Intelligence and the Misconception/Wonder of Learning free essay sample

I just got my SAT tests scores back and I have a remark: I am not my grade. My 1500 score absolutely doesn't coordinate my knowledge or self-esteem. In any case, before I used to believe that. I used to state, â€Å"Boy, on the off chance that I get a 2200, I should be brilliant. Everyone would take a gander at me and state ‘Wow Chukie. Your above everybody’. Since I am astute, I ought to get a high score.† I’ve understood that my insight lies in so a lot different things, as opposed to a national score that chooses your school acknowledgment. I feel numerous individuals despite everything accept that a high-test score implies that you are shrewd. I trust it is on the off chance that you can utilize the things you learned in your day by day life. School is excessively centered around test score after grade. I still just get passing marks, and I additionally learn something other than what the educator says. We will compose a custom article test on Insight and the Misconception/Wonder of Learning or on the other hand any comparable subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Tests scores won't be in your every day life when you grow up. Applying your insight is what’s key. School should concentrate on hands on learning with course reading learning, so what the understudies realize can spring up. Individuals should simply take an entire year to find themselves, and escape from all the government sanctioned tests and An and B grades. Visit a farm or a backwoods and find what’s around you. Investigate the city and simply observe how the city functions. Visit a historical center or library. Peruse all the books in the library. Sometime they will locate their self-esteem. Life is unquestionably not about realities; it is about the miracles of learning.

Supply Chain Management Essay Example | Topics and Well Written Essays - 500 words

Gracefully Chain Management - Essay Example Worth creation through worldwide gracefully chain the board is accomplished through vital coordination of all individuals from the flexibly chain under the degree data trade and comprehension of the changing worldwide buyer (Flint, 2004). As per McAdam and McCormick (2004) esteem creation happens when associations grow better approaches for better tending to the customers’ needs and consumer loyalty; the gracefully chain which goes about as a wellspring of data can expand esteem creation. Particularly on account of worldwide flexibly chains, viable administration of the progression of procedures and capacities demonstrates a superior coordination of assets (counting realizing), which thusly give the possibilities to collecting more noteworthy data on the worldwide commercial centers. Given that worldwide markets are supported by various societies, various establishments and various structures, the board of the worldwide gracefully chain turns into the most significant device f or viable activities. Worth creation is in this manner accomplished through worldwide gracefully chain the board through more noteworthy cooperative energies and joining of the flexibly chain accomplices in correspondence and data trade, which permit quicker reaction to the worldwide changes in purchaser conduct.

Pesticides Essays (522 words) - Pesticides, Soil Contamination

Using Research Paper Websites and E-Books

Using Research Paper Websites and E-BooksGetting a research paper website and research paper e-book to market is an excellent way to start your marketing campaigns. If you think of the term 'research paper' as writing a research paper for a class, it can also be used to describe website marketing campaigns. Writing a research paper will provide you with a means to gain knowledge and understanding about the products that you are interested in or selling.You should remember that once the data collection is complete, you have no more to do. It is as simple as compiling the relevant results and writing an overview article on the internet. The most important thing to do is to make the writing process as simple as possible. A research paper website and e-book can take some time to build up, so don't get too hung up on the details.The first step to starting a research paper website and e-book is to decide what the niche is that you want to write about. Although there are many different nich es that you can choose from, some research papers are easier to write about than others, so it's good to narrow down your selection before you begin.The next step is to create an outline for your research paper and e-book. Many people struggle to write an outline at first because they don't know where to start. However, once you understand how the outline should look like, you can plan out the rest of the writing process.In order to get traffic to your research paper website and e-book, you need to make sure that you have effective techniques to advertise your site. You may want to consider using search engine optimization techniques, blogging, press releases, etc.Another way that you can use in order to drive traffic to your website is to make sure that your keywords are being used correctly. Many people make the mistake of selecting the wrong keywords and placing them in their articles. The key is to make sure that you use the right keywords, and not the ones that you don't intend to be used.Starting a research paper website and e-book requires a little bit of time and patience. Be sure to try and write a little bit every day until you reach your goal. Remember, research paper websites and e-books are generally viewed by non-professionals, so the more information you present to them, the more chances that they're going to read your work.

