A Small house is a Happy house

Kaiser Family Foundation Health Care Costs - A Small house is a Happy house

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There was a time when citizen were proud of having large families. But Today, Things have changed. citizen are realizing the point of having small Family.

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Kaiser Family Foundation Health Care Costs

There are so Many Advantages of having a small family. Below are listed some of the advantages of it:

1- The size of the family and financial condition of the are tightly connected to each other. The Living cost of larger family is much higher as they have more expenses on food, cloth, toys and study whereas expenses in small family are very low.

2- Parents can positively fulfill the needs of one or two children. They can provide them best study and look after them very well whereas when there are many children to look after parents just cannot fulfill even the basic needs of the children. Therefore, as a result, children suffer, the parents suffer and nation suffers.

3- Parents can look after their child properly if they have one or two children. They can pay due concentration to their upbringing and needs. Parents can give them their best support. Naturally, the children will grow into good citizens.

3- A child in a small family receives more preserve from their parents than in large family. When parents have many child to look after, they can not give their best preserve to everyone whereas when parents have few children to look after, they can give more preserve to them.

4- family size also influence the health, especially that of mom and child. Frequent pregnancies can cause illness to both mom and children. It can disrupt the condition of the women. It puts mom and baby's condition at risk.

Thus A small family is positively a happy family.

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US Supreme Court upholds healthcare act

Health Care Reform - US Supreme Court upholds healthcare act

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The Pros and Cons of the Obama condition Care Plan

Health Care Reform - The Pros and Cons of the Obama condition Care Plan

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No one concept that in history we would ever have an African American president. Now, we do and he has brought many ideas to the table. Among those things that he has brought forth, Obama has brought about a new idea for a condition care plan. What are the pros and cons?

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Health Care Reform

Many are for the condition insurance that Obama has proposed. Many of the United States citizens out there are all for it as they are without insurance. The prices of treatment keep going up. With that, more and more people face bankruptcy due to medial bills.

Some of the things that this new condition insurance plan will cover imposes a question for other people. Some of those things that he promises with this plan include: face pre existing conditions, creating a tax credit that would help small businesses so that they could have condition insurance, and more.

Some are afraid of how much taxes will go up. They say that more and more people will have to get collective services which will growth the whole of welfare that the people of the United States pay for. Others are worried that they will lose condition insurance that they pay for but might or might not use due to this.

However, for some people who insurance was an issue, this might open up and give them some choices. Families have suffered and waited until they have gotten no ifs ands or buts sick all due to the fact of condition insurance. This is what many have waited for. They have waited for the right someone to come into office to give them what they need.

You be the judge though. As you read more and more about this Obama condition Care Plan, you might consideration your own pros and cons. It might or might not work. The arguments are still being made and time is running out. A decision has to be made.

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Herman Cain versus Bill Clinton.mp4

Health Care Reform - Herman Cain versus Bill Clinton.mp4

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Healthcare reform as arrived now GROW UP! The Minute with Kirk Noland

Health Care Reform - Healthcare reform as arrived now GROW UP! The Minute with Kirk Noland

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Judge Andrew Napolitano: Can the Government Run Health Care? 2009.09.08

Health Care Reform - Judge Andrew Napolitano: Can the Government Run Health Care? 2009.09.08

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How is Judge Andrew Napolitano: Can the Government Run Health Care? 2009.09.08

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Joel Skousen: Obama's So-Called Tax Cuts, The Continued Fleecing of America - Alex Jones Tv 3/3

Health Care Reform - Joel Skousen: Obama's So-Called Tax Cuts, The Continued Fleecing of America - Alex Jones Tv 3/3

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How is Joel Skousen: Obama's So-Called Tax Cuts, The Continued Fleecing of America - Alex Jones Tv 3/3

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Rush Limbaugh - I'll Leave US If HC Reform Passes

Health Care Reform - Rush Limbaugh - I'll Leave US If HC Reform Passes

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GOP Raking In $ From Health Insurance Companies

Health Care Reform - GOP Raking In $ From Health Insurance Companies

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How to Help the Homeless

Kaiser Family Foundation Health Care Reform Video - How to Help the Homeless

Hello everybody. Today, I discovered Kaiser Family Foundation Health Care Reform Video - How to Help the Homeless. Which is very helpful in my opinion and you. How to Help the Homeless

Is there any ways that genuinely help the homeless? Does handing the panhandler a dollar do any good? Are you looking for the quick help or do you want to help solve the solution? The biggest problem is the homeless are not a group of the same person so their problems are not the same so the same explication will not work for everybody.

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Kaiser Family Foundation Health Care Reform Video

First off the presume for their homelessness is not the same. Yes some are due to addictions - both alcohol and drugs. Others have psychological issues. And then the fastest growing segment is those running from spousal abuse. And some naturally have out spent their revenue and ended up on the streets with the downward spiral that leads to loss of job and loss of everything else.

