Unit 2 Discussion board Essay Example | Topics and Well Written Essays - 500 words

Unit 2 Discussion board - Essay Example In this assignment, I am going to discuss about the episode of Enron Company and how their leadership used power to commit one of the heinous corporate crimes in the history of the world besides discussing some of the ethical lapses being committed by the organizational of Enron as well as political leadership of the United States of America. The ENRON scandal started as an accounting scandal however behind there is a whole story of power corruption and misuse of resources and powers to conceal and misrepresent the facts. It was discovered that irregular accounting practices which can easily be characterized as fraud were adopted in order to cover up the declining performance of Enron throughout the 1990’s decade. The major players involved in this whole fraudulent activity included not only the top management of the Enron specially Mr. Kenneth Lay, the CEO of the company and Mr. Jeffery Skilling but major role was also played by Enron’s auditors i.e. Arthur Anderson. The creative accounting behind this whole episode was crafted by opening special purpose entities or limited partnerships which Enron controlled. Resultantly all debts and losses that it suffered were transferred to these SPEs and were not appeared on the financial statements of the Enron. With the help of these SPEs Enron not only got the fre edom to move the currency besides having full anonymity which basically helped them to hide the losses it suffered by dumping them into the financial statements of these Special Purpose Entities Apart from being the involvement of the top executives of the company there were reports which suggested the involvement of the Clinton administration during the 1990s era. (Smith, 2002). Not only the involvement of ENRON into concealing the facts, it was also believed that ENRON executives exceeded their original mandate to involve the company into Political affairs even

The Rococo Style of Art Essay Example | Topics and Well Written Essays - 500 words

The Rococo Style of Art - Essay Example Pope uses satire in his literature to express a certain perspective. He reveals the ludicrousness and unsuitable behavior that the 18th century people of England had towards fashion. The woman Belinda symbolizes the kind of women busy indulging and competing for fashion, which can be slightly term as an act of stupidity. The satire is edifying and aloof. He does not directly attack a particular person but points out the moral infidelity in the society. The society in context is the 18th century aristocratic era of the rise in the fashion industry. Although he also tackles other relevant topics whereby he continues the use of his satirical prose (Levey 45-70). An illustration is the case of the judge where he criticizes him for making rushed rulings in a ridiculous manner. The Rape of the Lock incorporates the masterful traits of a laudable blockbuster, nevertheless is used sarcastically to an apparently trivial narcissistic exclusive squabble. It eventually achieves a fanciful ridicu le epic by combining the petty and unchanging. This piece of literature presents a humorous and light tone. This consequentially elucidates the eccentric kind of the poem’s vital quarrel. The atrocities done by Baron like â€Å"raping† or stealing and the memorable hair style of Belinda are some of the issues of conflict. â€Å"The meeting points the sacred hair dissever from the fair head, forever and forever! Then flashed the living lightning from her eyes, and screams of horror rend the affrighted skies†.

Perfume Fragrances Online. Online Cosmetics Retailer Essay

Perfume Fragrances Online. Online Cosmetics Retailer - Essay Example The company being established is a new player within the online retailing community, and more specifically operating within the cosmetics, perfume and fragrances sector of this retail market. The company is newly established and is focussing on the internet platform for a number of reasons including but not limited to the substantial reduction of overheads, based on the fact that retail venues, shops and locations are not specifically required to generate income for the company. In addition to this the company has identified a number of key issues, specifically within the online marketing, and search engine optimization fields that stand to benefit the company in boosting online sales via strategic brand marketing within the various products that will be sold via the online store. The brand of Perfume Fragrances Online will operate on a skeleton administrative staff, which includes staff for the processing of orders, based upon their wholesale accounts and contracts with established cosmetic companies, which do and will continue to provide drop ship services to Perfume Fragrances Online customers. This concept drastically reduces staff complements, and can realize a more significant contribution towards the marketing and brand strategy budget. This brand management strategy can be seen as focused entirely upon the internet opportunities that currently exist, and to this end the numerous platforms, such as social media marketing, pay per click and search engine optimization techniques and processes will be implemented in establishing the online presence of the company within the defined sectors and targeted segments of online users.

