Managed Care Essay Example | Topics and Well Written Essays - 500 words - 1

Managed Care - Essay Example If the outcome is a positive one, then resources should be devoted to treating that diagnosis based on the outcome. Arnold Birenbaum explains this in terms the lay person can easily understand, but it can be summed up this way: the outcome dictates, justifies, the expense of the intervention (Birenbaum, 13-14). This is a process that actually allocates a financial value to the DRG, and, today, insurance companies will not exceed the value in reimbursement that is dictated by the DRG. Further, the care of each patient is assigned to a case manager to oversee the rendering of the care, and to ensure that neither the services nor the days allocated to the intervention exceed the allocated DRG. Patient care has essentially been wrested away from the physician, and the physician is no longer alone in deciding the best course of care and treatment for his/her patient’s condition. Managed care has adversely impacted the doctor/patient relationship, because a patient’s care is no longer a response to the patient’s condition decided upon and agreed upon between the patient and the physician. Also, the definition of managed care suggests that a physician is no longer free to allocate resources and services to a patient’s care in order to maintain and improve the quality of life regardless of the projected or predicted outcome. Rebecca M. Bolen and J. Camille Hall (2007) say that the arm of managed care which put a stronghold on physician’s decision making processes on behalf of their patients has now reached other healthcare disciplines; nursing, social work, and psychiatric services and clinical providers (Bolen and Hall, 463). It is referred to as evidence based practice (EBP). If the evidence, as with the DRGs, points to a positive outcome, then the intervention shall reflect the extent of the outcome; otherwise, there is no approved intervention for negative outcomes based on the evidence (Bolen and Hall, 463). Physicians long

Hemp :: essays research papers

Hemp PREAMBLE As we enter a new millennium, we find ourselves reevaluating the paths we've chosen and the decisions we've made. Have we made the best with what we've got or are we stumbling in the dark? How many gaps riddle the blanket of our knowledge? The problem lies in how we make sense of where we're heading. Do we choose the path of economics and progress or do we choose the path of environmentalism and sustainability? Is there a median available for us to take where the greens of economy and environment are balanced or are we doomed to blindly continue the path of short-term gain and comfort . . . living out a flawed paradigm? Canada is a prime example of a country that is continually weighing its power and influence on the natural and manmade worlds. We've found ourselves sitting on the global fence between our magliomaniacal brother to the south and our staunch traditionalist motherland to the east. From this division of powers and alliances we find ourselves locked into a self-induced ignorance and stifling conservatism. It's ironic that we have the opportunity to solve most of Canada's critical environmental issues in one fell swoop . . . with one simple plant. It is ignorance and the maintenance of the status quo that has blinded and crippled our ability to realize this resource. INTRODUCTION A plant exists that is so strong that it can be grown without requiring chemicals in almost every part of the world. Many have touted this plant as a possible way in which to wean society from its dependence on fossil fuels for energy and the need to log forests for pulp, paper and wood. It is even said that this plant could adequately clothe and feed the world more efficiently and cheaply than we can do now! Why is this miracle plant not used if all evidence points to its versatility? The answer is bogged down in a century of law, sociology, the corporate agenda and conspiracy theories. Since the early part of the century, hemp has been considered a drug, though it has no euphoric attributes. Hemp: the wonder plant and possible solution to the bulk of our problems is illegal only because it is seen as guilty by it's association with marijuana. Hemp is a herbaceous plant called "cannabis sativa", which means `useful (sativa) hemp (cannabis)'. Fiber is the best known product, and the word `hemp' can also mean the rope or twine which is made from the plant, as well as just the stalk of the plant which produced it. History has proven its acceptance of hemp: both the U.

