History Unit 2 Free Essays

â€Å"Do you agree with the view suggested in source 5 that the main factor preventing the press from publishing ‘bad news’ during the Boer war was censorship by the military authorities? † Bad news during the Boer war was events such as the mass death which occurred in the concentration camps. Source 5 says that â€Å"some journalists tried to report bad news as well as good, but in the face of military cenecorship, they did not persist†. I do agree with the view suggested by Source 5 because the Boer war was the first to have an official British army censor unlike the Crimean war where the events which went on during then remains questionable . We will write a custom essay sample on History Unit 2 or any similar topic only for you Order Now Source 4 seems to agree with the view suggested in source 5 by describing the war as a time for the press â€Å"to conform to every reasonable restriction it may seem desirable for the military authorities to impose†. However, source 6 seems to disagree with both 4 and 5 as it described the war correspondent as becoming â€Å"increasingly jingoistic† this term is therefore describing the press as being fanatically patriotic. Source 4 is primary evidence which was published in 1990 by a real war correspondent, thus making his claim more reliable that â€Å"to write anything detrimental to the national interest† would be going against military regulations. This suggests that there were restrictions placed upon what the press could print that would paint Britain in a bad name, especially the conservative party. Similarly, Source 5 a book published in 2002 leaves the open question as to whether the publisher Peter Browning has been influenced by different thoughts since the war, therefore making the reliability of the information provided in the source questionable. However the content of the source does suggest that there were limits placed upon what the press could published, this is because the military authorities wanted the British people to remain patriotic as implied by source 6. Source 6 was published by The Daily Mail, one of the most best selling newspaper in the country and was particularly enthusiastic about the war, along with this, it may be accurate to suggest that one of the main of this newspaper was to keep sales going by giving the British people what they want to hear and hide the truth in what really happened as suggested in both Source 4 and especially Source 5, similarly to the Crimean war. In conclusion, I agree with the source given by Source 5 as I know that the military authorities did want to prevent the publishing of bad news in the Boer war. Lord Kitchener felt that the press needed to be controlled, this made him introduce the greater censorship during the guerrilla phase of the way which was between 1900 and 1901, which is ironic because the book was published in 1995, painting the war in good light with the press enjoying â€Å"their war through music hall songs†. Therefore achieving its aim of hiding the ‘bad news which may have occurred during the 1 How to cite History Unit 2, Papers History Unit 2 Free Essays â€Å"Do you agree with the view suggested in source 5 that the main factor preventing the press from publishing ‘bad news’ during the Boer war was censorship by the military authorities? † Bad news during the Boer war was events such as the mass death which occurred in the concentration camps. Source 5 says that â€Å"some journalists tried to report bad news as well as good, but in the face of military cenecorship, they did not persist†. I do agree with the view suggested by Source 5 because the Boer war was the first to have an official British army censor unlike the Crimean war where the events which went on during then remains questionable . We will write a custom essay sample on History Unit 2 or any similar topic only for you Order Now Source 4 seems to agree with the view suggested in source 5 by describing the war as a time for the press â€Å"to conform to every reasonable restriction it may seem desirable for the military authorities to impose†. However, source 6 seems to disagree with both 4 and 5 as it described the war correspondent as becoming â€Å"increasingly jingoistic† this term is therefore describing the press as being fanatically patriotic. Source 4 is primary evidence which was published in 1990 by a real war correspondent, thus making his claim more reliable that â€Å"to write anything detrimental to the national interest† would be going against military regulations. This suggests that there were restrictions placed upon what the press could print that would paint Britain in a bad name, especially the conservative party. Similarly, Source 5 a book published in 2002 leaves the open question as to whether the publisher Peter Browning has been influenced by different thoughts since the war, therefore making the reliability of the information provided in the source questionable. However the content of the source does suggest that there were limits placed upon what the press could published, this is because the military authorities wanted the British people to remain patriotic as implied by source 6. Source 6 was published by The Daily Mail, one of the most best selling newspaper in the country and was particularly