Making decisions Essay Example for Free

Making decisions Essay Written by Bernard Malamud, â€Å"The Natural† title does place a key meaning to the term, â€Å"the natural† as it is an inspiring baseball story that places a good read. The author discusses several character traits as well as interesting characters that are found in real life. Therefore, â€Å"The Natural† represents its meaning in such a way that it portrays the natural real life characters of America. Furthermore, â€Å"The Natural† by Bernard Malamud is a work different from the rest of the literature he has written. â€Å"The Natural† is a title that portrays â€Å"the natural† baseball craze of Americans; this is something that is very â€Å"natural† in this literature because the game of baseball places a â€Å"natural† exciting feeling within the American public. The craze of the game is absolutely â€Å"natural† and therefore, the author reflects many characteristics and story plots throughout the novel. Therefore, this can be one of the reasons why the title term, â€Å"The Natural† would place the same meaning as, â€Å"the natural. † After reading through Bernard Malamud’s novel, â€Å"The Natural,† I also felt that there were mixed natural feelings of loss and victory associated with the natural life pattern. Malamud highlights on natural traits of man’s emotions throughout the novel where we experience heightened love, sense of victory as well as loss. The beginning of the novel is strange but the story slowly picks up after a span of 15 years where we see the coaches desperately trying to win the baseball game slot. At this particular stance, we sense the â€Å"naturalness† displayed in the story by the author when Roy takes a straight hit at his first ball throw that makes Roy seem very â€Å"natural† at his game. By â€Å"natural† here, we mean Roy’s fluent attempt at his game that makes him the hero of the novel. Though the psychiatrist tries to messes with his mind, a â€Å"natural† instinct is always followed by a sense that shows familiarity as well as fluency with the task that Roy is trying to accomplish. Roy is not a trained baseball player and that is the reason why we would state that Roy’s â€Å"naturalness† in his game is an attribute he has from within. The title, â€Å"The Natural† can also be related to love or infatuation that Roy develops for Memo Paris since his arrival at Knights. Love or infatuation is truly a â€Å"natural† feeling and again, the author maintains the theme of his title that precisely corresponds to the story he is narrating to his audience. Apart from the natural skill of Roy that Bernard Malamud displays in his character, we also come across the natural feeling of love in the story. â€Å"The Natural† truly places an emphasis on its title and the Bernard Malamud knows his choice of the title. â€Å"The Natural† not only displays the realistic aspects of feelings but also skills that the character in the novel is fluent in. â€Å"The Natural† as stated earlier, also displays several characters that show a natural resemblance to real life characters. It is evident to come across beautiful and wicked women in real life and thus, what we read in â€Å"The Natural† too relates to the natural life. Bernard Malamud discusses the several factors that are associated with the natural aspects of one’s life by narrating Roy’s story. Bernard has been extremely entertaining in providing a perfect baseball story that is of â€Å"natural† interest for its readers and the readers comprise of millions of American baseball fans due to the fact that American baseball is the national sport of the country. We further witness how Bernard Malamud tackles the several issues of Roy’s life naturally where victory is definitely a part of one picture and another picture that Malamud represents at the end of the story is the loss. â€Å"Nature† or â€Å"Natural† has different meanings, of which Bernard Malamud has attempted to cover most of the meanings that have been portrayed in the story. Mostly, it is the realism stance of the story that counts in the Bernard Malamud’s narration. The stance of growth and advancement, as in real life, is another sign of â€Å"naturalness† in Bernard Malamud’s text, â€Å"The Natural. † The real â€Å"natural† life also accounts for the good and the bad. We witnessed characters that came from good backgrounds as well as bad backgrounds. Therefore, the realistic â€Å"naturalism† in the novel plays a vital role in giving an insight into the title; that is â€Å"The Natural. † Overall, the themes that can be found in â€Å"The Natural† placed a natural feeling in the heart of the readers. We saw how victory takes place and how the character in the story, Roy faces defeat as well. We also come across the sense of greed that leads Roy to accepting the bribe that made his team lose. The story serves as a valuable lesson for the readers to take the actions and consequences act into account as for every action, there is a consequence. If the action is good, the consequence is good and if the action is bad, the consequence will also be the same. With regards to the title of the novel, â€Å"The Natural†, I agree with it due to its coinciding incidences with the realism of life. The author successfully draws a sense of naturalness in the entire novel thereby making the title, the perfect match for it. Including the themes of love and infatuation, Bernard Malamud completes his story by highlighting on every aspect of human emotions. Bernard Malamud’s style of presenting the story in a realistic manner pertaining to the game of baseball as well as several characters draws a tremendous interest for the readers to look into the realistic factual characters presented by him in the novel. â€Å"The Natural† is a perfect title that applauds victory and sheds light on failure; love and infatuation; the