research paper

Should Texas raise the minimum wage to $15 an hour

Topic:Should Texas raise the minimum wage to $15 an hour? ( minimum of 1000 words)

  • W1 — Three sentences: one thesis sentence and two topic or reason sentences. You will not include any quotations in these three statements.
  • W2 — Two body paragraphs: each body paragraph will begin with one of the topic sentences you identified in W1. The paragraph that follows the topic sentence will provide support for the statement.
  • W3 — A complete four-paragraph essay: an introductory paragraph, two body paragraphs, and a conclusion.

W1

1. Read a few online articles on the assignment prompt: Should Texas raise the minimum wage to $15 an hour?

2. Take a stand: The minimum wage (should/should not) be raised to $15 an hour in the United States. Keep your thesis simple.

3. Decide on two clear reasons to support your thesis. Write your reasons as complete sentences, not as phrases and not as questions. (These reasons will become the topic sentences for W2.)

4. Write your thesis and topic sentences, and label them as such.W1,W2,W3

  • Thesis sentence: (Do not include any reasons in this statement. Simply state whether or not you believe the minimum wage should be raised to $15 in the US.)
  • Topic/Reasons sentence one: (Write your first topic/reason sentence)
  • Topic/Reason sentence two: (Write your second topic/reason sentence)

W2.

1. Write two paragraphs that support the thesis in the W1.

2. Begin each body paragraph with an underlined topic sentence. The topic sentence is a clearly stated reason in support of your thesis. It cannot be a question or a quotation. Reminder: A topic/reason sentence has two jobs: to serve as a reason in support of your thesis, and to announce which reason will be discussed and supported in the body paragraph that follows. Again, each topic sentence should be a reason in support of your thesis, not simply an introduction to the paragraph.

W3

1.Write a four paragraph essay based on the thesis and topic sentences for the W1 and W2.

2. Following the topic sentence, provide support from your readings on the topic: you must use and cite at least two sources in W2, at least one source in each paragraph.*

  • Cite your sources using either MLA or APA style. Consult your course textbook or the online Purdue Owl if you need help citing and referencing a source in an academic paper. Please remember that the MLA Style Guide has been recently updated, and the examples on your textbook may not include the most recent changes.
  • Include a References (APA) or Works Cited (MLA) list after the second body paragraph.

Include the following:

  • Title for the essay
  • Introductory paragraph that ends in an underlined thesis statement
  • Two body paragraphs that each begin with an underlined topic sentence.
  • A conclusion
  • A Reference or Works Cited listing.

References note:

  • Use a minimum of 2 authoritative, credible online sources to support your argument, and cite at least 1 source in each body paragraph. Each quote should be introduced in the text with a signal phrase: let the reader know in advance whom you are quoting and the context of the source. All sources should be correctly cited in the text using parenthetical citations where needed, and each source should be included in a Works Cited (MLA) or Reference (APA) section at the end of the document, following guidelines consistently. Do not cite sources in the body of the essay with Internet addresses (URLs), nor only use a URL for the reference at the end of the document.

Week 1 Assignments

Discussion Board 1

You are a senior security specialist with the Department of Homeland Security assigned to DHS Headquarters. You are responsible for developing and preparing DHS-wide policies and standards for a DHS Industrial Security Program. You are also responsible for developing and presenting informational briefings. You are a subject-matter expert on all matters related to industrial security.

You have been asked to attend a conference on policy issues, and have been invited to participate in a round-table discussion with other security professionals to discuss the issue of the due-process approach versus the public-order approach to counter terrorism.

Primary Task Response: Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Answer the following questions:

  1. Do you consider yourself more of a public-order advocate or a due-process advocate, in general? What is more important to you, personally: protecting individual rights or making society safer? Why did you not choose the opposite position?
  2. What are the positive aspects of your chosen position for purposes of counter terrorism?
  3. What are the negative aspects, if any, of your chosen position for purposes of counter terrorism?
  4. For this question, you are to assume that your superiors have adopted the position opposite your chosen position. For example, if you answered above that you were a due-process advocate, your superiors have adopted the public-order position. As such, you are to answer this question from the perspective of your superiors: What is the most important concern when developing policies for combating terrorism?

Discussion Board 2

  • Public Health and Medical Preparedness and Response
  • The Impact of Incentives and Requirements on Group Collaboration: read Introduction (pp. 1-5); Analysis (pp. 27-31); Conclusions (pp. 69-84).