enthusiastic about the war, along with this, it may be accurate to suggest that one of the main of this newspaper was to keep sales going by giving the British people what they want to hear and hide the truth in what really happened as suggested in both Source 4 and especially Source 5, similarly to the Crimean war. In conclusion, I agree with the source given by Source 5 as I know that the military authorities did want to prevent the publishing of bad news in the Boer war. Lord Kitchener felt that the press needed to be controlled, this made him introduce the greater censorship during the guerrilla phase of the way which was between 1900 and 1901, which is ironic because the book was published in 1995, painting the war in good light with the press enjoying â€Å"their war through music hall songs†. Therefore achieving its aim of hiding the ‘bad news which may have occurred during the 1 How to cite History Unit 2, Essay examples

Take Me As I Am free essay sample

If someone asked: why is diversity important, I probably would have rambled on about economies, control groups, and ethnicity funding.What if instead I was asked: Why is diversity important to you? Diversity is important to me because I am part of diversity. Diversity is simply explained as different from the normalcy. You can be diverse by your sexuality, religion, ethnicity, beliefs, and how you were raised. In the world no one is the same as anybody else, though some do try to â€Å"fit in† to the standards of billboards and society stereotypes. I am diversity. You are diversity. We are all different. In specific to me I am seventeen years old. I am bi-sexual and extremely proud of that. I have many heterosexual friends, as well as many gay friends. I am Puerto Rican, Mexican and a mix of many other things whereas my friends range from Irish to Guyanese in their bloodlines. We will write a custom essay sample on Take Me As I Am or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page As a feminist I organize small movements with neighbors and friends to empower woman and help domestic abuse victims. As a Roman Catholic I was confirmed in tenth grade but I practice Wiccan rituals and Buddhist meditation daily. People should enjoy diversity but of course in life there are some who react negatively towards those who are not the same as them. In life we have different forms of prejudice: Homophobia, racism, sexism. All of which affect the lives of those attempting to live proud of who they are. We should not attempt to live our lives set to the standards of people who do not exist. There is no â€Å"normalcy† in the world. I have learned not to be who I don’t want to be. Before my generation, I’m sure there was a lot of hatred towards minority groups. Nowadays we try to accept people as who they are, not as who we want them to be. Though we are slightly more accepting now, however, there will always be hate. Diversity is important to me because without it, I would not be me as I am today. Learning to accept other people has made me able to accept who I am as well. Diversity is key to the survival of the world, but change and difference will always come as a shock to people, which will make it difficult for the world to grow. . Fitting in is not the most important part of someone’s life. I was told by one woman ,who spent her whole youth attempting to fit in to what her friends and family thought she should be, that I should let my inner light shine and I should never let anyone keep me from being who I am. I am diversity, take me as I am.

An American Childhood essays

An American Childhood essays An American Childhood, by Annie Dillard, is a happy memoir of Annie's own life, a child of a well-to-do Pittsburgh family. Dillard remembers much of her childhood and doesn't hesitate to tell us a bit of it. Author Flannery O'Conner once said, "any novelist who could survive her childhood had enough to write about for a lifetime." This was most certainly the case for Dillard. A person's childhood is something that cannot be forgotten. From grandparents telling their grandchildren about when they were their age, to criminals pleading that their childhood caused them to become evil, our first years are our most important. Annie Dillard It is clear that what Dillard tells us about her life is true. It is easy to classify Dillard as an avid reader as she constantly mentions all her books. "As a child I read hoping to learn everything, so I could be like my father," Dillard said on page 214. An American Childhood is extremely interesting and entertaining. Having taken place in modern times, Dillard was born in 1945 and the story begins when she is five, it is something we can all follow and appreciate as Dillard climbs her way through We, the readers, watch as Annie emerges from a typical five year old to the crazy, intelligent, independent young woman she becomes. Each year is a footstep with new adventures and new philosophies of the world around her. It is hard not to laugh as Annie does such crazy acts as quitting church at age 16 and writing her An American Childhood is not a book for a person without an imagination. As a reader you must be willing to interpret what Dillard says and fit into your own life and your own childhood. We can all relate to her feelings and frustrat ...

