...determine what parts of the Affordable Care Act can apply to Puerto Rico and the impacting the Medicare, Medicare patient services and employees. Most of the people in the island think that the Affordable Care Act is giving more security and help to address the existing disparities in the healthcare system. With the new Patient Protection & Affordable Care Act, the insurance companies can no longer drop the coverage if one becomes sick, bill individual into bankruptcy because of an annual or lifetime limit, and they will not be able to discriminate against anyone with a pre existing condition. Most of the Medicare and Medicaid community suffers do to the imbalance in our healthcare system this situation affects the quality of care and places a financial strain on the government, individuals and families, employers and employees, and public and private providers. Most of the Medicare beneficiaries have to enroll in the MA program to help them to succeed and receive the adequate treatments without MA to help the disadvantaged seniors on the island, Puerto Rico's elderly citizens will be forced to turn to Mi Salud in larger numbers. Although Mi Salud is scheduled to receive an average of $690 million annually during the next five years, the widening deficit in MA funding is likely to create a net negative impact on federal funding for healthcare in Puerto Rico. The Health care Policies and Issues Ethical concerns and issues The Affordable Care Act (ACA) policies are intended...
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...Identification. Christopher Columbus landed in Puerto Rico in 1493, during his second voyage, naming it San Juan Bautista. The Taínos, the indigenous people, called the island Boriquén Tierra del alto señor ("Land of the Noble Lord"). In 1508, the Spanish granted settlement rights to Juan Ponce de León, who established a settlement at Caparra and became the first governor. In 1519 Caparra had to be relocated to a nearby coastal islet with a healthier environment; it was renamed Puerto Rico ("Rich Port") for its harbor, among the world's best natural bays. The two names were switched over the centuries: the island became Puerto Rico and its capital San Juan. The United States anglicized the name to "Porto Rico" when it occupied the island in 1898 after the Spanish-American War. This spelling was discontinued in 1932. Puerto Ricans are a Caribbean people who regard themselves as citizens of a distinctive island nation in spite of their colonial condition and U.S. citizenship. This sense of uniqueness also shapes their migrant experience and relationship with other ethnoracial groups in the United States. However, this cultural nationalism coexists with a desire for association with the United States as a state or in the current semiautonomous commonwealth status. Location and Geography. Puerto Rico is the easternmost and smallest of the Greater Antilles, bordered by the Atlantic Ocean to the north and the Caribbean Basin to the south. Puerto Rico is a crucial hemispheric access point...
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...a new global market. During this time the team developed a business strategy to promote DCC and bring its product line to Puerto Rico. Early on DCC had to conduct a regional analysis, country analysis, and an organization and product or service analysis. Regional Analysis Regional Alliances and Economic Integration Puerto Rico is just one of many Caribbean countries, which make up the Caribbean Community and Common Market (CARICOM). This regional integration between Caribbean countries, formed in 1973. According to the United States Trade International Commission (2008), “The purpose of regional integration is to achieve economic gains through free trade flow and investments between neighboring countries often by lowering or eliminating tariffs against imports from fellow member countries. These actions increase duty free trade, tourism, movement of labor, and the flow of capital across national borders, reducing the possibility of conflict. Regional integration promotes global business in that it removes, in stages or altogether, previous barriers to foreign investments and other business ventures” (Trade policy for Development). Duty free access and tax incentives encourage the United States firms to invest heavily in Puerto Rico to assist in promoting Puerto Rico's prosperous trade. “Puerto Rico’s industries include pharmaceuticals, electronics, textiles, petrochemicals, processed foods, clothing and...
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...125 Aug 03, 2011 Hispanic American Diversity Hispanic Americans in the United States include Mexican Americans, Puerto Ricans, Cubans, and Central and South Americans. Although they share a common language, their history is as diverse as their culture. Language has been a barrier in the United Sates for Hispanic Americans who have not learned the English language. Not all Hispanic Americans have immigrated to the mainland; Mexican Americans originated in the southern parts of the United States. Cuban Americans reside mainly in Florida, while Puerto Ricans have resided mainly in the eastern states. Mexican Americans resided in what are now Texas, California, Arizona, and New Mexico. With the war Treaty of Guadalupe Hidalgo the United States granted citizenship to all Mexican nationals who chose to remain in the States; the treaty also allowed religious freedom, property rights, and the rights to continue their cultural traditions and the use of the Spanish language. Mexicans and Mexican Americans make up the majority of the migrant agricultural workforce in the United States. With the average pay of the migrant worker being about $9.50 (US Agriculture Dependent on Migrant Workers, by Ed Stoddard, July 23, 2007), migrant workers cannot afford health care. Women and children have access to some health care through women’s maternal program and child health services. Although the living situations are not always above poverty, the familial structure is close-knit. Mexican Americans...
