The Challenge Facing Managed Care Organizations

The best test for oversaw care associations (MCOs) in our present time is the manner by which to get lower valued clinical expenses. As we as a whole know, American medicinal services ought to basically be a not-for-profit undertaking. Notwithstanding, the privatization of American medicinal services holds that social insurance all in all and emergency clinics specifically are progressively working on a revenue driven premise. Indeed, the revenue driven emergency clinic part has represented a moderately steady offer (around 15 percent) of medical clinic beds in the course of the most recent twenty years (Morrisson, 1999). This is the reason as of late the U.S. Congress attempts to push more â€Å"consumer-directed† wellbeing plan choices to keep away from destitute oversaw care associations (MCOs) to support their deductibles, raise premiums and even oppose government law by approving strategy holders to purchase doctor prescribed medications from minimal effort merchants in Canada (Smith, 23 September 2004). Overseen care associations (MCOs) frequently apply the customary expense for-administration models, which don't give sufficient budgetary controls and use motivating forces for doctors and medical clinics to contain the expenses of giving social insurance. Under oversaw care, the requirements of the patients are offset with endeavors to give financially savvy care. Normally, MCOs select endorsers by promising to give all vital clinical consideration in return for a fixed month to month premium. The MCO likewise contracts with emergency clinics, doctors, and other social insurance suppliers to apportion the important clinical consideration to its enrollees at a limited repayment rate. In return for tolerating decreased charges, the parental figures access the MCO’s enrolees (Kirby, Sebastian and Hornberger, 1998). An issue with oversaw care is that businesses who offer a wellbeing upkeep association (HMO) to their representatives regularly pay the premium as long as the HMO premium was not higher than the charge for-administration premium. This conduct by businesses makes mutilated motivators for the HMO in controlling its expenses. Enthoven (1993) recommended that this motivation bending can be remedied when businesses configuration better options for their manager commitments. The business could contribute a fixed-dollar sum for medical coverage with the representative paying the full distinction between plans. The more prominent the segment of the minor premium paid by the representatives is, the more grounded the motivating force is to pick lower-cost plans. For instance, if the business pays 80 percent of the premium and the representative pays the rest of, the worker pays just 20 percent of the contrast between the low (let’s assume here) HMO premium and the higher expense for-administration premium. HMOs and other oversaw care courses of action are composed on a prepayment premise that show up in a wide assortment of structures. A HMO could recruit doctors on a pay, contract with a previous gathering practice of doctors, or agreement with doctors who keep up a charge for-administration practice. As indicated by Luft (1991), â€Å"Because explicit social, legitimate, authentic, political, and financial parts of the clinical consideration condition have formed conveyance frameworks, for example, the HMO, it isn't sensible to expect that the run of the mill HMO could be transplanted flawless to another country† (p. 173). The way to HMO cost reserve funds is the organization’s wide scope of clinical administrations, both inpatient and outpatient. Along these lines, the HMO can get the cost reserve funds suggested by diminished clinic use. This might be hard to oversee in frameworks where there are isolated financing systems for essential consideration doctors and inpatient care. As Luft (1991, p. 180) comments. â€Å"If there were no real way to move assets from the ‘hospital side’ to the ‘physician side,’ it is hard to remunerate clinical chiefs for the advancement of more financially savvy practice styles.† This is the reason three territories seem to offer a greatness of chances where MCOs can help patients, these are mobile consideration, emotional wellness and the elective treatments. Right off the bat, mobile consideration delicate conditions mirror the quality and accessibility of essential consideration administrations, since they are promptly treatable without the requirement for hospitalization. There are contrasts in the hospitalization rate for wandering consideration touchy conditions. Shenkman et al. (2005) had demonstrated that claim to fame wandering consideration is significant for some youngsters with incessant conditions. Be that as it may, access to such mind might be compelled inside oversaw care conditions. The utilization of essential consideration suppliers (PCPs) as watchmen for oversaw care associations (MCOs) is one regularly utilized system to control forte mind use. Investigations of the effect of gatekeeping on youngsters' receipt of strength care have brought about blended discoveries. A few investigations discovered more strength care use in gatekeeping MCOs, contrasted and non-gatekeeping MCOs. Different analysts found that the supplanting of a gatekeeping framework with an open-get to show expanded claim to fame visits among a gathering of kids with incessant conditions. Despite the fact that the emphasis on gatekeeping when all is said in done yields some significant data, MCOs utilize numerous different systems associatively with their PCP watchmen, for example, capitated installments, money related impetuses, and earlier approval techniques. The utilization of these accompanying procedures may meet the novel needs of kids with incessant