Rage Against Machine Three Rebels Essay Example for Free

Rage Against Machine Three Rebels Essay The protagonists of the novels Emma by Jane Austen, My Name is Asher Lev by Chaim Potok, and The Adventures of Huckleberry Finn by Mark Twain all share a rebellious streak that both serves them well and causes them trouble in their respective novels. However, these protagonists didnt operate with a wild disregard to the rules of their society and times. Rather, all three characters are constrained in the end by the mores of Victorian England, Orthodox Jewish society and 19th century Southern values respectively. Exploring such aspects of Emma, My Name is Asher Lev, and The Adventures of Huckleberry Finn, as theme, historical context, and psychological traits, it will be shown that despite Emma Woodhouses disdain for the institution of marriage, Asher Levs living in the two seemingly opposite worlds of art and Jewish society, and Huckelberry Finns lack of respect for social refinement and rules, the three protagonists did not entirely succeed in their goals of living lives that went against the grain of their societies. Emma Woodhouse was described in the pages of Emma as a â€Å" handsome, clever, and rich † (Austen, p. 1, 1816) young woman who was the apple of her doting fathers eye and the mistress of Hartfield, their family estate. Taking credit for the union of her former governess and a Mr. Weston, Emma decided to further hone her â€Å"matchmaking† skills by setting up her friend Harriet Smith with various men of higher social status. This interest in Harriet Smiths marriage prospects directly contradicts Emmas own quest to remain single in a society that offered women only bleak alternatives to marriage. Despite Emmas twin resolves to remain single and find Harriet a suitable mate, Emma eventually caved into the demands that were made on women of high social status when she gets engaged and realized that Harriet marrying a farmer named Robert Martin would forever alter their relationship. Asher Lev, the protagonist of My Name is Asher Lev, had loved to draw ever since he was small. His father, an important figure in the Ladover community, tried to discourage his son from getting too serious about his art while his mother implored Asher to draw pictures that were â€Å"pretty†, an assault to her sons melancholy artistic temperment. Despite reading in an art book that an artist should be free of religion, country, etc, Asher decides that he will try to balance being a devout Jew with being a passionate artist. Under the guidance of Jacob Kahn, a non-practicing Jewish artist, Ashers art and his knowledge flourishes as he explores the use of crucifixes in his work. Asher is uneasy about showing the crucifixion pictures in a show, but he goes through with it, being true to his calling as an artist. The crucifixes ultimately prove to be Asher Levs undoing as he is shunned by his parents and the Ladover community in general. Huckleberry Finn, the protagonist in The Adventures of Huckleberry Finn, is an adolescent boy who enjoys looking for trouble with his friend Tom Sawyer way more than trying to become a civilized boy at the hands of the widow and Miss Watson. After running away from his drunkard father, he decides to travel with Jim, who left Miss Watsons house after he found out that Miss Watson was thinking of selling him. Even though Huckleberry Fin grows attached to Jim, he harbors doubts throughout the story about hiding a runaway slave. He even thinks about turning Jim in before deciding that having a conscience just wasnt worth the mental agony of losing his friend. In the end, the protagonists rebellious act of helping a slave escape his captors prove to be for nothing as Miss Watson, his former master, decides to set him free. All three novels have themes that somehow relate back to rebellion or freedom. In Emma, the protagonist told her friend Harriet Smith that she never intended on getting married, a bold pronouncement in Victorian England. Her reasons are simple: â€Å"Fortune I do not want; employment I do not want; consequence I do not want; I believe few married women are half as much mistress of their husbands house as I am of Hartfield † (Austen, p. 74, 1816) What Emma was saying was that her social status allowed her the freedom to chart her own course throughout life, an option given to few women at the time. Another way that Emma tried to rebel against the social customs of Victorian England was to find her friend Harriet a mate of high social status. Since Harriets bloodline was unknown, most people would have scoffed at a pairing of Harriet with a man like Mr. Elton or Frank Churchill. Mr. Knightley echoes this sentiment when talking to Mrs. Weston: â€Å"Hartfield will only put her out of conceit with all the other places she belongs to. She will grow just refined enough to be uncomfortable with those among whom birth and circumstances have