Privacy, Rights, and Electronic Communications and Media

Primary Task Response: Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas:

  • What do you feel constitutes a “reasonable expectation of privacy” when it applies to electronic communication on the Internet? Explain.
    • Consider the differences between e-mail, posting a comment to a news story or a blog, or posting on social networking Web sites.
  • Should communications in these various types of media differ with regard to their privacy? Why or why not?
    • Consider the First and Fourth Amendments to the Constitution.
  • What protections are provided in this new electronic domain? Explain.
  • What protections should be provided in this new electronic domain? Should anonymity be expected or allowed? Why or why not

Individual Assignment 1

Airport Screenings & Public Security Policy

Resource site to:(House Committee on Homeland Security Web site).

The purpose of this assignment is to explore the topic of aviation security as it relates to public safety policy and the issue of individual privacy. You have been directed to write a policy memo for your boss, who is a member of the U.S. House of Representatives and serves on the House Committee on Homeland Security (House Committee on Homeland Security Web site). Using the resources provided below, as well information from resources you identify through your own research efforts, your assignment is to craft a briefing memo of 900–1,200 words that focuses on the questions posed below.

Assignment Guidelines

  • Students must address the following in 2-3 pages:
    • The United States, as well as many other countries and airlines, had experienced criminal and terrorist incidents before September 11, 2001. Why had previous incidents not resulted in the dramatic increases in and focus on aviation security that the 9/11 attacks did? Explain.
      • How was 9/11 different from an aviation security standpoint? Explain.
    • While there have been further attempts to strike the United States by attacking commercial aircraft since 9/11 (e.g., the “shoe bomber” and the “underwear” bomber), none have been successful. How have the steps and measures taken to improve aviation security since 9/11 contributed to the lack of success of the terrorists? Explain.
      • What role did the various layers of aviation security play in preventing the attempted attacks after 9/11? Explain.
      • Were the effective layers tactical, policy driven, or a combination of both? Explain.
    • Since the regulation that requires the aircraft’s cockpit door to be bullet-proof and securely locked before the aircraft leaves the terminal took effect, it is, for all practical purposes, impossible for a terrorist passenger to gain control of an aircraft. Given this change in risk profile, are other layers of security as necessary as before? Why or why not?
      • Given the number of years after 9/11 without successful aviation attacks, should some security procedures be relaxed? Why or why not?
        • What are the vulnerabilities and risks if they were? Explain.
          • Do not write possible scenarios here; rather, identify points of failure and other threats or risks to the aircraft, passengers, and nation).
    • TSA agents have the right to physically inspect any and all material and persons who are boarding or being loaded onto an aircraft in the United States. With X-ray machines, bomb-sniffing machines, and dogs checking all luggage and passengers, are physical inspections of luggage that allow TSA agents open and look through personal bags necessary? Why or why not?
      • What are the laws that provide TSA with their authority? Describe them.
      • Are the practices undertaken by TSA too intrusive? Why or why not?
    • The Fourth Amendment of the Bill of Rights provides protection against unreasonable searches and seizures. How should the United States balance that right against the security needs of the flying public? Explain.
      • Has a balance been reached?
      • If not, in what direction do the scales need to be tipped and how?
  • Compile your responses in your final policy memo, and submit the file to your instructor.
  • Be sure to reference all sources using APA style.

Individual assignment 2

  • Equality in the War on Terror

You are a program analyst with the Department of Homeland Security, assigned to DHS Headquarters. You work in the Office of the Secretary, Office for Civil Rights and Civil Liberties (CRCL). You are responsible for developing guidance and policy to support civil rights compliance and providing recommendations to address complex civil rights issues. You also provide a full range of advice, training, support, outreach, and complaint investigation related to civil rights concerns connected with the access to DHS-supported or conducted programs by individuals with limited English proficiency, or to the U.S. Immigration and Customs Enforcement (ICE) 287(g) program, along with other federally conducted and supported activities.

Your superior has assigned you an unusual task in anticipation of an in-house training and development program. This office is clearly focused on civil rights, but you have been asked to play devil’s advocate for a day. Your office deals with complaints of civil rights violations, investigating complaints brought by individuals with limited English proficiency. Your task is to present a memo that will be distributed to everyone at the training as required reading.

Your memo will be on the topic of: How might the DHS look and function if civil rights and civil liberties were not valued?

Your answer to the following question can assist you in developing your memo: If the DHS employed a true public-order approach to combating terrorism, what would they do differently right now?

