Unemployment Satire

Unemployment rates are skyrocketing. According to the Internet, 12% of the U. S. population is unemployed. Unemployment not only effects the lives of the unemployed, but their families and communities too. The stress of unemployment can lead to declines in individual and family well-being and could potentially effect the outcomes of their children. Widespread unemployment in neighborhoods reduces resources, which may result in inadequate and low-quality housing, and underfunded schools. The question Americans everywhere are wondering: Whose to blame for all this long term employment?The people or the government? The fault is not that of the government, it is that of the people. The blame for long term employment should fall on the shoulders of those suffering from Lazy Syndrome. However, people suffering from Lazy Syndrome cannot help their chronic laziness and unwillingness to get a job. Many are unaware they even suffer from this disease until it is too late. The major symptoms of this disease are: not wanting to leave the couch, feeling inclined to put off work, and wishing to stay home and do nothing.Because of these symptoms, acquiring a job seems like too much effort and is often put off. Many high-paying jobs will refuse to hire them if they suffer from this disease. One study shows that people suffering from Lazy Syndrome have a whopping 50% chance of being unemployed. Even if they can acquire a job, studies show that men and women with this disease earn 15-20% less than those who are not infected. Seymour Butts, a professor of justice at the University of Colorado, is starting a law firm called LazyCase to protest against lazy discrimination.The Discrimination Act of 1966 provides legal protections for gender equality, race equality, pregnant women equality, and so much more! With a short extension of this act, people suffering from chronic laziness could make a living despite their disease limitations. Mr. Butts and his extremely intelligent colleague Wee Tard have already made legal protections in counties in Alaska, Alabama, and Arkansas. One customer, Ben Dover, happily stated â€Å"Going to LazyCase was the best decision of my life.LazyCase helped me get a high paying government job where I can continue to do nothing but still get payed! †. I will now humbly propose my own thoughts on the solution to unemployment as well as the solution to the discrimination against those suffering from Lazy Syndrome. I suggest that every unemployed person gets evaluated at the local doctor’s office in order to determine whether or not they are suffering from Lazy Syndrome. If that is the case (which it most likely will be), I suggest you confide in LazyCase.For first, stopping discrimination against the lazy not only benefits the lives of those suffering from chronic laziness, but it benefits the entire system of America. LazyCase provides the most radical and effective solution to unemployment. Because a significant amount of people with the lazy disability are unemployed, if given more rights and protections for getting jobs, unemployment rates would drop 70% according to prediction expert Harry Azzol. Secondly, LazyCase would improve the lives of the unemployed.Individuals who do not face unemployment report better mental health and more life satisfaction than those who experience unemployment and are under a lot of financial stress. Therefore, the world would be filled with much happier people, making it a much better place. Thirdly, LazyCase is extremely affordable (which is necessary because the unemployed are not loaded with cash). For the all time low price of five payments of 99. 89 dollars, Seymour Butts and his employees will personally take a stand at court and get their customer the money (and job) they deserve.The question everyone is wondering: How? Well, Seymour Butts and Wee Tard have come up with an evolutionary scheme to win at court. New tactics such as being extremely beautiful or us ing large words to validate your story have produced great results. These tactics are guaranteed to work EVERY TIME, 60 percent of the time! Lastly, LazyCase would solve the problems the unemployed cause for communities. Inadequate and low-quality housing and underfunded schools would no longer be an issue because the unemployed would now have a job to finance these funds.Studies show that unemployed persons also report less neighborhood belonging than their employed counterparts, which would reduce neighborhood safety and community well-being. With the lazy being provided with jobs, they will likely be too distracted to disrupt the community. LazyCase is a nonprofit organization with the sole purpose of helping the people. None of the employees at LazyCase suffer from Lazy Syndrome so these protections aren’t benefitting the company, they are benefitting your fellow Americans. Unemployment Satire Unemployment rates are skyrocketing. According to the Internet, 12% of the U. S. population is unemployed. Unemployment not only effects the lives of the unemployed, but their families and communities too. The stress of unemployment can lead to declines in individual and family well-being and could potentially effect the outcomes of their children. Widespread unemployment in neighborhoods reduces resources, which may result in inadequate and low-quality housing, and underfunded schools. The question Americans everywhere are wondering: Whose to blame for all this long term employment?The people or the government? The fault is not that of the government, it is that of the people. The blame for long term employment should fall on the shoulders of those suffering from Lazy Syndrome. However, people suffering from Lazy Syndrome cannot help their chronic laziness and unwillingness to get a job. Many are unaware they even suffer from this disease until it is too late. The major symptoms of this disease are: not wanting to leave the couch, feeling inclined to put off work, and wishing to stay home and do nothing.Because of these symptoms, acquiring a job seems like too much effort and is often put off. Many high-paying jobs will refuse to hire them if they suffer from this disease. One study shows that people suffering from Lazy Syndrome have a whopping 50% chance of being unemployed. Even if they can acquire a job, studies show that men and women with this disease earn 15-20% less than those who are not infected. Seymour Butts, a professor of justice at the University of Colorado, is starting a law firm called LazyCase to protest against lazy discrimination.The Discrimination Act of 1966 provides legal protections for gender equality, race equality, pregnant women equality, and so much more! With a short extension of this act, people suffering from chronic laziness could make a living despite their disease limitations. Mr. Butts and his extremely intelligent colleague Wee Tard have already made legal protections in counties in Alaska, Alabama, and Arkansas. One customer, Ben Dover, happily stated â€Å"Going to LazyCase was the best decision of my life.LazyCase helped me get a high paying government job where I can continue to do nothing but still get payed! †. I will now humbly propose my own thoughts on the solution to unemployment as well as the solution to the discrimination against those suffering from Lazy Syndrome. I suggest that every unemployed person gets evaluated at the local doctor’s office in order to determine whether or not they are suffering from Lazy Syndrome. If that is the case (which it most likely will be), I suggest you confide in LazyCase.For first, stopping discrimination against the lazy not only benefits the lives of those suffering from chronic laziness, but it benefits the entire system of America. LazyCase provides the most radical and effective solution to unemployment. Because a significant amount of people with the lazy disability are unemployed, if given more rights and protections for getting jobs, unemployment rates would drop 70% according to prediction expert Harry Azzol. Secondly, LazyCase would improve the lives of the unemployed.Individuals who do not face unemployment report better mental health and more life satisfaction than those who experience unemployment and are under a lot of financial stress. Therefore, the world would be filled with much happier people, making it a much better place. Thirdly, LazyCase is extremely affordable (which is necessary because the unemployed are not loaded with cash). For the all time low price of five payments of 99. 89 dollars, Seymour Butts and his employees will personally take a stand at court and get their customer the money (and job) they deserve.The question everyone is wondering: How? Well, Seymour Butts and Wee Tard have come up with an evolutionary scheme to win at court. New tactics such as being extremely beautiful or us ing large words to validate your story have produced great results. These tactics are guaranteed to work EVERY TIME, 60 percent of the time! Lastly, LazyCase would solve the problems the unemployed cause for communities. Inadequate and low-quality housing and underfunded schools would no longer be an issue because the unemployed would now have a job to finance these funds.Studies show that unemployed persons also report less neighborhood belonging than their employed counterparts, which would reduce neighborhood safety and community well-being. With the lazy being provided with jobs, they will likely be too distracted to disrupt the community. LazyCase is a nonprofit organization with the sole purpose of helping the people. None of the employees at LazyCase suffer from Lazy Syndrome so these protections aren’t benefitting the company, they are benefitting your fellow Americans.

