Essay on It Is Time to Expand Medicaid Coverage in South...

It is Time to Expand Medicaid Coverage in South Carolina When it validated the constitutionality of The Patient Protection and Affordable Care Act in 2012, the United States Supreme Court also ruled that states could decide for themselves whether or not to expand their Medicaid programs (Sonfield, 2012). Predictably, South Carolina said no. The Palmetto State’s decision not to expand Medicaid in concert with the Affordable Care Act was wrong, and it is time to correct that mistake. The leadership’s decision not to expand Medicaid leaves between 300,000 and 400,000 South Carolinians without health insurance (South Carolina Medical Association, 2012). The stated intent of the Affordable Care Act, pejoratively dubbed â€Å"Obamacare† by its†¦show more content†¦But unless the state reverses course and expands Medicaid coverage, South Carolina’s $1.1 billion share of the national program will be distributed to other states while its citizens get nothi ng in return. In other words, the state’s taxpayers will be on the hook for $1 billion, with the number of uninsured exceeding the combined populations of Greenville, Charleston and Columbia. (Populations of South Carolina Cities, 2010) So far Gov. Nikki Haley is unmoved. Haley and the state’s conservative legislature have refused to accept the $13.3 billion in federal funds, arguing that the state will be unable to pay the state’s Medicaid bill once full federal subsidies end in 2020 (Haley, 2014). Their working assumption is that Washington will renege on its 90-percent pledge and cut subsidies further, leaving poor states like South Carolina to shoulder more and more of the costs. To bolster her defiant stance, Haley in her 2014 State of the State address said ACA adds a greater financial burden without demanding better medical and economic outcomes from the nation’s health-care system. â€Å"I cannot support this expansion for a very simple reason: i t avoids addressing our health system’s high costs and poor outcomes,† Haley said January 14 in Columbia. â€Å"Here in South Carolina we have one of the lowest life expectancies and highest infant mortality rates inShow MoreRelatedMedicaid Essay1231 Words   |  5 PagesAs I understood Medicaid are those personal cares services which are fundamental, non-acute services provided to facilitate recipients who require assistance with the activities of daily living to remain in their home or community, maintain their current health status and prevent, delay, or minimize deterioration of their condition. Personal care services are intended to supplement care provided by a recipient s family or primary caregiver, not replace it. Services may be provided in the home orRead MoreStrategies For Implementation Of Health Care Reform Within Criminal Justice1595 Words   |  7 PagesMany correctional professionals believe that the Patient Protection and Affordable Care Act have pr ovided a major change to the way justice involved populations’ access health care in the community. Being able to secure health insurance especially Medicaid allowing more access to health care including behavioral health programs that will improve outcomes and positively impacts by reducing rates for returning to jail or prison. This should be an integral part of reentry programs. Having health insuranceRead MoreA Report Of The Surgeon General Stated That Minority And Low Income Children2723 Words   |  11 Pageschildren’s hours lost from school, deteriorating school performance and behavior, and in extreme cases, serious disability and even death. There have been several attempts made to address the issue. One of the solutions to the problem is to increase the Medicaid reimbursement of dentists. Under such provision, not only did the number of enrolled providers rise, but also did the number of patients treated (Borchgrevink, 2008). Second, the introduction of advanced dental therapist has shown increase the accessRead MoreOral Health4336 Words   |  18 Pages(p.1).