conditions, including their requirement for claim to fame doctor care. Then again, oversaw care had been critical patron on conveyance frameworks for emotional well-being administrations. Taylor et al. (2001) had shown that immediate and roundabout influence to give more financially savvy medicines has been one outcome. The cost-sparing characteristics and the adequacy of gathering mediations have created away from for an expanded utilization of treatment gatherings. In the exploration of Taylor et al. (2001), they looked at discernments and employments of gathering medicines on a national example of oversaw care associations and psychological wellness suppliers. Ramifications of contrasts and similitudes between chiefs of oversaw care associations and treatment suppliers are inspected and examined across five reaction classes (commonality/preparing apparent viability, probability of repayment/referral, day by day use and desire for sometime later). Taylor et al (2001) supported the methodology where MCOs adjust treatment referral/repayment choices. As of late distributed correlation result contemplates and meta-examinations can and ought to observationally direct the current treatment conveying frameworks. Ultimately, many oversaw care associations have just started to coordinate reciprocal and elective clinical treatments (CAM) with traditional clinical suppliers. Clinical experts are committed to evaluate CAM treatment with patients. Elective treatments expect experts to reexamine staff competency, persistent appraisal, and patient-centered consideration. Clinical pioneers must comprehend CAM patterns and treatments to more readily coordinate these ideas into medicinal services strategy, gauges of care, and moral choices (Parkman, 2001). Among walking care and emotional wellness care, elective treatments, or CAM, offers the most good and cost-proficient system for MCOs. This is on the grounds that the maturing â€Å"baby boom† age is starting to encounter incessant however non-dangerous conditions, for example, joint agony, migraines and menopause-related objections and they are eager to investigate choices other than physician endorsed drugs. For wellbeing plans, the fascination of offering elective consideration items lies in holding and drawing in new individuals, enhancing their administrations from rivals in a blocked oversaw care showcase and in endeavors to address current or proposed state orders (West, 1997). In 1997 alone, costs for proficient administrations were $21.2 billion, a 45% expansion over the previous 1990 information. Costs for proficient administrations, herbals, nutrients, diet items, books, and classes totaled $27 billion. Five overviews led since 1990 have revealed visit utilization of CAM, running from 30% to 73% by patients experiencing conditions, for example, cardiovascular malady, malignancy, joint inflammation, HIV and AIDS, numerous sclerosis, and ceaseless musculoskeletal torment. Moreover, the interest for CAM by the overall population is expanding, in spite of the way that its utilization is to a great extent paid by buyers without inclusion by outsider payers. In 1997, Americans spent an expected $13 billion for visits to CAM suppliers and an extra $2 billion for business diet supplements and over-the-counter megavitamins (Pelletier and Astin, 2002). Overseen care ought concentrate on cost investment funds, however they ought to likewise investigate enhancing their administrations. MCOs have for the most part added to the decrease in the U.S. wellbeing cost development rate. Their potential will keep on being constrained to the degree that businesses neglect to offer genuine monetary points of interest to customers who pick the minimal effort wellbeing plans. Accordingly, more changes in the approaches ought to be checked on and amended with the goal that more individuals could profit by the quality medicinal services everybody merits. References Enthoven, A.C. (1993). The History and Principles of Managed Competition. Wellbeing Affairs, supplement, 24-48. Kirby, E.G., Sebastian, J.G. what's more, Hornberger, K.D. (1998, Jan/Feb). The Effect of Normative Social powers on Managed Care Organizations: Implications for Strategic administration/Practitioner Response. Diary of Healthcare Management. 43(1):81-106. Luft, H. (1991). Interpreting the U.S. HMO Experience to Other Health System. Wellbeing Affairs 10:172-186. Morrison, I. (1999). Medicinal services in the New Millennium. NY: John Wiley and Sons, Inc. Parkman, C. (2001, February). Elective Therapies Are Here to Stay. Nursing Management, 32(2): 36-40. Pelletier, K.R. furthermore, Astin, J.A. (2002, Jan/Feb). Incorporation and Reimbursement of Complementary and Alternative Medicine by Managed Care and Insurance Providers: 2000 Update and Cohort Analysis. Elective Ther

Hinduism and Marriage Research Paper Example | Topics and Well Written Essays - 1500 words

Hinduism and Marriage - Research Paper Example It is basically the manner by which spirits of the existence accomplices are connected. In a Hindu marriage, the two accomplices may trade their separate jobs according to the interest of the circumstance for example a spouse may assume the job of a wife and the other way around. At times, the two accomplices go separate ways for quite a while until they are brought together after a real existence or two. The three essential destinations of a Hindu marriage organized appropriately are â€Å"dharma, praja (descendants) and rati (pleasure)† (Sociology Guide, 2011). Marriage in Hinduism isn't just a dharma for example a commitment but on the other hand is the samskara for example holy observance. Each Hindu should wed except if he/she has embraced the way of life of a sanyasi. â€Å"It is a basic part of the four ashramas (brahmacharya, grihastha, vanaprastha