Health Care Spending Essay Example for Free

Health Care Spending Essay â€Å"Historically, U.S. health care spending has grown at rates exceeding the economy’s growth rate, often by at least 2 percentage points per year† (Holahan McMorrow, 2012, 393). Recently, it seems that the rate of health care spending has slowed down a little, though no reasons can be pinpointed as to why this is. There are many factors that affect the growth of health care spending, and plenty of solutions have been proposed to help improve this issue. Factors such as advancements in medical technology and an increase in the price of prescription drugs cause health care costs to rise year after year. Solutions have been presented and implemented, like Medicare and Medicaid and managed care plans, however, even these components have added to the health care spending issue. With all the discussion and debate, one thing can be agreed upon, something needs to be done. In recent years both public and private payers have experienced an inclement rise health care spending that has exceeded income growth. This growth started right after the end of World War II and has continue to increase every ten years, health care spending has exceeded the gross domestic products (GDP) which had a projection of 26% by 2035 taken for health care spending, prior the health care reform was passed. This number is only going to continue increasing, which bring in the importance of control the spending since the nation’s long-term fiscal balance will be determined by the future rate growth in health care cost. According to Chernew (2010) the primary determinant of spending growth is the development and diffusion of new medical technology. However this does not imply the establishment of new technology rather focuses on how to use it with technologies and systems already in use, in other words make it compatible to work together. The diversity of technologies contributing to spending growth generates a diversity of pathways by which technology increases spending. These includes high unit cost driven capital cost or the need for specialized labor, high volume, or cost related to complementary services. Because the past rate of health care spending growth is not sustainable, both private and public payers will take action to lower spending. Those actions may not necessary alter the forces that historically have driven up spending, but they will be designed to address the immediate problem of high sending. There are many options from cost sharing from patients, reductions in payments to Medicare Advantage, fee reductions under the new payment rules implemented with Patient Protection and Affordable Care Act. On the article there is a suggestion that I find interesting about Global payments, which is an alternate form of bundled payments which is a program use to pay a fixed fee for a set of services related to a specific episode of care. This might be a good solution for the situation we are facing now, because it would give providers the opportunity to profit with reduced revenue, and even share some of the savings form not using health care services. Yet in order for bundled payments system to be successful the need of having the proper tools to improve the efficiency of care. Many providers will be able to develop these tools, but it would require partnership between facilities, physicians, and insurers. For the system to be successful it would have to carefully manage practice pattern changes due to new technology, adjusting aggressiveness based on the generosity of bundled payments updates. If bundled payments encourage efficiencies, they may reduce the level of spending more than spending growth, and that is exactly the area we as country need to be working on. According to President Obama, â€Å"We do not have a spending problem; we have a health care problem†. This statement was alarming to many Americans. The President feels that healthcare spending on the aging population is the number one fiscal problem. Then why is the solution taking so long? With Obamacare, Medicare will see cuts up to $716 billion. Where will this leave the Americans who receive Medicare? How can they still receive health care with this much of a cut? Will Providers be willing to provide the same high level of care with the high cut to their expected fees? There is no way of knowing if this will even solve the health care spending problem or if it will create even larger problems for Americans. Budget cuts will be needed in other areas to make these cuts to health care spending improve the financial state of our country (Galupo, 2013). According to New Republic’s Jonathan Cohn, the new health care reform addresses the cost of health care rather than health care spending. He argues the proposed spending cuts will address the health care spending problem along with other budget cuts. Obamacare may not be a good solution to the current health care spending problem in America. Many suggest that the new law’s affect on provider reimbursement rates will have a huge impact on access to care for many seniors. This can greatly affect the health of our aging population. Spending cuts projected for Medicare and Medicaid will help that aspect of health care spending but with the added subsidies for people to purchase private health insurance, the savings just do not add up. When it comes to health care spending there is much controversy on what increases health care cost, what measures we can take to keep health care cost down, and what actions we can take to make health care affordable without limiting health care. According to kaiserEDU.org the chart provided below shows how costing allocates throughout the nation. â€Å"Hospital care and physician services combined added up for half (51%) of the nation’s health expenditures.† Below is a diagram from the year 2010 of the nation’s health expenditures. National Health Expenditures, 2010 Totaling up = $2.3 Trillion Some major growth health care costs include a rise in chronic disease, administrative cost, or technology or prescription cost, although there may be many more expenditure that adds up to the growth in health care cost these three have been discussed to have the biggest effect on the nation. As technology continues to advance over the years to come, we may face more health care struggles, so being prepared for the unexpected leads to a healthy future. Health care spending continues to be a concern for most Americans. â€Å"The nation’s efforts to control health care costs have not had much long-term effect, prompting a debate over what proposals are actually able to reduce for the long-term. Approaches are largely divided by debate over a stronger role for government regulation or market-based models that encourage greater competition† (kaiseredu.org). Plans such as Obamacare are being implemented, but these plans are not solving the problem. Political debates and public discussions will continue as people try to figure out what factors are responsible for this problem and what solutions are truly aimed at achieving optimal health care at affordable costs. References Chernew, M. (2010). Health Care Spending Growth: Can We Avoid Fiscal Armageddon?. Inquiry,47(4), 285-295. Galupo, Scott, 2013, Let’s Split the Difference: We Have a Healthcare Spending Problem, The American Conservative, Retrieved February 14, 2013: http://www.theamericanconservative.com/lets-split-the-difference-we-have-a-healthcare-spending-problem/ Holahan, J. McMorrow, S. (2012). Medicare and Medicaid spending trends and the deficit debate. The New England Journal of Medicine, 367(5), 393- 395. Senger, Alyenne, 3013, No, Obamacare Does Not Lower Health Care Spending , The Founder, Retrieved February 16, 2013: http://blog.heritage.org/2013/02/12/no-obamacare-does-not-lower-health-carespending/ The Henry J. Kaiser Family Foundation. (n.d.). U.S. Health Care Costs. Retrieved from http://www.kaiseredu.org.