good and the bad as well as choices. This characteristic feature of the novel makes it distinct and unique, the themes of which are truly â€Å"natural† in every sense†¦ LESSON 2: TROY AND ROY COMPARISON Troy and Roy are characters that are similar as well as differ from each other in many ways. Roy had clearly been an achiever in his life, till the â€Å"almost† end. In case of Troy, we don’t see that coming in his life except before he was jailed. Instead, Troy’s life revolves much around his own family and his own past and his own emotional drama. Roy had his love and his piece of infatuation, victory, failure as well as growth throughout the story. We see the same happening in Troy’s case but with a much different note. The only similarity I found through both the characters was their aim to become a baseball player of which, Roy had achieved a permanent status of a â€Å"natural† baseball player while Troy had given up on baseball based on his age. However, in Troy’s case, we didn’t see this aim in his life. Yes- he wanted to become a baseball player, he became the best baseball player but never returned back. He lost the opportunity when he was provided with one. Roy, however, is wise while making his decisions though at the end of the story, he too loses himself towards greed. That is another part of the story. I agree that both the characters have faced setbacks and triumphs in their own way in their respective stories but they cannot be stated as the â€Å"black and white† versions of the same kind of American male. Troy is more of a confused personality who loses opportunities while Roy is an achiever and the only moment he failed was when he was presented a lofty sum by Judge to lose the game or else, it was clear that Roy would have had led Knights to the path of victory. Troy revolves much around his personal life where he is involved with his sons, Cory and Lyons with his wife Rose and his girlfriend, Alberta. His brother Gabriel has a small role to play but Troy’s feelings towards his brother Gabriel where he holds himself responsible for his misfortunes shows Troy’s naive attitude towards understanding issues. Unlike Roy (whose game and success came naturally to him), Troy has an abusive childhood who was abused by his father. Eventually, the same influence and history was repeated by Troy on his other two sons. There is no change of heart throughout the story. We also sense that though there is a considerable time lapse between the lives of Troy and Roy, age didn’t deter Roy from playing baseball again while Troy easily gave up his game. The other similarity that I can state in both the characters is the sense of moral weakness. Troy and Roy are morally weak. Troy cheated on his wife by involving himself with another woman while Roy gives himself in to the bribe by the Judge. Roy’s character is exhibited less emotionally except when he involved himself in love and infatuation. Troy’s character is more on an emotional stance where he has his life and feelings in dilemma since the beginning. Though, both the characters face their actions and their consequences in their own manner, both the stories end with a sad note; Roy with his failure and Troy with his death. However, Troy’s daughter, Raynell does seem like an angel in the story. Troy had imaginarily built fences around his relationships wanting to keep death away from those he loved and those he hated as well. He had built his own boundaries and thus, was an unsuccessful father and even an unsuccessful husband (as he cheats on his wife). Roy’s weakness lies mainly with money and love as he too had a poor childhood and therefore aimed to become a baseball star. Troy is a fifty-three year old man who has built imaginary fences around himself from everyone in his life, including his own wife and therefore cheated on her. Roy, on the other hand, didn’t cheat on him and thus, Troy and Roy cannot be regarded as the black and white versions of the same American protagonist displayed by the two authors. Troy and Roy are similar, but in a smaller sense with each other. They come across misfortunes and in the end, have a sad ending to their lives. Their emotional stance on the events they faced in their lives is different. In both the novel stories, we come across a time lapse that had passed between the characters. Roy, as I believe, is sincere in his motives and is only confused about certain issues in his life. Troy, on the other hand, does not understand the essence of life at all and proceeds with life as it is, without willing to make any changes. Roy, a personality mostly not guided and mistaken, is underestimated though he has had a few bad hits in the baseball game, based on the story. Troy has faced a long hurdle of hardships throughout, especially when he quit his career as a baseball player after going to the prison. We also witness discrimination, apartheid in August Wilson’s play, â€Å"Fences† where Troy is Black and is not promoted for a long time to the position of the driver based on his skin color. We come across no such issue of discrimination in Roy’s case but further, Roy’s foolishness to achieve the woman he wants. Roy is willing to do anything for her and therefore, blindly accepts what Judge offers and thus, lands in a situation where he is a loser. He could have been victorious only if he had used his senses in a stronger way while making decisions (and by not letting his emotional part overtake him). Troy, on the other hand, has his life in a completely irreversible state where Troy’s confidence is completely shattered by the term he spent in prison. Therefore, he couldn’t change what already happened in his life and therefore, didn’t have sufficient confidence to go back to his previous life. Troy and Roy both differ in a great respect but share only some similarities.

