Health Care Delivery Systems Essay Example for Free

Health Care Delivery Systems Essay Abstract The American health care system is designed to focus on the organizations of individuals, places, and to treat and prevent adequate health care for the target populations. The federal government conducts an immense portion of delivering health care systems in our world today. The purpose for health care delivery systems is to provide financial tangible benefits and provide health care services for the population and institutions. The results showed for the support of the hypothesis is elaborating in the importance of different health care delivery systems and the purpose in how they are utilized in today’s health reform. Running Head: Health Care Delivery Systems Essay Health Care Delivery Systems Health care systems engage the initial contact of people and it is the foundation of primary health care. In order to receive primary health care it begins with providing a service to families, people, and communities through health professionals and their teams. The Health care delivery systems is involved with a proactive method to prevent health issues and to better ensure the organization and to investigate once a health issue has transpired. In addition, these type of services are publicly funded from general tax revenues without direct charges to the patient (Health Canada, 2011). The most two similar forms of health care delivery systems is managed care systems ex. (HMO) and fee for service (FFS). The fee for service plan is generally called Traditional Indemnity (Website 101, 2009). Fee for service offers flexible measures for the exchange of drastically high out of pocket expenses, it also requires a substantial amount of paperwork and premiums are high. Furthermore, some advantages are having the privilege in selecting hospitals and physicians of your own, and having the opportunity in receiving treatment from a specialist without a primary doctor referral. The disadvantages are high deductibles and the patient is responsible of paying twenty percent and the physicians are obligated to reimburse eighty percent of the expensive. Also, fee for service solely pays for â€Å"reasonable  and customary† health issues (website, 101). Doctors may have a different medical fee opposed to other areas, and the patients are obligated to pay their portion that is instated in health plan coverage. However, HMO is the less expensive and less flexible of all medical coverage’s. The advantages are consist of less paperwork and low copayments. It provides for a portion of improvement health preventive care plans. Unfortunately, there is disadvantages that the health care holder will experience with in choosing a PCP which is a primary care physician, and the HMO plan only accepts a network of their physicians or they will not stand up to the obligation of their financial transaction argument. In addition, in order for the client to see a specialist they must obtain a referral from their PCP. The expression Alternative Delivery Systems is created to entail all techniques of health care delivery systems barring acceptable fee-for-service and private practice like IPAs, PPOs, HMOs, and all other health care systems that provide health care of who conducts organized care systems. (http://aspe.hhs.gov/Progsys/forum/mcobib.htm). For example, Managed Care is a health care delivery system that merges payment and the delivery. It also accesses the use of treatments by engaging organization strategies creating to enhance the growth of cost-effective in the delivery of health care. Managed health care plan is a system that assimilates any management with in accordance of finance that delivers health care services of the covered population. In contrast, PPO also known Preferred Provider Organization is the delivery system that commits with medical care providers who gives discounted fees to clients. Nevertheless, clients have the opportunity to give health care to participants who are not members but can potentially become financial penalized due to any action of seeking out side providers and face consequences of not receiving discount and any deductibles of one’s health care plan and copayments. Goals of Health Care Delivery Systems. The reason HMO’s are unique because they prepaid and they are managed care systems that initially were health care alternative to fee-for-service health care. There goals is to obtain affordable and comprehensive health care coverage. This plan is conducted in advance by the option of a fixed fee from all members. Moreover, HMO delivers minimal cost for medical services that are needed for patients, and this health plan is responsible  in conducting the deliver and finance portion of the medical health care