placed her home. † (Austen, p. 31,1816) Freedom is the overarching theme of The Adventures of Huckleberry Finn. At the beginning and end of the novel, the protagonist yearns to be free from the rules and civilization of 19th century polite Southern society. For a boy that seemed to be hemmed in by clean clothes and spelling lessons, floating on a raft must have seemed like heaven: â€Å"Other places do seem so cramped up and smothery, but a raft dont. You feel mighty free and easy and comfortable on a raft. † (Twain, p. 134, 1985) The novel even ends with Huckleberry Finn promising to run away looking for more adventures, claiming that he â€Å"been there before† (Twain, p. 296, 1985) with the civilized life. One of the themes of My Name is Asher Lev is the protagonists struggle between life as a devout Jew and life as an artist dedicated to his craft. This battle is evident on the first page as Asher Lev introduces himself to a reader that is already familiar with his work. In this passage, Asher tears himself apart yet defends himself at the same time, showing uncertainty years later with his decision to show the crucifixes: I am an observant Jew. Yes, of course, observant Jews do not paint crucifixions. As a matter of fact, observant Jews do not paint at all-in the way that I am painting I am a traitor, an apostate, a self-hater, an inflicter of shame upon my family Well, I am none of those things. And yet, in all honesty, I confess that my accusers are not altogether wrong; I am indeed, in some way, all of those things. (Potok, p. 1, 1972) It was established earlier that Emma rebelled against Victorian society by resolving to stay single and fix up her friend Harriet with a man above her social status. As the novel ended with Emmas engagement to Mr. Knightley and Harriets engagement to Robert Martin, Emma realized that rebellion wasnt quite her cup of tea, deciding to let her friendship with Harriet fall to that of social goodwill: â€Å"The intimacy between her and Emma must sink; their friendship must change into a calmer sort of goodwill † (Austen, p. 435, 1816) At the start of the novel, Emma wanted to live her life according to her rules, but by the end became caught up in the social mores of Victorian England. Sharing the psychological trait of rebelliousness with Emma Woodhouse, Huckleberry Finn did everything he could to escape the stifling life of rules and convention, even traveling the length of the Mississippi River with a runaway slave. However, the protagonist almost gave in to social conventions several times when he seriously thought about turning Jim in to the authorities. Huckleberry Finn even wrote a letter to Miss Watson telling her of Jims whereabouts, feeling better afterward. However, as Huckleberry Finn thought of all the things that Jim had done for him, he tears up the letter, saying â€Å"All right, then, Ill go to hell† (Twain, p. 223, 1985) The rebellious streak in Asher Lev started early. Even at a young age, Asher was willing to defend his gift, no matter the situation. For example, when Asher was called into the mashpias office for drawing a sinister picture of the Rebbe, Asher boldly stood up for his art to his disapproving father, something a polite Orthodox Jewish kid did not do in those times: â€Å"Foolishness is something thats stupid Foolishness is something a person shouldnt do. Foolishness is something that brings harm to the world. Foolishness is a waste of time. Please dont call it foolishness any more, Papa. † (Potok, p. 129, 1972) Like Huckleberry Finn, Asher Lev knew how he wanted to live his life at a very young age. Also like Huck Finn, Asher was willing to thwart social conventions in order to communicate this. Despite the rebellious streaks of Emma Woodhouse, Huckleberry Finn, and Asher Lev, the time periods in which the three novels take place largely serve to mute the three protagonists individuality. In Emma, for example, women of her class were expected to be married. Those who didnt were largely seen as pathetic beings on which to take pity. The character of Miss Bates was presented as a ridiculous character, seen as a clown-like figure by Emma and others, and seen as an object of sympathy such characters as Mr. Knightley. Even Harriet Smith saw Miss Bates as someone to be pitied. However, Emma, Harriet, and even Jane Fairfax, thought to be doomed to a governess position, escaped Miss Bates fate by marrying according to the social customs of Victorian England. Rebellious in her youth, Emma realizes the â€Å"error† of her ways and did her womanly duty. The vile tradition of slavery provided a subtle color to The Adventures of Huckleberry Finn. Yes, the protagonist became close friends with a runaway slave. However, it was obvious that Huckleberry Finn was conflicted about this friendship. One example of this conflict occurred when the protagonist meets his friend Tom Sawyer , who was on his way to visit