Contemporary Issues In Health And Social Care Health Essay

Contemporary Issues In Health And Social Care Health Essay The NHS provides a vision of service that combines health care that is universal, comprehensive and free at the point of delivery to all in need. The NHS provides a vision of service that combines health care that is universal, comprehensive and free at the point of delivery to all in need. Critically evaluate this statement in light of current NHS policy. The founding principles of the NHS were to create a model of health care that met the needs of the population, whilst wiping out the inequality that occurred between the middle and poorer classes, that were highlighted by the Beveridge report in 1942 (Beveridge 1942). The Beveridge report was commissioned by the Conservative Labour coalition government, formed one year in to WW11 in 1940, to survey the existing national schemes of social insurance, and to make recommendations (Beveridge 1942). The report identified the 5 giant evils of society being; squalor, ignorance, want, idleness and disease, which lead to Beveridges guiding principles that social security must be achieved by co-operation between the State and the individual'(Beveridge 1942), whereby the State will establish and provide a national minimum. Although no recommendations were made at that time with regards to a National Health Service, Beveridge concluded that such a scheme was essential to a satisfactory system of social security (Beveridge 1942). This report could be seen as the catalyst for change in the welfare system that was the basis for the creation of the NHS. In 1943 Winston Churchill released a speech entitled After the War, describing the implementation of measures including a national compulsory insurance for all classes for all purposes from the cradle to the grave (BMJ 1995). This was met by opposition from the Labour party who were in favour of a state run National Health Service as opposed to local health centres and district hospitals (Beveridge 1953). The Coalition governments were agreed however, on not implementing any measures until after the war. Post war, in 1945, Labour won the general election, beginning the social collectivist era. With the country already used to state intervention during the war era with rationing and directed employment, a Keynesian economic model was adopted during post war economic expansion, increasing state intervention in social affairs and forming the basis of the Welfare State. The Welfare State was formed on several acts of parliament including 1946 national insurance act; 1946 National Health Service act (http://www.legislation.gov.uk/ukpga/1965/51). Ahead of these in 1945 Bevan presented the Cabinet with a slightly altered NHS framework the Tripartite Administration, in favour of the nationalisation of hospitals, with no responsibility filtering down below central government level (Ryan, M. 1972). On July 5th 1948 the National Health Service came into being, and although to the general public there were no noticeable changes, no new hospitals etc, services were now free at the point of access. Being financed solely from taxation, and reflecting Beveridges recommendations for the state to provide a national minimum of health and social care, the NHS addressed inequalities in the rich/poor healthcare divide through the rich contributing more than the poor for the same healthcare benefits. (http://www.nationalarchives.gov.uk/cabinetpapers.htm). This consensus between Left and Right secured the ethos, and future of the NHS, with both Conservative and Labour parties acknowledging the necessity for a national health service, making it Britains most successful nationalised undertaking (Hart 2006). In 1949 this changed however with the introduction of the Amending Act, which allowed prescriptions to be charged for. On 1 June 1952, charges were introduced for the first time and continued until their abolition on 1 February 1965. Prescription charges were reinstated in 10 June 1968 (http://www.bma.org.uk/health_promotion_ethics/drugs_prescribing/FundingPrescriptionCharges.jsp), more than likely due to prescription costs rising to a staggering 19 million per month in 1951(http://www.nationalarchives.gov.uk/cabinetpapers.htm). This was the first major deviation from the founding principles of the NHS, followed by charges for Dental and Optical care in 1988, as patients were expected to pay upfront for non emergency medication. Despite the Guillebaud report of 1956 showing the NHS cost efficiency and that any decrease in funding would lead to a less comprehensive, reduced service NHS (Guillebaud 1956), the cost of running the NHS continued to rise. Politically, the Conservative party were prioritising a decrease in public taxation, however with NHS costs continuously rising, and direct charging deemed politically unacceptable (http://www.nationalarchives.gov.uk/cabinetpapers), the Conservatives passed the National Health Insurance act of 1957, doubling national insurance contributions in an attempt to not be seen to be raising income tax (Hall 2003). Doing this was the only way to ensure the future of the NHS, and maintain a service that is both comprehensive and free at point of access. This rising cost of the NHS was at odds with the Beveridge report projection that as people became healthier, the cost of running the NHS would decrease. In the 1962 Porritt Report, the medical profession whilst believing the philosophy and concept of a National Health System was sound, it was not encompassing, with the separation of the NHS into