Graduation Speech: We Are Giants :: Graduation Speech, Commencement Address

Sept. 8, 2008: Colossal corridors and mammoth Seniors greeted our frightened Freshmen. Though we clung desperately to our remaining drops of confidence from the pinnacle of eighth grade, they evaporated under the sheer intensity of high school. We dared not poke our unprotected heads out to view this new realm, too terrified of who or what we might find. Some of us, it seemed, feared our strange surroundings would swallow us whole. Fortunately, curiosity overpowered even the most paralyzing insecurity, and slowly we prodded our boundaries, cautiously testing our skills and talents. We joined clubs and teams that matched our abilities, carving a circle of compassionate friends from the once-distant swarm. And backed by the support of these caring allies, we settled into the routine of adolescence. Until someone uttered those eight terrifying words: "What will you be when you grow up?" Of course, we had first been introduced to this ambiguous question while still in diapers, but always had brushed it aside with the thought, "I'll decide later." High school, we discovered, was later. So we embarked on the tedious process of inventing our dreams. We scoured the career center, hounded our counselors, pestered our parents and teachers. We pleaded with friends to answer in our stead. Certainly, we knew it was our decision, but we had to try to get out of it, right? Make someone else decide. But there is one instant in everyone's life when they explode from beneath that Xeroxed shroud of "General Public" and slip into the shimmering gown of "Individualism." Soon we understood that to find our passions we must step beyond the tight, comfortable confines or our abilities. We were forced to expose ourselves once more to the vulnerability of trial and error. But this time, as we delved into unfamiliar activities, we had the self-assurance to attempt the experiment. And so, amid the swirling waters of high school, backed by constant guidance from faculty, parents, and peers, we gradually formulated a future.

