Health care marketplace Essay Example

Health care marketplace Paper The healthcare industry is designed to meet the needs of many individuals in terms of their wellbeing. The approach or intervention would be preventive, curative, and soothing to persons who require such. It is also the collaboration of medical technology and human contact to address and tend to the health conditions of millions of people from the newborn to the elderly and the critically ill. Establishments providing healthcare normally function round-the-clock enduring even the harshest of conditions. â€Å"There are about 600,000 establishments that make up the health care industry; they vary greatly in terms of size, staffing patterns, and organizational structures.   Nearly 80% of health care establishments are offices of health practitioners. We will write a custom essay sample on Health care marketplace specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Health care marketplace specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Health care marketplace specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Although hospitals and hospices only comprise only 2% of all healthcare establishments, nevertheless they employ 35% of all workers; nursing and residential care facilities employ close to 24%, and other ambulatory health care services employ 20%.† (Source: US Bureau of Labor Statistics) One renowned economist and author of The Health Care Marketplace, Dr. Warren Greenberg, emphasized about the competition of the business that â€Å"[competition] among physicians takes place locally among primary care physicians and on a wider geographical scale among specialists.†[1] Examples of the said competition would be between psychiatrists and psychologists; obgyne and infectious doctors. Furthermore, regarding competition between â€Å"physicians in a fee-for-service practice and those in managed care plans†, he mentions statistics and researches that were â€Å"lesser utilization of healthcare services, such as hospitalization and tests, with managed care plans.†[2] What are then the factors that affect the economics of the healthcare business? The identified factors are location, professional demeanor or behavior, and waiting time. To explain about the professional demeanor a concrete example to this is the behavior or conduct of surgeons in the big city compared to rural surgeons. Undoubtedly, doctors from the urban areas charge more than those in small town areas. â€Å"This demeanor has direct implications on the cost, options, services, and fees in the medical field, and also relationship to doctor education ad government funding for public health.†[3] There are factors that influence the cost of individual treatment. Physicians and doctors are one of the factors and they also cause an effect over the services and assets of hospitals and health care establishments. It is also identified that there are two main market perspectives in the healthcare industry; free market competition and government regulation. The latter is the most preferred of many individuals since they view it as a right rather than a privilege. There have been issuances of medicare programs where the poor and the elderly were given the opportunity to avail of the services in the healthcare industry. But is also a fact that some of the services rendered under the government-subsidized healthcare system lack the quality of service that patients deserve. In fact, critics of government regulation stress out its inefficiency. Then there came the rise of free-market competition. There are many identified reasons for the rise of the cost on healthcare: â€Å"Increase public expectations. New and expensive technology. The belief that healthcare is right. Competition between hospitals, resulting in duplication of technology and other services. The dissociation between cost of service and payee due to third party payers (insurances).†[4] Nonetheless, there is a means of lowering the cost of healthcare and that is coming up with new mechanisms in the implementation of healthcare services that are based on market trends and situations and this would also include the proper budgeting for the said services. Furthermore, it is needed that there is a revision of the practice for different related health professionals to allow them to be in private practice, â€Å"to accept patients without physicians’ referral and with government mandated third party insurance reimursability.†[5] Sources: Greenberg, W. (2002). The Health Care Marketplace. Beard Books. Healthcare Index. Retrieved June 16, 2009, from http://www.alternative-medicine.net/healthcare/index.html Web site: http://www.alternative-medicine.net/healthcare/market.perspectives.html Melillo, K (1994). Preparing and Preparing Testimony, Guidelines for the Health Care Practitioner Nurse. Patel, K, Rushefshy, M (1995). Health Care Politics and Policy in America. New York: M.E. Sharpe Inc. Bauer, J (1994). What the Doctor Ordered: Reinventing Medical Care in Amreica . Chicago: Probus Publishing. Enthoven, A (1993). Achieving Effective Cost Control in Comprehensive Health Care Reform. Health PAC Bulletin, 13-15. [1] Greenberg, W. (2002). The Health Care Marketplace. Beard Books.   [2] Greenberg, W. (2002). The Health Care Marketplace. Beard Books. [3] Healthcare Index. Retrieved June 16, 2009, from http://www.alternative-medicine.net/healthcare/index.html Web site: http://www.alternative-medicine.net/healthcare/market.perspectives.html [4]Healthcare Index. Retrieved June 16, 2009, from http://www.alternative-medicine.net/healthcare/index.html Web site: http://www.alternative-medicine.net/healthcare/market.perspectives.html [5] Healthcare Index. Retrieved June 16, 2009, from http://www.alternative-medicine.net/healthcare/index.html Web site: http://www.alternative-medicine.net/healthcare/market.perspectives.html