So you have 2 avenues to help - the long term explication and the short term fix. The long term explication includes looking them jobs and affordable housing. The long term explication also focuses on fixing the other issues - the addictions, the psychological and emotional help, career and house counseling. So the long term solutions help with economic means to get them off the streets and the thinking issues to help them cope so they don't end up back on the street.

But since most population only want a short quick write back we will now commentary on the ways to help the homeless deal with their daily issues. Though these solutions are vital to them surviving they do nothing to help get them off the street - they help them deal with the street.

What do you do when you see person retention up a sign, "Will Work for Food"? Do you roll down your window and give them money? Do you pretend you didn't see them? Nobody likes to be confronted by the homeless - their needs often seem too breathtaking - but we all want to treat them fairly and justly.

Here are some simple guidelines to equip you to truly help the homeless population you meet:
First off please do not give money to the homeless. If you want to donate money give it to the shelter that takes care of them. Too often, well intended gifts are converted to drugs or alcohol - even when the "hard luck" stories they tell are true. If the person is hungry, buy them a sandwich and a beverage. Taking time to talk to a homeless person in a friendly, respectful manner can give them a breathtaking sense of civility and dignity. And besides being just neighborly, it gives the person a weapon to fight the isolation, depression and paranoia that many homeless population face.

The homeless are as diverse as the colors of a rainbow. The person you meet may be battered women, an addicted veteran; person who is lacking job skills...the list goes on. Please do not treat them All as addicts - the addicted old homeless man we all pictures is only 25% of the population. So try and treat them with respect - remember they are still population too as you deal with them help them to help themselves. Take them to the suitable homeless shelter. Most shelters offer immediate food and shelter to the homelessness through their emergency shelters. Many offer long-term resumption programs that deal with the root causes of homeless. Many also offer "tickets" that can be given to homeless population which can be exchanged at the shelter for a notorious meal, safe overnight lodging, and the selection of participating in a rehab program. Exposure to the elements, dirt, occasional violence, and lack of purpose all drain years from a person's life. God can use your prayers and the brutality and the futility of life of the street to bring many of the broken to Himself. So please pray for the homeless.

So you want to do little more. Their immediate needs are the basics - food, clothes, and shoes. So you can take food to the homeless shelters. Get with your local grocery store and ask if you can have the daily leftovers and date expired food. Take to the shelter. If you like set up a weekly trip and take them enough food every week - now you are development a big difference. Take along your kids. Other great way to help is to take your extra shoes, coats and clothes. Have a clothes drive in your neighborhood, Do it on a monthly basis - if you like - the homeless residents next month are most likely not the homeless residents who were there this month.

The homeless in America are growing at a rapid rate and we all need to pitch in and help. Listed below are some imaginable facts in regard to the homeless numbers and their conditions:

1. house Homelessness: A New communal Problem
Except while the Great Depression, women and children have never been on our nation's streets in
significant numbers. while the 1980's, cutbacks in benefits coupled with rapidly addition rents and a dearth of low-income housing jeopardized the stability of all population with reduced or fixed incomes. At the same time, the whole of female-headed households dramatically increased. As a result, the nation's population of homeless families swelled from practically negligible numbers to nearly 40% of the wide homeless population today. The United States in unique among advanced nations in that women and children include such a large ration of our country's homeless.

2. More Than One Million Homeless Children
Although counting the exact whole of homeless children is difficult, a consensus is emerging among researchers. According to the National Coalition for the Homeless, 1.2 million children are homeless on any given night. Supporting this form are estimates from the U.S. Agency of study that report practically 400,000 homeless children were served by the nation's communal schools last year. Since more than half of all homeless children are under the age of 6 and not yet in school, a minimum of 800,000 children can be presumed to be homeless. On the basis of these data, the National town on house Homelessness concludes that more than one million American children are homeless today.

3. house Homelessness Will Increase
Looking beyond current numbers, The National town on house Homelessness (Ncfh) predicts that
tight housing markets accompanied by decreasing availability of cash benefits as a follow of welfare
reform will lead to an growth in house homelessness. To determine which states will have the biggest problem, Ncfh created an index of seven risk factors for house homelessness. These factors were identified from epidemiological study conducted over the past ten years. The ranking of states is presented in the report.

Part Ii

1. Homelessness Makes Children Sick
Researchers from Ncfh have isolated homelessness as a direct predictor of exact childhood illnesses.

Homeless children:
o Are in fair or poor health twice as often as other children and four times as often as children whose families earn more than ,000 a year.
o Have higher rates of low birth weight and need special care right after birth four times as often as other children.
o Have very high rates of acute illness, with half suffering from two or more symptoms while a particular month.
o Have twice as many ear infections, five times more diarrhea and stomach problems, and six times as many speech and stammering problems.
o Are four times more likely to be asthmatic.
o Go hungry at more than twice the rate of other children.

2. Homelessness Wounds Young Children
Every day, homeless children are confronted with stressful, often traumatic events.
o 74% of homeless children worry they will have no place to live.
o 58% worry they will have no place to sleep.
o 87% worry that something bad will happen to their family.

