...POLICY IN THE DISTRICT OF COLUMBIA: CASE SCENARIO THE AFFORDABLE CARE ACT BACKGROUND The argument that every American citizen should have a guaranteed healthcare cover takes two dimensions (Grover, 2007). Is it that all citizens should have access to the same level of healthcare? Or should they have a right to some minimum healthcare cover? The U.S government has selected the second option in relation to the policies it creates directed to healthcare. There are quite a number of policies that have been put in place to realize this goal since there is no single healthcare policy that can cater for all of this demands. The government has made a move to provide access to medical services. In the past, particular groups of people have been selected based on their economic status or their distinctive social circumstances. The policies include Medicaid (for poor children), Medicare (for the elderly), Veterans’ Administration (for veterans), Indian Health Services (for Native Americans) and renal failure security (for transplants and kidney dialysis). The purpose of this study The research’s main focus is to investigate the how government and nurses are involved in the development and implementation of healthcare related policies. The District of Columbia will be the highlight of this paper. Accordingly, the paper will put more emphasis on one of the most recent health care policies in the Obama governance i.e. The Affordable Care Act. Significance of this study The research...
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...similar to a union that it tries to represent the franchisees and find common ground with the corporate offices. The FAC would prefer that each district of each region create an ACT that would represent the individual areas. Regions are split into districts depending on their geographical location to each other. While our Columbia district has 17 stores, the Greenville district has 22 stores and the Florence district has only six stores. The corporate offices have split up the stores into eight regions although they use the single $26.00 ACT amount to represent every store in the network. The Southeast region is comprised of 12 states whereas the Southwest region is comprised of only four states. The Southeast region has 882 stores whereas the Southwest region has 441 stores. That means the Southwest region has a third of the states of the Southeast region but has half the number of stores. We argue that, here in the SC246 district encompassing Columbia, South Carolina and the outlying regions, our ACT is routinely around $23.50 and is normal for our district of seventeen stores. We also believe that, based on data from FAC, the average ACT in our region is under $26.00 so the corporate office should not be continually investigating our stores to see why we don’t meet their estimated ACT. The data used for just our district is from...
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...malnutrition in America. Malnutrition results from a diet which is lacking in nutrients and it affects children most because they are in great need of the right amount of nutrients in their growing years. Malnutrition is also associated with rich diet lacking in nutrients which is the case with many of the developed countries of the world. It is important to maintain health standards in world’s one of the most developed country like America. Malnutrition can result into a number of nutrition disorders which include abundance or deficiency of important nutrients required from food (Water H. R., Penny M. E., R. C., Narro R., Willis J., Caulfield L. E., & Black, 2008). The increased uptake of unhealthy food products is also one of the main reasons of malnutrition. Children aged less than 18 are the main victims of the food irregularities. The data collected in this paper includes the communities of America and according to statistics there are around 16 million children in America who live in food insecurity in recent times. The problem is rarely a concern for adults because they are more aware of their nutrition choices and adult body is developed and not requires a continued supply of nutrients which is the case with children. Children under the age of 5 years are at the greatest risk of developing malnutrition. There are food secure and food insecure states defined based on the findings of the Community health services for children suffering from malnutrition (Schaible U. E., &...
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...Collaboration to Build Healthier Communities A Report for the Robert Wood Johnson Foundation Commission to Build a Healthier America Wilder Research Wilder Research Wilder Research Report prepared for the RWJF Commission to Build a Healthier America by Paul W. Mattessich, Ph.D. Wilder Research Saint Paul, Minnesota Ela J. Rausch, M.P . .P Federal Reserve Bank of Minneapolis Minneapolis, Minnesota With support from the Robert Wood Johnson Foundation June 2013 Creating Healthy Communities Cross-sector partnerships are sparking widespread action to improve community health COATESVILLE , PA SEATTLE, WA Access to healthy foods Access to preventative care and healthy housing LOS ANGELES , CA Quality early child care and education CHICAGO, IL Data and evidence to build health into all policies and practices MIAMI , FL Opportunities for physical activity and healthy living health community development • community development finance • community planning • early child care/education • human services • housing Introduction “ Building a healthier America is feasible in years, not decades, if we collaborate and act on what is making a difference.” —Robert Wood Johnson Foundation In 2008, the Robert Wood Johnson Foundation convened a commission of nonpartisan leaders to identify opportunities to improve the health of all Americans by creating environments that protect and actively promote health. Their report, Beyond Health Care:...