services. They also arrange to provide the essential medical care which includes the benefit packages. Prepaid Health Plans (PHP) is known to help make quality health care affordable for groups of people, including farmers, blue collar workers and their families† (Ahern, 2007) . In contrast, the traditional health care insurance only funds health coverage for hospital visits, and enrolled insures that receive health coverage in prepaid plans is charged a predetermined for acute and preventive health care from doctors who work in hospitals. As for PPOs, their health care philosophy originally was to create simple concepts in delivering health care services to large groups with lower rates in order to substantially gain a business development for their management. To emphasize, insures can select their own physician’s however penalties can potentially occur if they are not with the network. This form of health coverage is engaged in receiving adequate power with lower health care prices for their clients in the standing of the dense health care system in America. The fee for service (FFS) is ultimately focusing in creating options to approach paid private insurances to gain more control relating with time and the forms of treatment. FFS is designed to reflect on an ideal perspective for private health care plans, instead of government-administered pricing and giving proper recognition in private health care plans that can utilize health care organizations productively. This method will enhance quality and proficie ncy in delivering a regenerated approach in the health care industry (Nicolas, O’ Malley, 2007). Mission Statement If I had full control of conducting a health care delivery system I would focus in offering health care insurance for businesses, government organizations, people, families, groups, and schools. Also, I feel flexibility is significant for the process of selecting your own choice of primary doctors in the same network and receive great service with affordable payments. The health care delivery system will project and promote exceptional quality health care service is the HMO plan. This health plan will contribute in supporting by over exceeding expectations of all parties which includes employees, communities, work force, stake holders, investors, and customers.

Antigone--Who is the REAL tragic Hero? Essay -- essays research papers

Who is the Tragic Hero?   Ã‚  Ã‚  Ã‚  Ã‚  Many may say that Creon is the tragic hero of Antigone. Creon and Antigone ¡Ã‚ ¯s personas are equal-and-opposite throughout this play. The story belongs to both of them. Creon is the one who makes a mistake; his figure is perhaps more tragic. He ¡Ã‚ ¯s the one that realizes that he ¡Ã‚ ¯s wrong, and he suffers for it. Antigone walks to her death with her eyes wide open, without shame.   Ã‚  Ã‚  Ã‚  Ã‚  Antigone is the true hero of the play because she makes a correct, justifiable decision and dies by it. Creon is wrong. He is forced to live, knowing that three people are dead because of his ignorance, which many may say is a punishment worse than death. Since Creon is ruined in the end of the play, we might pity him, but admiration ...

Love Jones Review Essay

The consummate ladies man, Darius’ silky smooth presentation romises more sell than substance. And Nina’s recently Jilted heart isn’t looking for anymore of love’s kind of trouble. love Jones begins with Nina and her good girlfriend Josie Nichols (Lisa Nicole Carson) packing up what’s left of Nina’s disappointing relationship. Fearful that the scars left from this failed romance may be too deep for her to heal, Josie takes her to a night-time poetry-slam at the Sanctuary, where she encounters Darius for the first time. The Sanctuary is the local haven where poetry is the prime draw, and a favorite night spot for Darius and his friends Savon Garrison (Isaiah Washington), Eddie Coles Leonard Roberts), Sheila Downes (Bernadette Clark, and Hollywood (Bill Bellamy). â€Å"The romance dies between couples,† we overhear Darius telling his friends from his intellectual set, â€Å"because theyVe (people) given up on the possibility of it. † In an awkward introduction at the bar, Nina catches Darius off-guard and, uncharacteristically, he fumbles and spills his drink on her. He recovers minutes later when called to the stage to recite one of his poems. He makes the most of the moment by calling his sensuous creation â€Å"A Blues for Nina. † Flattered but embarrassed, she informs him in front of his friends that there are opics for poetry other than sex. When he asks her to name one, she writes the word â€Å"love† on his hand. Everyone is impressed; particularly Darius. Darius runs into Nina at a record store managed by his friend, Sheila. She is there because she has Just been