A National Clash of Cultures in the 1920s free essay sample

The 1920’s, known as the â€Å"Roaring Twenties†, is by and large observed as a time of extraordinary flourishing in America. In the start of the 1920’s there was a concise financial downturn, yet as the decade proceeded onward, the economy detonated. The urban areas were quickly expanding and most of Americans lived in urban zones, causing stress for those living in provincial territories. Uneasiness just uplifted as homestead to-processing plant movement expanded. Urban areas were blasting while the wide open was declining. Individuals living in the field were concerned that this meant a going of a time, that their way of life was being taken over by that of the city. Inside the country struggle emerged from various perspectives on values, religion, movement, and disallowance between urban-rustic societies. In the 1920’s there was an enormous distinction among urban and country esteems. The development of urban communities, the ascent in industrialism, and the move in ethics and habits spoke to the change from the country’s Victorian past. Significant urban areas like Chicago and New York developed quickly and the Empire State Building started development, giving the presence of American fearlessness. There were various social changes in socially acceptable sexual behaviors, sex jobs, haircuts, and style. Most Americans needed to have a fabulous time as they could. Jazz music was getting enormous and swarms ran to watch film stars like Charlie Chaplin and baseball stars like Babe Ruth. As the economy blasted, America began the period of commercialization. Vehicle deals expanded, radio and TV broadcasting started and penicillin and insulin infusions were found. Home refrigeration, programmed dishwasher, and electric cooling frameworks were concocted. This radiated the possibility that it was America’s century and that the U. S. was bound to be the best nation of the time. However, the change was happening predominantly in the urban areas and individuals living in the wide open didn't bolster this new culture. New innovation and thoughts were carrying America into the cutting edge world and leaving the conventional thoughts, that initially ruled the U. S. , behind. Be that as it may, this change brought about clash. Conventionalists were individuals who clutched old qualities while innovators jumped into the new culture. Conventionalists were commonly more established individuals living in rustic territories and innovators were regularly more youthful city tenants. With all the new creations coming out, the age during the 1920’s were happily taking it all in. The conventionalists censured how the innovators were luxuriously living (Doc 6). Conventionalists guaranteed that the holiness of their religion, of their homes, of purity, and the option to encourage their youngsters what they needed was being torn away from them (Doc 1). In the 1920’s, science started to advance and new innovation was being found, and urban-country sees were immensely unique. Numerous individuals didn’t need their children to being shown advancement and went to extraordinary measures to guard their entitlement to show their youngsters the principal, customary qualities. Logical development contradicted the customary strict perspectives. Since the individuals paid their duties which upheld the schools, they hypothetically reserved the privilege to chose what was being instructed. This was viewed as a fight among Fundamentalism and twentieth century distrust, helped by Modernism (Doc 2). Religion expressed that people were put on Earth by their maker, God. Rising science was indicating proof of advancement. A case of this happened in Dayton, Tennessee with a legal dispute in 1925. John Scopes was a youthful science instructor who was accused of abusing the state law of educating advancement. These innovators thoughts clashed with the exacting fundamentalist perspectives. The perspectives on advancement shifted in rustic urban territories because of various thoughts of qualities. There was a ton of urban-provincial clash about religion for the most part on the grounds that in the urban communities there were more individuals with various societies. Change during this decade was happening in the urban areas and this was predominantly because of workers. A great part of the country zones were populated by Protestants who believed that the urban areas were debasing conventional strict convictions. The new religions were expanding and even the holiness of Sabbath was being disposed of (Doc 1). Catholics and Jewish settlers additionally lived in the urban areas and it was regularly accepted by conventionalists that they watered down once-acknowledged American ethics. The migrants were accused for getting obscure political church impacts (Doc 3). Traditionalist Protestant individuals propelled assaults on the treacherous impacts of urbanism, innovation, and agnostic science. World War I welcomed on a solid feeling of patriotism in America. In WWI, Russia initially battled with the Allies, in any case, the Russian individuals were miserable. They needed to dispose of their ruler, Tsar Nicholas II and close the riches hole. The individuals revolted Russia’s conventional government was supplanted with Communist fascism, drove by Lenin. In America, this terrified numerous individuals and the main Red Scare happened. The after war period in America appeared to be loaded up with issues and was very nearly ruin. Individuals accepted that socialists would penetrate America and socialism would dominate. The Red Scare was the across the nation dread of socialists, communists, rebels, and different nonconformists in the U. S. In light of contention, President Wilson’s lawyer general, Mitchell Palmer, directed unlawful â€Å"witch hunts†, searching for socialists and revolutionaries. These were known as the Palmer Raids, where up to 5,000 individuals were gathered together and tossed behind bars. During this time the Ku Klux Klan likewise expanded its enrollment to around 5,000,000. Much like the Red Scare, the Ku Klux Klan was made from dread. In this manner, it was nothing unexpected that the most grounded supporters of the Klan were from rustic territories, individuals who feared the new, urban thoughts that were quickly spreading. The customary good measures that they had lived by were being surrendered (Doc 1). Accordingly, the Ku Klux Klan assaulted the individuals who they thought drove the adjustment in values; African Americans, Catholics, Jews, migrants, and other people who were believed to be innovators. The KKK utilized savagery, terrorizing, and sorted out political action to lash out at these gatherings who they thought were debasing conventional American traditions. The KKK expected to dispose of anything and anybody that spoiled the American country. Migration was a major urban-provincial clash that caused a few huge changes in the decade. Conventional Americans had gotten logically increasingly worried about the appearance of a huge number of migrants. The outsiders were from Southern and Eastern Europe and were socially and ethnically observed as totally different from the principal wave of settlers. The outsiders carried with them their way of life and compromised change. The second influx of workers figured out how to put down roots in America and regularly settled with individuals from their country. Ethnic shops, markets, banks, clubs, and so forth were made inside the settlements. In any case, workers despite everything raised issues and allegations. Individuals guaranteed that the settlers were destroying the lives of youthful, American youngsters