Could Eddie have succeeded without the help of Netta Essay

‘Mabo’ is an Austalian TV film which was released in 2012 which depicts the life of Eddie koiki Mabo utilizing narrative techniques and elements in which a typical drama consists of. Eddie Koiki Mabo is played by Jimi Bani and his wife Bonita/Netta Mabo was played by Deborah Mailman, the film was directed my Rachel Perkins and produced by BlackfellaFilms and the ABC. The principal story of Eddie’s journey from an exiled Murray islander to a justice fighter employed a conventional narrative flow, as well as a secondary narrative component of Eddie and Netta’s relationship, however do these two concepts of the film relate to one other. The story of Eddie Mabo’s success for the fight for freedom and justice was effectively shown over a 40 year time span yet is it clear that Eddie Koiki Mabo could not have succeeded without Netta? I am puzzled upon this question as there are many different facts and points that are indirectly raised during the film which are based on; the courage within Eddie himeself, Eddie and Netta’s children, and Eddie’s experiences before he met Netta. Throughout Australian history we have seen many acts of men and women fighting for the entitlements of the indigenous people however the most respected and recognized of these is Eddie Mabo whom of which stood up for the rights of his people from a very young age all the way to his death. Mabo battled for the right to own his land which he had inherited and with that came a directive to change the policies and laws of the government. One of the many ways he accomplishes these tasks and gains success is by courage. Eddie had courage from a young age which made him able to accomplish many objectives throughout his life time even before he met Netta and we see this just before he gets exiled from Murray Island. Killoran wanted Eddie to work on his green truck however Eddie has the courage to turn down this offer. â€Å"im not going to work as a slave†. However when Netta was involved in Eddie’s life we still see a lack of her support in some cases as she does not have the same will power and courage as Eddie. When Eddie first wanted to stand for his kind and make a change to the indigenous people, Netta did not support him from the beginning, ‘black causes now ive heard it all†. Nevertheless she may not have always agreed with Kioki but she always managed to stand by his side and support him in every way she could, e.g the marches. So with that we establish that it was Eddie’s courage who led him  to his victory however he did have support during the course of his journey. Even though MABO could be pictured as a film about a man and a woman who saw great injustice and tried to change it, the theme could also be a personal cost of a public campaign to a family who have inadequate financial means and only love and determination to get them through. Netta and Eddie are both hard working people who make an effort to try and get things done and through their pride and determination they are able to accomplish great things. Eddie fights for the rights and pride of his people while Netta stands by his side as well as constantly supporting the children by looking after them and working to provide food for them. Eddie was a focused and determined man and we see this throughout the film, one part was when Netta asked Eddie â€Å"what if you don’t win†, Eddie replies â€Å"DON’T YOU DARE!.† Perkins purposely put this scene it to show the dedication and resilience Eddie Mabo had in order to gain justice for his people, however Eddie would not be able to accomplish such tasks if it wasn’t for the strength and provisional care that Netta had for his children. Therefore without Netta’s assistance with the children Eddie couldn’t have been able to successfully focus on winning the court case f or the future of his children. â€Å"People that go to the mainland, they forget everything†. Benny Mabo said this to Eddie before he left Murray Island and it was because of this I think Eddie was so strongly willing to make a change for his people, to make the people from the mainland remember where they were from and to provide for these people with the same benefits as the white men. Eddie’s focus for the benefits of his kind was beyond the imagination of the people around him; even Netta â€Å"I’ll give you black causes† was what Netta said when Eddie was explaining about the rights for their people. Eddie’s plan from the beginning, before he met Netta was to make a change, when he was asked to work on Killorian’s green truck and he refused, and it was obvious enough that it was his experiences, with his dad, that encouraged him to have such a mentality. Evidently enough when Eddie was trying to go back to see his dad we see Netta in the cubical looking upon Eddie as he was frustrated because he was unable to see his dad. This idea of Eddie being alone symbolized that he must accomplish his objectives alone, â€Å"IM going to make history†(dining room scene), as he began his journey alone and stood alone at the pier when wanting to go back to Murray Island. Eddie’s idea of change originated from  the teachings of his father, as we see the constant flashbacks throughout the film, not because of the involvement with Netta. Rachel Perkins successfully show the story of Eddie Mabo’s success for the fight for freedom and justice was effectively shown over a 40 year time span yet is it clear that Eddie Koiki Mabo could not have succeeded without Netta? This question is highly acceptable upon both sides and views of the argument, based on; the courage within Eddie himeself, Eddie and Netta’s children, and Eddie’s experiences before he met Netta.

Morality in O’Brien’s Going After Cacciato Essay - 1708 Words

Morality in O’Brien’s Going After Cacciato Going After Cacciato, by Tim OBrien, is a book that presents many problems in understanding. Simply trying to figure out what is real and what is fantasy and where they combine can be quite a strain on the reader. Yet even more clouded and ambiguous are the larger moral questions raised in this book. There are many so-called war crimes or atrocities in this book, ranging from killing a water buffalo to fragging the commanding officer. Yet they are dealt with in an almost offhanded way. They seem to become simply the moral landscape upon which a greater drama is played-- i.e. the drama of running away from war, seeking peace in Paris. This journey after Cacciato turns into a†¦show more content†¦This certainly comes out in the fragging incident, when the squad kills Lieutenant Sidney Martin. But theres something more. Another time, OBrien was quoted as saying, My concerns have to do with the abstractions: ... How does one do right in an evil situation? (Bates 263). That is th e big question, of course, that this novel deals with. See, the point that OBrien is making is not that war is an evil situation. Hes trying to take that for granted and move beyond. Now that youve got this evil situation, what do you do? Where is the good? In the observation post, Paul Berlin remembered what his father had said on their last night along the Des Moines River. Youll see some terrible stuff, I guess. Thats how it goes. But try to look for the good things, too. Theyll be there if you look. So watch for them (OBrien 58). So he does look for the good things. Thats beauty being born out of despair, if you will. He enjoys watching the sunrise. And Bates refers to Paul Berlin helping treat a young Vietnamese girl and having sensitive feelings towards her (270). This is almost as if to say that war brings out the best as well as the worst in us. Some may argue that its almost worth it. (Almost being the key word-- for clearly the good in a war does not outweigh or even equal the bad.) Heres where purpose gets involved. Most believe that there is a greater good. Some reason for fighting the war. Politics. Ideology. The things Paul Berlin thinksShow MoreRelated Revelation through Experience in Heart of Darkness, Going After Cacciato, and The Things They Carri3247 Words   |  13 PagesRevelation through Experience in Heart of Darkness, Going After Cacciato, and The Things They Carried Foreign lands seemingly possessed by evil spirits as well as evil men, ammunition stockpiles, expendable extremities and splintered, non-expendable limbs carpeting the smoking husks of burnt-out villages, the intoxicating colors of burning napalm, and courage mixed with cowardice in the face of extreme peril. These are just a few examples of the spell-binding images presented inRead MoreThe Things They Carried By Tim O Brien Essay2097 Words   |  9 Pageswar. After he came back from the war, he decided to finish college. He attended as a graduate student at Harvard University and got an internship as a reporter for the Washington Post. O’Brien started writing at age 24 in 1973 upon his completion of his first novel If I Die in a Combat Zone, Box Me Up and Ship Me Home, an autobiographical story about his duties and the typical day as a soldier in the Vietnam War. In 1979, he won the National Book Award for his novels Northern Lights and Going After