussion occurred, you would see it as sold, most likely illicit and absolutely Predatory. The journalists or the media guess Bob Geldof is known for being frank. Weave Geldof went tot the media itself to tell his feeling, when he went to BBC developer Grumpy elderly people men, in this customized he conceded that he had not prohibited the magazine from his home however he was as yet insulted to see their substance. The beneficial things about the magazine are they tell heaps of guidance s that you dont need to converse with your family about sex. It additionally has a youngster helpline with them, so at whatever point they need assistance about sex they can ring this kid helpline, so they will offer great responses to adolescents to comprehend about sex. The terrible things about the magazine are its too sexual data and its not suitable for young people. It has the words that the young people dont need to learn. Theres no helpful thought or guidance for youngsters. They were discussing how to be hot or how to do sex and furthermore they made the young people to consider sex. In Cosmo young lady title page the kind of composing it had for young ladies. You can judge by the words, textual styles (diverse assortment of writing) in intense shading lastly the format, when I mean design 1 mean is the thing that kind of textual styles they use. Textual styles like intense, Italic, size of composing and the various assortments of text styles e. g. Times new roman. They additionally utilize casual language e. g. EEK! That is for the young ladies who wear a great deal of garments, put a ton of make up and young ladies is who attempt to draw in young men and play with them. Straight away you can say this magazine for young ladies. (You can tell this by the title: Cosmo young lady) and furthermore on the intro page there is a mark saying Rachel Bilson that isnt actually her mark since like I said theres various assortments of text styles. At last that I can tell this title page its for young ladies I that the shading they utilize blue and pink, theyre both essential shading inside the Cosmo Girl it will simply discuss design, how to draw in the young men and that's only the tip of the iceberg. In Channel U video, the youngsters were wearing some alluring garments (criminal or style) to intrigue the young ladies. Like e. g. the manner in which they sing and move their moves like a downright terrible person, a portion of their moves were explicitly to the young ladies. Its like a hoodlum; they were worn out to be a criminal. They were drawing near to the young ladies by Dance, contacting them. The young people would truly appreciate this since its got a rap which is resemble a hoodlum, when the adolescents watch criminal kind of rap/melodies they all go hyper and act like theyre cool and solid and furthermore its explicitly express, uncovering dress for the young ladies, provocative, docile, exceptionally forceful style of shooting, savagery, the manner in which they move, non-verbal communication, criminal perspectives and angry. In the Sketchers adverts there were two sorts of adolescents who were focused on female and male. At the point when the young ladies took a gander at the adverts they would think in the event that we purchase these coaches we will feel like the young lady on the image. The young lady on the image looks agreeable, attractive, loose and detached. On the opposite side young men perspective about the sketchers adverts is very surprising from the young ladies perspective. At the point when the young men take a gander at the advert theyll believe that theyll turn all dynamic, solid, gorgeous, prepared for anything and is control of themselves and others. The non-verbal communication resembles forceful, intense and solid and shape body. The non-verbal communication gives you that they flaunting their body and qualities. The sound system types are not all obvious on the grounds that not all the young men on the planet arent like that and furthermore it makes you look like youre progressively dynamic.
