Positive And Negative Effects Of The Massachusetts Health...

Introduction Since the implementation of the Affordable Care Act (ACA) in 2010, there has been a continuous debate about the effects it will have on the United States economy. Many people argue that expanding insurance coverage for all people will create crippling cost burdens for the economy and taxpayers. While others believe that the ACA will in fact give the economy a much-needed boost. In 2006 as a measure to improve overall healthcare, the state of Massachusetts implemented the Health Care Insurance Reform Act. This paper looks at the positive and negative effects of the Massachusetts Health Care Insurance Reform Act (MHRA). Using a literature review of public health studies ranging from 2009-2012, I argue that there are both positive and negative effects of the Massachusetts Health Care Insurance Reform. While the Massachusetts Reform increased health insurance coverage for all citizens and decreased the number of uninsured citizens accessing emergency rooms, it also did very little to de crease already existing racial, ethnic, and socioeconomic disparities among minorities and whites in the state of Massachusetts. Understanding the Massachusetts Health Care Insurance Reform Act may help in the goal of trying to achieve near-universal healthcare. This paper provides an understanding of the missing pieces in the Massachusetts Health Care Insurance Reform Act and constitutes a starting place from which to understand the Affordable Care Act. Literature Review TheShow MoreRelatedHealth Insurance Exchange Essay1290 Words   |  6 Pagesimplemented.   Discuss one positive and one negative effect that this policy has  had or will have on your field. America is about to make major changes in the country’s health care system. 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Warlord †Creative Writing Free Essays

â€Å"Half a year before you were born, a great battle was fought and many brave men lost their lives. Your father led his army of seven thousand men into battle, they were fighting the evil Rovonaga. It was a lost cause right from the start, only three thousand of the seven were trained warriors, the rest ordinary men trying to save their homes. We will write a custom essay sample on Warlord – Creative Writing or any similar topic only for you Order Now The odds were four to one as Rovonaga had a force twenty-eight thousand strong, including five thousand cavalry and five thousand archers, each extremely well trained in what they did. It was said every archer could pierce an apple at four hundred yards. The other eighteen thousand were fully armoured samurai with swords so sharp they could cut a human torso clean in half. Our men fought bravely, but the outcome was inevitable, they lost and with it the land. Rovonaga gave no mercy, he murdered every last man until a river of blood flowed. Your father was killed last, they hung him from a tree at the top of a hill so everyone could see him. His body was left there and nobody ever took it down, it slowly decomposed over time and nothing is left, except the rope, which still hangs as a symbol to show what happens if you get in Rovonaga’s way. That is how your father died son, he died an honourable man. A brave man, like your father, may die, but cowards do not live at all. † Akechi remembered when his mother told him that story when he was six years old. That same night Rovonaga’s soldiers broke into their house, tied Akechi to a chair and made him watch as his mum was slowly tortured to death. He managed to break free and run from Yalu, a large province in Japan where he lived. When he was young he remembered his mother telling him what Yalu used to be like before Rovonaga took over. He pictured the image in his head now, a beautiful, free place. Miles upon miles of fields, covered in crops. The warm sun beaming down giving colour and growth to all. The place was alive with animals of every kind, freely running here and there. Butterflies filled the air and birds the sky as rabbits roamed the ground. Farmers tended to their crops happily, at one with the creatures. She said the air smelt so fresh and every breath was like new life rushing into you. The highest hill was covered with trees, its top barely visible. Flowers flourished in-between each tree and she said it was like walking through paradise. No sounds, except those of animals, no smell, except that of freshness. He remembered she once told him she climbed a tree on top of the hill. When she reached the top she was in the clouds, like being in heaven. She never climbed it again as she thought it was so holy it was only meant to be visited by God. Akechi desperately wanted to see this land, as it should be. Then he remembered what it was like before left. Chitu Village lay at the centre of Yalu, this was where Rovonaga lived. It was basically a huge palace for him and his generals. Not a nice place, an ugly place, too big and covered in statues of eerie creatures. Small men with horns and great, giant goblins on top of towers. Surrounding his palace was where his soldiers lived, another ugly place, but luxury compared to outside of Chitu. In the six and a half years Rovonaga had been in Yalu, he had sucked the life out of everything. The people were treated like slaves, only kept alive to serve Rovonaga and his soldiers. They grew all the crops, harvested them yet at the end they saw none of them. They were lucky if they got a meal a day and many died of starvation and exhaustion. The hill where