and sanyasa) and the four points (purusharthas) of human life, to be specific, dharma, artha (riches), kama (erotic delig hts ) and moksha (salvation)† (Jayaram, 2010). Her life as a lady ends as a Hindu lady goes into a conjugal relationship. After marriage, the young lady needs to live with her parents in law in their home and leave the parents’ home. The relationship with guardians after marriage gets insignificant and very formal. In like manner, numerous Hindu ladies become intellectually upset until they totally acknowledge and are totally acknowledged by the spouse just as his family. In its beginning periods, the marriage can both make and break. The good 'ol days in the husband’s home hold an extraordinary noteworthiness to the lady of the hour on the grounds that the impression she gives occasion to feel qualms about the parents in law in nowadays remains related with her for the duration of the life. Marriage in Hinduism can be characterized into five kinds running from the conventional orchestrated union with constrained relationships. In a greater part of cases, marriag e happens with due assent of the lady of the hour, the man of the hour and their family members. Components that are of essential significance in the event of the masterminded relationships in Hinduism incorporate however are not constrained to the natal diagrams, position, gotra for example connection, money related status, looks, and character. Relationships between cousins might be a standard relying on the area. In Southern India, it is typical for a person to wed a cousin. In old occasions, a bereaved Hindu lady was permitted to wed the sibling of the expired spouse in view of descendants. In times past, polygamy was normal in Hindus however it is nearly non-existent in the contemporary Hindu society. There has been an expansion in adoration relationships among Hindus over the progression of time, however their worthiness relies on the rank, money related status and a few different components talked about previously. Couples that break the standards and wed without due thought to rank need to hold up under social weight both inside and outside the family. In any case, as an ever increasing number of individuals are getting training in the urban setting, they have begun to become liberal which is the major reason for increment in the adoration relationships among Hindus. The endowment framework is a potential insidiousness of the Hindu marriage. Frequently, the spouse and his family members request share worth a great many dollars independent of the budgetary status of the bride’s guardians. In a male ruled society, such individuals take marriage for an occasion in which they can money the way that they parent a man. On the off chance that the bride’s family can not come up to their assumptions about share, the relative and the spouse subject the lady of the hour to various hardships and may even consume her to death.

IndieReader Brings Indie Authorship One Step Closer to Easy

IndieReader Brings Indie Authorship One Step Closer to Easy It doesnt take long to see that IndieReader is more than a blog for readers. In fact, the sites mission is clear in the tagline on the home page, which promises that IndieReader gives your book the tools to get noticed and that its a website run by authors and writers for authors and writers.In addition to the numerous book reviews and articles aimed at educating independent authors about marketing and the world of independent publishing, IndieReader also provides services focused on helping authors improve their books discoverability. This type of marketing expertise for independent authors is such valuable information, especially if you are new to the independent publishing scene and unsure of the steps to take to get your book written, published and then marketed toward success.IndieReader professional book reviewsAs its most well-known service, IndieReader offers exposure for independent authors through book reviews written by their team of professional reviewers. According to th e websites description, these professional reviewers include journalists, teachers, librarians, and published writers and are matched to books submitted for review based on their reading and genre preferences. The rating system used is as follows: one star = really bad; two stars = mediocre, but one or two bright spots; three stars = good, and worth reading; four stars = very good; and five stars = excellent and a must-read.The importance of getting book reviews is unquestionable in the world of independent authors. Author and publishing expert Jane Friedman puts it like this:New authorsâ€"certainly self-published authorsâ€"have no symbolic capital. They are not (yet) known for producing quality books that seduce readers to the degree that they are willing to part with some of their disposable income, not to mention time. Is it possible for self-publishing authors to create symbolic capital? Absolutely yes, and many have. In todays increasing online world of book shopping, I argue i t is book reviews that build symbolic capital.Jane FriedmanBeyond having professional book reviews written for your book, another great perk of paying for the IndieReader book review service is their monthly Best of roundup, where an All About the Book interview feature is published on their site for books that receive at least a 4-star rating. Book reviews that are given for each book submitted can also be distributed to other websites including Amazon, Barnes Noble, Ingram Book Company, and the Association of Independent Authors (AIA), which represents, advances, promotes and supports independent authors globally.Cost and process of a reviewThe cost of a review with a 7 to 9-week turnaround is $250. If you want a rush review, with a 4 to 6-week turnaround, there