Lenin’s Russia Essay

1. The painting shows that Lenin is pleased to be back in Russia. He has his hand up waving at the crowd. Lenin looks happy and he looks pleased to be back. He also looks to be pleased by the way that the crowd are reacting to his return. The crowd are happy to have Lenin back. The people’s faces are all looking at him and they are all waving back at him. There are people playing musical instruments at what looks like a celebration to welcome him back. They are celebrating the return of Vladimir Ilich Ulyanov, who later changed his name to Lenin, from exile in Finland. The people are pleased to see Lenin and they would therefore be the people that agree with Lenin and his ideas and decisions. The crowd is not just townspeople that have gone to meet Lenin. There are men there with bullets over their shoulders. These people are soldiers that agreed with Lenin’s ideas. They had some force with their guns and this means that Lenin had some force. All of these townspeople see Lenin as a leader for Russia that is why they are there. This is not a true reflection over all of Russia. This source is very inaccurate as it is painting and could have been a forgery to make Lenin look popular and make it look like there are a lot of people there. 2. The painting does show that Lenin was popular in Finland station, which is in Russia like Waterloo station is in London, but this is not a true reflection over the whole of Russia. The people that were at Finland station are clearly pleased to have him back but in other parts of Russia this was not the case. Lenin was only popular with the people that supported communism and supported Bolshevik rule. These were known as the reds and the opposition was known as the whites due to the color of their uniforms that their armies wore. It is clear that this painting does not show the feeling over the rest of Russia because the civil war came. This tells us that Lenin was not popular all over Russia and he had opposition in the whites that he fought in the civil war. This was not only the case in Russia but also all over the world. When the civil war started Lenin and the reds didn’t have any outside allies while the Americans, the French and the British supported the whites. These countries wanted to help the whites against Lenin because Lenin had pulled Russia out of the First World War before it had ended. They were bitter about it and so they helped fight against him. In conclusion Lenin was popular and respected in certain areas of Russia like Finland station but across the rest of Russia and the World he was not admired or acclaimed. Source B 3. Each photograph has Lenin on the left standing on a podium talking to the crowd that are surrounding him. On the first photograph Lenin has two men standing to his right on the stairs. These men are Trotsky and Kamenev who were the right hand men to Lenin. In the second photo Lenin is again standing on the podium but in this photo there is no Trotsky or Kamenev, photographic experts have removed Trotsky and Kamenev. 4. These pictures are so different because in the first one Lenin is accompanied by two men, Trotsky and Kamenev but in the second picture they have disappeared from the image. These pictures were used as propaganda pictures by Stalin after the death of Lenin to inform the people that Trotsky and Kamenev were not anymore involved with Stalin. It is as if they have disappeared. Trotsky was the man behind the red army. He was the man that gained a great victory in the civil war and saved the Revolution. Trotsky would have been the man to take over from Lenin after his death but due to the fact he was clever he was hated by the other Communist leaders and was never supported, so a man that was lower down in rank was given the job, Joseph Stalin. Stalin and the other communist leaders hated Trotsky. He was removed from any position of power in the country so that he couldn’t cause any problem for Stalin. Stalin took power with Zinovliev and Kamenev after Lenin’s death. They accused Trotsky of trying to split the communist party and take power for himself. No one defended Trotsky. After Trotsky had all of his positions of power removed he was exiled internally and then in 1929 Leon Trotsky was forced out of Russia and was exiled to Mexico. Once Stalin had taken power away from Trotsky before he was exiled, Stalin turned on Kamenev and Zinoviev. They were becoming worried and in 1926 they joined Trotsky in a United Opposition to Stalin’s policies. Stalin got his supporters to help him and both were sacked from their party and government positions. They were both allowed back into the party in 1928 but into positions with no power. So Stalin had ended up the solitary leader of Soviet Union. This trouble had left him very apprehensive of his colleagues. Stalin used the two photographs to show that Trotsky and Kamenev had fallen from their days of power when Lenin was alive and in charge. Source C 5. (i) Lenin is sweeping the entire world of Royalty, Aristocratic and Religious people. Lenin was against rich and powerful people and so that is why he is sweeping them off the globe. The people he is targeting are all the rich people. The man standing on top of the globe is Lenin. The first two men to his right of Lenin, with crowns on, look to be some kind of royalty. The person in the bottom left of the picture looks like an Orthodox Russian Church member. The man in the bottom right of the cartoon looks like a rich aristocrat. Lenin is using a broom and sweeping because that is traditionally associated with workers and not the rich. It is signifying the fight back of the workers to show that Lenin is on the workers side and that they will fight against the rich. 5. (ii) The Revolution of March 1917 that overthrew the tsarist regime caught Lenin by surprise, but he managed to secure passage through