Obama Vs. Clinton Essay

The Affordable Health Care Act is a very in-depth process. The changes to the health care system were attempted to be passed in prior years by Bill Clinton. However, it failed at this time and was implemented in the United States by the current president Barack Obama. The Congress diversity of Democrats vs. Republican’s was very similar in both Clintons and Obamas time in office. There were many steps that were taken in creating this policy, and some of those steps succeeded, and some of those steps failed. Any new process would be expected to have some issues to work through as it was created. The Affordable Health Care Act still has some issues to work on, but many steps succeeded and that is why it has been implemented during Obamas term. Health Care Reform was in some ways similar in both Obama and Clinton’s proposals, but greatly different as well. Clinton’s main focus in the policy was to make health care mandatory for all Americans and have universal coverage. Employers would pay 80 percent of the cost of health insurance premiums, with the employee covering the remaining costs (Khan, 2014). However, both policies have the same goal of providing health insurance to all people. Each policy creates the ways of completing this task differently. Clinton’s health care reform plan was very complex. It involved high levels of government involvement in the health care industry. A federal national health board would have overseen the health system, and would be tasked with regulating premiums and overseeing benefits (Khan, 2014). Health care alliances at the state level would conduct a similar task, and states would have had the authority to regulate plans and have the option to create a single-payer system (Khan, 2014). The policy would be more of a government takeover, than assisting Americans with health  insurance. This was something that was not found to be favorable by many stakeholders. Obama’s reform allows for people with private insurance to keep their insurance. He is creating a government insurance company to compete with the private insurance companies. However, Obama still faces struggles with Republicans being opposed to this idea as well. The concern of finances was also purposed similar in both policy creations. Both presidents plan on the bill not adding to the deficit of the country. Another similarity between the two plans was that insurances companies could no longer deny a client because of their previous medical conditions. This has been another successful step in the process. Health Care Reform was created very similar but still with great differences between each president. The Affordable Health Care Act was successful for Obama mostly because of the way he pushed the bill through congress. Obama used Clinton’s health care reform failures as lessons and a blueprint of what not to do. This made him about to learn from past failure and make changes along the way. Different steps were taken in creating both of the policies. As Clinton moved slowly on this policy, Obama pushed his through quickly (Oberlander, 2014). Moving quickly was a decision that helped the policy succeeding, whereas, moving slowly caused it to fail. However, both presidents did pitch their speech about the Affordable Health Care Act before a joint session of Congress. This was not a successful step for either president. Both Obama and Clinton did not have great support for the policy, and this caused great suffering. Obama allowed for alternative methods in this policy whereas Clinton did not. Although both presidents had a wonderful idea, the steps that they took in implementing the policy are what changed the success of it. Both policies have similar stakeholders. When discussing health care insurance the stakeholders do not often change because the policies were slightly different. Stakeholders consist of business, insurance companies, and the American Medical Association. Other stakeholders consist of the people of the United States of America. There was much skepticism about the policy plans that both presidents were rolling out by the people of America. It is important that the presidents did not only look at stakeholders of large companies, but the everyday people of the community and employees of the health care industry as stakeholders as well. There were also government stakeholders in both  policies. However, the government level of stakeholders was greater in Clinton’s policy because his consist of government takeover. Stakeholders are crucial to the success of any policy. The Affordable Health Care Act has so far been successfully implemented by Obama. However, like any other new policy there are some issues still to be worked on. Obama was a success on passing this policy because he used the mistakes of the past to make his policy succeed. Even though there were struggles and steps that failed in Obama’s plan as well, there were more that succeed. Clinton’s policy was more government based and had many failures. The stakeholders for both presidents’ policies were similar. The Affordable Health Care Act has been in progress by many presidents for many years. However, it has been Obama’s plan that has been the most successful. Reference Oberlander, J. (2014). Long Time Coming: Why Health Reform Finally Passed. Retrieved from http://content.healthaffairs.org/content/29/6/1112.full Khan, H. (2014). Throwback to 1993? What’s New About Democrats’ Health Care Plans. Retrieved from http://abcnews.go.com/Politics/HealthCare/health-care-reform-president-obama-path-bill-clinton/story?id=8675596

