Thursday, October 31, 2019
Reflective Practice Statement Essay Example | Topics and Well Written Essays - 2000 words
Reflective Practice Statement - Essay Example DeFillippi believe that reflection is crucial to learning because it helps to convert "convert tacit experience into explicit knowledge" (p.6). Reflective practise, as a concept of learning, was introduced into several professions in the 1980s. The rationale behind it is that by thinking about things that have happened to us, in a different light, we gain more knowledge and a better perspective, which enable us to take some kind of action. It is therefore seen as an important process by which professionals "learn from experience in order to understand and better develop their practice" (Jasper, 2003, p.2). The concept of learning from reflection was a product of the work of several educational theorists; one important figure in this regard is Dewey (1938) who argued that 'we learn by doing and realising what came out of what we did'. However, this theory has seen severally modified and developed by contemporary theorist. One of such is the 'experiential learning theory' developed by Kolb in the 1980s, where he drew our attention to the fact that, when we attempt to learn from something that has already happened to us, we ne ed to recall our observation of the events and then reflect on the observation in some way (p.3). This theory was the perhaps the first to demonstrate the cognitive process of learning by particularly expressing the importance of critical reflection in learning. This theory stressed the fact that the main thrust of learning efforts lies in the manner in which we process experience and a major part of this, is our ability to critically reflect on experiences. Learning was described to occur in a cycle that "begins with experience, continues with reflection and later leads to action, which itself becomes a concrete experience for reflection" (Kelly, 2005). Kolb's work further refined the concept of reflection, as it applies to learning, and divided it into two separate learning activities, which he referred to as perceiving and processing (Algonquin, 1996). The perceiving stage is when the actual learning takes place, while processing is when such learning is re-appraised in the light of previous experiences. A third stage called 'Abstract Conceptualization', where it is believed that we try to find answers to the questions raised during the critical reflection stage. In this attempt, we make generalizations, draw conclusions and form hypotheses about the experiences; and the fourth stage 'Active Experimentation', where we try these hypotheses out, were further proposed (Kelly, 2005; Algonquin, 1996). In the words of Kolb, in the Abstract Conceptualization phase, "learning involves using logic and ideas, rather than feelings to understand problems or situations. Typically, we would rely on systematic planning and develop theories and i deas to solve problems." While in Active Experimentation, "Learning in this stage takes an active form - experimenting with, influencing or changing situations. We would take a practical approach and be concerned with what really works..." (Algonquin, 1996). Besides the experiential learning theory, the motivational theories also have great implications for reflection and learning. The importance and impact of motivation on human actions was first highlighted by the research now popularly known as the Hawthorne Studies, conducted by Elton Mayo from 1924 to 1932. In the
Tuesday, October 29, 2019
Kuwait Liberation Research Paper Example | Topics and Well Written Essays - 1250 words
Kuwait Liberation - Research Paper Example Iraqââ¬â¢s invasion in Kuwait turned the Middle East into a war zone. This paper intends to discuss the history of Iraqââ¬â¢s invasion, and the criminal and political activities that occurred during the whole phase of war. MLA referencing style has been used properly, and the report is summarized in a concluding paragraph. Iraq had been in war with Iran, before invasion in Kuwait. The Iran-Iraq war, that spread over eight years, was devastating for Iraq. At the launch of war, Iraq had ample hard currency reserves; but at the end of war, the Iraqi nation was in debt of $80 billion (Klein). Iraq had to pay beck this debt to Kuwait and Saudi Arabia. Meanwhile, Kuwait had been mounting up 900 square miles of Iraqi land, by moving its border forward with Iraq northward. This moving forward of Kuwaitââ¬â¢s border was irreversible. Kuwait gained access to Rumaila oil reserve and Iraqi oil field, by using drilling equipment of the Santa Fe Drilling Corporation of Alhambra, Californi a. Kuwait also became a reason of dropping down of Iraqi oil prices. Iraqââ¬â¢s main source of earning was petroleum whose price kept on fluctuating due to international production of petroleum. Kuwait tended to undermine OPEC quotas by increasing its oil production under the guidance of the United States. Due to this, the price of Iraqi oil went down from $28 per barrel to $11 per barrel (Klein), which damaged Iraqââ¬â¢s economy greatly. Iraq appealed to Saudi Arabia and other Middle East countries to stick to the OPEC production levels. Iraqââ¬â¢s appeals were met by USAââ¬â¢s navy buildup in the Persian Gulf. Still, Kuwait continued to increase its oil production, which harmed not only Iraqââ¬â¢s economy but also its own. Kuwait refused to return Iraqââ¬â¢s territory that it had accumulated during the Iraq-Iran war; rejected the production quotas; refused to stop driving oil from Rumaila oil reserve and selling it at low prices; and, rejected the idea of relinqu ishing Iraqââ¬â¢s debt. All these events raised tension between the two countries, finally leading to Iraqââ¬â¢s invasion of Kuwait on August 2, 1990. However, the United Nations protested against Iraqââ¬â¢s invasion, and instructed