Assignment Guidelines

  • Use your course materials, the library, and relevant Internet research options to research what the Office of the Secretary, Office for Civil Rights and Civil Liberties (CRCL) does, and how its operations affect homeland security policy decisions.
  • Address the following in 2-3 pages:
    • What functions does the Office of the Secretary, Office for Civil Rights and Civil Liberties (CRCL) perform? Explain.
      • This is the starting point for this assignment. Once you understand what the office does, then you can start to work on identifying how the DHS might change its function if civil rights and civil liberties were no longer a requirement.
    • Do the activities and operations of the Office of the Secretary, Office for Civil Rights and Civil Liberties (CRCL) impact homeland security policy decisions? Why or why not? Explain in detail.
    • How might the DHS change its function if civil rights and civil liberties were no longer a requirement? Explain in detail.
  • Be sure to reference all sources using APA style.

5 English questions, English homework help

1. Which passage is an example of the use of cataloguing?

Tenderly will I use you curling grass/ It may be you transpire from the breasts of young men

I celebrate myself, and sing myself/ And what I assume you shall assume.

The carpenter singing his as he
measures his plank or beam/ The mason singing his as he makes ready for
work, or leaves off work.

Or I guess it is the handkerchief of the Lord/ A scented gift and remembrancer designedly dropt

2. Which line includes an example of parallelism?

But I shall be good health to you nevertheless/ And filter and fibre your blood

I celebrate myself and sing myself,/ And what I assume you shall assume,

They are alive and well somewhere,/ The smallest sprout shows there is really no death.

I hear America singing, the varied carols I hear,/ Those of mechanics, each one singing his as it should be blithe and strong.

3. Which line includes an example of repetition?

Leave not the bridegroom quiet – no happiness must he have now with his bride.

And you O my soul where you stand.

I stop somewhere waiting for you.

Beat! Beat! drums! — blow! bugles! blow!

4. What word best describes the tone of the following line? – “The day what
belongs to the day — at night the party of young fellows, robust,
friendly,/ Singing with open mouths their strong melodious songs.

Solemn

Celebrator

Paranoid

Listless

5. What word best describes the tone of the following line? – “Beat! beat!
drums! — blow! bugles! blow!/ Over the traffic of cities — over the
rumble of wheels in the streets.”

Chaotic

Peaceful

Mysterious

Subdued

expand the idea from one page to 3- 4 pages in 12 hours

expand 1 paper to 3-4 papers. please find it below:

The small power piece placed on top of the phone will be used to receive sunlight which is later converted to the electricity used to charge the phone. This project is suited to work efficiently in areas where there are bright sunlight and even cloudy conditions. The battery of the phone is used to store the energy and can be used on one’s phone whenever they need to.

The cost of power is minimized by this product. Apart from the cost of purchasing the small solar piece, the project has no additional cost. Depending on the solar energy in this project minimized the worries of electricity costs in charging the phone each month.

The project[LW29] can be used as a source of power in areas that are remote. There are various locations away from the city which lacks access to electricity. Through this, people in remote areas will be served with a source of energy that is easily accessible as it only needs access to direct sunlight and can even charge in cloudy conditions. This serves as a solution to power shortages in areas that cannot access direct electricity.

Using solar energy serves as a source of green energy. This means that power is eco-friendly when compared to other power sources such as the energy generated from coal. It is, therefore, a source of clean energy that does not include emitting any gases that are harmful to the whole atmosphere.

This is a great way of saving energy. Through this product, its success means that the energy that is used in charging phones is saved. The energy can be spared for other purposes and as the phone can obtain energy from the sunlight[

Where are today’s exotic terranes?, assignment help

Need geology question answer

Where are today’s exotic terranes? What is their fate? Once East Africa has rifted from the African Plate, is it destined to become an accreted terrane? Will it become a new continent? need 400 words

——————————————————————————————————————————————–

.) In 6 or more steps, describe the formation and geological history of where you live in Alabama or just North America in general.

For each step include: the numerical age/age range of the geological event’s occurrence, a brief description of the geological event in your own words, and the APA intext citation of your source.

Each step is worth 3.5 points total [1 point numerical age/age range, 2 points for geological event description in your own words, .5 point APA intextcitation of source). (21 points total).

HINT: Use Chapters 2, 13, 14 and section 22.5 from the textbook to complete this assignment.

Step

Numerical Age/Age Range

Brief Description of Geological Event

APA IntextCitation of Source

(Be mindful of your time scale and time labels)

(In your own words)

Example

0 to 10,000 years ago / Holocene

The glaciers from the Canadian shield regressed southward as temperatures across North America begin to warm. As the glacial lobes retreated north, they left behind deposits of glacial till and carved out depressions that eventually became lakes.

