Critique Analysis Of Beowulf - 753 Words

Critique Paper – Beowulf In the epic Beowulf, the main character Beowulf possesses all the qualities of a hero during the Anglo Saxon Era. He demonstrates his courage, loyalty, wisdom, and strength but are these qualities enough to consider him a hero by the standards of today? Beowulf has qualities that strong heroes have but didnt struggle to get them because he was born with it. He has many adventures, like fighting Grendel and other monstrous creatures but was very sure of himself. He was born strong. (Beowulf, 35 – 37) Now there lived overseas In the land of the Geats, a youth of valiance abounding, Mightiest yest mildest of men, his name Beowulf, But Beowulf being sure of himself showed how arrogant and boastful he is by†¦show more content†¦Like Spiderman and Batman both strong, courageous, loyal and helpful. These heroes didnt ever boast their triumphs. They even hid their identity under a mask. They have pride and honor because they received recognition initiated by the people. In spite of that, they remained humble and down to earth. They hid their identity as superheroes and will just appear if people are in need of help. These are the other characteristic of a modern hero that is acceptable today. Beowulf has many things that the Anglo Saxon viewed as heroism but he missed many things that are important for a modern hero. In conclusion, Beowulf possessed many heroic qualities in the Anglo Saxon era that mere mortals lack - bravery beyond compare, superhuman intelligence, strength or skills and a driving desire to find success. However, he would not be considered a hero in todays world. Drucker and Cathcart (1994) claim: A hero varies culture to culture and from time to time. (p.2) Anglo-Saxons appreciated different things in a hero that we do not appreciate today. Nowadays, heroes are introduced to people early on in life usually as a fictional character, but as children grow older their perception of heroes alter. A hero not only need to be physically strong, but he also needs to have integrity and moral values who acts without thinking his own benefits. Works Cited Jankowski, Connie.Show MoreRelatedTheme Of Death In Beowulf1097 Words   |  5 PagesBeowulf is an anglo-saxon epic that details the life of Geat warrior Beowulf and his dealings with 3 monsters. The society surrounding this epic is one that values lineage, glory, and success. Although these values are perceived as positive, they are often the root causes of the more malicious aspects of this society: blood-feud and tribal war. It should be duly noted that the poem is bookended with two very meaningful deaths. At the beginning of the poem the death of Scyld Sheafson, founder of theRead MoreA Critical Appraisal of: Beowulf and Gilgamesh Essay examples1640 Words   |  7 PagesA Critical Appraisal of: Beowulf and Gilgamesh There are many differences and critical comparisons that can be drawn between the epics of Beowulf and Gilgamesh. Both are historical poems which shape their respected culture and both have major social, cultural, and political impacts on the development of western civilization literature and writing. Before any analysis is made, it is vital that some kind of a foundation be established so that a further, in-depth exploration of the complex natureRead More The Role of the Great Mother in Beowulf Essay1990 Words   |  8 PagesThe Role of the Great Mother in Beowulf Grendels dam is not simply a wandering fiend (1621), a swamp thing from hell (1518), or a troll-dam (1391). She is an example of what Erich Neuhmann in his book, The Great Mother, calls an embodiment of the Great Mother in her negative elementary character (147). Her realms are the underworld, a cave below a lake, both symbols of the unconscious. She is begetter and child bearer, creator and destroyer of life; she nourishes and ensuresRead More Writing Against Death in The Floating Opera Essay1315 Words   |  6 Pageswhich he particularly notes John Gardners Grendel; the recent fabulations, as he refers to these books, require the reader to perceive the errors of their basically sympathetic protagonists (162). Gardners work makes Grendel, the antagonist of Beowulf its protagonist. Grendels fatal error is his profoundest nihilism; to him The world is all pointless accident (Gardner 28); his denial of any positive meaning to the world seems to be no less consistent than that of Todd Andrews of The FloatingRead MoreEssay on Atwoods Framing of the Story in Alias Grace1866 Words   |  8 Pagesrealistic version of the mysterious event. Alias Grace exemplifies postmodernism’s preoccupation with the past. Other novels of the genre also explore the past through a modern lense. For example, John Gardner’s Grendel explores the famous epic poem Beowulf in a new, postmodern light. Similarly, Alias Grace uses the Kinnear-Montgomery murder to explore the societal issues of the past and compare them to the social issues of the present. As explained by Gillian Siddal, [W[hile Grace Marks lived in

Climate Change is the Biggest Global Health Threat of the 21st Century. Free Essays

Introduction Climate change is one of the major environmental threats facing the world today. It is referred to as â€Å"any distinct change in measures of climatic condition that could last for a long period of time such as major changes in temperature, rainfall, snow or wind patterns lasting for a decade or longer† (Allen, 2010). Over the past century, there has been a continuous rise in the levels of carbon dioxide (CO2), methane and other green gases (Frumkin et al, 2008) as well as the earth’s surface being warmed by more than 0. We will write a custom essay sample on Climate Change is the Biggest Global Health Threat of the 21st Century. or any similar topic only for you Order Now 8 °C and by approximately 0.6 °C in the past three decades (NASA, 2007). It has been estimated that by the year 2100, the world’s mean temperature will increase by an additional 1.8 to 4.0 °C, sea levels from 0.18 to 0.59m and a significant increase in weather variability (Solomon et al., 2007). The warming of the earth’s surface has brought about severe weather conditions such as torrential rains and flooding, droughts and storms which are as a result of human activities such as the burning of fossil fuels which are rich in carbon and combine with oxygen in the atmosphere to release carbon dioxide that traps heat in the atmosphere (Change, 2007). The annual emissions of CO2 and GHG have increased by 80% and 70% respectively between 1970 and 2004 (Allen, 2010). Deforestation is another human activity that has brought about the continuous change in climatic conditions (Change, 2007). Global Implications of Climate Change. It has been estimated that by the year 2015, Global Millennium Development Goals and the assurance of a safe and sustainable future will be harder to obtain due to the changes in the climate (Allen, 2010). Instances of natural disasters that have happened recently are shown below: The first hurricane ever recorded in the southern Atlantic Ocean in Brazil in 2004 and the Cyclone Nargis which raised a tidal wall 12feet high and forty kilometres long that slammed into Myanmar (Burma) in 2008 are examples of the fact that the earth is changing fast (Epstein et al, 2011 ). In 2003, a heat wave melted 10 percent of the ice in Alps and killed more than fifty two thousand people. One thousand people were killed as a result of a drenching rain in Mumbai which also contaminated water supplies and sickened hundreds. This has led to the spread of â€Å"malaria-carrying mosquitoes, the disappearance of mountain glaciers which threatens drinking water supplies on five continents and at least 150,000 additional deaths recorded worldwide each year as well as five million years of healthy life lost to disability† (Epstein et al, 2011). Health effects of climate change Climate change affects health in several ways namely: continuous change in disease and mortality patterns, severe weather events, food and water contamination, heat wave, melting permafrost and threats to housing and public infrastructure (Costello et al., 2009, Healey et al, 2011). The major factors affecting human health are â€Å"social, political, economic, environmental and technological factors as well as urbanization, affluence, scientific developments, individual behaviour and vulnerability in terms of genetic make up, nutritional status, emotional well being, age gender and economic status† (Allen, 2010). Other potential health effects of climate change include respiratory and cardiovascular disease related to worsening air pollution, infectious diseases related to changes in vector biology, water and food contamination, nutritional shortages related to changes in food production, allergic symptoms related to increased allergen production (Heinz and Patz, 2004, Heinz et al, 2006). The way pests, parasites and pathogens affect wildlife, livestock, agriculture, forests and coastal marine organisms can also alter ecosystem composition and functions, and changes in these life support systems carry implications for human health† (Epstein, 2005). The adverse health effects of climate change will also bring about migration from flooded and inhospitable places which will encourage population growth, thereby, resulting in â€Å"increased pressure and competition for scarce resources, such as food, water and shelter† (Costello et al., 2009). The demand for more food production will give rise â€Å"to high land loss and as a result bring about industrialization, urbanisation, sea level rises and increased flooding† (Costello et al., 2009). Figure 1 summarises the major pathways through which population health can be affected by climate change. The right hand boxes show an increase in complexity of causal process where the likelihood that health effects may be deferred or protracted while the middle boxes show the main climatic-environmental manifestations of climate change (McMichael et al., 2006). Climate Change and Health Model The effect of climate change will be greatest on countries that have made little or no contribution to its cause and those with little resources. The implementation of mitigation and adaptation helps to reduce inequity caused by negative effects on social determinants of health in the poorest countries (Costello et al., 2009). Mitigation can be described as the true prevention/intervention to lessen adverse health effects (McMichael et al., 2006). One of the most important factors in mitigating the effects of climate change on health is to bring to focus the past, present and the future events which have contributed to the transition of land, environment and the way of life of people (Healey et al, 2011). To avoid dangerous climate change, mitigation is required to â€Å"reduce greenhouse gas emissions and increase carbon biosequestration through reforestation and improved agricultural practices as well as to ensure a rapid, sustained and effective coordination of global and regional action† (Costello et al., 2009). Adaptation Climate change adaptation is required for an improved coordination and accountability of global governance. Climate change health effects can be managed when all sectors of government, civil society and academic disciplines work together to get to an expected end. It is crucial that the local communities get involved in monitoring, discussing, advocating and assisting with the process of adaptation (Costello et al, 2009). Local action is required for the prevention of local flooding and global action to make funds available as well as the needed cooperation of government and international agencies to reduce health inequalities in communities (Costello et al, 2009). Some examples of adaptation measures to climate change are shown in table 1. Table 1: Some examples of adaptation measures to climate change. (Sourced from Bulto et al, 2006) Adaptation optionsCurrent activitiesFuture activities Strengthening primary health care and the public health systemSpecific health promotion and preventive programs designed to reduce population vulnerability. Educational programs of environmental risks, including climate change and their effects on human health.Continuous development of health promotion and preventive programs, increasing community participation on health issues, increasing the participation of local governments and other sectors in developing the best conditions of life. Measures to improve health surveillance systemsProviding forecasts of the main climate-sensitive diseases to all levels of the National Public Health System increase number of early warning systems to predict epidemics.Continuous research to improve forecast models using the necessary indices. Incorporating new diseases and risk factors in the forecast models. Decreasing uncertainty through improved data and research on climate, epidemic, ecologic and social variables. Immunization programs, especially for high-risk groupsMaintaining the current vaccination program and prioritizing new programs.Enhancing vaccination programs immunization program and develop a prevention program for diseases. Improve sanitary conditionsDeveloping responses to increased sanitary demands in all fields (communal, drinking water, garbage, sewage, food, and others). Maintaining contingency plans.Developing educational programs about environmental care with the participation of the community, government, and all sectors. Increasing environment care projects. Improving contingency care projects. Educational programs on radio and TV and newspapersDevelop educational programs on the health risks associated with climate change Implementing new programs on climate-health associations and communicate results to the population, governments and others. Exchange information with international researchers working on climate change and health issuesParticipate in international meetings.Develop new projects with participation from other countries. Other Strategies and Interventions Public health services are very essential for reducing the challenges brought about by climate change. The services can help to â€Å"monitor the health status of the community, investigate and diagnose health problems and hazards, inform and educate people regarding health issues, mobilize partnerships to solve community problems, support policies and plans to achieve health goals, enforce laws and regulations to protect health and safety, connect people to required personal health services, ensure a skilled, competent workforce, evaluate effectiveness, accessibility and quality of health services, research and apply innovative solutions† (Allen, 2010). The health and well being of humans can be increased by developing a variety of strategies for coping with climate change and reversing its ill effects such as recycling materials. These would greatly help to improve personal choices, enhance sustainability, discourage waste and clean up communities (Healey et al, 2011). Another strategy is to create awareness about the effects of climate change by ensuring individuals are educated and well informed as well as engaging people in political action to strengthen communication and ensure more equitable access to facilities (Healey et al, 2011). Interventions put in place to reduce the declination of global freshwater resources caused by rising rates of water extraction and contamination are to scale up water and sanitation services which would help to reduce infectious diseases and avoid the health impacts of decreasing water supplies. Community participation and social mobilization are needed for addressing health concerns and creating healthy environments. The public health community needs a realistic preventive strategy to make sure healthy environments are maintained and developed from local to global needs as well as a sustainable development and protection of ecosystem services which are very important for human health (WHO, 2005). Conclusion In conclusion, climate change should be addressed as an integral part of the big challenge towards a sustainable development. This can be achieved by encouraging communities to get more involved in working towards actualizing change at multiple and socio-ecological levels (Healey et al, 2011). Further attention needs to be placed on this issue by the government as well as the maintenance of public health infrastructure by providing adequate funds for environmental and chronic disease surveillance systems and a well trained work force (English et al, 2009). 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Assignment on Business in Global Context

