How To Avoid Writer Burnout When Its Your Day Job

How To Avoid Writer Burnout When Its Your Day Job He was submerged in words all day. He wrote thousands and thousands of words in any given week on assigned topics, laughing at blog posts that insisted that the most important way to be a great writer was to write X amount of words every day, as if mere quantity had that much to do with it. When he got home after work, the thought of writing for his own blog and fiction projects made him ill, and he was lucky to do much more than sit in front of the TV and turn off his mind completely. For a writer, he didnt write much when he wasnt on the clock. He had writer burnout. You might feel as if you have used up all the words you have left to use. How To Tell If You Have Writer Burnout Writer burnout happens when your day job requires your writing abilities non-stop, but those same abilities are what you also use on your own time for creative enjoyment. If the balance tips too far either way (too much used on the job, too much used for yourself), there will either be severe burnout from giving your best to the job and leaving nothing for yourself, or youll perform poorly at work as you save the best for yourself and give little to your job. Writer burnout happens when you use up all of your creative reserves and become a machine.Writer burnout isnt a matter of writers block, of not having ideas. Many writers who have the start of a serious burnout issue might be churning out fairly decent content and appear to have nothing wrong. Theyve adapted to the pressure of being forced to write a certain amount in a particular way during a specific time frame by creating a routine, an almost internal factory for creating. At least at the start, they keep functioning. Their factory system keeps them going. But gradually it takes them longer to finish writing projects. Their writing isnt as deep or exciting, and readers can tell. Their factory formulas start to show. They resent their low-quality work, the pressure to write within constraints, and the fact that they dont write on their own free time. They get the job done, but barely. If this is you, then youre on your way to writer burnout. We all have different levels of creative energy, and we all have different levels of creative energy reserves. We can even operate on a deficit for short periods of time, eating into those reserves that weve built up. Burnout happens when you have been operating on a deficit for a long period of time. Your writing reserves are all used up, and you turn into a machine. If youre on the path to writer burnout, you need to make changes in what youre doing and rebuild your reserves if you ever want to get back to enjoying writing again. I have a theory that burnout is about resentment. And you beat it by knowing what it is youre giving up that makes you resentful. -Marissa Mayer Change How You Write You can change the way you write in an attempt to slow down, and then reverse, writer burnout. Changing how you write is an option when youre still able to limp along but have a mild sense of panic when you think of continuing on for the next month or half year. 1. Diversify Your Writing If you spend most of your day writing thousands of words in the form of bullet-list blog posts, try writing something completely different on your off time, like a short fiction story, or even poetry. Try writing for pleasure. Write about something you dont normally write about, a topic youve never considered before. Write anything BUT work-topic blog posts or white papers or matter-of-fact content. Forgo anything that smacks of marketing, anything where the letters SEO might come into play, and have some fun. No one has to read it but you. Heck, really change things up and use pen and paper instead of your computer. 2. Stop Writing Content And Copy Why not change the way you think about your writing? Instead of using the buzz words content and copy think of your writing as something more. Its writing, its fiction, its literature, its philosophy. Your words are your story, your creation, your ideas and its perfectly fine if the most they do is bring you enjoyment. Sometimes the phrases we use now to describe our writing are clinical, as if the product of our minds was mere copy meant to be red-penned into submission, or content, which sounds like nothing more than a product to be traded and used. It is easier to find inspiration from great writers than from the great copywriters or great content producers of our time. 3. Reduce The Stop-And-Start Are you able to sit down and write with relatively little distraction, or is a ringing phone or crying child causing you to have to constantly stop in the middle, and then come back and start up again? Are you tasked with lots of non-writing related tasks that cause you to break up the day and actually get less done? That constant stopping and starting is as wearing to your writing as driving a car at high speed, slamming on the brakes, and repeating it over and over again. See if you cant work out a way to set aside large chunks of time (and a quiet place) per writing project to reduce the energy drain that it takes to keep starting back up after youve ground to a halt. It should be an easy sell; much time is wasted when you have to come back to a project and re-read everything to figure out where you were headed with your writing. Diversify your writing, and stop calling it content or copy if youre feeling burned out.Protect Your Writing Reserves You might be so far into the red when it comes to your writing reserves that the only thing you can do is stop the truck. Stop, evaluate, and set up a new system. You need to replenish the reserves and put something back into your creativity bank before you can go on. 1. Reduce Your Writing (Temporarily) You may need to write a bit less, sort of like taking a break from running to give the blister a chance to heal a bit. You must give yourself permission to ignore, for a time, all of the online advice that tells you to press on and write long blog posts regularly or you will take an SEO hit. While thats valid advice, it doesnt do any good to whip a tired horse. Work writing. Reducing the number of posts that need to be written each week is a purely by-the-numbers solution. Youre burned out on writing? See if you can write less for a period of time. Personal writing. I have several personal blogs of my own that I enjoy writing for. They are of different topics than what I write at work and are often a refreshing change. I have been writing many of these blogs for years. However, Ive begun to consider the reality that I may not have an unlimited amount of words to write in any given day, no matter what the topic. As much as I would hate to give up my personal writing projects, even for just a while, I may have to make that difficult choice. If your day job requires a heavy load of writing, proofing, editing, and more writing, and if you are nearing the edge of your finite pool of writing tricks, you might have to reserve your writing energy for your day job alone. Perhaps taking a short break to build up some writing reserves are all it takes. This is not an easy choice, as it can easily cause resentment to build inside of you. 2. Rethink Extracurricular Activities There are a few things we do to supplement our work that help us excel and stay on top of our game. While they arent bad and may actually be a requirement, they can have the unfortunate side effect of feeding writer burnout. Take a break from proofreading. Proofreading is much like writing. If youre reading the work of others, youre not reading it for pleasure. Youre reading it to catch typos, errors, and check the structure. In some ways, it is more draining than writing on your own because you are trying to find  editorial balance  between how youd write it and how it was written. After a while, you might start to notice that typos get by, or you cant be sure what is good writing any more. Take a break from proofreading, or set aside a day or two where all you will do is proofread and you wont mix proofreading and original writing on the same day so that you can compartmentalize your mind for each task. Restrict your work-related reading.  The process of writing isnt just the moment you sit down in front of your keyboard and start typing. It involves the gathering of ideas, thoughts, and making connections.  Writing for your job often means you spend time reading on topics that pertain to what you need to write about. If youre getting burned out, its not just on the act of writing, but on the topics you are being asked to write about. Pull yourself away from the blogs, the feeds, the ebooks, the articles, and read something completely unrelated to work.  One strange side-benefit to doing this is you might actually find yourself coming up with more unique ideas than you would if you kept your reading so fixed inside the work-related sphere. Reading outside of your work-related topics helps you avoid using using buzz words, and helps you question the validity of concepts that only an outsider is capable of doing.