(Chernicoff & Whitney, 2007)

1

2

3

4

5

6

2.) 2.) What was the main method of expansion/growth of the North American Continent on the west coast? (2 points)

3.) 3.) What is a broad area of exposed crystalline rock, which has not changed for more than a billion years called? (2 points)

4.) 4.) What was the name of the super continent that preceded the formation of North America. HINT: This was the super continent that broke up and the pieces were used to form North America and other continents of today. (2 points)

5.) 5.)What are the three types of plate tectonic boundaries? All three types of plate tectonic boundaries exist today and in the past, and all three have been used to shape all of the continents (including North America) and the changes we observe today. (2 points)

PHIL201 intro to philosophy

There are certain big questions that philosophers have been puzzling over for centuries. Amazingly, many people ask these same questions in daily life. Choose one of the following six branches of philosophy below. Reflect on the central questions as related to the branch you chose.

Write an APA-formatted essay of 2-3 pages explaining the chosen branch and describing a time in your life when you have asked similar questions. Discuss the specific circumstances that brought you to your conclusions.

Outside sources may be used but are not required for this assignment as the material is largely reflective in nature.

Select one of the following branches of philosophy and answer the following questions for your submission:

  1. Metaphysics:
    • What is real?
    • Is the physical world more or less real than the spiritual or psychological world?
    • Is there such a thing as a soul? If so, how does it survive outside of a physical body?
    • Do all people have free will, or are their lives determined by fate?
  2. Epistemology:
    • How is anything known?
    • What is the basis for knowledge? Is it innate reason, experience, or something else?
    • Is all knowledge subjective, or are there some universal truths?
    • What is the relationship between faith and reason?
    • What can artificial intelligence teach people about knowledge?
    • What are the limits of human understanding?
  3. Ethics:
    • What is the “right thing to do”?
    • What does it mean to be a “good person”?
    • Does virtue lead to happiness?
    • Do the ends justify the means, or is a virtuous action virtuous in and of itself?
    • How does living in a society affect morality?
    • Is morality culturally based or individually based, or is there a universal morality?
  4. Aesthetics:
    • What is beautiful?
    • Is beauty truly in the eye of the beholder, or are there some things that all cultures find beautiful?
    • What is the purpose of art?
    • How can a piece of art be successful or valuable? Does beauty matter?
  5. Political philosophy:
    • What is the best kind of government?
    • How much power should the government have?
    • What kind of people should be in power?
    • How involved should the common citizen be in government?
  6. Social philosophy:
    • How should humans behave in a society?
    • Do people give up certain rights when they choose to live in a society?
    • How do social values affect individual beliefs? Do people behave differently in a crowd than they would individually?
    • How does society affect language and other types of communication? Make sure you cite your sources appropriately within your paper, and list them in APA format on your Reference page. Your paper should be 2-3 pages in length, not counting the Title page and Reference page. In accordance with APA formatting requirements, your paper should include a Title and Reference page, should be double-spaced, and include a running head and page numbers.

please respond to the following post.

please respond to the following post with a long paragraph, add citations and references.

Principlism, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the topic overview and other topic study materials in your response.

———————————————————

Biomedical Ethics in the Christian Narrative

Introduction

Bioethics is a subfield of ethics that concerns the ethics of medicine and ethical issues in the life sciences raised by the advance of technology. The issues dealt with tend to be complex and controversial (i.e., abortion, stem cell research, euthanasia). There have been several approaches to the theory and methodology of ethical decision-making in bioethics, but this discussion will focus on what is likely the most influential approach called principlism, which stresses the application of four moral principles to all ethical decisions in health care. A practical tool, commonly used by ethicists and hospital ethic committees, known as the “four-boxes approach” will be introduced as a way to organize hard cases and appropriately apply the four principles. Principlism and the four-boxes approach will be used and interpreted in light of the Christian worldview and the overarching narrative presented in the Bible.

Principlism

Principlism is often referred to as the “four-principle approach” because of its view that there are four ethical principles that are the framework of bioethics. These four principles are the following, as spelled out by Tom L. Beauchamp and David DeGrazia (2004):

1.Respect for autonomy − A principle that requires respect for the decision-making capacities of autonomous persons.

2.Nonmaleficence − A principle requiring that people not cause harm to others.

3.Beneficence − A group of principles requiring that people prevent harm, provide benefits, and balance benefits against risks and costs.

4.Justice − A group of principles requiring fair distribution of benefits, risks, and costs. (p. 57)

While these principles will guide ethical decision-making, they only provide a general and abstract framework for thinking about particular ethical cases. Other information is required before one can make a concrete ethical decision. First, one must specify the particular context and details of a case or dilemma in order to concretely apply these principles and arrive at concrete action-guiding results (i.e., individuals need to know how to apply these principles to specific cases and circumstances).