The Cognitive Behavioural Approach to Counselling Therapy.

The cognitive behavioural approach to counselling therapy. The cognitive behavioural approach to counselling therapy. Participant observation How do we really find out about the way of life of a group of people? One way is to join them – to participate in their daily activities amp; observe what they say and do. This research method is known as participant observation. It was used by John Howard Griffin (1960) a white journalist who dyed his skin black in order to discover what it was like to live as black man in the southern states of America in the late 1950’s. It was used by the anthropologist Bronislaw Malinowski who spent many years studying the Trobriand Islanders of New Guinea. He observed the most intimate details of†¦show more content†¦This happened in Judith Okely’s (1983) study of traveller-gypsies. Entry was a long and difficult process until she gained the friendship and trust of a family who had recently suffered a tragic death. The sympathetic and understanding relationship she developed with members of this family provided entry to rest of the group. Conducting research Looking and listening Participant observation involves looking and listening. The general rule is to ‘go with the flow’ rather than forcing the pace and influencing peoples behaviour. Since the aim is to observe people in their normal setting, the research must not disturb that setting. Blending into the background is usually recommended, though this is not always possible. For example, a participant observer in a classroom can stand out like a sore thumb. This can result in an ‘artificial’ lesson. However, its surprising how soon he or she becomes invisible and taken for granted. In his study of a secondary school, Walford (1933) found that it took four weeks of observation before any class misbehaved. However, the situation changed rapidly after this time and Walford was soon watching ‘mock wrestling’ and chairs flying around the classroom! Asking Questions Watching and listening are not always adequate for the researcher’s purposes. Sometimes a participant observer must take a more active role in order to obtain information. This usually involves asking questions. In such cases, the diving lineShow MoreRelatedcounselling theory essay1690 Words   |  7 Pagesï » ¿Unit 2: Introduction to Counselling Skills Theories Theory Essay Written Introduction In this essay I will describe key elements of Psychodynamic theory, Person-Centred theory and Cognitive-Behavioural theory. I will also identify the key differences between the above theories. I shall also describe how counselling theory underpins the use of counselling skills in practise. I will then end with my conclusion. 1.1 Key elements of psychodynamic theory Dr Sigmud Freud (1856-1939), isRead Moreâ€Å"Compare and Contrast the Different Ways the Person-Centred and Cognitive- Behavioural Approaches to Counselling Understand and Make Use of the Counselling Relationship†1559 Words   |  7 Pagesperson-centred and cognitive- behavioural approaches to counselling understand and make use of the counselling relationship†    This essay is written to compare the counselling relationship in person-centred and cognitive-behavioural counselling by outlining both the theory and practice of the counselling relationship. This will be done by outlining the theory of the counselling relationships and the theory in practice. Both person-centred and cognitive-behavioural counselling are widely recognisedRead MoreBriefly Outline the Key Features of a Cognitive-Behavioural Approach to Counselling1478 Words   |  6 Pagesoutline the key features of a cognitive-behavioural approach to counselling and discuss some of the ways in which this approach differs from one of the other main approaches to counselling. In part two reflect on and write about which of the two approaches discussed in your essay you prefer and why. This essay will explain key aspects of a cognitive-behavioural approach to counselling. Revealing how this method of counselling differs from the psychodynamic approach, and demonstrating my preferredRead MoreThe Applications Of Motivational Interviewing And Cognitive Behavioral Therapy977 Words   |  4 Pagesof motivational interviewing and cognitive behavioural therapy for individuals with unhealthy substance use disorders encompass a diversity of interventions that accentuate diverse targets. Miller and Rolnick (1991), defined motivational interviewing as a ‘directive, client-centred counselling style for eliciting behaviour change by helping clients to explore and resolve ambivalence’. As McHugh, Hearon and Otto (2010), characterizes cognitive behavioural therapy as ‘heterogeneous treatment elements†¦Read MoreUnderstand Different Approaches to