Critical Thinking Model Example

1. I believe a college education is the most important goal a young person should pursue. 2. From my point of view the concept of a ‘college’ is an accredited institution that offers a liberal arts program in addition to specific subject areas. Its importance should be in the top 3 areas of a young person’s life. 3. An example would be the small college I attended where I was introduced to a broad liberal education. 4. I have always held this view.My parents influenced me and then I was able to ‘test’ this view out when I chose my college and the degrees I earned. I always knew you could major in a lot of areas without the need to be that specific. 5. I am assuming that most people have the opportunity to experience college and can afford it. They have both the resources and the will to succeed in college. 6. A liberal education introduces the student to a vast body of knowledge, encourages them to become a free thinker and provides a foundation from which they can build upon and refer back to.Studies suggest that top employers value good communication skills, problem solving skills and the ability to think independently. A liberal education provides this skill. 7. Another POV is that people excel in lots of different areas and can pursue a trade college or skill and begin making money right after high school. 8. Even though many people do not have the ability or resources to go to college and begin working, I conclude if resources and talents allow, a liberal education is an invaluable pursuit in a young person’s life. . The consequences of believing in a liberal education are that colleges need to continue to receive the proper funding to keep liberal arts programs running and alive. They also need to make sure that enough aid is awarded to those students that cannot afford to attend. And finally, family and work need to take a backseat in order to fulfill the requirements of college life.

19 Terms to Know from Homeric Epic

The following terms or concepts help characterize epic poetry. Try to find them when you read the Iliad, Odyssey, or Aeneid. Aidos: shame, can range from a sense of respect to disgrace Aition: cause, origin Anthropomorphism: Literally, turning into a human being. Gods and goddesses are anthropomorphized when they take on human qualities Arete: virtue, excellence Aristeia: a warriors prowess or excellence; a scene in battle where the warrior finds his (or her) finest moment Ate: blindness, madness, or folly that the gods may impose with or without the fault of the human. Dactylic Hexameter: the meter of epic has 6 dactylic feet in a line. A dactyl is a long syllable followed by two short. In English, this meter winds up sounding sing-songy. Daktylos is a word for a finger, which, with its 3 phalanges, is like a finger. Dolos: trickery Geras: a gift of honor In medias res into the middle of things, the epic story begins in the middle of things and reveals the past with narratives and flashbacks Invocation: at the start of epic, the poet calls upon the Goddess or Muse. The poet either believes or adopts the stance that the poem couldnt be composed without divine inspiration. Kleos: fame, especially immortal, for a deed. From a word for that which is heard, kleos is renown. Kleos can also refer to praise poetry.See Reading Epic: an Introduction to the Ancient Narratives, by Peter Toohey Moira: portion, share, lot in life, destiny Nemesis: righteous indignation Nostoi: (singular: nostos) return voyages Penthos: grief, suffering Timē: honor, should be proportionate to arete Xenia (Xeinia): bond of guest-friendship (xenos/xeinos: host/guest) Personification: treating an abstract or inanimate object as if it were living