Second, one must figure out how each of the four principles ought to be weighed in a particular case. One needs to determine which of the four principles deserves the most priority in any given case, especially in cases in which there are conflicts between the principles. The details of a specific case as well as the way in which principles are weighed and prioritized necessarily involves discussion of worldview. This is because a patient’s preferences will involve his or her worldview, and because different worldviews would rank the importance and priority of principles differently. Thus, one might approach the four principles from a Buddhist perspective, or an Islamic perspective, or an atheistic perspective and achieve vastly different results. When one utilizes the principlist approach to bioethical dilemmas, it will always also incorporate broader worldview considerations and never be purely neutral or unbiased. In order to understand how the Christian worldview would apply the principles, it is important to understand the grand story told in the Bible that Christians believe describes reality.

The Christian Biblical Narrative

While it is not possible to survey every possible religion, the description below will at least attempt to do justice to the biblical narrative and Judeo-Christian tradition.

The Bible is a collection of 66 books written over thousands of years in several different languages and in different genres (e.g., historical narrative, poetry, letters, prophecy), yet there is an overarching story, or big picture, which is referred to as the Christian biblical narrative. The Christian biblical narrative is often summarized as the story of the creation, fall, redemption, and restoration of human beings (and more accurately this includes the entire created order). Concepts such as sin, righteousness, and shalom provide a framework by which the Christian worldview understands the concepts of health and disease.

Briefly, consider the following summary of each of the four parts of the grand Christian story:

Creation

According to Christianity, the Christian God is the creator of everything that exists (Gen. 1-2 NIV). There is nothing that exists that does not have God as its creator. In Christianity, there is a clear distinction between God and the creation. Creation includes anything that is not God–the universe and everything in it, including human beings. Thus, the universe itself and all human beings were created. The act of creating by God was intentional. In this original act of creation, everything exists on purpose, not accidentally or purely randomly, and it is good. When God describes his act of creating, and the creation itself as good–among other things–it not only means that it is valuable and that God cares for it, but that everything is the way it is supposed to be. There is an order to creation, so to speak, and everything is how it ought to be. This state of order and peace is described by the term Shalom. Yale theologian Nicholas Wolterstorff (1994) describes Shalom as, “the human being dwelling at peace in all his or her relationships: With God, with self, with fellows, with nature” (p. 251).

The Fall

Sometime after the creation, there occurred an event in human history in which this created order was broken. In Genesis 3, the Bible describes this event as a fundamental act of disobedience to God. The disobedience of Adam and Eve is referred to as the fall, because, among other things, it was their rejection of God’s rule over them and it resulted in a break in Shalom. According to the Bible, the fall had universal implications. Sin entered into the world through the fall, and with it, spiritual and physical death. This break in Shalom has affected the creation ever since; death, disease, suffering, and, most fundamentally, estrangement from God, has been characteristic of human existence.

Redemption

The rest of the story in the Bible after Genesis 3 is a record of humanity’s continual struggle and corruption after the fall, and God’s plan for its redemption. This plan of redemption spans the Old and New Testaments in the Bible and culminates in the life, death, and resurrection of Jesus Christ. The climax of the Christian biblical narrative is the atoning sacrificial death of Jesus Christ, by which God makes available forgiveness and salvation by grace alone, through faith alone. The death of Christ is the means by which this estrangement caused by sin and corruption is made right. Thus, two parties, which were previously estranged, are brought into unity (i.e., “at-one-ment”). For the Christian, salvation fundamentally means the restoration of a right and proper relationship with God, which not only has consequences in the afterlife, but here and now.

Restoration

The final chapter of this narrative is yet to fully be realized. While God has made available a way to salvation, ultimately the end goal is the restoration of all creation to a state of Shalom. The return of Jesus, the final judgment of all people, and the restoration of all creation will inaugurate final restoration.

Summary: The Christian Ethical Approach

While the principlist approach may be used by the Christian as a general methodological tool for bioethical reflection, the general contours of a Christian approach to ethics (not only bioethics) include the principles and rules found in the Bible, as well as the example of Jesus Christ (Rae, 2009, p. 24). The way in which Christianity answers the worldview questions will be in the context of the above narrative. Similarly, a Christian view of health and health care will stem from the above narrative and God’s purposes. Of course, the pinnacle of this framework is the person of Jesus Christ. Thus, for Christianity, medicine is called to serve God’s call and purposes, and everything is done in remembrance of, and in light of, Jesus’s ultimate authority and kingship.