† After examination of exhumed bodies, researchers discovered that there were several wounds in the mouth, but no evidence of restoring lost teeth. However, dentistry did not become a profession until the nineteenth century. Prior to this time extractions were performed by barber-surgeons. The term â€Å"dentist† was taken from the French language. And it was used to describe tooth operators. In 1790 Lt. George Washington was known for having the first â€Å"dental foot engine† dentures designedRead MoreThe Rise Of Obesity And Obesity Ess ay2014 Words   |  9 Pagesnaturally stop drinking sodas because they will become educated about the effects of the sugars over time. In contrast, proponents believe the excise tax is more feasible than waiting for citizens to learn about the effects of a high sugar diet. Moreover, the tax would be beneficial to the obesity epidemic by encouraging consumers to buy the healthier options, decreasing the cost of Medicare and Medicaid, and investing the revenue in programs that are proven to help people with obesity. The excise taxRead MorePrimary Care And The Patient Protection And Affordable Care Act3424 Words   |  14 Pagessurvey of physicians in 119 clinics in New York was published in the Annals of Internal Medicine in 2009 and the result revealed that 48% physicians reported working in a chaotic environment. About 30% of the doctors expressed dissatisfaction about time frame of appointments they were given to see a patient and one- third physicians were planning on leaving the jobs in the next two years or so.1 Many physicians complaint that their patients cannot afford the health care cost. There is lack of staffRead MoreThe Affordable Care Act5046 Words   |  21 Pagessupport Alabama’s current decision to continue Medicaid Primary Care Parity, as first enacted by congress in 2010 to all states under section 1202 of the Affordable Care Act (ACA). However, as Alabama is facing budget cuts to its Medicaid services, supporting the â€Å"Ensuring Access to Primary Care for Women a nd Children Act† will extend federally funded Medicaid primary care parity without harming the state budget and negate the consequences of limiting Medicaid enrollee access and benefits. The federalRead More Major Strides Against Poverty Essay1991 Words   |  8 Pages Major Strides Against Poverty Throughout time people have been affected by the harshness of poverty and economic strain. It has always seemed to be difficult for the average American to prosper if in fact that person did not come from previous wealth. Our great country prides on the idea of capitalism and the rights to freedom and insists that anyone who puts forth the effort can and will succeed. This has and always will be a debatable issue. The other realism is the role of the federalRead MoreWal Mart Discrimination7044 Words   |  29 PagesWorkplace,Business Ethics on evaluation of job ethical standards in Wal-Mart in South Carolina In Partial Fulfillment of Business Research and Project BUS 499 Nagliesha L Miles Supervisor: Dr. Mmutakaego Chukwuanu Allen University Date: December 8,2010 Table of content Table of Content...............................................................................................................2 Abstract...........................................................................Read MoreNursing Essay41677 Words   |  167 PagesPortland Troyen A. Brennan, Executive Vice President, Chief Medical Officer, CVS Caremark, Woonsocket, RI Robert E. Campbell, Vice Chairman (Retired), Johnson Johnson, New Brunswick, NJ Leah Devlin, Professor of the Practice, University of North Carolina School of Public Health, Raleigh Catherine Dower, Associate Director of Research, Center for the Health Professions, University of California, San Francisco Rosa Gonzalez-Guarda, Assistant Professor, School of Nursing and Health Studies, University