is an additional $75 fee. In order to submit your book for a review, youll need to send two copies of the book for each service you sign up for. IndieReader accepts Ebook uploads from a Kindle or iPad-compatible file, an Ebook that is gifted from Amazon or another retailer, or a paper copy mailed. There are submission guidelines and forms on the website that makes the submission process incredibly simple.Discovery AwardsThe IndieReader Discovery Awards are another service offered by the IndieReader site for independent authors looking to obtain more exposure for their book. By submitting your work to the Discovery Awards, your work will gain exposure for judges, along with major media outlets such as The Huffington Post, The Wall Street Journal, and trade publications like Shelf Awareness and GalleyCat/MediaBistro.In addition to this exposure, winners of the annual IndieReader Discovery Awards will be fastracked to Dystel, Goderich and Bourret Literary Management to be considered for representation. In order to qualify, your book must place in first, second or third in both fiction and nonfiction categories.The top two first-place winners in the fiction and non-fiction categories will receive a Kirk us Indie review, valued at $425. First, second and third-place winners in the fiction and nonfiction categories will also receive a Kindle Paperwhite ($119.99 value), a custom author website and one year of hosting and management from Featherlight ($1,347 value), and consideration of representation from Dystel, Goderich and Bourret Literary Management.In addition to the first through third place winners, there will also be 20 to 40 winners from each sub category. These winners can expect to receive a professional IndieReader review (at a value of $250-$275), exposure to a panel of judges, an IndieReader All About the Book feature, and three stickers pronouncing your book an IndieReader Discovery Awards winner. The stickers can be used on websites, author blogs, sales pages and social media to help independent authors gain exposure and credibility for their work.The winners for Best 1st Book (fiction and non-fiction) will receive a Kindle Paperwhite (at a value of $119.99), and three stickers stating that the book has been awarded the IndieReader Discovery Awards for Best 1st Book.The winners for Best Cover Design (fiction and non-fiction) will receive $250 in cash, and three stickers stating that your book is an IndieReader Discovery Awards for Best Cover Design winner. Additionally, all entries for the contest will receive a verdict (or blurb), which they are free to post on the Amazon, GoodReads, or their own personal webpage. You can visit the signup page to get started.Entry feeThe IRDA entry fee is $150 per book. If you want your book to be considered for more than one category, youll need to pay an additional $50 per category. IndieReader requests three copies of your book for the first category you choose, along with one additional copy for each additional category. As mentioned earlier, IndieReader accepts Ebook uploads from a Kindle or iPad-compatible file, an Ebook that is gifted from Amazon or another retailer, or a paper copy mailed.Reader reviews and IndieReader bookshareIndieReader also offers reader reviews and an IndieReader bookshare service in which readers who have expressed an interest in reading books published by independent authors will review your book and post the review to Amazon and GoodReads. Its important to note that while authors are guaranteed a certain number of reviews based on the services they pay for the website does not guarantee that the review will be positive.The price for reader reviews depends on how many you choose to purchase. For three reviews, the price is $147; for six reviews, the price is $294; and for 10 reviews, the price is $490.In-storeYet another service offered by the site is IndieReader In-Store (IRIS), which catalogs your book as part of a branded collection on Edelweiss, an online catalog service used by independent bookstores and Barnes Noble. Edelweiss is also an interactive research tool for librarians, bloggers and reviewers, as well as a social network for industry professi onals. The cost of this service is $299.IndieReader blogThe IndieReader blog offers advice to authors on various aspects of marketing their work, as well as advice about writing in general. Many of the articles are written by writers who have successfully published independently, giving readers the opportunity to know what other self-published authors have experienced while publishing their book and marketing it afterwards. There is also a category of All about the book, which features reviews of books that have received a 4-star rating or higher on the site.The blog offers a range of posts to keep indie authors engaged, while learning about the industry from experts in it. For example, the most recent post is one providing an overview of Best Reviewed Books of July. Links to ten book reviews are provided, along with a quick description of what each book offers the reader, the genre, and the IR verdict.Another recent post, Brian J. Robinson: ADDERALL BLUES questions everything we th ink we know about ADHD, and it all happens from authentic subjectivity, is an interview with the books author. In it, he describes his work as …a passionate memoir that provides shocking access to the inner workings of the misunderstood ADHD mind. There arent a lot of first person, non-clinical accounts of ADHD, and certainly none that is as entertaining as this one…Final takeawayWhether youre experienced at indie publishing or are just now getting started with the process of writing, self-publishing, and marketing your book, IndieReader is a treasure trove of advice and assistance in finding success in the industry.