The Impact of AIDS on Medicaid †Nursing Research Paper

The Impact of AIDS on Medicaid – Nursing Research Paper Free Online Research Papers The Impact of AIDS on Medicaid Nursing Research Paper For more than 50 million low-income Americans, the Medicaid public health program is the primary source of health-care coverage and provider of long-term care (Henry J. Kaiser Family Foundation, 2004, September). For this group of people, private health insurance is not a viable option. Such benefits are often times either unavailable from their employers or are priced immediately out of their income-range. In other instances, these low-income Americans are disqualified by private insurers based upon their disabilities or pre-existing chronic conditions. This latter fact becomes particularly poignant when considering the future health-care prospects of the estimated 1 million people currently living with AIDS (Centers for Disease Control and Prevention, 2005). Although many individuals begin their treatment with private coverage, the debilitating aspect of AIDS is such that many must eventually give up their jobs and, in turn, lose the source of their costly private insurance. In situations like these, the role of Medicaid becomes paramount to life itself. Without the indispensable doctor care and prescription drugs provided by Medicaid, the recent life-extending advances in AIDS therapy would be lost to an alarming number of patients. The latest published findings by the Centers for Medicare Medicaid Services (CMS) reveal that, in 2003, over 231,000 people living with AIDS relied upon Medicaid for health services – and this number was expected to rise (2004, January). To understand what these numbers portend for the future, it necessary to examine the historical context of AIDS and Medicaid, the impact of the AIDS epidemic thus far, and what might be done to ensure quality Medicaid care for generations to come. Historical Background of Medicaid The federal Medicaid program was signed into law, along with Medicare, by President Lyndon B. Johnson under Title XIX of the Social Security Act in 1965 (Johns Hopkins AIDS Service, 2004). Medicaid was enacted to address a growing national debate regarding the limitations and failings of the presiding health-care legislation for the elderly and poor, the Kerr-Mills Act of 1960. Under this act, participating states could collect matching federal funds for services tendered to the aged or the impoverished yet it received a lukewarm response from the states for the most part. The reasons cited by critics were Kerr-Mills’ narrow scope of coverage and its inequitable matching-grant formula that often resulted in poorer states receiving the least amount of federal aid. With less than half the states opting to take part in the national health-care program at its peak, it was clear that Johnson’s â€Å"Great Society† was calling for new direction (Michigan State University, School of Social Work, 2004). What it received in Medicaid was a comprehensive replacement for all government health plans and the largest public assistance program in the nation. Historical Background of AIDS On June 5th, 1981, the U.S. Centers for Disease Control and Prevention reported an â€Å"unusual outbreak of Pneumocystis carini pneumonia among five gay men in Los Angeles.† Around the same time, an aggressive form of Kaposi sarcoma was reported in eight gay men in New York (AVERT.org, 2005). In the coming months, although health officials could not explain the sudden wave of opportunistic infections amongst gay males, the general public was calmed by the overriding theory that these incidents were simply a â€Å"gay plague† – nobody else could be infected. This naà ¯ve assumption was proven false, however, when cases of PCP began showing up in intravenous drug users in December of 1981 and the first documented case was reported in the United Kingdom (AVERT.org, 2005). By July of 1982, the number of recognized cases of this frightening illness had swelled to 453, in 23 states (AVERT.org, 2005). By August, the new disease was finally being called by an official name: Acquired Immune Deficiency Syndrome (AIDS). It was also alarmingly apparent that a much larger segment of the population was at risk than had previously been imagined. In December, a child contracted AIDS through a series of blood transfusions, and in early 1983, the first reports of heterosexual transmission began coming to light (AVERT.org, 2005). At the end of the year, the number of official AIDS cases in the U.S. was 3,064, and of these, 1,292 had died. About this time, reports depicting the new, fatal wasting disease were arriving steadily from Europe and Africa as well. The â€Å"gay plague† was now on its way to becoming an epidemic of world-wide proportions (AVERT.org, 2005). Overview of MEDICAID Medicaid is a jointly-financed, means-tested program of the federal and state governments wherein states administer benefits to eligible participants under a broader scope of federal guidelines. On the federal level, Medicaid is governed by the Centers for Medicare Medicaid Services, which establishes the minimum requirements that states must adhere to in order to qualify for federal funding. In its current form, the federal government pays for 50 to 77 percent of all Medicaid spending, depending upon state capita income (Kaiser Commission on Medicaid and the Uninsured, 2005). Simply put, states containing the highest number of â€Å"qualified poor,† receive the highest rate of matching subsidies from the U.S. government. Federal Minimum Eligibility Requirements To meet the criteria for federal matching funds, states must provide services to people receiving â€Å"federally assisted income maintenance payments, as well as for related groups not receiving cash payments (Karger Stoesz, 2005, p.324).