Token Economy Free Essays

Leadership Model Jim Forrest was a skilled professional in related issues managing in substance abuse. Forrest had the opportunity to utilize his abilities as a lead in a mental health center. Forrest began his search for new employees by interviewing each person the same. We will write a custom essay sample on Token Economy or any similar topic only for you Order Now Forrest talked to each candidate in the same style rather than finding out their strengths and weaknesses so he would have a better idea of where to place them to assist with client care. Although Forrest noticed positive change in client care, he also noticed concerns with his employees slowly surfacing. Forrest began to question his professional relationship with each member of his staff. It is important to recognize leadership comes in various styles to provide applicable direction to accomplish specific objectives in the workplace. Supervisory leadership must discuss the task and goals set for the organization clearly to its employees. Contingency Theory believes individuals are different; therefore there is not one way that is the best way of leading a team. Contingency Theory takes a look at the bigger picture that contains dynamics about supervisory leadership skill and other variables within the circumstances. Success of any organization is influenced by a variety of reasons, one of which is leadership style. One style of leadership may not be appropriate in some cases, however may be best in others. Supervisory Process There are 4 main steps in the supervisory process. The first is the beginning phase of the purpose of the supervisor. One of the elements of this process is obtaining reviews from staff and discussing concerns and ideas to make working together more productive (Lewis, Packard, Lewis, Chapter 7, 2007). In case 7, Jim did not get feedback from his new staff about the implementation of the token economy. The middle phase of the process is the stage where Jim should have realized that his way was not working for everyone; he should have been open minded and ready to make changes when concerns were voiced to him, instead he thought that giving them freedom to make their own schedules they should be following the way he wanted things to be done. At this point Jim should have discussed issues and created an action plan. Jim is now in the facilitative confrontation phase (Lewis, Packard, Lewis, Chapter 7, 2007), problems have began to surface and Jim hears complaining, with the incident of no one being there when he needed Jim will need to sit and discuss his role with the staff and their issues with the way things are being ran. The transition phase is when changes are made (Lewis, Packard, Lewis, Chapter 7, 2007). If Jim follows through with the confrontation phase, he may be ready to compromise token economy and focus on rules and regulations to get everyone on the same page to productively help clients. Reference Lewis, J. A. , Packard, T. , Lewis, M. D. (2007). Management of Human Service Programs (4th ed. ). Retrieved from The University of Phoenix eBook Collection database.. How to cite Token Economy, Essay examples

Performance Indicator free essay sample

Performance Indicator Memo Executive Summary The aim of Performance Indicator is to increase golf ball manufacturers’ value by increasing revenue from new ball sales as a result of eliminating older, used balls through its color change coating technology. Although there appears to be a possible financial benefit based on the future perceived demand for new golf balls, PI’s new technology does not appear to have any transparent benefit or value creation for the end consumer (golfer). Consequently, no manufacturer has yet to adopt this technology. Inconsistency Between Sales-Pitch and Willingness to Pay Performance Indicator (PI) has developed a technology that will enable the golf industry to reduce the number of used golf balls in the market place by indicating which balls have had their performance degraded due to an extended duration in the water. Approximately 85 million used golf balls (approximately 50% of all used balls) are thought to be replaced through this technology, hence increasing the sales of brand new balls. We will write a custom essay sample on Performance Indicator or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page They are also, in effect, attempting to create a quality assurance mechanism for used golf balls in circulation. Theoretically, golf ball manufacturers stand to benefit from filling the â€Å"gap† created in the market by removing the performance degraded used balls. Although PI is selling directly to the golf ball manufacturers, the golfer using the ball that is known to be in good condition determines the real value creation. The main inconsistency derives from not all golfers standing to benefit from the adoption of PI technology. The manufacturer must determine if this perceived benefit to the golfer is worth the additional manufacturing costs and market/brand implications. There is a segment of the market that will continue to buy new balls. Both professional and average golfers utilize used golf balls; however, neither group will derive enough consumer surplus to be willing to pay for this technology. We believe the additional value created by the improvement in performance does not justify the additional cost of having to purchase new balls. Used balls can be purchased for significantly less or even found by many golfers and have an acceptable performance level. Diminishing the used golf ball supply may cause frustration for the average olfer. If this technology were universally adopted by all manufacturers, there may be benefit to the industry as a whole. However, value brand manufacturers feel that brand image might be tarnished by concern about consumer’s â€Å"infringement on their access to cheap used balls. † Additionally, high-end manufacturers’ sales, which represent 67% of total new balls market, will be reluctant to ado pt the technology due the belief that the consumers may buy new value brand golf balls rather than their own premium brand golf balls. The decision for an individual manufacturer to adopt PI’s technology will be determined by the potential increase in sales as golfers replace performance degraded balls with their brand. It is reasonable to assume that individual manufacturers are hesitant to pioneer this technology because there is no assurance that a performance degraded golf ball would be replaced with their own. The data indicate that golfers are comfortable using used balls, or value brands. By removing approximately 50% of the used balls from circulation, numerous golfers may utilize the lower cost alternatives to fulfill their required quantities. In attempting to convince potential customers of the perceived value of the technology, Performance Indicator provided data related to the estimated profit impact of removing the performance degraded balls from the market. The two problems identified with this presentation is the failure to establish a true value and the underlying assumption that the market split between premium brands and value brands will remain the same. In fact, there may be a shift towards value brands based on the technology. Exhibit 5 Estimation of Profit Impact| | | | A manufacturer would be more interested in their total manufacturing cost and revised profit utilizing the new technology. A revised approach to presenting this data is offered below. Based on the lack of value added to the golfer from this technology, it is unlikely that a fundamental market shift will occur. However, in this revised exhibit, the data more clearly displays the potential range of profits a manufacturer could achieve from the shift in the market. By translating the quantities of golf balls into amounts of profits, the case for adopting the technology could become more apparent. In conclusion, value is created when the customer’s willingness to pay exceeds, or even significantly exceeds, the cost to produce the golf ball. In this example, the PI technology does not add, or is not perceived to add, sufficient value to the golf ball market. In order for PI to gain a customer, this value must be perceived and realized by one of the golf ball manufacturers. The additional demand created by removing defective golf balls through their technology was thought to translate into increased profit by increased sales of new balls. The inconsistency in strategic thought was neglecting the golfers’ benefit.