Germany in a sealed train. His dramatic arrival in Petrograd occurred one month after rebellious workers and soldiers had toppled the tsar. The Bolsheviks, including Joseph Stalin, had agreed with the deference the Soviet of Workers’ and Soldiers’ Deputies showed to the provisional government. Lenin immediately refused this line of policy. In his â€Å"April Theses† he argued that only the Soviet could respond to the hopes and needs of Russia’s workers and peasants. Under the slogan â€Å"All Power to the Soviets†, the Bolshevik party conference accepted Lenin’s programme. After an unsuccessful workers’ uprising in July, Lenin spent August and September 1917 in Finland, hiding from the provisional government. There, he formulated his concepts of a socialist government. He also bombarded the party’s Central Committee with demands for an armed uprising in the capital. His plan was finally accepted; it was put into effect on November 7th. A few days after the November Revolution, Lenin was elected head of government. He acted sensibly to consolidate the power of the new Soviet state. His main concern was the protection of the Revolution and Soviet power against enemies both abroad and at home. In line with these practical considerations Lenin accepted the heavy German terms for the Brest-Litovsk Peace Treaty. Lenin took power of Russia from the provisional government that didn’t put up that much of a fight at all to stop him from taking over. Lenin took power after the Tsar had fallen and the country was in disarray after the First World War. Lenin took power after being in exile from Russia so he hadn’t seen all of the effects that the war had on Russia. Source D 6. (i) Robert Lansing had a bad attitude towards the Russian revolution. He didn’t think that Russia could survive after the takeover by the Bolsheviks in the civil war. Lansing believed that the revolution would end in ‘brutality and destruction of life’. Lansing compares the Russian revolution with the French revolution. He says that before the French revolution France had a legal system and a government, Russia possesses neither. This means that he didn’t think that they would be capable of running the country. Lansing says that the country wouldn’t end up further developed. Which indicates that there is no point in fighting. To stop the problem they should get a government and a legal system. To advance his speech he hammers home his point that there is no authority or control. He continues to say that the country is full of anarchy and violence. He gives a comparison to a cauldron as though it is waiting to overflow, it is boiling up nicely. Finally he thinks of the people of Russia and how they will be affected by the war. He gives the sense that he feels sorry for the things that will happen to them. Robert Lansing’s attitude was that Russia would be worse off if the Bolsheviks took control of all Russia. His view is not necessarily correct, as Robert Lansing has biased opinion due to the fact that he was the US Secretary of State for Foreign Affairs. He has a bad attitude towards Russia because they pulled out of the First World War. The Americans would be bitter and wouldn’t support anything that the Russians do. 6. (ii) When Robert Lansing said the words ‘Russian Terror’ he was referring to the pain that Russian people would feel. By terror he means that blood will be shed and life will be lost. He thinks that the death rate and property destruction will be higher than the French Revolution. He is saying that people have a hard time ahead of them if they live in Russia. Source E 7. This source comes from Winston Churchill at the time when he was the British Secretary of War and Air. Churchill has a very definite opinion of the Bolsheviks and there ideas, he doesn’t support them at all. You can tell from the first sentence he said ‘the Bolshevik Tyranny is the worst’. This is a very hard statement to take in. This means that a Tyrant ran the Bolshevik party so Churchill is calling Lenin a Tyrant and Churchill was calling Lenin cruel. He was calling the Bolshevik party cruel. This is a statement that sets out from the start that he doesn’t support the Bolsheviks. In the next sentence Churchill states that the things that had been done in Russia by Lenin and Trotsky are far worst than anything that the Kaiser of Germany did. To compare Trotsky and Lenin to the Kaiser is a very strong statement, as he was not at all liked by anyone in Germany. He was hurting everyone. Churchill doesn’t say that they are equal to the Kaiser but that they are worst than him. Churchill view on Russia would be biased because he is British and he still wouldn’t be too happy because Russia pulled out of the First World War. Churchill has more reason to be infuriated than most British people as he was in charge of Britain’s war effort. Source F 8. This source doesn’t show that the Bolshevik government was successful. They didn’t do the job that they set out to do which was to help the working class people. This source is bound to be accurate as it out of a history textbook it will be accurate because it is looking back on the incident and not looking forward like source D and E the book will also not have biased opinion. The first line says that Russian people suffered terribly in the civil war. This proves that Robert Lansing and Winston Churchill were correct with their prediction. Both said that the Russian people would suffer terribly and both were right. The Bolshevik government did not handle the civil war at all well. This source gives us some facts to back the suggestion that the government was not successful. The source tells us the economy collapsed. This meant that money was worthless. So the Bolsheviks didn’t mange to keep the money useable. The fact that industrial production had gone down means that they are going backwards and not improving