...The Ashley Treatment has been considered as a controversial set of medical procedures that was first undergone by a Seattle child, Ashley. Ashley had a normal birth, but her mental and motor faculties failed to develop for reasons doctors could not determine. Ashley, called the “pillow angel,” by her parents, suffers from a developmental brain condition known as static encephalopathy (P Clark). Ashley’s parents decided to keep her small through some medical treatments which included high-does estrogen therapy to limit height and weight, hysterectomy to remove the uterus and prevent menstruation, breast bud removal to halt breast development, and an appendectomy (P Clark). Argument 1: I argue that the Ashley Treatment improve the patient who is similar to Ashley and her family’s quality of life that aligns with the Utilitarianism Theory. The surgical procedures will prevent potential discomfort from menstrual cramps and any possibility of pregnancy in the event of rape (P Clark). The treatment also avoids the discomfort of large breasts while lying down in the wheelchairs. By getting the treatment, the patient’s family could take care of the patient at home instead of spending all of their time in the hospital. The patient can enjoy the opportunity to be around by her family, the inclusion of family activities, and the comfort of her home, which fulfills the Beneficence Principle. The surgical procedures also revolve around Consequentialism Concept because the benefits...
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...The Ashley Treatment has been, and still remains, controversial. A statement written by Ashley’s mom and dad stated that “Ashley had a normal birth, but her mental and motor faculties did not develop. Over the years, neurologists, geneticists, and other specialists conducted every known traditional and experimental test, but still could not determine a diagnosis or a cause. Doctor’s call her condition ‘static encephalopathy of unknown etiology’, which means an insult to the brain of unknown origin or cause, and one that will not improve.” The “The Ashley Treatment” is now a generic phrase coined in the health profession that refers to growth-stunting procedures for children with severe disabilities. This name was given in reference to a collection of medical procedures done for the improvement of Ashley’s quality of life. The treatment includes growth attenuation through high-dose estrogen therapy, hysterectomy to eliminate the menstrual cycle and associated discomfort to Ashley, and breast bud removal to avoid the development of large breasts and the associated discomfort to Ashley. The combination of the surgery and the estrogen therapy attracted a ton of public attention and ethical analysis in early 2007, both supportive and judging. The parents state that they sought such treatment for the best interests of their daughter, namely, to enable them to personally continue constant care for her at home; to maximize her inclusion in family activities; to avoid the cramps and...
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...Introductory Exercise- Ashleys Treatment The case of Ashley X caused huge controvosy worldwide. I will be giving my opinion on the case and look at the for and against arguments and come to an opinion. I will also explore the laws in the Uk and the US in relation to this case and conclude if the UK would allow the procedures that took place in the Ashley X case. Ashely was born in 1997 with a severe brain impairment termed a "static encephalothy". The word static is used as her condition will not improve. As a nine year old girl she is unable to walk or talk. It is said that her brain function was that of a three month old baby. Due to the severevity of ashleys condition maximising care is her treatment. Ashley lives in the US with her parents and other siblings. After what must have been a tremondously difficult decision, Ashleys parents decided to put a freeze on her development using several very complex procedures. It was the opinion of her parents that by stopping Ashelys phsyical development it would enable them to care for her more effectively and minimise discomfort and pain. The procedures that were proposed would stop Ashley from reaching puberty and to stop her physical growth. It was suggested that if Ashley reached puberty it would become more difficult to care for her and extremely uncomfortable. The suggested treatment would avoid the discomfort associated with menstruation, large breasts and reduce the complications that get worse with size such as pressure...
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...Sports Direct Under Fire Over Work Conditions At Company’s Derbyshire Headquarters Ambulances were called out to the Shirebrook, Derbyshire Sports Direct warehouse more than 81 times in the last 2 years. An investigation has been ongoing regarding the work conditions at this firm. BBC has revealed that there were 36 incidents that happened to be life threatening, which was said by staff that were afraid to take time off for being sick. The sportswear company that was founded by Newcastle United owner Mike Ashley, has been criticized for employing 20,000 workers on zero-hours contracts, which accounts for around 90 per cent of the workforce. Among many of the serious incidents that were revealed in the investigation, was a 52 year old man who suffered a stoke at the warehouse’s canteen. His daughter revealed to BBC news that her father was not willing to take the day eve though her had flu like symptoms. She said: “He was so worried about his job he was even scared to take one day sick. What is happening there is not normal.” She added that the family does not blame Sports Direct for his stroke, which left him partially paralyzed. She said people felt they had to work despite feeling unwell for fear of a “six strikes” policy, in which anyone who gets six warnings in six months will lose their job. It is alleged that warnings are issued to workers for taking long toilet breaks, excessive chatting and for having time off for sickness. The chairman of the company, Keith Hellawell...