Iraq to withdraw its forces from Kuwait (Hussein, Ramadan & Aziz 85). On August 6, 1990, four days after the invasion had occurred, the United Nations Security Council passed a resolution (known as Resolution 661 of 1990), that imposed wide-ranging sanctions on Iraq, and created a committee that supervised those sanctions and made sure that Iraq withdrew its forces from Kuwait. The resolution showed concern with the heavy loss of lives in Kuwait due to Iraqââ¬â¢s invasion; and, showed determination to put Iraqââ¬â¢s invasion to an end, liberating Kuwait and its sovereignty, self-government, and territorial integrity. The United Nations Security Council passed 12 resolutions, starting from August 6, 1990 till November 29, 1990. The last res olution was Resolution 678 (1990) which stated that, in case Iraq fails to comply with the resolution regarding withdrawal of its forces from Kuwait by January 15, 1991, this would result in authorization of all member states in support of Kuwait to force Iraq to put an end of invasion, and to restore peace in the Middle East. USA never seriously protested with high-profile military demonstrations at the beginning of Iraqââ¬â¢s invasion, and kept a public silence. USA kept on issuing public statements stressing the point that it had no defense
Sunday, October 27, 2019
Examining The Aspects Of Social Work Practices Social Work Essay
Examining The Aspects Of Social Work Practices Social Work Essay The aspect of social work practice I feel most difficult to perform is the gerontological social work. This paper would firstly describe the context of social work practice with old people. After that, I would exam the reasons preventing me from effectively conducting helping process by evaluating my attitudes, emotions and experiences as well as by reviewing professional literature on social work practice with old people. In the end, I will shape a personal plan on how to address this weakness in the future. There is a universal folk saying that everyone wishes to live a good long life, but no one wishes for old age. Although in virtually every helping process attempt, social workers bring their own emotional or cognitive influences to intervention, I feel especially difficult to perform in the interventions dealing with older adults. With the development of medical and health care and with the baby boomer generations entering into their old years, the aging of population in the twenty-first century has become increasingly concerned by more and more people. In responding to the drastic transformation of social institutions such as elderly social service and health-care system, the social work practice with old people turns out into one of the most popular social work aspect today. Apart from the well-known nursing homes and hospital, there are other settings for gerontological social work as well. Geriatric care management, community social service agencies, adult day health care, legal servicesà ¼Ã
âhome health-care agencies , macro settings for gerontological social workers and community planning also play their active roles in serving the older adult in a variety of ways. The gerontologiacal social work, which needs high level of self-awareness, commitment and professional skills, is somehow a complex mission for us to carry. Many social workers admit that social work practice with old people is both challenged and exciting for the reason that, at one hand, it reminds of feelings about death, aging of our family and ones own attitudes toward helping the disadvantaged and vulnerable old adults; on the other hand, it also presents joys and delightful pictures and makes us think more about ourselves. Root of difficulty Review own personal factors Among all the factors that influence my ability to perform this particular area, the subtle effects of my social and personal massages and the counter-transference feelings of old people would be matters of cardinal significance. Furthermore, I also affected by my characteristics and cognition to certain kind of old people. Stereotypes. When I was a child I always heard people saying that old people are vulnerable and need help, and older adults are less valuable as human beings because they have to rely on their children. At home, I was asked to behave properly and not offend grandparents; otherwise I would get scolds and punishment. While at school, I was required to help older people for that they have trouble getting around. These stereotypes toward elderly are usually negative for me and imply an attitude or unintentional message that old people are hard to take care of, stubborn, old-fashioned and unpleasant. Consequently, I always feel that I cannot handle the relationship with older people well and they will not like me. I feel uncomfortable in front of many of my eldership because I do not know how to keep conversations going with my poor eloquence and interpersonal skills. Even though I understand ageism is a destructive social justification when I grow older, I still cannot change the comments I once made on aging and I am a little bit afraid of old people to some extent. Personal emotion factors. I am by nature a sentimental and emotional person from an early age. My grandma passed away when I was in primary school. She left me even before seeing my admission into university and engagement with my fiancà ©. I always think that if she could see these, she would be very pleased and also, I would be the most delight person in the world. She always lived a difficult life when she was young and did not enjoy much in her late years. Sometimes all my family members would feel guilty for missing the chance to treat her well before she left us. As a consequence, when facing the dying older people, especially female elderly suffered from chronic disease or cancer, I inevitably feel urgent to save them and so scared to face