† Also known as the â€Å"categorically needy,† these related groups include: Individuals meeting the requirements for the Aid to Families with Dependent Children (AFDC) program that were in effect in their State on July 16, 1996. Children under age 6 whose family income is at or below 133 percent of the Federal Poverty Level (FPL). Pregnant women whose family income is below 133 percent of the FPL (services to these women are limited to those related to pregnancy, complications of pregnancy, delivery, and postpartum care). Supplemental Security Income (SSI) recipients in most States (some States use more restrictive eligibility requirements that pre-date SSI). Recipients of adoption or foster care assistance under Title IV of the Social Security Act. Special protected groups (typically individuals who lose their cash assistance due to earnings from work or from increased Social Security benefits, but who may keep Medicaid for a period of time). All children born after September 30, 1983 who are under age 19, in families with incomes at or below the FPL. Certain Medicare beneficiaries (Centers for Medicare and Medicaid Services, 2004, December). Federal Minimum Service Requirements In addition to the socio-economic requirements mentioned above, federal policy also mandates a specific array of services that all states must offer in their Medicaid programs. Typical services include: Inpatient hospital services. Outpatient hospital services. Prenatal care. Vaccines for children. Physician services. Nursing facility services for persons aged 21 or older. Family planning services and supplies. Rural health clinic services. Home health care for persons eligible for skilled-nursing services. Laboratory and x-ray services. Pediatric and family nurse practitioner services. Nurse-midwife services. Federally qualified health-center (FQHC) services, and ambulatory services of an FQHC that would be available in other settings. Early and periodic screening, diagnostic, and treatment (EPSDT) services for children under age 21 (Centers for Medicare and Medicaid Services, 2004, December). Federally Sanctioned Optional Services Finally, there are 34 optional services that states can extend to recipients which also qualify for federal financial support. Some of the more popular benefits include: Prescription drugs and prosthetic devices. Clinic services. Diagnostic services. Optometrist services and eyeglasses. Nursing facility services for children under age 21 (Centers for Medicare and Medicaid Services, 2004, December). It is essential to keep in mind that once the mandatory federal requirements have been met, states are then free to operate their programs according to their own discretionary rules and regulations. What this means is that states have the power to decide the duration, scope, and reimbursement rate of the medical services proffered in their specific plans. While the limits themselves must be non-discriminatory and sufficient enough to attain the goal of the medical benefit, the end result is a complex assortment of 56 different Medicaid programs operating throughout the U.S. – one for each state, territory and the District of Columbia (Almanac of Policy Issues, 2000). Breakdown of Medicaid Spending The 50 million recipients of Medicaid are generally broken down into four primary groups of people: Children, Adults, Seniors, and Persons with Disabilities. The 2003 statistical breakdown of Medicaid recipients is illustrated in the chart to the right (Kaiser Commission on Medicaid and the Uninsured, 2005). While it is quickly apparent that children and adults make up the lion’s share of the Medicaid population, it should be pointed out that these two groups account for just 31 percent of program spending. The largest expenditures, 69 percent, go to seniors and people with disabilities – of which the latter group includes people living with AIDS (Kaiser Commission on Medicaid and the Uninsured, 2005). The explanation behind this lopsided proportion of spending is generally attributed to seniors and people with disabilities’ â€Å"intensive use of costly acute and long-term care services (Kaiser Commission on Medicaid and the Uninsured, 2005, p. 1).† Dual Enrollees Over 7 million members of the Medicaid population are classified as â€Å"dual enrollees† or â€Å"dual eligibles (Henry J. Kaiser Family Foundation, 2004, May).† In these circumstances, low-income Medicare beneficiaries are also enrolled in Medicaid. They rely on Medicaid to pay lofty Medicare premiums and co-payments as well as other benefits like prescription drugs and long-term care which are not covered at all. AIDS and Medicaid The AIDS Epidemic Today There are approximately 1 million people currently living with AIDS in the U.S., out of an estimated 1.5 million total infections since 1981. Forty thousand new cases are reported each year throughout the country – a number that has remained constant for the last 10 years. Unfortunately, reports indicate that 25 percent of those infected with HIV are unaware of their status despite attempts to promote national AIDS awareness along with early and frequent testing (Henry J. Kaiser Family Foundation, 2004, December). Consequently, new cases are once again expected to rise, especially amongst higher-risk populations. Groups that share a higher risk for HIV infection are typically ethnic and racial minorities that include African Americans, Latinos, and to much lesser