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...CTAC02 4/13/07 17:20 Page 10 Laura Ashley Holdings plc: The Battle for Survival On February 1, 1999 Ng Kwan Cheong took over as chief executive of Laura Ashley Holdings. Cheong was the company’s seventh CEO since the death of Laura Ashley in 1985. Indeed, the longevity of Laura Ashley CEOs was shortening. John James was CEO from 1976 to 1990, Jim Maxmin from 1991 to 1993, A. Schouten from 1993 to 1995, Ann Iverson from 1995 to 1997, David Hoare from 1997 to 1998, while Cheong’s immediate predecessor, Victoria Egan, had held the job a mere 5 months. Top management turmoil coincided with a downward spiral for the company. In the financial year ended January 31, 1999, sales were down 17% on the previous year, and the bottom line showed a net loss of £33 million. Ng Kwan Cheong was one of the senior management team of MUI Asia Group – a diversified Malaysian corporation that acquired 40% of Laura Ashley’s equity in May 1998. He had been chief executive of MUI’s retailing arm, Metrojaya Berhad, as well as holding board positions with several other Malaysian companies. However, despite considerable senior management experience as well as familiarity with the UK (Cheong was a graduate of Middlesex University), little in his prior career could have prepared him for the situation at Laura Ashley. Despite a succession of restructurings and strategy redirections since 1990, the company continued to bleed cash – cash outflow from operations was £11.4 million during the...
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...procedures undergone on a baby born in Seattle . Her name is Ashley X (last name unknown). She was born with severe developmental disabilities. All of this was due to Static Encephalopathy of unknown etiology. After a month of life is when she was diagnosed and her parents had to make the decision to help or not to help and just let it be. They did what they had to do. What lead up to the choice that they made was what the hospitals said to them. In the opinion of her physicians Ashley was never going to be able to sit up, roll over, grasp objects, or speak. She will be fed through a gastrostomy tube to help her eat. Fast forward Ashley is 15 years old, and going through life with the cognitive resources typically available to a 3-6 month old baby. Her parents state that they sought such treatment for the best interest of their daughter. That is why they agreed with the procedures that are as followed. Surgical removal of her Fallopian tubes and uterus. Removes of her breast buds. Surgical removal of her appendix immediately. Also the immediate arrest of physical growth through massive doses of estrogen. All of this to make Ashley live a comfortable life. That is why her parents went forward with all these procedures, but in the...
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...The Leader as a Strategist Report Organization: CVS Caremark Pharmacy CVS Caremark is a pharmacy innovation company that is reinventing pharmacy for better health. Company continuously developing new ways to improve access for patients, promote better health outcomes and control payor costs in a way that no pharmacy retailer or PBM could do separately. In 2007, CVS Corporation and Caremark Rx, Inc. merged; CVS Caremark became an integrated provider of prescriptions and related health services with an unmatched breadth of capabilities (www.cvscaremark.com). Today CVS Caremark is the market leader in the United States in multiple categories; such as in mail order pharmacy, retail pharmacy, specialty pharmacy, and retail clinics, and is a leading provider of Medicare Part D Prescription Drug Plans. Purpose, vision, and values of CVS Caremark Pharmacy: Purpose: Helping people in their path to better health Strategy: Reinventing pharmacy Values: Innovation – Demonstrating openness, curiosity and creativity in the relentless pursuit of delivering excellence. Providing more relevant, caring, expert guidance, more cost-effective solutions and even more convenient access. Collaboration – Sharing and partnering with people to explore and create things. Caring – treating people with respect and compassion so they feel valued and appreciated. Accountability – Taking personal ownership for the actions and their results 1. An analysis of the strategic cascade of the organization...