the trees once grew and the flowers flourished was now where a big, black iron gate stood, the only way in or out of Yalu. Walls soared high all around the border, covered with spikes, just as much to keep people in as out. It was a huge prison and the people were prisoners in their own homes. All animals had fled, their habitats destroyed and no life lived inside of these walls. The land was suffocated and the air heavy. People breathed unwillingly, they only did because they knew they had to. Although the sun shone it appeared colourless and so did the land, everything black and white. The dead were not cared for and bodies lay here and there, some fresh others half decomposed. People did not live, they were merely bodies, without souls or spirits, all doing the same routine everyday. Nobody smiled, nobody laughed and most people did not even talk. Guards watched and drove the people on, whipping, beating and killing. When he was six Akechi escaped. He found a small gap in-between the land and the bottom of the wall. He dug furiously, earth flying out behind him. He heard guards coming and so surged on. The gap was now just big enough for him to get through, he did and he had made it, he was free. He ran and ran that night, too scared to stop, tears blurring his vision. Most of the way he cried for his mother, but she was never coming back. By sheer fortune he had run to the coast. There he saw a small trading vessel lying in the harbour. He sneaked upon board and hid himself inside a box. Inside he collapsed from exhaustion and slept for hours. He was in such a deep sleep he did not even know the boat had set sail. The boat took him to China and there he spent the next twenty years of his life. A family took him in and he was raised as if he were one of their own. He joined the Chinese army and with his father’s spirit and his intelligence he rose higher. He became general of the whole of South-East China and many people looked up to him. He was a fine leader and a great strategist. He also became well known for his excellence with the blade. Like his father before him, Akechi was a true samurai warrior. Rovonaga became bored with hid palace life and one day he ordered his troops to got o Chinese ports and burn any ships they saw. He wanted a war, and a war he would get. The Chinese government reacted straight away and ordered Akechi to take his men over to Japan and crush Rovonaga. Akechi rallied his men and they boarded their ships. Under his command Akechi had ten thousand samurai, six thousand archers and two thousand cavalry. A total force of eighteen thousand, but he was outnumbered by Rovonaga’s force. They landed in the same port Akechi had fled from twenty years ago. There the army camped and stayed for the night. The next day was spent unloading the ships and gathering provisions. That night they marched until they were just three miles from the walls of Yalu. Akechi’s plan was one which relied on the element of surprise. He planned to camp for that day and attack at dawn of the next. Armour was strapped on, swords worn and bows carried. He gathered his troops together and told them this. â€Å"I know we are outnumbered in total force, but we will win. We will catch our enemy by surprise and overthrow them. We have more archers and this is a great advantage. Also I am sure you are all thinking that we cannot get past the Walls of Yalu. We will use ladders to get over, rams to smash the gate, any means possible. Have you thought the people of Yalu may help. When they see what is happening they will rise and rebel. Giving us time and maybe letting us in. Be brave all of you. Someone once told me: a brave man may die, but cowards do not live at all. Which one are you, I know my men and all of you are the first. Come on lets march on to victory. † Just as he planned Akechi attacked at dawn. He ordered his archers to fire, and his men to go and ram the gate. A storm of arrows went over the walls, many hitting targets. Ladders went up and men climbed over. Rovonaga quickly rallied his troops and sent them to meet this onslaught. The gate held and could not be breeched, men fell from the ladders and Rovonaga was winning, there was simply no way in. The solid iron gate could only be opened from the inside. The people in Yalu did do what Akechi had hoped, they rebelled and fought the soldiers. This gave Akechi some time, in which he thought and planned. The gap in the wall where he had escaped, it was just around the corner. He had a plan, a trap. He sent his foot soldiers to go down the hill and stay there, he did the same with his cavalry and archers. He took about a thousand men and five hundred archers around to the gap. There he ordered his archers to give covery fire and keep the enemy’s heads down, and with his thousand men he ordered them to dig, but slowly. As he had hoped Rovonaga had seen them do this and assumed it was the whole army. He could not get to them, but he could not afford to let them in. So he chose to go and meet them. The gate opened and first out was Rovonaga and his five thousand cavalry, they galloped around the side to meet the army at the gap. As did the eighteen thousand men that followed. His archers stayed on top of the wall firing down upon Akechi and his men. The men did not see the main bulk of the army at the bottom of the hill, and the trap was set. The gates were left open and three thousand of Akechi’s archers and a thousand of his foot soldiers went inside. Here they killed any remaining soldiers and all of the archers. Then