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Introduction The two most important factors that have contributed to healthcare economic changes are technological advances and medical care. One thing that people have to understand is the fact that the backbone of health economics is money and this central position grants it the integral role of ensuring that that the health care industry was successful (PBS, 2012). This money is not necessarily from people’s private funds but from like was the case in the past but it is money paid by insurance companies that pays for people’s medical bills. In addition, other third parties also account for the medical bills leaving the individual to pay just a small function of the entire funds flow from their own savings. Having an understanding of the history of healthcare economics and the nature in which money flows through the system is important in enabling managers to evaluate their present positions while at the same time preparing themselves for the future. In this paper, the discussion will focus on evaluating the history of healthcare economics and its evolution as well as how cash flows within this system. History and evolution of healthcare economics In order to understand the health insurance systems as there are today in the US, one has to best understand how in was born or how it came to be and what the future has for it. The best question to answer would then be how it came to be in the US that employers pays for the health insurance of their employees while they don’t pay for all the other of their employees expenses like groceries. The first time evolution in the healthcare system was experienced was in 1920s. During that time, choices narrowed down to the patient’s preferred form of treatment no matter how crazy or non-sensi... ...ds healthcare till to date. Conclusion In the 1920s, there was a very strong urge to adopt a new healthcare system with more emphasis being on the medical care costs and not on costs experienced during sickness, (PBS, 2012). The occurrence of the depression in the 1930s changes the health insurance priorities to incorporate the unemployed and benefits granted to the elderly. With the Second World War in the 1940s, prepaid healthcare by groups intensified as employers used health benefits offers to lure employees hence resulting to the rise in the employer based health system as is present today. However, the poor and unemployed were left out hence the welfare service to the poor in the 1950s. With time, inflation doubled prices in hospitals and the old and not working could not access health services hence Medicare and Medicaid passed to law in the 1960s till today.