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...Running head: CASE STUDY 10 Chipotle Mexican Grill Case Analysis Kevin McDougall 6/14/2016 Professor Sarah Williams-Stokes Chipotle Mexican Grill Case Analysis Chipotle was founded by co-CEO and Chairman Steve Ells in 1993 with his first restaurant opening up in Denver. McDonald’s acquired an initial ownership stake in the company in 1998 and then controlling interest in early 2000. In 2005 McDonald’s decided to take the company public and as a result the entire company was disposed of by McDonald’s in October of 2006. Steve remained at the helm through it all and convinced other top executives that the company needed to continue on their foundational strategy of improving throughput of their daily operations. In 2007 Chipotle had total revenues of $1,085,782 and by 2013 the amount had increased to almost three times that ($3,214,591). Part of the success of Chipotle was that they had a very simple menu. The concept of not having complicated menus only recently changed when the company started testing a vegetarian menu item called Sofritas in only 7 restaurants in the San Francisco Bay area. Despite some temptations, breakfast has remained off the menu for now, but Steve has been toying with the idea. As part of their strategy, Chipotle promoted that their food was prepared fresh and made to order. The kitchen was visible to the serving line and setup in a way that customers could actually see their orders being made fresh...
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...a public school that operates independently of the district board of education. In order for a charter school to exist, a contract must be written. It can be written by anyone, for example: educators, parents, community leaders, entrepreneurs. The contract explains what the charter school’s goals will be and applicable accountability measures. After the charter is written...
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...Society thought that the Jim Crow Laws were unconstitutional, unlawful, racist, etc. The process to desegregate the schools began in the early 1950s. In the book, “Race, Law, and the Desegregation of Public Schools”, it mentions “The cases originated in Kansas, Delaware, Virginia, South Carolina, and the District of Columbia, and each involved school systems that either required segregated schools by constitutional or statutory mandate, or provided for permissive segregation at the discretion of local school boards.” (Moran pg 7). All of these small cases that are questioning and testifying that segregation the school system is unlawful and morally wrong led to the court case of Brown v Board of Education; which is easily the most influential and impactful court case that desegregated...
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...roots and reform”, explains that Brown v. Board of education (1954) case consisted on the U.S. Supreme Court decision holding that school segregation is inherently unconstitutional because it violates the fourteen Amendment ‘s that guarantee equal protection.” This shows that African American kids were discriminated as well their rights were violated. Furthermore, the article “Land mark: Brown v. Board of education “ explains that in reality Brown v. Board of education consisted on five lawsuits against school district in Kansas, Virginia and the district of Columbia involving public schools system that mandates separate schools from blacks and whites. While the cases were different in nature, however they made the same claim: separate is not equal. Arguing the case before the Supreme Court were, for the Petitioners who were predominantly parents of student of color. They claimed that their children were not receiving an equal education. According to the article “Brown v. board of education,” “The district court found that the facilities provided for colored students were largely equal to those provided to white student. Reasoning that it was required to follow U.S. Supreme Court precedent validating “separate but equal”, the district court ruled in favor of the school board”. [Brown v. Board of education, prg.3]. This demonstrate that the previous case Plessy v. Ferguson influence the decision of the district court because it state that while separate and equal have the same...
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...v. Kapp, 2008 SCC 41 at para 18. [14] The Andrews case runs parallel to the case at hand; Ms. Reyes circumstance is similar in nature to that of Andrews’. The prohibition against women convicted of crimes involving violence from applying to the Mother-Child Program is based on a stereotype that such women pose a threat to their children and are unfit to care for their child. This denies such women a privilege, on the basis of what the government believes, rather than their actual abilities. [15] Furthermore, women convicted of crimes involving violence face the same harms as other women who are deprived of access to newborns. The government has no evidence that all women convicted crimes involving violence pose a threat to their newborns as no exploratory study was done to investigate this possibility prior to the amendment of the Directive. Therefore, there is no evidence to say that such women are unfit to care for their child, the stereotype that the government is...
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...Seus "Stand Your Ground" A Citizen's Right to Self Defense. As of 2012, 24 of the United States have put in place some form of “castle doctrine” or “stand your ground” law. These laws are designed to enable citizens to legally defend themselves with deadly force and eliminate the requirement for them to attempt to flee when they feel that an attacker is threatening their life. In the wake of the case in Sanford Florida in which self-proclaimed community watchman George Zimmerman shot and killed 17-year-old Trayvon Martin during a confrontation, much attention and public scrutiny has been brought to bear on these controversial laws. A few “stand your ground” states have claimed that abuse of these laws has fostered what some say is a shoot first ask questions later mentality, and in some cases, instances of what could be considered legalized murder. However, instances of abuse are minimal, and in states that have instituted these laws, homicide rates are the lowest in the nation. “Stand your ground” laws are also said by some to promote vigilantism, but even if in some cases this were true, law abiding citizens must be afforded the right to self-defense by any means necessary, without fear of prosecution. “Stand Your Ground”, “Castle Doctrine” What Do They Mean? In the growing debate concerning abolishment of the “stand your ground” laws in place in nearly half of the United States, there are several viable arguments that are in support of these laws. Arguments for “stand...