by constraining their way of life on them (Doc 5). It was accepted that foreigners brought their drinking propensities to America and couldn’t figure out how to control themselves when they were drinking. Foreigners were accused for awful violations since they didn’t know the need for fitting in with the resolutions and limitations of the administration (Doc 3). Country individuals said that settlers filled the urban communities and assumed control over the businesses and trade (Doc 1). Hostile to settler estimation expanded and it appeared with migration limitations. The National Origins Act confined the all out number of outsiders who were permitted into the U. S. legitimately. The Open Door Policy was additionally shut, finishing full movement. The mass movement in the 1920’s caused strife in America and brought about a solid backfire. African Americans moved from Southern estates to Northern urban communities, this was known as the Great Migration. They carried with them their way of life and it bloomed in the urban areas. The Harlem Renaissance was focused in Harlem, New York. African American creators, creators, artists, artists, and different specialists thrived and turned out to be broadly well known. In the twenties, African American culture was appeared through another type of music known as jazz. It was an unconstrained type of music that was advanced and driven by African Americans. This was the first occasion when that African American life was demonstrated direct. The Harlem Renaissance additionally demonstrated African American knowledge. In any case, there was still restriction. The character of the music was related with free ethics and loosened up social codes, conflicting with fundamentalist thoughts. The 1920’s was when denial originally began. Liquor had consistently been a worry in America and gatherings had started to pressure for its boycott. Numerous dynamic reformers considered the to be of liquor as the answer for killing a few of social orders issues among poor people and outsider gatherings. Youngsters and ladies would never again be casualties of tanked misuse, outsiders wouldn’t be crazy, specialist non-attendance would be diminished, and laborer efficiency would increment. The most dynamic across the country supporters of preclusion were the white, Protestants of rustic America. Liquor was viewed as a malicious that should have been cleansed. They said foreigners couldn't deliberately remain calm as a result of their regressive culture. Notwithstanding, when the disallowance law passed, it was difficult to uphold. An enormous populace needed liquor and since it got illicit, it was incredibly beneficial. Urban tenants needed to be permitted to drink and contradicted forbiddance. They expressed that restriction surpassed the job of government in a law based society and was an out of line assault on the lower c

Ba Finance

7BSM1006 Managing Financial Value Drivers Coursework Semester A 2012 Assessment weighting 60% Bellingham plc Arthur Scroggs was a rancher. His family has possessed and cultivated 500 sections of land of prime land in the Vale of Aylesbury for four ages. In the mid 1980's little homesteads were finding the monetary atmosphere troublesome with falling ranch earnings and much discuss putting ranch land to â€Å"alternative use†. By 1985 Arthur had just sold his dairy crowd to concentrate on oat creation when an accidental gathering with Lucy Bellingham at a business meeting drove him to rethink the fate of the family farm.Bellingham is an originator of bespoke fitted kitchens who had a strategy however minimal capital. The arrangement was to fabricate top quality fitted kitchen furniture and set up structure studios/showrooms in high pay regions. Having as of late sold his dairy group, Arthur had enough cash-flow to support the new business and furthermore various huge horse shel ters and sheds appropriate for assembling the kitchen units subject to refitting and arranging assent being acquired. Lucy's marketable strategy was persuading to the point that Arthur chose to escape cultivating through and through (by renting his arable land to a neighborhood co-usable) and center around building up the new business.From this little start developed the now freely cited organization of Bellingham plc. At first, showrooms were set up in Beaconsfield and afterward Kensington. Interest for their kitchens was energetic and â€Å"Bellingham Bespoke Kitchens† extended quickly however stayed an association. The organizations customers are for the most part superstars from the amusement world and the expense of a Bellingham Bespoke Kitchen is presently ? 40,000 †? at least 150,000. The firm was rebuilt as a constrained organization in 1990 and along these lines experienced fast development until 1999. In that year the then chiefs concluded that the business had arrived at the restriction of advancement in it's present form.Future improvement required enormous scope development of creation offices so as to give the scope of materials, furniture, quality and brief conveyance required by their observing customers. This thusly required an infusion of capital that the executives couldn't create themselves. The conviction that there was a lot of cash to be produced using â€Å"quality fitted kitchens† † had been vindicated. They examined various prospects concluding in the long run to grow creation offices by buying a cutting edge creation unit on a modern home in Aylesbury.The development was supported by a financial exchange floatation and bringing the vital capital up for the sake of Bellingham plc. As the market developed and to stay informed concerning new creation innovation, the chiefs consented to switch the adage so dear to the core of the originators, Arthur and Lucy; â€Å"neither a (long haul) borrower nor loan special ist be. † They financed refreshing of gear and premises by methods for giving debentures. It is currently October 2012 and the current chiefs of Bellingham plc accept that the drawn out accomplishment of the organization lies in future worldwide broadening and expansion.They consider that the most helpful move they could make is to research the procurement of an auxiliary in the USA. The recently selected account executive, Bill Moneypenny, concurs with this sentiment yet demands that the organization should initially evaluate its own present position and if vital, make changes to fortify its current monetary circumstance before setting out on new plans. He is especially worried that the organization should protect sufficient liquidity and money its benefits in a gainful manner.He is additionally worried that a lot of accentuation has been put on â€Å"pandering to the impulses of the rich and famous† and insufficient on maintaining a productive business activity. Lucy Arthur despite everything hold 30% of Bellingham's value and other long-standing executives own a further 20%; a difference in control is probably not going to be welcome. During the most recent two years, the organization has refreshed it's structure, creation and showroom resources and, in what has been a troublesome year, has had the option to keep up deals and benefit development (see Bellingham's records in informative supplement 1).There has been a lot of vulnerability about world monetary development and financial exchanges have been amazingly unpredictable coming about low returns. Anyway the firm’s normal offers have gained great ground during the year. Conventional offer profits have accomplished significant development in the course of the most recent two years despite the fact that this pace of increment isn't relied upon to proceed. Standard profits have developed at a normal pace of 14% per annum in the course of recent years and this rate is a progressively sen sible development rate for future profits. The current market costs for Bellingham's offers and debentures are: ?1 Ordinary offers? 