The Four-Boxes Approach

The four-boxes approach is a practical tool developed by Jonsen, Siegler and Winslade that helps clinicians identify ethical issues in medical cases and reach reasonable a conclusions that lead to ethical actions (Jonsen, Siegler, & Winslade, 2010). This approach introduced four topics that describe the way in which the four principles of principlism actually apply to a certain. These topics include (1) medical indications, (2) patient preferences, (3) quality of life, and (4) contextual features.

Medical indications refer to “those facts about the patient’s physiological or psychological condition that indicate which forms of diagnostic, therapeutic, or educational interventions are appropriate” (Jonsen et al., 2010, p. 10). This topic concerns the professional judgment of the physician and involves the concrete application of the principles of beneficence and nonmaleficence.

Patient preferences refer to “the choices that persons make when they are faced with decisions about health and medical treatment…[which] reflect the patient’s own experience, beliefs and values as informed by the physician’s recommendations” (Jonsen et al., 2010, p. 47). This topic primarily involves the concrete application of the principle of respect for autonomy.

Quality of life refers to “that degree of satisfaction that people experience and value about their lives as a whole, and in its particular aspects, such as physical health” (Jonsen et al., 2010, p. 109). This topic is difficult to define, and it involves the concrete application of beneficence, nonmaleficence and respect for autonomy. However, it seems that the most important principle here is an aspect of the principle of beneficence. Beneficence is not only acting in ways that help other persons in need by way of treating or curing illness, but it also involves “acting in ways that bring satisfaction to other persons” (Jonsen et al., 2010, p. 109). Thus, it is also part of beneficence to attempt to improve a patient’s life such that they are satisfied with their quality of life.

Contextual features refer to the context in which a particular case occurs, which includes “professional, familial, religious, financial, legal and institutional factors” which influence clinical decisions (Jonsen et al., 2010, p. 161). Thus, for example, an influential contextual feature in a case in which the medical indications for a person include a blood transfusion, would be if a patient were of the Jehovah’s Witnesses religion. This is because blood transfusions are considered to be immoral according Jehovah’s Witnesses teaching.

When considering a difficult ethical case in medicine or health care, the relevant information of that case is arranged into four boxes which correspond to the four topics above and aligns them with the key ethical principles (Jonsen et al., 2010):

·Medical Indications (Beneficence and Nonmaleficence)

·Patient Preferences (Autonomy)

·Quality of Life (Beneficence, Nonmaleficence, Autonomy)

·Contextual Features (Justice and Fairness)

The four-boxes approach is a useful tool to make sure that you have gathered all the relevant data (or as much data as possible) so as to come to an ethical decision and plan of action. Keep in mind that many times in clinical ethics, there may not be a single right course of action, but there are certainly better or worse options. This does not mean that there is no such thing as right and wrong (i.e., relativism), but simply that real life is messy and imperfect.

Applying the Principlism and the Four-Boxes Approach

Consider the following analysis from a Christian perspective of the case study, “End of Life and Sanctity of Life,” in the American Medical Associations Journal of Ethics, included in the topic readings(Reichman, 2005). That case is analyzed from a Jewish and Buddhist perspective by different commentators. This case will be analyzed by addressing the four principles in the principlist approach, and then that data will be considered in light of the Christian worldview in order to recommend a course of action in accordance to Christian values and biblical principles. As practice, begin filling the four boxes based on the information provided by the case itself, as well as the analysis below.

Depending on the case, different principles will come to have greater prominence in deciding an ethical course of action. At times there may be conflicts among the principles themselves, in which it will have to be determined which principle will have the greater priority. For example, a common conflict is that between a patient’s autonomy and what a physician considers to be beneficent, or in the best interests of the patient. A physician might see that a particular course of treatment will be beneficial for a patient (beneficence), and yet the patient refuses the treatment (autonomy). Should the physician simply allow patients to choose for themselves a course of action that will knowingly bring them harm? Is it right for the physician to coerce or force a patient to undergo a treatment against his or her will and violate autonomy, even if it will bring about some medical benefit?

How do the four principles apply to the case of 82-year-old Mrs. Jones as described by Reichman’s case study (2005)?

Autonomy: In this case, Mrs. Jones is incapacitated; she has been unconscious for two days and has no ability to communicate her desires for or against treatment. This is further complicated by the fact that she left no advance directive (a legal document that details her wishes for or against certain kinds of medical treatment should she ever become incapacitated such as a living will or a health care power of attorney). While Mrs. Jones’s family and the physian disagree about the appropriate treatment for her, it seems that determining what Mrs. Jones would have wanted is not possible. Thus, while her autonomy is certainly to be respected, in this case, it is not something that is able to be obtained given her condition (she would technically be considered incompetent and unable to exercise autonomy in her current condition).