Friday, August 21, 2020
The Big Secret free essay sample
Have you at any point had a mystery so immense and grievous? You lied about it to conceal reality from others, particularly your folks. A few insider facts can be excruciating or an amazement to other people. I think my mother realized my mystery however was trying to claim ignorance and was hanging tight for me to state it. In addition, since I thought she definitely knew I simply overlooked regularly advising her until I ventured out from home for school. You need to recognize what my mystery is. My mystery is that I am a lesbian and have a sweetheart. The time I at last told my folks that I am a lesbian were the point at which my better half revealed to her mother. It wasnt like I plunked down and said Im gay. I paused and just told my mother that I have a sweetheart. Truly, she was baffled. She was so frantic and harmed that it even hurt me. During the months a while later I felt terrible when I told my mother that my better half and I were going out in light of the fact that she didnt like it. We will compose a custom paper test on The Big Secret or on the other hand any comparative point explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Notwithstanding that, I felt terrible in light of the fact that I am my mothers lone youngster and she needs me to have children and be hitched to a man. In any case, that is not what I need. I dont need to get hitched to a man and dont even know whether I need to get hitched to a lady. Marriage itself is a colossal advance regardless of what the sexual orientation is. I as a rule misled them on where I w as going or doing in light of the fact that I had a feeling that I previously humiliated them. Some of the time I feel like my grandmother is embarrassed about my being gay since she doesnt need me telling anybody in school or even our family. She says shes not embarrassed but rather I question that now and again. Its like shes humiliated however I mean I dont accuse her since its not something each parent needs. At one time their indignation and agony arrived at where they made me take my direction off on my myspace that said Lesbian. This may be amusing or moronic to you and I realize you are likely reasoning, gracious that is it. Well this wasnt a simple mystery that my folks can pardon you for or disregard it. Despite the fact that I was frightened to disclose to her that I am gay I am terrified to reveal to her that I should embrace. Truly, my grandmother is as yet appealing to God for me to locate a decent youngster to get hitched to and give her incredible kids. Disclosing to them that Ive been considering selection could conceivably exacerbate things than what it is. Its effectively strange and clumsy to converse with your folks about sex or being seeing someone. Presently envision attempting to converse with them about a relationship where the other individual is a similar sexual orientation as you. Occasionally grandmother may raise how GOD didnt make it for lady and lady to be as one however I disclosed to her that I accept that GOD needs to be glad which I am. I do accept that it is feasible for gay ind ividuals to go to paradise. Presently as time flew by my folks have attempted to acknowledge it yet I comprehend it is hard for them. Grandmother says I have changed since I dont converse with her about all that I do and she says that Im getting developed. Disclosing to her all that I do is requesting a lot from me. I need to grow up yet I dont plan on doing this too early. I need to grow up being autonomous, accomplishing my objectives, and learning new things consistently. With respect to my granddad, I havent let him know and I dont think I ever will. I am startled and terrified that he may very well quit conversing with me. Recently he had said the motivation behind why we moved out of Adams Morgan in DC was a direct result of gay individuals. I do feel like I am a failure to my folks however I am continually being known as the young lady in the family who is boasted about. My folks boasts to everybody how well I do in school, how I have made a trip to England and France, how I am in the band, and how I have a vehicle and occupation. I dont need them to do this an excess of on the grounds that Im not the kind of individual that needs or needs everyones commendation or lift. I am the sort of individual that follows my heart, and do what I state I will do or what I accept is correct. The vast majority of my family knows and truly doesnt have an issue with it. They simply advise me to be cautious, or if its what I need, they are not distraught. Anyway a s time passes quickly, my folks have gotten somewhat simple on me with that disastrous mystery I held for such a long time. Presently they simply acknowledge it, however occasionally my mother despite everything raises the subject of on the off chance that she will at any point become a grandma. I am upbeat that I let them know since it was the capable activity. Other than if you characterize gay, it will say glad and upbeat is something that I truly am. Im cheerful I let them know and Im upbeat of who and what I am.