the Use of Counselling Skills1546 Words   |  7 PagesUnderstand Different Approaches to the use of Counselli ng Skills Introduction I am writing about the different approaches used in counselling skills such as Humanistic Approach and Cognitive Behavioural Therapy Approach. I will be discussing the key concepts in each approach and contrast both approaches. While Maslow was more of a theorist, Carl Rogers was more of a therapist. His professional goal was more on helping people change and improve their lives. He was a true follower ofRead MoreNutrition Counseling : The Process Of Guiding A Client Toward A Healthy Nutrition Lifestyle1396 Words   |  6 PagesNutrition counselling can be defined as â€Å"the process of guiding a client toward a healthy nutrition lifestyle by meeting normal nutritional needs and solving problems that are barriers to change†. To change food habits effectively, nutrition counsellors work with clients to alter behaviours influenced by different social, ethnic, emotional and biological factors. It was once thought that by simply handing out diets and facts to clients that nutrition professionals could change food behaviours. TheRead MoreComparing and Contrasting Three of the Main Counselling Approaches777 Words   |  4 Pages Three of the main forms of counselling can sometimes be confusing. In this article I hope to unravel and clarify some of the mystery surrounding these three types of counselling approaches by means of comparing and contrasting with reference to their differing theoretical rationale, therapeutic interventions and processes of change. The Person Centred Approach (Originator: Karl Rogers 1902 – 1987) focuses on the belief that we are all born with an innate ability for psychological growth ifRead Moremodels and approaches relate to client need, therapeutic context and aims and objectives of the therapy.1106 Words   |  5 Pagesï » ¿Through analysis and evaluation of models and approaches within counselling and psychotherapy therapeutic delivery, explain how models and approaches relate to client need, therapeutic context and aims and objectives of the therapy. Psychotherapists will be educated in various different models and whether they are approaching a client through the concept of observing external behaviours, the Behaviourist approach for example in which a therapist will look to condition new behaviours, or throughRead MoreCompare and Contrast How the Cognitive-Behavioural and Person-Centred Models of Counselling Understand the Person, and How These Two Approaches Explain the Psychological Distress Experienced by Individuals. in Part 2,1559 Words   |  7 Pagesand contrast how the cognitive-behavioural and person-centred models of counselling understand the person, and how these two approaches explain the psychological distress experienced by individuals. In Part 2, reflect on and write about which of the two models appeals most to you and why. In this assignment I will describe and explain how the cognitive-behavioural approach to counselling reflects behaviour as learned. I will explore how the cognitive-behavioural approach describes dysfunctionalRead MorePsychological Approaches : Behaviorism, Cognitive And Humanistic Approach1659 Words   |  7 Pagespsychological approaches; behaviourism, cognitive and humanistic. Three psychological approaches will be discussed in this essay, it will analyse the strengths and limitations of each the humanistic, cognitive and the humanistic approach. This essay will consider the contributions made to therapies in the modern life; evaluate how valid the methodology is using case studies to back up these theories and how they contribute to each other to becoming an approach. The behaviourist psychologists emphasise

The Twelfth Night - Development of Themes - 889 Words

‘Analyse how the writer develops a significant idea or theme in an extended txt you have studied.’ Many say William Shakespeare is the most influential writer in all of English literature with works hailed by Elizabeth I, James I and literary luminaries such as Ben Jonson. Shakespeare wrote the critically acclaimed Twelfth Night in 1601 during the middle of his career. This play incorporates illusion, deception, disguises, madness and shows the extraordinary things that love with cause us to do. Shakespeare cleverly develops the theme of ‘love as a cause of suffering’ through language techniques, motifs such as Madness and disguise and through the idea of superficial love. Twelfth Night is classified as a romantic comedy as romantic†¦show more content†¦Orsino is a very interesting character in twelfth night. Shakespeare describes him as a very emotional yet self-indulgent count who persists in his belief that he is in love with Olivia. The type of love Orsino has for Olivia is called superficial love, a love that is without depth. We see this as not true love but merely Orsino adoring the idea of love within his imagination. Shakespeare illuminates this as impossible love through Olivia’s dialogue, â€Å" Get you to your lord; I cannot love him; let him send no more.