Within a particular year:
o 97% of homeless children move, many up to three times.
o More than 30% are evicted from their housing.
o 22% are separated from their house to be put in raise care or sent to live with a relative.
o practically 25% have witnessed acts of violence within their family.

The constant barrage of stressful and traumatic experiences has profound effects on the cognitive and emotional improvement of homeless children.
o Homeless babies show significantly slower improvement than other children do.
o More than one-fifth of homeless children in the middle of 3 and 6 years of age have emotional problems serious enough to want professional care.
o Homeless children in the middle of 6 and 17 years struggle with very high rates of thinking health problems.
o Less than one-third of homeless children are receiving thinking health treatment.

3. Homelessness Devastates Families
Families are the fastest growing segment of the homeless population, now accounting for practically 40% of the nation's homeless. More than 85% of homeless families are headed by particular mothers, with the mean homeless house comprised of a young mum and her two young children, most of whom are below the age of 6 years.

Homeless mothers have an mean every year revenue of under 00, living at 63% of the federal poverty level for a house of three.
o Only 21% of homeless mothers receive money from family, partners, or friends.
o 39% have been hospitalized for medical treatment.
o 22% have asthma, compared to 5% of other women under 45 years.
o 20% have anemia, compared to 2% of other women under 45 years.
o 40% report alcohol or drug dependency at some time in their lives.

Although 70% of fathers of homeless children are in touch with their children, most do not live with the family. The downward spiral into homelessness for a child is often accelerated if a father loses his job, becomes injured or ill, has a bout with alcohol or drugs, or is complicated with the criminal justice system.
o 50% of fathers are unemployed.
o 43% have problems with drugs or alcohol.
o 31% have bodily or thinking health problems.
o 32% are in jail or on probation.

Homeless children are at particularly high risk for being located in raise care; 12% of homeless children are located in raise care compared to just over 1% of other children. The National town on house Homelessness has identified placement in raise care as one of only two childhood risk factors that predicts house homelessness while adulthood.
o 44% of homeless mothers lived outside of their homes at some point while their childhood; 20% of these women were located in raise care.
o 70% of homeless mothers located in raise care as children have had at least one of their own children in raise care.

The frequency of violence in the lives of homeless mothers is staggering.
o 63% have been violently abused by an intimate male partner.
o 27% have required medical rehabilitation because of violence by an intimate male partner.
o 25% have been physically or sexually assaulted while adulthood by person other than an intimate partner.
o 66% were violently abused by a childhood caretaker or other adult in the household before reaching 18.
o 43% were sexually molested as children.

When the violence from their childhood is combined with their experiences as adults, 92% of homeless
mothers have been severely physically or sexually assaulted; 88% have been violently abused by a family
member or intimate partner. These repeated acts of brutality follow in unusually high rates of serious
emotional problems among homeless mothers.
o 36% have experienced Post-Traumatic Stress Disorder; three times the rate of other women.
o 45% have had a major depressive disorder, twice the rate of other women.
o 31% have attempted suicide at least once, primarily while adolescence.
o 12% have been hospitalized for rehabilitation of thinking illness.

Among homeless children:
o 8% have been physically abused, twice the rate of other children.
o 8% have been sexually abused; three times the rate of other children.
o 35% have been the branch of a child security investigation.
o 24% have witnessed acts of violence within their family.
o 15% have seen their father hit their mother.
o 11% have seen their mum abused by a male partner.

4. Homeless Children Struggle in School
Despite state and federal efforts to contribute homeless children with improved entrance to communal school, at least one-fifth of homeless children do not attend school.

Homelessness takes children far away from their own schools and classmates. For many homeless
children:
o There is no communication from shelters to school.
o Improvised living arrangements are too short to make enrolling in a new school worthwhile.
o Lack of scholastic and medical records creates obstacles to registration.
o Daily demands of looking food and shelter push children's educational needs aside.

Homeless children who carry on to attend school face discouraging barriers to their scholastic success.
o Homeless children have four times the mean rate of delayed development.
o Have more scholastic problems that other children.
o Are under served by special education.
o Are suspended twice as often as other children.

Among homeless children, there is twice the whole of students with studying disabilities and three times
the whole of students with emotional and behavioral problems.

Homeless children are twice as likely to repeat a grade.
o 21% of homeless children repeat a grade because of frequent absence from school, compared to 5% of other children.
o 14% repeat a grade because they have moved to a new school, compared to 5% of other children.

Within a particular year:
o 40% of homeless children attend two separate schools.
o 28% attend three or more separate schools.

So they need your help. Start with the short term help - contribute food and clothes or shoes, And as you get complicated start thinking of ways to help with the long term needs. With the current economic conditions its only going to get worse, And more help will be needed, And when you photograph the homeless please photograph the homeless child and not the drunken, pan handling bum. That homeless child so desperately needs your help .