Essay about Orientalism - 2624 Words

The definition of orientalism takes up no more than two sentences in the dictionary. Coincidentally, Orientalism came to be such a complex and deep concept which Said devotes his entire book in discussing about it. His book – Orientalism unfolds the history of the Orientalism, reveals the â€Å"dark† side of an orientalist’s mind and describes the different dimensions of Orientalism. He also attempts to expose the truth of the Orient, which he warned that: â€Å"One ought never to assume that the structure of Orientalism is nothing more than a structures of lies or of myths, which were the truth about them to be told, would simply blow away† (Said). In order to understand the truth Said`s referring to, one ought to first understand the origin and†¦show more content†¦And authority here means for â€Å"us† to deny autonomy to â€Å"it† – the Oriental country – since we know it and it exists, in a sense, as we know itâ⠂¬  (Said, 32). [Because they have the knowledge about the Egyptians, they feel like they have the power and authority to take over the nation and colonializing it.] Surely, Balfour’s claim of the profound knowledge about Egypt is actively linked with political imperialism and colonization of Egypt. Said reinforces his argument about knowledge and power once again by referring to the quote by Cromer â€Å"knowledge gives power, more power requires more knowledge, and so on in an increasingly profitable dialectic of information and control (Said 36).Thus, Knowledge serves as a powerful tool to allow the West to explore, control and govern the â€Å"Other†. Consequently, knowledge about the Orient is the start and the result of European domination, possession, and rationalization of the Orient, as one shall see in the following paragraphs. Domination/Possession: Another key feature about Orientalism is that it puts Europe in the position of power and domination (Said, 40). Orientalism promotes the segregation of the EastShow MoreRelatedOrientalism in Pocahontas971 Words   |  4 PagesOrientalism in Disney’s Pocahontas While the name suggests an allusion to only Eastern Asia, or the Orient, Orientalism is a branch of Cultural Studies, an area of literary criticism that has applications in various mediums. The school of critical theory, created by Edward Said, is applicable to novels, essays, social situations, films, and epics alike. One film, to which Orientalism is applicable, is Disney’s Pocahontas. To understand how Orientalism is applicable to a film that takes placeRead MoreEssay Orientalism865 Words   |  4 Pagesâ€Å"Introduction† to Orientalism aids readers in understanding the basis for Rhonda Vander Sluis’s companions – prejudice and stereotype – in her search for identity in Turkey. More than anything else, in his â€Å"Introduction† to Orientalism Edward Said attempts to educate his readers about the flaws he sees in the European notion of Orientalism. He identifies generalization as the root cause of differences and misunderstanding between Europe and the Orient. As Said sees it, Orientalism is both an academicRead MoreEssay on Orientalism 2396 Words   |  10 PagesOrientalism is a study of language and traditions of the people and their culture in the Middle East. These studies are mostly done by people outside of the culture that is being looked at, and mostly the studies are being performed by white western men. Edward Said believed that there was a problem with the way in which other people were studying and writing about his culture. He was upset and spoke up when he wrote a booked called â€Å"Orientalism,† in his book he points out many reasons why the studyRead More What Is Orientalism? Essay593 Words   |  3 PagesWhat Is Oriental ism? Said made a clear analogy between orientalism and colonialism. They are both set with the same binary opposition. white/ non white occidental/ non occidental In a very detailed and structured study of the orient (behavior, habit, tradition ...) we document a large amount of fact and data. All compile in a general study they produce the illusion of a well understood and objectively constructed knowledge. These are, in fact, mere observations and purely subjectiveRead MoreOrientalism in Art Essay1840 Words   |  8 Pagesvocabulary that have given it reality and presence in and for the West.†[3] In another words, Orientalism is derived from an experience by Britain and France of the Orient. Paintings such as â€Å"Turkish Bath†, â€Å"The death of Sardanapalus† and â€Å"Odalisque and Slave† reflect the fascinations which the artists experienced or imagined of the Orient. 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First, Said defined Orientalism as anRead MoreEssay on Introduction to Orientalism by Edward Said1478 Words   |  6 PagesIn his introduction to the term â€Å"Orientalism,† Edward Said begins by paraphrasing the writing of a French journalist’s view of the present-day Orient in order to express the major common Western misconception about the East. This misconception exists in the Western mind, according to Said, as if it were irrelevant that the Orient itself was actually sociologically affected. He then goes on to describe the basis of Orientalism, as it is rooted in the Western consciousness. Said uses the phraseRead MoreAladdin And Orientalism : A Little Bit Of The Middle East1239 Words   |  5 PagesSonia Maryam IB English Ms.Rowe February 20 2015 Aladdin and Orientalism Could anyone have thought that the movie Aladdin had more to it than just showing a little bit of the Middle East? That is because the movie Aladdin shows Orientalism in many ways. Orientalism is a canonical text of cultural studies where Said has challenged the concept of Orientalism by: the difference between east and west, the start of European colonization the Europeans came in contact with the lesser developedRead MoreThe Idea of Orientalism Portrayed in James Camerons Avatar3778 Words   |  16 PagesThe Idea of Orientalism Portrayed in James Cameron’s Avatar Abstract In brief, this study discusses about the representation of orientalism idea which is portrayed in the film Avatar. The film tells about the conflict between human and native people in Planet Pandora, where human exploits the land and oppresses the native. This study explores in what way the idea of orientalism is represented and how both narrative and non-narrative aspects of the film helped in delivering that representationRead MoreStuart Hall s The West And The Rest And Edward Said s Orientalism1653 Words   |  7 PagesStuart Hall’s The West and the Rest and Edward Said’s Orientalism both explore notions of power and discourse with regard to the dynamics of the Western world and the non-Western world. The works engage with the concept of a worldwide binary of two unequal sides, and how certain discourses, namely that of â€Å"the West and the Rest†, and Orientalism, have both stemmed from this idea and worked to maintain it. While Hall engages with the idea o f â€Å"the West and the Rest† – the Western world and how it has