hospitals, general practice and local health authorities, and began the debate on the structure of the NHS (Porritt 1962). It could be argued that by keeping the areas of care separate, the government paved the way for the privatization of services and independent contractors that may increase costs and exploit the NHS (Pollock 2006). In 1964 Labour regained power. Prescription charges were initially abolished, but reinstated only a year later. In order to address the potential inequality in access to medicines for the poor means testing and certain exemptions had been introduced. Prescription charges were waived for certain chronic conditions, pregnant women, children under 16, adults over 60, and those on means tested benefits such as income support, jobseekers allowance, and the NHS low income scheme (http://www.bma.org.uk/health_promotion_ethics/drugs_prescribing/FundingPrescriptionCharges.jsp) thus leveling any disadvantage those in most need may face and continuing a universal service. 1979 saw the entrance of Thatcher and the Right Wing government. This period of Thatcherism held a strongly anti-collectivist view, encouraging healthcare autonomy, however even they never openly handed it over to corporate business (Hart 2006). The Griffiths report in 1984 suggested the restructuring of the NHS, with managers put in place to manage budgets without any training in public health or the principles of health care delivery (Pollock 2006), which began the decline into the business paradigm of the NHS, and the privatization of services. Between 1999 and 2003, Millburn the then Secretary of State for Health invited a bidding war between private firms to take over NHS clinical services, with the idea being to drive down costs and increase efficiency. A few years later junior minister John Hutton would argue that only by introducing competition and choice could Britain secure the values on which the Welfare State was founded (Hart 2006). However, with hospital fund holders now having to buy in external services, the same levels of care are not universally available, with patients now only having access to certain care if there was a contract in place for it. Some health authorities brought in limits to the amounts of available care and differences were made between health care and social care, the latter being charged directly to the patient for (Pollock 2006), and expensive conditions, those chronic or some transplants became increasingly unavailable. This defies the original principles of the NHS by being neither free at point of access, nor not included in what is supposed to be a comprehensive service. By allowing services to be bought and sold, Pollock believes that they accelerating erosion within the NHS and removing the right to healthcare, the basis on which the NHS was created (Pollock 2006). A potential turning point in health care came in 1980 with the Black report, which identified that for healthcare to be universal it was necessary to not only look at a medicinal model of health. Such a Cartesian view of the body will be reflected in the services provided, such that the health care services will give priority to such matters as surgery, the immunological response to transplanted organs, chemotherapy and the chemical basis of inheritance (Black 1980), and it is in fact necessary to evidence of a wide variety of health conditions and their social, environmental and psychological as well as physiological significance (Black 1980). Black placed increasing importance not just on the provision of medicines, but also on social strata, pay, living standards, levels of unemployment and education when considering the health of a nation. It became clear that even 40 years after Beveridges report there was still demonstrable deprivation occurring in Britain (Hills 1994). In 2008 health secretary Alan Johnson commissioned another report, which echoed the previous findings of Black in 1980, that healthcare will not be universal and comprehensive until the social gradients have been addressed by actions that must be universal, but with a scale and intensity that is proportionate to the level of disadvantage (Marmot 2010). The report recommended these 6 actions as ways of addressing the social gradient; Give every child the best start in life. Enable all children young people and adults to maximise their capabilities and have control over their lives. Create fair employment and good work for all. Ensure healthy standard of living for all. Create and develop healthy and sustainable places and communities. Strengthen the role and impact of ill health prevention. (Marmot 2010). However, 30 years on from the Black report, these social inequalities remain a problem, suggesting that whilst the awareness of these social factors exists, they have still not been overcome. As we can see from this graph, updated in 2009, there are still enormous gradients in health, with males from manual working backgrounds twice as likely to die as those from professional ones. http://www.poverty.org.uk/60/index.shtml These social gradients can be small or large scale, for example, government derivatives in Scotland and Wales have most recently deviated to a more encompassing service allowing free prescriptions to all, not just those in most need, making the service universal and comprehensive regardless of social classification, employment and pay. However by doing so, they have increased the difference in universal access between location, as it is now easier and cheaper to receive non emergency health care in Scotland and Wales but not for