7. 02 ex div ?0. 50p, 6% Pref shares? . 55 ex div 7% Debentures 2016? 100. 51 ex intrigue Any new pursuit would be required to accomplish an arrival on capital utilized in accordance with that accomplished as of late by Bellingham plc. The money chief favors a compensation time of 5 years. Bellingham would in this way need to concur a practical procurement cost for such another endeavor and its future incomes so as to decide if these models could be met. Albeit various venture ventures are being thought of, the principle proposition at present being researched offers a venture into the US prime-property showcase which is estimate to become quicker than the UK market.Bellingham's money executive has just determined the patterns in the budgetary proportions of American Creations, an unquoted US organization, from its unaudited yearly records (see informat ive supplement 2) and has reasoned that the proposition is currently deserving of further examination. American Creations is a family-possessed endeavor requiring further money to fix it's asset report in the wake of making misfortunes on a property improvement in Nevada from which it has now pulled back. Benefits have endured over the most recent two years due to discounts related with this development.The existing proprietors feel that the firm’s future lies in building up more extensive universal connections and the retirement of senior relatives, leaving the more youthful individuals dynamic in the administration of the firm. They are along these lines thinking about offering a controlling enthusiasm of 60% to an appropriate organization. The firm has been built up for a long time, and is very much regarded in business circles. The normal age of its fixed substantial resources is 3 years. The chiefs have demonstrated that they may acknowledge part installment in Bellingha m shares subject to arrangement. The firm’s ostensible offer capital is $2. m, and the chiefs have shown that they esteem the firm at multiple times the year 2010 net benefit. They believe this to be the company's â€Å"normal† level of benefit barring the â€Å"extraordinary† impacts of the Nevada advancement. As the firm is at present family possessed and run, there is no accessible value/income proportion. P/E proportions for the main two freely claimed organizations in a similar business division, Harvey Wilkinson Designs plc and Cucci Lifestyle plc, are as of now 10 and multiple times individually albeit both of these organizations, in contrast to Bellingham, work globally. Wilkinson has developed at a comparative rate to Bellingham.The profit yields of these organizations have been as per the following: WilkinsonCucci Year to 31 December 2011 8. 1% 7. 25% 2010 7. 2% 6. 9% 2009 5. 3% 5. 95% American Creations has its own assembling offices and works all thr ough the USA and Caribbean with plan workplaces in New York, Miami, Los Angeles and Colorado Springs. Their fundamental business, which is flourishing, includes total home outfitting and inside structure for well off customers. Furthermore, the firm has a land office in every area and is accordingly ready to offer a total property service.The estimation of properties dealt with by the land workplaces is regularly $5m †$20m. Bellingham is intrigued in broadening its activities globally as well as especially in the chance of enhancing into the land business. While very much aware of the presence of various contenders, the chiefs feel that there is a prepared market in the US for their set up name as far as structure energy, administration and items. After conversations with the executives of American Creations, Bill Moneypenny has delivered the accompanying forecast.Under normal financial development conditions, the American Creations working figures (in $*1000) for the following five years depend on the accompanying: Income:from Sales: $7500 in 2013, ascending by 12% per annum for a long time to come. from land deals commissions: $2850 in 2013 expanding by 15% per annum for a long time to come. Assembling variable costs: Labor: $1250 in 2013, expected to expanding by 8% per annum. Materials: $3800 in 2013, expected to expanding by 5% per annum. Fixed expenses barring depreciation:Manufacturing O/H: $2065 in 2013, expanding by 5% per annum. General O/H: $1850 in 2013, expanding by 2% per annum. Depreciation:Factory, hardware and vehicles: $500 every year. Office/Design Studio installations: $200 every year. The beta of Bellingham plc is accepted to be 1. 65 , the hazard free pace of return is 5. 5% and the arrival for the most recent year on the FT All-share record is 2%. UK enterprise charge is at present 32% payable 9 months after the finish of the bookkeeping year being referred to (you may expect with the end goal of this case bookkeeping benefit and av ailable benefit are indistinguishable. )Bellingham's chiefs gauge that the after-charge benefits of American Creations could be apportioned as follows: 70% as held income and 30% as profits. This has been the example under the under the current proprietorship. There would be no limitation on the exchange of the proper portion of these profits to the UK. The US enterprise charge rate pertinent is 20% payable in the year in which the benefit emerges. There is no twofold tax assessment from benefits of US root in

Future of Logistics and Supply Chain Management

Question: Depict about The development and eventual fate of coordinations and gracefully chain the board? Answer: Presentation Creation process is a significant factor for the organization. Through successful material administration framework, it is workable for the organizations to continue with the operational exercises for the association. In this procedure, the administration of the organizations move in the direction of drafting strategies for buying the items on an opportune way. Lack in the flexibly of the merchandise or materials can straightforwardly influence the creation procedure, which at that point impacts the operational costs. this report has been readied venture supervisor wherein the feature has been done on the techniques received for going into contract. The significance of the determination procedure for the providers must be done in the wake of gathering the necessary data. This would help in getting the products at a sensibly lower value (Ballou, 2007). Improvement of purchaser and provider relationship Business systems assume a key job in the improvement of the organization. for this situation, it is fundamental to create and present a compelling strategy for creating and holding the purchaser/provider relationship. Lack of sellers or the gracefully of crude materials for doing the operational exercises for the business impacts the business procedures. Issues identified with crude material can be taken care of in the correct way, as this will empower the administration to do the creation exercises. Therefore, the crude material acquirement strategy must be broke down on a convenient way. Notwithstanding, it is difficult to locate the correct kind of providers who can deal with the necessities of the customers. At the hour of choosing the provider for the organization, the operational director consider the underneath referenced components Is the provider able enough to gracefully the required amount of crude materials on a convenient way? The cost of the products or the crude materials must be sensibly valued (Barua and Mukhopadhyay, 2000). The