Public Involvement Essay Example | Topics and Well Written Essays - 1000 words

Public Involvement - Essay Example A good amount of research has gone into exploring how patients can be incorporated into the Health Care Planning process. The underlying principle of shared decision-making is that professionals and patients exchange information about treatment options and preferences, and through negotiation find solutions to the existing problems. The involvement of patients in healthcare service planning and evaluation is thought to increase accountability to tax-payers, better identify and meet their needs, and broaden the value base underlying evaluation (Gagliardi et al. 2007). A recent government policy in the UK, issued in 1999 and reviewed in 2002, under the title of ‘Patient and Public Involvement in the new NHS’, has stressed the need â€Å"to involve patients, users, carers and the public in health and health services, highlighting the opportunities which the Government’s NHS reforms offer to develop effective patient and public partnership† (HSC 1999/210 p. 2). All over the world an awareness campaign has taken birth to understand the implications of public participation and their impacts. (Anderson et al. 2006). Pollitt (2003) used a quotation from the Organization for Economic Cooperation and Development (OECD) to list some of the motives the governments are trying to employ to enhance the quality of services. It states, â€Å"†¦if service users participate, then surely they will know best what they want?† (Pollitt 2003: p. 100). It is also to escalate the credibility of policy decisions in trying to make the general public feel part of the process. It states, â€Å"This is not just our "political" decision making, it is yours too, because you participated in it† (Pollitt 2003: p. 100). As Farrell (2004) points out, the outcomes of public involvement increases the confidence, understanding and skills of the people who participate. It also

MEDICARE AND MEDICAID Essay Example | Topics and Well Written Essays - 500 words - 2

MEDICARE AND MEDICAID - Essay Example a preparation for large scale roll out of the reforms, the Centre for Medicare and Medicaid services as well as the Childrens Health Insurance Program were launched to test the models (Guterman et al 2010). According to Stevens (2003), providing incentives for health care providers will create a financial interest for health care providers, thus motivating them to provide efficient and high quality care. The patients on the other hand will enjoy the benefit of access to high quality care services at a low cost. This will play a major role in improving the overall health of the society. Coordination of care across different settings and providers enables efficient provision of medical care. This is because providers can be able to access vital data relating to the patient and the clients medical history hence providing a more comprehensive care to the client (Riegelman & Kirkwood 2015). This also informs the provider of the types of medication that the patient s allergic to enabling them to make proper prescriptions. Inefficiency and wastefulness in the U.S. government are uncontrolled. The national government does an excess of things that would be been exceptional if done by people or organizations in the private sector, or by local governments. Succeeding in taking out waste and controlling government spending requires reducing the size and extent of the role of the government in health care services provision. The general improvement of the health of the citizens ensures that there are reduced instances of health issues and hazards in the society (Publishing 2010). By offering health care providers incentive to provide better health services, the patients will benefit from high quality care hence acquiring maximum returns from the finances used in healthcare (Preker & Langenbrunner 2005). This reform will enable payment of the providers subject to their performance in the provision of quality health care. This will allow providers to offer continued care to

Virtual academy in fuction of Long Life Learning Thesis

Virtual academy in fuction of Long Life Learning - Thesis Example The research holds the concept that the time constraints and place are eliminated in virtual academies. Stacy & Riley, in  "Teaching in Virtual Worlds: Opportunities and Challenges", suggested that virtual worlds play an effective role in learning process as learning environment is generalized rather than contextual. A research by Travis & Price, â€Å"Instructional culture and distance learning†, stated that the use of virtual technologies to deliver courses in education has challenged faculty to examine their culture of teaching and faculty must examine the impact of these technologies on different aspects of coaching. An article by Russel, â€Å"Is Virtual Schooling a Virtual Reality?† identified three categories of virtual schools i.e.  Ã¢â‚¬Å"independent, collaborative  and  broadcast†Ã‚  models. It was also discussed in the study that virtual schools aim at expansion of education facilities to those who cannot go to proper schools and help them to ed ucate themselves while being at home. There are some models too that are used in virtual academies in order to better educate the users.