Question: Write about the Assignment on Business in Global Context. Answer: Introduction: International trade between two or more competing nation depends on several factors like the comparative advantage of the nations, the existing scarcity in the volume of resources, the exchange rate between the nations and the political scenario of the same. The decision of conducting trade with partner countries includes a complex combination of several factors that exists both within the trading economies and outside them. Through this part we try to find out the existing problem that the nations worldwide are facing in conducting international trade. Discussion: According to an article published by Forbes, there are four factors that affect the free trade and become both economically and politically unviable (Dorfman, 2016). One of them is this might lead to an increase in the level of inequality with the nation. One nation may gain at the cost of others. Hence it is now opposed by various political parties in several regions in order to save their economy from falling into this inequality trap. According to the theory, it has been unanimously agreed by all economists that the global economy gains from the conduct of free trade. Recently it has been observed that this theory has been receiving criticism. The critics mentioned that the benefits are dispersed whereas the negative impacts are highly concentrated in particular regions. Often it has been observed that free trade creates joblessness as the country can import goods from other nations (McArdle, 2012). In addition, each economy tries to keep its exchange rate stable so that the trade takes place smoothly. It has been observed that keeping the exchange rate low increase the level of export and thereby increases trade balance (Gilpin. 2016). But this again creates a monetary injection in the society in the forms of foreign currency and henceforth increases inflation within the economy. Therefore, the political ruler always tries to maintain a subtle balance between the exchange rate and volume of trade. It has already been stated that the international trade depends on exchange rate. The reason behind this trade getting politically contentious in 2017 is that this exchange rate depends on inflationary pressure, interest rate and psychology of the market (Mansfield, 2015). There has been major political turmoil in the global economy back in 2008 and now with the global economy faced a turmoil regarding the stability of one of the trading giants, that is U.S. With the change of political power, there has been question regarding the stability of the nation in near future. In addition, the global economy also saw the exit of Britain from the trade agreement. Brexit has an overall impact in the global trade market and it questioned the stability of international trade. Conclusion: This topic can be wrapped up by stating that the nations needs to cautiously set its system of exchange rate into a floating one to avoid harsh consequences from trade fluctuation. Political contentious cropped up as a fact that the more competitive a business becomes, the lesser opportunity the investors gets to exploit other markets. In order to protect the nation and follow on with trade, there is need to have political stability within the nation and impose mutual restriction to certain levels to save both the parties from getting exploited by the other. References Dorfman, J. (2016).Forbes Welcome.Forbes.com. Retrieved 15 April 2017, from https://www.forbes.com/sites/jeffreydorfman/2016/04/03/4-reasons-free-trade-has-become-a-contentious-political-and-economic-issue/2/#59d17abd204e Gilpin, R. (2016).The political economy of international relations. Princeton University Press. Mansfield, E. D. (2015).The Political Economy of International Trade. World Scientific Publishing Co. Pte. Ltd.. McArdle, M. (2012).4 Politically Controversial Issues Where All Economists Agree.The Atlantic. Retrieved 15 April 2017, from https://www.theatlantic.com/business/archive/2012/04/4-politically-controversial-issues-where-all-economists-agree/255600/

Medicaid Fraud and Influence on Medical Services

Introduction Medicaid Fraud is one of the main issues that hamper provision of quality, reliable, and efficient medical services across the world.Advertising We will write a custom research paper sample on Medicaid Fraud and Influence on Medical Services specifically for you for only $16.05 $11/page Learn More Medicaid is designed as a health insurance that offers the less fortunate in the society a chance to get affordable quality medical services; they are edible to children, the elderly, and persons with a disability and funded to a large extent by Department of Social and Health Services (DSHS) Medical Assistance Administration. The United States government medical department with collaboration of the office of the Attorney General has been on the fore front fighting the vice; however, the vice seems to be far from being won. As much as the practice is unethical and unaccepted in the medical fraternities, the efforts that the federal government has e nacted remain focused on corporate level but they seem to be un-reaching to the micro level practices. According to Steven Malanga, the rate of misuse of Medicaid Fraud has continued to increase with an estimated amount of 10% of the total cost nationwide, which translate to about loss of 30 billion per year from the federal government. Corporate compliance programs have focused on the corporate level but they have â€Å"allowed† the low practitioners like nurses, doctors and physicians to continue using Medicaid to defraud the economy. This leads to deteriorated economy or an economy with a huge medical bill to cover. Although the program had been made to benefit the society and offer quality medical services across the board, it has been misused and defrauded for individual benefits (Matusicky Cheryl, 1998). This paper discusses the problem of Medicaid Fraud and the interventions that federal and states governments should do to prevent the alarming state. Problem statement The main issue that is affecting the success of quality medical services to the less fortunate, children, and the elderly under the Medicaid program is fraud by medical practitioners for their benefits. The issue have an economic implication as the practitioners bill the U.S. Department of Health and Human amounts that does not commensurate with the service that they have offered to the patients or beneficiaries of the program.Advertising Looking for research paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More How Medicaid Fraud occurs Medicaid fraud takes different forms; however whichever the form they have some quality and financial implication to the beneficiary or the state government. The main ones are: Unnecessary billed services This occurs when a medical practitioner advices a beneficially of the program to undertake some medical services that are not really necessary; when doing this he or she is guided by the financial benefit that he will attain from the program. This kind of fraud is technical and hard to detect especially with non-medical practitioners. For instance, a patient may call in a facility with a certain condition say Malaria, then the doctor or the medical officer advices him to undergo a full tests of some other related diseases like Typhoid, although the above advice may be agued to be for the good of the patient, the motive that the doctor has is ill. None performed or are of a lower quality In some facilities that get their funding and financial benefit from Medicaid programs have been accused of having fewer attendants than the ones that derive direct benefit from the program. With such a move then the state government pays for services that were not rendered. Another form taken by medical practitioners is offering low quality services to the patients and billing them highly. When such an issue happens, the patient is left unattended while the practitioner gets un justified financial benefit from the scheme. When patients get low medical services, the likelihood of demanding for more services in the near future is high making the burden even higher to the state government. Prescribing costly programs One issue that the sector has had is how to know the best amount to prescribe for a certain medication; there is no standard set rules that can be used as the governing or guiding pricing unit. With such a loophole, the practitioners have seen a system to exploit the government. They may opt to bill very expensively, or prescribe some services that are overpriced so that at the end they will have more benefit that could be (Heeley Whitley, 1998).Advertising We will write a custom research paper sample on Medicaid Fraud and Influence on Medical Services specifically for you for only $16.05 $11/page Learn More Purportedly covered items, which were not actually covered When billing the department, the practitioners are expected to offer a list of the services that they offered to a particular patient; the document is needed to have been signed by the patient in question or a caretaker. What the practitioners are doing is to ask the patient sign the document before they have been attended, then after attending them, they are left indicating the areas that they covered, and this is the point that they include some services that they never provided to the patient. This is formulae of exaggerating the medical bill to the loss of the state government. Recommendations on how to prevent Medicaid Fraud The issue facing the health care sector can be prevented and managed if stakeholders can combine their efforts and powers in that effect. The main stakeholders in the prevention program should be the government (through ministry of health and the office of the Attorney General), professional bodies, the practitioners, and patients (Meulemans, 2011). The government The government was the one that made the p rogram a success and it is the one that collects taxpayer’s funds and uses them in the sector, thus it should be in the forefront in providing leadership to prevent fraud. The government should install high-powered fraud-tracking computer programs to assist in getting the perpetrators of the illegal practice; such programs should be able to detect the risk areas and post audit the services that have been offered by the practitioners. The systems should be strong enough that they can prevent the intervention of unscrupulous licensed practitioners who have continued to defraud the system; it should be able to maintain sanity I the sector as well as reduce the chances of growth of such practices.Advertising Looking for research paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More So far, there are some states that have not yet criminalized the practice making it a green area that practitioners can use to benefit themselves; the â€Å"watchdogs â€Å" that have been used have played the role without enough legislative powers to prosecute those practitioners who have defrauded the system. This should be changed and have they empowered for the good of the sectors. When developing the penalties and punishments to be given to fraudsters, the state should support harsh punishments that are likely to deter them from defrauding in the future as well as threaten others who had such a thought. The penalties should be extended to the professional body that the fraudster comes from in the efforts of asking them to be more vibrant and careful with their members. The state should raise the bar that makes practitioners access the funds; service vendors and health-care practitioners have increasingly getting access to the funds opening a loophole of some unqualified pract itioners to access the funds. Some policies to make the process tough include having a probationary period to the practitioners, asking for certificate of good conduct and clearance from relevant professional bodies (United States Attorney Southern District of New York, 2011). Professional bodies Professional bodies have the mandate of creating sanity, professionalism, and dignity in their members; they have a major stake to play when it comes to the defraud and preventing it. To ensure that they have principled practitioners who practice professionalism, they should deploy only those people who have proven track record of ethical behavior. On the other hand, the state government should empower the bodies that they only offer an operating certificate to those who have successfully been cleared by the professional body. Periodically, the bodies should work with the government to audit the program and offer quality and specialized advices to the state government regarding the prices t hat have been quoted by practitioners. In their capacity as professional bodies, they should have stick method of punishing those people who are not acting ethically or not providing professional services to the communities (Media Center, 2011). The practitioners Although the program has been misused by some practitioners, the truth of the matter is that there are people who have been successful in the sector and are willing to offer professional services; such professionals should be used to advice the state and professional bodies on the right billing. On the other hand, practitioners should understand that the main aim of medical care provision is offering quality services and not defrauding the state. Cost of medication can be reduced if practitioners can perform their duties with professionalism: some costs that can directly be controlled by practitioners on how he/she uses the available resources. Practitioners should be in the forefront guiding the cost management programs in stead of enacting policies to defraud the state; they should devise cost management strategies to the benefit of their department. Managing finances effectively in a hospital is a vital function that requires collaboration of both patient care units and administrative units. The nursing unit is one costing point of hospitals where they have a budget they want financed, the department should be given an appropriate allocation of hospital finances according to their needs, when the resources have been allocated, they need to be managed professionally and effectively. Practitioners should oversee the effective management of funds and ensure that all operations are managed in a cost effective way; they need support of other nurses to attain this noble goal. For example when making financing budgets, nurses should be consulted since they have direct interaction with medical staffs and the patients, thus they can offer sound ideas and information for decision-making (Yai Network., 2011). Practitioners should be occasionally trained on the best working ethics and how to offer professional services, when undergoing the trainings; they should be encouraged to give their observations on how they can improve the services of the problems they are encountering (Lovitky Ahern, 1999). The patients or public Practitioners get a chance to exploit the system when they offer services to patients; the patients are to some extent reluctant to know what goes behind the scenes as they believe that the government will cater for the service they have received. They need to be trained that the right they have been given can be exploited by some unethical practitioners thus they need to monitor them. Some of the methods that the patients can use are to ensure they know the exact bill that they have been billed by the practitioner and given a copy of the bill, in case there is something that they don’t understand, they should ask for clarification from the practitioner. The pract itioner should append their signature on the copy to ensure that the patient can enforce the document against the practitioner incase need be. Anytime that a practitioner feels that the bill was exaggerated, there should be a direct calling line, most likely a toll free line, that they can enquire form the Medicaid managers. When conducting compliance audits, patients should be called in as witnesses of a fraud case, this should be set as a condition of using the card. Patients can offer quality information on which facility is expensive and why, such information is important to know the exploiting facilities; from the information offered, then the government can be able to act (Malanga, 2006). Implementation strategy To implement the above possible solutions, the government and professional bodies are in the center stage, they should start by enacting policies and laws that criminalize the act and offer harsh penalties to the offenders. After the volume of legislation and the punis hment has been made, then the government should lead a campaign that train practitioners on the law and how it will impact on those people who do not follow them. This can be done through the media, the professional body, in schools among other places. With the programs, the last focus should be on the public and the role they can play, they should be trained on their rights and the role they have in the entire prevention process. When the practitioners and the people have known the best way, the next important thing is to see the law enforced (Kutz, 2010). Consideration of success measurement techniques The measurement parameters that the state should use to ensure that the programs are working on well include: Continuous assessment of quality of health care services; the services should be seen improving Reducing of the Medicaid budget bill Harmonization of costs of similar services Affordability and accessibility of the medical care service. The above are the parameters that sh ould be seen improving (Office of Medicaid Inspector General, 2011). Conclusion Medicaid Fraud has continued to be a challenge to federal and states government, however with collaboration of all stakeholders, the vice can be solved. The main stakeholders in the prevention program should be the government (through ministry of health and the office of the Attorney General), professional bodies, the practitioners, and patients. Each of them should be well empowered and willing to play its part to prevent the growth of the vice. References Heeley, L., Whitley, G. (1998). Beyond Compliace. Retrieved from HealthCare Executive. Lovitky, J. A., Ahern, J. (1999). Designing compliance programs that foster ethical behavior. Retrieved from Healthcare Financial Management. Malanga, S. (2006). How to Stop Medicaid Fraud. Retrieved from http://www.city-journal.org/html/16_2_medicaid_fraud.html Matusicky, F., Cheryl, C. (1998). Building an effective corporate compliance program – General H ealth System – Special Section: Fraud and Abuse. Healthcare Financial Management. Retrieved from http://findarticles.com/p/articles/mi_m3257/is_n4_v52/ai_20628500 Meulemans, M. (2011). Major Medicaid Uncovered: APS Healthcare Pays13 milliom Settlement. Retrieved from About.com. Kutz, D. (2010). Medicaid: Fraud and Abuse Related to Controlled Substances Identified in Selected States: Congressional Testimony. New York: DIANE Publishing, Media Center. (2011). Attorney General Schneiderman Announces $18 Million Medicaid Fraud Settlement With State’s Largest Residential Service Provider. Retrieved from http://www.ag.ny.gov/media_center/2011/jan/jan18a_11.html Office of Medicaid Inspector General.(2011). Corporate Integrity Agreement between the NewYork office of Medicaid and YAI. Retrieved from http://www.omig.ny.gov/data/images/stories/cia/cia_for_yai_12111.pdf Scott’s, R. (2011). Daphne Campbell faces Medicaid-fraud investigation. Retrieved from http://miamiherald. typepad.com/nakedpolitics/2011/07/video-daphne-campbell-runs-away-from-medicaid-fraud-questions.html United States Attorney Southern District of New York.(2011). Manhattan U.S. Attorney Announces $18 Million Civil Fraud Settlement with New York’s Largest Operator of Facilities for Adults with Developmental Disabilities. Retrieved from http://www.justice.gov/usao/nys/pressreleases/January11/yaisettlementpr.pdf Yai Network. (2011). Serving People with Disabilities and their Families. Retrieved from http://www.yai.org/ This research paper on Medicaid Fraud and Influence on Medical Services was written and submitted by user Alissa P. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