Italian Sayings Using the Word Mangiare

Whether or not one has spent time in Italy, the word Mangia! is one of those terms that transports us instantly to a crowded dinner table and reminds us of the self-evident reputation of Italians as incorrigible gourmands. Without a doubt, popular culture and the overabundance of Italian and Italian-inspired restaurants throughout the world have made this word—Eat!—emblematic of the human love for cooking and food and its central place in the human heart and hearth. Of course, mangiare in its basic form means to eat. A simple verb of the first conjugation, regular as a box of Barilla spaghetti. Mangia! or Mangiate! is the imperative. Mangiamo! is the exhortative—an invitation to dig in. But in Italian the act of eating is so profoundly ingrained into the fiber of living and thinking that through the centuries it has taken a central place in language, and it is used in cleverly crafted expressions, sayings, and proverbs as metaphor for consuming, existing, surviving, devouring, adoring, and exploiting—in the good and the bad. Its a bit table knowledge and food descriptor, but a reminder of lifes savvy as well. Ways to Mangiare Coupled with adverbs, adjectives, or complements, these are forms or uses of mangiare at its simplest: Fare da mangiare: to cook; to prepare foodDare da mangiare: to feed, both to animals and humansFinire di mangiare: to finish eatingMangiare a sazietà  : to eat your fillMangiare bene: to eat well (as in delicious food)Mangiare male: to eat poorly (as in bad food)Mangiare come un maiale: to eat like a pigMangiare come un uccellino: to eat like a birdMangiare da cani: to eat badlyMangiare con le mani: to eat with ones handsMangiare fuori: to dine out or outsideMangiare dentro: to eat insideMangiare alla carta: to order off the menuMangiare un boccone: to eat a biteMangiare in bianco: to eat plain food, without meat or fats (when youre sick, for example)Mangiare salato or mangiare dolce: to eat salty or sweet The infinitive mangiare has also taken an important seat at the table of Italian nouns as an infinito sostantivato. In fact, you dont really refer to food as cibo so much as il mangiare or il da mangiare. Mia mamma fa il mangiare buono. My mom makes great food.Mi piace il mangiare sano e pulito. I like clean and healthy food.Portiamo il da mangiare a tavola. Lets take the food to the table.Dammi da mangiare che muoio! Feed me: I am dying! Metaphoric Mangiare And then there are all the good expressions about eating but not really eating: Mangiare la polvere: to eat dirt or to be beatenMangiare a ufo/a sbafo: to eat at someone elses expense; to freeloadMangiare con gli occhi: to eat someone with ones eyes (from lust)Mangiare con i piedi: to eat with bad table mannersMangiare dai baci: to eat up with kissesMangiare vivo: to eat someone alive (from anger)Mangiarsi le mani o i gomiti: to kick oneselfMangiarsi le parole: to mumbleMangiarsi il fegato: to eat ones liver or heart out from spiteMangiare la foglia: to silently perceive whats happeningMangiarsi il fieno in erba: to spend your money before you have it (literally, to eat the wheat while its grass)Mangiare lagnello in corpo alla pecora: to do something too early or soon (literally, to eat the lamb in the sheeps belly)Mangiare quello che passa il convento: to eat whats served (what the convent gives you) And a few metaphoric but practically rooted: Non avere da mangiare: to have nothing to eat/to be poorGuadagnarsi da mangiare: to earn a living Compound Nouns With Mangia There are lots of great compound words formed with mangiare in its present tense, third person singular mangia, and it is easy to understand and remember them by directly translating each part of the word. For example, mangianastri is made of mangia and nastri, which are cassettes. The result is tape player. Italian compound nouns (nomi composti) with a form of mangiare include the following common terms: Mangiabambini:  an ogre who eats children in fairy tales, or a grim-looking person who is, in reality, mild and harmlessMangiadischi: a record playerMangiaformiche: an anteaterMangiafumo: a candle that rids a closed environment of smokeMangiafuoco: a fire-eater (at fairs, or in The Adventures of Pinocchio)Mangialattine: a tin can-crusherMangiamosche: a fly swatterMangiarospi: a water snake that eats frogsMangiatoia: a troughMangiata: a big feast (Che mangiata!)Mangiatrice di uomini: man-eater (feminine)Mangiatutto: someone who eats everything (a person di bocca buona) Mangia-Flavored Epithets Given Italys geopolitical background and long and historically complex struggles for and with powers of many kinds—foreign, domestic, and of economic class—it is not surprising that the word mangiare has inspired all sorts of creative terms for people who are deemed to be usurping power or doing otherwise bad things. Mostly the terms deride people in positions of power, but some also scorn people of poor character, poor people, and people from different regions, revealing Italys longstanding class antagonisms and factionalism. The Italian press, the Internet, and dictionaries are full of common terms compounded from mangia. You may not be able to use them often, but if you are interested in Italian culture they are, at the very least, fascinating: Mangiacristiani:  someone who appears to be so mean as to eat people (cristiani are all people, in secular terms)Mangiafagioli: bean-eater; used by people of one part of Italy to ridicule those of another where the cuisine calls for a lot of beans (fagioli); understood to mean someone coarse, unrefinedMangiamaccheroni:  macaroni-eater; derogatory