relatives. When Tom suggests that they steal Jim away from the Phelps farm, Huckleberry Finn is flabbergasted: â€Å"Well, I let go all holts, then, like I was shot. It was the most astonishing speech I had ever heard-and Im bound to say Tom Sawyer fell, considerable, in my estimation. † (Twain, p. 235, 1985) In other words, it was ok for Jim to travel with Huck when they were in no danger of getting caught. Once caught, Jim was no longer Hucks problem. He was even surprised that anyone would go to the trouble of breaking the law to help a slave escape. Huckleberry Finn wasnt a bad person. He was just a victim of pre-Civil War America. Growing up an Orthodox Jew who was also a gifted artist in the mid 20th century was a unique situation for Asher Lev. Throughout My Name is Asher Lev, the protagonist had tried valiantly to combine being a devout Jew with being an even more devout artist. He observed the Jewish faith despite studying under a non-practicing Jewish artist and living in Europe for a while. At the end, something had to give in Ashers struggle between Judaism and art, and it ended up being his place in the Ladover community. As Asher walked down the street after the Rebbe cast him out of the community, he contemplates his life thus far: â€Å"I was demonic and devine Asher Lev was the child of the Master of the Universe and the Other Side. Asher Lev paints good pictures and hurts people he loves. † (Potok, 367, 1972) From this passage, one can see how Asher Lev wondered whether the sacrifice was actually worth the love of his parents and his community. The protagonists of Emma, The Adventures of Huckleberry Finn, and My Name is Asher Lev all sought to do things that were not really done in their times. Emma Woodhouse sought to raise the social status of her friend by marriage while remaining single herself in a time when both acts were looked down upon. Huckleberry Finn wanted to escape civilization while bringing along a runaway slave for company. Asher Lev wanted to combine the life of faith with the life of art in a time when no one would even think about the two concepts together. Ultimately, the times of the three rebel protagonists proved to be too much, dulling their mutinous acts.

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Every day, advances in technology lead us nearer and nearer to fully autonomous robots, but even today, robots play a huge role in our lives. Robots exist obviously in software, just look at your smartphone, but robots in hardware exist too, recently, robots such as â€Å"Asimo,† â€Å"Watson,† and â€Å"Deep Blue† were able to perform actions which were thought to be exclusively human such as scaling stairs, making meaningful conversation, and playing chess. But with so many robots already existing, and the rapid progress we are making in the field of robotics, will robots eventually become the dominant life form? This question has puzzled philosophers and sci-fi authors alike for decades; however, the truth of the matter is that robots already have taken over. Without robots in our lives, we simply could not survive as we are. Additionally, robots are not plagued by consciousness, and would never jeopardise their own existence as humans so often do. Finally, ro bots today have the ability to reproduce themselves; this innate and conventionally biological trait is what turns a mere object into an animate life-form. Robots play an integral part in our society, they run our businesses, maintain our economy and do our manufacturing, without them, the routines we have set would crumble. Robots however, are not dependant on human existence; they could theoretically remain self-sufficient forever. By 2014, active cell phones will outnumber humans. These devices are a prime example of consumer robotics and artificial intelligence; we are connected to them at all times, and could not communicate without them. Furthermore, we rely on our robots to run our industry, manufacturing, business administration and plant automation would not be possible without ... ...anufacture. This is shown in many robotic assembly lines, where robots are able to produce a product, or indeed another robot, in a fraction of the time it would take a human to do so. This vastly superior reproduction process not only qualifies robots as a bona fide life form, but also sets them higher from humans with respect to dominance. Robots play a huge role in the life of the human race, but robots, while they are the servants of the human race, are dominant already. Robots are quicker, smarter and more powerful than any biological life form, pocket calculators will outsmart even the cleverest humans, it is for this reason that we rely on them so much, and with them having a greater survivability and a better reproduction system than humans, it is obvious why robots already are superior, and therefore more dominant in numbers, strength and size, than humans.