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...the United States. Although the number is high, there are still many more wrongfully convicted people who’s still incarcerated and have yet to be considered for retrial. Unaddressed wrongful conviction cases show the weaknesses in the U.S. justice system. This paper will touch on the causes that lead to wrongful convictions and discuss possible solutions. The main factors of wrongful convictions are eyewitness misidentification, misleading/unreliable forensics, false confessions (coerced/intimidated), witness perjury, prosecutorial misconduct, insufficient lawyering, racism and implicit bias. Since the first DNA exoneration conviction in the United States case that...
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...Family Dollar Case Study The company that has been chosen for this case study is Family Dollar Stores, Inc. This company was founded by Leon Levine in 1959 and went public in 1970 with under 300 stores in 1977. Its first store was opened in Charlotte, North Carolina, and offered its customers good valued merchandise for under $2. The concept for this new store was, “The customers are the boss, and you need to keep them happy.” When the founder, Leon Levine, retired in 2003, there were nearly 5,000 stores and sales approaching $5 billion. His son, Howard Levine took his father’s place as CEO and he became chairman and CEO. Today the company operates more than 6,600 stores in 44 states plus the District of Columbia. Family Dollar Stores is ranked 359 on the Fortune 500. They employee 44,000 people, about 25,000 are full time and the rest are part-timers. Family Dollar’s revenues of $6.984 billion in FY2008, showed an increase of 2.2 percent over the previous year. The company continues to look for good locations and contractors to build and maintain the stores. The company continues to provide quarterly cash dividends to its shareholders since it began distributing dividends in May 1998. The company is divided into four broad product categories: • Consumables • Home Products • Apparel and Accessories • Seasonal and Electronic Family Dollars vision and mission statement are as follows: • Vision – To be the best small-format convenience and value retailer serving...
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...could have been treated before they became life threatening? These scenarios may seem far-fetched, but these types of situations happen to people who lack health coverage everyday. There is a true story about a patient who was insured and diagnosed with treatable cervical cancer. Unfortunately, she lost her job and with it her insurance. She was then unable to see her private doctor, and was turned away from other hospitals because ?cancer treatment is not considered an emergency in a patient who can?t pay? (?Help for D.C.?s Uninsured?). The woman later died at her home without ever being treated. This example raises the question, since when are people with less money less deserving of health care or appropriate treatment? The District of Columbia fares terribly when it comes to health care. Avram Goldstein is a journalist from the Washington Post who has written numerous articles on the health care situation in D.C. Goldstein has worked for the Post for nine years but has been covering health care for numerous years...
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...acknowledge that many teenagers will become sexually active. Comprehensive sex education can vary from state to state because it is voted upon by state legislator not federal. Currently, the United States has 22 states and the District of Columbia that mandate sex education. This is because legislation as we know can be influenced politicians funded by organized groups to represent their ideologies. As stated in Our Sexuality by Crooks & Baur (2013) it is written that “numerous studies provide strong evidence that comprehensive sex education programs that stress safer sex and provide accurate information about various contraceptive methods actually increase the use of birth control, reduce teenage pregnancies, reduce high-risk sexual behavior, do not hasten the onset of intercourse (and in some cases actually delay onset), do not increase the frequency of intercourse, and do not increase the number of an adolescent’s sexual partners (in some cases they reduce partner number; Cavazos-Rehg et al., 2012; Kirby, 2002; Masters et al., 2008; Schaalma et al., 2004; Smith, 2005).” Thus, making this method far superior than teaching children abstinence-only. Unfortuetly, it does not mean that the quality of information given is going to be as effective as the study. State still have the rights to interpret Comprehensive sex education in anyway they would like as long as it isn’t solely based on an abstinence-only...
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...Case Study: Oncale v. Sundowner Offshore Services, Inc. HRMG 5700 QD F2 In the case of Oncale v. Sundowner Offshore Services, Inc., Joseph Oncale was the victim of repeated harassment, sexual, physical and mental, from at least three members of the work crew, of which two had a supervisory position over him. When Oncale brought his complaints to the supervisors, they took no noticeable actions against the harassers and, after he had experienced enough harassment, Oncale quit his position. When Oncale filed the sexual harassment complaint against Sundowner, the district court, relying on the precedent set by the Fifth Circuit courts, “. . . held that Oncale, a male, had no Title VII cause of action for harassment by male coworkers. The Fifth Circuit affirmed.” (Twomey, 442) In 1998, the case was brought before the Supreme Court of the United States, where that decision was reversed, and same-sex harassment was ruled actionable under Title VII. The Supreme Courts decision concerning sexual harassment does not transform Title VII into a general civility code for workplaces. If anything, it just further defines what sexual harassment can be, allowing workers to feel safer in the work environment. As Justice Scalia addressed this argument during his decision, “The prohibition of harassment on the basis of sex requires neither asexuality or androgyny in the workplace; it forbids only behavior so objectively offensive as to alter...
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