Lost Innocence Essay Research Paper I think free essay sample

Lost Innocence Essay, Research Paper I think an event that proves I deserve the word? lost? would be from this summer when I was on holiday. It would be my loss of artlessness. It all happened right after my pa, his friend and I finished playing a unit of ammunition of golf. It was the really first clip I had of all time beat my pa. We were on our manner back to our friend? s house in Reno, but we stopped to acquire some gas and to name his married woman and inquire if we should pick up some chow. We couldn? t get ahold of them, so we started back. We pulled out of the gas station where we had parked and started to traverse the main road to get down on our manner back. We were about to our negative stimulation when an on coming auto? T-boned? us. We will write a custom essay sample on Lost Innocence Essay Research Paper I think or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page I can still retrieve it? s oinking brakes. The Impact, as it hit us I felt as though I had been hit by a immense moving ridge. The following thing callback I was lying in the street covered in a glistening ruddy liquid. Actually it was merely glass and blood. I was surrounded by people. My pa was keeping a shirt to my caput. Blood was spiting from all over my organic structure. Everyone around me was stating me to be unagitated. The main road patrol was at that place ; they called the infirmary. An ambulance showed up about five proceedingss subsequently. The work forces from the ambulance got out and tended to me instantly. They rolled me onto a backboard and carried me into the ambulance. Then they stabbed a I.V. into me. We headed south to Carson City. Although I thought they would work on me there they lt ;< p>didn? T. I stayed there shortly. They pushed me around the backboard all the manner to the top floor. From at that place they loaded me onto the attention flight chopper. On my manner to my concluding finish, Reno. I so parted with my new ambulance friends. The flight was loud, long, and raging sing that I had a concussion and my caput fundamentally glued to the board. When we reached the Washoe Med. Center, in Reno, they rolled me into the X-ray room. It took near to an hr to take all the X raies. Next they put me in a hall and I had to wait for near to an hr. They took the cervix brace off so I could do myself more comfy. The physician showed up and said they eventually had a room for me. Then we went into the room and he prepped me for the remotion of the foreign objects. They cleaned out all of my lesions and started to take the glass and crushed rock. He brought in his tools, and the nurse brought in the Novocane. I counted near to fifty shootings all over my organic structure. After he was done acquiring out all of the glass out from under my tegument. They numbed me some more. Than they started run uping. There was close to one hundred stitches. They gave me the prescription for some Vicodin. I could hardly flex my articulatio genuss, but I still had to walk to the auto. We started home the following twenty-four hours, but it would still take hebdomads to to the full retrieve. This was one incident where I lost my artlessness because it was the first major hurt I had and accident I was in.