quality assessment of the crude materials or the products must be solid Unwavering quality of the seller must be assessed (Burton et al., 2006). Assembling organizations like Toyota has received and actualized a compelling gracefully chain the board framework. Through this procedure, the organization endeavor to keep up positive and long haul relationship with the providers and the customers. This technique helps in taking care of the gracefully chain for the enterprises that has bigger number of clients. The obtainment technique has chosen and followed by the organization so as to secure the precise crude materials on a convenient way. This additionally incorporates acquiring the products at the correct value, which would set aside cash for the organization. Toyota has operational exercises in larger part of the nations over the globe. Through this technique, the organization endeavor to get the incentive for cash or VFM. In this strategy, the portion of the crude materials to the creation offices and the spending factors are mulled over. Such factors are required for boosting the benefit winning edge. With legally binding c rude material acquirement strategy, it is feasible for the organization to lessen the crude material acquisition costs (Chalmeta, 2006). Acquirement of the crude materials and relationship with the customers The business advancement relies on the acquisition procedure and sort of agreement that has been gone into by the business. Provider and client relationship by the organization must be created and kept up for a more drawn out timeframe. For this, it is basic to go into successful agreement through which the terms and conditions are explained. In this procedure, the terms unmistakably notice the standards for the agreement. This is basic for keeping up positive and solid relationship with the customers. Toyota guarantees to get the crude materials from various providers, to continue with the creation exercises with no interferences. At the point when merchandise and crude materials are acquired by the organization at the most reduced conceivable value, the organization can progress in the direction of decreasing the offer cost to the customers. The firm cost must be chosen to overwhelm the degree of rivalry that exists in the business. Value exchange is done based on the dealings that have been gone into between the organization and the customers. Through this procedure, the gatherings move in the direction of concurring upon the evaluated cost for obtaining the products at the most minimal conceivable cost. At the hour of choosing the obtainment procedure, the organization needs to consider the vulnerabilities that can affect the creation procedure. In this procedure, it is important to comprehend the agreement life cycle, which is ordered into significant stages like The exercises that should be done preceding going into the agreement (Craighead et al., 2006). Setting up the tenders and presenting the sameClearly referencing the subtleties identified with the agreements (Gable, Sedera, and Chan, 2008). Subtleties of the agreement The agreement term makes reference to the subtleties of the deals of the items. Through agreement terms, the organization makes reference to the significant subtleties that are viewed as important for improving the relationship. Agreement terms must be separated according to the administration or organizations. For this situation, the terms for restoring the products or crude materials bought by the providers or the clients must be referenced. Acquisitions the board procedure In this technique, the procedure that should be trailed by the administration for gaining the crude materials from various sources must be chosen by the organization. Through this procedure, the providers must be smoothed out, as this would help in obtaining the merchandise or crude materials on a convenient way. In this procedure, the agreement subtleties that should be referenced to set out the correct desires with the customers or the providers. The agreement needs to incorporate the specialized records which will contain the necessary data about the acquisition for the crude materials. It is fundamental to build up a positive and enduring relationship with the providers (Gregor, 2006). Agreements and delicate The organization has drafted a viable acquisition arrangement, through which the upper hand can be picked up by the administration. Over and under acquisition technique for the crude materials can make sure about the organization from bringing about extra costs. For this, the organization needs to set up a viable stock arrangement through which the necessity for the creation exercises should be drafted. This would assist the administration with analyzing the future objectives and draft the best polices through which the creation procedure can be done. In this strategy, the crude material acquirement is done dependent on the creation procedure that has been dictated by the organization. With the assistance of the focused on acquirement technique, the organization figure or examine the ideal stock level. This would be valuable in improving the purchasing arrangements that is required for putting in the request with the providers. In this strategy, the buying condition for the crude mat erials must be dissected. The cost for the crude materials is one of the significant elements that would need to be considered at the hour of choosing the model. Through such strategy, the administration endeavor to improve the crude material acquirement process. Planned cost and amount of the crude materials must be readied. The agreement must be gone into by the general population and private areas. Decides and guidelines that are required to be referenced on the agreement must be plainly referenced. This would help in explaining the terms that is important for going into the agreement (Gutierrez, 2002). In the delicate strategy, the administration organizations approach the providers to apply with the citation. Through the delicate, the organizations break down the best delicate and pick the one that would serve the requirements of the organization. In this strategy, the subtleties are gathered as this would help in keeping up positive relationship with the providers. Through this procedure, the organization endeavors to present business ecological variables. It isn't workable for the organizations to hold standard relationship with the providers, as there are numerous components that impacts choice. The cost engaged with the procedure and the norms of the merchandise and ventures must be broke down. Through this procedure, the acquisition staffs of the organization survey the providers. This is accomplished for examining the gauges for the crude materials must be spoken with the providers. For this, the options for breaking down the providers must be broke down (King and Burgess, 2 008). Notice the systems In the acquirement procedure, the staffs keep an eye on the ordinary providers. For this, the expense of the crude materials and the nature of the merchandise are examined. The staffs need to lead meeting with the providers, as this will help in setting the correct desires with the customers. Through conversations, the subtleties of the business and the crude material necessities are imparted to the potential providers. Whenever required, the organization present quality capacity sending process, which shows the significance of the pretended by the providers. This would be valuable in directing the group approach, particularly for the new items and setting up of new assistance office. The providers must be evaluated, as this will help in effective managing the potential providers. A portion of the means that would need to be trailed by the organization incorporate Dissecting the past presentation of the picked provider (Kondracki and Wellman, 2002)Checking on the reputation, alongside the notoriety of the suppliers.Introduce site visits, and this is done through target examination method.If required, present outsider accreditation technique (Kotzab, et al., 2006). Through merchant rating process, the organization gather the information that is required for directing the providers genuine or real execution. In this strategy, the exhibition of the provider is me