fired from her Job as a photographer’s assistant and desperately needs to hear the Isley Brothers. When Darius approaches her, she acts as thought she vaguely remembers his name. Darius seizes the opportunity though, by playing her a tender rendition of â€Å"Parker’s Mood. † While Nina remains unreceptive at that point, she finally buckles and agrees to a date when Darius ppears, unannounced at her door presenting the very CD she had been looking for at the record store. He bribed Sheila so he could get her address and phone number off of the check she used to pay for a CD. His persistence pays off when a romantic statement â€Å"l Just want to come up and talk† leads to a passionate night at her apartment. The next morning, Darius and Nina confide in their respective friends Savon and Josie that, in spite of the incredible sex, â€Å"It ain’t no love thing,† they â€Å"Just kickin’ it. † Unfortunately, these two individuals aren’t exactly the best advisors they could have ound – Josie is way down on men and lives her life vicariously through Nina, and Savon is mired in the problems of his eight-year marriage (his wife left him and took their son). But Darius is getting interested. He even reveals to Nina the sacred location of â€Å"the Batcave† (his apartment), where some interesting foreplay ensues when she whips out her camera and tells Darius to take off his clothes. The romance advances. Then, out of the blue, Marvin Cox (Khalil Kain), Nina’s former fianc ©e, shows up asking her for a second chance. At Josie’s suggestion, Nina uses the offer to test Darius: Will he be Jealous, or coolly let her go? Darius pretends not to care, of course, and Nina moves to New York to see if she should resume her relationship with Marvin. Inevitably, Marvin and Nina’s differences are irreconcilable, and Nina returns the engagement ring and then heads back to Chicago. Hoping to reconnect with Darius, Nina and Josie go to the Sanctuary, to no avail. Darius has settled down with a new girlfriend, Lisa Oacqueline Fleming). Enter, Hollywood, whose friendly competition with Darius enables him to sense a prime opportunity for one-upmanship. Wood stops by the portrait studio where Nina now works to â€Å"cheer her up. † Tensions run high when Wood brings Nina to Sheila’s house for a party that he knows Darius will be attending. Nina, feeling like a pawn in a bad game of male egos, asks Wood to take her home. He refuses and Darius comes to her rescue. It’s their first meeting since she went to New York. She confesses she still has feeling for him, and he assures her that Lisa means nothing to him. Swooning, they make up and head for a date at the famous Blackstone Hotel. There, legendary Chicago DJ Herb Kent is hosting a â€Å"steppers† ball, featuring the inimitable dance style popular in Chicago. On the floor, Nina and Darius become a eam again. The fire is relit as they complete the evening with a wet, but romantic walk around Buckingham Fountain. Nina starts to inherit habits from Darius and vica versa. She starts smoking and develops a love for poetry. In return, he develops an eye for photography. But soon after their reconciliation everything starts to crumble. Nina finds Lisa’s telephone number around Darius’ apartment, and he gets the occasional Sam call that takes him out of the room. The issue of distrust rears its ugly head. Darius tries to smooth things over by whipping out her camera and telling her to take her clothes off, as she id in an earlier scene. But it is too late. â€Å"Come get your things from my apartment†¦ why would you be with someone you don’t trust? † The scene ends with Nina returning the key. Because of a Job offer from Vibe magazine in New York, Nina decides to move. Josie, serving as a reluctant Cupid, intercedes by telling Darius of Nina’s plans. He takes the cue and makes a gallant but futile effort to talk to Nina before she leaves. A year later, his book has been published, her career is off and running and Nina has been sent to Chicago to shot a Michael Jordan layout. Looking in vain for Darius t the Sanctuary, Nina takes the stage to recite a poem of her own. Startled, Darius turns and listens to her recital, which is about love remembered. â€Å"Funny what you can do in front of a room full of people,† she says, â€Å"and can’t do in front of one person. † The movie ends with Nina leaving the Sanctuary and seeing Darius outside. Darius starts off by saying, â€Å"Longtime no see. I enjoyed your poem. Nina, there have been mistakes on both sides and I apologize for my part. I want to put the past in the past. â€Å"Once again your timing couldn’t be worse†¦ you always want what you want hen you want it†¦ why is everything so urgent†, Nina says. â€Å"Nina, this here, right now, at this very moment, is all that