Beneficence: Dr. Rosenberg believes that it will be in Mrs. Jones’s best interest medically to be put on temporary dialysis. He believes it to be the beneficent course of action: that which will bring about her good. Mrs. Jones’s family believes that dialysis will be a cause of undue suffering for her, and, thus, do not consider it to be the beneficent course of action. The fundamental disagreement lies here. Two parties, who are not Mrs. Jones herself, and who presumably do not have information about how she would have decided for herself, disagree about whether or not an action is truly beneficent for her. The principle of nonmaleficence is closely related.

Nonmaleficence: Not only does Dr. Rosenberg have a moral duty to promote Mrs. Jones’s good, but he has a corresponding negative duty to not inflict evil or harm upon her. Mrs. Jones’s family believes that to place her on dialysis would inflict harm and suffering on her. Dr. Rosenberg believes it to be his duty to place her on dialysis and that to not do so would be harmful to her. Dr. Rosenberg’s dilemma involves the belief that withholding treatment that has a good chance of restoring Mrs. Jones back to health with little risk is immoral.

Justice: Questions of justice usually come to the forefront in terms of the equal and fair distribution/allocation of medical goods and services (i.e., organ donation, health insurance. In this case, this principle does not play a major role. It might be said that it is unjust or unfair for Mrs. Jones to not decide for herself. But in the terms of this course, that concern would more appropriately be a question of autonomy, beneficence and nonmaleficence.

The above discussion sketches out how each principle would be relevant to or apply to Mrs. Jones’s case. But notice that you do not automatically have an answer to this dilemma. What should be done ethically? To answer this question, it is necessary to consider the four principles in light of an overarching worldview. Thus, how ought a Christian think about this dilemma?

To begin with, it is important to note that the Bible holds that all life is sacred (Gen. 2:7; Ps. 139:13-16; Exod. 20:13). Thus, whether a life is at its beginning or end, it is valuable and sacred.

The dilemma in Mrs. Jones’s case is directly related to her perceived quality of life. Her family (presumably if they are being honest) does not desire that she remain alive and suffer. They perceive it better for her to stop living than for her to continue living in a poor quality of life in which she would suffer. Dr. Rosenberg believes that her life is sacred and that her quality of life is not so bad as to warrant ending her life early, if it can be saved with reasonable effort and low risk. For the Christian, while quality of life certainly matters, it does not determine the value of a life, or the worthiness of living for a person.

You might ask why exactly Mrs. Jones’s family is so ready to give up on a treatment modality (temporary dialysis) that will likely succeed? Meilaender notes the importance of taking care of those in need and accepting their dependence upon those who love them and vice versa, accepting your own dependence when you are incapacitated, upon those who love you (2013, pp. 85-88). The reticence on the part of Mrs. Jones’s family seems to communicate a lack of willingness to deal with her care. It seems as if they want it to be over with, instead of fulfilling their duty to care for her and be active partners with Dr. Rosenberg in deciding what is in her best interest.

From the Christian perspective, it would be true that if Mrs. Jones had a personal relationship with Christ, her quality of life or existence would be improved dramatically were she to enter into God’s presence directly by way of her earthly passing. However, it would be radically mistaken to believe that it is up to someone other than God when that time would be. Does a refusal of dialysis constitute a reasonable decision? Or does it constitute a decision that functionally denies the opportunity for healing and, thus, denies God’s prerogative? It seems more likely that it is the latter.

In brief, it seems that Dr. Rosenberg is justified in his refusal to withhold reasonable and low-risk treatment for Mrs. Jones. Ultimately, it seems that Mrs. Jones’s family does not want to take responsibility for her care and is, instead, opting to determine her worth or value based upon a perceived quality of life.

Conclusion

In your own case study, consider how each of the four principles apply and analyze those facts in terms of the Christian worldview. All ethical decision-making takes place within a worldview. The content of a worldview will determine what is valuable and what is not, as well as how a person would engage in decision-making given those values.

References

Beauchamp, T. L., & DeGrazia, D. (2004). Principles and principlism. In G. Khushf (Ed.), Philosophy and Medicine: Handbook of bioethics: Taking stock of the field from a philosophical perspective (Vol. 78). Dordrecht: Kluwer Academic Publishers.