Life of Shakespear essays

Life of Shakespear essays Shakespeare was born April 23, 1564 in the town of Stratford, England. His father, John Shakespeare was a glove maker and his mother May Arden inherited land so they had some money. As a result of his father having money he did not have to stay home and help out as much. He probably unlike many other children at that time attended the towns free school. At the age of eighteen Shakespeare married Anne Hathawy November 27, 1582 who was eight years older then him. He had three children his first was Susanna then twins Hamnet and Judith. For most of his life he lived in London and had very little to do with Stratford. He listed as a member of the Lord Chamberlains Company, which is a troupe of actors in 1594. By the mid 1590s his plays were extremely popular, he was once rated by a critic as the best author of both tragedy and comedy. In 1599 the Lord Chamberlains Company built the Globe Theater. In the year 1608 the Lord Chamberlains Company acquired control of the Blackfriars, which at that time was the only theater within the limits of London. Shakespeare was a shareholder in both of these theaters. This suggests that Shakespeare might have been a businessman as well as an actor and playwright. In Shakespeare began to write plays for his troop Lord Chamberlains Company. In writing his plays he had to take several things into account. Some examples are the skills of the actors in his troop, and also that all of the actors were men, because of the fact that no women were allowed to perform at that time. By 1592 he was recognized as a successful actor, also as a poet. During his life he wrote at least 36 plays. Between 1611 and 1613 he bought a house in Stratford and retired from the theater. He did at the age of 52 on his birthday. His was buried and remains at the Church of Holy Trinity in Stratford. ...

What you see as the pathWay to complete wellness Essay

What you see as the pathWay to complete wellness - Essay Example Before I took this course, I roughly thought that this was the path to complete wellness, so my ideas have not really changed based on what I have learned throughout this course. The most obvious component to complete wellness is in the physical area of someone’s life. To experience fulfillment in this area, it requires being totally satisfied with one’s physical state. The sad thing is that too many people do not feel this, and this is mostly because of what society and the media tells them how they should be. To improve physically, someone needs to take the time and dedication to be willing to alter their diet in order to improve their physical appearance. This is just one component of improving physicality; another is being motivated enough to do exercise so as to reduce one’s weight. This is really challenging for most people, but it can be achieved with enough will power. Another component to complete wellness is through emotions. Females are very susceptible to this, but it can affect everyone at some stage. Some people are very emotional and get upset even at the slightest thing. This shows that someone is not content with their emotional side because they cannot control their emotions. It does not matter what another person says or does; emotional wellness is about feeling good about one’s self and not listening to what others have to say. The next area of complete wellness is through the mental side. This is perhaps the most underestimated part of complete wellness because it is very difficult to know what other people are thinking. Negative thinking can result in poor lifestyles choices, and this will ultimately not lead to complete wellness. In fact, mental toughness is the most critical part of wellness because it determines how someone would react to certain situations. The fourth area to complete wellness is spirituality. Many people do not think

Monopolies and Economics Essay Example | Topics and Well Written Essays - 1750 words

Monopolies and Economics - Essay Example Economists have debated the value and the cost of monopolies for centuries and still have come to no clear consensus. Even our laws that protect the market from monopolistic practices have been viewed as incapable of defining the words 'market' and 'monopoly'. When does market share become a monopoly In the United States, the foul line is crossed when the Federal Trade Commission (FTC) interprets the anti-trust laws and rules that the actions are injurious to competition. The technical definition of a monopoly is a business that is the sole provider of a good or service that has no suitable substitute. Consumers are restricted to buying from the monopolist. Geographic limitations can also create a monopoly such as being the only doctor within a hundred miles. Monopolies can also exist where a firm manufactures a specialized product to a limited market. New innovations may become monopolistic due to patent restrictions or until the innovation becomes more widely available. Another characteristic of a monopoly is that there needs to be a barrier to entry into the market. This is usually due to high sunk-costs that prevent competitors from reaching an economy of scale. Though all these traits are seen in monopolies, many practices are labeled monopolistic because they restrict competition and are prohibited by law. Most of these practices serve to limit competition or drive competition out of business. Product dumping, price fixing, predatory pricing, and bid rigging are all considered monopolistic practices. In the United States corporations are occasionally allowed to engage in a monopoly or monopolistic practices. Professional sports, utilities, government institutions, and markets with a single producer are sometimes exempted or protected. These protected monopolies do not always benefit from their monopoly status, as they may still need to be competitive to keep new entrants from competing. Major League Baseball is sometimes seen as a monopoly. However, there are substitute products in the form of other sports and entertainment activities. Though they prevent any new entries into the market, they can't be called a true monopoly. Even the US Post Office, a protected monopoly, has come under increased competition with the advent of new technology and services. Though they were once the only provider for their services, failure to innovate left them vulnerable to alternate suppliers. A criticism often leveled at monopolies is that they are complacent and slow to innovate. . Monopolies can be destructive to the economy because they give the firm the opportunity to be a price maker rather than a price taker. The monopoly will reduce the supply, which increases the price to the point that it maximizes profits (Parkin 110). This point is almost always at a point above the price that would be available in a competitive market. According to Stigler, "the purely "economic" case against monopoly is that it reduces aggregate economic welfare". For example: If a firm can sell 100 units when the price is $5 it will generate $500 revenue. If they price them at $7 they can only sell 80 units, but will have generated $560 revenue. However, the loss to the economy is 20 unsold units at $5 each, or $100. Though the firm has gained $60, the market has lost $100. This aggregate loss is known as deadweight loss and is what the anti-trust laws are designed to