extent, Asian/Pacific Islanders. These same groups have experienced a disproportionate share of the illness since the beginning of the epidemic with African Americans bearing the brunt of the exposure. Today, minorities in the U.S. account for 71 percent of new AIDS cases while making up less than a third of the overall population (Henry J. Kaiser Family Foundation, 2004, December). Gender and age play prominent roles in the spread of AIDS as well. On the gender scale, diagnoses amongst women have grown from 8 percent in 1985 to 27 percent in 2003, with women of color accounting for almost 70 percent of these new infections (Henry J. Kaiser Family Foundation, 2004, December). Furthermore, latest reports reveal that AIDS is particularly active within the youthful segments of the population, who transmit the virus primarily through sexual relations. Currently, more than 50 percent of all new infections in the U.S. occur in those under the age of 25 (Henry J. Kaiser Family Foundation, 2004, December). Women and minorities, once again, share the highest risk amongst this age bracket. Treating AIDS At the present time, it is widely-believed that AIDS is caused by the Human Immunodeficiency Virus (HIV) which is transmitted via sexual activities; needle sharing; blood transfusions; and HIV-positive mothers to their children. Once introduced into a new individual, HIV then proceeds to devastate the body’s immune system, leaving the man, woman, or child extremely vulnerable to opportunistic infections. It is important to keep in mind that people do not die of AIDS, per say. Rather, they eventually succumb to infections or cancers such as pneumonia, Kaposi sarcoma, wasting syndrome, or tuberculosis (HIV InSite, 2004). In recent years, medical science has made significant strides in HIV/AIDS therapy with the discovery of a new class of anti-HIV drugs known as protease inhibitors. Also called â€Å"combination antiretroviral therapy,† or HAART, these drugs have helped to prolong the lives of many HIV-positive individuals by strengthening their immune systems and thereby delaying the onset of AIDS (San Francisco AIDS Foundation, 2005). It should be remembered, however, that HAART is only a treatment, not a cure for AIDS, and it does not work for everyone. Furthermore, the drug regimen is both mentally and physically demanding, has many negative side-effects, and can be prohibitively expensive. Insurance Analysis of the HIV/AIDS Population The only national study of people receiving care for HIV/AIDS, conducted by the HIV Cost and Services Study (HCSUS), revealed that almost 44 percent relied upon Medicaid for coverage. Of this study, another 31 percent held private insurance, while 20 percent had no insurance whatsoever (Henry J. Kaiser Family Foundation, 2004, May). Uninsured members of the HIV/AIDS population were most likely relying on publicly-supported care providers like the Ryan White CARE Act clinics, the Veterans Health Administration, and community health centers. Racially, the HCSUS study observed that Medicaid played a much larger role for minority groups than it did for whites. Statistics revealed that 59 percent of African Americans and 50 percent of Latinos living with HIV/AIDS depended upon Medicaid as opposed to 32 percent of whites. Furthermore, the smallest percentage of uninsured was whites, at 17 percent, compared to 22 percent of African Americans and 20 percent of Latinos (Henry J. Kaiser Family Foundation, 2004, May). On a gender basis, HCSUS found that 61 percent of women used Medicaid versus 39 percent of men. A probable explanation behind this disparity was reasoned to be that higher numbers of women tend to qualify for Medicaid as a result of pregnancy and dependent children (Henry J. Kaiser Family Foundation, 2004, May). HIV/AIDS Spending Services The Centers for Medicare and Medicaid Services (CMS) estimate that, in 2004, the federal government spent $5.4, or 3 percent, of the $176 billion in total Medicaid spending on HIV/AIDS care (Henry J. Kaiser Family Foundation, 2004, December). These funds were paid out for a wide range of mandatory and optional services that included: Inpatient and outpatient hospital services. Physician and laboratory services. Long term care (nursing facilities and home health care for those entitled to nursing care). Prescription drugs Dental care. Clinic services. Case management. Hospice Care. Home and community-based services (HCBS) programs (Henry J. Kaiser Family Foundation, 2004, December). Who Qualifies For Coverage? Most people living with HIV/AIDS become eligible for Medicaid because they meet the disability and income requirements of the federal Supplemental Security Income (SSI) program for persons who are aged, blind or disabled. To qualify for SSI assistance, the current acceptable income level is about 75 percent of the Federal Poverty Level (FPL) (Henry J. Kaiser Family Foundation, 2004, May). While this may not seem unusual, further analysis reveals that there is, in fact, a â€Å"Catch-22† situation inherent to the system. Paradoxically, a person living with AIDS cannot gain access to benefits until he or she has physically deteriorated to â€Å"disabled† status – despite the existence of therapies that could prevent the disability in the first place. The consequences of this policy arrangement are such that it establishes an environment where recommended early care for someone diagnosed with AIDS often becomes unviable. In addition, a disincentive to work, or return to work, is created as individuals must weigh the possibility of losing their benefits against earning a paycheck and a life of some normalcy. At