Delivering Health Care At Americ A Systems Approach

Shi,L., Singh, D. A. (2015). Delivering Health Care in America: A Systems Approach (6th ed.). Burlington, MA: Jones Bartlett Learning. I choose the book because it serves as a back-bone towards the portfolio project. The book provides comprehensive knowledge about the creation of Medicare and Medicaid, and how the Patient Protection and Affordable Care Act impacted these public health insurances. Chapter 3 gives a summary on how Medicare and Medicaid became a public health insurance – to serve the elderly population and then expanded to serve low-income families. Chapter 5 discusses â€Å"meaningful use† – Medicare and Medicaid started to offer financial incentives to health care organizations who have met a range of metrics such as†¦show more content†¦M. (2017). Medicaid Expansion Increased Coverage, Improved Affordability, And Reduced Psychological Distress for Low-Income Parents. Health Affairs, 36(5), 808-818. The article examines the Medicaid expansion and the impact it has on coverage, access and use, affordability, and the health status. The article examines data from the National Health Interview Survey from 2010-2015. The article also estimates the uninsured and under-insured rate if the certain states under went the Medicaid expansion. There was limited evidence on the impact of smaller states who expanded their Medicaid programs. I would agree with the article that decreased the psychological stress for low-income individuals. This is especially true for those individuals who are on the border of qualifying for Medicaid, but can’t afford private health insurances or their employers don’t offer health insurances because they are considered contractors or part time employees. Sommers, B. D., Kenney, G. M., Epstein, A. M. (2014). New Evidence on The Affordable Care Act: Coverage Impacts of Early Medicaid Expansions. Health Affairs, 33(1), 78-87. The article examines the states (California, Connecticut, Minnesota and Washington, D.C.) who decided to expand coverage earlier. It closely examines enrollment period between 2010 – 2014. Administrative records showed that there was an increased Medicaid coverage. The data also shows that there is an increase coverage in the population who had multiple

complete predicate in English grammar

Attention Getter How Many Of You Guys Have Heard Of...

Attention ATTENTION GETTER: How many of you guys have heard of Edward Snowden? PURPOSE (state specific purpose, relate topic to audience and establish credibility): In the world of today most records can be easily accessed by a home computer. Some believe this has benefits, while others are screaming about invasion of privacy STATE THESIS (Should/ Should not): The Internet has revolutionized the world by innovating the way we access our information, but our private information is been invaded and share without our consent. MAIN POINTS: †¢ As Americans citizens privacy is a fundamental Human Right and its concerning when our rights are violated. †¢ Government monitoring us and gathering information to â€Å"Protect us† †¢ Companies manipulation of personal information for their own benefits Body (USE ONLY COMPLETE SENTENCES) I. Need (state as a single declarative sentence): The government should find a balance between corporations and consumers because constitutional rights are violated. A) SUBPOINT: The right to privacy is being invaded and citizens are demanding answers. 1. The 14th Amendment of the constitution state that our privacy can’t be access without a warrant. 2. Also, it protects us from an overarching government but after the 9-11 attack The USA Patriot Act of 2001 weakened this law. 3. As citizens of America we are all entitled to our rights of privacy. When something threatens this guaranteed privacy we should take extra precautions, because as the

Challenge free essay sample

Math long period. Easier said than done. I sit there as we learn about the law of sines. This formula allows for someone to solve for the other sides and angles when only some angles and sides are shown. I’m interested at first, but then we get into practice problems, where the class takes about 5 minutes to do the cross multiplying involved.It just becomses the same thing, over and over and over. Why can’t we move on? Math is intriguing to me when learned at a fast pace, but this constant practice seems to tire me out. After a while, the once interesting formula feels like every other class in math: Learn a formula, plug in numbers, solve algebraically. The monotonous repetition the class goes through bothers me sometimes; I’m in a rush to move on. I come home for the day, and start writing an English essay. We will write a custom essay sample on Challenge? or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It is not necessarily a jovial exercise, but it at least keeps me interested the whole time. Whats the topic this time? The worst aspect of slavery. Beginning my essay, I cycle through the balance of what I can argue, what I want to argue, and how the audience will see my argument. Especially when arguing about slavery I want to make sure the audience understands exactly what I mean. I’ve already done more than I have in Math class.It’s not too hard for me to think of once I remember that Mrs. Chausse told us to keep the topics simple. The final product is decent, but I am probably more proud of it than I should be. I will look back on the essay in a year or two and be horrified that I wrote so badly. â€Å"How could I have claimed this about slavery?† I can hear myself already. New day, new project. I’m sitting there for hours, writing my sophomore final portfolio. Sitting there, writing a reflection about Things Fall Apart, I realized how much I had improved from the beginning of the year. As I looked at my old writing, it was almost painful, did I really write that badly? I remember being a better writer. But sure enough, I would go back to my sonnet essay from the beginning of the year, and see the same thing. I wasnt sure if I should be angry that I wrote so badly, or happy for how far I’ve come. Most of my other classes involve very little improvement, only the mastery of new materials. English may not be my strongest subject, but that is the point: it comes with a challenge no average subject can give. I like English because it is one of the few courses that challenge me. Math and science tend to come more naturally to me; they just make sense to me. As a class, I Have to put in more work to do well in English than in Math or Biology. English is onethe only courses that is different every essay. The ability to have to adapt a new argument and learn to take new evidence to support it has always intrigued me, even though I am more successful in other areas. Memorize a few chemical names? Learn it once and done. Solve an equation? It feels like the same problem every time. Take an opinion on what caused MacBeth to turn evil? At least I have an interesting three (probably more) hours ahead of me.