American Cheese The Origin of the U.S. Physician Assistant

This is part one of a nine-part series by documentary filmmaker Adam Halbur on the physician assistant model around the world. View all posts in this seriesAs Good As You Can: The PA Model Around the World Part OneAmerican Cheese: The Origin of the U.S. Physician AssistantPAs in the Netherlands: The Dutch Physician AssistantWhy We Really Need PAs in The UK: The British Physician AssociateMeet The PA Pioneers of Israel: The Israeli Physician AssistantTrials and Tribulations of the Liberian Physician AssistantSouth Africa’s Clinical Associate (Clin-A): The PA Model Around The World What do American Cheese and PAs Have in Common? U.S. Patent 2759308, for the first American processed cheese wrapper, was submitted in 1956, and individually sheathed slices of imitation dairy started rolling out. At the same time, the first PAs were getting their medical corpsman training and experiences during the war in former French Indochina, known now as Vietnam, Laos, and Cambodia, from 1955 to 1975. By the late 1960s, small bands of PAs from a handful of programs were already beginning to practice in various specialties and capacities (see The Physician Assistant: An Illustrated History, Thomas E. Piemme MD, et al.). Accredited PA programs now number well over 250 and PAs well over 100,000. In 2018, retail sales of American cheese were $2.77 billion, an impact reminiscent of the growth of canned food after the Civil War. American cheese and the PA (albeit the latter being a little better for you) are two effects of militarism on U.S. society, and I am living proof--with cheese sandwiches on my childhood menu and Dad (PA number 180 in Wisconsin) my de facto childhood primary healthcare provider. I do not mean to attack the PA character by such a comparison. Coming from the dairy state Wisconsin, I know something about good cheese, but I am not a medical professional nor an expert in the field; rather, I am a practiced poet and journalist who has turned to documentary work in search of ways to connect to people and connect people with each other in this globalized digital age. I have found one such opportunity in the PA, who along with with the nurse practitioner, has more than one manifestation in the U.S and many more around the world, some existing before the U.S. model. In 2017, I took the opportunity of the American Association of Physician Assistants 50th anniversary to film PA-like practitioners in nine countries, starting with my father, in his 40th year of practice, and Ruth Ballweg and David Kuhns, PAs of the same generation who have been instrumental in promoting, educating and networking PAs internationally. Ballweg, a graduate and professor emeritus of the MEDEX program at the University of Washington, sat with me at the AAPA conference in Las Vegas, to relate PA history and her advocacy, especially in the Asia-Pacific region. A successor to Dr. Richard Smith, who got many of his ideas for the MEDEX program from work with similar practitioners in Africa, Ballweg considers PAs necessary to developing countries like South Africa (clinical associates) and India (physician assistants) to compensate for the brain drain of physicians to the United States, United Kingdom, Canada, and Australia, statingAbout 40 percent of the doctors in our country are trained overseas. And she considers PAs necessary to developing and developed countries alike to provide better care. "I can see if there were a PA and an NP for every doctor, she mused, things would get better. And I think patients would get good care, and the costs would go down. And it would go much more with the Toyota lean technology modelthe right person doing the right job at the right time at the right place." Ballwegs colleague Kuhns is one of the first PAs lucky enough to have worked with Mdecins Sans Frontires (Doctors without Borders), first in Somalia and then in Afghanistan after boosting his rsum with a masters in public health. The experience left him with PTSD and exasperated by his American patients. The context was such that Youre here because youve had back pain for six months, he explained, and over here you have people who dont have access to health care and are dying because of simple things. You know, those kinds of things would drive me crazy. Kuhns believes the public needs to be better educated and more responsible for the state of their own health. If youre going to have cardiac surgery, if its elective surgery, make sure you havent been smoking And yet for him, the U.S. privatized healthcare system could learn from the public systems of Ireland and the U.K., where he advised burgeoning programs and helped train some of their first PAs (physician associates). My passion is we don't lose what we have in the Affordable Care Act, he said at the time President Trump, and Congress were cutting funding to the ACA. In Maine [where I work], it has meant a lot. With the PAs ability to cut costs and provide quality care, Ballweg and Kuhns spoke favorably of a national system for the U.S. American PAs have streamlined health care (more or less as American cheese has streamlined fast food), and this, according to my father, is why the profession has been successful. When I first started in this business, I did not know for sure if the whole entity of a physician assistant would continue, he said. But I think one of the reasons it did last is because we were an economically feasible solution for the healthcare industry. We can deliver medical care, high-quality medical care, and we can do it cheaper than the traditional way we delivered medical care. And a lot of the things that can be delivered through medical care, you don't need a physician to do it. The main profiteer from lower practitioner overhead in the U.S. remains the healthcare industry, including pharmaceutical companies, which my father referred to as wasteful and not very helpful at times in their practices to market new products when older ones remain cheaper and work just as well or better. Then there are the insurance companies, which have raised premiums as much as 20 percent per annum while attempting to deny reimbursement for covered items, so that not only do many citizens not have equal access to the highest quality medical treatment, some often have to be ever-vigilant over what they have purchased. Part of the obstacle to national care is resentment among the general public. We do not have to like our neighbors, but we do not have to spite them. On my way to an interview in Canada, where they are starting to use PAs to reduce costs in their public system, I stopped in an Indiana bar. Here, I met a retiree, a beneficiary of advanced cardiac care, who said his daughter was a PA and who in the next breath voiced his opposition to a national health plan because he was covered already by his union. Perhaps we should view birth into the human race as admission into the union, which benefits its members whether they work hard or not, make a little money or a lot, and deserve to have a porcelain throne or just a