Monday, June 8, 2020
Study On Profit Being A Misleading Concept Finance Essay - Free Essay Example
The way in which a company uses the cash and profit generated through doing business, are recorded through cash flow sheets, profit and loss accounts and balance sheets. These documents show the numerical data which is vital for determining how successful the operations of the business are, indicating amounts of revenue, profit, cash and liabilities generated. Taking record of all company expenditure allows the business to manage the financial accounts and produce predictions for where they are heading. Any type of business, no matter the size, will treat cash and profitability as the core reason for operating; carefully managing both as the lifeblood of the firm, meaning that calculations produced can be used as an early warning system to detect troubling financial situations (Haskins, Higgs Ketz, 1987). In order for data sheets to be cross examined the entity must adopt a system of consistency, enabling comparisons to be made between financial periods (Gillespie Le wis Hamilton, 1997. pp 11). The concept of money measurement regulates what business can classify as wealth of the business; only items which can be measured in monetary terms can be included in the financial accounts, this withholding the right for business owners to regard excellent management or employee relations as assets (Chadwick, 1996). The figures shown in a cash flow sheet emphasises the level of liquidity and amounts of cash spent by a business within a given time period (Alexander, Britton Jorissen. 2009). Due to the complex nature of tracing where money has been spent and received from, businesss produce regular cash flow sheets in order to keep track of how it has financed its operations and to determine where funds have originated from i.e. revenue, capital or investment, as well as where they have been used i.e. purchasing of assets or stocks. Analysing cash flow sheets in this way, the user can clearly see that the figures shown are a detailed breakdown of info rmation contained within the balance sheet and the profit and loss account. Haskins, Higgs Ketz (1987, p 39) believe that Firms with excellent products, new equipment, and creative marketing efforts have gone out of business because they mistook income-statement profitability for cash solvency. The accounting concepts involved in calculating such figures like profit and loss and gross profit can prove to be complex as many problems could arise while trying to record where money has come from and where it has gone. The use of a principle known as Duality helps to keep track of where money has come from and where the money has gone. It states that every transaction within a business has a dual effect on the accounts. i.e. the source of wealth and the application of said wealth (Alexander, Britton Jorissen. 2009) The acquisition of new or the improvement of existing assets is known as capital expenditure, whereby such investment in business can result in increased earning capac ity by lowering the cost of production or increasing output. All assets acquired come with a historic cost, this is the price paid for the item when purchased. It is said that no expense arises because of the ownership of the asset; an expense arises when the asset is used up in earning revenue. (Gillespie Lewis Hamilton, 1997. pp 74). This meaning that items owned are assigned a depreciation value, showing in the accounting sheets that it will not last forever and that its value decreases over time. All moneys expelled by the business in terms of running or essential costs are recorded as revenue expenditure. The amount of revenue available to be spent in this way is governed by an accounting concept known as going concern, this assuming that a company will indefinitely be able to stay operational due to its ability to generate enough cash to stay out of liquidation (Alexander Britton Jorissen. 2009). A profit and loss account compares the amount by which the expenses of a b usiness have exceeded their revenue, thus revealing the net profit gained. The equation for this is demonstrated by Profit = Revenue Expenses. The revenue referring to the income of cash generated by the businesss activities and expenses referring to all moneys paid by the company in order to create the said revenues. This in comparison with to a balance sheet which shows, The increase in equity caused by making a profit (Gillespie Lewis Hamilton, 1997. pp 65) which allows a user to easily determine figures such as working capital and on to ratios to find out whether or not a company is highly geared. It has been argued that profit accounts may not always provide an accurate or meaningful projection of a companys financial operations, unless based upon its future cash flow rather than past incomes. (Purr, 2004) The amount of profit and loss earned by a business during an accounting period is measured on a profit and loss account; however, they do not specify what has happened to the funds, allowing them to be in their current condition (Chadwick, 1996). The differences in the data entered into a profit and loss account and a balance sheet show the user key individual figures. The data entered must be accrued, recognising that figures are input when the transaction takes place, not when the actual funds are received or paid; the aims of this accounting principle are to align the costs and revenues in the period to which they relate, allowing for comparisons to be made. This part of accounting is known as matching which helps to giving an accurate picture of the companys current inflow and outflow of cash as well as a record of when transactions have taken place (Chadwick, 1996). A balance sheet is a financial statement which informs the user of the businesss status in regards to the amount of assets it employs, including anything it owns or has paid for that is connected with the operations of the business, for example, land, stock, materials and cash in the bank. While also taking into account the amount of liabilities a business has, this including all money which is owed to creditors. A balance sheet is a summary of where all the money has come into the business has come from and where and how it has been distributed at the beginning and end of an accounting period (Chadwick, 1996). The figures displayed in a standard balance sheet enable the user to calculate the amount of profit gained additionally a detailed list of assets, fixed i.e. items bought for the use of the business and current i.e. any moneys which are due to be earned by the firm, for example, debtors and stocks . The assets are deducted from the total amount of liabilities employed; these can be classified as anything which results in an outflow of resources and is something which the company owes. The equation employed on a balance sheet is shown as Assets Liabilities = Capital. The figure produced will show the reader the financial differences between everyth ing the business owns and everything it owes. However, under further investigations, the limitations of a balance sheet can be seen as they cannot show the movements in capital, long-term debt and assets or liabilities. (Chadwick, 1996). The relevance of profit and cash can be disputed, depending on the financial accounts of the business at that time. While businesses are eager for long term profits within their company, careful account managing must be adopted to insure that there is enough short term cash or working capital at their expense, enabling them to stay afloat, ensuring that sudden unexpected outgoings can be subsidised. It represents the difference between the current assets and the current liabilities. In effect it keeps the wheels of the business turning by financing the everyday type of operating transactions (Chadwick, 1996. pp 59). The importance of having an abundance of day-today cash has been duly noted, although businesss must carefully manage the levels of finance, as cash sitting in the bank could be better spent elsewhere, improving assets which would in turn would produce more long term profits.
