U.S. health care system Essay Example for Free

U.S. health care system Essay It is desirable to learn lessons from abroad, but well noted that it would be impossible to simply transfer policies from one country to the other. There is no such thing as a perfect finance model. There are many calls to move towards contemporary American free insurance and service market system6. It is argued that if there is no competition, the consumer will continue to be poorly served and second-class treatment will remain. However, many responses listed out the sophisticated problems that have arisen from the American healthcare system. Patient Choice One of the important justifications of the system in the US is greater patient choice. Under the concept of â€Å"money following the patient†, patients would not be constrained by cost considerations when choosing services between private sector providers and public sector providers6. Americans are free in the selection of doctors, standards of services as well as service providers. From the experience of the US, voluntary private insurance permits doctors to offer more expensive services beyond the basic provision. Patients are required to pay out-of-pocket for any extra charges. This kind of rigid payment system actually constrains rather than expands freedom of choice of patients6. Patient choice is expensive and thus is more likely to be restricted, especially when there is cost containment. It is the situation in the US that one of the main functions of HMOs was to introduce a gate-keeping role for GPs and limit the wide choices of specialists inherent in the traditional insurance mechanism11. Efficiency With free choice and free market, people have the incentive for enjoying maximum services and claiming full benefits offered by the insurance scheme. It leads to a demand side moral hazard problem for over-consumption of services which causes market inefficie ncy12. Under the insurance market, hospitals are economic agents that aim at maximizing profits and it will create the supply side moral hazard for over-provision of services. Besides, many patients and providers in the US experience many problems with care co-ordination12. In order to prevent abuses and malpractice, mechanisms for checking and auditing would be necessary, which in turn leads to huge administration costs in the US system. Single-payer models in health insurance encourage cooperation and overcome the problem of inefficiency. The main advantage of single-payer system is that one can enjoy universal coverage at a lower cost than is  attained by pluralistic funding approaches. It avoids adverse risk selection and ensures that no one is uninsurable Equity The level of premiumand co-payment would have great impact to equity of the system. The costs of treating uninsured as free care must be absorbed by the insured via cost shifting, higher premiums or taxes39. If the level of payment becomes heavy burdens to lower income group, it creates disincentives for this group to use the system even they experience genuine needs. Due to this marginalization and exclusion, the premium contributed by the lower income group will indirectly subsidize the services consumed by the high income group. The injustice so created makes worse to the equity in access

Comparing the Role of Women in Indian Camp and Shiloh Essay -- compari

Role of Women in Indian Camp and Shiloh  Ã‚     Ã‚  Ã‚   The women of "Indian Camp" experience a life much different from the woman in "Shiloh." Ernest Hemingway wrote "Indian Camp" giving the women a definite role in their families while Bobbi Ann Mason wrote "Shiloh" leaving the woman’s definite family role ambiguous. Because they are responsible for the birth of the babies, the Native American women of the preceding story are the nurturers as opposed to the men. The women accept their roles and partake in their duties without any protest. On the other hand, Norma Jean’s role is not as traditional compared to the other women’s since she and Leroy have no children, she basically lives alone, and she maintains a job. While the Native American women and Norma Jean live different lives, they share the same problem of enduring the men’s ignorance to their needs. However, as the story progresses, Norma Jean realizes she wants to move on in her life, so she does not accept her situation. The Native Ameri can women continue their lifestyle not because they choose to be submissive, but because they know no other way. The women of the two stories lead totally different lives in that the Native American women accept their situation, assume submissive behavior, and endure the ignorance of men, while Norma Jean does not accept her situation, assumes assertive behavior, and does not put up with the ignorance of her husband. Not being exposed to Norma Jean’s independent way of life, the Native American women accept their lives of nurturing and care taking. The doctor’s visit to the Indian camp shows only women helping with the delivery of the baby. As they help the doctor, the men sit up the road away from all the commotion. No signs of resent... ...ver the period of his absence, Norma Jean develops into a stronger person from being on her own. Having Leroy home makes her realize she needs to move on and employs her assertiveness to get out of the situation. Although they remain loyal to their duties through all of the drudgery, the Native American women are strong because they lead a very important role in the family. Norma Jean also proves herself to be strong as she leaves her husband to move on to achieve more in her life. The women share different experiences, but they all exhibit strength in being the way they want to be. Works Cited Hemingway, Ernest. "Indian Camp." In Out Time. New York, Scribner’s, 1955. 16,17. Mason, Bobbi Ann. "Shiloh." Literature: An Introduction to Fiction, Poetry, and Drama. Sixth edition. Eds. X.J. Kennedy and Dana Gioia. New York: Harper Collins, 1995. 495, 496, 500. Comparing the Role of Women in Indian Camp and Shiloh Essay -- compari Role of Women in Indian Camp and Shiloh  Ã‚     Ã‚  Ã‚   The women of "Indian Camp" experience a life much different from the woman in "Shiloh." Ernest Hemingway wrote "Indian Camp" giving the women a definite role in their families while Bobbi Ann Mason wrote "Shiloh" leaving the woman’s definite family role ambiguous. Because they are responsible for the birth of the babies, the Native American women of the preceding story are the nurturers as opposed to the men. The women accept their roles and partake in their duties without any protest. On the other hand, Norma Jean’s role is not as traditional compared to the other women’s since she and Leroy have no children, she basically lives alone, and she maintains a job. While the Native American women and Norma Jean live different lives, they share the same problem of enduring the men’s ignorance to their needs. However, as the story progresses, Norma Jean realizes she wants to move on in her life, so she does not accept her situation. The Native Ameri can women continue their lifestyle not because they choose to be submissive, but because they know no other way. The women of the two stories lead totally different lives in that the Native American women accept their situation, assume submissive behavior, and endure the ignorance of men, while Norma Jean does not accept her situation, assumes assertive behavior, and does not put up with the ignorance of her husband. Not being exposed to Norma Jean’s independent way of life, the Native American women accept their lives of nurturing and care taking. The doctor’s visit to the Indian camp shows only women helping with the delivery of the baby. As they help the doctor, the men sit up the road away from all the commotion. No signs of resent... ...ver the period of his absence, Norma Jean develops into a stronger person from being on her own. Having Leroy home makes her realize she needs to move on and employs her assertiveness to get out of the situation. Although they remain loyal to their duties through all of the drudgery, the Native American women are strong because they lead a very important role in the family. Norma Jean also proves herself to be strong as she leaves her husband to move on to achieve more in her life. The women share different experiences, but they all exhibit strength in being the way they want to be. Works Cited Hemingway, Ernest. "Indian Camp." In Out Time. New York, Scribner’s, 1955. 16,17. Mason, Bobbi Ann. "Shiloh." Literature: An Introduction to Fiction, Poetry, and Drama. Sixth edition. Eds. X.J. Kennedy and Dana Gioia. New York: Harper Collins, 1995. 495, 496, 500.