the country, so Lansing was right when he said that this wasn’t the way to go. The civil war wasn’t killing as much as the diseases were which meant that innocent people were dying not just soldiers. The Bolsheviks were not fighting for their idea of workers, they were killing them instead. The communist was now becoming a dictatorship. This means that Churchill was right in his analysis comparing the Bolsheviks to the Kaiser who was a dictator. The source says that the Bolsheviks were losing support as well. This means that they were not successful at all. They didn’t have success at all from the civil war. Summary 9. Source A This source gives us a false sense of the popularity of Lenin in Russia. This painting is only of Finland station and does not give a good representation of the rest Russia. Lenin is proven not to liked all over Russia because there is the civil war and this means that one opposition party doesn’t like Lenin so this source is only a good indication as to where Lenin is liked. You can tell that he is liked at Finland station and the surrounding area. We do not know about the rest of the country but he is certainly liked in is one area. This source does not give us an accurate sense of Lenin’s popularity. This source could also be a forgery if it were a photograph it would be true but a painting can easily be made up. You cannot be certain if this is the true event that happened. Source B This source was used as propaganda for Stalin after Lenin’s death. These sources real point is the fact that Trotsky and Kamenev have fallen from the limelight, but the source can also be used to look at the popularity of Lenin and the message he was giving out to the people of Russia. In both pictures you can see the crowd covering the whole of the area. There are no gaps anywhere. This shows that Lenin was popular at this time and that people did listen to him. As I have already said this sources main point that Trotsky and Kamenev have gone but the photo can give other information. You can only see behind Lenin at the number of people but I would imagine that in front of him there would be more people as his voice would be projected that way. So this means there would be about triple the amount of people in photograph listening to Lenin. That may seem like a lot but over the whole of Russia it is small amount considering the vast size that is Russia. We are not told where this is and so might in an area where Lenin is popular like Finland station. You can tell that this event actually happened as it a photograph not a painting like the source before. Source C Source C is a political cartoon that is aiming to put across the message that Lenin is working with the working class. Lenin has the broom and is sweeping because that is associated with the working class people. He is sweeping the upper class and privileged people off of the world and taking over. If this cartoon were a true reflection on the job that Lenin was doing, you would assume that he would be popular with working class but not so the upper class people whom he wants to get rid of. This is not the case. The upper classes, rich people, were not impressed with Lenin trying to get rid of them. So he didn’t really become very popular with them. They didn’t like him and because they owned massive pasts of Russia this was a problem. This cartoon would have won some votes with the lower and working class the fact that he was trying to make it an even playing field for all. Source D This cannot really tell us much about the situation in Russia but it does give us a global sense of the feelings towards Lenin and his government. The first couple of lines give us a feel for what the Russian people would be in for. If the things Robert Lansing predicted happen then Lenin and his government would not be popular in Russia. The mass deaths would not go down well with the people in Russia. This did come true and so Lenin government didn’t look good. This source tells that the government didn’t have a lot of friends outside of the country. Lansing was an American and they were a major power but Lenin didn’t have their support as you can see from this statement. The statement written by Robert Lansing is a biased account though as the Americans were fighting the First World War with Russia until they pulled out and so there would be some bitterness between the two countries. Source E This source came from Winston Churchill. This again tells that Lenin was not popular outside of Russia. It gives a comparison to the Kaiser. If Lenin were thought of like the Kaiser then he would be hated like the Kaiser. Churchill gives a good comparison but his opinion is biased and should be not be used as fact it is only an opinion. Source F The final source gives reasons why Lenin was unpopular. This source is taken from a textbook and therefore will be correct. It gives facts why Lenin was not popular; economic collapse, Industrial production had dropped by 20 per cent of the level it was in 1913, harvest produced only 60 per cent of the normal amount and during the civil war famine and disease caused 8 million deaths. These facts give hard evidence why the Russian people have cause to not like Lenin. All of these sources tell us that Lenin and the Bolsheviks popularity changed over the time they were in power. If we can trust the early sources you would believe that he was popular. In 1917 Lenin would have been popular as the country was in disarray and would have supported any leader. However as his time went on the true view of Lenin came out. Towards 1924 he started to go down hill and wasn’t as respected by the people. When source F gives the final facts of what was happening it is easy to say that Lenin was not as successful as first thought. Lenin early high popularity dropped towards the end of his time to be hated by the people of Russia.