Akechi’s men did what Rovonaga’s archers were doing and fired upon the enemy below. Meanwhile the cavalry and the remaining two thousand five hundred archers and eight thousand foot soldiers went to meet Rovonaga’s force. They attacked the rear and the cavalry charged and chopped the men to pieces. The archers were very effective against Rovonaga’s cavalry and foot soldiers, and severely weakened both. The samurai soldiers cam in to finish the fight off. Rovonaga surrendered and Akechi had won. His men were spared as was he. Rovonaga and his men were kept in prison for the rest of their lives and things slowly returned to normal. The walls were torn down as was the place and the great iron gate. Colour returned to Yalu and so did life. New trees were planted, animals returned and over the years things became increasingly better. Akechi retired from the Chinese army and became ruler of Yalu which China gave back to Japan. Life went on better than ever. Akechi was a great ruler and his people loved him, a true warlord. How to cite Warlord – Creative Writing, Papers

2 Way Comunication Essay Research Paper 2Way free essay sample

2 Way Comunication Essay, Research Paper 2-Way Communication Once a company has a web site, the possibilities are endless. As outlined in the old subdivision, a company website has the ability to make a market of consumers or sellers that may be out of its physical range. Not merely does it hold the ability to relay unbounded sums of information, but it can besides supply a vehicle of communicating to the remainder of the universe. Any individual can log onto a company web site and happen links to electronic mail ( e-mail ) or bulletins, possibly even a # 8220 ; chat # 8221 ; country, an country where persons can talk to each other unrecorded via computing machine. By leting this type of entree to the populace, companies can greatly spread out their concern. Electronic mail is going the preferable vehicle of communicating for about anyone of the technological epoch. A company whose web site provides links to e-mail immediately reduces the figure of phone calls and letters into their office. Customers no longer hold to wait on the phone or spend clip composing letters to reach a service representative. With a to the full functional company website, service representatives are # 8220 ; merely a chink off # 8221 ; . Customers can relay any inquiries, concerns, or jobs through electronic mail. Companies can turn to issues in a short clip frame, hence increasing the quality of service. Customers will have responses faster than the conventional mail system ( besides known as # 8220 ; snail mail # 8221 ; ) and can avoid the defeat of being on the phone for hours on terminal. A company that utilizes e-mail efficaciously immediately realizes an addition in production. Not merely can companies supply better service to current patronage, they can make a whole new market of consumers worldwide ; possible consumers have entree to representatives of companies they would non hold otherwise. Aside from supplying enhanced services to their clients, using electronic mail is an efficient manner to pass on between sections and maximise intra-office correspondence. E-mails give an employer the ability to administer messages to an limitless figure of employees without go forthing his or her desk. There is no demand for touchable press releases, memos, circulars, or such. There is no easier manner to immediately present a fifty-page study to legion receivers than by attaching the file to an e-mail message. The greatest advantage to electronic mail is that it is virtually free. There are no envelopes or casts required. The demand for paperwork is minimized to publishing a transcript of the e-mail when required and registering it in its several topographic point. Imagine the money a company can salvage if it did non hold to engage people to open mail or answer phones! Electronic mail is merely one signifier of communicating available on company web sites. Many besides offer electronic bulletin boards, which can be used to post company reappraisal, occupation gaps, and approaching events. It is another signifier of electronic communicating that enhances a company # 8217 ; s web site. Companies can supply bulletin boards as a forum where consumers can interchange thoughts. Kraft Foods, Inc. , the shapers of Jell-O, Kool-Aid, and Maxwell House, provide an country on their web site where consumers can post their ain formulas to portion with other website visitants. OnHealth.com provides an country in their web site where visitants can beg advice on wellness or household related issues from other visitants. Companies can besides profit from utilizing electronic bulletins. Employers can log on and see what visitants to their web sites have to state. It gives them an indifferent locale into consumer concerns, awards, and general petitions. There is no better manner to cognize how your clients feel than to have direct feedback. Not merely can employers post company information and approaching events for their clients, but they can besides post information, such as intra-office occupation poster, for their employees. Employees can utilize the bulletin board in the same manner that clients do. Many company websites besides sponsor confab forums, used to convey a battalion of people together from all corners of the Earth to discourse company-related issues. A confab forum is an electronic version of a conference call. Several people can log into a chat country and keep a