the truth that they will eventually die someday. I doubt myself about what I can do for them and I am so scared that they will leave me before I can do anything right or helpful. In fact, that is one of the most difficult challenges in social work practice for me. Real understanding of old people. As a social worker, I appreciate that getting old does not inevitably mean the loss of intelligence, memory and cognitive functioning. I also understand that developing a level of understanding is necessary from a social worker standpoint, and it helps me to anticipate client needs and perform an ongoing self-critique in order to improve and grow my helping process. However, many times I feel I am not able to truly understand them and consider things from their perspective of views as I never experienced true aging. Many decisions I made somehow reflect my own perception of the situation such as to decide whether an old adult should stay in own home or hospital, or to conclude that an older person is showing poor judgment about financial decisions. Furthermore, it would be even harder to perform my role as a social worker when a balance between the opinions of the older adult himself, his family and the social worker need to be achieved. This obstacl e prevents me from behaving more successfully at building a sustainable relationship with elderly clients and I simply do the work and move on. When everything needs more time and patience. With the tight time schedule and many objectives to be accomplish, sometimes a social worker needs to be in a hurry to push on the intervention process. And some other times even if I have explained many times, it is still necessary to have extended periods describing complicated appointments to older clients. I always tend to speed it up although in that case, in order to attain my goal I should slow down to give them more time to think about the process. Lack of patience would be another problem preventing me from effectively working with elderly or even almost every aspect of social work practice. Reviewing the professional literature Many social workers admit that, even though both meaningful and satisfactory, working with elderly people can need a high level of self-awareness and self-discipline. The truth that everyone must eventually face the developmental stage of aging and death for themselves and their families may contribute to the anxiety and complexity of the helping process, as social work practice in the aspects of domestic violence or drug abuse may not personally affect worker. This can impact workers with older clients on both a conscious and subconscious level. Ageism and Death Anxiety. In most cultures around the world, particularly the Chinese culture, people feel uncomfortable when deal with death or anything related to death. From an early age, children are asked to avoid to talking death and dying, and to replace the word death with phrases such as passed on, or gone on to another world. Therefore, the social workers dealt with older people may require more self-control and comfort on the acknowledging the real pain caused by the loss of human life of family and friends. The anxiety of aging and dying process on ones own work, combined with generally indisposed experiences about the proximity of death surrounding older adults, bring about some social workers avoiding work with the aging. According to the Hong Kong Social Workers Registration Broads data gathered from its members about their areas of practice, despite older adults make up about 12.8 percent of Hong Kong population, less than 6 percent of social worker identify gerontological social work as their field of practice, which compared to nearly 30 percent for mental health. Countertransference. The reactions, real, and unreal, to a certain individual can occur irrespective of origin and can be based on ones own past or present experiences or characteristics. Counter transference can be described as social workers reactions involve feelings, wishes, and unconscious defensive patterns onto the client. In the professional relationship with old people, a social worker may place negative feelings or dislikes of older persons onto the client, which restrict his willingness (no matter consciously or unconsciously) to continue investigating and result in impatience or intolerance of the aging. On the other side, old clients who evoke images from ones past such as parents, grandparents or other elderly family members can make process even more arduous to advance as a result of destructive sympathy and the need to save an older person. The Independence/ dependence fight. Old people want to maintain their independence to make decisions while the social worker commits to promote self-determination and dignity of the individual. But things are not that simple. When an elderly claims for increasingly supporting service and experiences growing difficulties to maintain independence on his own, it will be confrontational to live up to the elderly expectations. McInnis-Dittrich (2008) states A worker can appreciate the desperate efforts on the part of an older adult to stay in his or her own home. Yet when an older adult is struggling with stairs or a deteriorating neighborhood, and difficulties in completing the simple activities of daily living challenge the feasibility of that effort, professional and personal dilemmas abound. This is a good example to understand that sustaining independence in the gerontological social work is a critical goal which has no simple good answer. Private functions become public business. Discussing the topic such as an old womans bladder and bowel functions or an older mans maintaining an erection or urinating with clients may cause awkward and uncomfortable resistance when social workers and other helping professional get involved. Therefore, sometimes it is important