† Olivia knows Orsino loves her but she chooses not to accept it because she is mourning her brother’s death. Shakespeare also helps the reader to see that Olivia may fear that Orsino’s love is not constant but his love for her is a dream. Shakespeare shows that love causes suffering because love in this situation has been exclusionary due to the reject ion of superficial love so readers can vividly see that Orsino is left with a sense of pain and suffering. Shakespeare is an expert in the field when his comes to the development of themes in English literature. In Twelfth Night he develops the idea of ‘Love as a cause of pain’ through techniques such as negative connotations. His development also includes the ideas of madness, superficial love and the art of disguise. The collaboration of these language features makes one amazing extended text, which is hailed by many to be one of Shakespeare’s mostShow MoreRelatedThe Twelfth Night: A Happy Ending? Essay1501 Words   |  7 Pagesdegree of expectation with the genre of comedy that despite whatever difficulties appear within the play, by the end these will be resolved and the play will have a traditional happy-ending with a marriage or a celebration in the final scene. The â€Å"Twelfth Night† is no exception to this rule. Despite problems of confused identities and sexualities, the play ends with marriage for the major characters because they â€Å"have learne d enough about their own foolishness to accept it wisely, and their reward, asRead More Comparing Mistaken Identity in Merchant of Venice, Comedy Errors, Twelfth Night and As You Like It1115 Words   |  5 PagesErrors, Twelfth Night and As You Like It   Ã‚  The ploy of mistaken identity as a plot device in writing comedies dates back at least to the times of the Greeks and Romans in the writings of Menander and Plautus. Shakespeare borrowed the device they introduced and developed it into a fine art as a means of expressing theme as well as furthering comic relief in his works. Shakespeares artistic development is clearly shown in the four comedies The Merchant of Venice, As You Like It, Twelfth NightRead MoreThemes Of Social Mobility Through Marriage1655 Words   |  7 PagesThis paper critically analyses the theme of social mobility through marriage in Shakespeare’s play ‘Twelfth Night’. In addition, the paper highlights how different characters in the play got into higher social classes or desired to be in higher social classes through marriage. This paper holds that in a highly stratified society such as that presented in the Shakespeare’s play; marriage plays a significant role in in social class mobility. As opposed to some traditional society where marriage wasRead MoreSocial Class In Twelfth Night Essay875 Words   |  4 Pagesclass distinction remains a common theme throughout Shakespeares plays. Shakespearean era society possessed a structured hierarchy of social class, based largely on wealth and nobility. This system influenced social interactions among the population and often guided marriage arrangements. Shakespeare’s commentary on social class, in his comedy Twelfth Night, exposes the divide humorously, by displaying ironic interactions between varying social classes. Twelfth Night places a variety of characters fromRead MorePlot And Action In Twelfth Night By Shakespeare1527 Words   |  7 Pagesplay Twelfth Night, there are a couple of key aspects within the dramaturgy of that play that, to this day, still confuse me. William Shakespeare. And what may those be? Molià ¨re. For starters, in Twelfth Night, there seems to be no unity of time, place, or action. William Shakespeare. Go on. What’s your point? Molià ¨re. My point is that the characters are so unpredictable. They all have their own agendas, each on their own journey of self-discovery. And this episodic structure of Twelfth NightRead MoreWilliam Shakespeare s Twelfth Night1507 Words   |  7 Pages Twelfth Night is a dramatic comedy which revolves around the classic Shakespearean traits of comedy, which are difficult to categorise but generally identifiable in that they often contain dazzling word play, irony, and a greater emphasis on situations than characters. While in many ways the play is a celebration of social upheaval through its characters, the play is very much characteristic to typical conventions seen in Shakespeare’s comedies when it’s identifying features are considered. ByRead MoreWilliam Shakespeare s Twelfth Night1106 Words   |  5 Pagestriangle between the