Wealth As Determinant Of Health Health And Social Care Essay

There is a phenomenon in the United States that illustrates how wealth is a cardinal determiner of wellness. Wealth affords those who attain it, certain societal benefits which include entree to high quality instruction, employment, lodging, child care, recreational chances, nutrition, quality medical attention, and safer and cleaner vicinities. In 1985, the U.S. Department of Health and Human Services ( HHS ) constructed the Secretary ‘s Task Force Report on Black and Minority Health. The study was more typical than old studies, comparing four minority groups in the United States every bit good as the White population. In add-on, A it utilised aA statisticalA presentation of A † inordinate deceases † instead than the usual decease rates. This attack emphasized the fact that lives that were lost would non hold been lost had minority decease rates been the same as for the White population. These differences were subsequently coined as wellness disparities. As a conse quence of the forceful nature of this study and the demand forA integrating of wellness promotion/disease bar schemes into these populations, the Office of Minority Health was established within HHS. Since the origin of the Office of Minority Health research has shown that disparities exist in the population on the footing of both wellness position and wellness attention bringing. These disparities are the consequence of assorted variables. The lexicon of Public Health defines wellness disparities as â€Å" differing degrees of wellness indexs like life anticipation, baby and perinatal mortality rates, that are observed among sections of a population, discernable in the size of the wellness spread between the highest and lowest section of the population, that frequently correlate with economic indexs, educational degree, employment and lodging conditions. † There are differing theoriesA orA premises usedA to explicate why wellness disparities plague certain populations. What both of these theories lack is the causalA mechanism by whichA the disparities occur. The historical context of attending to wellness disparities began with W.E.B. Du Bois. The being of wellness disparities in America was foremost documented in 1906 by W.E.B. Du Bois. Fueled by the averment that Negroes were an inferior race, Du Bois used nose count and disease informations from the late 1800s to document widespread disparities in bosom disease, infant deceases, maternal deceases, TB, and pox. Based on these observations, Du Bois asserted that such wellness disparities had nil to make with lower status and were strongly associated with multiple factors such as poorness, deficiency of instruction, and societal factors. A The taking wellness disparities include: entree to care, quality of wellness or wellness position, cardiovascular disease, malignant neoplastic disease, diabetes, HIV/AIDS, asthma, infant mortality, and mental wellness. Quality of attention in peculiar, has shown to hold significant spreads among populations. As it relates to disparities in quality of attention, the Agency for Healthcare Research and Quality â€Å" Quality wellness attention means making the right thing, at the right clip, in the right manner, for the right people-and holding the best possible consequences. † ( Q ) Quality wellness attention is effectual, safe, seasonably, patient centered, just, and efficient. In 1999, Congress commissioned the Institute of Medicine ( IOM ) to look into wellness and wellness attention among racial/ethnic minorities. The consequences of the survey conducted, entitled Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, demonstrated that minorities had p oorer wellness and were systematically acquiring lower-quality attention even when factors such as insurance position and income were n't involved ( Smeadley, Stith, & A ; Nelson 2003 ) . Despite paces towards extinguishing disparities, they still persist. Health attention disparities in quality of attention are found among several mark populations. These populations include: racial and cultural minorities, those of a certain socioeconomic position, occupants of rural countries, low-income groups, adult females, kids, the aged, and individuals with disablements. An copiousness of grounds demonstrates that as a consequence of several factors, a huge bulk of people in these mark population groups do non have high quality wellness attention. Perceived supplier favoritism has both direct and indirect effects on wellness attention use and wellness position. Surveies such as those conducted by Van Houtven et Al. and Blanchard and Lurie found that persons who perceived supplier favoritism significantly delayed wellness attention use ( 10, 15 ) . The biopsychosocial theoretical account explains how stereotyping or bias can bring on emphasis in those who experience it and as a consequence have a negative impact on wellness position. Patient-pro vider miscommunication has several branchings such as medical mistakes, deficient medical attention, and even decease. This type of miscommunication is the consequence of cultural and linguistic communication barriers. Bettering lingual and cultural competence can be accomplished by increasing the proportion of underrepresented clinicians in wellness