term for migrants from the SouthMangiamangia: the act of eating constantly, but also used to describe politicians ill-gotten gainMangiamoccoli: a person who feigns an exaggerated devotion to the church (moccoli are candle drippings)Mangiapagnotte: a loafer; often used to describe someone who receives a public salary but does little workMangiapane: bread-eater; a person of little importMangiapatate:  potato-eater; used to mock people who eat a lot of potatoes, mostly GermansMangiapolenta:  polenta-eater; used to make fun of people from Veneto and Lombardia, where they eat a lot of polentaMangiapopolo: a despotMangiapreti: a person who inveighs against the Catholic Church and priestsMangiasapone:  soap-eater; a slight to Southerners (apparently because it was said that they thought that soap handed out by the Americans during the war was cheese and they bit into it)Mangiaufo: a habitual freeloader Most of these can be feminine or masculine and the term does not change—only the article. Proverbs Referring to Mangiare The slogan Chi Vespa Mangia le Mele was part of a famous, late-1960s advertising campaign by Piaggio to promote the Vespa scooter. It translates roughly to, If you [go on vacation with a Vespa or travel with a] Vespa, you eat apples (with a Biblical reference, perhaps). The eating, of course, was key to the invitation to ride. Indeed, the Italian language has much wisdom to give centered on eating: Chi mangia e non invita possa strozzarsi con ogni mollica. May he who eats and invites no one choke on every crumb.Chi mangia solo crepa solo. He who eats alone dies alone.Mangia questa minestra o salta la finestra. Eat this soup or jump out the window!Cià ² che si mangia con gusto non fa mai male. What you eat with pleasure will never harm you.Mangiare senza bere à ¨ come il tuono senza pioggia. Eating without drinking is like thunder without the rain. Mangia! Mangia!

Healthcare Finance in The United States of America Free Essays

In United States the Congress had passed the Medicare Prescription Drug, Improvement and Modernization Act of 2003 or MMA and with this imposed a stoppage for 18 months on the starting of new physician owned specialty hospitals. At the same time, they also wanted to know the position regarding certain matters of physician owned heart, orthopedic and surgical specialty hospitals through MedPAC. The team visited sites, made legal analysis and met the share owners in these hospitals and finally presented a report to the Congress. We will write a custom essay sample on Healthcare Finance in The United States of America or any similar topic only for you Order Now It had also gone through the cost reports received from Medicare and inpatient claims of 2002, which was the most recent at that time. This will naturally form the basis of such hospitals being permitted or not. (Physician-owned specialty hospitals) The findings of this committee showed that:- Physician owned hospitals generally treated patients who had less severe problems and concentrated on specific diagnosis related groups and the reason for both of this was that these were expected to be more profitable than other patients. These hospitals do not treat as many Medicaid patients as community hospitals. Regarding the costs of patients in these hospitals for the patients, the Medicare patients did not get benefits of lower costs though the inpatients had shorter periods of stay. There was no appreciable impact of physician owned specialty hospitals on the community hospitals as seen in 2002, and there was also no impact on the financial performance of the community hospitals. Most of the differences in profitability can be rectified by improving the prospective patient system for inpatients that are made by Medicare. Thus according to the findings there are not major differences between the community hospitals and physician owned specialty hospitals in terms of costs or capability for services. (Physician-owned specialty hospitals) Differences among types of hospitals: We shall make comparison of the hospitals in India and USA. In India, apart from the government hospitals, there are a number of large hospitals run by trusts or large corporations. In the city of Bombay or Mumbai, the hospitals named Jaslok or Hinduja are run by trusts and Wockhardt Heart Hospital is run by a major pharmaceutical company. Even when the hospital has been promoted by a physician, still the hospital is run like a corporation as is seen in the case of Apollo Hospitals. There is now a new hospital named as Asian Heart Hospital in Bombay which has been promoted by a physician team and they have a large stake in the hospital. The team of physician is led by one Mr. Panda who is now the CEO of the hospital. These physicians have all invested their own funds, and to get more funds, they have even asked for more contributions from other physicians who are now not resident in India. The hospital is the result of a plan by these physicians in 1993-94. The hospital took about 10 years to complete. Thus one should realize that a hospital takes a long time to take shape up. (Doctors in arms) The biggest problems in the management of hospitals come from physicians and renowned physicians are sought for empanelment by hospitals. The physicians then continually force the hospitals to upgrade their infrastructure and also charge heavy fees from the patients. At the end of the services by the physicians, it is they who get the biggest returns. It is also difficult to retain the physicians as they leave at the earliest opportunity, and this statement is from one of the promoters of the hospital, GW Capital. They are now investing money in the concept of physician managed private hospitals. This resulted in its investment of Rs 150 million or about 3 million dollars in buying a 26 percent stake in another hospital group in Hyderabad, in 2000 called the Care Group. That group has expanded very fast and now has over a 1000 beds in its operations in six centers. (Doctors in arms) Thus the costs of the hospitals will require about 12 million dollars for a 1000 bed operation. At the same time, not all hospitals are made with money in mind and there are hospitals in Chennai or Madras in India which have 150 physicians, 500 nurses and 371 Para-medical staff. The entire team works within a budget of