the population residing in England. Whilst this may be an ideal to aim for, it may not be the most feasible model of healthcare, due to the ever increasing percentage of Gross Domestic Product (GDP) that the NHS takes up, which currently stands at 8.5%, reaching an astounding 120 billion pounds (Harker 2011). In 1997 New Labour won the election mainly on the premise of their healthcare policy, advocating a social health model, with increased funding for better quality of services. In 1999 they opened NHS walk in centres where anyone could go for non emergency health care. This increased the universality of the health care system, as patients could now be seen same day, without an appointment, and without being placed on a waiting list. However, this could be seen as a response to the current governments cutting of any benefits for those purchasing private medical insurance (tax relief for the over 60s and employers exemption from National Insurance contributions), creating a fall of 440,000 in coverage, and thereby potentially increasing demand on the NHS (Emmerson 2001). This was most likely to hit the poorest areas of the country hardest, as data shows that, although private medical insurance was more common amongst the richer classes, they were also more likely to have an employer pay for it, so the changes in taxation affected them the least. Geography can play a vital role in access to care, as demonstrated by Gubb in 2007. There are real variations in the time waited by patients both geographically and across medical specialities. For example, just 25% of orthopaedic patients are seen within 18 weeks, compared with 79% of those receiving thoracic medicine; and just 33% of patients in the South East Coast SHA are treated within the target compared with 60% in the East Midlands SHA Gubb 2007. However, this is one target the Labour government at this time was aiming to reduce, as by decreasing waiting periods across the board the equality of the service was increased, thereby making it more universal in its nature. This was achieved, and by 2007, nearly 100% of patients were offered a GP appointment with 48 hours, compared to the 75% in 2002 (http://www.civitas.org.uk/nhs/download/waitingtimes.pdf). In 2009 the Department of Health released their 2nd quarter statistics, again showing a huge variation in appointed care between the different Strategic Health Authorities. In London, over 160,000 patients were waiting for a first outpatient appointment, with nearly 1,400 having waited a period of 12 weeks, in comparison, the North East SHA showed the lowest statistics with 46,000 patients waiting in total, but only 48 having waited for a period of 12 weeks. In terms of waiting times however, the West Midlands showed the highest proportion in length of waiting time, with 193 patients still not receiving an appointment at the 17 week plus mark. (http://www.performance.doh.gov.uk/waitingtimes/index.htm). It could be postulated that the patients in those areas waiting the longest for treatment, are not receiving the same level of service as those with faster access to services and treatment. The services provided are still comprehensive, but are not universal by nature if different areas of the country are receiving different standards of care. In addition, the 2008/9 NHS Atlas of Variation identified a distinct variation between the comprehensiveness of the service being offered. It showed up to a 50 fold variation in the levels of care in different Strategic Health Authorities (http://www.rightcare.nhs.uk/atlas/qipp_nhsAtlas-LOW_261110c.pdf). Whilst talk of post code lotteries remains something of an anathema, it is clear from this report that there is a huge variation in the quality and standard of care being offered between trusts. More importantly, however, it would seem that patients are not receiving the same basic care all round. For example, the National Institute of Health and Clinical Excellence recommend all persons with diabetes to have a 9 key care process to assess the progression of their condition, and its impact upon their nervous system, central and peripheries, by monitoring weight, blood pressure, blood glucose and other checks, the treatment of which has been shown to reduce diabetic complications. How ever, there is a 35 fold variation between SHAs offering this basic standard of care. Taking this one step further, the lack of basic care increases the patients likelihood of heart attack, stroke, kidney failure and limb amputation, and yet there is a two-fold variation amongst the SHAs in the incidence of major amputations per 1000 patients with diabetes, due to a lack of a specialized Multi Disciplinary Diabetic Team (MDT) in some authorities (http://www.rightcare.nhs.uk/atlas/qipp_nhsAtlas-LOW_261110c.pdf). In conclusion, the current NHS offers a service that is still free at point of access, and still comprehensive albeit not immediately nor to all locations. However it would be fair to say that the current arrangement provides the most promising way of promoting distributional equity (Bevan 1989). A continuum of care is still provided, covering patients from the cradle to the grave, and thus fulfilling the original philosophy, however, until the factors underlying social deprivation (class stratification, employment, education etc) are fully resolved the NHS cannot be completely universal. The WHO commission states that social injustice is killing on a grand scale (W 2008), and yet it seems to be the main factor standing between our vision of an ideological NHS, and the current reality.