Maori Culture Essay

Abstract The Maori, which means â€Å"ordinary or common,† arrived in New Zealand in the 14th century. Polynesian by descent, they came from the mythical land of Hawaiki, believed by many experts to be a combination of places, including Tahiti, Samoa, Hawaii and the Cook Islands. Upon arriving in New Zealand, the Maori dubbed the picturesque land Aotearoa, or â€Å"land of the long white cloud.† The Maori Culture The Maori like many other Pacific Islanders started their journey in a canoe. Living on an island afforded the Maori with a unique and diverse culture that is still evident in Modern day New Zealand. In the next few pages I will give you a brief glimpse of the Maori way of life then and now. I will discuss the belief and value system, gender roles, healing the sick and also the impact of Colonialism on the Maori way of life. There are three basic beliefs and values of the Maori. I nga wa o Mua, Whakapapa and Mana. I nga wa o Mu. Maori believe that ancestors and supernatural beings are ever-present and able to help the tribe in times of need. The Maori world view is to look in front of us to the past for guidance as that is where we came from. It was because of this philosophy that the Maori did not conveniently forget about the Treaty of Waitangi once it was signed. Through facing the past they can learn from past mistakes and not repeat them. This concept is totally reversed in other cultures, who try to encourage them to forget about the past and to put things behind them Whakapapa Whakapapa translated means genealogy. The Maori believe that everything and everyone are connected and therefore a part of their Whakapapa. Whakapapa includes genealogies of spiritual and mythological significance, as well as information about the person’s tribe and the land he or she lives on. The Whakapapa is passed down orally in the form of stories. One of the most famous stories is story of the creation of Aotearoa. Aotearoa was pulled from the sea by the demi god Maui. Maui was the last of five brothers and was known to be clever. He hid in the canoe of his brothers and when they would not give him bait to fish he took his magical hook and slashed his face and smeared the blood on his hook so that his blood would attract the fish. Smelling the blood the god of the sea gave Maui his biggest fish. Maui asked his brothers to not cut up and eat the fish until proper arrangements had been made to appease and thank the gods for their gift. While Maui was on land trying to pull the boat to shore his brothers started to cut the fish because it started to move. That is why Aotearoa the fish and the mountains and the valleys are where Maui’s brothers tried to cut the fish. Mana According to the Merriam-Webster dictionary, Mana is â€Å"Among Polynesian and Melanesian peoples, a supernatural force or power that may be ascribed to persons, spirits, or inanimate objects. Mana may be good or evil, beneficial or dangerous, but it is not impersonal; it is never spoken of except in connection with powerful beings or things. The term was first used in the 19th century in the West in connection with religion, but mana is now regarded as a symbolic way of expressing the special qualities attributed to persons of status in a hierarchical society, of providing sanction for their actions, and of explaining their failures†. The Maori believe in three forms of Mana. The first type of Mana is the Mana that you have when you are born. This Mana comes from your Whakapapa and can attribute to the rank and status of your descendants. This Mana is not only the ancestor themselves but also the deeds that they did and the skills, traits and abilities taught to them by their tupuna (elders). The second type of Mana is Mana given to you by other people. Today there are people who seek Mana and deliberately go around trying to gain Mana by telling people about their own importance. There is a Maori saying: â€Å" The Kumara does not talk about its’ own sweetness.† But Mana seekers do exactly that. Humbleness is a very highly valued trait in the Maori world. Many of the great leaders are very humble people, hence part of their greatness. The Maori people sing their praises, thereby heightening their Mana. You will never hear the great leaders singing their own praises. It is not that they are trying to be humble; it is that they just are. The third type of Mana is Mana from the group. The best example I could come up with is the Mana of the marae. The marae is the sacred courtyard that you must be formally invited to enter for the first time. The marae is where challenges are met and issues are debated. When you stay on a Marae all are treated well and fed great food. When the visitor leaves they tell everyone about the great time they had thus increasing the Mana of the marae. If they tell everyone they were treated ill and unkind then the Mana of the marae decreases. Traditional Maori folklore focuses on oppositions between pairs, such as earth and sky, life and death, and male and female. From the time of creation the original couple, Rangi (sky) and Papa (earth) were locked in sexual union until the god Tane was able to push them apart and provide for the creation of human life. So as you can see opposition existed before the creation of human life according to Maori traditional stories. It then would suffice that opposition would exist throughout Maori culture. Premarital sexual relationships were considered normal for Maori adolescents. Both males and females were expected to have a series of private relationships before they married. When Maori females became sexually active, they were to publicly acknowledge this so that they could become tattooed. Tattooing marked their ritual and public passage into adulthood. It was also considered extremely attractive and erotic. Tattooing among the Maori was highly developed and extremely symbolic. Maori facial tattoos were created by two methods. One was by piercing and pigmenting the skin with a tattooing comb. The other was by creating permanent grooves in the face with a chisel-like instrument. . Females were also tattooed in Maori society. Female facial tattooing was known as ta ngutu. Designs were placed on the chin and lips. When it comes to sickness and healing in Maori culture things were very different before Colonization. In traditional times before the colonization of New Zealand, Maori saw science and religion as the same entity and believed that illnesses were caused by supernatural sources. Maori had a good concept of anatomy, physiology and the use of plants for healing; however there was an undefined distinction between the mind and body. Maori believed an evil spirit or a type of witchcraft would attack an individual to cause ill-health as a punishment for breaking the tapu (sacred restriction) of the family that the spirit belonged to. This type of illness was called mate atua (disease of the gods) since there was no obvious physical cause. The individual would experience pain, weakness, loss of appetite, malaise, fever and occasionally delirium due to possession of the spirit. When Captain James Cook colonized New Zealand in 1830 he brought with him, evasive plants and animals as well as guns, alcohol and diseases that the Maori were previously exposed to. New Zealand’s isolation meant that the Maori people lacked immunity to bacterial and viral infections that were common in other countries. The Maori found that their healing methods were ineffective against the new diseases and had to rely on the medicines of the missionaries. The effectiveness and popularity of the missionaries’ medicines assisted in the conversion of Maori to Christianity. It appeared to the Maori that the Christian god had superior powers and this attributed to the health and prosperity of the Europeans. The fundamentals of Maori society, culture, religion and medicine became strained as religion was involved in their everyday lives and many of their beliefs were based upon it. The people began to lose their Mana due to the shift of religion and the spread of Western knowledge undermining the tohunga’s ( spiritual leader) authority The downfall of the whare wananga (school of learning) was also due to conflict between Maori religion and Christianity. In 1907 the Tohunga Supression Act was passed due to concern being raised over the practice and safety of some tohunga. Maori healing was seen as ‘dangerous’ by Western modern medicine as it was not scientifically proven. The Tohunga Suppression Act was repealed in 1962 however this had little significance as some tohunga had practiced throughout the 20th century especially in remote rural areas of the country. Tohunga are still significant in current Rongoa Maori however modern tohunga have not been trained in traditional methods giving them a position of authority and prestige however they are still recognized as experts in their field. Many modern tohunga showed potential in their childhood by spending time with their elders and learning tribal and cultural lore. They then became an apprentice under an established tohunga to learn their expertise Current Maori healthcare is based on a holistic model that incorporates the physical, emotional, family and spiritual aspects of health. Each aspect must be treated or used to ensure full recovery of a patient. The current function of modern tohunga is varied. Conventional medicine is incorporated into the tohunga’s practice however traditional methods of karakia (chants) and inoi (prayer) are still extensively used. Native plants for medicinal purposes are widely used however application of uses varies between each practitioner. References 1. Franklin- Barbajosa, Cassandra. â€Å"Tattoo: Pigments of Imagination.† National Geographic News. March 7, 2008. http://ngm.nationalgeographic.com/ngm/0412/online_extra.html 2. Maori.org.nz. http://www.maori.org.nz/ 3. â€Å"Moriori.† Encyclopedia Britannica Online. http://www.britannica.com/eb/article-9053755/Morior 4. The Legend of Maui. http://www.sacredtexts.com/pac/maui/maui04.htm 5. The Definition of Mana. http://www.merriam-webster.com/dictionary/mana 6. Maori Colonization. http://www.heritagehistory.com/www/heritage.php?Dir=eras&FileName=britain_11.php