Assignment 1 Week 7 Essay Example | Topics and Well Written Essays - 500 words

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Population growth and natural resource availability Research Paper

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Blue Cross and Blue Shield Healthcare Program Essay

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Discussion Question - Assignment Example Interpersonal relationships are very important to Filipinos. During the initial business meeting, one will most likely not meet the decision maker. Several visits need to be done before one meets the decision maker. Furthermore, negotiations with Filipino companies take more time because group consensus if often needed. â€Å"The pace of doing business in the Philippines is casual and leisurely† (Henderson, 1999). Because of the paternalistic and hierarchical management, decisions usually take time. Social relationships play a major role in the decision-making process. One must take note that Filipinos do not like confrontations. They find it hard to say â€Å"no† because they want to remain courteous (Communicaid Group Ltd., 2009). Moreover, saying â€Å"yes† may not really mean yes, rather, it may mean â€Å"perhaps† or â€Å"maybe† or even â€Å"no†. In negotiating with Filipino companies, it is important to be knowledgeable of the Filipino culture and traditions. The style of management is usually paternalistic; therefore, one must be able to adapt to this style to effectively do business in the Philippines (Henderson, 1999). Communicaid Group Ltd. (2009). Doing business in the Philippines / Philippine social and business culture. Retrieved May 25, 2012, from communicaid.com: http://www.communicaid.com/access/pdf/library/culture/doing-business-in/Doing%20Business%20in%20the%20Philippines.pdf kwintessential.co.uk. (n.d.). Philippines - language, culture, customs and etiquette. Retrieved May 25, 2012, from kwintessential.co.uk:

Public Relations Assignment Essay Example | Topics and Well Written Essays - 3000 words

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Scholarly paper - Essay Example In this paper, a close understanding and analysis of the said article shall be handled in an aim of making the process of dealing with hypertension much easier and much effective for many individuals today. Early studies believed that hypertension only occur among the old aged generation. However, the new researches in medicine actually note the possibility of even the young generation to incur hypertension issues as well. Without clear symptoms, it is best advised by healthcare workers today that prevention be a better applied matter of consideration among individuals' lifestyle and heath habits as related to the process of improving one's health status towards becoming more ensured of being safe from hypertension attacks. Overstressing from work is certainly a huge matter that greatly contributes to the process of building up matters that result to hypertension. Aside from stress, a person's lifestyle imbalance could also result to unforeseen hypertension. Considerably, a person not having the right balance of work and recreation and is having too much of either of both could have the possibility of developing hypertension symptoms that may not be that easy to identify making early prevention much of a harder process to take into consideration. For this particular matter, nursing aides and other medical staffs

Case Study - Mr. Brown, Heart block Example | Topics and Well Written Essays - 1250 words

- Mr. Brown, Heart block - Case Study Example Brown did not want a pacemaker in his chest. In this context, the ethical principles which are involved along with identifying alternatives and developing a suitable action plan for solving the ethical problem relating to this case has been depicted. Steps To Take When Solving Ethical Dilemmas A 70 years aged patient, Ed Brown was admitted in the hospital suffering from the problem of third-degree heart block along with the syncopal episodes, weakness as well as fatigue for around 21 days. In consultation with a cardiologist, it was observed that Mr. Brown required a stable pacemaker which was conveyed to the patient and thus an approval was obtained thereof. However, while being taken to the holding area, Mr. Brown changed his mind deciphering strong reluctance to undergo the operation. He communicated with the nurse regarding his wish. The information was then conveyed immediately to physician. After attending the patient in the holding area, the physician then suggested Mr. Brown to discuss the entire procedure. The examples referred above depict one of the common phenomena witnessed in medical treatments where patients often change their decisions just prior to the surgery due to anxiety or uneasiness or emotional dilemma. The key players engaged with the case can be identified as the patient, Mr. Brown, the nurse and the physician or surgeon. Apparently, Mr. Brown’s wish was to regain his health while the interests of the nurse and the physician was to render adequate health assistance to the patient and ultimately cure the problems with which he was admitted to the hospital. From an in-depth perspective, the wish of the nurse was to assist the patient in order to serve him with appropriate healthcare without hampering his interests. In this context, a strong influence of emotional strength can be witnessed which in turn motivated Mr. Brown to reject undertaking the medical treatment with the pacemaker surgery just before he was being taken to the h olding area. The emotional interests of the patient in this context can be identified as his willingness to have no other injuries on his body because of surgery. It can also be affirmed that as Mr. Brown was already 70 years old, he might have preferred to die with dignity without taking the support of a machine to live a longer life. This gave rise to the dilemma for the medical practitioners to secure their medical obligations of to preserve the emotional interests of Mr. Brown. Dilemma With regard to the case study, it has been viewed that the main dilemma was that the cardiologist desired to perform the surgery to set pacemaker in Mr. Brown’s respiratory system so as to satisfy his professional obligations to secure patient’s health and preserve life. In the similar context, the nurse also desired to preserve Mr. Brown’s life serving his with adequate medical assistance, but simultaneously ensuring that his emotional interests were not hurt. On the other ha nd, the reluctance deciphered by Mr. Brown a few minutes prior to the surgery before being placed in the holding area can be assumed to be his anxiety of undergoing such a major operation or his emotional interest to face death with dignity. Hence, even though the moral concerns of all these key players can be identified as just and appropriate, the clash between patient’s emotional interests and practitioners’ professional interests gave rise to the conflict. According to the case study, it can be stated that in such circumstances, in case the surgery

White Privileges and the role they play in American Society Essay Example for Free