Sunday, May 17, 2020
Affirmative Action Discrimination And Discrimination
First affirmative action refers to policies offering compensation to groups formerly targeted for discrimination and identified along social cleavages - racial groups in the United States and South Africa, and religious groups in Northern Ireland. Affirmative action is a federally mandated program for federal contractors as it relates to employment. Civil rights result from a series of federal and state civil rights laws and provide protection from discrimination and harassment on a variety of bases, including race, color, national origin, gender, age, disability, religion and veteran status. Diversity can be defined in many ways, including diversity of thought, experiences, and backgrounds. Together, all three can contribute to a more welcoming. Affirmative action helps create a level playing field that gives everyone an equal opportunity to compete for a job and career. It ensures that no person is disadvantaged or treated unfairly during the hiring process because of their race, e thnicity or gender. It is about fairness and justice for all. Who could be against that? ââ¬Å"For federal contractors and subcontractors, affirmative action must be taken by covered employers to recruit and advance qualified minorities, women, persons with disabilities, and veterans. Affirmative actions include training programs, outreach efforts, and other positive steps. These procedures should be incorporated into the company written personnel policiesâ⬠3333 The affirmative action rules have to beShow MoreRelatedAffirmative Action : Discrimination And Discrimination Essay1143 Words à |à 5 PagesWHAT IS AFFIRMATIVE ACTION Affirmative action can be described as positive discrimination. It is an action or policy favoring those who tend to suffer from discrimination, especially in relation to employment or education. Affirmative action means taking positive steps to end discrimination, to prevent its recurrence, and to creative new opportunities that were previously denied minorities and women. Affirmative action itself has been defined as any measure, beyond simple termination of a discriminatoryRead MoreAffirmative Action : Discrimination And Discrimination927 Words à |à 4 PagesLegally, affirmative action refers to policies offering compensation to groups formerly targeted for discrimination and identified along social cleavages racial groups in the United States and South Africa, and religious groups in Northern Ireland. Affirmative action is also described as a federally mandated program for federal contractors as it relates to employment. Civil Right results from federal and state laws against discrimination. Some groups of people have been discriminated and harassmentRead MoreEssay on Affirmative Action is Discrimination1075 Words à |à 5 PagesAffirmative action is wrong and will not help solve the problems minorities face.nbsp; The reason it is wrong is because its discrimination.nbsp; It has no place in todays society in todays society because it does more b ad than good.nbsp; In addition to that most people dont enjoy the presence of affirmative action.nbsp; Also, it appears that affirmative action can actually be detrimental to employees health.nbsp; nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp; nbsp; nbsp;nRead MoreAffirmative Action : Discrimination And Ethnicity Essay1459 Words à |à 6 PagesLucia Lopez Intro to Philosophy Professor Gill Affirmative Action In ââ¬Å"Arguing Affirmative Action,â⬠Harvard professor Michael J. Sandel discusses the arguments that have arisen from the entry of affirmative action into practice. Affirmative action refers to admission policies, in this case put into effect by universities, that provide equal access to education for groups that have been historically excluded or underrepresented, such as women and minorities. In his essay, Sandel asks whether itRead MoreWorkplace Discrimination And Affirmative Action2174 Words à |à 9 PagesAbstract Discrimination is an issue that has been debated for hundreds of years. It is a subject that is continuously researched and relentlessly looking for resolutions to amend the problems that occur. There are a myriad of types of discrimination but the main focus of this paper is on workplace discrimination and the effects affirmative action has on it. Workplace discrimination transpires when an employee suffers from unfavorable or unfair treatment due to race, religion, gender, sexual orientationRead MoreAffirmative Action is NOT Reverse Discrimination Essay2079 Words à |à 9 Pages Affirmative action is not the source of discrimination, but the vehicle for removing the effects of discrimination. The Labor Department report found less than 100 reverse discrimination cases among more than 3,000 discrimination opinions by the U.S. District Court and the Court of Appeal