Introduction to Boxplots

Hip Hop Reflection - 1760 Words

For my lesson, I decided to teach Hip Hop history through a particular sub-culture known as â€Å"battle rap†. My student was Bradley Girigorie, a 21 year old male. I went on to explain to Brad that if it was not for battle rap, the culture of Hip-Hop would be a lot different than it is today. First, I started the lesson by saying Hip Hop was more DJ oriented during the early stages of the genre. That rap battles during the 70’s and 80’s were more about crowd presence rather than better lyrics. I continued to explain that the first rap battle between Kool Moe Dee and Busy Bee ended up making a shift where the Emcee became the star of the show. Because of Kool Moe Dee’s victory, it revolutionized lyrical raps, which ends up being one of the†¦show more content†¦Now the phrase â€Å"verbally articulate† serves as better verbs than â€Å"understand† because verbal articulation is an action that a student must perform in order for the learning objective to be successful. Using â€Å"understand† as the verb leave too much for interpretation because there’s not a lot of ways to assess how well a student understands the content. Not to mention that the new learning objectives gives administration and students a idea of what my assessment will be at the end of the class. The new learning objectives correlates with Anderson Krathwohl’s (2001) Taxonomy table. Where students will be able to analyze attributing by breaking down Hip H op into one category (in this case, battle rap); critique the information; and generating a conclusion or an understanding of the content. Each learning objective fell under conceptual knowledge in the taxonomy table (Anderson Krathwohl, 2001). This is shown throughout the video, and I think that is something I will keep for my lesson redesign. The nature of the lesson involves a small section (battle rap) of a genre/culture (Hip-Hop) and how that section changed/shaped different elements of that genre/culture (rapping). Not to mention with the new learning objectives, I will be using more dates and locations for my students so they can get the knowledge of classification and categories (2001, pg. 29). Equilibration was used during this lesson. This was shown atShow MoreRelatedThe Impact Of Hip Hop Music On America1491 Words   |  6 Pagesdescended from all African culture and tradition. Today, Hip-hop music in America is generally considered to have been pioneered out of New York s South Bronx in the early 1970’s by a Jamaican-born DJ Herc. By the time mid-1970s, New York s hip-hop gained wide-spread popularity and the scene was dominated by seminal turn-tablists DJs Grandmaster Flash, Herc and Afrika Bambaataa. The rappers of a group named â€Å"Sugarhill Gang† produced hip-hop s first commercially successful hit, Rapper s DelightRead MoreEssay on The Globalization of Hip Hop Music1498 Words   |  6 PagesAccording to Wikipedia, Hip-hop music, also called rap music, is a musical genre consisting of a stylized rhythmic music that commonly accompanies rapping, a rhythmic and rhyming speech that is chanted. It developed as part of hip hop culture, a subculture def ined by four key stylistic elements: MCing/rapping, DJing/scratching, breaking/dancing, and graffiti writing. Hip hop is also characterized by these other elements: sampling (or synthesis), and beatboxing. Hip hop music developed from partyRead MoreThe Youth Oriented Hip Hop Movement1498 Words   |  6 Pagessuch is the hip-hop movement. 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The lead directors of these measures are strong, empowered, talented men who come across as if theyRead MoreThe Hip Hop Generation And Its Impact On Society1371 Words   |  6 PagesDominiquie Gray English- 102 Argumentative Essay 6 December 2015 The Hip Hop Generation and its Impact on Society. Throughout history, Hip Hop has manifest into more than a simple form of life, but as a powerful cultural movement. Hip Hop plays a major part in African American culture, dialogue, fashion, and self expression. Today, Hip Hop has a joined people of many nationalities, races, and ethnicities as a society. The Hip Hop Generation has begun to redefine African American cultural normsRead MoreReligion in Rap Music1550 Words   |  7 PagesHip hop music, also called hip-hop,rap music or hip-hop music, is a music genre consisting of a stylized rhythmic music that commonly accompanies rapping, a rhythmic and rhyming speech that is chanted. 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Hip-hop’s massive influence on the EnglishRead MoreHip Hop Culture And Culture1196 Words   |  5 PagesHip-Hop Culture and race have had a complicated relationship in the past two decades. It has been commonly referred to as â€Å"black music† and a reflection of black culture. However, recent studies done by the Mediamark Research Inc. showed that 60% of rap music buyers a re white. With the emergence of white, Latino, Asian, and other rappers with diverse backgrounds on the Hip Hop scene it is important recognize the changing color of the genre and the stereotype it holds as â€Å"black music†. Black cultureRead MoreHip-hop was a cultural movement. It emerged in the early 1970s from the South Bronx. Hip-hop came1300 Words   |  6 PagesHip-hop was a cultural movement. It emerged in the early 1970s from the South Bronx. Hip-hop came from the â€Å"ghetto† and it became a cultural force of social protest and creativity. 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Company Layoff Free Essays