The Goya Painting Essay Example | Topics and Well Written Essays - 500 words

The Goya Painting - Essay Example The essay "The Goya Painting" explores the painting of Goya. Goya has brought more attention to the central figure whereas the other figures are crouched down and small. The last way that Goya brought attention to the central figure is through light and shadow. The use of light and shadow is very important in that Goya used bright light to bring the central figure to the viewers attention while the other figures and the building are in shadow pushing them into the background. Light and shadow is also used to get the feeling or message of the painting across to the viewer. In this case, the gunmen are darker and dangerous looking because they are in the shadows more. The feeling is that the gunmen have a dark intent and the man in the light is innocent and does not deserve to be in the current circumstance and the light cast on the slaughtered gentleman also creates a feeling that the killing was unnecessary. I feel sad and horrified when viewing Goya’s work because the paining gives me a feeling that any armed conflict between anyone is horrifying and unnecessary. It is clear from this painting that Goya is against war, armed conflict, and, in particular, violence. Goya obviously does not care for violence and the death associated with violence the violence of war. This is clear by the feelings this paining portrays and by the depiction of the gunmen as apposed to those on the opposite side of the guns. The people being shot at look distraught and innocent as show no reason why they should be.

Deer Valley Lodge Project Essay Example for Free

Deer Valley Lodge Project Essay The purpose of this unit 5 individual project is to take into consideration the revamping project associated with Deer Valley Lodge. The ski resort has made plans to add to the already sprawling location and wish to determine whether based on tax and cost information, if the new improvements are of an advantage or a disadvantage to the company as a whole. ? Deer Valley Lodge Deer Valley Lodge is a ski resort that has plans to add five new chairlifts to their site. The costs/interest to the company per chairlift is as follows: †¢Lift Costs $2 Million †¢Preparation of slope and installation costs $1. 3 Million †¢300 additional skiers if built †¢ONLY 40 days a year when the extra room for skiers will be needed. †¢New lifts will cost $500. 00 per day for 200 days †¢Tickets cost $55. 00 per day †¢New lift has an economic life of 20 years The above figures are very important when taking into prospective the planning and implementation of the planning for future extensions. Based on this knowledge, this exercise will call for explanation of the following information in this paper: 1. Assume that the before-tax required rate of return for Deer Valley is 14%. Compute the before-tax NPV of the new lift and advise the managers of Deer Valley about whether adding the lift will be a profitable investment. Show calculations to support your answer. 2. Assume that the after-tax required rate of return for Deer Valley is 8%, the income tax rate is 40%, and the MACRS recovery period is 10 years. Compute the after-tax NPV of the new lift and advise the managers of Deer Valley about whether adding the lift will be a profitable investment. Show calculations to support your answer. 3. What subjective factors would affect the investment decision? Computing Revenue and Cost Based on the previously listed figures it is safe to assume that the below figures will show the appropriate yield given the costs associated with the building of the new lift. Figuring the Incremental revenue and cost is of importance to complete this exercise. Incremental Revenue: $55. 00 per day (X) multiplied by the extra intended tickets which is 300 (X) then multiplied by the intended 40 day usage brings the total revenue cost to 660,000. 00, while Incremental cost is the lift costs of $500/per day multiplied by the total amount of days in service which is 200, which will bring the cost to 100,000. Then you take into prospective the Profit which is the difference of the Incremental revenue and the Incremental costs which in turn is 560,000. If this is the case then it is understood that the before-tax cash flow is as follows: 1. Initial year: 3,300,000 2. Every year after: 560,000 These figures are important when determining the factors that will suggest that the building of the new lift is of the utmost importance. Computing the before-tax NPV of the new lift: Will it be profitable Due to the NPV being a positive number listed in the above calculations it is my belief and will be the advantage of the company in question to go ahead with the project and expect a great return for their efforts.