The Reiss

The Reiss The Reiss-Epstein-Gursky Anxiety Sensitivity Index (ASI-R) is the psychological assessment instrument which is used to measure such a variable as the anxiety sensitivity which can be explained as the fear of anxiety.Advertising We will write a custom assessment sample on The Reiss-Epstein-Gursky Anxiety Sensitivity Index specifically for you for only $16.05 $11/page Learn More Thus, the anxiety sensitivity is the fear of the anxiety-related factors which can lead to the negative and threatening physical, psychological, and social consequences. To have the opportunity to receive the important information on the patient’s level of the anxiety sensitivity, Reiss developed the ASI-R as the 16-item measurement which is rated on a 5-point scale. The original ASI-R was developed and improved with references to Epstein and Gursky’s researches. The ASI-R is used to determine whether the patient is characterized by the high anxiety sensitivity, and the t est is effective to identify the patients who suffer from the panic disorder and from the posttraumatic stress disorder (Barlow, 2004, p. 350; Reiss-Epstein-Gursky Anxiety Sensitivity Index, 2014). While choosing the appropriate and valid psychological assessment instrument, it is necessary to refer to the aspects of the decision theory and such indicators as the hit rate, miss rate, false positive errors, and false negative errors which can influence the test interpretation procedure and the overall validity of the psychological assessment instrument. Correct and incorrect decisions related to interpreting such a psychological assessment instrument as the ASI-R are based on discussing the hit rate, miss rate, false positive errors, and false negative errors, and they can affect the accuracy of the test interpretation and following diagnosis. It is also important to determine what type of errors can be discussed as acceptable while conducting measurements.Advertising Looking for assessment on psychology? Let's see if we can help you! Get your first paper with 15% OFF Learn More Definitions of Hits, Misses, False Positive Errors, and False Negative Errors in Relation to the ASI-R While interpreting the psychological assessment instrument such as the ASI-R, correct decision should be based on the analysis of the hit rate. From this point, the hit rate is the number of those persons who possess the qualities measured with the help of the analyzed assessment instrument (Cohen, Swerdlik, Sturman, 2012, p. 169). These identified people are discussed as having the definite characteristic or quality. Referring to the ASI-R, it is important to note that ‘hits’ are the measure which are related to those persons who are determined as characterized by the certain level of the anxiety sensitivity. The correctness of the decision made by the psychologist also depends on the miss rate. ‘Misses’ are the failures in identifyin g the patients who are characterized by the certain attribute or characteristic. The miss rate determines those people who were not identified appropriately as possessing the certain attribute or characteristic (Cohen et al., 2012, p. 169). The ASI-R is developed according to the principles of the self-report, and the test can be proposed for individuals and for the groups of people. That is why, the ‘misses’ can be identified only while focusing on the anxiety sensitivity examined in the group of clients. ‘Misses’ can also be discussed as false negative and false positive errors. False negative errors are the ‘misses’ which are associated with stating that the person possesses the definite attribute in spite of the fact that the person is not characterized by the certain quality (Cohen et al., 2012, p. 169). Referring to the ASI-R, it is possible to note that false positives occur when the persons who really do not have the high level of the a nxiety sensitivity are identified as possessing this quality.Advertising We will write a custom assessment sample on The Reiss-Epstein-Gursky Anxiety Sensitivity Index specifically for you for only $16.05 $11/page Learn More False negative errors can be defined as the ‘misses’ which occur when those persons who possess certain qualities are identified as not having them (Cohen et al., 2012, p. 169). Discussing the case of the ASI-R assessment, it is important to note that false negatives and false positives are typical for the test because the ASI-R is based on the principle of the self-report, and the factor of subjectivity can prevent the psychologist from receiving the accurate results to conclude on the problem effectively. How Hits, Misses, False Positive Errors, and False Negative Errors Might Apply to Interpreting the Construct Measured by the ASI-R The ASI-R is discussed as the traditional psychological assessment instrument used to mea sure the patients’ fear of anxiety. The assessment tool is designed as the self-report that is why hits, ‘misses’, false positive and false negative errors can affect the process of interpreting the anxiety sensitivity measured by the ASI-R significantly. While focusing on the hits, it is important to pay attention to the fact that the ASI-R is the multidimensional psychological assessment instrument that is why it is necessary to determine the level according to which the anxiety sensitivity is characteristic for the person. On the contrary, it is rather difficult to determine the hit rate because the accurateness of the test results depends on the level of the observed anxiety sensitivity without references to the number of persons examined with the help of this psychological assessment instrument (Barlow, 2004, p. 350). As a result, the focus on hits and the hit rate is not reasonable for the ASI-R.Advertising Looking for assessment on psychology? Let's see if we can help you! Get your first paper with 15% OFF Learn More However, while referring to the examination of the groups with the help of the ASI-R, it is important to state that the hits and misses play the important role in interpreting the anxiety sensitivity as the construct measured by the assessment tool. In spite of the fact that the ASI-R is based on the principle of the self-report, the percentage of persons who can be identified wrongly according to the ASI-R or the percentage of ‘misses’ cannot be rather high because of the people’s focus on their fears and anxiety while answering the proposed questions. There are situations when false positive and false negative errors can be observed in relation to measuring the anxiety sensitivity. Referring to the interpretation of the construct, it is important to note that false positive and false negative errors are closely associated with the factor of subjectivity and inadequate perception of the situation (Hunsley Mash, 2008, p. 236). Certain psychological problems and disorders can influence the persons’ data, and these factors can lead to false positive and false negative errors. In this case, false positive errors as the determined ‘misses’ can be discussed as acceptable types of errors in relation to the ASI-R because such results can stress on the persons’ other psychological problems and fears. How Hits, Misses, False Positive Errors, and False Negative Errors Can Affect the Evaluation of the ASI-R’s Validity While discussing the question of the ASI-R’s validity, it is important to note that hits, ‘misses’, false positive and false negative errors can affect the evaluation of this psychological assessment instrument. Validity can be defined as the test’s characteristic according to which the assessment tool can be discussed as measuring the certain construct effectively or non-effectively. Referring to the validity of the ASI-R, it is necessary to focus on the effectiveness of the assessment tool in relation to measuring the anxiety sensitivity. In spite of the fact that the ASI-R is usually discussed as characterized by the good internal consistency, such factors as the hits, ‘misses’, false positive and false negative errors can influence the general appropriateness of the ASI-R for measuring the level of the patients’ anxiety sensitivity. The hit rate is not appropriate to be discussed as influencing the validity of the ASI-R because the assessment is mainly used to measure the anxiety sensitivity in individual patients. The issue of ‘misses’ can affect the procedure of evaluating the test’s validity because of the necessity to decide on the test’s sensitivity and specificity (Barlow, 2004, p. 350). Nevertheless, the failure to identify the patients suffering from the high level of the anxiety sensitivity is minimal because of the test’s focus on determining the patients with panic disorders. The false positive and false negative errors’ role in discussing the validity of the ASI-R is also minimal because the percentage of false negatives and false positives is usually low while discussing the ASI-R results (Hunsley Mash, 2008, p. 236-237). Nevertheless, there are situations when the determined anxiety level makes the psychologists provide wrong conclusions about the psychological disorders. However, the ASI-R is discussed as useful to make decisions regarding the patients’ level of the anxiety sensitivity and associated psychological disorders. Conclusion Different correct and incorrect decisions can occur while interpreting the ASI-R because of the impact of the observed hits, ‘misses’, false positive and false negative errors. However, these issues can affect the psychologist’s decision regarding the patient’s state minimally because the ASI-R is designed appropriately, and it is characterized by the high validity. While referring to th e range of acceptable errors, it is possible to determine false positive errors as acceptable while interpreting the ASI-R results. References Barlow, D. (2004). Anxiety and its disorders: The nature and treatment of anxiety and panic. USA: Guilford Press. Cohen, R. J., Swerdlik, M., Sturman, E. (2012). Psychological testing and assessment: An introduction to tests and measurement. USA: McGraw-Hill Education. Hunsley, J., Mash, E. (2008) A Guide to Assessments That Work. USA: Oxford University Press. Reiss-Epstein-Gursky Anxiety Sensitivity Index. (2014). Web.