pot. There is only so much a person can do in a day. PAs are some of the hardest-working best-compensated professionals in the U.S., but we cant all be PAs. Or we can, but like poets, who would need them then? And what will happen if PA supply ever outstrips demand? And what will be the effects of AI? At present, the PA profession in the U.S. continues to be one of the more accessible and immediately rewarding ways to get into medicine, and with the profession's continued demand by the industry and rising salaries highlighted in Forbes over the past years, competition for U.S. PA school admission is tight. Contessa, a second-year PA student in Oregon and my father's preceptee at the time, describes her experience: "One huge requirement that all PA schools [have] across the nation is patient contact hours. These are documented work hours that you are spending with the patient... So once I got over 2500 hours working at the hospital as a nursing assistant in the oncology department, I applied to PA schools, I got an interview, and I made the top five waitlist, and I did not get in... And so I went back and found a new job. I took a job as an anesthesia tech at the same hospital I was working at, I got new references and retook a couple of tests (you are required to take the GRE), I applied again, I got a second interview, and I finally got in. There were, I believe, 1400 applicants, and they chose a class of 42." Patients demand PAs, too. Citing PA dedication (not just handing out pills) and affability (the ability to communicate), one of my fathers regulars exclaimed, somewhat cheesily, They will save your life! Though, with Dad sitting in the same room, you could hardly expect them to be impartial. My father, in fact, never wanted to be a PA. He got his start in the early 70s when he joined the U.S. Air Force as a corpsman to avoid being drafted and then sent to Vietnam. He ended up at Anderson Air Force Base, Guam, watching the last bombing runs take off and return, and at the now-defunct Tachikawa Air Force Base, Tokyo, Japan, where you could already get a McDonalds cheeseburger in those days. Before being talked into considering the PA profession, he had hoped to become a full-fledged physician, a superhero, and still harbors some regrets for not following through with that dream. He has been quite fortunate with the choice he made, but listening to him and other PAs on my journey, perhaps there should be opportunities for them to advance to physician roles based on proven experience and continuing education. One of the ways to stabilize a lower level of health care, reasoned Ballweg discussing Alaska community health aides, is that you create opportunities for people to move up." Humans are, after all, not uniform products, but constantly seeking to exceed their limits. The second installment of this blog series, The Anatomy Lesson, will consider the PA in the Dutch public healthcare model. Adam Halbur is a writer and teacher living in Tokyo, Japan. A short version of his film As Good As You Can, As Professionally As You Can premiered at the 11th annual conference of the International Academy of Physician Associate Educators. Watch the American Cheese segment of the longer version here. Watch a short of the 50th AAPA Conference with interviews from Ruth Ballweg and David Kuhns here. Halbur is entirely self-funded, so if you appreciate his work, please consider making a small contribution to his feature documentary on the Kenyan clinical officer. Resources and references https://patentimages.storage.googleapis.com/5e/60/46/85702e75801611/US2759308-drawings-page-1.png https://patentimages.storage.googleapis.com/7b/f3/1f/74eac5574c98f8/US2759308-drawings-page-2.png https://www.amazon.com/Physician-Assistant-Illustrated-History/dp/1935089641 http://www.arc-pa.org/accreditation/accredited-programs/ https://www.bloomberg.com/news/articles/2018-10-10/american-cheese-is-no-longer-america-s-big-cheese https://www.forbes.com/sites/brucejapsen/2018/05/23/physician-assistant-pay-surpasses-107k-annually/#16250968762c https://mosthustleanddesire.github.io/as_good_as_you_can/ https://www.youtube.com/watch?v=Dgr42W1zeLMt=372s https://www.youtube.com/watch?v=aH0h9heJVTM https://paypal.me/pools/c/8e6BvsmBe0 View all posts in this seriesAs Good As You Can: The PA Model Around the World Part OneAmerican Cheese: The Origin of the U.S. Physician AssistantPAs in the Netherlands: The Dutch Physician AssistantWhy We Really Need PAs in The UK: The British Physician AssociateMeet The PA Pioneers of Israel: The Israeli Physician AssistantTrials and Tribulations of the Liberian Physician AssistantSouth Africas Clinical Associate (Clin-A): The PA Model Around The World You may also like -Why We Really Need PAs in The UK: The British Physician Associate Welcome to part three of this nine-part miniseries by documentary filmmaker Adam Halbur on the PA model around the world. Growing the Physician Associate in the UK In the United Kingdom, PA stands for physician []PAs in the Netherlands: The Dutch Physician Assistant Welcome to part two of this powerful nine-part miniseries by documentary filmmaker Adam Halbur on the physician assistant model around the world. The Advent of the Dutch Physician Assistant I met Quinten van den Driesschen, a []As Good As You Can: The PA Model Around the World Part One Welcome to part one of this powerful nine-part miniseries detailing filmmaker Adam Halbur's spectacular new documentary film about the PA model around the world. Make sure to sign up below to receive all the posts in this []

Book Review The Southern Press - 1515 Words

In a letter to â€Å"The Southern Press,† dated July 20, 1850, G.K. Lewis shared his knowledge and frustrations regarding the many invasions by the Indians. What could be worse than knocking someone down when they are merely trying to pick up the pieces after being defeated? These vicious attacks by the Indians did not only take place in the United States, they took place in Mexico as well. Unknown to most readers, Indians are not as innocent as one is accustomed to believing. In actuality, some Indians were persistent as they inflicted numerous depredations less than 20 miles from Fort Brown, one of the largest military posts in Texas. During this time, it was just a blatant disregard for law and order. The manner in which these vicious†¦show more content†¦In continuing on the same path of Indian attacks, fast-forward to the Mexican-American War. As a result of Mexico’s defeat by the United States, Mexican troops were unable to enforce counterattacks o n the Indians once the Indians retreated back across the U.S. Mexican Border. The Mexican-American War (1846-1848) was the first U.S. armed conflict fought on foreign soil. It positioned a politically divided and militarily unprepared Mexico against the expansionist-minded administration of U.S. President James K. Polk, who believed the United States had a â€Å"manifest destiny† to spread across the continent to the Pacific Ocean. A border skirmish along the Rio Grande started off the fighting and was followed by a series of U.S. victories. When the dust cleared, Mexico had lost about one-third of its territory, including nearly all of present-day California, Utah, Nevada, Arizona and New Mexico. In exchange for surrendering and his release to the United States, the Mexican General Santa Anna agreed to have the boundary line set at the Rio Grande between Texas and Mexico. Of course, it did not pan out as expected. The plan presented was for the boundary to run northward. This would include New Mexico as well as some land in west Texas. Instead, th e Mexican government drew the border at the Nueces River.