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...there are foreign and domestic born Latino groups. The Latino population is growing at a high rate in the United States. There are eight different Latino groups, which are Mexican, Puerto Rican, Dominican, Colombian, Ecuadorian Salvadoran Peruvian and Guatemalan. In regards to the literature review on Latino experience I have gathered in the semester is that. Puerto Ricans historically have been the 2nd largest Latino population in the New York City. I know from personal knowledge that the Cubans that are domestic born are the richest among all the Hispanic groups right now in 2015. Cuban’s Latino group is at the top in regards to socio economic and educational attainment. In Latino studies and survey’s focuses on comparing socio economic conditions and cultural conditions and problems found within in each primary Latino group. Latino group on the whole still control a small portion of wealth in New York City compared to non Hispanic White, Black, and Asian city residents. The socio economic lower income levels among Latinos maybe at least partially because of lower education attainment compared with Asian, Black and non Hispanic whites. Approximately two thirds of New York City Latinos over the age of 25 reported having no college education, which is higher than Asian, Black and non Hispanic. Puerto Ricans are also the only national group in the Latino population where the majority of respondents were born in the United States. For all other national groups being Latino generally...
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......................................295 II. Incidence and Prevalence ................................................................................. 296 III. Causes and Risk Factors .................................................................................. 298 IV. Dealing with the Problem of Elder Abuse ....................................................... 301 V. Mandatory Reporting ........................................................................................ 304 Conclusion and Final Recommendations ............................................................... 307 INTRODUCTION AS THE POPULATION SCHEME changes, the system faces new challenges. In 2000, the elders accounted for 16% of the total population in Puerto Rico and this per1 centage will continue to rise within the next few years. It is expected that by 2025, people sixty years or older will account for more than 20% of the total 2 population. As the elders live longer, their needs grow larger. What constituted an exception in the past is now common: people reaching seventy and eighty years of life. As a result, the distribution of the...
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...As a Fortune 150 company with a 45-year history in the health industry and more than eleven million members under its wings, Humana has become one of the largest health benefit company in the U.S. With its slogan, “Guidance when you need it most”, Humana has gain their success through their diverse business units, outstanding wellness program and reliable customer service. The company is basically operates through two business division: government and commercial. The government division serves everyone who is enrolled in government-sponsored program such as Medicare, Medicaid and TRICARE. On the other hand, the commercial division handles employers groups and individuals under fully insured medical or specialty medical. During the last decade, Humana has undergone many major changes, all of which have boosted the overall company’s performance. Humana current strong market position has much to do with their massive acquisitions and strategic alliances that took place within the last years. Their strategic alliances with big companies such as State Farm and PGA Tour and not to forget their partnership with the government have certainly widened their market scope as well as their products and services. Currently, Humana is actively conquering U.S. and Canadian market; however, they have also started to go global through their subsidiary in Puerto Rico where they provide military personnel serving in Puerto Rico with healthcare services for themselves and their eligible...
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...Hispanic-Americans make up a large ethnic group in the United States. Many Americans believe Hispanics are much the same and group them together (panethnicity) but, in fact, the groups are very diverse. Hispanics come from a variety of different cultures and include Mexican-Americans, Puerto Rican-Americans, Cuban-Americans, and Central Americans. Each of these groups vary in their customs, religious beliefs, political views, family views, and other conventions that make them similar in some ways, and very different in others (Franklin, 2009). This paper will discuss the various cultures of Mexican-Americans, Puerto Rican-Americans, Cuban-Americans, and Venezuelan-Americans in America. Mexican-Americans As a result of the Mexican-American war, about 80,000 Mexicans resided in the United States due to the accumulation of New Mexico and California. Even though many returned to Mexico, the majority stayed in the United States and gained their citizenship after two years (Englekirk and Martin, 2009). Since then, Mexican immigration to the United States has grown significantly and for various reasons. Today, Mexican-Americans make up about two thirds of the Hispanic population in the United States (Schaefer, 2006). The first indigenous Mexican people were various Indians such as Mixtec, Aztec, Mayan, Olmec, Toltec, Zapotec, and Teotihuacan who assimilated with Spaniards after Spain invaded Mexico. Mexican families were typically male dominated but close-knit due to respect...