The cheese slicer, invented by Thor Bjrklund of Norway

The cheese slicer, invented by Thor Bjrklund of Norway The cheese slicer, or cheese plane, is an ingenious invention developed by a Norwegian cabinet maker, Thor Bjà ¸rklund. Using a principle similar to that of the carpenter’s plane found in his workshop, Bjà ¸rklund perfected a device for making very thin, uniform slices from the hard cheeses favored in Norway, such as gouda and jarlsberg. Thor Bjà ¸rklund Invents the First Cheese Slicer Bjà ¸rklund invented and patented the cheese plane in 1925. He founded the company Thor Bjà ¸rklund Sà ¸nner AS in Lillehammer two years later, which was Norway’s only producer of the traditional Norwegian cheese slicer (ostehà ¸vel), and the first in the world. Since then, the company has produced over 50 million cheese slicers. Originally, it took an hour to produce each cheese slicer, while today, approximately 7,000 slicers can be made in an hour. Other Cheese Slicing Inventions The cheese plane is not the only invention dedicated to cheese, however.  The cheese knife itself is designed to combat the issue of very soft cheeses. With a serrated blade, the cheese knife reduces the amount of soft cheese stuck to the blade. Most blades will also have holes to reduce the likelihood of cheese sticking to the knife.  The cheese cutter features a board with a wire on a cutting arm. The wire is of a fine gauge, again designed to cut through soft cheese without sticking. The action of the cheese wire is like that of a garotte.

The Afterlife and Heaven Term Paper Example | Topics and Well Written Essays - 1750 words

The Afterlife and Heaven - Term Paper Example This essay considers the nature of heaven and the afterlife from the Catholic and the Jewish perspectives. The Catholic perception of heaven is well conceived and highly articulate. The Catholic version and understanding of heaven comes largely from the New Testament of the Bible, however it is referenced in the Old Testament. While there is no clearly defined version of heave, as the apostle writers of the Gospels all conceived it from slightly different perspectives, its clear that there are a number of unifying features. Physically heaven is said to the area that exists above the clouds in the blue firmament. As early as Genesis the Bible makes reference to this aspect of Heaven. Genesis indicates that the bird fly under the, â€Å"firmament of heaven† (Genesis, 1:20). In other books of the Bible there are slightly different connotations. For instance, in other areas of the Bible heaven is indicated to be the area of the sky where the stars reside. One notes in these definition the ancient understanding of the physical world, as the indications of heaven within these regions ar e now well explored and realized areas of the contemporary world. Still, one can begin to understand that the Catholic perspective of heaven presents it as a lofty and high region that is forever out of the reach and realization of earthly mortals. The interior envisionment of heaven has a number of characterizations as well. Within the Catholic religion one of the most pervasive elements of the interior aspects of heaven are that it is replete with angels. Another traditional articulation of heaven, including its containment of angels is that it houses the souls of just individuals. Indeed, this aspect of salvation is one of the cornerstone aspects of not merely the Catholic religion, but the Christian faith. In these regards, its historically been a much debated aspect within

Mid-Term Essay Example | Topics and Well Written Essays - 250 words

Mid-Term - Essay Example Despite all the pain, the issues of alcoholism, poverty and self-destruction came to an end. A drug called tradition depicts the picture of using hallucinogens, but the visions that these hallucinogens cause on the users in this story shows the culture of the Native American societies, showing how much people in the contemporary society has deviated from the natural ways, taking on to new ways. In this story, Alexie shows that despite the money the Indians were taking from the white man, the ancestors would still laugh at them because they were making a mistake and forsaking their traditions and assimilating the white man’s culture (12). A drug called tradition depicts how sweet life was back when Indians had traditions, comparing it to the feeling of being of high, a sweet and calm feeling, while the normal stressful life is a metaphor symbolizing, The use of Native Americans in advertisements is not justified in any given way since as much as people view it as a way to show zero-racism tolerance, it has its negative implications. For instance, showing that Native Americans have left their traditions and advocating for them to join westernization in the way the best find fit. As such, it is not justified to place the Native Americans on westernized advertisements, since it is an aspect of imperialism, which shows that the Native American way and tradition are inferior to more westernized

Working time Essay Example for Free

Working time Essay Summary In this case, it describes what happened to a graduate of a prestigious business school during his time of work in the auditing division of Greenspan Company. The graduates name is, â€Å"Bill Church†, the situation is that he was relocated along with his family from the Mid-west to the East Coast. There he bought a home, a second car and did not worry about overextending financially because the company had huge plans for him. After months into the job Bill realized that he was working extra hours and the company did not want client’s billed for extra hours and that he needed to be more efficient. Now Bill was curious and ask a co-worker, Ann, how she get so efficient in auditing client records. Ann explained that she had the same problem a few years ago, but that she succeeded by not just being efficient but by doing what is needed to get ahead. She said that everyone needs to be Eating time, which meant not reporting all the hours required to complete a project and that would make everyone look good as a group. Bill then thought of going to ask the division manager for advice, but had only met Ann once and did not know anything about her. Questions Question1: What should Bill do? Answer: Bill should blow the whistle in his organization that some people are eating time rather than give full hours on his/her project. Question 2: Describe the process through which Bill might attempt to resolve his dilemma. Answer: There are few processes or options through which Bill might resolve his dilemma. First he should not put the overtime and work efficient as possible in his allotted time. Once management ask him why he is not doing well then that will be his to explain his dilemma. Second he has another option to resolve his dilemma by telling the problem direct to the manager. Question 3: Consider the impact of this company’s approach on young accountants. How could working long hours be an ethical problem? Answer: For the young accountant, long working hours are not having a good impact on them. As it affects the courage of the employees and doesn’t help in motivating them, for such type of company’s approach long working hours can cause some health issues and risk of job injury. The other thing is that, as the Bill faces the problem the other accountants will face the same problem.

Effects of Religious Education on Theme and Style of James Joyces The

Effects of Religious Education on Theme and Style of James Joyce's The Portrait of the Artist as a Young Man Although Joyce rejected Catholic beliefs, the influence of his early training and education is pervasive in his work. The parallels between Biblical text and The Portrait of the Artist as a Young Man are abundant. As Cranly says to Stephen, "It is a curious thing, do you know, how your mind is supersaturated with the religion in which you say you disbelieve" (232). The novel progresses in a way that seems Biblical in nature; thematically it compares with the creation and fall of man and/or Lucifer. In addition, the style is at times similar to Biblical text, using familiar rhythm, repetition, phrasing and imagery. As with the Bible, Joyce begins his novel with the importance of the word. He then relates sensual impressions, as if a newly formed creature were experiencing the physical world. Then, as the center of his universe, Stephen also learns the meaning of words and the power of words. He is like Adam bringing order to things by giving them names. But Stephen's knowledge comes not only from the material world, he learns through a sudden-knowing, similar to spiritual understanding, a process Joyce calls intuitive or epiphany. His thirst for knowledge both intellectual and sensual brings him in conflict with his father (Jesuit and heavenly). He falls from grace and experiences hell (through the power of word and his very vivid imagination). Because of his terror of hell he responds at first with repentance, but after reflection, with defiance. At the end of the novel he leaves his homeland, his place of origin, and prepares to begin a new life in a new land. THE WORD In the beginning was the word. Throu... ...because of what has happened to him, but because of his response to those events. He was not the only young Irish boy to have a self-sacrificing saintly mother and an irresponsible drunkard father. He was one of hundreds if not thousands of boys to be indoctrinated and trained by the Jesuits. What made him different was his response and that response was unique to him, and that uniqueness was born in him. So, the ultimate conclusion of the novel is that the artist is born, not made by human ways, but created by the powers of nature and/or God. Works Cited: Joyce, James. The Portrait of the Artist as a Young Man. New York: The Viking Press, Inc., 1958. Joyce, Stanislaus. My Brother's Keeper James Joyce's Early Years. New York: The Viking Press, 1993. Levin, Harry. James Joyce, A Critical Introduction. New York: New Directions Publishing Corporation, 1960. Effects of Religious Education on Theme and Style of James Joyce's The Effects of Religious Education on Theme and Style of James Joyce's The Portrait of the Artist as a Young Man Although Joyce rejected Catholic beliefs, the influence of his early training and education is pervasive in his work. The parallels between Biblical text and The Portrait of the Artist as a Young Man are abundant. As Cranly says to Stephen, "It is a curious thing, do you know, how your mind is supersaturated with the religion in which you say you disbelieve" (232). The novel progresses in a way that seems Biblical in nature; thematically it compares with the creation and fall of man and/or Lucifer. In addition, the style is at times similar to Biblical text, using familiar rhythm, repetition, phrasing and imagery. As with the Bible, Joyce begins his novel with the importance of the word. He then relates sensual impressions, as if a newly formed creature were experiencing the physical world. Then, as the center of his universe, Stephen also learns the meaning of words and the power of words. He is like Adam bringing order to things by giving them names. But Stephen's knowledge comes not only from the material world, he learns through a sudden-knowing, similar to spiritual understanding, a process Joyce calls intuitive or epiphany. His thirst for knowledge both intellectual and sensual brings him in conflict with his father (Jesuit and heavenly). He falls from grace and experiences hell (through the power of word and his very vivid imagination). Because of his terror of hell he responds at first with repentance, but after reflection, with defiance. At the end of the novel he leaves his homeland, his place of origin, and prepares to begin a new life in a new land. THE WORD In the beginning was the word. Throu... ...because of what has happened to him, but because of his response to those events. He was not the only young Irish boy to have a self-sacrificing saintly mother and an irresponsible drunkard father. He was one of hundreds if not thousands of boys to be indoctrinated and trained by the Jesuits. What made him different was his response and that response was unique to him, and that uniqueness was born in him. So, the ultimate conclusion of the novel is that the artist is born, not made by human ways, but created by the powers of nature and/or God. Works Cited: Joyce, James. The Portrait of the Artist as a Young Man. New York: The Viking Press, Inc., 1958. Joyce, Stanislaus. My Brother's Keeper James Joyce's Early Years. New York: The Viking Press, 1993. Levin, Harry. James Joyce, A Critical Introduction. New York: New Directions Publishing Corporation, 1960.