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...company resource analysis in the drug store industry, I will select the CVS Caremark Corporation as my study company. Question 1: Whether the company's present strategy working? CVS pharmacy services business strategy centers on providing their customer and client high quality and innovative pharmaceutical solutions, while assisting their member managing overall health care costs by leveraging CVS expertise in core PBM services. (Form -10k) (1) Moreover, the retail pharmacy business strategy, base of the CVS pharmacy services model to maintain successful growth they focus on new store development by expanding the number of retail pharmacy stores and retail stores range in size in order to provide better service, help client lowers overall health care costs and improve health outcomes. (1) How these strategic working? Look into the financial performance in the Appendix 1, table 1. CVS compare well on these profitability ratios with industry averages. Most of ratios are better than the industry averages. Ventureline (2). Study the CVS’s financial report I found the company is “Solid and significant growth.” According to CVS Caremark Annual Report 2013 (3), the financial highlights show the company was significant growth during 2012 to 2013. For example, net revenues increased 3.0 percent to a record $127 billion, while adjusted earnings per share from continuing operations rose 23 percent to $4.00. CVS earned $4.4 billion in free cash flow in 2013, and returned more than...
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...Introduction Walgreen Co. and CVS/Caremark are two of the largest retail drugstore chains in the United States, offering consumers a variety of basic consumer goods including household products, convenience foods, personal care, beauty care, photofinishing, and seasonal items, as well as over-the-counter and prescription medication. In addition to their well-known retail pharmacies, both companies also operate a health services health and wellness division. Within the retail pharmacy industry CVS/Caremark and Walgreens continually battle for the retail position. This document will offer an overview and basic competitive analysis of the two companies. Background Location & Type of presence (brick and mortar, or internet) According to the CVS/Caremark 2011Annaul Report, page 23; as of December 31, 2011, the CVS/Caremark Retail Pharmacy segment operated 7,327 retail drugstores with 7,271of these retail stores operating a full service pharmacy. Their stores are located in 41 states and the District of Columbia and Puerto Rico. Additionally, within these retail stores operate 657 health care clinics conducting business under the Minute Clinic name. The retail pharmacy stores operate primarily under the CVS/pharmacy or Longs Drugs names. In addition, the Pharmacy Services segment operates under the names CVS Caremark Pharmacy Services, Caremark, CVS Caremark, Care Plus CVS/pharmacy, Care Plus, and Rx America to providing pharmacy benefit management services to employers, insurance...
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...Ethics RES/351 Business Research Business Research Ethics Lawsuits were filed against CVS Caremark pharmacies for disclosing patient information in the interest of financial gain. The first lawsuit was filed on March 7, 2011, for “unauthorized disclosure of protected health information constituted an unfair trade practice (Hunton & Williams LLP, 2011, p. 1 p. 1).” The second lawsuit charged CVS Caremark pharmacy with “racketeering under the federal RICO law, trade secret misappropriation and violations of the HIPAA privacy Act (Goedert, 2010, p. 14 p. 3).” The following information will explain what unethical research behavior was involved, who the injured parties were, how the unethical behavior affected CVS Caremark pharmacy, and how the unethical behavior could have been avoided or resolved. The results of the information will demonstrate that moral judgment is skewed when combining ethical decisions with financial gain. CVS Caremark extracts personal patient and pharmacy data to isolate patient demographic information, drug history, medical providers, health behavior, health plan benefits and the patient preference of communication without obtaining patient permission (Goedert, 2010). This data provides CVS Caremark marketing department the ability to contact patients and physicians in effort to change their prescription habits to financially benefit CVS Caremark’s bottom-line. CVS Caremark sent letters to the patient’s physicians to encourage them to prescribe particular...
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...DECISION MAKING AND ITS EFFECT ON BUSINESS PROFICIENCY GM591 LEADERSHIP AND ORGANIZATIONAL BEHAVIOR May 26th, 2012 TABLE OF CONTENTS Introduction------------------------------------------------------------------------------------------------------Page 3 Problem Statement----------------------------------------------------------------------------------------------Page 4 Literature Review------------------------------------------------------------------------------------------------Page 5 Analysis-----------------------------------------------------------------------------------------------------------Page 7 Suggestive Solutions--------------------------------------------------------------------------------------------Page 8 Conclusion & Reflection --------------------------------------------------------------------------------------Page 9 Work Cited------------------------------------------------------------------------------------------------------Page 10 INTRODUCTION Walgreens is one of the fortune 500 companies and among the fastest growing retailers in the country. Walgreens as of April 30 operated 8307 location in all 50 states including the District of Columbia, Puerto Rico and Guam. This includes 7855 drugstores, 146 more than a year ago, including 21 stores acquired over the last 12 months. The company also operates infusion and respiratory services facilities, specialty pharmacy and mail service...