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...PeopleSoft 9 and 9.1 Payroll Tax Update 15-D October 2015 PeopleSoft 9 and 9.1 Payroll Tax Update 15-D Year End Processing 2015: U.S., Puerto Rico, and U. S. Territories This document provides the information you need for using PeopleSoft Payroll for North America to complete 2015 year-end payroll processing. Please feel free to contact the Oracle Global Customer Support for help with any questions you may have on the year-end programs. The telephone number is 1.800.223.1711. The pages shown in this document are from Release 9.1. Although the corresponding Release 9 pages differ in their style of design and appearance, the navigation path and content of each page in Release 9 is identical to the Release 9.1 page illustrations shown in this document. Electronic Self Service Forms W-2 and W-2c in PeopleSoft 9 and 9.1 PeopleSoft Payroll for North America (Releases 9 and 9.1) delivers functionality to enable Payroll for North America and ePay employers to use XML Publisher (XMLP) to produce Forms W-2 and W-2c in PDF format for U.S. and U.S. Territory employees. (Note: XML Publisher is also referred to as BI Publisher.) This functionality creates online as well as paper forms in PDF format, and provides employees with access to an electronic version of their W-2 and W-2c forms through Self Service. The system creates and stores data in XML format and builds the PDF file for display on demand using XMLP templates. Employees are then able to view or print the W-2...
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...In neighborhoods that were predominantly black birth control was readily available. "The African American newspaper Thrust" pointed out an issue with birth control in stating "Why couldn't blacks get basic health care like a free aspirin for a headache, but when you are a black women old enough to look sexy you can get a truck load of birth control pills for free?" (pbs.com). It was, correctly, theorized that birth control pills were so readily available because the government wanted to control the black population in order to keep white supremacy secured. The trend of trying to keep the black population down started when slavery ended. During slavery white plantation owners wanted black women to have as many children as possible so that they would not have to purchase more slaves. Keeping the black population up kept white supremacy in place since it furthered slavery. After slavery ended, in order to keep white supremacy in place white people now had to limit the number of black people in the United States. They...
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...Health Promotion Among Hispanics Jose Galvez Grand Canyon University Family Centered Health Promotion NRS-429V Jennifer Wood April 22, 2015 Health Promotion Among Hispanics Introduction Hispanic or Latino is a term used to describe a group composed of smaller ethnicities. In the United States, Hispanics make 17% ("Hispanic Heritage Month," 2014, para. 3) of the population with Mexicans (64%) being the largest, followed by Puerto Ricans (9.4), Salvadorians (3.8%), Cubans (3.7%), Dominicans (3.1%), Guatemalans (2.3%), and other Hispanic origins (13.7) (Center for Disease Control and Prevention, 2015, table 1). Poverty rates (The Kaiser Family Foundation, 2013, table 1) for Hispanics (24%) are second only to Blacks (27%) but considering that Hispanics make up 17% of the population in the United States, this amount is alarming. Not only are poverty rates bad, but education is worse. According to the Pew Research Center ("Access, Information and Knowledge," 2008, table 22) studies, Hispanics have a low college graduation rate at only 13.9 percent in contrast with a second minority group, Asians, at 50 percent. So why is the Hispanic community seeing negative outcomes in contrast with other minorities? This paper will go over current health status of this minority as well as barriers that influence health, what being ‘healthy’ means, and how race, ethnicity, socioeconomic status, and education influence health. Current Health Status Obesity and diabetes have been alarming...