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Michael Moore's Message to Barack Obama and Blue Dog Democrats

Health Care Reform - Michael Moore's Message to Barack Obama and Blue Dog Democrats

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How is Michael Moore's Message to Barack Obama and Blue Dog Democrats

Michael Moore's Message to Barack Obama and Blue Dog Democrats Tube. Duration : 29.85 Mins.

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When Does Medicare Pay For Nursing Home Care?

Kaiser Family Foundation Health Care Costs - When Does Medicare Pay For Nursing Home Care?

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One of the most common phone calls I receive in the office is when someone's mother or father is admitted to the hospital. In this time of crisis, answers are not easy to come by.

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Kaiser Family Foundation Health Care Costs

How does their health insurance work? What does Medicare pay for? Once the parent is discharged, what happens, where do they go, how is it paid for, what are our options? What do we do if mom or dad is going to have to go to a nursing home? How do we pay for it?

This confusion is incredible as the senior health care system can be a very confusing and breathtaking process. The first thing to do is to understand the basis for today's system.

In 1983, Congress created the Prospective payment System. This is leading because when a someone 65 or older is admitted to a hospital, he is assigned only one of 473 Diagnostic related Groups (Drg's). This is leading because Medicare compensates the hospital a flat dollar estimate for the Drg assigned to the patient.

Let me give you an example. Say that my father is admitted to the hospital with lung problems and the Drg is four days. If my father is discharged in three days, then the hospital makes one day of profit. If my father is discharged in five days then the hospital loses money and cannot bill the sick person for the one extra day.

Back in the good old days, I remember when my grandfather was in the hospital and the nurse asked him if he felt well sufficient to go home because if he didn't, he could stay a few extra days until he felt better.

Today, it is all about the money. Once a sick person is no longer getting better or worse, in other words, is deemed to be "stable", then the sick person is discharged either to home or a Medicare certified nursing home or rehab facility.

In order for Medicare to pay for rehab care the sick person must have been in the hospital for three consecutive days (72 hours). Then, no later than thirty days after extraction from the hospital, be admitted to a Medicare certified nursing facility.

If these criteria are met, then for 2010, day's one through twenty in the rehab factory are paid for 100% by Medicare. For days twenty one through one hundred, your co pay is for this year is 7.00 per day.

From day 101 and beyond, regardless of your condition, you are responsible for all of the factory costs.

Keep in mind, that in order for this repayment agenda to happen, you must either be getting better or getting worse. Like the hospital, once you are deemed to be stable, you come off the Medicare repayment agenda and must pay for all costs.

In California, most patients will come off of Medicare repayment nearby week three and must begin secret paying from this point forward. The business office will advise you when this is incredible to take place.

If the factory has long-term care beds, then the sick person may be able to stay in the same facility. But if the factory is strictly short-term care or rehab, then the sick person must find other factory or go home.

How does the patient's health insurance fit into this? It all depends on what type of plan that the senior sick person is on. Is it a Medicare supplement plan or Ppo, or is it a Medicare benefit plan like an Hmo?

Medicare supplement insurance, also called Medigap, is secret health insurance designed to supplement Medicare. A excellent is paid for this coverage which is age rated.

There are twelve standardized Medigap plans, A through L. In most states, you can go to any doctor or hospital that accepts Medicare without pre-authorization. Under plans C through J, days one through twenty are wholly paid for by Medicare. For days twenty one through one hundred, the Medicare co-pay for 2010 is 7.00 which is covered by the Medigap policy. From day one hundred one and beyond, the sick person is responsible for the full cost.

For Medicare benefit plans such as an Hmo like fetch Horizons, Scan and Kaiser, the patients may have a co-pay from day eleven of 0. It is best check the benefits booklet or call the customer assistance department.

If someone goes to a factory without going to the hospital first, then you must secret pay from day one.

Once the sick person comes off Medicare reimbursement, if qualified, Medi-Cal will help to pay for the nursing home costs. If going to the factory directly from home, then, if qualified, Medi-Cal may help to pay for the nursing home costs from day one.

Please consult with a Medi-Cal specialist for more facts and the exact procedures.

Copyright 2010 by Karl Kim

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The Weekly Obsession: Public Option Not Dead... Yet

Health Care Reform - The Weekly Obsession: Public Option Not Dead... Yet

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Cosmetic Dental work done in Costa Rica

Health Care Reform - Cosmetic Dental work done in Costa Rica

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The Story of the Affordable Care Act: From an Unmet Promise to the Law of the Land

Health Care Reform - The Story of the Affordable Care Act: From an Unmet Promise to the Law of the Land

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Health care reform means free birth control in 2013

Health Care Reform - Health care reform means free birth control in 2013

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Claire McCaskill: Town Hall Anger "Not Manufactured"

Health Care Reform - Claire McCaskill: Town Hall Anger "Not Manufactured"

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How is Claire McCaskill: Town Hall Anger "Not Manufactured"

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condition Care Reform Pros And Cons

Health Care Reform - condition Care Reform Pros And Cons

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The health care reform bill authored by the Congress has ultimately been approved. It is imperative that we know the pros and cons of this bill. Let us discuss some facts about this health care legislation that should be tasteless knowledge for every citizen.

