...Improving Quality and Value in the U.S. Health Care System By: Niall Brennan, Nicole Cafarella, S. Lawrence Kocot, Aaron McKethan, Marisa Morrison, Nadia Nguyen, Mark Shepard and Reginald D. Williams II Share on email Share on twitter Share on facebook Share on linkedin More... Share on google_plusone_share Share on stumbleupon Share on reddit Share on print Executive Summary The U.S. health care system faces significant challenges that clearly indicate the urgent need for reform. Attention has rightly focused on the approximately 46 million Americans who are uninsured, and on the many insured Americans who face rapid increases in premiums and out-of-pocket costs. As Congress and the Obama administration consider ways to invest new funds to reduce the number of Americans without insurance coverage, we must simultaneously address shortfalls in the quality and efficiency of care that lead to higher costs and to poor health outcomes. To do otherwise casts doubt on the feasibility and sustainability of coverage expansions and also ensures that our current health care system will continue to have large gaps — even for those with access to insurance coverage. There is broad evidence that Americans often do not get the care they need even though the United States spends more money per person on health care than any other nation in the world. Preventive care is underutilized, resulting in higher spending on complex, advanced diseases. Patients with chronic diseases such as hypertension...
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...being an American means to you. America is essentially a spot on earth where individuals display with life, liberty, and the pursuit of happiness. There is a saying, words usually can't do a picture justice; yet to me, the word America is justified regardless of a thousand photos. I have seen numerous photos of America, however not one has caught how superb it really is. America is a position of opportunity, where the individuals are ensured normal rights; rights that have been detracted from natives of different nations. Natives from spots like China would be shot for contradicting their administration; wherein America, we have the right to speak freely, ensured by the first revision. America is a place where there is fresh chances to succeed, where the administration deals with the natives, training, making a general public with a higher expectation for everyday life. America has helped numerous workers set up groups, differentiating the nation with natives from the plunge of the settlers, as well as ethnic greater parts and minorities well. America has advanced from a spot where the men commanded all parts of life to a spot where ladies and men share essentially the same balance in the family unit, working environment, and social scenes. In spite of the fact that wrongdoing and bigotry lash out all through the nation, individuals are not being executed for their convictions. For instance, Hitler ruled with dread, executing individuals on the grounds that they were diverse...
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...founder and CEO of Teach for America. Teach for America is a nonprofit organization whose mission is to reduce or eliminate the educational inequity in the United States. Educational inequity could be describes as the lack of equal opportunities that individuals have as a result of differences in quality education. Wendy Kopp has been recognized as one of Time Magazine’s 100 Most Influential People and has received numerous honorary degrees and awards for public service. (Teach for All) She is the author of A Chance to Make History: What Works and What Doesn’t in Providing an Excellent Education for All, and One Day, All Children: The Unlikely Triumph of Teach For America and What I Learned Along the Way. Wendy Kopp also serves as the chief executive of Teach for All, which supports the development of Teach for America’s model in other countries. Wendy Kopp shows all characteristics of an entrepreneurial leader: cognitive ambidexterity with her creation of Teach for America, self-awareness and context awareness with knowing her desire to meet a need in society, social, environmental, and economic responsible (SEERS) helping to make educational change. Wendy Kopp is also shows characteristics of an Ethical entrepreneur by increased happiness and reduced suffering. Wendy Kopp shows cognitive ambidexterity in her creation of her organization Teach for America, by showing both the creation and prediction aspects of cognitive ambidexterity. For individuals to be cognitively ambidextrous...
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...Care Americas Incorporated Product Description Cares Americas, a non-profit organization, has designed a HIV/STD test that will take the world by storm. The new product, Unity, is an over the counter home testing kit made for couples or individuals. The kit is one of only two FDA approved home HIV testing kits. Unity differs from the other approved company because it tests for HIV1 and HIV2 antibodies. Couples taking the Unity test have a clear view of being positive or not by the color-coded results. There are two test kits in one package; one is blue and the other is pink. By having the different colors, the testing individuals can pick a color to identify their tests from the other person. The test results appear within three minutes but the whole testing time from beginning to end takes about 20 minutes. The results of the saliva chemical reaction show a light blue minus sign or a light red plus sign. The light red plus sign indicates possible traces of Chlamydia, Genital Herpes, Gonorrhea, Syphilis, or human immunodeficiency virus antibodies. The light blue minus sign indicates no traces of the antibodies. Testing kits include anonymous support facilities to get assistance with future care for individuals testing positive. The kits have phone numbers and internet links to contact caregivers in the area of the tester. Spanish and English versions of the instructions are included in the kit for distribution in the United States and Mexico. Product Positioning ...
