Medicare funding and Reibursement Essay Example | Topics and Well Written Essays - 500 words

Medicare funding and Reibursement - Essay Example The figures provided in the example have been used in the calculations. SNF base rate = 70% adjusted by area wages (hospital wage index) + 30% non-labor related portion (base adjusted for geographical factors x RUG weight). The nursing rate of $151 as per (Medpac 2008) will be used in the calculation. In terms of Participating Physician who accept assignment on each and every case the Physician bills Medicare and the patient 100% of the Medicare approved fee which is $125,000 in this case. Medicare will pay 80% which is equivalent to $100,000 and the patient will pay 20% which equals $25,000. In terms of a Non-participating Physician who accepts assignment on a case by case basis Medicare and the patient will be billed for 95% of the Medicare approved fee of $125,000. 95% is represented by $118,750. Medicare will pay 80% of $118,750 which is equal to $95,000 and the patient will pay 20% which is equal to $23,750. With respect to Non-participating Physicians who do not accept assignment the patient is billed for 115% of the Medicare approved fee of $125,000. This 115% is equal to $143,750. The patient makes the entire payment and Medicare reimburses 80% of the approved fee for non-participating physicians. Therefore, Medicare would pay 80% of $118,750 which is equal to $95,000 and the patient will bear the difference between what was paid to the Non-participating Physician which is $143,750 minus $95,000, which is equal to $48,750. Centers for Medicare & Medicaid Services. (2010). Fact Sheet: Acute Care Hospital Inpatient Prospective Payment System. Retrieved: http://www.cms.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf. Last accessed 31 Mar

Light peak( high speed opictal cable technology) Essay

Light peak( high speed opictal cable technology) - Essay Example Light Peak is defined to as a new interface technology of peripheral which enable nodes to connect devices of peripheral or other nodes through an optical connector. Use of optical technology has been in the industry for quite sometime. Telecom companies have used it for networking for years. Light, instead of a wire, is considered much more efficient means of relaying enormous data over long distances. The challenge is optical modules used in conversion of the electrical signals into optical were exceedingly large and expensive. By use of the newly come technology, there is a possibility for the firm to produce affordable and compact optical modules. There are several outstanding differences between optical cabling and electrical cabling. However, the major advantage of using Light Peak technology is seen in optical cabling substituting electrical cabling. Use of copper wire in inter-device communication has its demerits. The level of signal distortion increases with the increase in the distance and speed of transmission. Consequently, the interruption becomes too much that there is no reliable signal transmission between the peripheral and the computer. This explains the reason as to why peripheral cables have fixed lengths. Optical signals do not reflect the interruptions experienced when copper wire is used in signal transmission. This implies that optical cables can extend to serve longer distances compared to copper wire. Additionally, optical fibers are much thinner enabling more flexibility in cabling compared to bundles of copper wire. A recommended cable of Light Peak is almost of the same size of a strand of human hair. These optical cables can be increased up to a length of100 meters that will effectively serve every place within a household as well as enough for businesses. Light Peak technology has a close comparison with the allied USB technology. Although USB

China Essay Example | Topics and Well Written Essays - 500 words - 3

China - Essay Example In regard to records written about foot binding in China, the first records belong to the Han dynasty. Later records on the practice are believed to have emerged a millennium later during the Song dynasty. Chen however asserts that â€Å"though popularized in the Song, legends traced foot binding back to the Shang dynasty† (14). The Shang dynasty succeeded the Xia dynasty, which is usually associated with the beginning of civilization in China. It is however not clear when the Xia dynasty came to power. The elites who ruled China during the Shang dynasty are believed to have been descendants of the Neolithic peoples of China. Among the myths formulated about foot binding in China, one of them originated from the Shang dynasty. In regard to myths on why foot binding became a national obsession in China, Robertson points out that â€Å"one legend attributed its origin to the Shang Dynasty (1700-1027 BC) that one of the daughters of the Emperor was born with a club foot and he decreed that the Court ladies should have their feet bound to reduce their size† (15). Although myths had it that women had their feet bound to be able to perform the lotus dance well, this was not the real reason behind the practice. The real reason behind the practice was to satisfy the male obsession of getting sexually aroused by a woman who swayed her hips well. According to Robertson, â€Å"the feet were bound to deliberately deform them into the shape of a ball so the woman had no choice but to sway on the deformed ball shape feet† (15). Foot binding reduced the size of the foot to only 4 inches (Robertson 15). During bedtime, the deformed feet were covered using special slippers. The erotic arousal that the bound feet gave to the men was similar to that brought about by the breasts. When foot binding began, it was only practiced by the rich families and the elite in the Chinese society