to be sensitive to the deeply personal nature when social workers try to acquire necessary comprehension of an older adults health conditions. A better understanding of interpersonal skills and psychosocial adjustment to aging would be helpful and essential. Personal plan to address this weakness Overcome stereotype influence First of all, I hope that from now on I will pay more attention to those featuring active, healthy, productive, and successful older persons so that I will develop a balanced understanding about aging and elderly. Aging is not painful and debilitating. Many wise, gracious, and humorous elderly have made admirable contribution to the world and have shown remarkable strength to achieve a positive as well as enthusiastic life. Secondly, another important thing for me is to keep the lines of communication open with older adults. If I can open my heart to communicate, they will share more with me. The stronger relationship between us will help me cope better with the stereotype challenges. Last but not least, in my future helping process I will often ask myself: does it reinforce stereotypes again? I should start from every thing in daily life to alter the attitude that hinders my ability to face the normal changes of aging. Make a change in attitude is not easy, but I will try my best to drive myself on the right direction. Awareness and Introspection Awareness of the emotional influence is the first and the essential key to solve my problem. How well do I manage my own anxiety with this clients situations should be my first concern. I will always remind myself that do not be affected by my experience and differentiate my experience of losing a family member from the intervention my client. That will help me to distinguish between the older peoples need and my own need and, to remain focused on the clients need. Furthermore, I could seek help from colleagues and supervisors as well. By discussing the situations with them, I can expose and explore my own feelings and get advices in order to effectively facilitate help process. To truly understand elderly Above all, I will try to get in touch more with old people to truly feel their emotional and cognitive problems, as well as to open my heart and listen to them. Maybe I can join them more in their music, art activities in communities. Aging does not necessarily mean the loss of memory and cognitive capacities, and I will try to explain the information in a variety of ways so that we can build understanding relationship. Moreover, reading more books about the psychological problems of the elderly would be really useful to analyze their psychological changes and behavior patterns. Equipped with a better look at the findings from professional social workers, I will more effectively comprehend the aging process the distinguishing features of elderly. Finally, I should learn from experienced social workers to get more suggestions when I feel difficult to continue. For one thing, they can improve my ways of carrying intervention by pointing out my mistakes. For another, they can help me understand and get the most from their strength and weakness by providing convenient and professional advice.
Friday, October 25, 2019
Racism Essay -- Racial Relations, White
"The first, and perhaps most crucial, fear is that of facing the fact that some of what we white people have is unearned. It's a truism that we don't really make it on our own; we all have plenty of help to achieve whatever we achieve." (Jensen, 1) When reflecting on this statement you start to see that what Jensen is telling us is very true. Since born, and while growing up, many white people have been "handed" everything needed to succeed and receive the necessary tools and help to achieve anything. We don't realize this because many of us are continually congratulated on the success actually fostered through the people who love and care for us. What people need to realize is that there are people who are not born into these situations, and are continually fighting to get away from their abusive families that do not support them. "A second fear is crasser: White people's fear of losing what we have -- literally the fear of losing things we own if at some point the economic. political, and social systems in which we live become more just and equitable." (Jensen, 1) Everyone fears losing something that they are accustomed to, whether it be material goods, social status, or power. People are often affected psychologically when they lose something, and for whites, it would make them feel less superior than other races if they did lose something. Some whites feel that they lose power when other races break through barriers and become more powerful than they are. Jensen reaffirms the idea that people are born into a society where "affluence" and "material comfort" will obviously affect how someone feels and reacts to losing whatever they have lost. "A third fear involves a slightly different scenario -- a world in which ... ...enating to people of color: people of color's identities, experiences, and ways of communicating are often outside the very restricted language and the very limited representations of people like them in the stories they read." (Marrero, 10) Marrero brings up a very interesting point when showing the reader that people are sometimes limited in ways of communicating because of the classroom setting they are surrounded with. When you reflect on how many teachers use "dominant paradigms" in their teachings, you begin to realize that students voices are inherently constrained. You then begin to ask yourself the scary questions of "how many people have already been restricted from using their own voice and how many continue to be in this situation today?" People are unable to develop a broader world view unless we are able to listen to how other people communicate.