Language of Robinson Crusoe Essay Example for Free

Language of Robinson Crusoe Essay Daniel Dafoe’s popular novel, originally titled The Life and Strange Surprizing Adventures of Robinson Crusoe, of York, Mariner: Who lived Eight and Twenty Years, all alone in an uninhabited Island on the Coast of America, near the Mouth of the Great River of Oroonoque; Having been cast on Shore by Shipwreck, wherein all the Men perished but himself. With an Account how he was at last as strangely deliver’d by Pyrates (iii), like most classics underwent many editions through the years. However nothing but the first edition, which is the basis of this essay, can give us the look and feel of the time as intended to be shown by the author. EARLY MODERN ENGLISH According to Volume 14 of The Cambridge History of English and American Literature in 18 Volumes, Early Modern English period marked the expansion of the use of the English language outside England. But since English was spread at various times it has been subjected to different influences and additional variations caused by attempts at etymological spelling (Ward et al ch 15 sec 3 par 1). These were evident in the novel in two aspects of language: grammar and vocabulary (Ward et al ch 15 sec 1 par 1-2). Among the inflectional changes during the early modern English was the dropping of the weak vowel in verbs ending in –ed (Ward et al. ch 15 sec 4 par. 7). Examples of these manifested not only in the title (the word deliver’d) but within the text itself such as call’d, fill’d, encreas’d, and fatigu’d. Spelling also appeared to be phonetically defective (Ward et al. ch 15 sec 3 par. 1) with words like perswasions, lyon, lye, and prophetick. Compounding of words were also used in the novel by examples of free-school, hand-maids, ground-tackle and fellow-slave. However, the change in the verbs as well as the defects in spelling was not applied to the entire novel which makes us consider the reasons for such use. TOWARDS A PURITY IN STYLE Daniel Defoe, in his book An Essay upon Projects, emphasized that it was the responsibility of the society to polish and refine the English tongue and to purge it from all the irregular additions that ignorance and affectation have introduced as befitted the noblest and most comprehensive of all the vulgar languages in the world (8). The spread of the English language was depicted in the novel when Robinson Crusoe teaches his servant Friday the English language. We may notice from an excerpt of their discourse below that although essentially Crusoe and Friday came to communicate effectively with each other, Friday’s English differs much from Crusoe’s parallel to their difference in status and origin: Friday, My Nation beat much, for all that. Master, How beat; if your Nation beat them, how come you to be taken? Friday, They more many than my Nation in the Place where me was; they take one, two, three, and me; my Nation over beat them in the yonder Place, where me no was; there my Nation take one, two, great Thousand. Master, But why did not your Side recover you from the Hands of your Enemies then? Friday, They run one, two, three, and me, and make go in the Canoe; my Nation have no Canoe that time. (Defoe, â€Å"Robinson Crusoe† 254) Much is the same circumstance that brought about the variations and additions to the English language in which Defoe is clamoring for purity (â€Å"An Essay upon Projects† 8). Shoar and Shore. Aside from the defective spelling mentioned earlier is the variation in the spelling (Ward et al. ch 15 sec 3 par. 1). An example if this is the word shore, spelled shore and shoar, in different context of the novel. It may be noted that shoar was only used in the part of Robinson Crusoe’s mishaps. That is to say, from the part of his captivity at Sallee until before his wreck on the island. These mishaps, Crusoe later reflected on, were results of his ignorance in the Providence of God and malcontent thus the use of the spelling shoar. While his solitary life in the island described the learning process he underwent to survive and finally live harmoniously with his surroundings; hence the renewed use of the spelling shore. In this regard, one may interpret that the use of the word was intentional to show the need and difficulty in creating a standard for the English language. viz. and (viz. ). The use of foreign language in novels is quite common throughout the ages. As such, we came to attention on the use of the Latin word viz. Oxford English Dictionary defines viz. as the abbreviation of videlicet which generally means namely or that is to say (1033). Although Defoe used viz. without parenthesis and viz. in parenthesis based on the same definition, its participation in the statement are quite different. The viz. without parenthesis was used in identifying and qualifying statements such as the â€Å"All the rest of that Day I spent in afflicting my self at the dismal Circumstances I was brought to, viz. I had neither Food, House, Clothes, Weapon, or Place to fly to†¦Ã¢â‚¬  (â€Å"Robinson Crusoe† 82). On the other hand, viz. in parenthesis, which appeared in lines like â€Å"This was what I wish’d for; so I took them up, and serv’d them as we serve notorious Thieves in England, (viz. ) Hang’d them in Chains for a Terror to others†¦Ã¢â‚¬  (â€Å"Robinson Crusoe† 138), was used as such in order to explain earlier statement. The use of parenthesis to differentiate the use of the same word in the novel further reflects Defoe’s quest for refinement of the English language as mentioned previously. CONCLUSION Indeed, regardless of the plot of the story which categorized it to fiction, the culture and language of the time is unmistakable. Robinson Crusoe, in its original version, allows us the indulgence to peek and appreciate not only the early modern English language but the period as well. The flexibility of the language then reflected the society of that time as it has always been for any period or era. At the same time, the novel provided additional venue for the author to disseminate his ideas and further his individual attempt towards the transition to the modern English language and insertions to the importance of learning across the spectrum of the society. Such power language has to influence its readers, whether consciously or unconsciously. And the duality that the novel showed made it a favorite among children and adults alike. Fulfilling its objectives to entertain and propagate (however subtle it may be). Works Cited Defoe, Daniel. An Essay Upon Projects. New York: Adamant Media Corporation, 2005. Print. . The Life and Strange Surprizing Adventures of Robinson Crusoe, of York, Mariner: Who lived Eight and Twenty Years, all alone in an uninhabited Island on the Coast of America, near the Mouth of the Great River of Oroonoque; Having been cast on Shore by Shipwreck, wherein all the Men perished but himself. With an Account how he was at last as strangely deliver’d by Pyrates. London: printed for W. Taylor, 1719. Print. Oxford English Dictionary. New York: Oxford University Press, 2005. Print. Ward, Aldolphus William, Sir, et al. The Cambridge History of English and American Literature. New York: G. P. Putnam’s Sons, 1907-21; New York: Bartleby. com, 2000 (Web) April 1, 2009.