Ratification of Constitution Essay - 869 Words

The Constitution has been operative since 1789 after the ratification of nine states (American Vision and Values, Page 52). Today many question the relevancy of a document 222 years old to our society. The Founders created a governmental framework, defining three branches and giving powers to the government and others to the states. It also guarantees the rights of the people. It took two and one-half years for the 13 colonies to ratify the Constitution. This ratification period was one of great debate and produced a series of essays complied into The Federalist. Authored by John Hamilton, James Madison and John Jay during the ratification debate in New York, they tried to get public support for the Constitution. Thus began the first†¦show more content†¦To further strengthen the rights of the people, The Bill of Rights was ratified on December 15, 1791. With only the first ten amendments, it is no accident that two amendments, 9 and 10, specifically define the Consti tutions purpose to protect rights, given to the government from the people; and the powers of the government are â€Å"only those delegated to it by the Constitution on behalf of the people† (Spalding, Page 145). Madison in Federalist No. 10 (Page 131) also supports the view of the Framers to have â€Å"great and aggregate interests being referred to the national, the local and particular to the State legislatures†. Madison expounds further in Federalist No. 39 (Page 135) about the constitutional limits of government to â€Å"certain enumerated objects only,† and the states being delegated the remaining â€Å"objects†. Federalism was created in the Constitution and while it seems a difficult concept U.S. Attorney General, Edwin Meese’s definition is very simply put â€Å"institution design was to divide sovereignty between two different levels of political entities, the nation and the states†. (American Vision and Values, Page 62). Moore goes further in support of originalism with examples of Jefferson, Madison, Crockett, Pierce and Cleveland vetoing or rebutting congressional billsShow MoreRelatedThe Debate And Ratification Of The Constitution883 Words   |  4 PagesThe Debate and Ratification of the Constitution The Constitution of the United States of America was ratified in 1789. It begins with, â€Å"We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defense, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity, do ordain and establish this Constitution for the United States of America.† The constitution was to serve basicRead MoreThe United States And The Ratification Of The Constitution2191 Words   |  9 PagesAnti-federalists- were a group of people opposed to the ratification of the constitution. They were less organized than the Federalists. They were united in their fear that the Constitution might lead down a path of government corruption and tyranny. They believed in restricting government power. Benefits of federalism- Federalism allows people to maintain loyalty to their states; due to increasing the states ability to meet the citizen’s needs. It makes running this huge country easier and allowsRead MoreThe Constitution Convention And The Ratification Debate Essay1196 Words   |  5 Pagesof Pluralism in the Constitution Convention and the ratification debate The constitutional conventions importance is indisputable, it is one of the biggest turning points in history and it is also an event that continues to affect politics to this day. It can’t be ignored, the constitutional convention has such a big historical significance and such a direct impact on America. People have tried to examine the workings behind the constitutional convention and the ratification debate. Many peopleRead MoreThe Ratification Of The U.S. Constitution. . . Richard1892 Words   |  8 Pages The Ratification of the U.S. Constitution Richard Fernandez HIST 107 J. DeMarco February 28, 2017 (Insert a Page Break here to maintain a separation between your title page and page one) What we re going to focus on was The Articles of Confederation that are in place in the government during the Post American Revolution into the ratification of United States Constitution. A republic was essentially a government in which citizens roll thru elected representative. The people weRead MoreThe Ratification Of The Us National Constitution3020 Words   |  13 Pagestopics: The ratification of the constitution in 1787 limits the democratic freedoms that American citizens had gained right after the Revolutionary War; the New Deal Coalition and policies formed by the President Franklin Roosevelt (FDR) that prevents the country from becoming a socialist stave and saves the democratic and capitalist system; and the G.I Bill compensated the war veterans leading to the emergence of the American middle class. Limitation on Democracy: The ratification of the US nationalRead MoreEssay about U.S. Constitution Ratification Debates789 Words   |  4 PagesU.S. Constitution Ratification Debates On September 28, 1787, after three days of bitter debate, the Confederation Congress sent the Constitution to the states with neither an endorsement nor a condemnation. This action, a compromise engineered by Federalist members, disposed of the argument that the convention had exceeded its mandate; in the tacit opinion of Congress, the Constitution was validly before the people. The state legislatures decisions to hold ratifying conventionsRead MoreWhy the ratification of the constitution was a good thing1595 Words   |  5 Pagesï » ¿ Why the ratification of the constitution was a good thing The Constitution of the United States is one of the first written constitutions and one of the ‘oldest’ to have been made on the national level and applicable today. 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The publications, arguments, and effects of this document will be the focus of the investigation to allow for an analysis of where and in what ways The Federalist was influential during the constitutional conventions from 1787 to 1789. The first source that will be evaluated in depth is Ron Chernow’s book â€Å"Alexander

Critically evaluate Samuel Huntingtons claims in The Clash of Civilizations free essay sample

The abrupt end of the Cold War meant that the bipolar model of thinking which had dominated the sphere of World Politics for decades became obsolete. This new phase led to a renewal in thinking in the study of International Relations dubbed â€Å"the hundred schools of thought† which led to a wide spectrum of visions about the uncertain future of world affairs. One of the more prominent visions was the late Professor Samuel Huntingtons â€Å"Clash of Civilizations? † published in a 1993 Foreign Affairs article, where he predicted a growing pattern of conflict based on differences in cultural, religious and historical identity of entities he labelled civilizations instead of the ideological differences of the Cold War Era. Huntingtons thesis was a Realist response to Fukuyamas 1992 book, The End of History and the Last Man. Fukuyama argued that the post-1991 world was left with no viable ideological alternative to liberal democracy and the free market economy predicting a new era of global consensus on democracy, justice, human rights and cooperation. The nation will continue to be a central pole of identification, even if more and more nations come to share common economic and political forms of organization. i Huntingtons premise was that The great divisions among humankind and the dominating source of conflict will be cultural. Nation states will remain as the most powerful actors in world affairs but the principal conflicts of global politics will occur between nations and groups of different civilizations. ii The controversial nature of Huntington’s thesis ensured the stern critique by some of his fellow academics for reasons including oversimplification, neglecting contradicting