characters. Before movies, people learned about love in literature. Even in the old literature, love was a common theme. In Shakespeare’s play â€Å"Twelfth Night†, different types of love between the characters are investigated. Each of the characters’ relationships play a role in the development of the story. The first and main type of love in â€Å"Twelfth Night is true love. The story’s plot is driven by the complicated love triangle between Orsino, Viola, and Olivia. However, Viola’s loveRead MoreCommon Features of a Shakespeare Comedy1745 Words   |  7 Pagesthat the comedies share certain characteristics, as described below: * Comedy through language: Shakespeare communicated his comedy through language and his comedy plays are peppered with clever word play, metaphors and insults. 1. Love: The theme of love is prevalent in every Shakespeare comedy. Often, we are presented with sets of lovers who, through the course of the play, overcome the obstacles in their relationship and unite. Love in Shakespearean comedy is stronger than the inertia ofRead MoreThe Bittersweet Comedy of Twelfth Night Essay979 Words   |  4 PagesThe Bittersweet Comedy of Twelfth Night Twelfth night is a name commonly given to the Christian feast of the Epiphany which is celebrated on the 6th of January. On this day we remember the coming of the Magi and the taking down of decorations which is a sad occasion for many but also a happy occasion as new times are beginning. Twelfth Night is a romantic comedy, and romantic love is the play’s main focus. Despite the fact that the play offers a happy ending, in Read MoreEssay about Shakespeares Twelfth Night1780 Words   |  8 Pages Shakespeares Twelfth Night A study of William Shakespeares Twelfth Night, showing how Shakespeares choice of form, structure and language shape meaning Wit, andt be thy will, put me into good fooling! Those wits that think they have thee do very oft prove fools; and I that am sure I lack thee may pass for a wise man. For what says Quinapalus? Better a witty fool than a foolish wit. Shakespeares plays were written to be performed to an audience from different social classes and

Problems With Hmos Essay Example For Students

Problems With Hmos Essay Problems With HmosMany employees must designate a health plan through their employer. These days, as HMOs (health maintenance organizations) and managed care plans continue to proliferate, that means a choice between bad and worse. As employees line up in the lunch-room for a process called open enrollment, they may be surprised to learn that managed care rates have gone up ? again. The mirage that managed care is cheaper care is finally fading. And, for the first time in years, employees may also have the promise of free choice in medicine in the form of a new method of financing health care. Consumers are already aware of horror stories involving HMOs, but cheap rates persuaded many that managed care is less expensive. Recent rate hikes are proving otherwise. Many patients must go out of network for crucial care. Co-payments are rising. Its little wonder why. As HMO executive Randall Crenshaw, chief medical officer for Cariten Healthcare of Tennessee, recently told the Wall Street Journal, more managed care patients are becoming frequent fliers; they over utilize health care and drive costs up. The deterioration of managed care stems from a basic economic principle: health care subsidized by government and rationed by bureaucrats is doomed to failure. Canadas socialized medical system, which designates knee replacement an elective, is sending patients scurrying across the border and national health care in the United Kingdom restricts heart transplants to anyone under age 55. Managed care in America is no exception. Congress made health insurance premiums fully tax deductible to employers covering employees health care in 1942. This discouraged individuals from buying insurance for themselves and encouraged employers to offer benefits. Eventually, employees came to regard health care as an entitlement provided by the employer. In 1965, Congress created Medicare. Seniors were forced into the free-for-all of Medicare, personal responsibility was replaced by pat ernalism, and, predictably, unrestricted health care for older Americans lead to frenzy of spending by patients and doctors. Those who had clamored for Medicare argued that, since the state subsidizes seniors medical care, the state ought to pay for everyones health care. In an act of pragmatism, President Nixon proposed the HMO Act, which Congress passed in 1973. The law gave millions of dollars to HMOs, which, until then, had constituted a small portion of the market. HMOs multiplied rapidly with the new federal giveaways. Managed care, now including PPOs, mushroomed. Employers initially