Anderson And Hemingways Use Of The First Person Essay -- essays resear

"It is a tale told by an idiot, full of sound and fury, signifying nothing."At one point in his short story, "Big Two-Hearted River: Part II", Hemingway's character Nick speaks in the first person. Why he adopts, for one line only, the first person voice is an interesting question, without an easy answer. Sherwood Anderson does the same thing in the introduction to his work, Winesburg, Ohio. The first piece, called "The Book of the Grotesque", is told from the first person point of view. But after this introduction, Anderson chooses not to allow the first person to narrate the work. Anderson and Hemingway both wrote collections of short stories told in the third person, and the intrusion of the first person narrator in these two pieces is unsettling. In both instances, though, the reader is left with a much more absorbing story; one in which the reader is, in fact, a main character. With the exception of "My Old Man", which is entirely in the first person , and "On the Quai at Smyrna", which is only possibly in the first person, there is just one instance in In Our Time in which a character speaks in the first person. It occurs in "Big Two-Hearted River: Part II", an intensely personal story which completely immerses the reader in the actions and thoughts of Nick Adams. Hemingway's utilization of the omniscient third person narrator allows the reader to visualize all of Nick's actions and surroundings, which would have been much more difficult to accomplish using first person narration. Nick is seen setting up his camp in "Big Two-Hearted River: Part I" in intimate detail, from choosing the perfect place to set his tent to boiling a pot of coffee before going to sleep. The story is completely written the in third person and is full of images, sounds, and smells. In "Big Two-Hearted River: Part II" Hemingway exactly describes Nick's actions as he fishes for trout. Details of his fishing trip are told so clearly that the reader is almost an active participant in the expedition instead of someone reading a story. He carefully and expertly finds grasshoppers for bait, goes about breakfast and lunch-making, and sets off into the cold river. By being both inside and outside Nick's thoughts, the reader can sense precisely the drama that Hemingway wishes to bring to trout fishing.... ...art of the story. The entire book is a dialogue between narrator and reader. The effect is that the reader becomes even more involved in the stories. Both of these works are unlike others from the same time period which are told completely using first person narration. Gertrude Stein's The Autobiography of Alice B. Toklas and Anita Loos' Gentlemen Prefer Blondes are both written wholly in the first person. But both of these read like diaries, of which the reader is just that - a reader. Neither one has a point at which the reader is so definitely brought into the story consciously by the author. By jumping abruptly into first person instead of using it all along, Hemingway and Anderson more effectively do this. Anderson's and Hemingway's sudden switches to first person narration of course could not have been mere mistakes, and their reasons may have been even more convoluted than imaginable to late twentieth century readers. What is left are two collections of short stories in which the reader plays an actual role. The intrusion of first person narration makes these stories come alive in a way that a third person narration cannot, a tribute to the skill of both of these authors.

Patient Care

â€Å"I expect to pass through life but once. If therefore, there be any kindness I can show, or any good thing I can do to any fellow being, let me do it now, and not defer or neglect it, as I shall not pass this way again. † William Penn (1644-1718) There are many ways to define patient care in my own words. Doing my job to the best of my ability not only for myself but the patients that are in my care is of the utmost importance.My dedication to my work is defined by my ability to communicate effectively, actively listen, treat the patient with respect, respect their autonomy and take part in the environment I provide care in. By defining my personal point of view on what good patient care is I am setting my own standards to which I will strive to achieve in work and in life. Communication is in my opinion is the most important thing I can do to provide quality patient care. Being an effective communicator has many aspects to it.One is to help the patient feel like a human and not another test or number. Calling the patient by their name. Always talk directly to the patient and not â€Å"about† the patient. Give appropriate explanations about the procedure and explain what will be happening before, during and after the procedure. Answer any questions to the best of my ability and provide answers or solutions to ones I may not be able to answer, Follow up. Communication is not just speaking but actively listening, is not only verbal but also physical.Looking someone in the eye when engaging in conversation is a great way to show you are listening. Hearing a patients worries and concerns and maintaining a calm composed presence can help ease their fears. Not taking a patients anger personally. I know that they do not want to be where they are and probably have many concerns. It is my job to be professional and not react to someone who may be rude or angry due to circumstances that have nothing to do with me. Practicing patience is an important sk ill to develop and hone in the health care field.Involving a family member or whomever the patient may have brought for support is a good idea. Asking the patient if they would like that person or family member to be in the room during the procedure is a great way to relieve any stress they may have going in. Taking the time to listen and hear the patient while having understanding even in the most undesirable situations is my job as a health care worker. Another Important aspect is my dedication to my work. Making sure my room is clean and organized. Ensuring that every piece of equipment in my care is clean and working properly.Ensuring the patient is covered and offering a blanket in a cold exam room is one way to make them feel comfortable. Offering a glass of water if a patient is thirsty. Whatever I am able to provide to make the patient more at ease I will. A reassuring smile and a squeeze of the hand may be all they need. Lastly Respect. To respect a patient concerns, questi ons, family, morals, values and religion is important to providing a quality of care that truly puts the patient first. Patient care has many different definitions, not one answer is wrong or more right than another.It is important to consider what it means to me as an individual, as well as an employee that represents where I work and to take responsibility for creating a good patient care atmosphere. Patient care to me is always putting the patient first. The patients’ needs, concerns and autonomy all have to be respected. I can only hope that in my time as an ultra sound technician that I can provide the quality patient care that I would want given to my family or myself. As Mr. Penn said, be kind and do good things because we only get one chance.