The Role And Function Of The Declaratory And Constitutive Theories International Law Essay

The Role And Function Of The Declaratory And Constitutive Theories International Law Essay State recognition is one of the most contested topics in the international law. This problem appears to come back on the international agenda and reopens the great debate with the recent unilateral declaration of independence pronounced by Kosovo in 2008. Further attention was gained in August 2008, when Russia and Nicaragua recognized the statehood of breakaway regions of South Ossetia and Abkhazia. The issue of recognition is of immense importance as it usually confirms the states legal existence as well as allows the new entity full political interaction with existing entities. Legal personality indicates that the new entity is capable of possessing international rights and duties, and has the capacity to maintain its rights by bringing international claims.  [1]  Additionally, it acknowledges that a recognized state must obey standards and regulation posted by international law, which in turns secures stable and peaceful international order. State recognition is a subject of a disagreement between two schools; the one in favour of constitutive theory and the one in support of the declaratory theory of statehood.The latter does not require the recognition of other states as long as it has achieved the known required standards to be a person of international law. In contrast, the constitutive theory does require the recognition of a state as sovereign by other states to be a person of international law.  [2]  This essay will explain the role and function of the two theories and their applications in the international community, and attempt to access which one is more functional. Finally it will clarify the difference between the recognition of the state and the recognition of the government. It is commonly understood, the state arises as a legal and political entity when it achieves certain requirements. Criteria for statehood are defined in 1993 Montevideo Convention on Rights and Duties of State (MC).An entity must posses: a permanent population; a defined territory; a government; and a capacity to enter into relation with other countries  [3]  . Conflict already appears with the effective government requirement. For example Shaw claims that this is not a precondition for recognition as an independent state  [4]  In opposition, Dixon argues that condition of effective government must be first satisfied, before an entity can claim to be a state.  [5]  on the subject of the last condition, Crawford for instance, sees capacity to enter into relations with other states as an attribute of an entity which has already reached statehood.  [6]  In addition to the MC, there is also a very great argument that that self-determination should be given more importance than state recognition; according to Raic : Whether a new State is created as a result of devolution, integration, dissolution, or secession, it is submitted that, in principle, in all of these cases, self-determination forms the legitimizing princi ple for the creation of the new State.  [7]   Overall, the presented legal condition for statehood, alongside with political action and certain facts are the basis for the state recognition in the declaratory understanding. It can be deducted that the declaratory theory, is little more in accord with practical realities  [8]  , as is based on natural law with an objective system of law.  [9]  Additionally, the declaratory theory operates on notion of the sovereignty of the state and the associated weakness or non-existence of any central guiding in the international system.  [10]   Declaratory theory maintains that a new entity will obtain capacity in international law not by asset of the permission of other states but by acceptance of the realistic 10092954 situation, which was result of their own effort and political actions. Moreover new state will not have to wait for the procedure of recognition by others.  [11]  Lall and Khemchand argue that appearance of new state and becoming a new subject of international law are instantaneous processes. Becoming aware of that there is no reason for claiming that states become subjects of law only after they have been recognised.  [12]  Similar reasoning is presented in Article 3 of the MC: statehood is free of recognition by the existent states, and an entity can exist even if others dont recognize it.  [13]  In addition, Brownlie claims that, if an entity bears the marks of statehood, other states put themselves at risk legally, if they ignore the basics obligations of state relations  [14]   The Charter of the Organization of American States, speaking about the fundamental rights and duties of state also declares the state is independent of recognition by other states. Pointing out that even before the recognition, state has the right to protect its integrity and independence.  [15]   Undoubtedly, if state meets the conditions for statehood but is not internationally recognized, it has much more difficult position for operating in international system. Nevertheless, it would not seem in law to amount to a decisive argument against statehood itself  [16]   Another strong argument in favor of the declaratory theory is the fact that even though any state does not recognize a new entity, it cannot deny this country legal obligations and duties obligates by international law. Furthermore, it itself is obliged to pursue the rules of law when dealing with such a state. This is clear in relation to Israel- Arab 10092954 relations. Moreover, the recognition from the declaratory point can avoid laps in time, when state is suspended in the legal, political space, and shun illogicality of considering an entity as a state and non-state at the same time. Even though the concept of obtaining the fully legal statehood through achievement of certain conditions seems very simple and logical, it is not as straight forward from situation where all circumstances are not satisfied. Firstly, if the state is perceived as a state hence fulfilment of statehood requirements, declaratory theory must clearly define in legal terms what state is.  [17]  particularly now, when the era of colonies is over, as well peaceful disintegration of massive powers , the existence of the new state is the result of violent breakouts, wars. Fulfilment of basic criteria to become a person of international law is just simple and many other elements need to be considered; elements that are not clearly and fully defined. Secondly, a question arises if the statehood could be obtained when an emerging entity does not posse one of the conditions for statehood, for example territory? This was case of Greece, and Netherlands during II World War. Another instance is lack of effective government, as in the case of the Annexation of Czechoslovakia by Germany in 1939.The situation can be further complicated when there are two governments: operating externally and acknowledged by international community and government within the state. The declaratory theory does not provide answers for those situations. Evidently then, state recognition is very important but is it enough to grant an emerging state a legal personality ? In 1912 Oppenheim famously concluded that: International Law does not say that a State is not in existence as long as it is not 10092954 recognized, but it takes no notice of it before its recognition. Through recognition only and exclusively a State becomes an International Person and a subject of International Law.  [18]   The constitutive theory maintains that it is the act of recognition that creates a new state and awards it with legal personality, not the process by which it actually gained independence. Lauterpacht claims that once the conditions prescribed by international law for statehood have been complied with, there is a duty on the part of existing states to grant recognition .  [19]  However, it must be emphasized that existing states have a full independence and discretion to either accept or reject a new state. This does not have to be supported with incident to conclude that is a very dangerous political tool. For example, the United States did not recognized the Peoples Republic of China and North Korea because they did not want to have any relations with those states. A further disadvantage of this approach, and possibly the most problematic, is the fact that unrecognized states are sustained in legal limbo. From the constitutive reasoning it follows that an unrecognized state does not posses any rights or obligations. This puts other states in danger as states outside the legal regime can act as they wish, without any legal consequences or jeopardy of being punished. Moreover, an interesting question arises what happens when an entity is recognized by one states but its legal position is denied by others. This creates confusion; moreover put forward a question of partial personality?  [20]   Nevertheless, the constitutive theory has some valuable points. For example, in cases when the state becomes exist as a result of unlawful actions such as violence, occupation or more likely the government through unconstitutional procedures, non recognition of such a state significantly questions the legal position of such an entity 10092954 and it is immensely harden to maintain a political existence.  [21]  Moreover, recognition of a new state by international community can increase the chances and, to some extent, cover defects in satisfying the criteria for statehood. Perhaps the safest and exact position when it comes to the constitutive theory has been expressed by Shaw who stated that recognition is constitutive in a political sense, for it marks the new entity out as a state within the international community and is evidence of acceptance of its new political status by the society of nations . This does not imply that the act of recognition is legally constitutive, because rights and duties do not arise as a result of the recognition.  [22]   Moving to the application of those two theories, it is believed that states and international community tend to apply declaratory position. German-Polish Mixed Arbitral Tribunal stated: the recognition of a State is not constitutive but merely declaratory. (à ¢Ã¢â€š ¬Ã‚ ¦) The state exists by itself and the recognition is nothing else than a declaration of this existence, recognized by the State from which it emanates  [23]  The International Court of Justice in the Genocide Convention case clarify that the failure to maintain effective control over territory does not extinguish the legal entity in the eyes of the United Nations.  [24]  Legal requirements for statehood and the declaratory position where further confirmed by Commission of Jurists on The Aaland Islands, appreciate the importance of the recognition of Finland by other states, but called for conditions required for the formation of a sovereign state  [25]   10092954 The case of Israel is disputed, but clearly, even if the Arab countries are rejecting to recognize it, Israel has legal personality and is bound by international law to follow and respect international system. Considering Israel through constitutive theory it would mean that Israel would not be protected and would not have the legal right to defend its territory. even though that the Arab community do not recognize Israel, still have to acknowledge Israel and their legal duties that flow from international treaties that all parties have signed.  [26]   Despite the fact that Constitutive theory has not been formalized in any treaty, it has some applications in the international cases. . The Permanent Court of International Justice, used the premises of the constitutive theory in the Lighthouses case where effectiveness was disregarded for the fiction of continued sovereignty of the Turkish Sultan .  [27]  A second instance was the Morocco case regarding the continued sovereignty of Morocco although under the French Protectorate.  [28]  . Recognition without completion of statehood requirements of territory, population and effective government are present in some cases of former Yugoslavia. Bosnia was unanimously acknowledged by the General Assembly to the UN on 22 May 1992  [29]  , despite that Bosnia was losing some of the basics of statehood conditions. . 10092954 The different between the recognition of state and the recognition of government: Governments recognition is an acceptance by the recognizing state that the system in question is the effective authority and such demonstrate the will to cooperate.  [30]  Government and state are two inseparable factors; recognition of a state automatically grants recognition to the government.  [31]  It is generally accepted that the legal personality of a state does not affect the change of the government within the state.  [32]   Recognition of a government can be de jure (legally recognised), or de facto (regardless of whether or not it has been legally recognised). Israel was recognized by the United States and the United Kingdom by the device of having its government recognized de facto.  [33]   There are many efforts can arise in time of war or revolution. Crawford argues that belligerent occupation does not affect the continuity of the State, even where there exists no government claiming to represent the occupied State  [34]  . Clearly then, recognition neither changes nor determines the legal personality of entity under the international law. This was confirmed in Tinoco case: non-recognition for any reasonà ¢Ã¢â€š ¬Ã‚ ¦cannot outweigh the evidence disclosedà ¢Ã¢â€š ¬Ã‚ ¦as to the de facto character of Tinocos government, according to the standard set by international law  [35]  . When diplomatic relations with unrecognized government are suspended legal bindingness are still applicable. . 10092954 In conclusion, it is important to acknowledge the valuable elements and weaknesses of both theories. In addition, both have found application in the international political and legal scenario. The declaratory theory focuses on the international factual situation while the constitutive concentrates on the external legal rights and duties. As Worster said : Recognition alone does not create the internal factual situation of statehood, but may help to inspire such coalescence.  [36]  . Obviously neither theory is perfect. Because of that the international community leans to adopt the middle position and resolve the happening problems on individual bases by applying the most related element from both theories. It is Clearly that they are not mutually exclusive and on many circumstances confirmed that if they applied together ,it would allow an averting of complex legal questions regarding a new state and they are avoid political disorder. 10092954