The Wedding Banquet, 1993 Dir. Ang Lee Essay Example for Free

The Wedding Banquet, 1993 Dir. Ang Lee Essay Winston Chao and Mitchell Lichtenstein portray Wai-tung and Simon respectively, a Manhattan gay couple whose blissful relationship start to get upside down when Wai-tung Taiwanese parents fly in ( The Wedding Banquet 2004).   Wai-tung’s parents, unaware of their sons’ sexuality, are pressuring him to settle down and give them a grandchild. To please his parents, Wai-Tung, with Simon’s consent, opts to marry Wei (portrayed by May Chin,) their tenant who badly needs a green card to stay in the US (2004).   Wai-tung’s folks fly over to have the wedding banquet, which leads to complications such as Wei getting pregnant by Wai-tung, severing his relationship with Simon and Wai-tung’s parents finally finding out the truth behind their son’s sexuality and how they deal with it (2004). In the end, Wei has the baby, Wai-tung’s parents return to Taiwan, with   his mother still despising Simon but feels a connection with Wei, his father,   accepting Simon and dismisses Wei, and Simon, Wai-Tung and Wei are left together to raise the baby.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The film depicts interracial sexuality the way interracial sexuality is commonly viewed by society- like a fish living in a fish bowl, with so much scrutiny and interest. Gay relationships, whether we admit it or not, are still viewed by others as obscene. What more with an interracial gay relationship? That will have the self-righteous raise their eyebrows. For an interracial sexuality does not just deal with sexuality per se but must also confront the consequences brought on by norms and culture. Asian culture in general is more traditional than North American culture. And that is illustrated in the film. Wai-tung’s mother, for instance, after finding out that her son in gay, still does not warm to her son’s White lover.   What is interesting is how Wai-tung’s father dealt with the situation.   He did not just accept Simon as his â€Å"other son†, he also gave him the Hanabao, to symbolize his acceptance. Work Cited The Wedding Banquet. Dir. Ang Lee. Perf. Winston Chao, Mitchell Lichtenstein,   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   May Chin, Jeanne Kuo Chang. 1993. DVD. MGM, 2004.

Gimpel the full :: essays research papers

In almost any culture, through the study of its folklore, we are almost certain to find the story of a wise fool(Hamlet, Tom Sawyer, Claudio, Don Quixote, Van Gogh, Forest Gump). The moral of most folktales stories involves a paradox regarding the philosophical value of being dull, or pretending to be dull. So is Gimpel a fool or is he so innately wise to know that pretending to be a fool is advantageous? Let’s theorize an experiment. If we set a table in the middle of a crowded park, and place a bowl of strawberries on it with a sign â€Å"Free samples,† it won’t be long before people start to take one strawberry at a time first. Invariably several of the first samplers, will come back, and on their second approach surely they will take more than one strawberry. What this experiment would demonstrate is the curiosity of human nature, and the almost irresistible tendency to take the most advantage of a situation where the participants have nothing to risk. So, in Gimpel’s predicament, we was declared by the villagers’ general consensus to be someone easy to take advantage of( a fool?). It was also a general consensus to place a prank on him, ever better and more confusing than the last one. The point I am trying to get across is that Gimpel was a gullible, sensible person, not a fool (the strawberry). It was probably the surrounding of his upbringing; the lack of parental guidance; or just a resolute spirit not to blurt his vision of honesty with the mundane trifles that made him so docile. He understood early in life his karma, and decided to go along with it. The villain here is the rest of the world; even the Rabbi leant on him. There was no a single person who came to his defense. He was the village’s unwilling jester. They wanted to ridicule him as much as possible, or to laugh at him if someone else did the same.