Life Shaping Experience Essay

More often than not motorcycle safety should be a major concern for riders and should be learned and practiced prior to the operation of any motorcycle. Motorcycle safety is a very important consideration not only to the operator but also for other individuals when sharing the road and should not be learned through adverse experiences. The Proper use of a D. O. T. , Department of Transportation, approved helmet insures that the possibility of serious head injuries or death can be greatly reduced. Current statistics, from 2008, from The Center For Disease Control @ www. cdc. gov. rg state that â€Å"A Proven Safety Measure. Helmets save motorcycle riders’ lives. Helmets reduce the risk of head injury by 69%. In a motorcycle crash, an unhelmeted rider is 40% more likely to die from a head injury than someone wearing a helmet. In 2008, helmets saved over 1,800 riders’ lives, but about 800 more lives could have been saved if all riders had worn helmets. † While operating a motorcycle one warm early summer evening I was involved in a traffic collision with a local elderly couple driving an earlier model 1970’s Cadillac. Not only was this Cadillac very large it was also very heavy. The gentleman that was driving was not paying very close attention as he continued straight through the very busy intersection from a left only turn lane. As I approached the intersection from the opposite direction I became aware that this monstrous chuck, of fast moving steel, was not turning nor was it slowing down. I decided it was best to smash on my breaks and discontinue my left hand turn attempt. This I believe is what saved my life that night. My bike straightened out and slowed just enough to prevent us both from winding up straight in front of our doom. The caddy and I grazed side by side. My left hand and handlebar smashing the caddy’s front windshield, back window and all other windows on the driver’s side. At that point in time everything that was anything turned into nothing but one big crash. The bike went its way and I went for a flight straight up into the air. Landing back to earth, after what seemed to be forever, on my hands and knees the only thing that came to mind was to find safety. Safety from all of the other traffic that needed to use that very same busy intersection that I was now no longer in need of. The only safety that I could think of was the comfort of getting next to that now dilapidated bike of mine. Why? I have no idea but it seemed like the right thing to do at that spinning point in time. So I crawled and I crawled until, finally, I was next to that that was going to protect me from getting run over. Three, kind, employees that worked at the filling station across the street came over and helped me to the side walk and began to take steps to see if I was physically alright. Beside from a few rocks being stuck in my aching knees and bleeding hands and apart from being really shook up these two, more than kind, individuals determined that I was going to live. This, needless to say, was comforting even coming from medically uncertified sources. It was then that motorcycle safety consideration came into being for me. I asked one of these gentlemen, â€Å"Could you please go back out into the intersection and get my eyeglasses and helmet for me? † The gentleman replied’† Yes I would be more than happy to get your glasses however you were not wearing a helmet. † As far as the condition of the elderly occupants of the Cadillac and their wellbeing, they were uninjured and doing fine all except for being really shook up and not wanting to speak to me at all. They had just almost killed me and did not want to take the effort ,that any caring citizen would take , to see if I was ok. That’s the last that I heard from them. It was now up to their insurance company to take care of business and wow did they ever have to. I made a couple of dollars on that life changing experience. Later that evening after recouping for an hour or so at home and a little self-medicating Lewis, a very close friend of mine at the time, came to my door and asked,† Is there anything that I can do to help? Lewis had gotten word through the proverbial circle of friends that we are all familiar with in the high school years of our lives, and hurried right over. We went cruising around the stomping grounds of El Toro California because it seemed like the thing to do after one of us had cheated death and could still talk to the other. As we cruised we meditated on and came to the conclusion of motorcycle helmets and how they will be a part of both of our lives from now on. We talked about how it was not luck having escaped serious injury or perhaps even death due to this accident. We both agreed that it was simple hysics that attributed to not having collided with any other objects during the actual event. Having agreed, that remaining friends was something that we both wanted and that riding bikes with our girlfriends was also something that we wanted to continue doing, we bought helmets for ourselves and our girlfriends. Once again I cannot stress enough the importance of motorcycle safety. How wearing a helmet at all times while riding is so important for operators protection. Again more often than not motorcycle safety should be a major concern for riders and should be learned and utilized by riders prior to operating a motorcycle.

Immigrant Health in the United States

IntroductionThe understanding of the challenges facing immigrant health in the United States is vital to maximizing its trajectory towards transformation. As pointed out by Hall and Cuellar (2016), the negative impetus among the immigrant healthcare in the United States is greatly linked to the relationship between the immigration policies and immigration experiences. Even though the government has passed various legislations with an aim of providing affordable health care to its citizens, the socio-political environment, and its effects healthcare service provision remains a troubling affair. This study seeks to examine some of the pieces of evidence that lead to the limited access to quality health care in the United States of America, more so the immigrants. Some of the possible barriers include unfriendly immigration policies, bureaucracies in the health care system, and lack of capital to finance medical bills. Therefore, this study is significant in addressing the government and other stakeholders to come up with friendly measures that give immigrants easy access to health care services.Statement of the Study ProblemImmigrants in the United States are faced with substantial challenges in accessing healthcare, and this has a great toll on their general wellbeing. These challenges can be attributed to the healthcare system. For example, the insurance coverage varies from one state to another, which leads to an intricate insurance scheme in the country. As a result, the government faces a greater challenge to influence uniform reforms at the national level. Even in spite of the Congress passing the patient and Affordable Care Act (ACA) in 2010, the immigrant communities in the country are still not able to access good healthcare services. This implies that the political goodwill is necessary to promote the immigrants' rights in health care access. The country should implement sound and sustainable immigration policies access essential services in the country.Immigrant Health and Its ChallengesIt is obvious that the negative trajectory to healthcare accessibility by immigrant communities is propelled by the existing harsh policies. For instance, the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) impedes many local, state, and federal health workers from supporting the undocumented immigrants (Hall ; Cuellar, 2016). Even though was sought as a tool to limit illegal immigration, such restrictions limit the immigrants to access publicly financed health services, and instead of serving the purpose of limiting illegal immigrants, (PRWORA) places deleterious effects on the immigrants' access to publicly funded health care service. Another matter of concern is how the implementation of ACA is possible when Immigration and Nationality Act (INA) conditions the immigrants to meet certain qualifications in order to access any form of federal assistance. Even if they have a chance to Medicaid benefits, their time to access such is restricted. According to Personal Responsibility and Work Opportunity Reconciliation Act in 1996, federal benefits are only allowed for five years for the qualified immigrants and refugees. According to the National Association of Social Workers (NASW), the policies governing the health care place open restrictions to the immigrant communities. The organization, therefore, maintains that social workers and healthcare service providers should be on the lookout to consider these social and legal statutes to deal with the barriers that limit the community wellbeing in the country. Besides these limiting policies, the immigrant communities are also faced with discrimination and prejudice whenever they visit any health facility. In fact, the problem of racism still remains a disturbing matter in the United States. As a result, some health professionals have been reluctant to attend to patients from other ethnic communities. Also, most of the immigrant families have low income, which affects their ability to pay the hospital bills. Therefore, they face a serious problem when it comes to health care access. What Has Been DoneVarious individuals and organization have made incredible endeavors to address the immigrant health challenges in the United States. For instance, the National Association of Social Workers (NASW) has been active in calling their members and partners to deal with the policies that affect the immigrant communities (Haidar, 2018). On the same pedestal, the former president Barack Obama in 2014 made public his intention to allow the undocumented immigrants to live in the country without the constant threats of deportation. He similarly sought to allow them unrestricted access legal employment in different companies and organizations. Unfortunately, the Republicans in the Senate used their numerical strength to thwart the plan, and were later put on hold by one of the federal district judges in Texas. The argument was that when would be allowed in the country, the plan would place a strain on the health care system.In addition, lack of insurance coverage, poor political goodwill, lack of knowledge about health, screening, and prevention makes it difficult to influence changes in the health care to favor immigrants. This creates the likelihood of poor access to chronic infection management for the families that do not have health insurance coverage. According to the study done by Gushulak, Weekers and MacPherson (2009), positive health care outcome and health care-seeking behavior are greatly associated with the healthcare insurance. It is important to note that the government has tried to implement the Affordable Care Act, but still, the immigration policies need to be dealt with to attain the best results. The government and the policymakers must come up with better approaches that guarantee affordable health care for all people indiscriminately. Even though experts allude that the U.S. immigration integration policies are the best compared to other countries and is slightly favorable in regards to health policies, more efforts are needed to make this thought a conceivable reality. Since the election of Donald Trump as the president of the United States, various organizations concerned with the protection of the immigrants and refugees' rights have issued statements to fight the unfriendly policies. They seek to revoke the Deferred Action for Childhood Arrivals (DACA) and to pave ways for the immigrants' easy access to essential public services (Hall ; Cuellar, 2016). The government has also developed certain measures sought to defend the rights of the foreign-born individuals in the country. One of them is the Culturally and Linguistically Appropriate Services (CLAS), which is used as a blueprint guide in giving health care service to different populations. This means that immigrants and refugees in the country also commit the government to ensuring proper access to health care service. However, more needs to be done to allow immigrants easy access to health care services. Potential ChallengesThere is an effort to make reforms in the health care service so that all people in the United States can access them. However, it is evident that there are still potential challenges to deal with, such as poor political goodwill to fast-track such (Kullgren, 2003). When President Obama tried to come up with plans to support the immigrant communities, the plan was thwarted not on the basis of the arguments that were presented, but due to political stands. The members of the Republican Party used their number to defeat the plan in the Congress. However, experts say that the barriers to health service for immigrant communities are vaster and go beyond the policies. They range from financial incapacities, fear of deportation and discrimination among the health care service providers. For example, within the health care system are external resource constraints, discrimination, the costs of the health care services and many procedures within the system that one has to keep up with. In fact, the bureaucratic procedures within the health care system is not only disadvantageous to immigrants, but to other citizens as well. On the other hand, there are individual challenges that impede health care access. These may include communication barriers, fear of deportation, stigma, financial incapacities and lack of knowledge about health care services. At the policy level, immigrants meet difficulties in trying to access health care insurance. The requirement that individuals have to provide their documents to access such insurances is a greater challenge, more so to the undocumented immigrants. Therefore, despite the efforts, the challenges are seriously raging.RecommendationsThe recommendations to address these challenges range from advocacy for policy transformation, more training for the health care providers to better understand their professional roles, more and better insurance options, and extension of the security net. In other words, the government should increase access to all citizens irrespective of their background and status. Also, the government should allow access to state-funded health care or provide subsidized insurance opportunities to all people living in the united states. Essentially, there is a need for all the stakeholders involved in the matter to take these points with greater interests to guarantee access to affordable health care between both the documented and undocumented immigrants. If allowed to continue on the same pedestal, the United States would end up being a bad example that would be used as a case study for poor immigration health policies. ConclusionThis study identifies some of the barriers to health care access by the immigrant communities. Some of the identified areas to be addressed include immigrant policies, the bureaucracies within the health care system as well as the expansion of health insurance options. The United States is celebrated in the world for having friendly blueprints that guide its health care policies. However, it is also apparent that those policies are not friendly to immigrants living in the country. Even though various stakeholders have tried to generate mitigating measures, there is still need to promote political goodwill for those options to succeed. In spite of the Congress passing the patient and Affordable Care Act (ACA) into law in 2010, the immigrant communities in the country are still not able to access good health care services due to poor political goodwill. It means that the government and policymakers must hasten their moves in coming up with proper measures to support immigrant health. Just as pointed out in this study, understanding the challenges that face immigrant health in the United States is vital to maximizing its path towards transformation.