systems and in medical instruction. Technology lacks in health care seem to besides bring on lacks in quality of attention provided to many of persons in the mark population. Suppliers in rural and destitute countries are holding troubles because they lack the wellness information engineering that their opposite numbers have in the urban and more flush countries. Differential entree to care can take to disparities in quality of wellness attention. Deriving entree to wellness attention is so an of import requirement to obtaining quality wellness attention. Minorities and low-income groups are less likely to hold wellness insurance and are more likely to hold public insurance. Payment rates for Medicaid are significantly lower than for Medicare, hence, minorities having Medicaid or that are uninsured receive attention in different scenes than in private insured or Medicare patient. Evidence suggests that entree to a regular and usual beginning of attention can greatly cut down wellness disparities. Transportation barriers, distance to clinics, or a deficiency of cognition about supplier locations have besides threatened entree to care. In 2003, the Agency for Healthcare Research and Quality, as directed by the Healthcare Research and Quality Act of 1999, presented Congress with the first one-year National Healthcare Disparities Report and the National Healthcare Quality Report. Among the many findings as it relates to healthcare and healthcare quality disparities, the studies found that inequality in quality exists. Key findings in the 2009 National Healthcare Quality Report found that attempts to cut down disparities have had an impact, nevertheless, disparities still exist. In the study, it was found an estimated cost $ 65-130 billion can be attributed to premature decease and lower wellness position among uninsured people. The study besides focuses on several scientifically supported nucleus quality measures that autumn into two classs, either process steps or result steps. When compared to White persons: Blacks received worse attention for 50 % and better attention for 15 % of nucleus steps ; Asians received wo rse attention for 30 % and better attention for 40 % of nucleus steps ; American Indians and Alaska Natives ( AI/ANs ) received worse attention for 45 % and better attention for 25 % of nucleus steps ; Hispanics received worse attention for 70 % and better attention for 20 % of nucleus steps. ( Q ) Associating to income disparities, hapless people received worse attention than high-income people for 75 % and better attention for 5 % of nucleus steps. ( Q ) When comparing the spread in disparities with findings from old old ages, 66 % of nucleus steps have non improved for Blacks, Asians, and Hispanics ; ensuing in a dead or increased spread. For inkinesss in peculiar, the spread seems to somewhat be shuting with an betterment in approximately 20 % of the disparities steps. For AI/ANs there is an betterment of approximately 40 % of disparities steps. However, when reexamining these findings, one may ask whether or non utilization patterns among these groups were taken into consideration besides. Extinguishing or cut downing healthcare disparities will necessitate statute law and action. Health policies and enterprises are made on three degrees of authorities, federal, province, and community-based. An illustration of a large-scale federal-level policy is REACH 2010. Reach 2010 is the CDC ‘s attempt to extinguish racial and cultural disparities. The CDC has awarded grants to 40 community-based alliances countrywide to implement a community-based plans and culturally-appropriate intercessions in the riddance of disparities. An illustration of a state-level policy is the Colorado Turning Point Initiative ( CTPI ) . The CTPI has set up informations aggregation plans to supply a standardised comparing of wellness indexs by race and ethnicity. Systems have besides been created to work towards its intended end of wellness disparities riddance. Such as the development of a province Office of Health Disparities and an betterment in linguistic communication aid for those who lac ks English proficiency. An illustration of a community-based disparities enterprise is the Florida Community-Based Participatory Research ( CBPR ) Initiative in Reducing and Eliminating Health Disparities. This inaugural supports disease intercession research in disparities utilizing community-based participatory research which is conducted by communities and research workers. There are several possible policy options for work outing the job of wellness attention disparities in quality of attention. As many persons in the mark populations are uninsured or underinsured, entree to wellness insurance by manner of policies such as the Healthcare Reform may hold a great impact on wellness disparities. For minorities and other mark groups, Healthcare Reform will take down costs for households, provide greater and more low-cost insurance picks, increase entree to care, advance primary attention, and command chronic disease. Another possible option is the Institute of Medicine ‘s Model of entree to wellness Services. A last possible policy option is acceptance of Health Information Technology ( HIT ) by manner of policies such as the Health Information Technology for Economic