between 1990 and 1994. Discrimination was established in only six cases. The report found that, ââ¬Å"Many of the cases were the result of a disappointed applicantâ⬠¦. erroneously assuming that when a woman or minorityRead MoreEssay on Affirmative Action is Reverse Discrimination1010 Words à |à 5 PagesAffirmative Action is Reverse Discrimination à When the Civil Rights Bill was being debated on the floor of the Senate, Barry Goldwater predicted that this particular bill might be abused. Herbert Humphrey, however, stated that he would eat every page of the bill if ever it were used to justify discrimination against anybody on account of race or sex. The bill eventually passed and became the Civil Rights Act. From college admissions to government contracts, the Civil Rights Act has been grosslyRead MoreDiscrimination And Sexual Harassment And Affirmative Action1594 Words à |à 7 PagesDiscrimination and Sexual Harassment Most companies engage in some type of affirmative action policy. Affirmative actions are policies that are placed to engage in the improvement of underprivileged groups who either currently suffer or have historically suffered from discrimination and equality of opportunity. During our lecture, Dr. Kallfelz stated that affirmative action is a, ââ¬Å"Proactive policy with primary immediate attempt to reform (and long term attempt to prevent and deter) socioeconomicallyRead MoreEssay on Reverse Discrimination and Affirmative Action4000 Words à |à 16 PagesReverse Discrimination and Affirmative Action Discrimination in employment has been an issue that has plagued our society throughout history. At the turn of this century it was acceptable to advertise job openings and specifically state that people of a certain race, color, religion, gender, or national origin need not apply. A lot has changed over the last 100 years. The proverbial pendulum has swung in the direction of federal protection of certain people, but the problem now is thatRead MoreAffirmative Action : Discrimination Against Minorities1513 Words à |à 7 PagesOthmane Ezzabdi AP Seminar Affirmative Action Affirmative action has been apart of the work environment in America since the 1960s until present time. Its main goal has been to suppress the discrimination against minorities and to give them a fighting chance to succeed in achieving their goal of living the American dream all in an act to counter the inexcusable racism and discrimination that has been inhumanely placed on to the minorities over a century ago in the United States; it will ultimately
Wednesday, May 6, 2020
The Duty Of Veterans And The Military Field - 1461 Words
I am writing a paper on an issue I have seen a lot being a soldier in the military, and working in the medical field. This is an issue that is very important in the field I would like to be working in when it comes to the veterans and the military. This is something I need to understand and be able to explain to soldiers, veterans, and their families when this issue comes up. What a lot of people do not know is that not everyone currently serving in the military is covered under HIPAA in the United States. No matter what branch you are serving in, your medical information is open not just to you and your doctor. It is also open to personal personnel in your chain of command. Where other soldiers could read your medical informationâ⬠¦show more contentâ⬠¦But if you are in the military, it does not matter what branch you are serving in. You are not covered under the HIPAA federal Act of 1996. Your medical information can be seen by other people, not just you and your doctor. Your First Sergeant and company commander can look at your medical records to see why you are on certain restrictions and/or if you are mission capable. Law enforcement can look at your medical records without a warrant for their purposes, and you also have other military personnel who have access to your medical information to see if you should be promoted and if you can go to a specialty school (special force, military covert intelligence, or missions that will put a strain on a soldierââ¬â¢s body). A soldier is covered under HIPAA DoD Health Information Privacy Regulation DoD 6025.18-R. This is a form of HIPPA and is very close to the HIPAA Act of 1996 when it comes to its rules and regulations. When it comes to disclosure for law enforcement purposes, the military could disclose the soldierââ¬â¢s medical information for lawful purposes. It If a soldier is going to a specialized government function (specialize school, promotion schools ). The military needs to look at a soldiers medical records to make a PHA (physical and or mental health assessment) to see if they are mission ready or mission capable. . It is open to your First Sergeant, company commander, and several other members in the military to have access