Forgotten Kids with Mental Illness Essay -- Children with Mental Disab

Forgotten Kids are children that have disabilities that are barely visible. They have their arms and legs, can see and hear, run, play, etc., but most have never been invited to a birthday party or to a sleep over. They are the last to be chosen to play and the first to be blamed. Their illnesses aren’t fatal, but a small part of their hearts and souls die with every rejection. Their behaviors seem odd or unpredictable to themselves as much as to society. They are misunderstood and overlooked, thus the name â€Å"Forgotten Kids.† Maybe I can bring understanding by showing and providing insight into the life of a child struck with mental illness and hopefully people will realize that my child is just as special as the next.   Ã‚  Ã‚  Ã‚  Ã‚  An estimated 7,000,000 children in Missouri that suffers from these â€Å"invisible disabilities.† Mental illness not only affects the life of the child but the whole community. I live with this fact every day because my son suffers from Bipolar, better known as Manic Depression. Bipolar children long to be free of the strange feelings of sadness or euphoria and the voices that torment them. They wish for a good nights sleep and hope for a day when they can put their words on paper. They dream of friends who don’t abandon them when their moods change; and look for a miracle in the eyes of doctors who don’t always believe that bipolar can happen to a child. Until society becomes more aware and accepting of these illnesses, our future children with these disab...