White Privileges and the role they play in American Society Essay Our daily lives are affected by race whether we know it or not. We all see the world through a racial lens that colors our world, African American, Caucasian, Asian, Mexican, or other. I came across an article online entitled â€Å"Black Sons, White Privilege, Ferguson, and the Gospel† which is written by Caucasian Pastor Jeremy Haskins. Haskins has three sons, two of whom are African American. He talks about a time, he went into a children’s recreational dwelling, taking his sons with him, he took his African American son in and tried to sign him in, but he was denied admission because of the color of his skin (even though that was his adopted son it didn’t matter). However a short while later, one of the Pastor’s Caucasian sons walked in (he wasn’t on the party list), without being asked to sign in, not even a second glance. The Pastor and his wife do not want to believe that white privilege still exists but, unfortunately after those conditions and the current situation going on in Ferguson, MO, they may have too. As the father of two African American sons, Pastor Haskins, has (unfortunately) witnessed firsthand how differently his boys are treated because of the color of their skin. He and his family unlike many have to live everyday of their lives wondering why we still live in such a racially divided nation. Also different from most Pastor Haskins, has not only previously experienced racial tension but he’s articulated it and made a practice of blaming it on his childhood. But somehow he manages to overcome this, and make peace with his social injustices. He continues to go and discuss how the shooting in Ferguson has infuriated him in more ways than just the fact that a young unarmed African American boy was killed, but because of the response that African Americans and Caucasians alike are having. Instead of retreating to the church and acknowledging their antagonism towards one another and working to resolve the racial difficulties we are having here in the U. S, they have turned to looting, rioting, and protesting. The fact the Ferguson Police Dept.has used the media to repeatedly misinform the public with false information is not only severely angering, Pastor Haskins, but it has caused him to weep for his two African American sons. But what’s really pissed him off is that the Evangelicals say things like â€Å"Michael Brown was a thug, he was drunk, etc†¦Ã¢â‚¬  and these are supposed to people of the church. Speaking on angering, Pastor Haskins, the one thing that has completely and utterly frustrated him is that the Evangelicals are â€Å"offended† that the people say white privilege still exists. They do not think that they are receiving any special privileges, they honestly think that everyone is treated the same way. That response has led to the, Pastor believing that the Evangelicals will agree to anything racial or not to avoid the thought of even having to side with African American males and females alike. The Pastor goes on to say that, it is rather easy to deny the privileges and go with the flow, if you are a Caucasian American yourself and enjoying the privileges. Not many people will understand what is like to be at the receiving end of the pole when it comes to racism and white privilege. I can relate to Pastor Haskins, growing up as a biracial child, with an African American father and a Caucasian mother, I got looks, I was talked about, I wasn’t allowed to do things that other kids got to do. There was even a time in Kindergarten (I remember this because I am reminded of it every single day), I was sent to the end of the line in my class, because â€Å"the Caucasian kids had priority over me, the other African Americans, and minorities in my class†. It’s sad to see that it has been over 50 years since the Civil Rights Movement, and here we are today in 2014, and Caucasians still have their â€Å"White Privilege†.