Globalization of Healthcare free essay sample
However, one could draw conclusion, using Hill, Charles W. L. (2011), that several mitigating factors have enabled not only the globalization of marketable production-based goods, but also of service-related industries such as legal services and using medical diagnostics as well as surgical procedures; the case makes a compelling, if somewhat incomplete, case for globalization based upon factors such as cost reduction and improved quality of care; however, further research supports the case studyââ¬â¢s findings. Facilitating Developments Factors such as a perceived shortage of qualified cardiologists to meet a rising demand for services is a possible explanation. Although, in the Time Magazine article by Brill, Steven (2013, March 4), he exposed the widespread practice of ordering medically unnecessary CT scans. Statistics show that the use of CT scans alone has more than quadrupled in recent decades, many times to ward off a possible malpractice lawsuit, but oftentimes to drive up profits. The demand for more skilled physicians to interpret results may be genuine, yet it is exacerbated by profit-driven hospitals eager to pay for expensive equipment within a short time. As surmised by Hill, Charles W. L. (2011), making much-needed care more accessible and affordable certainly makes outsourcing to less costly, but equally skilled, physicians in Mexico, India, and Singapore more attractive. Additionally, escalating costs of health care in the U. S. (driven mainly by hospital / pharmaceutical profits as our countryââ¬â¢s sixth largest economy), nd technological innovations, which would allow efficient use of ââ¬Å"outsourcing,â⬠both contribute to the globalization of health care. As stated by Hill, Charles W. L. (2011), the assigned case cites U. S. surgical costs in the hundreds of thousands for surgeries such as hip and bypass surgeries while those same surgeries, with travel expenses included, cost much less when outsourced. Furthermore, technological advancements in the past several decades have greatly increased efficiencies with immense cost-saving and life-saving benefits. Per Hill, Charles W. L. (2011), a great argument can be made for outsourcing diagnostics to the other side of the world; while American doctors are asleep, Indian counterparts can be hard at work interpreting films or CTs, readying the results for swift treatment the next day. One of the most important factors supporting globalization, however, is the pushback of insurance companies and uninsured / underinsured consumers in an effort to reign in costs and create a more competitive health care economy. In a Time Magazine article by Brill, Steven (2013, March 4, the investigative journalist and author published several startling facts: Americans pay more per person for health care than Denmark, Australia, Japan, and Spain, yet our life expectancy is lower; we are number 50th in infant mortality, and 69% of American citizens whoââ¬â¢ve experienced medically-related bankruptcy ââ¬Å"were insured at the time of their filing,â⬠meaning insurance failed to protect other valuable assets in a time of major illness or injury (p. 29). I surmised from Hill, Charles W. L. (2011) that it is no wonder that American employers, together with large insurance carriers such as Aetna, now encourage its health insurance customers to seek treatment abroad in order to reduce costs. Who Benefits? Who Loses? Given the spiraling costs of U. S. healthcare, many entities seek to benefit. Americans currently insured or underinsured will be encouraged by insurance carriers to seek treatment abroad to reduce costs, thereby saving potential out-of-pocket expenses once an insurance cap has been reached, reducing medical bankruptcy. American businesses may be able to take advantage of premium reductions offered by insurance companies should their employees agree to globalized care for major medical procedures or serious conditions which require single treatments or procedures; follow-up could be maintained in stateside facilities while the bulk of surgical procedure costs are reduced without sacrificing quality of care. Employees receiving better care will be a more productive asset to their employers. U. S. mployers, citizens, and insurance companies all stand something to gain, but it should also be noted that developing countries will also benefit; an increasing demand for their services will not only assist in honing their skills, but will also bolster their countryââ¬â¢s economy, standard of living, and GDP. Other developing countries will also benefit as they will have more medical options as well as training centers to foster their own medical communities, thereby improving world health. The largest potential losers are still the uninsured with no obvious means to pay for out-of-pocket procedures, in spite of deep