Thursday, April 23, 2020
Research Paper on Oedipus Rex by Sophocles Essay Example
Research Paper on Oedipus Rex by Sophocles Essay Oedipus Rex (Greek, Oo o?) is one of the seven tragedies of the Athenian poet and playwright Sophocles, who lived in about 496-406 BC. Sophoclesââ¬â¢ works are the best examples of ancient tragedy, as Aristotle defined it in his ââ¬Å"Poeticsâ⬠: ââ¬Å"Tragedy is a reproduction of serious and complete action using sophisticated language (different in different parts of the tragedy), a certain amount of which is reproduced not only by telling the story, but also by acting it provoking regret and fear, thus causing catharsis (purification) of such emotions.â⬠Sophocles abandoned the principle of trilogy with linked parts: each and every of his tragedy is a fully completed dramatic whole that ends with the death of the main actors. The main characteristics of the Sophoclesââ¬â¢ tragedies are the complexity of the composition, abundance of theatrical effects, focus on the main character, the use of tragic irony, etc. We will write a custom essay sample on Research Paper on Oedipus Rex by Sophocles specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Research Paper on Oedipus Rex by Sophocles specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Research Paper on Oedipus Rex by Sophocles specifically for you FOR ONLY $16.38 $13.9/page Hire Writer In his ââ¬Å"Poeticsâ⬠Aristotle considered the Sophoclesââ¬â¢ play the ideal tragic work and such that played a huge role in the history of ancient drama. Its main hero was a man who realized his guilt and executed himself for it. The tragic ending of the play by Sophocles is not associated with the passions and vices of the protagonist, and is rather caused by higher power. The story tells about the parents of Oedipus, who, fearing the prediction that their son would kill his own father and marry his mother, have decided to kill the child. However, thanks to the pity of the killing perpetrator, the infant was given to a shepherd of Corinth and adopted by Corinthian King Polybus. When adult, Oedipus learns about the prophecy and decides to leave his foster parents, hoping to avoid the evil fate. Oedipus Rex occupies an important place in the development of European theatrical process. It becomes a topic for dialogue between European cultures. A performance directors tried to identify themselves in the European theater of the twentieth century through the play, often trying to dissociate themselves from their national characteristics. Oedipus Rex was a popular and recognized play throughout Europe for more than two millennia. Sophocles was a poet of the golden age of slave-owning democracy, with its respect for tradition and recognition of the individual at the same time. To better understand the subject that you have chosen for your research proposals it is strongly recommended to look through a few free sample research paper topics, which will teach you that the fate of Oedipus interested artists at different times and ages. Seneca the younger, Voltaire, and Corneille have written a tragedy Oedipus. Hofmannsthal has written Oedipus and the Sphinx, Jean Cocteau ââ¬â Infernal Machine, Krause ââ¬â Oedipus and his mother, etc. You will find such free examples in quantity on the Web. CAUTION! As far as you know all free research paper samples and research proposal examples on Oedipus Rex are 100% plagiarized!!! At EssayLib.com writing service you can order a custom research paper on Oedipus Rex topics. Your research paper will be written from scratch. We hire top-rated Ph.D. and Masterââ¬â¢s writers only to provide students with professional research paper assistance at affordable rates. Each customer will get a non-plagiarized paper with timely delivery. Just visit our website and fill in the order form with all research paper details: Enjoy our professional research paper writing service!