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...Social stratification exists in America because the wealth and power belongs to a small portion of the population. Wealthy people possess an enormous amount of power over the political system and are held in high esteem by our society. There is a general feeling that those who are wealthy and powerful are superior to the average person. Social stratification involves not only socio-economic inequality, but the belief system held by people in America. A stratified society exists when there is an unequal distribution of wealth, power and prestige. In American society, political power and wealth are not distributed equally (Johnson, 1996). Paul Krugman is an economist and author of the book, 'The Spiral of Inequality' (1996). Krugman believes corporate greed, the decline of organized labor and changes in the way goods are produced are the causes of the growing social and economic inequality in the United States (Anderson, 2003). There is an unspoken general agreement in America that certain occupations deserve higher wages and more respect. Professions, such as physicians, lawyers, athletes and actors, are held in high esteem, whereas custodians, waitresses and trash collectors are considered professions that are not worthy of respect or praise and require minimal skill or intelligence. America most definitely needs skilled physicians and lawyers, but it also needs custodians, trash collectors and others who perform much needed tasks in order for society to thrive and function...
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...intercultural communication between the United States of America and Mexico is how the communication significantly affected foreign policy and international commerce between the two countries. Mexico is a country of intercultural significance and neighbors the United States of America. The United States of America is traditional and within the country, many cultures exist. The work ethic and language, within intercultural communication in Mexico and the United States of America, are similar. The population of the United States exceeds 313 million people and this statistic results in America as the third largest country in the world. The diverse population of the United States is 64 percent Caucasian, 16 percent Hispanic, 13 percent Black, five percent Asian and Pacific Islander, and one percent Native American. One could state that the United States of America consists of a plethora of cultures. The population of Mexico is 113.7 million people and increasing 1.10 percent annually (Huntington, 2005). Mexico’s population is an estimated 60 percent mixture of with indigenous heritage and Spanish. The multiple indigenous groups are approximately 30 percent, and the European ancestry is approximately nine percent. The largest city in Mexico is Mexico City and New York is the largest city in the United States of America. The two cities are over 17 million, another similarity between the two countries (Rosenberg, 2013). The United States of America and Mexico differ in values, patterns in language...
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...America has long been considered, “The American Melting Pot”, born on the ideas of differences. While America has long been rooted in this idea, it has not been easy for all groups of individuals to be accepted in America’s recent past. Like all differences, differences have the ability to be seen as a source of conflict, a source of achievement, or both. One of the main areas where acceptance has been a source of conflict in America’s past, has been individuals with disabilities. In the past, these individuals were seen as incapable of living normal day to day lives. Particularly, they were seen as incapable of having jobs or attending school like their peers. While disabled individuals have been a source of conflict in America’s past, the...
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...America thrives off the implementation of individualism and succeeds from the idea of the free market and the outcomes it generates for the country and its economy. Trump is one of the wealthiest and most successful business entrepreneurs, and now future President of this country. For his presidential policies to be in line with what Americas economic vision for success is and how he got to where he is, he must implement these four things into his presidency. One policy recommendation that would service this is the reduction in regulation for businesses, especially small businesses/entrepreneurs. The bigger the government becomes, the smaller the citizen becomes. Entrepreneurs and small businesses are what run this country. These individuals...
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...OL500: Final Project Milestone # 3 Bank of America tries to charge debit card fees Introduction: The main purpose of the case study is to demonstrate organizational studies, organizational theories, and organizational behavior of Bank of America trying to charge $5 debit card fees. The case study will implant the systematic study and careful application of knowledge about how people –as individuals and as group will act upon this issue. Moreover, we will encompass the study of organization from multiple viewpoints, levels of analysis and methods may be used to resolve it through prediction and explanation of some hypothesis. Company profile: Bank of America was first opened on July 5, 1784 under the name of its earliest predecessor, the Massachusetts Bank (Bank of America). As the second of the original three banks in the late eighteenth century United States, Bank of America is the country's most extensive bank, with 6100 locations covering over thirty states coast to coast (Hoovers Online). Bank of America specializes in most banking services including checking and savings accounts, credit cards, loans, investment banking and brokerage, asset management, loans, line of credits, retirement accounts, roths, and mortgages. With such excellent customer service, Bank of America has a very large customer base consisting of all different logistics of people. The Company Organizational Structure: Organizational structure is a concept in the field of Organizational studies...
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...America as a World Leader Name Institution America as a World Leader Before the Truman Doctrine, the Cold War was rapidly accelerating (Voices of Freedom, n.d.). Additionally, the United States started wars against communism during the confrontations of the Soviet Union and the United States over the Berlin and the Southern and the Eastern Europe, the inauguration of the communist government in China, and the development of an atomic bomb by the Soviet Union (Voices of Freedom, n.d.). As a result, the National Security Council approved America’s global call to bring communism to an end. In 1950, the council approved what was to be called NSC 68 which contained details of what was dubbed as “the free society” (Voices of Freedom, n.d.). The manifesto sought to tell the world that the Soviet Union was pursuing global domination as well as the elimination freedom in the world. NSC 68, albeit it was never made public was to be a struggle between “the idea of freedom” and that of slavery under Kremlin (Voices of Freedom, n.d.). On the other hand, America was also pursuing “the idea of freedom” when it intervened in World War II. This essay aims to show that even though America saw the increase in military spending, its involvement in World War II and Cold War was good in the sense that America became a world leader that pursues global freedom and peace. At the outset, while America was pursuing the idea of freedom as well that of slavery, the wars that it participated in led...