Privilege: Racism and Jim Crow Laws Essay

The essay â€Å"White Privilege and Male Privilege† written by Peggy McIntosh was enlightening and controversial. It was enlightening because she shows you how certain groups of people can have privilege over other different groups, and be unaware or in denial over it. Peggy’s story was controversial because it talked about the privilege that very few have the courage to talk about. The white and male privilege and the fact that it is looming over our heads as a society. Throughout history there’s a superior and inferior race and sex. The superior race is the white race, opposed to the African Americans who are considered the inferior. Additionally men are the superior sex opposed to women. Race is a sensitive subject when discussed due to the painful history of our country, most notably the plight of African Americans. African Americans have had a painful background of slavery and inequalities along with unjust rights they had to endure. They were not considered humans, but were property of their white slave owners. Racism has been social constructed for many decades. It is possible that the racial hierarchy can control many aspects of the human life. It can control what kind of jobs you receive, politics, media, insurance, and even your place of residence; this is reminiscent of the Jim Crow laws. Jim Crow laws were not only anti black laws but a way of life predominantly for southern people. The Jim Crow laws were constructed to keep African Americans from climbing higher on the social ladder. Education, transportation and work were kept at a bare minimum for African Americans. Under no means necessary was any African American to act as if they were equal to the white race. It ultimately controlled where they were allowed to go and what they were allowed to do. If for any reason this law was broken, consequences were normally enforced by physical force consequences for challenging whites and their authority. This was a way for the whites to maintain dominance and ensure the African Americans stayed at the bottom of the racial hierarchy. This was the cost for being born black. For being born into a society where your race was the ultimate factor in your social status, and rather than being born into a world of acceptance, you were born into a world of exile. This portrays in the United States the black and white color lines that have been imbedded into our minds and enforced due to the dominance of the white race for so long. Men also have advantages over women, especially politically. Even though times have changed and women are able to vote, men still are the dominating force in politics. Women have to fight longer, harder and be three times more qualified than a man to get some positions or to even qualify for jobs over a man. When some women are appointed higher positions over men they get criticized and sometimes even degraded because of it. Some men don’t even see or recognize when this occurs. Many white people are in denial of preconceived notions that they might have on a certain person or group because of their race. I myself have been a victim of racism at work. People choose to believe the color of your skin indicates your worth. Some expect you to fail and not succeed because of this. They expect you to meet the standard of the person they have seen on TV, in a movie, or on the radio. However, what they don’t realize is that these are stereotypes that the media portray of a certain group and that perception is not always accurate. They also take a bad experience with one individual, and deem an entire race that way. No one knows why we come in so many shades sizes and variations. However, we do know that the social concepts of race deprives from the history that one has come from. Race as well as the sex of a person was once used as a tactic of fear, fear that was instilled in a person to make them powerless and inferior to another race. Although many things have changed for the better in our society, racism and the sex of a person is still a dominate factor.