The NHS Role in Tackling Health Inequalities

The NHS Role in Tackling Health Inequalities At the turn of the 21st century, social health inequalities remain to be the key public health problems in advanced European countries. There is strong variation in life expectancy between and within the countries, which has accumulated over the past 3 or 4 decades (Fox, 1989; Drever Whitehead, 1997; Kunst, 1997; Marmot Wilkinson, 1999; Elstad, 2000; Mackenbach Bakker, 2002). NHS targeted health inequalities with infant mortality and life expectancy at the core to reduce them by 10 % by the end of 2010. These two health inequalities were announced in February 2001, with the other complementary targets, the areas of smoking and teenage pregnancy. These targets were set to reduce the broad spectrum of inequalities covering the general strategy to address all of the major health inequalities including gender, race, age, etc. (DH, 2001). The secretary of state, nationally announced a comprehensive strategy to reduce health inequalities, challenging the NHS as a key player to live up to its founding and enduring values of universality and fairness to shut the unjustified gaps between individuals with any background, fair NHS services with high quality and good outcomes to everyone (Darzi L., 2007). The independent scientific review of the national health inequalities was published in 1998. This report suggested policy developments to tackle health inequalities. This report showed the increasing gap between the different social groups. This resulted in the consideration of these increasing gaps needed action upstream as well as downstream (Acheson Inquiry, 1998). As the NHS and Department of Health continuously poured efforts to reduce the health inequalities. The overall performance can be defined as much achieved more to do (DH, 2009). This review will analyze the role of NHS in tackling health inequalities, as targets were set to reduce infant mortality and to increase the life expectancy in men and women across UK, faster than elsewhere in world. 2.0 Aims: To understand health inequalities To briefly review of the Acheson Inquiry recommendations To study the role of the NHS as a key player in tackling health inequalities in UK. 3.0 Material Methods: Study will review reports and documents published by the Department of Health and the NHS. Review of literature will be done from the data available on the websites of the Department of Health, the NHS and other government websites. Discussion of role of NHS as key player in tackling health inequalities in UK and a comment on the target achieved over a decade. 4.0 Review of Literature: In 1980, the United Kingdom Department of Health and Social Security published a report of the Working Group on Inequalities in Health, also known as Black Report. This report showed great extent of of which ill-health and death are unequally distributed among the population of Britain, and suggested that these inequalities have been widening rather than diminishing since the establishment of the NHS in 1948(Gray AM. 1982). The Black report identified four types of explanations of health inequalities: artefact, selection, cultural or behavioural, and materialist (Blane D., 1985). Since then there were many studies contributed to broader understanding of the health inequalities (Smith et al 1990). After 1997 NHS had made clear progress, as in 1997 NHS was in relatively poor health, due to this low investment hampered proper planning. In regards with different health inequalities NHS was not simply big enough or capable enough to meet the expectations of the patients (Darzi L., 2007). The steepest inequalities health is observed at two stages of the life course: early childhood and midlife. Less inequality is observed in adolescence and in older age (Kuh Ben Shlomo, 1997). Actual health inequalities were considered and taken note by the scientific independent inquiry called as Acheson Report in November 1998, which reviewed the evidence of health inequalities in UK. Acheson report suggested that, there is convincing evidence that, provided an appropriate agenda of policies can be defined and given priority, many of these inequalities are remediable (Acheson Inquiry, 1998). The Acheson report is supposed to be the cornerstone for the policy development over the last 11 years informing action on the national target and the cross-government strategy, the programme of action. The report focused on socio-economic inequalities which showed the increasing gap between different social groups. It suggested almost 39 recommendations (Appendix I). After considering the all the facts and recommendations, the NHS announced the two national health inequalities targets in February 2001, one relating to the infant mortality and the other to life expectancy. These targets were considered to reflect the efforts taken to reduce the broad spectrum of inequalities at national level across UK. These targets can be formulated under the specific terms socio-economic groups and geographical areas so that they can cover more general strategy to address all of the major health inequalities including gender, race, age as well as health in specific disadvantaged groups such as lone parents and the homeless (DH, 2001). Englands new health strategy, like this across the UK, represents a major advance in the vision and remit of public health policy. Protecting and improving aggregate levels of health no longer provide a sufficient justification for investment in public health; this investment must also yield a more equal distribution of health between socioeconomic groups. As a result, public health goals which were previously expressed only in terms of population averages now include a concern with how health is distributed across society. It is a concern summed up in the goal of tackling health inequality (Hilary G., 2004). 5.0 Understanding Health Inequalities: Inequalities are a matter of life and death, of health and sickness, of well-being and misery. The fact that in UK today people in different social circumstances experience avoidable differences in health, well-being and length of life is, quite simply, unfair. Inequalities in health arise because of inequalities in society in the conditions in which people are born, grow, live, work, and age. So close is the link between particular social and economic features of society and the distribution of health among the population, that the magnitude of health inequalities is a good marker of progress towards creating a fairer society (Marmot, 2010). The documents on plans, actions and performance standards are designed to spell out what it means to tackle socioeconomic inequalities in health. Their descriptions suggest that it has a variety of meanings. At some points, tackling health inequalities is described as a commitment to break the link between poverty and ill health and to improve the health of the worst off (Milburn, 2001 as Cited in Hilary G., 2004). Health inequalities can be stated as the disparity in health status between rich and poor and the health gap between the worst off in society and the better off (Wanless D., 2001). At other points, health inequality is a concept which covers the whole population. Health inequality exists between social classes and right across the spectrum of advantage and disadvantage (Hilary G., 2004). 6.0 Review of Acheson Report: The Acheson report was published in 1998 from then it has been considered as the corner stone for tackling health inequalities. This independent scientific review considered the developments over the 20 years and identified some possible policy developments to address health inequalities. The report showed the data with increasing gap between social groups, in early 1970s, the mortality rate among the men of the working age was almost twice as high as for those working in social class V (unskilled) as for those in social class I (professional). By the earlier 1990s, it was almost three times higher. This resulted in the consideration of this increasing gap needed action upstream as well as downstream in other words from outside the NHS, as well as within it. The report also addressed that social determinants affect peoples health across their lives; the early years are a particularly important stage of life, where poor socio-economic circumstances have long lasting effects. Consequently, it gave priority to policies and interventions with the potential to reduce inequalities in access to the determinants of good health among parents, particularly present and future mothers, and children. It suggested almost 39 recommendations (Appendix I) which focus around the 4 major themes: The social determinants of health, such as poverty and income, education, employment, environment and housing The life course, including lifestyle factors such as smoking, nutrition and alcohol consumption Other dimensions of health inequalities beyond socio-economic status namely ethnicity, gender and age Measures to improve the effectiveness of the NHSs systems of care, not least in terms of resources and access to services. The report gave high priority to mothers, children and families. Tackling health inequalities is a complex and long-term challenge, requiring action across the layers which influence the health. The relationship between these layers is shown below in Fig. 1 (an updated version of the Dahlgren and Whitehead diagram that appeared in the Acheson report). Fig. 1 The main determinants of health: Source: Barton and Grant (2006) adaptation of Dahlgren and Whitehead (1991) from UN Economic Commission for Europe (2007) Resource Manual to Support Application of the Protocol on Strategic Environment Assessment. 