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...Overview Founded in 1963 by Stanley Goldstein, Sid Goldstein, and Mark Steven in Lowell, Massachusetts, Consumer Value Store (CVS), has quickly grown to be the second largest pharmacy and convenience store with over 7,600 pharmacies and drugstores nationwide. Since the beginning, CVS has always strived to be the largest retail pharmacy-which led to the development of their growth strategy. Furthermore, CVS continually strives to “reinvent” the pharmacy and make healthy living a fundamental part of their customers’ lives. (Biesada, 2014) Initially, these strategies were influenced by the company’s mission statement and purpose. According to the CVS website, the company’s mission is to “provide expert care and innovative solutions in pharmacy and health care that are effective and easy for our customers” (CVS caremark corporation: History, 2014). Clearly, CVS is in business to provide expert care, although it would appear that not all of their individual pharmacists share the same feelings. Based on research conducted, it would appear that there is a general lack of customer service training as some pharmacists have allegedly been behaving rudely towards customers. Throughout the course of this initiative, we will be discussing the gaps that have been found and we will develop a training program that we hope will help alleviate these problems and allow CVS to fully realize their mission. Part II: Needs Assessment Pharmacy Prescription Practices As a result of organizational...
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...According to CVS.com, CVS is the 2nd largest pharmacy chain in the United States. “The CVS store provides all pharmacy services, popular beauty products, photo labs, and a wide selection of general merchandise. CVS pharmacists dispense medication, give vaccinations, and offer advice on prescription and non-prescription drugs and supplements. You can update your prescription, shop national sales ads, sign up for their ExtraCare card and receive coupons and rewards all from their website. CVS offers CVS Store Brands exclusively which are high quality alternatives to national brands with a 100% satisfaction guarantee”. The CVS pharmacy store locator will allow you to find the CVS closest to you so that you can receive your prescription with the...
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...CVS CAREMARK November 25, 2013 Belinda Merritt Michael Curtis Introduction CVS was founded in 1963 by Stanley and Sidney Goldstein and Ralph Hoagland. The first CVS store was opened in Lowell, MA. CVS stands for Consumer Value Stores. CVS Caremark is headquartered in Woonsocket, RI and the pharmacy services are currently headquartered in Nashville, TN. Within one year, the CV chain grew from one store to seventeen stores. By 1967, CVS opened its first pharmacy location. These locations were opened in Warwick and Cumberland, Rhode Island. CVS pharmacy provides services through the 7,000 retail stores within the United States. CVS has also expanded its business to include pharmacy benefit management, mail order as well as specialty pharmacy division, Caremark Pharmacy Services, a health clinic that is retail based, the Minute Clinic and an online pharmacy. CVS is the largest company that has its operation solely in the United States. In 2013 CVS Caremark was number thirteen on the Fortune 500 list of largest companies in the United States. Internal and External Factors that influenced the organization As with many organizations, there are several external and internal factors that affect the business. An internal factor can be defined as the internal communications of the business. The internal communications of the business forms the culture of the business. The culture of the organization includes the interpersonal relationships, training materials, newsletters...
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...– 002 February 25, 2014 Essay 2 CVS Caremark Steven Graham 1834-5319 Background and Introduction of CVS Caremark Decision On February 5th CVS Caremark announced that they would cease the sale of cigarettes and other tobacco products in its stores. This measure is scheduled to begin by October 1, 2014. Once this action is taken, CVS Caremark will be the first national pharmacy chain to drop the sale of tobacco products. The President and CEO of CVS Caremark, Larry Merlo, stated the following, "Ending the sale of cigarettes and tobacco products at CVS/pharmacy is the right thing for us to do for our customers and our company to help people on their path to better health." Tobacco sales represent $2 billion in annual revenue for CVS Caremark. This is causing many to question if this is a good move for CVS Caremark. Analyzing this Decision with Respect to Key Stakeholders It seems crucial to analyze the aforementioned decision with respect to three key stakeholders. The stakeholders that will be analyzed are CVS Caremark employees, shareholders, and customers. This is not an exhaustive list of stakeholders, but it represents fundamental primary stakeholders. Employees of CVS Caremark have a significant stake in the company’s decision to drop the sale of tobacco products. Some employees may fear the significant profit loss that this decision represents. This fear would likely be compounded by the lack of details that CVS Caremark has provided on how they will...
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