Jonsen, A. R., Siegler, M., & Winslade, W. J. (2010). Clinical ethics: A practical approach to ethical decisions in clinical medicine (7th ed.). New York: McGraw Hill Education/Medical.

Meilaender, G. (2013). Bioethics: A primer for Christians (3rd ed.). Grand Rapids, MI: Wm. B. Eerdmans Publishing Company.

Rae, S. B. (2009). Moral choices: An introduction to ethics (3rd ed.). Grand Rapids, MI: Zondervan.

Reichman, E. (2005). End of life and sanctity of life. American Medical Association Journal of Ethics (formerly Virtual Mentor), 7(5), 342-351. Retrieved from http://journalofethics.ama-assn.org/2005/05/ccas2-…

Wolterstorff, N. (1994). For justice in Shalom. In W. G. Boulton, T. D. Kennedy, & A. Verhey (Eds.), From Christ to the world: Introductory readings in Christian ethics (pp. 251-253). Grand Rapids, MI: Wm. B. Eerdmans Publishing Company.

Population aging discussion, writing homework help

Please
do a paragraph about this post with this instruction .

post
most have  4 or more  sentences .

 you also have to have a high quality post from
a content perspective. This means it also needs to do more than agree with or
praise a class mate. If you agree with a classmate, explain why, give an
example, share what you learned in the readings

Population aging, rapidly increasing costs of healthcare and the growing burden of chronic diseases are challenges to health systems worldwide. To meet these challenges will require new approaches to healthcare delivery and comprehensive population health management. Within the context of healthcare reform initiatives, important innovations in the delivery system organization in the United States are discussed. The innovations focused on are the Patient-Centered Medical Home (PCMH), the Accountable Care Organization (ACO) and the Population Health Management System (PHMS) combined with new payment arrangements that reward for health outcomes achieved rather than paying a fee for each service rendered. For each of these innovations, the evidence on its performance, the challenges involved, and the factors that might promote greater adoption and diffusion of successful models are reviewed.

The growth of chronic illness and aging populations, has placed a substantial burden on healthcare systems in both developed and developing countries. For example, 60% of all deaths worldwide are due to chronic illness. Chronic illness also has a huge economic impact. For example, over the next ten years, chronic illness will result in $558 billion of costs as well as lost productivity in China; $237 billion in India; and $33 billion in the United Kingdom. In the US, nearly three-quarters of Americans over the age of 65 suffer from a chronic illness and half of them more than one chronic illness. Chronic illness in the US accounts for 75 percent of the $2.4 trillion of healthcare expenditures.

The US has the most expensive healthcare system in world with health status indicators that are only average in comparison with the less costly health systems of other countries. Throughout the world, the coming decades will further integrate public health and healthcare delivery to reduce the growing chronic illness burden of disease on economic growth, quality of life, and global security. This is the New Pubic Health (Public Health Reviews, n.d.).

Issues that prompted health care reform would be the following:

Growing numbers of uninsured people.

A growth in personal debt and bankruptcy due to medical cost.

An ever-increasing cost of health care.

Ever-growing profit for the health care corporations.

And a growing national debt and deficit (Health Care Facts, n.d.).

Health Care Facts: Why We Need Health Care Reform. (n.d.). Retrieved from http://obamacarefacts.com/healthcare-facts/

Public Health Reviews. (n.d.). Retrieved from http://www.publichealthreviews.eu/show/f/26

Jacquelyn Stewart

Assignment 3: Business-Level and Corporate-Level Strategies

Choose an industry you have not yet written about in this course, and one publicly traded corporation within that industry. Research the company on its own Website, the public filings on the Securities and Exchange Commission EDGAR database (http://www.sec.gov/edgar.shtml), in the University’s online databases, and any other sources you can find. The annual report will often provide insights that can help address some of these questions.

Write a six to eight (6-8) page paper in which you:

  1. Analyze the business-level strategies for the corporation you chose to determine the business-level strategy you think is most important to the long-term success of the firm and whether or not you judge this to be a good choice. Justify your opinion.
  2. Analyze the corporate-level strategies for the corporation you chose to determine the corporate-level strategy you think is most important to the long-term success of the firm and whether or not you judge this to be a good choice. Justify your opinion.
  3. Analyze the competitive environment to determine the corporation’s most significant competitor.  Compare their strategies at each level and evaluate which company you think is most likely to be successful in the long term. Justify your choice.
  4. Determine whether your choice from Question 3 would differ in slow-cycle and fast-cycle markets.
  5. Use at least three (3) quality references. Note: Wikipedia and other Websites do not quality as academic resources.