Thursday, October 24, 2019
Organ Selling
Name Term paper for Health Economics, Econ 339 Kidney for Sale: Is the Idea Legal, Ethical, or Economically Sound? Abstract: Each year thousands of people die while waiting for a kidney transplant. A market for kidney sales is currently illegal in nearly every country. This paper addresses the legal and ethical issues, as well as the economic effects that a legal market would create. The following aspects of such a market were explored: the ethical pros and cons; the current price ceiling for a legal kidney; the current supply and demand of donor kidneys; the fair market price; and the effect on supply and demand in a legalized market. The conclusion is that if paying a living donor can be made legal and as ethically acceptable as other medical practices, kidney sales would be economically sound. Keywords: Market for Organs, Health Market Reform, Sales of Organs 1 Introduction Should organ sales be legalized in the United States? In todayââ¬â¢s society, many people are suffering from diseases and conditions that require an organ transplant in order to survive. The transplant list for those in need of a new organ such as a kidney seems endless. Every day, nearly 74 people receive an organ transplant, while each day another 17 people die waiting for their transplant due to the lack of donated organs (Friedman & Friedman, 2006). Why is the demand so large? Why are there not enough? Should someone be able to sell his organ to a person in need? Is it legal, ethical or even economically sound to create a market for the sale of a kidney? What economic effects might there be if kidney sales were legalized? In the past few decades, immunosuppressive therapy and improved organ transplant expertise have increased the survival rate of kidney transplant patients (Ghod & Shekoufeh, 2006). For end stage renal disease (ESRD), transplantation, not kidney dialysis, has become the preferred treatment, because it provides the patient with an improved survival rate and a better quality of life (Ghod & Shekoufeh, 2006). In turn, the number of patients with ESRD being treated by dialysis and waiting for transplantation continues to outstrip the donor pool of kidneys (Friedman & Friedman, 2006). The donor pool consists primarily of deceased donors and some live donors. Statistics show that only about 30% of Americans register to donate their organs after death (Knapp, 2005). Over the past ten years, the number of deceased donor kidneys has not increased despite efforts by the National Kidney Foundation, State Drivers License promotions, and celebrity ad campaigns (Friedman & Friedman, 2006). In First World and middle-income countries, the demand for donor kidneys has increased. The populations of these countries live longer and typically develop ailments such as hypertension and diabetes caused by obesity 2|Page which contribute to kidney failure (The Economist, 2008). Fewer deaths from strokes, heart attacks and motor vehicle accidents have reduced the supply of cadaver donors (The Economist, 2008). Each year, the wait list grows longer. Figure 1 illustrates that the demand for kidney transplants has grown faster than the actual supply of kidneys. As of January 2007, there were nearly 95,000 people waiting for an organ transplant (Bramstedt, 2007). In a one year period, 7,000 people died waiting. Of those 7,000, approximately 4,000 were waiting for a kidney (Bramstedt, 2007). The United Network for Organ Sharing (UNOS) predicts that by 2010, there will be nearly 100,000 people who will have to wait an average of ten years for a renal transplant (Bramstedt, 2007). If this trend continues, the supply of kidneys will never come close to meeting the demand. Given this dilemma, it is necessary to at least consider other options to procuring the needed kidneys. 2 Legalizing Kidney Sales? A controversial solution is to lift the ban on purchasing kidneys from live donors, or permitting some type of compensation to the families of cadaver donors (Castro, 2003). Currently, the National Organ Transplant Act of 1984 (NOTA) deems the sale of organs unlawful and those who are found guilty of this act could be fined or sentenced to prison (Mayes, 2003). This ban on kidney sales in effect makes the maximum legal price for a kidney $0 (Cloutier, 2007). This is called a price ceiling. Figure 2 demonstrates that only 20,000 kidneys would be supplied through donation when the price is $0. However, 80,000 are demanded. This leaves a shortage of 60,000 kidneys which is the difference between the quantity demanded and the quantity supplied when the price is $0 (Cloutier, 2007). 3|Page Whether or not to reverse or amend this act has been a subject of great debate. There are numerous legal, ethical, and economic questions that are being argued by an array of experts. . 