Rs 120 million or 2.4 million dollars. (Healing Ministry of the Madras Diocesan Medical Board) This hospital is run by a religious mission and its objective is to provide service to the people and this hospital does not want to make money, but run at break even costs. In United States, during 2002 there were 48 hospitals found to be physician owned hospitals. Of them 12 were heart hospitals, 25 were orthopedic hospitals and 11 were surgical hospitals. These hospitals are generally very small with average capacities of orthopedic hospitals being 16 beds, the surgical specialty hospitals being 14 beds and heart hospitals are the largest with average capacity being 52 beds. The general conditions of these hospitals are not full fledged as they do not have emergency departments, whereas 93 percent of the community hospitals have emergency departments. The reason for existence of these hospitals is the physician control over the hospitals. (Physician-owned specialty hospitals) At the same time, one of these hospitals has been named as one of country’s top 100 heart hospitals. (Parkwest Medical Center) Financial position of private hospitals: According to available reports, the private hospitals are in a position to take on patients who are capable of paying for them, and not take on patients who have to depend on managed care organizations. This increases the incomes of the hospitals by 20 to 50 percent. This reduces the cost of a bypass surgery at one of the hospitals in India, Care to about Rs 80,000 or $1,700. The cost in India is higher by about 30 to 40 percent in corporate hospitals. Even the new hospital, Asian Heart has predicted a cash break even during the second year of operations, and by the end of the second year it expects to pay a 15 percent dividend to the investor. Thus on an investment of $50 million, the returns would be $7.5 million from the second year. (Doctors in arms) The position in United States is the same, and in spite of some private specialty hospitals not having made any distributions to stockholders, the study showed that the margin in these hospitals was about 13 percent in 2002 as compared to 3 to 6 percent that was seen for community hospitals. (Physician-owned specialty hospitals) The advantages of physician owned specialty hospitals: To find this aspect out, there were discussions with the physicians who were investing in these hospitals. The cardiologists and surgeons want to admit their patients, perform the required procedures and have the patients recover with minimum disturbance. They believe that community hospitals cannot match their services as those hospitals have a variety of services and missions that they have to undertake. The direct control by the physicians help to increase productivity through less disturbances to the schedules in operating room which come from the emergency cases that come about, decreasing the down time between operations between two different surgeries and this is due to cleaning the operating room more efficiently, increased ability to work between two operating rooms even when the operating rooms are blocked due to some other work and better efficiencies through direct control of operating room staff. As mentioned earlier, they also like to form specialty hospitals as they have increases in income. There is some increase due to productivity, but they are able to collect a share of the profits from the facility for themselves and other associated physicians. They concentrate on providing services that are profitable, on treating patients who are less sick and thus more profitable. (Physician-owned specialty hospitals) Even in India the same situation exists and most of the physicians who have now started developing hospitals have been working together earlier, and one of the main aims is to remove the pressure from managed health care systems that they have to face otherwise. There is now a distinct change in the formation of hospitals and new hospitals are being formed by physicians. The total costs have been discussed to some extent, but without the participation of physicians, the hospitals are unlikely to be successful. How to cite Healthcare Finance in The United States of America, Essay examples

Electoral College Essay Example For Students

Electoral College Essay Electoral CollegeThe Electoral College is not important in choosing the president of the United States. I agree with this because it should matter what the voters say, this is a democracy and it should be the peoples final choice, and if the Electoral College changes the voters choice then they will be the ones to blame if our country goes haywire. The Electoral College has a final say in which president will be chosen. Its not right because if the majority of the voters choose one president and the Electoral College chooses another then most of the voters will be upset. They chose that certain president for a reason and it would just be a waste of their time if the candidate they voted for didnt get elected. There are some that feel that the Electoral College in its present form will cause a president to become elected who was not the winner by popular vote. This country has a democratic government. If the whole country doesnt have a say in who is president then it will be only ran by a small group of people which, by definition, is not a democracy. I myself would hope that my vote counts. It really doesnt if a small group of people can overrule the choice my fellow voters and I make. Lastly, I dont think that the Electoral College is a very good idea because each person in this country matters. If they chose a president, even if by popular vote, it was their choice and they will be the ones who have to live with whatever promises that president chooses to make or break to them. If they made a mistake on which president to choose it will be their own fault and they wont have anyone else to blame but themselves. In conclusion I disagree with having an Electoral College because it should matter what the voters say and if there is an Electoral College to make a final decision then its not the voters choice, this is a democracy and it should be the peoples final choice, and if the Electoral College makes a bad decision on who should be elected then it will be their fault and the people will have someone else to blame.