Historically, layoff is often associated with bad publications for companies performing it. Furthermore, there are various other negative effects that are associated with the application of layoffs. Sometimes, layoff is the only way that the company must perform, in the sense that managers of the company have no other solution to cope with problems of the company. We will write a custom essay sample on Company Layoff or any similar topic only for you Order Now Despite the comments of observers and researches revealing the bad effects of massive layoffs, company layoff still becomes a part of modern companies’ daily lives. Concerning the issue, this paper will review articles about layoff and several important factors. The review aims at creating a simple conclusion regarding the practice of layoffs and their tendencies. Afterwards, the paper will use one of the latest layoff policies to justify the conclusion and also to evaluate the layoff within a company. The focus of the paper is to describe the effects of company layoffs and present a practical example of the conclusion. Company Layoff Definition By definition, layoff refers to a termination of employment of an employee or group of employees due to unfavorable business situation. The term is common in the business environment and does not often generate uneasiness. However, mass layoffs often become the source of debacle and confrontation in the workplaces. Firing employees in individual manner does not generally raise too much problem because they generally contain justified reasons of why the employees’ employment must be terminated. In addition, mass layoffs often generate trouble due to the fact that mass layoffs are performed solely due to economic reasons. In other words, employees being laid off could have performed no mistake in hi/her job that deserves the termination of employment. Within this paper, the discussion is focused more on mass layoffs rather than individual layoffs (Layoffs, nd.). Why Layoff   Researchers identify two reasons concerning layoffs. The first category relates to the internal condition of the company in which layoffs are performed. Companies perform layoff because of profitability reasons. The goal of performing mass layoff is to reduce the labor cost of the company. This is true since in most manufacturing companies, labor costs become significant parts of the operational costs of the company. Therefore, reducing the labor cost without hurting revenues could mean enhanced profitability (Layoffs, nd.). However, some layoffs occur because management believes that revenues in future periods will go down. This could be the result of enhanced competition, problems with corporate supply chain, changes in managerial structure, etc. In order to maintain profit, management often decides to cut labor costs (Layoffs, nd.). Another reason of performing mass layoffs is external reasons. A downturn in macroeconomic conditions could result in financial problems for most companies. This macroeconomic downturn could have effects limited to certain industries or could happen nationally. In order to cope with such problem, companies could decide to cut labor costs and saves some level of profitability. This type of mass layoffs generally costs less debacles because ’everyone is going through the same problem’ at the time. However, there are also records that macroeconomic downturn and mass layoffs in some countries result in widespread class actions and public protests. General Effects of Layoffs   Layoffs are often performed as the last solution. In other words, layoffs are seen as the last solution to save a company from a terrible fall. Nevertheless, the fact often denies that premise. Layoffs often decrease corporate value rather than enhance it. Researchers state that this is due to the poor tendency of managers and business owners to look only to the financial aspect of the layoffs. In other words, they often neglect the intrinsic effect of the layoffs. The financial aspects of layoffs are generally easy to calculate, however, managers generally fail to assess the value generated by employees that must be laid-off. Thus, managers could well be loosing more value from the layoff compare to the financial savings they gain from the process (Hymowitz, 2007). Another bad effect of layoffs generally comes from the layoff that influence working environment. Layoffs often reduce employees’ motivation. Surviving employees generally becomes more wary and possess the feeling of unsafe which reduces the working performance of employees. Moreover, the feeling of unsafe could generate the decision to seek for new jobs rather than waiting with uncertainties (Hymowitz, 2007). How to Make the Best Layoffs Layoffs are generally correlated to bad business. The term generates negative atmosphere for most people in the working environment. Therefore, business owners and managers generally place layoff decisions as a last resort rather than a preferable alternative. Some alternatives to layoffs are: establishing a hiring freeze, relocate employees