Free Essays on Avon

Avon Author: Flem Email: francy91@yahoo.com In over a hundred countries, Avon is a leader in beauty and a trusted name in direct selling. But that's only the beginning. More and more, you'll find Avon in kiosks and corner stores, in fashion and in fitness, on the web and on your wavelength. Avon is a world-famous brand, but the â€Å"Let’s Talk† campaign that launched in the year of 2000 in over 20 international markets is the company’s first global advertising effort that was created by Avon’s own advertising department. â€Å"Let’s Talk†, was designed to reflect Avon’s corporate mission to be â€Å"the company for women†. The mission of the campaign is to gather a global network, it’s system for dealing with international marketing is though sales brochures, web sites, sales incentives, sampling initiatives and cause-related programs, all apart of the marketing mix. As a result of â€Å"Let’s Talk†, a positive response was received. In the two largest markets, Brazil and Mexico, as well as Venezuela the outcome was not only promising but also profitable. Worldwide sales grew up to 15 percent and profiting over 13 percent. The number of active Avon sales representatives grew 10 percent. In Brazil along, sales grew 14 percent and profiting 17 percent in 2000. In Mexico, Avon sales grew 18 percent and there was an 8 percent increase in the number of sales representatives in the country. In Argentina, sales and operating profit declined, as expected, due to continuing economic weakness. In the Pacific region, sales declined 7% in dollar terms but increased 5% in local currencies. Units rose 8% and active Representatives were up 12% in the quarter, with most major markets showing increases. China, which utilizes innovative forms of retail selling, continued to deliver excellent sales and unit growth in the quarter. Operating profit in the Pacific region declined 4% in dollar terms, but increased 10% ex... Free Essays on Avon Free Essays on Avon Avon Author: Flem Email: francy91@yahoo.com In over a hundred countries, Avon is a leader in beauty and a trusted name in direct selling. But that's only the beginning. More and more, you'll find Avon in kiosks and corner stores, in fashion and in fitness, on the web and on your wavelength. Avon is a world-famous brand, but the â€Å"Let’s Talk† campaign that launched in the year of 2000 in over 20 international markets is the company’s first global advertising effort that was created by Avon’s own advertising department. â€Å"Let’s Talk†, was designed to reflect Avon’s corporate mission to be â€Å"the company for women†. The mission of the campaign is to gather a global network, it’s system for dealing with international marketing is though sales brochures, web sites, sales incentives, sampling initiatives and cause-related programs, all apart of the marketing mix. As a result of â€Å"Let’s Talk†, a positive response was received. In the two largest markets, Brazil and Mexico, as well as Venezuela the outcome was not only promising but also profitable. Worldwide sales grew up to 15 percent and profiting over 13 percent. The number of active Avon sales representatives grew 10 percent. In Brazil along, sales grew 14 percent and profiting 17 percent in 2000. In Mexico, Avon sales grew 18 percent and there was an 8 percent increase in the number of sales representatives in the country. In Argentina, sales and operating profit declined, as expected, due to continuing economic weakness. In the Pacific region, sales declined 7% in dollar terms but increased 5% in local currencies. Units rose 8% and active Representatives were up 12% in the quarter, with most major markets showing increases. China, which utilizes innovative forms of retail selling, continued to deliver excellent sales and unit growth in the quarter. Operating profit in the Pacific region declined 4% in dollar terms, but increased 10% ex...

Presidents Who Were Masons

Presidents Who Were Masons There are at least 14 presidents who were Masons, or Freemasons, according to the secretive fraternal organization and presidential historians. The list of presidents who were Masons includes the likes of George Washington and Theodore Roosevelt to Harry S. Truman and Gerald Ford. Truman was one of two presidents- the other was Andrew Jackson- to achieve the rank of grandmaster, the highest ranking position in a Masonic lodge jurisdiction. Washington, meantime, earned the highest possible position, that of master, and has a Masonic memorial named after him in Alexandria, Virginia, whose mission is to highlight the contributions of Freemasons to the nation. American presidents were among many of the nations most powerful men who were members of the Freemasons. Joining the organization was seen as a rite of passage, even a civic duty, in the 1700s. It also got some presidents into trouble. Here is a complete list of presidents who were Masons, drawn from the organizations own records as well as the historians who chronicled its importance in American life. George Washington Washington, the nations first president, became a Mason in Fredericksburg, Virginia, in 1752. He has been quoted as saying, The object of Freemasonry is to promote the happiness of the human race. James Monroe Monroe, the nations fifth president, was initiated as a Freemason in 1775 before he was even 18 years old. He eventually became a member of the Masons lodge in Williamsburg, Virginia. Andrew Jackson Jackson, the nations seventh president, was considered a devout Mason who defended the lodge from critics. Andrew Jackson was loved by the Craft. He was Grand Master of the Grand Lodge of Tennessee and presided with masterly ability. He died as a Mason should die. He met the great Masonic foe and fell calmly beneath his silent blows, it was said of Jackson at the installation of a monument on his behalf in Memphis, Tennessee. James K. Polk Polk, the 11th president, began as a Mason in 1820 and achieved the rank of junior warden in his jurisdiction in Columbia, Tennessee, and earned the royal arch degree. In 1847, he helped in a Masonic ritual of laying a cornerstone at the Smithsonian Institute, Washington, D.C., according to William L. Boyden. Boyden was a historian who wrote Masonic Presidents, Vice Presidents, and signers of the Declaration of Independence. James Buchanan Buchanan, our 15th president and only commander-in-chief to be a bachelor in the White House, joined the Masons in 1817 and achieved the rank of district deputy grand master in his home state of Pennsylvania. Andrew Johnson Johnson, the 17th president of the United States, was a loyal Mason. According to Boyden, At the cornerstone laying of the Baltimore Temple some one suggested that a chair be brought to the reviewing platform for him. Brother Johnson refused it, saying: We all meet on the level. James A. Garfield Garfield, the nations 20th president, was made a Mason in 1861in Columbus, Ohio. William McKinley McKinley, the nations 25th president, was made a Mason in 1865 in Winchester, Virginia. Todd E. Creason, founder of the Midnight Freemasons blog, wrote this about the understated McKinley: He was trusted. He listened much more than he spoke. He was willing to admit when he was wrong. But McKinley’s greatest character trait was his honesty and integrity. He twice turned down the nomination for President because he felt each time that the Republican Party had violated its own rules in nominating him. He squashed the nomination both times-something a politician today would probably view as an unthinkable act. William McKinley is a very good example of what a true and upright Mason should be. Theodore Roosevelt Roosevelt, the 26th president, was made a Freemason in New York in 1901. He was known for his virtue and refusal to use his status as a Mason for political gain. Wrote Roosevelt: If you are a mason you will of course understand that it is expressly forbidden in masonry to attempt to use the order in any way for anyone’s political advantage, and it must not be done. I should emphatically object to any effort so to use it. William Howard Taft Taft, the 27th president, was made a Mason in 1909, just before becoming president. He was made a Mason at sight by the grand master of Ohio, meaning he did not have to earn his acceptance into the lodge like most others do. Warren G. Harding Harding, the 29th president, first sought acceptance into the Masonic brotherhood in 1901 but was initially blackballed. He was eventually accepted and held no grudges, wrote John R. Tester of Vermont. While president, Harding took every opportunity to speak for Masonry and attend Lodge meetings when he could, he wrote. Franklin D. Roosevelt Roosevelt, the 32nd president, was a 32nd Degree Mason. Harry S. Truman Truman, the 33rd president, was grand master and 33rd degree Mason. Gerald R. Ford Ford, the 38th president, is the most recent to have been a Mason. He began with the fraternity in 1949. No president since Ford has been a Freemason.