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Health Care Reform

The guarnatee fellowships will be under the watchful eye of the government. The minimum services to be covered, such as preventive care, will be standardized. The premiums should have a singular ration to be paid out to outpatient care. The exchanges will be opened by the year 2014. By then, the guarnatee fellowships will not be able to turn down clients because of the old conditions.

The hospitals or other incommunicable health care institutions won't be taken over by the government the way they do in Britain or Canada. Physicians won't be under the employment of the government such as in Britain.

And unlike in Canada where all bills are paid by the government (single-payer system), the Us government will only aid individuals in buying guarnatee from incommunicable companies. The other areas of the old principles such as Medicaid for the deprived, employer-assisted insurance, or Medicare for the aged will not be touched. For individuals who are compelled to get guarnatee on their own, the management will furnish exchanges for health insurance. With this, they could comparatively analyze prices & plans with minimum effort.

Small fellowships are not obliged to supply guarnatee for their employees but large fellowships will be fined if they neglect to buy them insurance. Large fellowships are those that employ fifty workers or more. For example, an employee for a company of seventy workers purchases guarnatee on the exchange. Then it is found that he is eligible for the government's low-income reputation then the company will be afforded a fine.

According to the personel mandate, every personel must have a health guarnatee otherwise they will be fined. The intention of the government is to cap premiums for individuals who earn below a clear bracket. A minimum of 5 for every personel each year will contain the fine. But there are exceptions like hardship on finances and other extra cases.

The Medicare program, which is controlled by the government, will continue shouldering the healing expenses for senior citizens. But cost controls will be implemented on health care institutions, especially incentives & penalties. Medicaid will now cover all poverty-stricken individuals unlike before where only the elderly, disabled, children, or pregnant women are covered. Illegal immigrants aren't eligible for benefits. Nor does the government favor elective abortions except in cases of incest, rape, or when the mother's life was endangered.

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Running Healthcare like the Post Office

Health Care Reform - Running Healthcare like the Post Office

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Lean Methodology in condition Care ability correction

Health Care Reform - Lean Methodology in condition Care ability correction

Hi friends. Today, I learned about Health Care Reform - Lean Methodology in condition Care ability correction. Which may be very helpful for me and you. Lean Methodology in condition Care ability correction

Lean production (Lean) is a type of ability correction methodology which has been implemented in many industries. Its law and practices also have been applied to condition care organizations with success. This has been accomplished with refinement for the nuances of condition care. Lean is a process administration doctrine which has its roots in manufacturing and technology. It was developed as part of the Toyota production law for the process assembly of automobiles (Toyota Motor Corporation, 2009). The Toyota law is wide and spans a large estimate of methods and practices. It was initially influenced by the work of W. Edwards Deming and Henry Ford and was also inspired by innovation in the American grocery store commerce of the 1950s (Keller, 2006). This is reflected in the Just-in-Time doctrine of productivity improvement, which emphasizes producing ability products efficiently through the perfect elimination of waste, inconsistencies, and unreasonable requirements (Toyota Motor Corporation, 2009). Though the Lean methodology was initially developed as part of an wide law focusing on the production of automobiles, its law also have been adapted for condition care. As distinct case studies indicate, Lean thinking and tools have been successfully applied to definite condition care settings. The scope and value of Lean production within this field will be explored in this paper.

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Health Care Reform

Significance:Value

A vital component of Lean is the concept of value: the theoretical concept of value, the measurement of value, and the tangible processes behind delivering value. Lean is unique in that it accounts for the reduction of waste in order to accomplish both real and possible value. Recovering this value can present itself in the form of saved costs or other tangibles. Lean thinking dictates that the expenditure of resources for any purpose other than delivering value to the customer is thought about to be wasteful. The reduced expenditure of time, money, and resources is concept to bring further bottom-line benefit to the customer. The customer-centric focus of Lean thinking is especially relevant to condition care. Broader levels of patient/customer satisfaction are permanently being sought. This mode of thinking has been brought on by increased competition among organizations and the need to differentiate services. It is recognized that providing perfect customer satisfaction can be vastly useful to condition care organizations. customer satisfaction can be an equally important measure of an organization's doing as the delivery of ability condition outcomes. This is a factor which is exemplified in Noriaki Kano's model. Lean thinking dictates that processes and methods must be efficiently optimized with the needs of customers in mind in order for organizations to be fully effective.