to other sections or departments, cutting managerial and administrative salaries, shortening the work week, offering early retirements, etc. However, if layoffs are imminent, there are some activities that could reduce the negative effect of mass layoffs (Sullivan, 2001). The first step in making the best of corporate layoffs is planning the layoff strategy. This includes identification of common problems that could happen during layoffs. Managers of the company are suggested to perform researches and benchmarking to the best practice of company layoffs. Identification and evaluation of all alternatives to layoffs must be performed prior to deciding any layoff decisions. Planning the layoff strategy also involves preparing the budget for layoffs, notifying everyone involves and affected by the layoffs, etc. The second step of managing layoff is making sure that we involved all the people that should be involved in the layoff decision, like CFO’s, HR officers, the corporate attorney, senior managers, etc. The company must them select a layoff expert, this person is responsible for the layoff process and to educate others on how to perform effective layoffs. In addition, the worker’s union must be involved within the process. Lack of educating the union leaders about the necessity of the layoffs could mean failure in performing effective and successful layoffs (Sullivan, 2001). The third step is managing the process carefully, this includes the preparation of a worst case scenario and socialization of involve people, setting the layoff criteria and maintain the credibility of the criteria during the process, identification of top performers, the people that the company cannot afford to loose and protecting them, etc (Sullivan, 2001). RadioShack RadioShack Corporation is a chain of electronic retail stores in the United States, Europe, Central America and South America. The company has 6,000 stores in USA and has reported sales of $ 4.6 billion in 2006. In August 10, 2006, the company announces the layoff of 400 to 450 employees at the company headquarters. Company officials assert this action is necessary to reduce company’s overhead expense and enhance competitive position in the marketplace in the long term. The action is also decided to support small number of stores having financial trouble. In the company headquarters, 1 out of 5 positions are eliminated which affected employees of all levels in RadioShack. The layoff decision by the company is widely understood by many observers; however, the layoff generates significant controversy because of the manner in which the layoffs are performed. The 400 employees are notified of the layoff 10 days in advance of the actual layoff. Email notification was delivered to employees who were terminated. In August 10, 2006, employees were sent the emails and they were given 30 minutes to pack up and say goodbye to co-workers and then meet their senior supervisors. After the meeting, a larger meeting was held to deliver the employees with their benefit packages and ask their questions. This manner of layoffs generates a widespread public attention. Many state that they have never seen such amount of employees laid off by emails. According to the general practice of corporate conduct, this demonstrates the lack of sensitivity by corporate management. The company has performed various efforts to delete reportage of this incident. According to some observers, this is one of the worst practices of corporate layoff in the history of corporate social responsibility. There are many articles that respond with cynicism in reaction of the poor methods of firing people who have been contributing to the company’s success, some even for many years. I believe that the company will not obtain the value they aim for when they decided to perform this layoff decision. As discussed above, there should be various measures to face the negative effects of layoffs to employee morale. Insensitive behaviors like one performed by RadioShack will significantly hurt employee morale and their respect to the managers of the company. In result, working productivity could be seriously affected. Bibliography Hymowitz. Carol. 2007. ‘Why Layoffs Could Cost More Than They’. CareerJournal. Retrieved March 24, 2007 from http://www.careerjournaleurope.com/columnists/inthelead/20010725-inthelead.html ‘RadioShack lays off employees via e-mail’. 2006. USATODAY. Retrieved March 24, 2007 from http://www.usatoday.com/tech/news/2006-08-30-radioshack-email-layoffs_x.htm Save‘Layoffs Common but Still a Company’s Last Resort’. N.d. Jobwerx. Retrieved March 24, 2007 from http://www.jobwerx.com/HR/layoffs_common.html Slaggle, Matt, 2006. ‘RadioShack to offer free online training’. USA TODAYRetrieved   March 24, 2007 frrom http://www.usatoday.com/tech/news/2006-10-18-radio-shack-classes_x.htm Sullivan, John. 2001. ‘Key Steps in Effective Layoffs’. ERE.net. Retrieved March 24, 2007 from http://www.ere.net/articles/default.asp?d=HCID={B6BCB155-2D2F-4C2E-82EC-CB33C6D1E3F9} How to cite Company Layoff, Essay examples