Lgbt Organizations

LGBT Supportive Organizations The first website I visited was called No Longer Silent: Clergy for Justice. Their main focus was on an alternative Christian perspective on the issue of homosexuality. They basically believed in advocating justice for all, especially Gays, Lesbians, Bisexuals, and Transgendered persons. The support that I see they give is a sense of belonging. They give the support that many seek with is religious acceptance. This organization is very unique because for many years the church has never really given gays a home; No Longer Silent gives us that place to go to for moral support.Their website gave educational materials like articles on news pertaining to our community. Also materials like scriptures from that give the LGBT community, who are not familiar with the bible; some interpretations and teachings. The next website that I visited was called Gay, Lesbian, and Straight Education Network. Their focus was on assuring that each member of every school commun ity is valued and respected regardless of sexual orientation or gender identity/expression. They give support by giving students internet resources on bullying. They also support our LGBT community by starting their campaign â€Å"Think before you speak†.It helps us inform the world that words do hurt and helps in the prevention of anti-gay language. Their website gives educational materials like Facts about Sexual Orientation. They even give resources like crisis support and advocacy. Then I visited the website for Equality Arizona. Their focus is to secure, protect and defend the rights and welfare of LGBT people in Arizona. The support they give is huge throughout the state of Arizona. They are the ones that fight for our rights. They support us in legal stand points like marriage and adoption.As for educational materials, they give many blogs on how our issues are coming along. For example: They explain how our local LGBT leaders respond to President Obama’s Declar ation of Support for Marriage Equality. Next website visited was PFLAG Phoenix. Their focus is on celebrating diversity and envisions a society that embraces everyone, including those of diverse sexual orientations and gender identities. Their support is very important to our community. Their support is being our family with open arms. It gives parents and families a place where they can show their support for us.They have a lot of educational material for not only our LGBT community but for our families too. It gives terminology, some theories, and most of all many answers to questions. The last website I visited was 1n10. Their focus is on providing our youth with the tools to improve their self-esteem and help with acceptance of who they are. Their support is how they create a safe space, mentally and physically, for youth ranging for 14-24. Their support also includes helping teens by providing homeless shelters and suicide prevention crisis lines. Educational materials were sca rce.I really didn’t find anything other than a lot of resources for different problems our LGBT youth may encounter. To say the truth, I never knew any of these organizations existed. The one that melted my heart the most would be the PFLAG website. Reason being is all LGBT people look for family acceptance. All the pictures of the protesters made me smile. The 1n10 website also struck me because to me the youth is our future. If they are not educated or helped with open arms, society just might take steps back instead of forward. Our adolescent years are crucial especially being LGBT.The Equality Arizona website gives me hope that one day they will push far enough to make Marriage and Adoption legal for us. I think that step would push us through the red tape at the finish line. No Longer Silent is another milestone. I learned that they gives us a place of religion that doesn’t outcast us or tell us we should change because if we don’t we’ll go to hell. That’s important to me because during my coming out I lost faith in religion. The GLSEN website shows me that one day LGBT could one day cease forever. All of these websites posed as a great learning experience.