perceived managed care plans as cheaper than traditional fee-for-service insurance. Gradually, they stopped offering a choice of health plans, making individual policies more expensive. HMOs penetration of the industry had been subsidized into existence. Government had instituted managed care. Today, while overall quality of patient care remains the best in the world, doctors practice medicine in an increasingly intricate web of rationing and regulations: Physicians are stripped of professional autonomy. As patients wander the maze of managed bureaucracy, costs rise and quality deteriorates. Every American dependent on a third party for health coverage is a potential victim of managed care. And state sponsored management of medicine is growing. Last year, Congress and the President increased regulations on the medical profession with the Kennedy Kassebaum legislat ion. This year, Congress approved the Presidents $24 billion in kiddie care state subsidies. A few politicians (Senotors Kennedy and Wellstone), demand national health care on the grounds that health care is a right. Is health care a right? The Declaration of Independence protects the inalienable right to life, liberty and the pursuit of happiness; it does not guarantee happiness or health care. The right to act in your self-interest and provide necessities for yourself means you have the right to choose. A proper solution adopts and protects this right. Fortunately, Congress has the power to preserve the freedom of choice in medicine: they can vote to expand medical savings accounts (MSAs). Approved for a limited test last year, MSAs are used in conjunction with high deductible insurance. Contributions are tax-deductible and money earns interest; funds may be used to cover medical expenses ? including mental health, vision and dental care ? tax-free. MSAs, offered by Merrill Lynch, Time Insurance and Wells Fargo, among others, allow employees to boost savings. MSAs offer patients an escape from managed care and put the patient in charge. Currently, the MSA option is restricted to a small group o f self-employed, uninsured and small business people and a paltry 390,000 Medicare recipients. Expanding eligibility for MSAs to all Americans will protect what is left of the right to choose. A choice between trying to manage managed care with a plethora of new regulations and government run health care is not a choice, its a death sentence. Congress ought to face the truth about managed care, back off trying to regulate HMOs and give unrestricted free choice in medicine a chance. .u0f5a985b0a76cf6c14633488dc40f5a5 , .u0f5a985b0a76cf6c14633488dc40f5a5 .postImageUrl , .u0f5a985b0a76cf6c14633488dc40f5a5 .centered-text-area { min-height: 80px; position: relative; } .u0f5a985b0a76cf6c14633488dc40f5a5 , .u0f5a985b0a76cf6c14633488dc40f5a5:hover , .u0f5a985b0a76cf6c14633488dc40f5a5:visited , .u0f5a985b0a76cf6c14633488dc40f5a5:active { border:0!important; } .u0f5a985b0a76cf6c14633488dc40f5a5 .clearfix:after { content: ""; display: table; clear: both; } .u0f5a985b0a76cf6c14633488dc40f5a5 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u0f5a985b0a76cf6c14633488dc40f5a5:active , .u0f5a985b0a76cf6c14633488dc40f5a5:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u0f5a985b0a76cf6c14633488dc40f5a5 .centered-text-area { width: 100%; position: relative ; } .u0f5a985b0a76cf6c14633488dc40f5a5 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u0f5a985b0a76cf6c14633488dc40f5a5 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u0f5a985b0a76cf6c14633488dc40f5a5 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u0f5a985b0a76cf6c14633488dc40f5a5:hover .ctaButton { background-color: #34495E!important; } .u0f5a985b0a76cf6c14633488dc40f5a5 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u0f5a985b0a76cf6c14633488dc40f5a5 .u0f5a985b0a76cf6c14633488dc40f5a5-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u0f5a985b0a76cf6c14633488dc40f5a5:after { content: ""; display: block; clear: both; } READ: Salem Witch Trials EssayFour years ago, fears of faceless federal bureaucrats making important medical decisions sunk the Clinton administrations national health insurance initiative. Today, many Americans find their medical decisions are being made by faceless bureaucrats of a different sort. These bureaucrats represent managed care health plans instead of the government. Once celebrated as forward-thinking, super-efficient organizations that would put a needed squeeze on doctor and hospital bills, HMOs and other managed-care plans are enduring a wicked backlash, frequently accused of irresponsible and potentially dangerous penny-pinching at the expense of patients stripp ed of medical options they once took for granted. In 1996, about 60 percent of Americans were enrolled in