How to Express Future Time in English

How to Express Future Time in English Legend has it that the final words of French grammarian Dominique Bouhours were, Je vais ou je vas mourir; lun et lautre se dit, ou se disent. In English that would be, I am about to or I am going to die. Either expression is used. As it happens, there are also multiple ways of expressing future time in English. Here are six of the most common methods. the simple present: We leave tonight for Atlanta.the present progressive: Were leaving the kids with Louise.the modal verb will (or shall) with the base form of a verb: Ill leave you some money.the modal verb will (or shall) with the progressive: Ill be leaving you a check.a form of be with the infinitive: Our flight is to leave at 10:00 p.m.a semi-auxiliary such as to be going to or to be about to with the base form of a verb: We are going to leave your father a note. But time is not quite the same as grammatical tense, and with that thought in mind, many contemporary linguists insist that properly speaking, the English language has no future tense. [M]orphologically English has no future form of the verb, in addition, to present and past forms. . . . In this grammar, then, we do not talk about the future as a formal category . . ..(Randolph Quirk et al., A Grammar of Contemporary English. Longman, 1985)[W]e do not recognize a future tense for English. . . . [T]here is no grammatical category that can properly be analyzed as a future tense. More particularly, we argue that will (and likewise shall) is an auxiliary of mood, not tense.(Rodney Huddleston and Geoffrey K. Pullum, The Cambridge Grammar of the English Language. Cambridge University Press, 2002)There is no future tense ending for English verbs as there is in other languages . . ..(Ronald Carter and Michael McCarthy, Cambridge Grammar of English. Cambridge University Press, 2006)English has no future tense, because it has no future tense inflections, in the way that many other languages do, nor any other grammatical form or combination of forms that can exclusively be ca lled a future tense.(Bas Aarts, Oxford Modern English Grammar. Oxford University Press, 2011) Such denials of a future tense may sound paradoxical (if not downright pessimistic), but the central argument hinges on the way we mark and define tense. Ill let David Crystal explain: How many tenses of the verb are there in English? If your automatic reaction is to say three, at least, past, present, and future, you are showing the influence of the Latinate grammatical tradition. . . .[I]n traditional grammar, [t]ense was thought of as the grammatical expression of time, and identified by a particular set of endings on the verb. In Latin there were present tense endings . . ., future tense endings . . ., perfect tense endings . . ., and several others marking different tense forms.English, by contrast, has only one inflectional form to express time: the past tense marker (typically -ed), as in walked, jumped, and saw. There is therefore a two-way tense contrast in English: I walk vs I walked: present tense vs past tense. . . .However people find it extremely difficult to drop the notion of future tense (and related notions, such as imperfect, future perfect, and pluperfect tenses) from their mental vocabulary, and to look for other ways of talking about the gramm atical realities of the English verb.(The Cambridge Encyclopedia of the English Language. Cambridge University Press, 2003) So from this perspective (and keep in mind that not all linguists wholeheartedly agree), English doesnt have a future tense. But is this something that students and instructors need to be concerned about? Consider Martin Endleys advice for EFL teachers: [T]here is no harm done if you continue to refer to the English future tense in your classroom. Students have quite enough to think about without being troubled by such matters and there is little sense in adding to their burden needlessly. Yet, underlying the dispute is an important issue that does have an obvious bearing on the classroom, namely, the difference between the way the present and past tenses are marked on the one hand, and the way the (so-called) future tense is marked on the other.(Linguistic Perspectives on English Grammar: A Guide for EFL Teachers. Information Age, 2010) Fortunately, English does have a future with plenty of ways of expressing future time.