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...Within America, oppression of people of color has been integrated within society since the founding of the colonies. Within America, this means that policy changes have been put into place since the Civil Rights Movement to try to change how people of color are treated within America, but this appears to not be enough. The types of policies that could be put into place to further the objective of racially unifying America would be racial bias training, profiling prevention and cultural competency training. This is because many of the issues that are being felt within the communities of people of color are founded in a lack of understanding or bias that individuals have with others that are different. The issue is that with this type of policy...
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...decisions human beings make. Cavico (2009) states utilitarianism is more than just moral philosophy. It is a way of reformation and used extensively in government decision making. This will be discussed further in the Bank of America-Merrill Lynch merger. Utilitarianism is considered a scientific system of ethics and not just a philosophical theory of ethics. Utilitarian ethics follows the belief of maximizing the greatest good for the largest number of people. As utilitarianism is identified, one needs to learn that the greatest good could be based on aggregate principle or a distributive principle. The Bank of America-Merrill Lynch merger will be assessed in regards to who, what and how the greater good will be affected in this merger. Within utilitarianism, a moral philosophy is developed that focuses on the consequences of specific actions. An action is done, then observed and then analyzed. After identifying all the people that were involved, one needs to ask the question, “Do the sum of good consequences outweigh the sum of the bad consequences?” Quantify all the good and bad consequences in the scenario and if the good consequences are greater than the bad consequences then the action was moral and vice versa. In this paper, the actions of the Bank of America-Merrill Lynch merger will be discussed, evaluated and quantified with the Richard DeGeorge Utilitarian perspective. Pinpointing the stakeholders in this case will show who was direct and indirectly affected and how they...
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...soil. If we do not take quick and decisive action against these individuals their ideology will spread rampant throughout the world. America is tired of the war on terrorism and it needs to consider a more direct approach in dealing with individuals who wish to destroy everything that has been created in our country. Should America grant rights to those who do not value life, is there enough funding to house and feed these individuals for extended periods of time, will they be set free in our revolving door justice system to return to fight another day, advanced interrogation techniques have saved American lives in the beginning of the war on terror why should we stop now, and is America lowering itself to the standards of the terrorists by not granting them rights. These are just a few questions that must be answered and taken into consideration when deciding how to treat a terrorist. On September 11th 2001, nineteen foreign born terrorists hijacked 4 commercial airliners and crashed them into the World Trade Center towers, the Pentagon, and on one aircraft the passengers fought back and crashed the plane in a field in Pennsylvania. That was not the first act of terror against America but it was the worst that has ever happened on U.S. soil. That act alone of carrying out the plane hijacking knowing full well that they would die upon completion of their task shows that these foreign born individuals do not value their life or the lives of others. There are many instances...
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...REGISTRATION NUMBER R151042T PROGRAM HONOURS IN POLITICAL SCIENCE COURSE POLITICAL THEORY II PA112 LECTURER MR MASUNUNGURE TEACHING ASSISTANT MR MARAWAKO TUTORIAL GROUP TUESDAY 3-4 QUESTION IN DEMOCRACY IN AMERICA, TOCQUEVILLE IS DEEPLY WORRIED ABOUT THE POTENTIAL OF DEMOCRATIC TYRANNY. DISCUSS THE VALIDITY OF THIS CONTENTION. This essay is an exposition of the concerns raised by Tocqueville in his book Democracy in America particularly his greatest concern that is the possibility of democratic tyranny/tyranny of the majority arising if democracies are left unchecked. Tocqueville observes that the movement towards democracy and equality of conditions having progressed farthest in America was likely to spread to other parts of Europe as well as the rest of the world hence moving him to analyse democratic governments in order to ascertain the merits and demerits of such governments thereby providing substantial solutions to help counter the ills of democracy. These ills are inclusive of democratic tyranny which according to Adamova (2013: 1) is tyranny of the majority founded in public opinion. Tocqueville notes with profound insight that democratic tenets include equality of social conditions, liberty, and active participation of individuals in political matters amongst others however he laments the possibility of democracies becoming a tool of oppression of the minority emotionally amongst others if the majority are allowed to will absolute power and have unrestrained...
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...meaning of America? Perhaps the initial thought is the most literal meaning of the word for the individual and how it relates as a geographical location on a map. Quite possibly the more profound meaning of such a term is the philosophical paradigm of America is how it stands as an establishment of freedom for all and retainment of certain God -given rights. Such an individual would see the beauty in wanting to share a concept with the rest of the world and not be content in thinking that America is not merely a place, but it is a way of life that is meant to be enjoyed and explored. For thousands of years, mankind has desired to uncover the secrets of happiness and success as we journey across the vast sphere of this mortal world we live in. Although there are many interpretations as to how life began and how it will all end, the idea of America seems to give balance to the need of attaining a higher sense of existence. Many students believe that the name Ameri ca is named after the great explorer Amerigo Vespucci, but scholars will argue that its etymology is based on various sources in world history and although the name is attributed to Vespucci, it is a culmination of meanings that give it a majestic sound. We have often described America with a feminine title and support the idea that it stands not only as a map discovery from centuries ago, but a state of safety and peace. As a perfect blend between indigenous culture and European ingenuity, America is an opportunity...
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