Criminal law Coursework Example | Topics and Well Written Essays - 750 words

Criminal law - Coursework Example Sally complies and provides information. Denise, using this information, robs Victoria and also accidently fires a gun shot on her shoulder. This paper will discuss the liabilities and defence for both the defendants- Denise and Sally. It is clear that Denise knowingly went to rob Victoria. She had the attention to rob Victoria and had gained the necessary information from Sally to commit the crime. Denise was self-motivated. Robbery is taking money or goods forcefully from a person without the owners consent in his presence1. Denise is guilty of this charge. Moreover, Denise also went to the alley carrying a gun. The gun was loaded and Denise pointed it at Victoria while committing the robbery. This constitutes as violence. In this case, Denise cannot avoid being charged with armed robbery and violence. She would have to plead guilty of this charge. During their encounter, Denise fired a gunshot at Victoria which struck her on the shoulder and wounded her. Thus, Denise would also be charged for carrying and using an offensive weapon. For this, Denise is liable to being sentenced to prison. Denise could use the defence that she had no intention of wounding Victoria. The gunshot wound was not premeditated and was not intentional. Even though, Denise would still be charged for robbery and also wounding Victoria, she may be able reduce her sentence when she pleads guilty of robbery and unintentional weapon discharge. Sally is an accessory to the crime. An accessory to the crime is a person who is not the chief actor the felony or present at the time of the felony but rather helped commit the felony in a certain capacity. In this case, Sally is an accessory before the fact. An accessory before the fact is someone who helps or commands the chief actor of the felony before the felony is committed. The accessory to the fact either aids or encourages the principal to commit the crime. Sally was aware that Denise was going to use the information to

The Circle of Memory in My Papa's Waltz Essay Example | Topics and Well Written Essays - 1500 words

The Circle of Memory in My Papa's Waltz - Essay Example Readers now begin to wonder, does the waltz dance ignites a painful memory for the speaker or happy memory? Does the waltz dance bring out the father’s clumsiness and a moment of fun with the speaker, or does it bring out issues of alcoholism and child abuse? Therefore, waltz becomes the center of the themes that it portrays while at the same time, becoming the center of controversy. One way, that depicts the use of waltz to complicate the father-son relationship, is through the argument that the speaker remembers his father's bouts of drunken behavior and how they affected him as a child. Another side of argument views that the waltz depicts the love between the father and son, since the former, despite his heavy drinking after a day’s hard work, got time to spend and dance with his son. However, in the first argument, the speaker remembers how his father slapped him around due to his inebriated state, also, that he became violent after drinking too much. Memory plays a vital role in the poem as the speaker is a grown man who remembers his childhood experiences. The subjective lens of memory reveals that the speaker perceives his father's â€Å"waltz† differently now than he did as a child. The speaker also expresses how he felt confused by his father's behavior as a child. As a child, the speaker views his father's violence as actually being a display of emotion and affection. He explains how his childhood perception of his father allowed him to confuse his father's violence with dancing. The waltz symbolizes how the speaker views his father's behavior differently as an adult as he acknowledges how his father had a strange, troubling way of expressing his love and affection. The circle of memory is inseparable from the speaker's view of the waltz as a strange, tenuous bond he had with his father. This represents confusion, not only to the reader, but also to the speaker. Since the poem is a memory of when he was young, the waltz seems to represent something different from when the speaker was young. As stated earlier, the use of waltz in the poem is purposely used to complicate the relationship between the father and the speaker. This also implies that the speaker is also confused by the meaning of the dance. His view about the dance then seems to have changed now that he is fully grown. However still, confusion lingers on his memories. The waltz reveals that the speaker's memory of his father changes over time, and hence that the â€Å"beat† of his father's fist is part of the beat of the speaker's memory. The father's movements reveal that he is intoxicated as he is moving around the room aimlessly. Similarly, the speaker's memory wanders in aimless circles in his attempt to decipher the full meaning of his father's behavior. The speaker's endeavor to find certainty regarding his father's waltz reveals his desire for objectivity. The following lines reveal that he desires to be as objective about his view o f his father in the same way that death is objective about life: â€Å"The whiskey on your breath / Could make a small boy dizzy; But I hung on like death: Such waltzing was not easy† (Roethke & Snodgrass 1-4). The speaker realizes that finding objectivity is an arduous task as his father's ambiguous display of emotion leaves him confused. He comes to terms with how his perception of his father lacks the necessary objectivity of factual truth. The poem illustrates

Civil Engineering Essay Example | Topics and Well Written Essays - 1250 words

Civil Engineering - Essay Example ew ideas and plans regarding a product or a service and then taking appropriate steps for the implementation of those ideas and plans in the product development process in order to create a new product. Christiansen (2000) found that newly developed products are introduced into the market by a company to get some economic gain. While talking about the concept of innovation, let’s talk about a company which has really embedded innovation in all of its processes and activities. The company which we are talking about is Emaar Construction Company. Emaar is a public joint stock company whose motive is to provide the people with high standard and premier life styles. Emaar has really proved its worth in the field of construction. It has become one of the leading construction companies in the world because of its professionalism and commitment towards fulfilling the customers’ needs and requirements. Emaar is basically a Dubai based Construction Company and has been working effectively and successfully since 1997. Emaar has managed a rapid growth due to its professionalism in satisfying the housing needs of the people of United Arab Emirates. Emaar Construction Company strongly believes in the concept of innovation and stresses on innovative and creative ideas in all aspects of the company. Emaar has completed a lot of outstanding and marvelous projects which were based on innovative ideas. It is due to Emaar’s constant urge for innovation that it has proved to be one of the most successful construction companies of the world. Emaar Construction Company competes in various areas related to construction industry. These areas include building beautiful homes, providing value added services to the customers, master planned communities, various construction projects, and providing the customers with full range of high life style requirements. Emaar’s main competitive strategy is based on creativity of new ideas and Emaar considers innovation and modernization of