1 The arguments against legalization Opponents of kidney sales argue that this type of market would exploit the poor population (Erin & John, 2003). According to Nancy Scheper-Hughes, who is an anthropologist at the University of California, Berkeley, the demand for human organs would feed off the desperation of the poor who she believes would supply the majority of the organs (Hall, n. d. ). Scheper-Hughes states, ââ¬Å"The organs are going one way. Theyââ¬â¢re going from poor people to rich people, from Third World to First World or to rich people in the Third Worldâ⬠(Hall, n. . ). Those who make this point believe it would be morally wrong for the wealthy to exploit the poverty of those who would supply the organs in a legalized market (Hall, n. d. ). A study of paid kidney donors in India showed that selling a kidney initially bettered their economic situation, but did not lead to a lifetime of economic benefit (Goyal, 2002). A second argument against legalizing kidney sales has been that the buying and selling of organs violates the dignity of the human person, and it treats the kidney like a commodity (Friedman & Friedman, 2006). Critics claim that the dignity of a human being is denied when his basic parts, such as kidneys, are sold even after he has died and no longer needs them (Castro, 2003). With respect to treating kidneys as a commodity, Scheper-Hughes who strongly objects to the legalization of kidney sales states, ââ¬Å"Itââ¬â¢s a question of whether you want to turn the body into a factory of spare parts that becomes simply comodifiedâ⬠(Hall, n. d. ). Although there are a variety of other opinions for not legalizing kidney sales, the two previously mentioned are the ones that are most frequently argued. |Page 2. 2 The arguments in favor of legalization Setting aside the major criticisms, some arguments in favor of kidney sales can be discussed. First, people have the autonomy or right to self-govern and make their own decisions about what is moral or ethical (Merriam-Webster Online Dictionary, 2008). Supporters of this opinion feel that it is not only ethical to sell a kidney, but a right because it is their body and their life. In his article, ââ¬Å"Biotechnology, Ethics and Free Markets,â⬠(2008) Julian Savulescu poses an interesting thought. He states, ââ¬Å"But if you own anything, have a natural right to anything, it is surely your own body. Indeed the fact that we can give organs and parts of our body away implies that we own them. Giving implies ownership ââ¬â if we can give, we can sellâ⬠(Salvulescu, 2008). People take all kinds of risks, including some for money. Some may choose risky jobs because they have determined that the money outweighs the risk (Erin & John, 2003). Others risk damaging their body for pleasure by participating in activities such as smoking or skydiving (Erin & John, 2003). Their activities would not be banned or judged. Friedman sums up the autonomy argument for permitting kidney sales. He states, ââ¬Å"The case for legalizing kidney purchase hinges on the key premise that individuals are entitled to control of their own body parts even to the point of inducing risk of lifeâ⬠(Friedman & Friedman, 2006). A second reason that supports the legalization of kidney sales is financial incentives would lead to more donations, which in turn would save more lives. Dr. Arthur Matas proposes a plan in which donors would be able to sell a kidney. The government would set a price and the expenses would be paid for by the recipientââ¬â¢s health insurance, which would usually be Medicare (Perry, 2007). The sellers would be screened both medically and psychologically prior to the transplant. They would then be followed to determine the impact the sale had on their lives as well as their health (Perry, 2007). Mark J. Perry, a professor of economics and finance at 5|Page the University of Michigan, uses economics to show how a proposal such as Matasââ¬â¢s could increase the number of organs available for transplant. He explained that whenever there are shortages, market pricing is absent. Market pricing will reduce or eliminate shortages. Therefore, market pricing for kidneys would eliminate or reduce the shortage and save thousands of lives every year (Perry, 2007). A fair market minimum price, much like a minimum wage for labor, would prevent the poor from being taken advantage of, and give buyers a chance at life (Savulescu, 2008). A fair market price of $45,000 was suggested by the Nobel laureate (in economics) Becker (Savulescu, 2008). He based this fair market price on an average annual salary of $40,000, which would be a lifetime income of 3 million (Savulescu, 2008). He calculated the risk of death at 1%, and a 5% decrease in the quality of life during the recovery period, which equaled $7,000 (Savulescu, 2008). He adjusted the price of the fair market after calculating the true risk of death at about 1/300. This made the final fair market price $20,000 (Savulescu, 2008). Figure 3 illustrates what would happen if the ban on kidney sales was lifted (Cloutier, 2007). The graph indicates that at $30,000, the amount of kidneys supplied would meet the number of kidneys demanded. Also, as the amount of money paid per kidney rises, the number of kidneys supplied would increase. Therefore, the equilibrium would be reached at $30,000 thus eliminating the shortage (Cloutier, 2007). In short, payment for kidneys equals lives saved. The third reason to permit the sale of kidneys is that it would be a financial benefit for an insurance company or Medicare (University of Maryland Medical Center, 2006). Researchers at the University of Maryland School of Medicine determined that a kidney transplant not only improved the quality of life for their patients, but it also saved money (University of Maryland Medical Center, 2006). They found that it was cheaper to have a transplant than to stay on 6|Page kidney dialysis for years until a donor match was found (University of Maryland Medical Center, 2006). In fact, the researchers discovered the break even point was 2. 