Saturday, February 29, 2020

Manage Care Essay Example | Topics and Well Written Essays - 500 words

Manage Care - Essay Example Both organizations and individuals in the U.S. managed care system are faced with a challenging situation. First of all, the requirement for high quality care, doubled by the social responsibility to patients, is counterbalanced by an increasing pressure to lower costs and to remain afloat financially. For this reason, numerous health care providers are doomed to fail from a business perspective, being forced to close. More and more practitioners will perform as part of groups or systems, but the process of integration will not impose itself in the short term. Based on these considerations, it can be asserted that no standard model will emerge as dominant. The Institute of Medicine released few years ago a report that red-flagged the poor quality of health care in the US (Institute of Medicine 2001). A number of facts that contributed to this situation were identified, and special emphasis was put on the structure of the present health care payment system. Traditionally, doctors and medical institutions are paid regardless of the quality of the health care they provide, leading to no financial incentives or, in the case of certain clinical situations, even to disincentives for quality. These findings lead to an increasing demand to link payment to performance. The concept of pay-for-performance

Wednesday, February 12, 2020

Close reading a poem and thesis-driven essay Example | Topics and Well Written Essays - 750 words - 1

Close reading a poem and thesis-driven - Essay Example The negative disposition intensified due to the dominance in her life. As such she perceives her problems as resulted to by the parent. Sylvia uses similes, allegories, various types of rhymes as well as enjambment between stanzas in reinforcing the contrasting themes of love and hate. Sylvia uses allegories and similes when she makes references to the Nazi of Germany. In doing this, she directly compares her relationship with her father to the relationship between a Nazi and a Jew. There are many circumstances where the persona or the poet mentions the Nazi of Germany or makes statements that allude to the Nazi regime. The poet says, â€Å"Not God but a Swastika† (46). Swastika was a symbol associated with the Nazi Germany. Through referring to his father as a Swastika, he tends to associate him with the Nazi Germany. Therefore, she indirectly refers to the symbol of the Nazi to depict the weakening bond between her and her fathers as she grows old. Another instance where the author mentions Nazi Germany is when she uses it to refer to the fear that he had for her dad. The narrators’ fear of the father compares to the Jew’s fear of the Nazi in the period of the Holocaust. Even though the Nazi Germany is not mentioned directly, the following lines insinuate that the poet made a direct reference to the Nazi. When the speaker elucidates the relationship between the Nazi-Jew cases she explains, â€Å"I thought every German was you / and the language obscene. Chuffing me off like a Jew The poem also uses nursery rhyme motif significantly to foster her message. In the very beginning, the poet mentions the lines, â€Å"You do not do† twice repeatedly. The verse portrays the seriousness of the narrator. She introduces the difficult or hard time that his father created. Additionally, the poet in describing his father says, â€Å"And your Aryan eye, bright blue† (43-45) The rhyme displays widespread