Patton – Fuller Community Hospital

An analysis of Patton-Fuller Community Hospital Network systems James doglas CMGT/554 December 19, 2011 Carol Eichling An analysis of Patton-Fuller Community Hospital Network systems Patton – Fuller community hospital’s network system consist of two major parts, the first part is the executive part that connects the hospitals executive management, human resources department, operations, IT and data center, etc. , the first network is connected using a 1000base-T Gigabyte network connection that uses a typical Cat6 cabling (Apollo Group Inc. 2008), the second major part of the network connects the departments of radiology, operating room, wards, ICU’s, etc. using a 1000base F fiber optic based connection, this connection is a gigabyte connection too and the both parts of the connections are connected to the network bridge switch that is acting as a core switch. Observing the network structured layout (Apollo Group Inc. , 2008) reveals that the deployment decisions were made depending on the physical distances between the nods in each major network part. In the first part, it was obvious that the nods where in one physical place and the distances between them is not more than three hundred meters, this assumption were made depending on the fact that the 1000Base T network cannot be efficient more than the distance mentioned above. Where the second major part is in physical locations that more in distance than the executive network, this was based on the assumption the multi-core fiber network can be distanced up to two to three kilometers. The network logical operations are all based around the IT data center (Apollo Group Inc. , 2008) since it contains the major servers and the NAS (Network Attached Storage) (About. com, 2011), it’s also included the internet gateway router that allows access to the Internet. Furthermore any access to the network from the external resources will be routed through the RAS (Remote Access Server). Depending on the current topologies readings, several recommendations are necessary to be done in order to keep the network efficiently operational, especially that some parts of the network are mission critical and it is very important to address the issues of availability and reliability. In nowadays network it is very efficient network structure practice to separate the network nods into groups, this will ensure efficiency in interconnection and data transmission, and furthermore it is also one of the famous security practices that will prevent networks in internal structure to access each other. This can be achieved through using VLAN (virtual LAN) practice (Cisco, 2002), that separates the network nods into groups, each group will be related only to that group nods, this can be done on the switch level (layer 2), and all the VLANs can be interacted with each other through the core switch (layer 3) which provides routing along with switching. This practice can reduce the load on the internal networks through reducing the broadcast messages to that VLAN member’s level, though freeing some bandwidth capacity to more important transmissions. Another important recommendation is necessary in data center, this will be the separation of the internet server from the internal network, and access it only using remote access methods in case access is needed, this will insure that there are no method of access the internal network only through the RAS server which forces authentication mechanisms to allow any external connection. It is obvious too that the current server array and the both data centers in the hospital’s network are missing one very important component, and that is the backup system, it is very important to include a backup server to the network to insure data replication is available in case of accidental data corruption or deletion, furthermore take a data snapshots in logical periods of time keeping them physically in another geographical place will be a very likely practice in case of catastrophic data loss. One of the very good utilities of the hospitals network is the availability of the wireless access on the ward level, this will insure instant connectivity to the hospitals network from the small mobile devices such as laptops or other Wi-Fi based medical devices such as the new cardiograph devices which shares data with the database servers through wireless connection. These wireless devices depending on the diagram specifications are in 5 gigahertz frequency which are not compatible with every laptop computer, a recommendation to replace them with 2. gigahertz frequency devices are more efficient in order to allow laptops to access the network. A special attention is needed in the security of these wireless access points by connecting them to a server like RAS server to authenticate the personnel accessing the network wirelessly before allowing the devices to use the network. This is very important practice to prevent a destructive intrusion into the network. The conclusion Patton – Fuller hospital’s network has the potential of a successfully designed network with some adjustments to the network configuration is essentially needed to insure availability and reliability. Adding backup system is also an important necessity to prevent data loss, and applying security policies and authentication mechanizes are also essential to ensure continuous network security and performance. References About. com. (2011). Introduction to NAS. Retrieved from http://compnetworking. about. om/od/itinformationtechnology/l/aa070101a. htm Apollo Group Inc.. (2008). Patton – Fuller IT Data Center Diagram. Retrieved from https://ecampus. phoenix. edu/secure/aapd/CIST/VOP/Healthcare/PFCH/IT/ITDC. htm Apollo Group Inc.. (2008). Patton – Fuller Logical Network Diagram. Retrieved from https://ecampus. phoenix. edu/secure/aapd/CIST/VOP/Healthcare/PFCH/IT/ITLogNet. htm Cisco. (2002). VLAN Security Practice. Retrieved from http://www. cisco. com/warp/publi c/cc/pd/si/casi/ca6000/prodlit/vlnwp_wp. pdf