matters to me. I love you and that’s urgent like a mother fucker. † love Jones shows that love can be inconvenient. It encourages everyone to approach love the way Nina and Darius do – scared, awkward, and even sometimes alone. There’s the obligatory handful of tragic misunderstandings, prideful arguments, over-orchestrated sex scenes, and betrayal and reconciliation’s. ove Jones steps back, allowing its characters to closely examine what is happening to them. They analyze their own instincts; wonder about each other’s feelings and even plot little traps to reveal the other’s true intentions Nina and Darius relationship is built upon the use of some key things: sex and sexual invitations, pick-up lines and relationship openers, music and poetry, the actions of all the movies characters, friends being confidants and advisors, and the use of â€Å"Baxter’s techniques† to acquire information about the relationship play vital roles. Their relationship proves that the movement in and out of the interaction stages is not set in stone. The stages conform to your situation. Nina and Darius seem to ollow this type of pattern: initiating, experimenting, intensifying, terminating, experimenting, intensifying, integrating, bonding, stagnating, terminating, and initiating. They are also struggle with the roles society has laid out for women and men. And are both trying to fgure out how to â€Å"play’ without â€Å"getting played†. They’re both secretly wondering how you get beyond playing and move on to the love. When you’re in your twenties, as Nina and Darius were, loving someone outside your friends and family can seem like a task for Mother Theresa. We twenty- somethings have been unleashed from our parents and the chances to experience exual encounters of all sorts are numerous. But flirting and playing is one thing. Building relationships with the human objects of our desires is a challenge that many of us fail at miserably. At one point in the movie, Darius asks his married friend Savon if he believes in the concept of soulmates. Savon’s response is that it depends on what day you ask him. You’re with who you’re with, he says. Love and marriage are pretty much what you make of them. love Jones doesn’t fully answer the soulmate question. In the end, we are only promised that Nina and Darius will be together as long as their belief in he possibility of romance lasts. eeting in a bar, the reluctant coupling, the Jealously and conflict, even a mad rush by one lover to stop the other from leaving on a train. love Jones showed me that there is Just no way around it: Love between a man and a woman is hard work. A conscious effort to relate to the opposite sex is what’s needed if we’re going to get the satisfaction we crave from that someone special. Our twenties can be about a lot more than simply getting our groove on. We can build lives with people while we are enjoy ing the fresh experiences we are having in our youth.

Everything You Need to Know About Anti-Vaxxers

Per the CDC, during January 2015, there were 102 reported cases of measles across 14 states; most linked to an outbreak at Disney Land in Anaheim, California. In 2014, a record 644 cases were reported across 27 states—the highest number since measles was considered eliminated in 2000. The majority of these cases were reported among unvaccinated individuals, with more than half  located in an Amish community in Ohio. According to the  CDC, this resulted in a dramatic 340 percent increase in measles cases between 2013 and 2014. Despite the fact that ample scientific research has disproven the falsely asserted connection between Autism and vaccinations, increasing numbers of parents are choosing to not vaccinate their children for a number of preventable and potentially fatal diseases, including measles, polio, meningitis, and whooping cough. So, who are the anti-vaxxers? And, what motivates their behavior? Pew Research Center found in a recent study of the difference between scientists and the publics views on key issues that just 68 percent of U.S. adults believe that childhood vaccinations should be required by law. Digging deeper into this data, Pew released another report in 2015 that sheds more light on views on vaccinations. Given all the media attention to the purported wealthy nature of anti-vaxxers, what they found might surprise you. Their survey revealed that the only key variable that significantly shapes whether one believes vaccinations should be required or be the decision of parents is age. Young adults are much more likely to believe that parents should have the right to choose, with 41 percent of those 18-29 years old claiming this, compared with 30 percent of the overall adult population.  