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...Analysis A company owner or manager requires financial statements to improve their business or to make any important decision regarding their operations. Puerto Rico is a land that has many companies doing business, some are local or international. CVS Caremark Corporation is one of the main traded companies doing business here. This Corporation provides integrated pharmacy and health care services in United States and Puerto Rico (CVS 2014). CVS Caremark Corp. sells prescriptions drugs and over the counter but also provides a variety of products for everyday use, such as cosmetics, convenience foods among others. The following represent a brief analysis on the financial statements of the corporation. Taking the last year financial statement reported on December 2013, the current ratio for CVS Caremark is 1:6 which means that the current assets are more than its current liabilities. The current ratio illustrates CVS Caremark ability to remain solvent. On the contrary, the Corporation liquidity ratio is 0.926 which means CVS may not have enough liquid assets to pay their debts in a short period. The DuPont ratio reflects a 12.02 return on equity, measuring the Corporation efficiency at generating profits from every shareholder's equity. CVS has a profit margin of 23% this indicates that the Corporation is not having control of the cost compared to its competitors meaning that CVS has a net income of $0.23 of each dollar of sales. The assets utilization is 1.77 meaning that they...
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...Labor Laws and Unions During week two of the class, the individual paper will give a brief background on United Auto Workers Union. It will discuss the legal issues and obstacles that it has or may encounter. This paper will discuss which federal, state, or local laws that could be broken due to the legal issues that has happen. The author will discuss the effects of the union by answering these following questions: What are the organization’s benefits of joining a union, what is the unionization process, how does a union bargain, and what effects does union bargaining have on the organization. The United Auto Worker (UAW) represents workers in the United States and Puerto Rico, and formerly in Canada. It was founded in 1930’s as part of the Congress of Industrial Organizations (CIO). From 1936 to 1950’s UAW grew rapidly; under the leadership of Walter Reuther it had a major role in the liberal wing of the Democratic Party, which include the civil rights and anti-communist movements. According to (UAW, 2010) UAW has more than 390,000 active members and more than 600,000 retired members. A majority of the union’s retirees stay actively involved in the life of their union, which they participate in 703 retiree chapters and play a vital role in the UAW’s community action program (UAW, 2010). The legal issues and obstacles that UAW faced was in the early years the union found itself face to face with the law by promoting wildcat strikes and work stoppages. According to US Supreme...
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...CHAPTER I A PROPOSAL TO STUDY THE INFLUENCE OF ADVERTISEMENT ON THE ACTIONS OF PARTICIPATING PEOPLE AS PERCEIVED BY UPR PONCE CONSUMERS One of the main factors that influence people to buy or select a product is advertising. There are a varieties of consumer’s perceptions, which are constantly changing. Not everyone receives the same message the same way, and some perceive the same message giving them more importance than others. The future of advertising is not only linked to its own creative ability, but the speed and certainty with which the new media adapted to many of which still exist. (Guerrero, 2006) Statement of the Problem The study will gather data on the behaviors of students from UPR Ponce consumers, if the people are affected or influenced by advertisement strategies, to perceive the different market offerings and are led to buy. Purpose of the Study The objective of this study is to know how commercials affect in the UPR Ponce people decision on buying a product. Also, we want to identify which strategies are most beneficial when making an ad for the purpose of motivating the target market to buy the products. Scope of Analysis Four factors will be analyzed: 1. Commercial advertising that promote the purchase of the product by using subliminal messages. 2. What impact has advertising in UPR Ponce consumers? 3. Why do you purchase a product? 4. Why use this type of product? Methodology In the methodology, we used primary data and...
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...Drug Legalization in the United States Kristie Hurley Ashford University Abstract This paper will explore four websites and one online newspaper addressing the subject of drug trafficking in the United States and why legalization is a profitable alternative. The various ways drugs are bought into the country, information on how and why drug trafficking has increased in the United States, statistics on the number of people that are addicts, and the problems related to foreign countries on this issue. The reasons why illicit drugs should be legalized and what the income from the taxation from them could do to better our health care reform and our economy. Keywords: drug trafficking, economy, legalization Drug Legalization in the United States Illegal drugs are exports and deported out if our country everyday by different groups such as high profile criminal gangs or groups such as the cartel. Law enforcement has yet found a suitable way in controlling the war on drugs and have in past years, up until now, have made and passed bills and policies within the government that has made it worse. The legalization of illicit drugs, such as marijuana, would dramatically save, if not make our country more money. The Department of Justice reports the trafficking of drugs has increased in the United States (2012). Criminal groups from other countries, such as Mexican, Cuban, and Asian, including the groups in our country, grow, manufacturer, and distribute marijuana and other...
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