Animal Assignment Example | Topics and Well Written Essays - 750 words

Animal - Assignment Example The Cycopus Bear is a hairy mammal, in the family of Ursidae. Its body is not large as the common bear. The male bear has brown grey hairy skin with a white strip on the rib sides along the stomach, the tip of the tail, ears and two ticks like white marks on the cheeks below the nose. The female Cycopus bear is dark grey and is more hairy compared to the male (( Hill & Gordon, Pg. 67). The Cycopus bear does not have horns. They have slightly a stocky leg that enables them to sometimes stand on the back two legs. Their paws have claw like nails. A mature Cycopus bear can weight to about 50 - 55 Kg. The lifespan of theses bear extends to even 45 years in a favorable habitant. Just like most mammals, the Cycopus bear gives birth to young ones, within a gestation period of 3 months, and feed their young ones by mammary glands (Kingsolver, 45). This mammal creature is a vertebra. Its body is proportional, with two fore limbs and two back limbs. Standing at a fairly flat ground, this animal will appear to be slightly slanting from the head backwards. This body formationtentatively assists the animal to stand and even walk at its back limps especially when tracing an enemy from a distance ( Hill & Gordon, Pg. 43). This kind of bear has a closed circulatory system, where blood flows in veins and arteries. It has four chambered heart, with all parts of the body connected to the circulatory system by veins, arteries and capillaries which assist in the transportation of blood and oxygen fort respiration. The Cycopus bear also undergo hibernation, where their pulse rate drops below the normal rate. This is done especially in dry season, with diverse conditions enabling the animal to survive comfortably for about 15 days without feeding. This kind of animal, being a mammal has a digestive system closely similar to that of a human being. Cycopus bear is an omnivore which can both feed of soft leaves or grass, and even hunt small animals like insects, worms and flies. It

Describe the history of the Federal Reserve Bank. Include an Essay

Describe the history of the Federal Reserve Bank. Include an explanation of all the tools the Fed uses to contract and expand the economy using money supply and interest rates - Essay Example history of banking in United States suggest that during its nascent stage, Banking runs were common as many banks opened and faltered during small period of time. Based on the increase failures of financial institutions, Congress set up National Monetary Commission to look into it. Commission presented its first monetary reform plan to the Congress in year 1912. This plan recommended the establishment of National Reservations Association which would hold the reserves of commercial banks and could make short-term loans to banks to ensure credit availability. United States Congress responded to the situation by enacting Federal Reserves Act thus creating Federal Reserve System. President Woodrow Wilson endorsed these recommendations and Federal Reserves Act became a law on Dec 23, 1913 and FED was created (Federal Reserve Bank of Dallas). The primary responsibility of FED is to manage the enough money supply and credit to sustain the economic growth of the country by containing inflation. The contraction and expansion of economy is thus achieved with the help of following two economic variables: 1) Money Supply: Expanding or contracting the economy through the money supply is the most frequent method used by FED to exercise its powers to make changes in the economy. Traditionally called Open market operations, these are the activities through which FED either purchase or mope up the excess liquidity from the economic system by issuing securities called T-Bills or Treasury Bills. Similarly when FED wants to expand the economy through money supply, it will purchase the issued T-Bills thus off loading hard currency in the market. This is done primarily for one purpose and that is that through this, FED wants to control the flow of money in the economy. The easy availability to the excess money may create inflation in the economy hence have the potential to impact the real growth in the economy. 2) Interest rates: FED controls the expansion or contraction in the

G&S Research Paper Example | Topics and Well Written Essays - 1000 words

G&S - Research Paper Example This procedure for DNA forensic always begins at the scene where the crime has take place. Biological samples like saliva stain, blood remains, and semen samples are identified, collected, and transported to the laboratory for forensic laboratory analysis. There are instances where the DNA technique cannot be useful unless the investigators have found sufficient historical information on the suspect in check when a match is made in state or either national database (Balding, 2005). Once the lab analysis is complete with suspect’s analysis, the report is made available to investigators who must have some knowledge about the suspect in question. This is the situation where the law enforcer’s gets most challenging situation, as the DNA for the profile for the real offender may not be available for comparison with the materials recovered in the crime scene. Besides they have to ensure that they create an environment that ensures that, they obtain information from the suspects in a way that respect the privacy of those individuals (Butler, 2005). The federal law gives the FBI security sector the responsibility to administer and give support to the national DNA index system. Therefore, various states have enacted laws that ensure the DNA of convicted criminals is collected on specific crimes. This has made many states improve and expand the mandates involving the collection to include and retention of the offenders DNA’s samples after arrest (Butler, 2005). There has been gradual improvement forensic science of DNA as compared to traditional way where most DNA forensic was entirely based on scanning the fingerprints of the suspects that are left at the crime scenes. This traditional method entailed manual identification of fingerprints in absence of the suspects (Butler, 2012). This method was referee as cold searching. The method was slow, challenging and was not practical.