They found no significant effect of class,  race, gender, education, or parental status. However, Pews findings are limited to views on vaccines. When we examine practices—who is vaccinating their children versus who is not—very clear economic, educational, and cultural trends emerge. Anti-Vaxxers Are Predominantly Wealthy and White Several studies have found that recent outbreaks among unvaccinated populations have been clustered among upper and middle-income populations. A study published in 2010 in  Pediatrics  that examined a 2008 measles outbreak in San Diego, CA found that  reluctance to vaccinate ... was associated with health beliefs, particularly among well-educated, upper- and middle-income segments of the population, similar to those seen in measles outbreak patterns elsewhere in 2008 [emphasis added]. An older study, published in Pediatrics  in 2004, found similar trends, but in addition, tracked race. The researchers found,  Unvaccinated children tended to be white, to have a mother who was married and had a college degree, [and] to live in a household with an annual income exceeding 75,000 dollars. Writing in  Los Angeles Times, Dr. Nina Shapiro,  Director of Pediatric Ear, Nose, and Throat at the Mattel Childrens Hospital UCLA, used data from Los Angeles to reiterate this socio-economic trend. She noted that in Malibu, one of the citys wealthier areas, one elementary school reported that just 58 percent of kindergartners were vaccinated, as compared to 90 percent of all kindergartners across the state. Similar rates were found at other schools in wealthy areas, and some private schools had just 20 percent of kindergartners vaccinated.  Other unvaccinated clusters have been identified in wealthy enclaves including Ashland, OR and Boulder, CO. Anti-Vaxxers Trust in Social Networks, Not Medical Professionals So, why is this predominantly wealthy, white minority choosing to not vaccinate their children, thereby putting at risk those who are under-vaccinated due to economic inequality and legitimate health risks? A 2011 study published in  Archives of Pediatrics Adolescent Medicine  found that parents who chose to not vaccinate did not believe vaccines to be safe and effective, did not believe their children at risk of the disease in question, and had little trust in the government and medical establishment on this issue. The 2004 study cited above found similar results. Importantly, a 2005 study found that social networks exerted the strongest influence in the decision to not vaccinate. Having anti-vaxxers in ones social network makes a parent significantly less likely to vaccinate their children. This means that as much as non-vaccination is an economic and racial trend, it is also a cultural  trend, reinforced through the shared values, beliefs, norms, and expectations common to ones social network. Sociologically speaking, this collection of evidence points to a very particular habitus, as elaborated by late French sociologist Pierre Bourdieu. This term refers, in essence, to ones disposition, values, and beliefs, which act as forces that shape ones behavior. It is the totality of ones experience in the world, and ones access to material and cultural resources, that determines ones habitus, and so cultural capital plays a significant role in shaping it. The Costs of Race and Class Privilege These studies reveal that anti-vaxxers have very particular forms of cultural capital, as they are mostly highly educated, with mid- to upper-level incomes. It is quite possible that for anti-vaxxers, a confluence of educational, economic, and racial privilege  produces the belief that one knows better than the scientific and medical communities at large, and a blindness to the negative implications that ones actions may have on others. Unfortunately, the costs to society and to those without economic security are potentially quite great. Per the studies cited above, those opting out of vaccines for their children put at risk those who are unvaccinated due to limited access to material resources and health care—a population composed primarily of children living in poverty, many of whom are racial minorities. This means that wealthy, white, highly educated anti-vaccination parents are mostly putting at risk the health of poor, unvaccinated children. Viewed this way, the anti-vaxxer issue looks a lot like arrogant privilege running rogue over the structurally oppressed. In the wake of the 2015 California measles outbreak, the American Academy of Pediatrics released a statement urging vaccination and reminding parents of the very serious and potentially fatal outcomes of contracting preventable diseases like measles. Readers interested in learning more about the social and cultural trends behind anti-vaccination should look to  The Panic Virus  by Seth Mnookin.