treatment by merely identifying in responses. An advantage to keeping confab forums is that companies can link with multiple contacts at existent clip. Anyone who has mandate to the site can log on and see the confab without going an active participant. Alternatively, anyone who has mandate can besides fall in the confab. If companies offered a opportunity for their clients to talk in a similar forum, they would be able to happen out precisely what their concerns were. On-line Minutess The Internet continues to turn at a dramatic rate, with the figure of planetary users now est imated at 195 million – 4.64 % of the world’s population. A major tendency within this growing is the addition in electronic commercialism, with 1999 seeing grosss from Internet shopping grow by 150 % and concern to consumer electronic commercialism bring forthing about $ 12 billion. By 2004 analyst predict that more than 56 per centum of concern worldwide will be on-line ( Rosario, 1 ) . A web site on the World Wide Web allows a company to sell its merchandises or services to this turning market. New methods allow for secure and wholly confidential minutess over the web. Maximizing the usage of the Internet for finishing on-line minutess can salvage a company clip and money. With the rapid progresss in engineering, the capableness to carry on all facets of the concern dealing on the Internet has emerged as a feasible option to making concern in the customary method. # 8220 ; Cost nest eggs are derived through mechanization of administrative undertakings, client keeping by cognizing clients # 8217 ; profiles kept on a database accessible by any employee, velocity in supply procurance, and company leaders being able to do real-time determinations with Windowss into the whole endeavor, anyplace, anytime, # 8221 ; said Oracle Systems # 8217 ; Michael La ( Low, 12 ) . Making our web site more than merely an information site, but a web site that offers clients the ability to carry on existent clip minutess, would make merely this. The key to carry oning minutess over the Internet frailty more traditional methods is simplifying the clients telling process. Simplification must be accomplished while still giving the client the feeling that their demands are being met. Simplification must besides non sacrifice security concerns for the clients. If these conditions are met, the client will believe that the streamlined ordination service is really a more convenient method of carry oning concern. Simplifying the ordering process to include everything the client could perchance necessitate is the first measure. With all the merchandises a company offers, every bit good a often asked inquiries about the company # 8217 ; s services, and a direct nexus to reaching the company for any farther inquiries, all the demands of the client are answered. Here is where the service part comes in. All of the other stairss are in topographic point now the existent minutess take topographic point. The dealing can take topographic point over many different formats. All these formats will hold strong encoding in common. Depending on what it is the company wants to sell and whom they want to sell it to, will find the type of package to utilize for this intent. Secure Socket Layers or SSL is the anchor of any unafraid dealing ; SSL should be used as the bottom degree of security nevertheless, non entirely. For the occasional client who would take to utilize his or her recognition card there is Secure Electronic Transaction or SET. For business-to-business minutess where the both parties are familiar with each other, Public Key Infrastructure or PKI is an option. Many companies at this clip us Secure Socket Layers as their lone agencies of procuring minutess. This is put on the lining fiddling by on-line stealers and plagiarists. Secure Socket Layers is a footing to construct upon with farther encoding, for a erstwhile dealing it would be safe plenty, but with a company making volumes of concern more security is needed, like Secure Electronic Transaction or Public Key Infrastructure. The Secure Electronic Transaction protocol, launched in 1996, is a common proficient criterion designed to protect payment card purchases over the Internet ( Setco, 1 ) . Secure Electronic Transaction is non a package bundle, but alternatively an industry criterion set up by taking recognition card sellers, Visa and Master Card, to guarantee on-line minutess. Secure Electronic Transaction gives recognition card purchases made over the cyberspace excess beds of security that would guarantee the clients data security at all times. In fact security would be higher than that of a traditional brick and howitzer concern, since no existent people would see the recognition card Numberss. Companies that desire more than merely procure recognition card minutess there are other methods of encoding for all the information they transfer, such as Public Key Infrastructure. Public Key Infrastructure would be particularly beneficially for carry oning business-to-business minutess. Public Key Infrastructure is basically a digital signature that is structurally attached to an electronic papers. The digital signature encases the papers or file with a bed of security that follows the papers. Digitally subscribing e-documents and files provides cogent evidence of individuality of the person who created the papers and at the same clip binds the papers to him, thereby forestalling that single from denying association with such a papers or file at any point in the hereafter.