Problem Addressed: Waste

Lean focuses on the maximization of process velocity through the reduction of waste. It provides tools for analyzing process flow and delay times at each action in a process. The focal point is the divorce of "value-added" from "non-value-added" work. This is complemented by tools which aide in the identification and elimination of root causes of non-valued activities. The customary qoute addressed by Lean is waste, which can affect value in a estimate of ways. It may follow in lower ability products, higher costs, less convenient customer experiences, excessive time or attempt expended to perfect goals, or fewer resources available for innovation which could furnish possible value at a hereafter date. Waste can be found in people, processes, tangibles, and other areas. Eliminating waste through the lens of Lean production can help to accomplish the goals of condition care organizations. There are eight ordinarily identifiable centers of waste: overproduction, waiting (time on hand), unnecessary converyance or conveyance, over-processing or incorrect processing, excess inventory, unnecessary human movement, defects, and unused worker creativity (United States Army, 2009). There are variations on these categories of waste depending on the setting or industry. For the purpose of condition care Caldwell (2005) slightly refines these measures into seven categories of waste. These consist of "in-quality/out-of-quality staffing or overcapacity, overcorrection, over processing, excess inventory, waiting, appeal of patients or staff, and material and data movement (Caldwell, 2005, p. 46)." Regardless of the differences in terminologies used, there are common centers of waste in condition care which can be targeted for elimination. These can be identified through Lean processes which focus on root cause analysis.

Process: Root Cause Analysis

A crucial process in Lean is the identification of waste through root cause analysis. Root cause prognosis in Lean involves a formula called 5-Whys (Toyota Manufacturing Kentucky, 2003). This formula rapidly identifies root causes and aides in determining the association between complicated root causes. It can be learned swiftly and does not wish statistical analysis. This formula is especially effective for an implementation team in the initial stages of qoute exploration. The application of this strategy involves request a series of why-related questions to drill down into a qoute area. request progressive questions about a perceived difficulty forces team members to think critically about the actual sources of waste and inefficiency. It is recommend that at least five questions (5-Whys) are posed to arrive at the root cause, though a root cause may be discovered in more or less inquires.

The following is an example of a 5-Whys practice used in a hypothetical hospital setting:

(Q1) Why are patients being diverted to neighboring hospitals?

(A1) Because wait times for our hospital are exceeding commerce norms.

(Q2) Why are our wait times exceeding commerce norms?

(A2) Because patient volume is exceeding capacity.

(Q3) Why is patient volume exceeding capacity?

(A3) Because not sufficient hospital beds are available.

(Q4) Why are not sufficient hospital beds available?

(A4) Because hospital patients are not being discharged efficiently.

(Q5) Why are hospital patients not being discharged efficiently?

(A5) Because Er staff is not following best practices for allowable discharge.

In this example, waste in the throughput process comes from incorrect processing. Once hospital administration determines the root cause they can implement further training, ensure compliancy with existing standards, or eliminate other barriers. In this case the hospital might reconsider implementing a training agenda to ensure that Er staff is following best practices for patient discharge. The hospital might also conduct further 5-Whys analyses to locate other qoute areas. Once root causes of waste are uncovered, the elimination of waste or other associated action plans can be executed.

Sources of waste

Sources of waste vary greatly by industry. The majority of waste encountered by condition care organizations occurs in flow and throughput. As a result, Lean implementations in this field are primarily focused on the elimination of waste in staffing and staff/patient processes. Unlike manufacturing industries most condition care organizations have very little inventory. Thus, some of the Lean concepts associated to catalogue operate are less applicable to condition care. condition care organizations typically spend a larger ration of operating expenses on overhead and labor costs. This can catalogue for 50 percent of the operating costs while catalogue is in the range of 2 percent (Caldwell, 2005). Insight waste in throughput entails a Insight of the relationships between process variables and costs. Costs are not causes of waste but are indicators of interrelationships between processes. While the greatest goal of most Lean implementations is to recover costs as tangible benefits, eliminating costs without fully Insight processes is problematic. Looking at the types of cost saving is vital to determining an action plan.

Solution: Cost Recovery

The greatest goal of most Lean implementations is to attain a tangible benefit, often in the form of a cost recovery. However, not all process correction opportunities will follow in immediate returns. The actual realization of a benefit depends on the nature of the correction as well as the further steps that administration takes to accomplish it. Caldwell (2005) cites three types of cost saving through the elimination of waste: Type 1, Type 2, and Type 3. In a Type 1 situation the process throughput correction will yield a direct cost recovery. For example, a process correction that reduces distance of patient stay would recover costs in the form of reduced resources expended. In a Type 2 situation, the process correction saves time but does not follow in cost saving without further hours worked per unit of service. A supplier may spend less time per patient because of reduced distance of stay but scheduling will need to be adjusted in order to capitalize on the benefit to workflow. Lastly, Type 3 yields savings in the form of immediate optimization of capacity. In this situation a process correction in an urgency room, for example, may allow a supplier to see more patients in the same staffed time without further action taken by management. This is similar to a Type 2 saving but with no changes to scheduling. This can occur if the supplier is willing to see more patients per unit of time and sufficient patient volume exists to accomplish capacity. Maximum velocity is achieved without further action needed to be carried out by management. These examples show that throughput correction may not accomplish an immediate benefit without other factors. It also brings to light the fact that throughput correction may yield dissimilar benefits such as recovered costs, time saved, or increased revenues. Regardless of the actual benefit achieved and the way that it is realized, the greatest outcome must increase bottom-line value and satisfaction to customers in some way.