The boy and the stripped pj

An important part of life is to have a sense of identity, culture and to belong. Sometimes we have to sacrifice some of our Identity to fit in, but we can learn new things and grow our Identity. A sense of belonging means you feel you are In the right place, your comfortable being yourself. While many people belong, there are also many people who don't belong, either by having a lack of friends, not fitting in or finding their surrounding new or unsure. In 2008 mark Hermes produced the movie the Boy In the Stripped Pajamas that has both aspect of belonging.In the Immigrant Chronicles by Peter Crooknecks, he writes is poems about his life experiences and weather or not if he belonged. 2 poems of his, from the immigrant chronicles that show a lack of belonging are â€Å"In the Folk Museum† and â€Å"The Migrant Hostel†. The Boy In the Stripped Pajamas Is a movie about a 8 year old boy called Bruno, him and his family are made to move to a place called out with (Auschwitz) , they move houses as his father is a highly ranked solider. Their new house is in sight of a connection camp, because of this Bruno is not allowed to do his most favorite thing explore, and must stay inside of the yard.The movie is set in World War 2, Germany After they move the first scene, where Bruno feels a sense of belonging Is when he runs out of the yard into the forest, the camera follows him by a tracking shot, this highlights the joy he gets from exploring. The overgrown surrounding highlights his freedom, after having nothing to do and no one to talk to; when he is running you can see how he feels a sense of belonging and identity. The closer Bruno gets to the fence the brighter the colors get; this reinforced the tone of Bruno and his happiness. Hen Bruno first comes across the fence and sees Samuel, he doesn't understand hat the connection camp is, he sees Samuel as a new friend that will be able to play with him. When Bruno and Samuel first meet the shot goes between the two of them, when the shot is on Bruno the background is bright yellow flowers, Bruno is in nice clean clothes, when the shots goes to Samuel the background it is dull grey colors and he Is wearing old dirty stripped pajamas, the dull colors shows us, that Samuel doesn't fit In to his surrounding, he doesn't belong In a contention camp at 8 years old.The scene gives us the visual clues that enabled us to compare their lives. We're not meant to be friends you and me, we're meant to be enemies did you know,† said by Bruno to Samuel, this shows the culture barrier between them. In one of the last scene with Bruno and Samuel Is when Bruno crosses the fence to help as he realizes what the camp is the, weather starts to storm and turn dull grey tones, which creates tension. The last view of Bruno and Samuel is when they get taken to the gas chamber with other prisoners.The view is them clutching hands, it shows even in death, they friendship is united, that in the end they belon ged to each other s friends. In the folk museum is about the poet being in a museum, he can't connected to the museum, because he feels like he is in a different time zone, that his surrounding aren't from where he is used, he doesn't belong in that time zone. The poem suggests the importance of belonging to a place and how it makes you feel. In stanza 1 the words â€Å"darkness† and â€Å"betray' creates a tone of isolated and alienation, it creates the atmosphere of lonely, sadness and sinister.In the movie, Bruno feels alienated, when he moved he has no one his age as him and wasn't allowed to explore, he feels like he can't belong to his new surrounding, that there is nothing their for him. The extending metaphor of the words, autumn, yellow and brown reinforced a mood of dull colors that creates a feeling of being alone and unpleasant that he isn't happy where he is. In the finial stanza line 3, â€Å"l leave without, wanting a finial look. † This is Lorraine; it creates the effect of a fast escape. When Bruno starts running he doesn't look back.It shows when you can to start to feel like you are belonging again, you don't need to look back you know what's right and you Just go for it. The Migrant Hostel is about the experiences of the author and others at a migrant hostels. Crooknecks creates the feeling of disappointment through the many reference of them having no control over their lives. The poem to me talks about the hardship and barriers of creating a new life. In stanza 1 line 1,2 â€Å"no one kept count, of all the coming and going†, this creates the feeling like they weren't important.The poem can relate the Samuel and the other member of the connection camp. The people from the connection camp are not treated right. â€Å"Those people, well their not really people at all, Bruno†, Bruno father ells Bruno, this shows how they can't belong as they aren't even considered to be people at all. In stanza 3 line 2†³we lived like birds of passage† this is a simile, the we in the sentence can refer to everyone in the camp that even know they don't belong they are starting a new Journey and they all want to fly out.It also refers to the way migrants are still in transit as everything is changing and they are being constantly moved around. Which can make them have a lack of security and belonging to the place The line â€Å"a barrier at the main gate, sealed off the highway' is making the separation f them and Australia, it makes them feel powerless, the highway symbioses the fence is a recurring motif in the movie, many scenes including where they meet, is the fence.The fence becomes a barrier between their friendships, but it is what ties they together. The gate in the poem can give them hope; it could represent the new start, that once they're through the gate their started. The Boy in the Stripped pajamas, In the Folk Museum and The Migrant hostel shows the importance of belonging to peopl e and place and how it can relate to making people unhappy.