and Clinical Health ( HITECH ) ACT. The preferable policy option for work outing the job of wellness attention disparities in quality of attention is wide acceptance of HIT. This option should particularly be implemented in destitute and rural countries. The policy ‘s standard should include: acceptance of wellness IT, quality wellness services provided, an impact on wellness disparities, coverage of quality informations, and political feasibleness. The degree of engineering is sufficient to implement this policy option. Presently, there are several types of wellness IT technologies, which includes: electronic wellness records ( EHRs ) , E-health, electronic medical records ( EMRs ) , and computerized supplier order entry ( CPOE ) . Barriers to acceptance may show themselves in the signifier of: cost/lack of capital to put among suppliers, inability to incorporate the HIT with current systems, offline clip, lost of productiveness or income during passage, preparation, and hardware/software ascents. By implementing the HIT acceptance policy the spreads in quality of attention created by wellness disparities can be decreased. Broad acceptance of HIT will greatly even out the industry for all suppliers. Those suppliers in rural or destitute countries, such as Community Health Centers ( CHCs ) , in peculiar will hold the greatest impact on wellness disparities. â€Å" Given that CHCs sever about 14 per centum of the state ‘s uninsured people, 11 per centum of Medicaid enrollees, and 10 per centum of minorities, puting in spread outing CHC ‘s wellness IT capacity seems a valuable scheme to farther cut down wellness disparities for a significant figure of financially vulnerable patients † ( Shields 2007 ) . An of import characteristic of Health IT such as EHRs is the clinical supplier support interface that several systems contain. This characteristic provides recommendations on diagnostic and screening trials. â€Å" This Fosters just intervention for diverse pop ulations by extinguishing any possible racial or cultural prejudice form the wellness attention supplier that might impact clinical judgement † ( Custodio 2009 ) . The system will to boot help in the decrease of medicine mistakes and inauspicious drug effects with its medicine faculty. This faculty can urge dose, interaction information of several drugs, and generic options. The interoperability of wellness IT technologies such as EHRs will greatly increase functionality and as a consequence, the quality of attention provided. As many in the mark populations may be uninsured, lack the cognition of available resources, may populate far from a individual entity supplier, are hesitating to seek medical attention until something is incorrect, and miss a medical place, they tend to use hospital exigency suites more frequently than needed for medical attention. Health It such as EHRs will let suppliers from assorted clinics or infirmaries, entree a patient ‘s medical records, which will assist to cut down duplicate of services and medical mistakes. EHRs to boot, let for easier coverage of quality informations and public presentation monitoring. The information provided from the coverage will ease enterprises with a end of quality improvements. â€Å" An electronic wellness record that includes certification of demographics, including race and ethnicity, hazard facto appraisals, and preventative and chronic disease direction determination support, enables the clinician to pull off more efficaciously the complex wellness attention demands of our vulnerable populations † ( Custodio 2009 ) . Health IT is a valuable tool in the attempt of battling wellness disparities. The political feasibleness associated with the wide acceptance of wellness IT involves several involvement groups or stakeholders. Government bureaus such as the Commission to End Healthcare Disparities ( The Commission ) have taken an active function in this issue and will interest in the result of this policy alteration. The Commission is a federal undertaking force focuses on quality, physician leading, and systems as a agency to extinguishing disparities. Community organisations besides play a critical function in the issue as they are the 1s that have direct contact with those in the mark population. This policy alteration will let them to come in the community and be a liason between suppliers and the mark population. The mark population groups have the most at interest when it comes to the policy alteration seeing that they are the 1 ‘s straight affected by the disparities. Healthcare suppliers or health care organisations besides have a interest in the policy alteration since they will be buying the systems needed to implement the alteration. Employers and concerns such as insurance or wellness IT software/hardware companies will besides hold a interest in this policy alteration with both perchance benefiting from the alteration. The stakeholders in support of the policy alteration include: authorities bureaus, community organisations, mark population, and the HIT software/hardware companies. The group that would perchance oppose the alteration is the health care providers/healthcare organisations. Countrywide several little doctor groups that service the rural or impoverished countries have been loath to follow HIT. Hospitals