Health policy as it relates to a health care program

Health policy as it relates to a health care program Abstract Survival in the health care world requires an informed person. Healthcare providers, administrators and patients are affected by decisions and health policies made on health care programs. Healthcare policies are closely tied with politics of United States where decisions are made to affect the entire population.Advertising We will write a custom research paper sample on Health policy as it relates to a health care program specifically for you for only $16.05 $11/page Learn More Health policies are as a result of decisions made by many people in hospitals, the government, insurance industry, and some business corporations. Health care policies affect the effectiveness of service delivery in current health care programs. This paper seeks to highlight the influence of health policy on the development, operation, design, and effectiveness as it relates to the effectiveness of health care delivery systems of health care program. Introduction Health care programs offer the primary means of getting access to health care in the United States today. Designing of health care programs like Medicare and Medicaid involves extensive interactions among health insurers, health care providers, individuals, public and private sectors, and the government. Proposals in health coverage in general focus on their policy impact. Majority of proposals give only sketchy information about management. In addition, administrative costs stand for only a diminutive part of the total costs of a proposal (Darr Longest, 2008). Nevertheless, when matters of implementation are not addressed, expensive policies or programs fail to achieve their objectives. Health care policies affect the management and administrative issues, and this affects the effectiveness of health care programs (Morone, Litman, Robins, 2008). An important goal of health care programs is expanding access to inexpensive, high-quality health care (NAPA-NASI, 2009). This goal is met when heal th care policies provide a supportive environment. Health care policies affect planning, coordinating and implementation of healthcare programs.Advertising Looking for research paper on public administration? Let's see if we can help you! Get your first paper with 15% OFF Learn More It also affects the process of regulating health insurance, streamlining health care program markets, and the process of designing managerial organizations for health reform (Morone, Litman, Robins, 2008). Health care system in United States The three major issues facing the health care system of United States are access, cost, and quality. Improved access may quickly become expensive without slowing the increase of costs and without increasing the quality of health care (NAPA-NASI, 2009). Improvements quality and cost are consecutively likely to necessitate changes in the process of delivering health care. Financial access in health care is an important issue in United States; d ifferent financing models may have different implications on control of costs and performance improvement of the health care delivery system like Medicare and Medicaid (Angeles, 2009). The relationship between service delivery in health coverage and containing health costs is of utmost importance. Committed public administrators can make any health program to work on the ground. However policy makers can make the administrators’ task to be easy by considering administrative issues when creating proposals and legislations (NAPA-NASI, 2009). This is an important factor in creation of a successful health program. Administrative issues can either be specific to certain plans, or apply to a wide range of programs. The establishment of Medicare program in 1965 and the implementation of latest health care reforms experiences, gives some common lessons in planning for service delivery of health programs (Merlis, 2003). A case study of Medicare Medicare was signed into law in1965 by P resident Lyndon Johnson, and began offering benefits less than a year later in 1966. The program offered health care coverage to approximately nineteen million elderly people in US. Of the nineteen million, only half had previously had some form of health insurance. Medicaid, a joint federal-state program of medical assistance for poor people was also created. Medicaid created some significant alterations to disability benefits and social security retirement (NAPA-NASI, 2009).Advertising We will write a custom research paper sample on Health policy as it relates to a health care program specifically for you for only $16.05 $11/page Learn More The beginning of Medicare offers good instance of impact of health policy on healthcare programs. Implementation of Medicare had started earlier before the legislation was passed. Congressional leaders and administration had discussed the part of Medicare dealing with hospital insurance during the early 1960s. The prov isions of health insurance had been refined to assist administration. The program was supposed to begin in midsummer when hospital occupancy was low. Nursing homes coverage was supposed to start six months after hospital benefits to separate the two. A proposal to give beneficiaries a choice of benefit packages was rejected following its administrative complication (NAPA-NASI, 2009). Some aspects of legislation and health policies simplified the implementation of Medicare. An important policy aspect of Medicare was that it was a fully federal program that did not depend on the different interests and administrative capabilities of the states. It is important to note that there was a political agreement was not meant to reform delivery of, or payment for, health care. There was an agreement from the beginning of discussions that Medicare was to be administered by the Social Security Administration. This policy allowed the program to experience a tremendous success at the beginning. S ocial Security Administration had put in place a network of field offices for taking care of Medicare beneficiaries. The administration was supportive of the new program and was willing to take some chances to ensure its success (NAPA-NASI, 2009). The government of the day contributed a lot in designing of health policies. The federal government understood that Medicare was a main concern for the presidency of Johnson. The General Services Administration and the Civil Service Commission cooperated with Social Security to ensure the success of the program. The Social Security agency received additional funding, new staff and its training and new field offices. Social Security Administration devoted a small team to run Medicaid as compared to Medicare. In addition, its design and implementation was largely left to the states. The agency was left to implement and run the program without interference from the office of the president (Baucus, 2008).Advertising Looking for research paper on public administration? Let's see if we can help you! Get your first paper with 15% OFF Learn More The only notable major instance where the office of the president got involved was a few weeks before the launching of the program. The president was concerned about the likelihood of certain hospitals to be overwhelmed by a flood of newly insured elderly people. A system that was to track hospital occupancy rates was created to take care of this issue. The veterans and military hospitals were placed on standby, and plans were established to transport people. Eventually, capacity of hospitals proved more than enough to accommodate more people than it was anticipated (Darr Longest, 2008). The Social Security Administration developed consensus over policies via various informal task forces and working groups instead of depending on the formal federal rulemaking process. Proposed policies were presented to â€Å"the Health Insurance Benefits Advisory Council† after far-reaching staff work and discussions with all stakeholders. The agency took the council’s advice, althou gh it was not a requirement. Rather than in final regulations, policies were integrated in the conditions of participation for health care providers. In this regard, hospitals were required