Detailed Cycle Analysis of Turbofan Engine Essay

Detailed Cycle Analysis of Turbofan Engine - Essay Example 1. Fan – The fan is at the obverse of the engine. The process of propulsion begins at this part. The fan initiates a flow of air around the engine. The air gets separated into two streams. The larger stream, known as bypass air, is typically about 85%, while the smaller stream which refers to primary air, is about 15% of the total volume of air. The bypass air usually keeps the engine quieter, cooler and more fuel efficient. 3. Combustion chamber – After the compression process is complete the highly pressured air got forced through a combustor. Then, fuel got added and burned. This process makes the air temperature to be high. 4. Turbines – Hot air gets blasted through the blades of the turbines. The two whirling turbines rotate the shafts that steer both the fan and the compressors at the front part of the engine. This process allows modern jets to function with high fuel efficiency. 5. Exhaust nozzle – The hot air get forced via the exhaust opening at the rear part of the engine. The air gets forced to accelerate due to the thin walls of the exhaust nozzle. The acceleration of the air, combined with its weight, drives the engine forward. An explanation of how the turbofan engine works became discussed here. The inward bound air enters the engine shaft. A portion of the inward air passes through the ducted fan. It continues on into the core compressor (Diesinger 2008, p.34). This then goes to the burner. Here, air mixes with fuel and combustion occurs. For the basic turbojet, the hot exhaust gas passes through fan turbines, the core and then out through the nozzle. The surplus of the inbound air passes through the bypasses and fan. Sometimes it goes about the engine. This is just like the air via a propeller. The velocity of the air that passes via the fan is higher than the free stream. A turbofan gets a portion of its thrust from the fan and the rest from the core (Peter Galison 2000, p.25). In the analysis of the engine cycle, the bypass ratio

Realism and Hans Morgenthau in International Relations Essay

Realism and Hans Morgenthau in International Relations - Essay Example The former is most likely the case to occur when changes have occurred in the society structure as to require the reconstruction of the political constitution. Construction of solid political institutions requires the involvement of realism which must draw a clear line between wishful thinking and truth. Political realism2,3 is a study and practise of politics that contends that all nations are guided by their personal interests which are claimed to be their benefit and are disguised as moral concerns. A rational theory which clearly states what are these rational concerns that imprint a nation's need is necessary and requires thinking of the actual needs of a nation rather than what such a nation would like to see achieved. Such objectives of a nation follow a generic model that may apply for thousands of years and the same "moral" concerns that fall under the disguise of personal interest have found applicability since the ancient times. These fall under the territorial security of a nation primarily which once it has been secured the nation might contend the territory expansion for the establishment of a nation's security. Other than territorial expansion purpose of the personal interests a nation might pursue and disguise under morality is the accumulation of power. One however, should not see such claim... Even though international politics call for a clear distinction between personal concern and preservation of one's identity it may not always be the case that such distinction is probable. Morgenthau performs a system level analysis of political realism; he identifies the dependent and independent variables of the system, how these operate within the system and the effects they have on the system functionality. In this case the dependant variable is the foreign policy that states need to follow taking into consideration properties of the problem at hand, alternative solutions and the impact these may have on the involved parties. The independent variables are the drive of the initiative taking party that may be hidden under the disguise of state, or country, rights preservation or moral principles. The question here is what are the rights a country is entitled to as to take any kind of initiative on foreign policy as to proceed to battle and to what extend is one entitled to take any kind of initiative based on these rights or moral conflicts. The danger-action relation is perpetual circular; once danger is identified action is taken and such action breeds changes that keep the danger hint alive. The point here is the criteria to set as to separate rational from irrational behavior; who is to make such distinctions free of bias and finally what behaviour makes moral or amoral perception as to justify any kind of foreign policy initiative with the side-effects that might have. For danger to initiate action and the other way around the one does not necessary call for the other; just a hint is adequate basis for anyone to claim that certain clues call for immediate action. The author claims

No Topic No Style No Sources Essay Example | Topics and Well Written Essays - 250 words

No Topic No Style No Sources - Essay Example For instance, as children, nature and nurture took its course by helping us graduate into reasonable and mature adults. A famous psychologist, Carl Jung once wrote about the concept of collective unconsciousness. It involved having the same view and memory on certain matters that were fundamental to the society. This relates to graduation in that it is a present day representation of the collective memories. It drives us to the next chapter in our lives. Every graduation converts students into adults in preparation for their next step in life. The vision in every graduation is to instill proper values such critical thinking and fair judgment which prepare them face different challenges in life. Graduation is a happy day for the people involved because their hard work is appreciated and rewarded. Besides, the community still has a role to play in guiding and welcoming the new graduates. It is a historical day as the graduate is able to reflect on his achievements and smile about them. Graduation marks the date most people are molded into better human beings as compared to the beginning of their