Cultural Competency Essay Example | Topics and Well Written Essays - 750 words

Cultural Competency - Essay Example Consequently, the changing cultural dynamics in the schools and society as a whole do call for a new approach to coming up with a culturally sensitive learning environment where each school going student feels welcome and significant. As a result, the changing cultural dynamics do require setting up of culturally competent schools where all students feel welcome in aiding them to participate fully in the learning environment and in promoting cohesiveness among students in these schools. Cultural competency in schools has emerged as one of the best ways through which to eliminate racial and ethnic differences in health care settings (Klotz, 2006). As the country becomes a diverse nation made of various cultures, clinicians, and other healthcare providers have to meet clients with broad perspectives on health, which are usually determined by the cultural and social inclinations of individuals. As such, clinicians have to meet patients who present their symptoms differently from what is illustrated in books. Moreover, these patients could have poor English proficiency, different expectations on care and some of whom do not adhere to recommendations as provided by the health provider. In such settings, a clinician has to be well trained on the best approaches to interact and offer quality care to such patients despite the different perspectives they hold. Considering that provider-patient communication is usually hinged on patient satisfaction, the possibility to adher e to instructions and the final outcomes (Betancourt et al., 2006), it would be expected that when there exist social-cultural differences between the patient and the clinician, the health outcome could be poor. Poor coordination in the clinician-patient relationship would lead to poor healthcare delivery to the population. As such, cultural competency in health related disciplines could help in improving care

Nursing in a legal and ethical environment in Australia Essay - 1

Nursing in a legal and ethical environment in Australia - Essay Example This latter document also forms the basis of what the profession offers to the public, and thus also forms the basis of public expectations with regard to nursing services and how nurses are to conduct themselves in the course of their duties (South African Nursing Council, 2004). Looking at the two documents, one is able to piece together some of the key ethical considerations in nursing care in South Africa as being embodied in nursing responsibilities and duties as prescribed by the law, and as prescribed and monitored by the profession association. On the other hand, while it does this, it also goes back to fundamental principles that guide its ethical formulations, chief among them being South African conceptions of social justice, truthfulness, doing no harm, doing one’s best, being caring, being autonomous, and being giving and demonstrating genuine care. Its code of ethics is linked, moreover, to a set of fundamental values, chief among them the value of the life of a person, privacy, respect for others, right to care, truthfulness, and the maintenance of the integrity of the nursing profession (South African Nursing Council, 2013). On the other hand, there are views on nursing ethics in South Africa that go beyond the rules and law-based ethical considerations, and go deep into the culture to fish out ingrained ethical values relating to care and compassion for the sick. These are spirituality-based ethical considerations that are not strictly found in the rules-based Code of Ethics discussed above (Haegert, 2000). Meanwhile, the South African Ethics Code for Nursing also lists specific ethical dilemmas as also forming part of the primary ethical considerations that guide practice. They are included in the code of ethics by way of fleshing out what those are, recognizing the complex nature of the dilemmas, and providing avenues for discussing the merits of individual cases within the nursing community and with the critical supervision of the Sou th African Nursing Council. Some ethical dilemma situations listed include euthanasia, and the early ending of pregnancies (South African Nursing Council, 2013). II. Nursing Care- Key Ethical Considerations: Australia The foundation of nursing ethics in Australia are the fundamental human rights laws that are observed and followed, as well as additional legislation that are geared towards securing the well-being, health and security of the general population, as well as the community of health care professionals that administer care. Moreover, there are national accreditation schemes and national organizations in place that complement the work done by the National Boards, or the associations of professionals for the different professions within the health care field, including nursing, that formulate the key ethical constructs and the guidelines and codes of behavior that in essence implicitly determine what the ethics of care for nursing in Australia are. Those ethical consideratio ns flow from a concern for the rights of individuals and the observance of the laws relating to that. Moreover, the ethical considera