The Administrative Agencies in the United States and their Implications

Administrative agencies are apart from the other branches of the government, the executive, judicial and the legislative, but are able to exercise the functions of the three. These agencies are authorized and supported by the legislative orders, and are capable of implementing and creating regulations, enforcing and adjudicating. They say that courts do not possess these capabilities.The continuous prevalence of this kind of system has increased the popularity of administrative laws in the Supreme Court. It came to the point that almost 1/3 of the decisions to be made by the court is about the administrative actions.Take note that administrative agencies function on the most sensitive areas of the society, and thus were called the fourth branch of the government. The agencies have a comparable scope of authority and perimeter to the three above-mentioned branches, and thus their impact is very much anticipated (Barry and Whitcomb, 2005, p. 25).One of the disadvantages with this kind of system is that the administrative office takes itself apart from the people under their functions. Because of this, the decisions they make are lacking in sympathetic flavor and thus are prone to the erosion of public interest.The executive part may decide on the basis of a single person, and because of this there might be narrowness in the judgment of that person, which makes the decision not applicable to many, thus is susceptible to initiating conflict (Zwart and Verhey, 2003, p. 58).The United States has become an increasingly administrative form. In line with this, implications were identified and patterned before the American character (democracy, justice, quality of life). Aside from the implication mentioned above, there are other troubling implications which are even historical but still this kid of system has prevailed.The democratic options made this kind of order, and still are renewable as dictated upon by the many. To stick with this kind of thinking, the decision m akers in the administrative office must be free from interpersonal influences, and be strong-willed also in order to come up with the necessary actions.When the customary administration has come into abuse or distortion, this is a possible threat to the American governance (Salyer,1995, p 246). Interest groups are everywhere, and they may greatly influence the administrative actions (policy implementation) and even the legislation (policy adoption), or take control of them.It is of high tendency that government policies may be formulated in the absence of law, and the law be just allowed to be made by this fourth branch (Williams and Torrens, 2001, p, 357).ReferencesBarry, D. D., & Whitcomb, H. R. (2005). The Legal Foundations of Public Administration. Retrieved July 8, 2009, from http://books.google.com/books?id=MQkiiTv5yg4CSalyer, L. E. (1995). Laws Harsh as Tigers: Chinese Immigrants and the Shaping of Modern Immigration Law. Retrieved July 9, 2008, from http://books.google.com/b ooks?id=2WWkzfYnsrMCWilliams, S. J., & Torrens, P. R. (2001). Introduction to Health Services. Retrieved July 8, 2008, from http://books.google.com/books?id=95q7ZvXPd8wCZwart, T. L., & Verhey, F. M. (2003). Agencies in European and comparative perspective. Retrieved July 9, 2008, from http://books.google.com/books?id=KWaAh5jMiB0C