Job Evaluation at Whole Foods Market Essay

Introduction The goal of any company is to attract and retain employees who share their core values. Whole Foods Core Values include selling the highest quality natural and organic products, satisfying and delighting customers, supporting their Team Members (Whole Food Employees) happiness and growth, creating wealth through profits and growth, caring about the communities and our environment, creating win-win partnerships with their suppliers and promoting the health of their stakeholders through healthy eating education. I will take these core values and apply them to the job analysis and prepared job descriptions when determining the job structure at Whole Foods. Evaluation of Jobs and Job Structure In looking at the job descriptions provided in the case study, I was able to assign job titles in the following manner: Job A- Prepared Foods Team Member Job B- Customer Service Team Member Job C- Prepared Foods Department Team Leader Job D- Prepared Foods Supervisor Job E- Dishwasher Job F-Customer Service Front End Supervisor Job G- Prepared Foods Associate Team Leader Job H- Associate Store Team Leader Job I-Grocery Retail Team Member The job structure that I came up with put the above jobs into two categories: Managerial and Store Support. In the Managerial structure I would place Job C, Job D, Job F, Job G and Job H. In the Store Support I would place Job A, Job B, Job E, and Job I. Process, Techniques and Factors The Job evaluation technique I used in my case study is the job ranking method. My reason for choosing this technique was simple. While looking at the Whole Foods website and their career paths page, the job opportunities  in each store appeared to be hierarchal in nature. While Whole Foods itself is quite a large corporation, per the information on the company website; there are less than thirty different job classifications. While this is the simplest method of job evaluation, Whole Foods themselves have placed the jobs in order, ranging from the highest, Store Team Leaders, Facility Team Leaders, Regional Presidents, and Presidents at the top and Team Members or Specialized Team Members at the lowest or entry level. The compensable factors that I used in determining these job rankings based on the job descriptions provided: job responsibility, skill, knowledge and ability. While Whole Foods does have various departments in their stores, with distinct job requirements, these types of jobs can be grouped into one classification and put into a predetermined grade. My meaning with this is that a Team Member in Bakery has the basic skills and knowledge as a Team Member in Meat. The respsonabilities may be different, bakery versus meat, but at Whole Foods the responsibilities and qualifications are the same. Excellent customer service and maintaining the departments that they are working are a few that come to mind. As Whole Foods is a team focused working environment, placing more value on one job versus another goes against their core values. Of course there will be different pay scales based on the person’s position in the hierarchy; it is not something that makes one person more important than another. Per their own company website, â€Å"Whole Foods seek individuals who believe in their mission of Whole Foods, Whole Foods, Whole People, Whole Planet-people who are enthusiastic about food and our products, and who want to join a culture of shared fate† (Whole FoodsMarket.com). Therefore, individuals who work for Whole Food realize they are valued and with the training and development programs that are offered, a person can promote to a higher level with the experience, knowledge and skills they have obtained in their positions. Evaluation of Job Descriptions The job descriptions in this case study could use more structure. I found it very difficult to decipher some of the information within the job description. Even after going to the WholeFoodsMarket.com website to compare, I had difficulty giving a job title to some of the descriptions. While the job descriptions themselves did have most of the information  needed to help a person place a job title with the description, they could have been better written. These job descriptions did not give a very general position overview which would have been helpful. For example, for Job A, the position overview could have listed some of the tasks the job has. The following is taken from the Prepared Foods Team Member position description under the position overview: â€Å"Performs in the Prepared Food Department all of the following tasks: preparation, counter service, sanitation and stocking of products. Maintains a positive company image by