7.0 National Health Inequalities Strategy, Programme for Action: The national health inequalities target was set in 2001 the aim was to reduce the health outcomes in infant and the overall increase in life expectancy by 2010. The national health inequalities strategy programme for action was built on the board front set out in Acheson, which focused on the importance of the working across government and in partnership both with other service providers and with the local communities (DH, 2003). Four themes of the programme for action: supporting families, mothers and children reflecting the high priority given to them in the Acheson report engaging communities and individuals strengthening capacity to tackle local problems and pools of deprivation, alongside national programmes to address the needs of local communities and socially excluded groups preventing illness and providing effective treatment and care by means of tobacco policies, improvements in primary care and tackling the big killers coronary heart disease (CHD) and cancer addressing the underlying social determinants of health emphasising the need for concerted action across government at national and local levels up to and beyond the 2010 target date. Annual status report has to be published throughout the lifetime of strategy, these developments were monitored against the NHS to the wider determinants of health (reflecting Achesons proposal for action on broad front), and 82 departmental commitments (DH, 2003) These Annual status reports showed the improvement in health in real terms across all social groups, against a range of indicators including life expectancy, infant mortality, cardiovascular disease and cancer, and reported on developments against the cross-departmental commitments (DH, 2010). 8.0 Role of the NHS in tackling health inequalities: As NHS is the key player in tackling health inequalities target set in 2001- By 2010 to reduce the inequalities in health outcomes by 10% as measured by the infant mortality and life expectancy at birth. 8.1 Life expectancy- The life expectancy gap between the areas with lowest life expectancy and the national average is caused principally by premature deaths from cancer, circulatory diseases and respiratory diseases with smaller effects from suicide and violence in men. The over 50s contribute 79% of the gap in women and 70% of the gap in men. It follows that the priorities for NHS action which will have the greatest impact on narrowing the gap are: addressing cancer and circulatory diseases within manual social groups because these major killers exhibit strong social class gradients. Improving the life expectancy of the over 50s high quality care in disadvantaged areas, especially primary care. Key areas of interventions to narrow the gap in life expectancy are: reducing smoking, prevention and effective management of other risk factors in primary care, targeting over-50s, and working pro-actively with partners on issues affecting life expectancy. 8.2 Infant mortality- Deaths under one year of age total about 3,000 per year. The two major causes of neonatal deaths are immaturity related conditions and congenital malformations and both show a strong social class gradient. The social class gradient is greater for post-neonatal deaths. Just under 50% of all post-neonatal deaths are accounted for by two causes: signs, symptoms and ill-defined conditions (predominantly SIDS) and congenital anomalies. The underlying determinants of mortality and ill-health in infants include: low birth weight maternal smoking (smoking during pregnancy) paternal smoking maternal anthropometry/nutritional status failure to breast feed quality and quantity of health care maternal age the physical environment (housing condition) the family and social environment Key areas for interventions to narrow the gap in infant mortality are: reducing smoking in pregnancy, improving nutrition in women, reducing teenage pregnancy, increasing breast-feeding, effective ante-natal care, improving the quality of midwifery, obstetric and neonatal services and high quality family support. The NHS set to improve the action to address health inequalities (Appendix II): Raise the profile of health inequalities and focusing on results Making it clear it is not good enough to achieve top line targets at the expense of widening inequalities Make health inequalities an integral part of planning, commissioning and delivery Promote Health Equity Audit, Local Delivery Plan and its impact on the health inequalities. Partnership working and influencing partners to tackle the wider determinants of health and health inequalities Progress must be measured Use of the Health Care Standards and their underpinning criteria. The WHO guiding principle, that the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being, was reiterated in the 1998 World Health Declaration (Hilary G., 2004). The report on health profile of England 2009 states there are improvements in number of critical areas eg. Decrease in mortality rates, increase in life expectancy and further reduction in infant and perinatal mortality (DH, 2010). These achievements can be defined as much achieved more to do'(DH, 2009). Now the NHS is focusing to be the World Class NHS whom services will be (Darzi L., 2007)- Fair Personalized Effective Safe Over recent years health inequalities have increasingly featured as an NHS priority. This has been evident in their incorporation into other Public Service Agreement health targets, and the findings of the Wanless report noted the association between lower socio-economic status and poor health outcomes, and the cost consequences for the NHS (Wanless D., 2004). The contribution of the NHS to the 2010 target was recognized in the Treasury-led cross cutting review (DH, 2002). This review considered the implications of the Acheson report for departments across government and the NHS. It identified NHS interventions as more likely than other interventions to help deliver the short-term target through reducing smoking in manual groups and preventing and managing other risk factors for coronary heart disease and cancer, but it recognised that the social determinants were crucial for a long-term sustainable reduction in health inequalities. 9.0 Discussion: The Black Report concluded that inequalities in early 1980s were not mainly attributable to failings in the NHS, but rather to many other social inequalities influencing health: income, education, housing, diet, employment, and conditions of work. Then Black Report recommended a wide strategy of social policy measures to combat inequalities in health. After 10 years of Black report the social class differences in mortality were still increasing, after this there were many studies undertaken addressing inequalities in health'(Smith et al 1990). Then Acheson report was published in 1998 an independent scientific review of the inequalities in health, and in 2001 the national targets for tackling inequalities in health were set in which Department of Health and NHS played a key role the success can be stated as the much achieved more to do (DH, 2009). The Marmot review recommends action on health inequalities requires action across all the social determinants of health and needs to invol ve all central and local government departments as well as the third and private sectors. Action taken by the Department of Health and the NHS alone will not reduce health inequalities (Marmot, 2010). 10.0 Conclusion: The above study shows the NHS had played a key role in tackling health inequalities along with the Department of Health over the past decade. This resulted in the highest life expectancy ever in UK and gradual decrease in the infant mortality. Overall development in past decade is shown in Appendix III, which shows factors such as employment, housing conditions, educational achievement, crime and child poverty without which the overall improvement in the health inequalities is not possible. The role of NHS in tackling health inequalities have also improved the overall performance of the NHS itself in and made the NHS a World Class NHS visioning fair, personalized, effective and safe services ahead.