discounts. The case, Hill, Charles W. L. (2011), makes a vague reference to ââ¬Å"recent legislationâ⬠, which one can assume refers to the ââ¬Å"Affordable Care Act,â⬠designed to bring coverage to millions more uninsured; however, affordability will still be an issue for privately insured/underinsured patients, according to Steven Brill, who exposed the ââ¬Å"Chargemaster,â⬠a driving force behind escalating healthcare costs in the U. S. It is an exhaustive list at each U. S. hospital, a listing of hospital services and corresponding charges, each charge bearing no relation to actual costs; every hospital sets the prices of its own Chargemaster; no hospitalââ¬â¢s pricing schedule resembles that of another, nor do they seem to be based on anything objective, such as actual cost According to Brill, Steven (2013, March 4). hospitals, non-profit ones especially, have built in astronomic profits for basic procedures, laboratory tests, and have been caught padding bills which Medicare would never pay, but which are still submitted to insurance companies and private citizens after receiving treatmentâ⬠(p. 22). As concluded by Brill, Steven (2013, March 4), because there is no current legislative oversight reducing what hospitals can charge those who arenââ¬â¢t on government-subsidized healthcare, hospitals do not participate in free-market, capitalized-based competition with one another, nor are they transpar ent about the basis for their charges. For these reasons, hospitals themselves stand to lose a great deal; they could see their profits erode as more savvy insurance agencies, employers, and citizens seek out a global market which is competitive and fair. Risks of Health Care Globalization One obvious risk of globalization is to the U. S. health care market and the arrogance fostered by the lack of regulation. Once again, U. S. hospitals are not transparent about how charges are determined as they bear little relation to actual costs. For example, according to Brill, Steven (2013, March 4), excerpts were used from actual hospital invoices; free from price regulations, patients are routinely charged $18 each for diabetes test strips (consumers can purchase for 55 cents each), $24 for a niacin tablet (in drug stores for about a nickel a piece) and CT scans for $6,538 (Medicare would pay that same hospital $825 for three scans based on actual costs). As stated by Hill, Charles W. L. (2011): Should U. S. hospitals be required to reign in domestic costs and succumb to regulation to remain competitive globally? Or do we hope that globalization alone levels the playing field? If they outsource services to India or Singapore for diagnostics, would U. S. hospitals or physicians ethically pass on those cost savings to patients or insurers? Or simply pad their profit margins? And although the text does assert studies which demonstrate quality care is already available in Mexico, India, and Singapore. (p. 42) There are dangers inherent in rapidly expanding where U. S. insurers send patients; subpar facilities may be utilized in order to curb costs; regulation and oversight must be included to facilitate safe, responsible implementation of health care, both home and abroad. Is Globalization Worthwhile? For many reasons previously discussed, globalization of healthcare, with proper oversight and some crucial regulation, is a breakthrough. No longer would patients or insurance companies (only Medicare is immune) be forced to pay exorbitant ââ¬Å"Chargemasterâ⬠rates for U. S. healthcare, which has already been proven to be lacking in many areas. No longer would patients view treatment options as limited by geography; the increasing hospital conglomerates in the U. S. which are systematically reducing competition, would have genuine global competition. For the first time since Medicareââ¬â¢s inception, thereââ¬â¢s a genuine opportunity to stem the tide of skyrocketing medical costs, increase care efficiency, and foster real competition for complacent domestic health care providers whoââ¬â¢ve long viewed their services as geographical monopolies: for too long health care has been exclusive to an area, much like utilities such as water and pow er, but without any legislative oversight necessary to protect the American people from abusive costs. As asserted in the expansive article by, Brill, Steven (2013, March 4). , ââ¬Å"if you are confused by the notion that those least able to pay are the ones singled out to pay the highest rates, welcome to the American medical marketplaceâ⬠(p. 22). Globalized health care may be the cure for what ails us. References Brill, Steven (2013, March 4). Bitter Pill: How outrageous pricing and egregious profits are destroying our health care. Times, 181, 16-55. Hill, Charles W. L. (2011). International Business (9th Edition). McGraw Hill Irwin.
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