Examples of Lean implementation in Healthcare

The study of actual Lean implementations in condition care is vital to Insight their application. One example of a thriving implementation is outlined by Fairbanks (2007) at a medical town in Vermont. This implementation dramatically improved wide throughput processes within the organization. An implementation team was assembled and delved into all steps of the processes they were analyzing in order to decree the sources of waste. They utilized discrete Lean steps and methodologies to conduct root-cause analyses and prioritize process improvements. The team measured time involved, identified activities, and made rapid improvements through the elimination of non value-added activities. A large part of their improvements complicated the elimination of redundancy. The topic of redundancy shows the importance of analyzing all processes, even those which are perceived to lead to customer value. Even though a particular function may furnish value in an society it is possible that a redundant function may exist which can be eliminated. In someone else case example Lean methodology was used to streamline the bodily space and catalogue areas of a Denver-area hospital (Gabow, Albert, Kaufman, Wilson, & Eisert, 2008). The implementation team utilized the 5-S arrival to design bodily work spaces within the hospital. 5-S is a Lean correction which incorporates visualization administration to design objects and supplies. The five Ss stand for sort, set in order, shine, standardize, and sustain. These steps involve tasks ranging from simple clean-up and society to the implementation of detailed visual controls. In a 5-S environment there is "a place for everything and everything in its place, when you need it (Lean Innovations, 2003)." The Denver hospital used this arrival in a series of projects focusing on private offices, nursing stations, whole laboratories, and financial services departments. These spaces were reorganized to accomplish optimal work flow and good space management. The thriving outcomes included reclaimed bodily work space, improved lab turnaround time, reduced time in locating equipment, and great processes which could heighten patient care (Gabow et al, 2008). The 5-s formula is an exquisite first step in implementing Lean programs in a condition care organization. correction of bodily work space can well affect mindset and thinking perception of work. someone else case example of a thriving 5-S implementation involves a rural condition clinic in Georgia. Lean techniques were used in this society to decree problems with bottlenecks, turnaround times, customer satisfaction, and overworked nurses (Cross, 2009). 5-S is one of many Lean tools which can furnish immediate benefit.

Conclusion

Lean is a multifaceted arrival to ability correction which has tangible benefits to condition care organizations. There are aspects which focus on reducing non value-added work and waste to accomplish value in discrete ways. Successfully implementing Lean in condition care depends on the setting complicated and the motivation of administration and teams. condition care encompasses a wide range of organizations and each has unique characteristics which must be thought about in light of Lean processes. important considerations in implementing lean in any environment can be reduced to a few key points: Insight the concept of value Insight waste and its sources learning how to decree and analyze root causes Prioritizing complicated root causes Devising methods to eliminate waste Determining ways to recover costs or accomplish benefits Analyzing effectiveness and repeating steps if vital In addition, it is important to note that eliminating waste through a Lean process may not immediately follow in tangible benefit. administration must wholly analyze action plans and make adjustments based on actual outcomes. further steps may need to be taken following initial process improvements. This is especially relevant in condition care where process throughput correction and staffing are areas which are ordinarily targeted. These areas may involve more challenges when trying to extract benefit. Freeing time for providers cannot all the time be capitalized upon without other capacity and throughput improvements. Scheduling or work flow functions may need to be overhauled in order for providers to increase wide process velocity and maximize value per unit for time. It is also crucial to comprehend that humans are not machines. Theoretical methods of ability correction in Lean may not all the time be feasible to accomplish at maximum levels. The Lean methodology developed by Toyota is very cognizant of respect for people. It is reflective of a collective culture and a holistic concept rather than a series of parts or steps. This is a fact which cannot be overlooked by administration and teams when planning an implementation. Habitancy accomplish processes with normal human disagreement and improvements must be sensitive, appropriate, and sustainable.

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Thomas Sowell - Obama's Health Care Reform

Health Care Reform - Thomas Sowell - Obama's Health Care Reform

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Air Force One lands in Iowa- March 25th, 2010

Health Care Reform - Air Force One lands in Iowa- March 25th, 2010

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How is Air Force One lands in Iowa- March 25th, 2010

Air Force One lands in Iowa- March 25th, 2010 Video Clips. Duration : 6.13 Mins.

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health Care Reform - The Case Against Obama Care

Health Care Reform - health Care Reform - The Case Against Obama Care

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Candidate Obama promised to bring a "change you can believe in" to Washington politics and the way government has been doing business for decades. These main two selling points brought him into the White House. One year later, fair-minded liberals as well as conservatives would admit he failed in whether one miserably.