this point in time, there are several options being considered to address the inconsistencies in the Medicaid framework but none have been universally adopted as of yet. These include: Section 1115 waivers. Ticket to Work/Work Incentives Improvement Act of 1999 The Early Treatment for HIV Act (Henry J. Kaiser Family Foundation, 2004, May). Thankfully, people living with AIDS, whose incomes are higher than the acceptable SSI threshold, are not completely without recourse. Some can qualify for Medicaid based upon their eligibility for other optional plans offered on a state-to-state basis. One such example is the medically needy program which is now available in 36 states in the U.S. (Henry J. Kaiser Family Foundation, 2004, May). For those that meet the categorical requirements, like disability, the program allows them to â€Å"spend down† their incomes on medical expenses to meet the state’s income threshold. Thus, if a person’s income is $300 dollars over the acceptable income level but their medical bills are the same amount or higher, the individual will still qualify for Medicaid. States also have the option of raising the income eligibility standards of parents, children and pregnant women. In cases like these, the suitable poverty level percentage is raised to 133 percent of the Federal Poverty Line (FPL) all the way to 300 percent, depending upon the participating state. States can also permit flexible methodologies for assessing earnings which can result in people with higher incomes retaining their Medicaid status (Henry J. Kaiser Family Foundation, 2004, May). Such practices are especially significant for HIV-positive pregnant women who would otherwise be unable to afford expensive HAART drugs and could put their unborn children at risk. In a similar fashion, the Omnibus Budget Reconciliation Act of 1986 gives states the power to make exceptions for elderly and disabled people with incomes up to 100 percent of the FPL. Individuals who fall under this â€Å"poverty level expansion† category enjoy full Medicaid benefits as long as they live in one of the 19 states currently making use of this option (Henry J. Kaiser Family Foundation, 2004, May). Looking Forward As concern for the HIV/AIDS epidemic has entered the mainstream social consciousness over the past 25 years, there is no social welfare program where this sensitivity is reflected more than on the face of Medicaid. Medicaid today receives 29 percent of the federal governments’ entire expenditure on HIV/AIDS and, consequently, it is no longer the death knell it once represented for the poor in the U.S. (Henry J. Kaiser Family Foundation, 2004, May). However, with more people living with AIDS then ever before and infections amongst low-income groups rising, major revisions to Medicaid are necessary in order to meet the challenges that lie ahead. 1. The Medicaid eligibility requirements must be altered to eliminate the Catch-22 predicament that stalls treatment options for too many people living with AIDS. It is absolutely vital to remember that while legislation is pending and options are being weighed and considered, access to Medicaid is a matter of life and death for potential recipients with AIDS. Moreover, studies indicate that early treatment with HAART drugs can reduce overall healthcare spending when compared to costly inpatient hospital services for acute care (Kaiser Commission on Medicaid and the Uninsured, 2003). So why must people be forced to wait until their sickness disables them before they can be saved? In a country that stresses prevention and prophylactic methods as part of its national AIDS awareness campaign, it makes very little sense (Centers for Disease Control and Prevention, 2005). 2. Another problem that must be addressed is the issue surrounding Medicaid patients with HIV/AIDS who are entering or returning to the workforce. To provide Medicaid coverage and then yank it away at the penultimate point – when they return to work – is both insidious and â€Å"un-American,† to apply a capitalist perspective to the situation. From a capitalist point of view, more people in the workforce allegedly create a â€Å"trickle-down economy,† where all classes benefit from the profits being added to the Gross National Product. So why would the system provide disincentives to work? If AIDS recipients lose their Medicaid benefits as soon as they begin to earn a little money, they are then faced with what is in essence a â€Å"Sophie’s Choice† between good health and the glimmer of financial independence. Couple this dilemma with the fact that the Federal Poverty Level is a totally unrealistic measure of the cost of living, and the current income ranges allowable by Medicaid take on farcical proportions. What is more, these arguments exist aside from the prevailing moral issue that revolves around true quality of life. The system should not exist to prop people up and then remove their support when the prospect of a normal, healthy life draws near. Living with AIDS should never be the primary focus for anyone. The ability to pursue a rich and natural life should be the goal. 3. The variation in state Medicaid programs across the country also creates a technical morass for people living with HIV/AIDS. Because there is no universal standard for Medicaid care in the U.S., the range of benefits recipients receive can widely fluctuate from state to state. What this means is that many people with HIV/AIDS cannot afford to move around the country for fear of losing benefits that are not offered in another state. A tangential effect of this problem is that potential career opportunities in other areas of the country cannot be explored either. Finally, if the person living with AIDS happens to live in a less-generous Medicaid state, often times the individual must rely on other alternative programs or just forgo necessary services altogether. 