Economic Development of India and China

Economic Development of India and China ABSTRACT This study looks at the factors that have shaped the economic development of India and China. Starting in the 1990s, a gap emerged in the economic development between the comparable countries. This gap can be attributed to many factors including: China’s authoritarian government and focus on infrastructure, India’s focus on the service sector rather than manufacturing, and India’s late embrace of the market economy. Although this gap has been consistent since the 1990s, there is a possibility to close the economic developmental gap between the two Asian countries. INTRODUCTION India and China are both leaders in Asia’s emerging market. However, currently, China gets ten times more foreign direct investment than India. This paradox is so intriguing because up until the 1990s, India’s highway and railway infrastructure system was far beyond that of China, and until 1993, the two countries had similar GDPs. However, beginning in the 1990s, a gap emerged in the economic development between the two countries. This study will look at the economic performance, path to modernization, and political similarities and differences. All of these factors play a role in the gap that has emerged.   The globalization process has played a large role in the development of countries worldwide. Firstly, this study will delve into globalization and how the process has impacted each country differently. Secondly, we will look at what factors indicate why China has developed at a much faster pace than India. Finally, it will look at the possibility of bridging the gap.    THEORETICAL FRAMEWORK Assumption 1: The transformation of development has changed due to globalization. Less developed countries do not have to invest time and capital in research and development; borrowing technology creates faster development. Hypothesis 1: China and India have vastly different markets and political strategies. Globalization had led to massive economic growth in both, however, the different economic and political choices made by both countries have impacted their speeds of development   Theoretical Lens: This study will utilize the liberalist theoretical lens to analyze this study. This theoretical approach abides by the assumption that the driving force behind economic integration is globalization. Therefore, implemented it will lead to increased trade and investment. Globalization has played a heavy role in the development of both India and China, and can assist in the explanation of the gap that has occurred. Globalization is supported by classical economic liberals because they adhere to what globalization essentially stands for. Because this study focuses primarily on economic development, this study will utilize the focus that the liberal school of international relations has on the economic benefits of globalization.   Globalization has assisted in the worldwide spread of large companies, democratic values (India), and skill sets. China is a perfect example of the benefits globalization can offer. Their growth can be attributed to their large manufacturing export sector and the market incentives that came when they opened their economy.    METHODOLOGY Research Question: How are China and India’s different choices responsible for India’s lag behind China? Thesis Statement: The gap that has occurred between India and China can be attributed to various factors including India’s focus on the service sector, the lack of government cohesiveness, and their late opening to the global market.    Data Collection: I chose these two specific countries for a few reasons. These neighboring countries share a 2000-kilometer border. They each have a large population and similar objectives. Their relationship has transformed in many ways in modern history; transitioning from ally to rival and back to allies again. They both endured devastating famines and they are both historically very similar. One of the biggest gaps that I noticed is that their pace to development differs greatly. This gap began to occur in the 1990’s, therefore my study will focus on 1990-now. This paper will rely primarily on qualitative research found in scholarly journal articles and books. The sources are available on the internet.   The Journals utilized includes: Journal of Indian Business Research, Modern Asian Studies, The China Quarterly, Asian Survey, Comparative Politics, and International Affairs. This study also used data from the World Bank, the Organization for Economic Cooperation and Development (OECD), and the United Nations Educational, Scientific and Cultural Organization (UNESCO). BACKGROUND When looking at each countries’ current state, it is important to acknowledge their respective histories and the role that they played. Both China and India have a long history, however, their histories vary. Both were major exporters of textiles and largely dominated the seas until 1500. Both countries have vast territories and utilized this in the agricultural sector. However, China’s history drove it towards mass industrialization. China is a large, centrally run state and has a history of stability and single authority. Their country views itself as a unitary, hard state. This allows them to pursue single goals with ease and mobilize resources effectively. India endured foreign rule from the British until their Independence in 1947. India struggled to find unity within diversity and articulating an integrated vision of Indian nationhood. They had issues because they were trying to accommodate different languages and religions within a democratic framework. However, the average Indian was slightly better off than the average Chinese the first few years after India’s independence. These historical legacies have greatly influenced the political and economics of China and India. CHAPTER I: GLOBALIZATION IN DEVELOPING COUNTRIES The globalization process has introduced numerous opportunities and threats to India and China. Both countries have extensively liberalized their economies in recent years and they have seen rapid economic growth in the past two decades. However, these two countries have benefited from these opportunities at very different rates and responded to the process in different ways. This is where our study’s first questions is introduced: The globalization has effected developing countries differently, why? The ambassador to the Geneva Center for Security Policy defines globalization as, â€Å"A complex process that involves economic integration, transfer of policies across borders, and the transmission of knowledge.† [1] It is a process that encompasses the causes, course, and consequences of transitional and transcultural integration of human and non-human activities. Therefore, it is evident that this concept plays an integral role in this study. Global integration has decreased poverty in China more so than in India. However, there has been an overall decline in poverty for both countries. The main difference between China and India is the inequality that has developed in India due to the change in economic status within the society. Overall, globalization and economic integration has increased the number of people living in extreme poverty in the world’s richest and poorest countries.    India India is still in the ongoing process of globalization and economic integration into the world economy.   Most scholars believe that the starting point for economic liberalization in India is began in 1991.[2] This is when the government openly sought integration into the economy and their orientation shifted. This included the removal of tariffs and restrictions on foreign trade. The Indian government also liberalized their foreign direct investment and cut taxes during this time. Although there was an orientation shift in 1991, regions within India experienced very different growth rates. This is mostly a result of the differences in foreign direct investment flow. During this time, only 4 regions accounted for 43.74% of FDI in the country.[3] Globalization caused uneven growth regionally as well as in different sectors. Growth in the agriculture sector declined significantly in comparison to the manufacturing and service sectors. If growth would have been spread more evenly throughout the various sectors, inequality and poverty would decrease across the country. China China’s rapid growth is associated with them being one of the first Asian countries to integrate the globalization process and open up to the world economy. In the past 40 years, China’s approach to development has been so successful that they are now ranked as the second most important economy. They began their economic reform in 1970s which gave them a head start in growth rate in comparison to other countries in the region. Currently China’s service sector is much broader than India’s. This includes tourism, business, and transport services. Globalization has led to rapid economic development within China.   In the 1990s, China focused on being labor intensive. They diversified their export sector to include computer equipment and telecommunications. Their manufacturing increased from 72% of merchandise exports to 91%.[4] This demonstrated China’s importance in the world economy and the manufacturing sector. Overall, the globalization process sped up the GDP growth rate in China. It also decreased their vulnerability to economic crises. It actually protected them from the Asian financial crisis in the 1990s. Different choices in history by China and India have resulted in China being a leader in economic development. This is because China opened up their markets earlier and India started in 1991. India also did not focus on industrialization. They specialized in services and IT. Unfortunately, the IT-sector does not contribute a large benefit to GDP, therefore, this growth did not result in significant growth within India. CHAPTER 2: FACTORS THAT STIMULATE DEVELOPMENT INEQUALITY This chapter will look factors that have encouraged the rise of China and lag of India. This puzzle is specifically intriguing because the countries’ GDPs were so similar up until the 1990s. This is where the second question within this study is introduced: Why has China developed so much faster? Below are the main reasons why China is so far ahead of India: China is an Autocracy. The Chinese authoritarian government owns all of the land. China’s government allows for quick land acquisition for development of infrastructure projects and to restore and rehabilitate the displaced people. This leads to faster decision making and faster implementation.   In the 1990’s China had a rapid infrastructure push and roads, railways, and airports were built. Rather than waiting for the need to arise, China’s government built for their country’s projected needs. For the most part, the policy decisions decided on are not altered by different party politics, ideology or leadership change. This allows the government to stay committed to a focus on their economic growth. One of the most successful government implemented policies is the encouragement of resource mobilization. China has an extremely strong savings culture. There are four large state banks that citizens deposit their money into. Overall, China has a faster growth of capital stock which results in rapid growth of capital intensity. This high savings rate has transformed into available capital. This capital is directed by the leadership into various key projects. This correlates to China’s focus on infrastructure projects. This capital has financed the majority of the government infrastructure projects in China. China embraced a market economy early. China experienced one of the greatest comparative advantages in economics’ history. In the 1990’s, China began to focus more on their relations with strong global powers like the United States, Russia, Japan, and European countries. They embraced market economy in 1992 and utilized their massive amounts of land. Land reform led to equitable distribution of income and wealth throughout the country. China has a strong manufacturing base. When China invaded the world market, they focused on labor-intensive manufacturing sectors like textile and apparel. They successfully transitioned from agriculture into high productivity sectors. They began to focus their orientation largely on exporting manufacturing goods. China successfully became the world’s manufacturing hub by creating low-cost electronic and hardware products. This provided a much needed boost to their economy and a substantial amount of jobs were provided. China has favorable demographics. China’s population provides them with a massive market making their current demographics favorable for a strong economy. China currently has more people in working age which leads to higher productivity and a higher GDP. However, due to the One Child Policy, this is expected to decline in the future. That being said, China’s population has been one of their best selling points. Chinese leaders organized delegations, hosted conferences, and successfully convinced foreign investors that China was stable and committed to an open-door policy. They essentially used their massive size as a selling point to increase foreign investment. Additionally, China’s population has a high literacy rate compared to India. Mao rapidly increased literacy rates within China, particularly in women. In 2012, the adult literacy rate was 96.4% in China and 71.2% in India.[5] China has a hidden source of income: the tourism industry. They host almost 6 times more tourists every year in comparison to India. This industry creates over 60 million jobs in China. This hidden source of income dominates their service sector. China has a flexible investment zone. They have a highly developed bond market where investors can easily hedge their risks against deviations. They also have the China Development Bank which heavily finances their infrastructure development. Their government has successfully created flexible investment zones, and export processing zones that are combined with tax incentives and strong infrastructure. China has a much higher FDI from OECD countries due to its large domestic market.[6] They also have stronger international trade ties with these countries. Below are the main reasons why India’s growth has been stunted in comparison to China’s: India’s growth model: India has focused predominately on an idiosyncratic pattern of development. However, they have emphasized services and skill-intensive manufacturing rather than labor- intensive manufacturing.[7] India is a democracy. India’s government politicians’ policy decision are often driven by what will get them the most votes rather than what is necessarily right for the country. Winning elections is prioritized, and things like subsidies take precedence over large infrastructure projects. This causes delays and the result is ineffective decision making. They have multiple political parties with no coherent approach to development. Additionally, the government has not provided a stable macro-economic environment. India’s main focus is on the service sector. India never experienced mass industrialization or a boost in the manufacturing sector. They still currently focus on the service sector which includes skill and knowledge.   The service IT-sector which India has focused on does not contribute a large benefit to GDP. India’s economy opened up much later than China. The economy is currently largely closed and trade is a much smaller part of its economy. Their country fosters a sense of protectionism that prohibits companies from owning a majority of a company within India. The intention of this policy was to foster native companies, however, it has stifled their growth and economy. However, in 1991, Prime Minister Narasimha Rao implemented reforms to accelerate Indian economic growth.[8] These results were short lived, and due to political paralysis of policies, economic growth was stunted once again.   India has a poor methodology towards infrastructure. India’s approach to infrastructure is to wait for the demand to arise before building. China is the opposite. India’s mall infrastructure projects have been funded by private companies. India is in dire need of a development finance institution (a lender solely for long-term infrastructure projects). India lacks the business-above-all attitude. Unlike China, India has extremely stringent environmental protection laws. This often leads to cost escalation. It has been referenced as a third world country with first world ambitions and resources but outrageous environmental ethics.[9] Trade and economic growth have not been paramount in India. Their focus on native companies and local industry has curbed and restricted foreign investment. CHAPTER 3: LESSONS TO BE LEARNED AND PROSPECTS FOR THE FUTURE What are some policy lessons to be learned? The education system needs to be at the forefront. It is important for India to maintain the current comparative advantage over China within the IT-sector. In order to do that, India must continue to reform the educational system and promote education throughout the country. Overall, the average level of education needs to increase. Additionally, specialized training can further strengthen their labor force. Finally, India’s government needs to realize that industrialization rather than service specialization is needed to reach high growth rates. Is it possible to bridge the gap? Demographically, India’s population and market will soon be the size of China’s. By 2020, India’s working age population is projected to overtake China. This is partially a result of China’s One Child Policy. The UN projected that India will have more than 1 billion people in working age by 2050. As of 2012, India’s fertility rate was at 2.5 compared to China’s 1.7.[10] India also offers cheaper labor costs, geographic closeness to many OECD investor countries, and lower country risk. This can increase their prospects for increased FDI investment. In efforts to boost tourism, India is implemented a new policy that allows for visa on arrival without the need to visit an Indian consulate or visa center. This policy has the opportunity to increase country revenue and support job growth within the service industry. Since the election of Prime Minister Narendra Modi in 2014, foreign investment has been increasing in India. PM Mobi has pledged to banish India’s reputation as a hard place to invest and do business. He also plans to invest heavily in rail, roadway and energy infrastructures. He promises to create efficient bureaucracy, develop the necessary infrastructure to support profitable industries, and work side by side with foreign and domestic investors to efficiently implement their projects.[11] CONCLUSION There are various economic and political choices made by both countries in the past that have largely effected their developmental success today. This study identifies these reasons as specific pieces to the gap puzzle. When we look at these as a whole we can see why there is such a large gap in the economic development of India and China. China’s began their orientation towards the world economy in 1978, while India did not shift their orientation until 1991. It is possible to successfully bridge the gap between the two countries. However, considering the 15 year head start that China has on India, this process will take time. That being said, India’s new Prime Minister Narendra Modi offers a glimmer of consistency and productive policies to ensure India’s continued development. REFERENCES DeLong, J. B. (2003). India since independence: An analytic growth narrative.  In search of prosperity: analytic narratives on economic growth, 184-204. G.K. Kalyanaram, (2009) Indias economic growth and market potential: benchmarked against China,  Journal of Indian Business Research, Vol. 1 Issue: 1, pp.57-65,  https://doi.org/10.1108/17554190910963208 Fravel, M. (2010). International Relations Theory and Chinas Rise: Assessing Chinas Potential for Territorial Expansion.  International Studies Review,  12(4), 505-532. Retrieved from http://www.jstor.org.library3.webster.edu/stable/40931355 Hall, I. (2017). Narendra Modi and Indias normative power.  International Affairs,  93(1), 113-131. Malik, J. (1995). China-India Relations in the Post-Soviet Era: The Continuing Rivalry.  The China Quarterly,  (142), 317-355. Retrieved from http://www.jstor.org.library3.webster.edu/stable/655419 Nayef R.F. Al-Rodhan and Gerard Stoudmann, (2006) â€Å"Definitions of Globalization: A Comprehensive Overview and A Proposed Definition†, Geneva Centre for Security Policy, available at http://www.gcsp.ch/e/publications/Globalization/index.htm. Reich, M. R., & Bowonder, B. (1992). Environmental Policy in India.  Policy Studies Journal,  20(4), 643-661. The World Bank, World Development Indicators (2012). Fertility rate, total (births per woman). Retrieved from http://data.worldbank.org/indicator/SP.DYN.TFRT.IN.   UNICEF (2012). State of the World Statistics, Retrieved from https://www.unicef.org/infobycountry/india_statistics.html Wenhui Wei, (2005) â€Å"China and India: Any difference in their FDI performances?†, Journal of Asian Economics, Volume 16, Issue 4, 2005, Pages 719-736, ISSN 1049-0078, http://dx.doi.org/10.1016/j.asieco.2005.06.004. [1] Nayef R.F. Al-Rodhan and Gerard Stoudmann, â€Å"Definitions of Globalization: A Comprehensive Overview and A Proposed Definition†, Geneva Centre for Security Policy, 2006, available at http://www.gcsp.ch/e/publications/Globalization/index.htm. [2] G.K. Kalyanaram, (2009) Indias economic growth and market potential: benchmarked against China,  Journal of Indian Business Research, Vol. 1 Issue: 1, pp.57-65,  https://doi.org/10.1108/17554190910963208 [3] G.K. Kalynarma, (2009). [4] Fravel, M. (2010). International Relations Theory and Chinas Rise: Assessing Chinas Potential for Territorial Expansion.  International Studies Review,  12(4), 505-532. Retrieved from http://www.jstor.org.library3.webster.edu/stable/40931355 [5] UNICEF (2012). State of the World Statistics, Retrieved from https://www.unicef.org/infobycountry/india_statistics.html [6] Wenhui Wei, (2005) â€Å"China and India: Any difference in their FDI performances?†, Journal of Asian Economics, Volume 16, Issue 4, 2005, Pages 719-736, ISSN 1049-0078, http://dx.doi.org/10.1016/j.asieco.2005.06.004. [7] Malik, J. (1995). China-India Relations in the Post-Soviet Era: The Continuing Rivalry.  The China Quarterly,  (142), 317-355. Retrieved from http://www.jstor.org.library3.webster.edu/stable/655419 [8] DeLong, J. B. (2003). India since independence: An analytic growth narrative.  In search of prosperity: analytic narratives on economic growth, 184-204. [9] Reich, M. R., & Bowonder, B. (1992). Environmental Policy in India.  Policy Studies Journal,  20(4), 643-661 [10] The World Bank, World Development Indicators (2012). Fertility rate, total (births per woman). Retrieved from http://data.worldbank.org/indicator/SP.DYN.TFRT.IN.   [11] Hall, I. (2017). Narendra Modi and Indias normative power.  International Affairs,  93(1), 113-131.