providing courteous, friendly, and efficient Custome r Service. Supports team leader and regional coordinator in training and maintaining regional standards†. (WholeFoodsMarket.com) Instead of listing all of the job duties under â€Å"Kind of Work†, listing them out in a responsibilities section would have made it much easier for the reader. The requirements sections were sufficient. Listing out the reporting structure for each position also would have been helpful. All the information that was listed in the job descriptions I used to compare to the actual job descriptions on the Whole Foods Market website; it was just a difficult process without a better layout. The knowledge, skills and abilities needed for each job should have been listed in its own section for a proper job description. Having had these, it would have been a much smoother process in assigning job titles. Conclusion As this is my first attempt at assigning job titles and job structure, I found it to be a difficult process. When you do not have the best job descriptions available to you, or the opportunity to job shadow a person in the position, the realization that a lot of work needs to be done on the front end. It starts by collecting and summarizing all the job information for each position at a company. By having all the possible information needed to complete a proper job description, a compensation specialist can properly determine the value of the job, assess the relative value of the job and place it in a job structure that is clear and concise to all stakeholders. (Milovic, Newman and Gearhart) This case study showed me what happens when things are not done properly in the beginning. References http://www.wholefoodsmarket.com/. Whole Foods Market http://www.wholefoodsmarket.com/values/corevalues.php. Whole Foods Market core values http://www.wholefoodsmarket.com/careers/index.php. Whole Foods Marker careers Milkovich, Newman and Gerhart. Compensation, 10th Edition

Summary of the Book Hunger of Memory and Response to It.

Public or Private: Why not both? There exists in the majority of people a schism between their public lives and their private lives. People should desire to have their public selves match their private selves as closely as possible. A rift between the two causes nothing but pain and suffering for everyone around those people and places a heavy burden on the spirit of the ones responsible. Trust and honesty are essential to our society and the truth should be complimentary, not earned. Richard Rodriguez, a writer and public speaker, expertly illustrates his own experience with this type of double life in his autobiography, Hunger of Memory. In the last section of Hunger of Memory Mr. Secrets, Rodriguez paints an intimate†¦show more content†¦Later, Rodriguezs mother asks what Psychiatry is. His answer involves Freud, analysis, and clinically trained listeners to which she replies, You mean that people tell a psychiatrist about their personal lives? (183). Would that be so bad? The key to being completely open and honest is to not have any regrets. Since the past can not be undone, no good can come from regret, people need only to learn from it and move on. If nothing is regretted then no secrets are necessary and honesty comes naturally. This simple idea, commonly practiced, can literally change the world. Rodriguez goes on to say, There are things so deeply personal that they can be revealed only to strangers (185). Why is that? Why is it often easier to speak of personal things with complete strangers? Perhaps Rodriguez believes that strangers do not know him well enough to judge him, and should a judgment come regardless, he does not know them well enough to care. That seems likely. However, this implies that he believes those close to him will judge him and that he is self-conscious enough to care. Is it any wonder that Rodriguez has adopted the same insecure and secretive attitude of his mother? Thus, the cycle continues. If Rodriguez would only let go of his regrets, he could get over his perceived loss and draw his family and friends a closer than they have ever been before. In Hunger of Memory, the chapterShow MoreRelatedHunger Of Memory By Richard Rodriquez1268 Words   |  6 PagesAmerican soil. Anything from racial discrimination or bias at work, in neighborhoods, at school, etc., can all be challenges that people encounter when making a move to the U.S. Such challenges are described by Richard Rodriquez in his autobiography Hunger of Memory. In this passage, he explains how cultural differences between Mexican and American ways of life have shaped him into the person that he is today. 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