4. For the long term, the issue that poses the single, greatest threat to Medicaid and its AIDS recipients is the ever-looming possibility of federal budget cuts. In his 2006 Budget Proposal, President Bush recommended only flat funding for a variety of AIDS programs as well as $18 million in cuts to the Housing Opportunities for Persons with AIDS Program and the CDC’s Division of HIV/AIDS Prevention (The Body, 2005). On top of these cutbacks, the budget also called for an incredible $45 billion reduction in overall Medicaid spending over the next 10 years. While such drastic cuts may seem unfathomable given the enormity of the problems Medicaid programs face, it is important to remember the prevailing social hegemony that has been in place since the Reagan administration. Twenty-six years ago, President Ronald Reagan initiated a new slate of economic policies specifically aimed at â€Å"Starving the Beast,† which in turn, effectively crippled the social welfare state to pre-New Deal levels. Little has changed today. Like his predecessor, President Bush has also increased the defense budget, allotted huge tax cuts for the wealthy, and run up an unprecedented national debt. The end result is a strained fiscal climate where social service agencies like Medicaid are typically the first to feel dramatic pinches in funding. While the Senate did elect to restore the proposed cuts on March 17th, 2005, the House of Representatives voted the opposite way, leaving the matter unresolved and the future financial plans for Medicaid in balance. This is a very haphazard way for the wealthiest country in the world to care for some of the sickest members of its population. Indeed, this â€Å"nickel and dime† approach could later prove to be a financial juggernaut as former Medicaid AIDS patients, victimized by budget cuts, require expensive inpatient and acute medical care at the end of their lives. As Ernest Hopkins, the director of federal affairs at the San Francisco AIDS Foundation, laments, How can the president call for an improved response to the epidemic but then cut or under fund the programs that are absolutely critical to achieving this goal†¦ Rhetoric without action is disingenuous (2005).† References Almanac of Policy Issues. (2000, September). Medicaid: A Program Overview. Retrieved July 11, 2005, from policyalmanac.org/health/archive/ hhs_medicaid.shtml AVERT.org, (2005, July). The History of AIDS, 1981-1986. Retrieved July 11, 2005, from avert.org/his81_86.htm Body, The: The Complete HIV/AIDS Resource. (2005, February 8). Bush FY 2006 Budget Proposal. Retrieved July 11, 2005, from thebody.com/ kaiser/ 2005/feb8_05/budget_hiv.html Centers for Disease Control and Prevention. (2005, June 21). A Glance at the HIV/AIDS Epidemic. Retrieved July 10, 2005, from cdc.gov/hiv/PUBS/Facts/At-A-Glance.htm Centers for Disease Control and Prevention, (2005, June 21). Prevention. Retrieved July 10, 2005, from cdc.gov/hiv/pubs/faqs.htm#general Centers for Medicare and Medicaid Services. (2004, December 3). Medicaid: A Brief Summary. Retrieved July 10, 2005, from cms.hhs.gov/publications/ overview-medicare-medicaid/default4.asp Centers for Medicare and Medicaid Services. (2004, January). Medicaid and Acquired Immunodeficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV) Infection. Retrieved July 10, 2005, from cms.hhs.gov/hiv/hivfs.asp Henry J. Kaiser Family Foundation. (2004, December). The HIV/AIDS Epidemic in the United States. Menlo Park, CA. Henry J. Kaiser Family Foundation. (2004, May). Financing HIV/AIDS Care: A Quilt With Many Holes. Washington, D.C. Henry J. Kaiser Family Foundation. (2004, September). Medicaid and HIV/AIDS. Menlo Park, CA. HIVInSite. (2004, September). What are HIV and AIDS? Retrieved July 11, 2005, from http://hivinsite.ucsf.edu/hiv?page=basics-00-01 Johns Hopkins AIDS Service. (2004). Medicaid Overview: Basic Program. Retrieved July 11, 2005, from hopkins-aids.edu/manage/medicaid.html Kaiser Commission on Medicaid and the Uninsured. (2005, January). The Medicaid Program at a Glance. Washington, D.C. Kaiser Commission on Medicaid and the Uninsured. (2003, August). Medicaid’s Role for People with Disabilities. Washington, D.C. Karger, H. J., Stoesz, D. (2005). American Social Welfare Policy: A Pluralist Approach (4th ed.). Boston: Pearson Education, Inc. Michigan State University, School of Social Work. (2004). Medicaid Primer. East Lansing, Michigan. Retrieved July 10, 2005, from ssc.msu.edu/ ~sw/student_res/medicaid/medicaid_primer_intro.pdf San Francisco Aids Foundation. (2005, February 15). Treatment Information. San Francisco, CA. Retrieved July 11, 2005, from sfaf.org/treatment/ Research Papers on The Impact of AIDS on Medicaid - Nursing Research PaperArguments for Physician-Assisted Suicide (PAS)Influences of Socio-Economic Status of Married MalesTwilight of the UAWMarketing of Lifeboy Soap A Unilever ProductThe Relationship Between Delinquency and Drug UseThe Effects of Illegal Immigration19 Century Society: A Deeply Divided EraRelationship between Media Coverage and Social andHip-Hop is ArtGenetic Engineering

Virgin Atlantic Airways Essay Example | Topics and Well Written Essays - 4500 words