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Health Care Reform

Failure to ensue on a promise would give any President a bad grade; but in failing to bring convert into Washington politics, and hence get his health care agenda passed in the middle of a democratically well controlled House and Senate, President Obama displayed an inexcusable performance, one that in a competitive, behalf maximizing corporation would have cost him his job by now. The imagine his failure is so profound has to do with his luck of understanding of the key components of the question at hand. The luck of understanding of these fundamental components at this time of economic uncertainty, begs the need to query Mr. Obama's inexperience in governing, as well as his inability to identify the issues at hand towards choosing on a policy of performance and bringing send sensible arguments that habitancy can believe in.

With regards to healthcare reform, the issues Americans are faced with go beyond covering the uninsured and bringing shame to insurance companies. de facto the above have to be dealt with but the health care issue is not a poor man's prerogative. Every family, from poor to middle class is faced with exorbitant health insurance costs while at the same time incremental health benefits have not kept up with technological progress, hence have not been realized. It is not unusual for a middle class house to be paying one third of its wage on health insurance only to be asked to also pay co-pays, coinsurance costs, etc. At the same time, it is clear that the existing reimbursement theory has stifled technological innovation in treatment and diseases like cancer, Hiv, etc., are still around after decades of expenditures in study and venture in human capital. Relative speaking, when it comes to health care the Us is the most technologically developed nation, but nationally, we have been production baby steps in terms of dealing with serious illnesses.

So what is the way out of this mess or the best way to fix "the problem" in health care? For one thing we have to accept the fact that this is a "universal" issue and not an issue just for the poor and uninsured. Not accepting this as the main question and trying to fix the issue by pouring dollars indiscriminately -over one trillion of government debt, is not only unwise but rather irresponsible as well. One has to identify the big cost components that conduce to this question and deal with all of them. The big components are:

1. Medicare & Medicaid
2. Reimbursement and inpatient responsibility
3. Consumer cost and incentives for good utilization of health resources
4. Uninsured

Medicare reform is considerable in order to supply incentives for doctors to treat patients according to good treatment protocols. A physician who refuses to take a Medicare inpatient because of poor reimbursement is in fact raising the cost for that inpatient when he becomes too ill and seeks care in the accident room. A secondary ensue is that doctors are getting out of the field that has not in case,granted a satisfying work of practicing treatment for the patient. Fewer doctors means less care which in term means poorer health outcomes therefore higher costs. It is a vicious circle that can only be stopped with sensible reform. The same goes for Medicaid. Poor administration and reimbursement induces gigantic inefficiencies and skyrocketing costs. In the end, it is the inpatient that suffers and who in tern adds to ever rising costs and more inefficiencies.

One way to fix Medicare is to continue the existing privatization that allows underground clubs to compete and the inpatient to bear some of the responsibility. Our study has shown that the doughnut hole may de facto be a black hole that induces patients to switch or avoid therapy altogether, which in tern produces poor outcomes and hence higher costs. However, if the model is revised the inpatient can still bear some of the financial responsibility and hence use the theory wiser, but he is not faced with such a catastrophe to be production unwise treatment decisions.

The uninsured pool is made of two cohorts. The poor and the...not so poor who are willing, or forced to game the system. The two uninsured groups are:

1. Uninsured because of poverty, and
2. Uninsured because the proposed legislation would allow one to game the theory by avoiding (high cost) insurance and only paying for it on the way to the hospital

Instead of forcing habitancy to buy insurance (by imposing a penalty which silly adequate is less than the cost of insurance), incentives should be in case,granted to induce wise and parsimonious utilization of resources. habitancy are not criminals and should not be treated as such by imposing severe fees/penalties to induce them to a unavoidable behavior; in general, habitancy act wisely and will all the time seek behavior that seems fair for the benefit received. health accounts that are set aside to use in time of need should not be "use it or lose it" types; after all, who wants to set aside thousands of dollars per year, on top of insurance premiums, just to cover an accident that may never occur? I know of many habitancy who think this is insane and counterproductive.

The proposed legislation approved by Congress is basically dead and members of Congress, be it republicans or democrats, have been disassociating themselves from it. The truth of the matter is, these proposals were concocted behind complete doors, with brides and kickbacks and no one can trust them. For a bi-partisan proposal and a convert habitancy can believe in, the existing proposals should be thrown out and new ones should begin from scratch.

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Young Turks Episode 9/17/09

Health Care Reform - Young Turks Episode 9/17/09

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How is Young Turks Episode 9/17/09

Young Turks Episode 9/17/09 Tube. Duration : 44.30 Mins.

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Employee Benefits: A Quick Primer

Health Care Reform - Employee Benefits: A Quick Primer

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Employee Benefits: A Quick Primer Video Clips. Duration : 7.22 Mins.

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Obama: Health Care Reform Already Working

Health Care Reform - Obama: Health Care Reform Already Working

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How is Obama: Health Care Reform Already Working

Obama: Health Care Reform Already Working Video Clips. Duration : 2.17 Mins.

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Care

Health Care Reform - Care

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How is Care

Care Tube. Duration : 1.05 Mins.

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'End the Shariah War on Women' Launch Event

Health Care Reform - 'End the Shariah War on Women' Launch Event

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