desegregate. Hospitals were required to comply with the Civil Rights Act by the federal officials (Ebeler, Van de Water, Dem, 2006). Policies were also designed to provide a tight time frame for the magnitude of the task. This facilitated implementation of Medicare in timely fashion due to the sense of urgency. The administration of Social Security was motivated to boost its morale. Offices were opened on evenings and weekends to allow more applicants into the program. The program also gained considerable support from advocacy groups and aging organizations. After enactment of the program, a lot of cooperation was obtained from all stakeholders (Etheredge, 2009). Regulation of health care programs and health insurance Health care programs have similar regulatory issues as other forms of insuranc e. The person covered under the healthcare program requires the program to provide a contract that meets realistic expectations about coverage. The individual also requires the health insurer to explain the nature of the cover being offered. As agreed in the health insurance policy, the individual requires his/her claims to be paid promptly and fairly. Before enrolling people into health care programs, the risks are assessed before the cover is granted. In ordinary health insurance programs, the insurer assesses the risks and may decide to decline the cover depending on risks (Hacker, 2007). Health insurance covers have had cases of fraud in marketing and claiming process. The government through state authorities has regulated the issuance of health insurance covers to protect the consumers. The federal government has also become more involved in financing and insurance of health care. Since the launch of healthcare programs, the authority of the states to control and regulate healt h insurance has been well established (Jost, 2009). The Supreme Court decided to put the health insurers under the federal control in 1945. The McCarran-Ferguson Act which enables the states to control insurance business was passed by the Congress. In each state, the insurance industry is regulated by a division of insurance or similar agency. The National Association of Insurance Commissioners (NAIC) controls and coordinates the regulation of multistate health insurance agencies. The model laws and regulations of NAIC usually act as the foundation for state policies. It also brings some degree of consistency to regulation of health insurance. Some premium taxes are imposed by the states on health insurers as a source of income (Hacker, 2009). The original emphasis of health insurance regulation was making sure that the financial accountability of insurers to pay claims was met. The federal bankruptcy code excludes insurers from its coverage and leaves the issue of assuring the solv ency of the insurer to the states. States have designed the process of managing insolvent health insurers and take care of their financial responsibilities. Traditional concerns of regulations are getting rid of deceptive advertising and marketing, follow-ups of consumer feedbacks, and review of health insurance policies (Monheit Cantor, 2004). Health insurers are faced with challenges when covering small groups since they pose threats of adverse selection. Small groups and individuals are sometimes denied the cover, have their covers cancelled or not renewed. High risk groups are sometimes given long waiting periods. Administrative activities, marketing and other expenses increase the cost associated with small groups and individual health insurance policies as compared to large groups (Van de Water Nathan, 2011). The state started to enact reforms of health insurance market associated wit small groups in 1990. Major changes included guaranteed issue and renewal of policies regar dless of health status of individuals. Restrictions on exclusions of existing health conditions were done to limit the difference in premiums. State regulators have to review premium schedules and insurance policies to ensure that they are in compliance and to limit on rates (Monheit Cantor, 2004). A few years ago, the states took deregulatory measures to assist the spread of high deductible health insurance plans. In 2003, the Medicare Modernization Act approved tax subsidies for health savings accounts (HSAs) amid highly deductible health plans. The law did not obstruct any state insurance guideline. However, the states provided that the tax subsidies for HSAs would be accessible only in states that allowed high deductible plans (NAPA-NASI, 2009). Regulation of insurance has been a responsibility of the states for a long time. However, the roles of the federal government have grown in recent past. Federal regulation is primarily carried out through the income tax system, the Medi care and the Medicaid programs. The initial administrative rulings that employee contributions to health insurance plans sponsored by the employer are not taxable to both were confirmed by the Internal Revenue Code of 1954. The tax subsidy has been conditioned on different legislation requirements although IRS gives little omission and has by and large been slow to create implementing policy or impose tax punishments for infringements. For instance, nondiscrimination provisions of the tax code forbid employers who are self insured from giving better tax favored health coverage to employees who are highly paid (NAPA-NASI, 2009). Presently, Medicare and Medicaid cover approximately a quarter of US citizens, and a third of health care expenses. The rules that regulate the coverage and payments for these programs constitute an important form of federal regulatory activity (Angeles, 2009). The result of failure to comply with the policies of the program is denial of program eligibility o r payment. In addition submitting inaccurate claims can results to civil or criminal penalties. Medicare is the largest purchaser and regulator of health care in the United States. This enables the program to exert a significant influence on the rest of the health care system (Ebeler, Van de Water, Dem, 2006). Public programs and private insurers have widely adopted the coverage policies and the payment system of Medicare. Majority of private health insurers follow Medicare’s lead in approval and adoption of new medical technologies. New payment mechanisms used by Medicare have been widely adopted by the private sector. For instance, the private sector has adopted the prospective payment system for hospitals and fee schedule for medical practitioners (Baucus, 2008). Medicare influences the way health care is provided through its participation conditions for hospitals and health plans. In addition, Medicare influences administrative procedures including reporting requirements and review practices of claims. State regulations that conflict with requirements of Medicare are generally preempted by the federal government. In this category are state regulations of private health plans that contribute in Medicare. States have the power to license and control the insurance agents and brokers dealing with private plans for healthcare. However, the states cannot control the organizations that provide the plans. On the contrary, federal requirements for Medicaid managed care organizations cannot prevent more strict state standards (Angeles, 2009). The responsibility of private health plans in Medicare was expanded by the Modernization Act of 2003. The act also broadened the federal preemption of state control of these plans. The Medicare Improvements for Patients and Providers Act of 2008 prohibits certain sales and marketing processes under Medicare Advantage plans and Prescription Drug Plans. According to state regulators, the present federal control structure for Medicare private does not sufficiently protect consumers. The state regulators have called for authority to impose state laws on marketing methods of insurers that sponsor them (NAPA-NASI, 2009). Medigap plans are the private plans offered to those already covered by Medicare to cover expenses that are not covered by Medicare. This plan is regulated by both state and federal government. A regulation model has been established as required by the federal law to include a standardized benefit strategy