7 years, which saved the hospital about $27, 000 per year, per patient (University of Maryland Medical Center, 2006). Perhaps, even more significant was the finding that the use of living donor kidneys decreased costs because they functioned better than cadaver kidneys right after transplant (University of Maryland Medical Center, 2006). 3 Assessment A review of both sides of this issue leads to the conclusion that selling a kidney should be legal and ethical, and it would be economically favorable because it would benefit thousands of people. The first opposing view was that a market for kidney sales would exploit the poor population. This argument is faulty because being poor does not make a person incapable of making a rational decision (Friedman & Friedman, 2006). They are certainly able to weigh the risks of this choice. According to Savulescu (2008), ââ¬Å"If altruistic donation is safe enough, then commercial donation should be just as safe if it is legalized. Also, keeping the poor population from being donors prevents them from improving their financial situation (Friedman & Friedman, 2006). Finally, the gap between supply and demand for a kidney also concerns the poor because it creates a situation where someone could take advantage of them (Economist, 2008). If a legal market was regulated, there would be less possibi lity for black market activities because there would be no direct sales or purchases. Therefore, there would be no exploitation of the poor in other countries (Erin & John, 2003). The second argument against legalizing kidney sales is that the buying and selling of organs violates the dignity of the human person, and it treats the kidney like a commodity (Friedman & Friedman, 2006). This position is also flawed. Savulescu (2008) states, ââ¬Å"Where a 7|Page fair price is set, sellers are making judgments about how to promote their own well-being and other values. This is the expression of human dignity: to be autonomous. â⬠Treating the kidney as a commodity is no different than the sale of hair, eggs, blood or semen. Currently, the sale of these bodily materials is legal and ethically accepted despite the fact that they are sold by an unequally large portion of people who are poor (Castro, 2003). 4 Conclusion If paying a living donor can be made legal and as ethically acceptable as other medical practices, kidney sales would be economically sound. Establishing a fair market price for a kidney would address concerns about equity and prevent exploitation by those in an illegal market (Savulescu, 2008). A fair market price would also likely entice more people to sell a kidney. This in turn would increase the supply, decrease the demand and eliminate the shortage. References (2008, October 9). The gap between supply and demand. Retrieved November 27, 2008, from Economist. com Web site: http://www. economist. com/world/international/ displaystory. cfm? story_id=12380981 Autonomy. (2008). In Merriam-Webster Online Dictionary. Retrieved November 28, 2008, from http://www. merriam-webster. com/dictionary/autonomy Bramstedt, K (2007). Checklist: Passport, plane ticket, organ transplant. American Journal of Transplantation. 7(7), 1698-1701. 8|Page Castro, L. D. 2003). Commodification and exploitation: Arguments in favor of compensated organ donation. Journal of Medical Ethics. 29, 142-146. Doucet, B (2008). Kidney kingpin case highlights practical & ethical arguments for free markets. Retrieved November 25, 2008, from Quebecois Libre Web site: http://www. quebecoislibre. org/08/080210-4. htm Erin, C. A. , & Harris, J (2003). An ethical market in human organs. Jou rnal of Medical Ethics. 29, 137-138. Friedman, A. L (2006). Payment for living organ donation should be legalized. BMJ. 333, 746-748. Friedman, E. A. , & Friedman, A. L. , (2006). Payment for donor kidneys: Pros and cons. Kidney International, 69, 960-962. Ghods, A. J. , & Savaj, S (2006). Live kidney organ donation: Is it time for a different approach?. Clinical Journal of American Society of Nephrology. 1, 1136-1145. Goyal, M, Mehta, R. L, Schneiderman, L. J, & Sehgal, A. R. (2002). Economic and health consequences of selling a kidney in India. The Journal of the American Medical Association, 288, 1589-1593. Hall, Joseph (n. d. ). Opening up the market for organs: Support grows for selling body parts, donors for profit don't really benefit. Toronto Star. Knapp, T (2005, April 4). Organ agonistes. Retrieved September 17, 2008, from Free-Market News Network Web site: http://www. freemarketnews. com/ Analysis/118/1275/April-4 2005. asp? nid=1275=118 9|Page Mayes, G (2003). Buying and selling organs for transplantation in the United States. Medscape Transplantation, 4(2), Retrieved November 23, 2008, from http://www. medscape. com/viewarticle/465200_print Perry, M (2007, December 13). Markets in everything: Organ sales. Retrieved November 24, 2008, from Carpe Diem Web site: http://mjperry. blogspot. com/2007/11/ markets-ineverything-organ-sales. tml Savulescu, Julian (2008, September 8). Biotechnology, ethics and free markets. Retrieved November 29, 2008, from University of Oxford Web site: http://www. practicalethicsnews. com/practicalethics/2008/06/setting-a-minim. html Savulescu, Julian (2008, June 19). Setting a minimum price for the sale of organs. Retrieved November 29, 2008, from University of Oxford Web site: http://www. practica lethicsnews. com/practicalethics/2008/06/setting-a-minim. html 10 | P a g e Appendix Figure 1: Illustrates that the wait list rises at a faster rate than the total number of transplants. Source: (Cloutier, 2007). Figure 2a: A price ceiling of $0 is established due to the ban on kidney sales. Source: (Cloutier, 2007). 