have besides been hesitant in their acceptance because of the associated barriers. This policy would be supported by Democrats. Recently the two such policies aimed at HIT execution, the HITECH Act and the Healthcare Reform, have been passed under a democratic disposal. Economically, the execution of HIT comes with a brawny monetary value ticket. The Congressional Budget Office ( CBO ) conducted a survey sing EHRs execution and associated cost. The CBO found that the cost of execution for primary practician offices ranged between $ 25,000-50,000 per doctor. ( perot ) Additionally, one-year operating, licensing, and care costs ranged between $ 3,000-9,000 per doctor. Execution costs for infirmaries averaged $ 14,500 per bed with one-year operating costs of $ 2,700 per bed. ( Perot ) The HITECH Act was enacted as portion of the American Recovery and Reinvestment Act of 2009 with an purpose of exciting the acceptance of wellness IT and the meaningful usage of HER systems. In the act, the authorities allocated $ 19 billion to set towards the execution of EHRs countrywide. The authorities will supply Medicare or Medicaid reimbursements and $ 44,000 discount as inducements to follow EHRs between 2011-2015. After 2015 any wellness attention organisations t hat have failed to follow a system and pattern their meaningful usage will confront punishments. As portion of the Healthcare Reform, the Patient Protection and Affordable Care Act, contains several commissariats for acceptance of HIT and betterment in entree to care for the uninsured and underinsured. The overall jutting cost of the Healthcare Reform is $ 940 billion for the first decennary. The gross to implement the recommended policy alteration will come from revenue enhancements and supplier capital. Equally long as the policy is implemented right, the benefits of the policy alteration will be every bit accessible among the mark population. Harmonizing to the HITECH Act, by 2015, all health care suppliers are expected to implement wellness IT. In order to guarantee successful execution a mechanism should be used to supervise whether disparities increase with the wide acceptance of EHRs or other wellness IT. Fraud nevertheless, may happen in the signifier of a security breach of the HIT system. â€Å" Internal breaches of security continue to be the primary security concern identified by health care IM/IT executives † ( book ) . There is besides the potency for gross misdirection or waste of ARRA financess. In order to implement this policy efficaciously, a strategic execution program must be in topographic point. Collaboration among most if non all stakeholders must take topographic point, peculiarly between suppliers, authorities, and community-based organisations. Diversity and competency within the health care system and its work force must be improved. A quality-based reimbursement system for authorities operated insurances should be in topographic point. A undertaking force should be created in order to promote suppliers in rural countries to follow EHRs and other HIT. Health disparities should be included in the quality steps reported by suppliers to CMS in order to be eligible for meaningful usage inducement payments. State degree schemes should include: preparing or updating the province route map for HIT acceptance, set uping a province leading office, and set up chances for wellness IT preparation and instruction. Federal-level schemes occur in an ongoing three phase attempt. Stage one begins in 2011 and dressed ores on electronically entering wellness information in coded format. Stages 2 and 3 will be occur between 2013-2015 and expands on aims and steps, concentrating chiefly on the interoperability of HIT and it ‘s associate betterments in public wellness.

Aesops Fable (ESL) Lesson Plan - The Ant and the Dove

An Ant went to the bank of a river to quench its thirst, and being carried away by the rush of the stream, was on the point of drowning. A Dove sitting on a tree overhanging the water plucked a leaf and let it fall into the stream close to her. The Ant climbed onto it and floated in safety to the bank. Shortly afterward, a birdcatcher came and stood under the tree and laid his lime-twigs for the Dove, which sat in the branches. The Ant, perceiving his design, stung him in the foot. In pain, the birdcatcher threw down the twigs, and the noise made the Dove take wing. Moral One good turn deserves another Key Vocabulary Words and Phrases bank of a river: the side of the river where you can standto quench your thirst: to drink when you are thirstyon the point of: just about to do somethingto drown: to die in the water because you cant swimto overhang: to be in a position over something elsetwigs: small branches usually with leaves attachedto perceive: to understandOne good turn deserves another: If someone does something to help you, you should do something to help him/her when possible. Questions/Discussion What did the Dove do for the Ant?What did the Ant do for the Dove?Vocabulary Building: Make a list of words related to these categories presented in the fable:​watertreesanimalsDo you have any stories/fables in your culture that has a similar message? If so, try to tell the story or fable in English.Tell a story of when you helped someone who helped you. Explain why.