factors and inaccurate predictions. The tragedy of 9/11 and the events that followed revived the confidence in his thesis by his supporters who saw this as the conformation of Huntington’s predictions notably the inconsolable clash between Islam and the West. Huntington begins by describing the historical evolution of the nature of conflicts in the Western World; from the competition between monarchs and emperors for territorial and mercantile expansion leading to the emergence of nation states beginning with the French Revolution, to the rise of ideological conflict after the Bolshevik Revolutioniii. His Eurocentric bias is clear early as he quotes and perpetuates an idea put forward before by William Lind that these were primarily ‘Western Civil Wars’. Labelling World War II, the deadliest military conflict in history which involved the majority of the world’s nations, as such greatly diminishes the involvement and sacrifices made by people across the world. Notably the Soviet Union which was mainly composed of nations Huntington would regard as part of a Slavic-Orthodox civilization sustained the highest amount of casualties totalling at around twenty-seven millioniv. Later in the paragraph, Huntington writes ‘peoples and governments of non-Western civilizations no longer remain the objects of history as targets of Western colonialism but join the West as movers of history’ as if to suggest that events occurring in non-western parts of the world somehow do not constitute as history if they don’t involve or have a felt effect upon Western society. Although the leadership of the West in fields such as science, technology and engineering for the larger part in recent centuries is indisputable; Jewish philosophy, Hindu mathematics, Muslim astronomy and engineering contributed significantly to the foundations of what we know today and this shouldnt be undermined. The sharing and borrowing of ideas between the different corners of the world through the millennias thats still going on today suggests a long-term cooperation instead of a clash of civilizations in our common pursuit of knowledge. According to Huntington a civilization is the highest cultural grouping of people and the broadest level of cultural identityv. He divides the worlds population into seven civilizations as well as hinting at the possibility of a Caribbean and an African civilization; Africa being indeed a continent known for its vast diversity of cultures and traditionsvi. He defines a civilization by what he calls objective elements such as language, history and primarily religion as well as by the subjective self-identification of people. Huntington argues the onset of globalization has led to increased levels of interaction between peoples of different civilizations, which in turn intensifies civilization consciousness and brings to the forefront their cultural differences which unlike ideological and political differences are fundamental and much less mutable and hence less easily compromised. It’s clear that people instinctively identify themselves closely to others who share common traditions, customs and history; I hold the belief however that Huntington downplays the penetration of globalization and focuses on one aspect of its possible consequences. It’s not the differences that drive cultural conflict between peoples; it’s the lack of understanding which in turn creates prejudices and fears. The increased interactions between peoples have led to a wider acceptance of and fascination with other cultures, helping us understand why foreign societies live the way they do. Huntington argues: ‘†¦Russians cannot become Estonians and Azeri’s cannot become Armenian’vii. An Estonian living in Russia will absorb aspects of Russian culture depending on one’s willingness, length of stay and the extent to which one feels alienated or accepted by Russian society. Thus the objective elements invoked are not convincingly definitive in determining one’s identity; an Englishman may choose to convert to Islam while a Chinese citizen in Shanghai may choose to learn French as a pastime. Globalization in itself has penetrated the long-standing limitations in global trade of the past; politicians ever increasingly have to consider the global implications of domestic policy. More than ever national states around the world are dependent upon each other; the United States Demands Chinese goods while China needs the US to buy its goods. Huntington ascribes ideas such as constitutionalism, human rights, the rule of law, free markets and democracy as Western; unable to gain a foothold in other civilizations. He writes: ‘Modern democratic government originated in the West. When it has developed in non-western societies it has usually been the product of the western colonialism or imposition’viii. suggesting that somehow peoples of other civilizations may not be able to sustain or see the benefits of a form of democratic governance. The people of India would point out that democratic government was formed in their country despite, not because of the Westix. Today more than two-thirds of the world’s governments operate in some form of democracy, which reaffirms the idea that democracy is a universal value, contradicting Huntington’s view of its general Western exclusivity. If asked, most Middle-Easterners would prefer the idea of a democratic to authoritarian governancex; the limitation of democratic development in the region however is a product of the unstable and incompatible political landscape rather than the irreconcilability of the culture. Defining the religious aspects of the Western Civilization, Huntington justifies the grouping of Protestant and Catholic Christians into a single entity by emphasizing shared experiences in European history such as the Renaissance, the Enlightenment and the Industrial Revolution which in turn separates them from the Orthodox Christians beyond Central Europexi. Although it is evident that the closer proximity of those events has influenced Protestants and Catholics more than their Orthodox counterparts, the closer resemblance of Catholic and Orthodox practices and beliefs as opposed to Protestants is however neglected. Huntington consistently appeals to religion as the primary source of cultural identity, rightly so, to a Christian the creeds of their religion have a profound influence on their world view and thus how they would identify themselves. When speaking of the Islamic civilization however, Huntington doesn’t seem to make the effort to differentiate between the major denominations of Shia, Sunni and Sufism which have so strongly influenced the historical and especially current political landscape of the Middle-East. In a passionate attempt to warn his fellow Americans of the potential threats that their country may face in the post-Cold War environment, Huntington essentially perpetuated ideas that were dangerous and self-fulfilling. The existence of a Confucian-Islamic connection that may threaten the West described by Huntingtonxii is yet to be empirically verified, as the Chinese and US economies remain inter-linked and Barrack Obama moves towards a policy of dialogue in the Middle-East. Given the history of US foreign policy, legislators would have found Huntington’s paradigm easy to understand and convenient in terms of implementation. A worldview of distrust towards foreign powers that demands the maintaining of military superiority in the name of security panders to the powerful military industrial complex in the US. In order to maintain peace, global stability and have any hopes of dealing with transnational issues such as global warming, policy makers should regard all nations as members of the world community and work closer with international organizations such as the UN and WTO in establishing universal laws. The alienation and coercion of other governments will indeed create an atmosphere of antagonism and hostility.