Virgin Atlantic Airways - Essay Example Specifically, the increased research and utilization of renewable energy as a fuel source as a method of attaining progress will be detailed in this case study of Virgin Atlantic Airways. 2. To learn biographical information on one airline company, in particular, Virgin Atlantic Airways, in the discussion of its creation, its creator Richard Branson, and the values that the brand strives to embody. 3. To learn of the innovative ideas, techniques, and implementations that Virgin Atlantic has brought to the airline industry in regards to all facets of the company’s operations, especially in the area of guest satisfaction, including an in-depth discussion of the features of the airline that cater to providing an optimal, luxe, pre, in, and post-flight environment. 4. To understand how Virgin Atlantic and its procedures and offerings have allowed it to remain a profitable venture alongside failing airline companies in times of financial downturns with a look at the financial numbers that the company has released to the public, especially in the past few years. 5. To gain a look at the varying perspectives of those who have utilized Virgin Atlantic’s services as to the strengths and weaknesses of the company through differing eyes, including reviews by customers, critics, and analysts, and those involved directly in its operations. 6. To learn of future innovative implementations that Virgin Atlantic hopes to bring to the table as an airline, and continue to establish its niche among profitable ventures in the industry by reviewing releases from the company as to its goals for the next year and beyond.

What are the implications for the implementation of justice of the Essay

What are the implications for the implementation of justice of the unintended impact of the criminal justice process on ethnic minority people - Essay Example There are several issues that arise in coping with this problem. On the one hand, faith in the criminal justice system can be only restored if the members of the public achieve a level of confidence in the law enforcement process and its results. However, this confidence is being undermined, which has resulted in increased insecurity and sterner measures which are even more ineffective. Part of the reason for this may be seen in the imbalances that exist within the current judicial and law enforcement system as it exists in the UK today. The current composition of the common public has changed drastically from the way it was in the post World War II era. There has been a steady influx of immigrants from Asian and Afro-Caribbean countries as a result of which minority representation in the population is higher and the society has become multi cultural and multi ethnic. There is also a higher representation of female members of the community in the work force and in the criminal justice system. However, to counter balance this, there has been no corresponding rise in representation of these minorities and women in the law enforcement field and in the judicial arena which is still predominantly white and male. As a result, racism and prejudice have been noted within the criminal justice process which have proved detrimental to the interests of the minority communities and created imbalances by pushing a larger proportion of minority community members behind bars. The result of such increased incarceration is that members of the minority public lose their faith in the law enforcement system. An individual who has not been treated fairly by police officers nor given a fair verdict in the Courts as compared to his white contemporaries is likely to emerge bitter and mistrusting. Thus, while a prison sentence is intended to reform an individual and ensure that he or he does not slip back into a life of crime,

Bus 415 How does tort law impact consumers and businesses Essay

Bus 415 How does tort law impact consumers and businesses - Essay Example Despite the creation of tort law, as we know it today, there are many individuals in society who believe that businesses are unfairly targeted by malicious civil cases by consumers looking for a quick (and unjustified) buck. The outcomes of tort cases can have significant impacts on the average consumer, as what might be interpreted as frivolous lawsuit payouts are often passed back to the consumer in the form of retail price increases or the addition of various service fees. Why is this done? Businesses who are forced, by an active judgment, to pay out large sums of money to consumers for any variety of wrongdoing usually attempt to recapture these lost revenues by adding additional costs to the consumer. However, in many instances, it would appear that the consumers who bring up a lawsuit against a business actually do have a very valid case by which to provide evidence that a wrongdoing has occurred. First, it has been said that the only real responsibility of todays American businesses are to earn profit and satisfy the stakeholder and shareholder (Nickels, McHugh & McHugh, 2005). Under this assumption, a business which is unable to provide ample profit due to excessive tort payouts, would obviously not be providing this social responsibility to its investors. How, then, does the business maintain profitability when its revenues are paid out to alleged greedy consumers looking to make a fast buck? Most interesting is the well-known case of the old lady who sued McDonalds for burns received by a hot cup of coffee. In this case, the woman received burns to 6% of her body after spilling the contents of her styrofoam cup on her inner thighs and genital regions. After much professional scrutiny, it was determined that McDonalds did not carry ample warning information on their coffee to-go cups and that they had further experienced over 700 complaints from other