Assess the Extent to Which the Wilson Government Achieved

Assess the extent to which the Wilson Government achieved its objectives by 1970 To assess the Wilson Government which ran from the years 1964 to 1970 you have to look at what the Labour government promised to achieve if they won the election in 1964. You have to look at what the changes the Wilson government brought forward in their time in office and how the personalities of its politician’s effects decisions made. The election campaign in 1964 was a close run contest even though there was a low public approval of the current Prime Minister Alec Douglas-Home.The labour party only won a majority of 3 seats. The reason for the decline in support for the Conservative party was because of events and scandals such as the Profumo affair in 1963. Looking at Labour in the run up to the General Election, they promoted themselves with a more modern youthful image that was more in tune with the times rather than the aristocratic feel of Home’s Conservative government, this lead the Labour party to create an increased lead when it came to looking at the opinion polls.Wilson then leader of the opposition went into his 1963 conference speech talking about how Britain was ready to fully exploit the â€Å"white heat of the technological revolution. † The labour party was trying to show itself as being the right force to progress Britain against the ineffective current political establishment. As Peter shore said â€Å"†¦ it was a case of smart Alec against dull Alec†¦ â€Å". The Labour party won the General Election in 1964 because of a skilful election campaign and certain errors in the Conservative party around the time of the election being called.The Labour party during the first years in Government between 1964-66 were successful in achieving its objectives, Labour wanted the tackle the problems in the Economy and the changing of Britain into a post industrial society. The Labour party therefore projected the image of following a  "third way† in which the economy would be managed with scientific planning. This lead to Wilson creating the Department of Economic Affairs (DEA) with George Brown at its head, this department would be separate from the treasury and would allow Britain to plan its way out of the economic difficulties.It was created because the treasury was seen with being strongly conservative and the high ranks of the Labour Party considered this as key to Britain’s economic failure. The Idea seemed a successful resolution as France was working on a more planned economy also and had much higher GDP growth rate. However the reality showed that the government failed in its objectives. Ironically the problem of this â€Å"Super Department† was that it wasn’t planned prior to its introduction. As George Brown stated â€Å"I think it is a pity that we didn’t produce a ‘Blueprint’ setting out precisely what we wanted to achieve†.The treasury also went out of its own way to make the work of the new department fail, reports suggested that Brown’s phone was bugged to allow the Treasury to keep track of the dealings he made and the dealings of the office. Even though these difficulties Brown still produced the ‘National Plan’ which aimed at the economic targets set out in the General Election of 1964. It was an achievement to create this plan which aimed at stimulating industrial production and exports by encouraging cooperation between the government, employers and trade unions.It was a success that the plan was drafted however it was a failed attempt. The grand expansion targets set out in the plan were not met because at the time it was published the economy was in too bad of a way for cooperation alone to work. An emergency budget was released in July 1966, which aimed at cutting public spending and increasing taxes. This was seen as a turning point in the Wilson government in which the public had a growing d istrust about the government’s capability to fix the economy.In 1966 Wilson called a General Election in the aim of increasing his parliamentary majority, The Election was called for March 1966 and The Labour Party was victorious and increased their majority from 3 to 96. The Wilson Government had many difficulties in the period from 1966-70 with the difficulty with the trade unions due to economic problems leading to tension. Wilson believed that increasing inflation and Britain’s balance of payments deficit presents major treats to economic progress, wages and salary increases much be kept more in check.A prices and incomes board was established to regulate pay settlements. The trade unions hoped that the Wilson government would bring those benefits and they resented being lectures and told to be reasonable. This failure with the trade unions set back government objectives and the economy took heavy blows. The government was hit with a series of industrial strikes an d disputes which included the National seamen’s strike in 1966 and the Dockers’ strike of 1967. The Wilson government was running out of ideas on how to control the economy and in November 1967 devaluation of the Pound was introduced.This was because of the deficit being so large that Wilson had asked for another loan from the IMF, blaming the seamen’s strike. The loam was only seen as a stop gap. The Devaluation involved reducing the exchange rate of sterling from $2. 80 to $2. 40 for every ? 1. The aim was to make British goods easier to sell abroad. The delayed implication of the measures meant that the mere financial adjustment turned into a political and economic failure for Wilson and the Labour party. Showing that the government could not run the economy and had failed to deliver objectives set out in 1964 and 1966.Callaghan stood down as Chancellor in 1967 swapping places with Home sectary Roy Jenkins. The trade unions were angered that Wilson had tried to blame those for the government’s financial difficulties and many academics had concluded that Wilson overestimated the Balance of Payments deficit, leading to a failure in the majority of its economic objectives. However aside from the Political and Economic side the Wilson government did achieve some of its objectives in the social changes it set forth to create. The Wilson government can’t be criticised from its social reform.The Race Relations Acts, 1965 and 1968 prohibited racial discrimination in public places and in areas such as employment and housing and make Incitement to racial hatred an offence. More important social reforms such as the Abortions act of 1967 which permitted the legal termination of pregnancy and the abolition of the death penalty in 1969 which made permanent a measure that was passed in 1965 that had suspended the operation of the death penalty. These social changes and reforms may be said to mark an important stage in the modernising of Britains social attitudes. Many were the work of Roy Jenkins.He personified the tolerant, sophisticated attitudes that he wished to see become predominant in Britain. These were successful for the labour party and Wilson government. Showing objectives were achieved which cannot be said as much in industry and the economy. By the time of the general election in 1970 there was the feeling that the Labour government had failed to live up to expectations. The sense of disappointment was felt harsh by the young. Arguments stated that Wilson entered office claiming to be the head of a modernising and reforming government but really all that was changed was the style and not the content.In conclusion the Wilson government had some success in the social reforms it implicated but didn’t plan enough to address the economy and industry, it lost the support of the trade unions and was seen to be a failure from the public. In 1970 even through labour party optimism Edward heath walked int o 10 downing street as the Conservative prime minister with a 30 seat majority. This showed the ultimate fail of a clever but seemingly unorganised Labour party and government which didn’t successfully achieve enough of its objectives and therefore lost the 1970 election.