Playboy Of The Western World: Discovering Reality Essay -- essays rese

In order to counter the unreality of Ibsen and the bleakness of Chekhov, John M. Synge has chosen a seemingly unbelievable story to create his realist masterpiece, The Playboy of the Western World. Its realism comes from two unlikely sources: joy and a far-fetched tale. Yet, as Synge identifies himself in the preface, these elements in combination are extremely effective in showing the life of the peasantry; more so than any bleak or so-called "real" story (in the manner of Ibsen) could.The problem with showing the peasant class in a bleak manner is that, by virtue of their position, the audience knows their life is bleak in terms of money. By featuring a peasant class, it would be redundant to make a movie about their lack of finances, intelligence, or other virtues not usual...

The Dark Evil of Racism :: essays research papers

It is much easier to confront the racism of the 1960s than the racial and economic injustices of today. While I'm happy that racist vigilantes such as Edgar Ray Killen have finally been called upon to pay for their crimes, we have work to do in the here and now. Killen's conviction is one of several historical reckonings. In 1994, Byron de la Beckwith was convicted of murdering civil-rights leader Medgar Evers in 1963. Then, just last year, the FBI reopened the 1955 Emmett Till case after finding that as many as 10 more people may have been involved in his abduction and murder. And now Killen will likely go to prison for the rest of his life for his part in the brutal 1964 murders of civil-rights activists Michael Schwerner, Andrew Goodman and James Chaney. These murder cases stayed unsolved for decades, and their resolution may give some sense of closure to the long-suffering families of the victims. But these triumphs are largely symbolic. By congratulating ourselves too much for them, we risk neglecting the challenges of the present. ''There's justice for all in Mississippi,'' state Attorney General James Hood said after the Killen conviction. But the reality on the ground belies Hood's rosy scenario. The lives of black Mississippians, 41 years after the civil-rights murders of 1964, are still mired in poverty and inequality. Yes, there are black elected officials now, but the economic prospects for black people -- and many whites -- is grim. The state suffers one of the nation's highest illiteracy rates. More than 38 percent of the state's black families live in poverty, in contrast to 14 percent of whites, according to the Kaiser Foundation. This doesn't sound like justice to me. Killen and his ilk carried out their crimes under white hoods and the darkness of night.