some sort of managed care health plan (the most common of which are health maintenance organizations, or HMOs, and preferred provider organizations, or PPOs). Thats up from 36 percent in 1992. The increase is due in large part to employers shifting their workers away from the traditional ? an considerably more expensive ? fee-for-service health insurance plans. (About 16 percent of Americans have no health insurance at all.) Candidates in 1998 responded to public furor against managed care with proposals establishing certain patients rights. Both parties are promising action on the issue, but Republicans and Democrats are offering different prescriptions. LegislationBoth parties claim they support the idea of codifying what people should get from their health plans, and polls show that no other action by Congress would be as welcomed by the American people. Driving the debate on the issue is a Democratic proposal that would establish patients rights to: Appeal denials of services and benefits by a health plan to an outside body; Access a specialist when needed; Use doctors outside the plan (for a larger fee); Use emergency services if the symptoms justify alarm, even if the problem proves not to be a genuine emergency; Get an understandable explanation of coverage rules; Sue an employer-sponsored health plan for damages. Senate Republicans killed this plan in October, saying that while they too favor patients rights, the emocratic bill called for too much regulation and would have made HMOs too vulnerable to lawsuits. Democrats vowed to fight for the bill again in 1999. The IndustryAll this comes when the managed care industry is struggling. Many health care plans held their rates at unprofitable levels during a long industry price war in an attempt to grab market share. Now they want to increase their profitability, analysts say. However, they have already reaped the easy savings by squeezing payments to doctors and hospitals. Other ways of saving money ? further reducing hospital stays, restricting patients access to specialists and expensive medical tests, limiting patients choice of physicians ? are ones patients are coming to hate. The Change in Patient CareMost Americans used to have fee-for-service health insurance, where patients can choose their medical service provider and the insurance company pays a percentage of the fees, after a deductible. This creates various financial incentives: for patients, to see a doctor only when absolutely necessary; for doctors, to provide more tests and treatments rather than less. In managed care, patients pay vastly reduced fees to see their primary physician ? but they cant see specialists or other medical service providers without their primary physicians approval. For patients, the financial incentive encourages casual doctor visits for such things as preventive care, but makes it almost impossible to choose medical options not approved by the primary physician. And for doctors, watched over by plan accountants, the incentive encourages minimum tests, referrals and hospitalizations. Both systems have their advantages, and no consensus exists amongmedical researchers ab out whether consumers are being served better or worse in the managed care environment than they were in fee-for-service. .ub8817c0f0400808fa9363f5542504c8e , .ub8817c0f0400808fa9363f5542504c8e .postImageUrl , .ub8817c0f0400808fa9363f5542504c8e .centered-text-area { min-height: 80px; position: relative; } .ub8817c0f0400808fa9363f5542504c8e , .ub8817c0f0400808fa9363f5542504c8e:hover , .ub8817c0f0400808fa9363f5542504c8e:visited , .ub8817c0f0400808fa9363f5542504c8e:active { border:0!important; } .ub8817c0f0400808fa9363f5542504c8e .clearfix:after { content: ""; display: table; clear: both; } .ub8817c0f0400808fa9363f5542504c8e { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ub8817c0f0400808fa9363f5542504c8e:active , .ub8817c0f0400808fa9363f5542504c8e:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ub8817c0f0400808fa9363f5542504c8e .centered-text-area { width: 100%; position: relative ; } .ub8817c0f0400808fa9363f5542504c8e .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ub8817c0f0400808fa9363f5542504c8e .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ub8817c0f0400808fa9363f5542504c8e .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ub8817c0f0400808fa9363f5542504c8e:hover .ctaButton { background-color: #34495E!important; } .ub8817c0f0400808fa9363f5542504c8e .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ub8817c0f0400808fa9363f5542504c8e .ub8817c0f0400808fa9363f5542504c8e-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ub8817c0f0400808fa9363f5542504c8e:after { content: ""; display: block; clear: both; } READ: Child Abuse: Saddest And Most Tragic Problem Today EssayMedicine Essays