and marketing standards for all Medigap plans. The model has been incorporated in federal guidelines by the centers for Medicaid and Medicare services. States that are using the Medigap standards imposed by the federal law enforce them against the plans. In some cases, more strict standards are imposed by the states (NAPA-NASI, 2009). Payment responsibilities of medical services covered by both Medicare and other health insurance are governed by the federal law. Laws making payment by Medicare secondary to payment by health insurance plans sponsored by employers have been passed by the Congress. An excise duty is imposed for operating a health plan that goes against the regulations (Gluck Reno, 2001). The Employer Retirement Income Security Act of 1974 (ERISA) has the most important limitations of the federal government on regulation of health insurance by the state. The act takes over from the most state regulations applicable to health plans based on employment and subject to the federal law. However, the act does not apply to church or governmental sponsored plans. The implication is that the act’s preemption of state rules allows multistate employers to provide health benefits on a national basis. This is done without having to adapt their plans to specific state in which they function. Employers can steer clear of any state rule or taxation of its health plan if it assumes the plan’s financial risk and does not buy a cover for the funding of benefits. Particularly, it gets rid of state authorized benefits (NAPA-NASI, 2009). Initially When ERISA was enacted it covered mostly the pension plans and enforced no regulations on health insurance based on employment. The Congress then modified the act by adding comparatively few requirements. ERISA prevents the state regulation, but does not enforce much in the way of substantive regulation. This structure implies that self-funded employers have operated in a regulatory vacuum that is unreal. In order to provide continuance in some cases of employer-sponsored coverage that would otherwise be stopped, ERISA was amended by the Consolidated Omnibus Budget Reconciliation Act (COBRA) in 1985. The amendment required that employer with over twenty employees and who offer employers’ sponsored insurance covers to continue providing health insurance temporarily to employees who have lost coverage or stopped employment. In most cases, compliance with COBRA is impelled by the effort s of the Department of Labor and the risk of lawsuits posed by participants under ERISA (Darr Longest, 2008). To prohibit discrimination by employment-based group health plans in enrollment, the Health Insurance Portability and Accountability Act (HIPAA) was enacted in 1996. HIPAA curbs discrimination on the basis of health status. The act also limits the elimination of coverage for pre-existing health conditions and requires special enrollment in case of occurrence of such events. Without limiting the charges, HIPAA requires health insurers to avail and renew health coverage for small employers. Except under limited circumstances, health insurers operating in the individual market are also required by the act to guarantee restitution of coverage (Ebeler, Van de Water, Dem, 2006). Administrative responsibility is isolated in that the requirements of HIPAA are enforced under ERISA for employer-sponsored group health plans. As far as COBRA is concerned, the Department of the Treasur y has the power to impose an excise duty to enforce observance. Generally, states are accountable for implementing the necessities imposed on health insurance issuers in the individual markets. In addition, states may enforce more stringent regulations on health insurance issuers in some specific situations (Fowler Jost, 2008). Conclusion It is not possible to achieve a reformed health care system and healthcare programs without health insurance policies. Any proposal seeking to subsidize or direct health insurance must describe the insurance coverage to be subsidized, and set up measures for assuring that plans conform to the requirements. The financial responsibilities of the insurer and protection of consumers against errant insurers, fraudulent marketing practices, and denial of claims are very important in any healthcare program (Fowler Jost, 2008). It is important to note that the enforcement of a particular regulatory principle is a significant administrative issue. However , the appropriate content of regulation of health insurance is mainly a policy issue. The federal government does not have a significant administrative framework for regulating health insurance. On the contrary, states have substantial regulatory understanding and proficiency (NAPA-NASI, 2009). A number of regulatory approaches are possible if health insurance reform is to take place at the federal level. The federal government could adopt its own health insurance regulations and form an administrative framework to impose them. Although the federal government cannot constitutionally mandate states to enforce federal laws, it could provide financial incentives to the states to take regulatory and enforcement procedures (Gluck Reno, 2001). The federal government should exploit the states’ regulatory skills, experiences and administrative mechanisms for consumer protection. This can be approached by developing a uniform national standard for health insurance to be fundamentally imposed on states level. States should be given the mandate to impose the national standards against all health plans existing in the state. As the case foe Medigap plans, states should be allowed to create standards that are more protective of their populace. The responsibility of states in protection of consumers of health insurance is likely to become more sophisticated. Policy makers at federal level are required to identify the difference in the resources and potential from state to state. Policy makers should also ensure that the states have the needed resources to impose new regulations on health insurers. References Angeles. ( 2009). Improving Medicaid As Part of Building on the Current System to Achieve Universal Coverage. Washington: Center on Budget and Policy Priorities. Baucus, M. (2008). Call to Action, Health Reform 2009. Washington: Senate Finance. Darr, K., Longest, B. B. (2008). Managing Health Services Organizations and Systems. New York: Health Professions Pr. Ebeler, J., Van de Water, P. N., Dem, C. (2006). Improving the Medicare Savings Programs. Washington: National Academy of Social Insurance.. Etheredge, L. (2009, May 16). Government and Health Care Costs: The Influence of Research on Policy. Retrieved from University of Pennsylvania: www.upenn.edu/ldi/etheredge1.pdf Fowler, E. J., Jost, T. S. (2008). Why Public Programs Matter- and Wil lContinue to Matter- Even After Health Reform. Journal of Law, Medicine, Ethics , 36(4):670-76. Gluck, M. G., Reno, V. (2001). Reflections on Implementing Medicare. Washington: National Academy of Social Insurance. Hacker, J. (2007). Health Care for America. Briefing Paper No. 18. Washington: : Economic Policy Institute (EPI). Hacker, J. (2009). Healthy Competition: How to Structure Public Health Insurance Plan Choice to Ensure Risk-Sharing, Cost Control, and Quality Improvement. Washington: Institute for America’s Future. Jost, T. S. (2009). The Regulation of Private Health Insurance. Wash ington: NAPA/NASI. Merlis, M. (2003). The Federal Employees Health Benefits Program: Program Design, Reent Performance, and Implications for Medicare Reform. Menlo Park, CA: Henry J. Kaiser Family Foundation. Monheit, A. C., Cantor, J. C. (2004). State Health Insurance Market Reform. New York: Routledge. Morone, J. A., Litman, T. J., Robins, L. S. (2008). Health Politics and Policy. New York: Delmar Cengage Learning. NAPA-NASI. (2009). Administartive Solutions in Health Reforms: Administrative Issues in Expanding Access to Health Care. New York: Robert Wood Johnson Foundation. Van de Water, P. N., Nathan, R. P. (2011). Governance Issues for Health Insurance Exchanges. Health Policy Brief No. 1 (pp. 1-12). Washington: National Academy of Social Insuarnce (NASI).

Communicating Effectively essays

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