11 | P a g e How many kidneys are demanded at P=$0? 20,000 kidneys supplied (donated) at P= $0 80,000 kidneys demanded at P= $0 Figure 2b: How many kidneys are supplied and demanded when the legal price is $0. Source: (Cloutier, 2007). What would happen if the ban on kidney sales was lifted? Figure 2c: Shows what would happen if the ban on kidney sales was lifted. Source: (Cloutier, 2007). 12 | P a g e
Wednesday, October 23, 2019
Nine Dragons Paper Essay
1.How does MRs. Cheung Think?What does she believein when it comes to building her business? Mrs. Cheung is a very innovative person. Her thinking is extremely positive, creative, advance and quite original. She possess perseverance, determination with a business and marketing mentality and with her know-how business approaches, constructed a corporation that was a leading force in the industry. Her creativeness and originality is evident as she was the first to use waste paper to create packaging paper. When it comes to building her company, she believes in expansion, premeditated and tactical planning . 2 .How would you summarize the companyââ¬â¢s financial status? How does it reflect the business development goals and strategies employed by Mrs. Cheung? NDP has been investing at an incredible pace ââ¬â best demonstrated by comparing the companyââ¬â¢s cash flows from operating activities in 2007 and 2008 with the cash flows from investing activities. ââ¬âNDP has clearly been profitable in recent years, and demonstrates a high rate of profitability one would not ordinarily see in this type of semi-commodity based business ââ¬âNDPââ¬â¢s rate of profitability, however, has been sliding, reflecting rising input prices and greater competitive markets for its products ââ¬âThe companyââ¬â¢s growing debt burden is large and getting larger . 3. Is NDP in trouble? How would your answer differ if you were an existing shareholder, a potential investor, or an analyst? The company still appears to be marginally profitable in this difficult business environment,but profitability is a concept which focuses more on the corporate income statement, not cash flows. The result is that it appears the company will need to borrow even more to survive the year. â⬠¢ Existing shareholders are clearly down, and would like to see the company executive management take measures to improve share price sooner rather than later. They are, however, minority shareholders, Mrs. Cheung and family holding more than 70% of the firm. â⬠¢ Potential investors might see the company has a ââ¬Ëgood betââ¬â¢, given the current share price low and the prospects for long-term competitiveness .
Tuesday, October 22, 2019
If You Had Taken a Different Path Ice Breaker
If You Had Taken a Different Path Ice Breaker Almost everyone has wished at some point that they had taken a different path in life. We get started in one direction, and before long theres no turning back. Sometimes this isnt that big of a deal, but what a tragedy it is when a life so full of promise gets off track and derails. It can seem like theres no way to change direction. Wouldnt it be wonderful if simply stating the desire for a new path could inspire it to action? Cant hurt to try. Use this easy ice breaker game to find out if your students are in your classroom to find a new direction. Ideal Size Up to 30. Divide larger groups. Use For Introductions in the classroom or at a meeting. Time Needed 30 to 40 minutes, depending on the size of the group. Materials Needed None. Instructions Ask each participant to share their name, a little about the path they chose to take in life, and which path they would choose today if they could do it all over, knowing what they know today. Ask them to add how the different path is related to why they are sitting in your classroom or attending your seminar. Example Hi, my name is Deb. I have been a training manager, performance consultant, editor, and writer. If I could start over and take another path, I would study creative writing more and start my publishing career much earlier. Iââ¬â¢m here today because Iââ¬â¢d like to include more history in my writing. Debriefing Debrief by asking for reactions to the choices that were shared. Were the changes people would make just slightly different or completely different? Is it too late to change paths? Why or why not? Are people in your classroom today because theyââ¬â¢re working toward that change? Use personal examples from the introductions, where appropriate, throughout your class to make the information easier to relate to and apply.
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