Tuesday, March 17, 2020
Comment on the dramatic significance of any 3 scenes in Hamlet Essay Example
Comment on the dramatic significance of any 3 scenes in Hamlet Essay Example Comment on the dramatic significance of any 3 scenes in Hamlet Paper Comment on the dramatic significance of any 3 scenes in Hamlet Paper has been one of the most remembered names in the world of ancient literature. He was well known for his romantic comedies and tragedies , which gained a lot of fame , and recognition. As we see , in Hamlet , how he has made use of different techniques in order to bring out the dramatic significance in the play. In Elizabethan times , revenge was considered to be manly , and courageous. They believed , society would function in a better manner if man could control his passion , and this has been beautifully shown in the play . Hamlet has been one of Shakespeares most remembered plays. Through this play , Shakespeare once again told that era of his deep insight into the human mind , and the rich use of language , reveals a lot about the Elizabethan era . His passages , reflect philosophical thoughts , which were usually spoken in rhyme or verse . Since there was no effective back drop , the essence and style of Shakespeare was created only through his words. In the opening scene of the play, the reader begins to guess what is going to happen. The first line itself creates a sense of curiosity , and it is in the form of a question , Whos there? . The use of certain details creates an eerie atmosphere , phrases such as struck twelve and , bitter cold , are just some examples. The use of questions , such as Has this thing appeared again tonight? , tends to hint at future events. In this particular scene , we are introduced to the main character , Hamlet . It is as if other characters , such as Horatio , introduce us to Hamlet by saying that the apparition that is dumb , may speak to Hamlet . The use of imagery , and the specific mention of a ghost tends to create excitement and horror in the reader , and the contemporary audience took interest in scary manifestations. This scene also tells us how past events effect the present and the future. The very mention of a ghost , and its silence sows the seeds of tragedy . The reader gets more and more involved in the play , and this curiosity is sustained through out the play. The reader is not shocked , when the ghost first enters for the others players have already spoken about it to the audience. The audience are immediately told whos ghost it is for , In the same figure like the King thats dead. The arrival of the ghost creates a dramatic tension , and Horatios next words , fear and wonder , tend to amaze the reader , keeping the curtain unveiled. The ghosts silence arouses excitement in the audience , and the bewildered characters make the scene look very natural. The ghostly night , has been associated with the preparation of War with Norway. It emphasizes on the awaiting tragedy , and strengthens the confusion in the reader. Once again , we see there is use of gruesome imagery , lines and phrases such as , The graves stood tenantless and the sheeted dead.. and , Stars with trains of fire and dews of blood. The language over here is very direct , and expressive. Words such as blood and dead horrify the reader , introduce the basic theme of the play , which is revenge. Shakespeare also believed in using supernatural elements in his play , No fairy takes ; nor witch hath power to charm. Marcellus says this when the young men talk about the , Saviors birth. Normally , in Greek plays , the chorus was used. In Elizabethan plays , the prologue was used , but in this play , Hamlet uses the opening scene to express his views and ideas. The next scene which once again dramatizes the play , is act 3 , scene 2. In this scene , we see Hamlets state of mind. Shakespeares language tends to intensify the turmoil that he is going through , and the audience seam to appreciate this. Basically , in this scene Hamlet instructs the actors , and his instructions reveal his fondness of drama . He makes important points on an actors performance , we see this in line such as , Let your own discretion be your tutor. Here we see , a number of contrasts ,such as Horatios balanced temperament contrasted to Hamlets violent and unexpected mood swings. In this particular scene , we are exposed to a more sentimental , and emotional side of Hamlet. We see , that he believes clowns are the saddest people. His thoughtful views on friendship , show us his admiration for Horatio . Here it is seen , that friendship is one of the themes in the novel as well. Once again , Shakespeare shows his deep insight into the human mind in the line , Give me that man that is not passions slave , and I will wear him. Hamlets abrupt dismissal of Rozencrantz and Guildenstern shows the dramatic contrast to his whole hearted praise for Horatio. It tells us that a person who is balanced , and does not over dramatize is always appreciated. Hamlet deliberately procrastinates , and this shows us that even though he is brave and courageous , he does not really wish to kill his uncle. Hosting the play is just one of the ways of procrastinating , Hamlet was hoping that the King would not show guilt , and the ghost would be proved wrong. Having a play , in the play adds to the dramatic significance of the novel , making Hamlets desperation more credible and comprehendible. In Shakespeares plays , one would find a lot of repetition or lists. It helps to make the dialogue more strong , effective and emphasizes on the state of mind of the character. For instance , in the play , The Murder of Gonzago , we come across the line , Whether love lead fortune , or else fortune lead love. It has a highly philosophical tone , and the repetition of the same words , and the letter L makes the line more memorable. In this scene , we also come across a number of similes , one which is from Ophelia to Hamlet , You are as good as a chorus , my lord. At the end of the play , when Hamlet is successful in bringing out guilt onto Claudiss face , there is a line with the same word repeated three times to show his guilt , fear , and nervousness. Lights ,lights , lights! Shakespeares settings always tell the reader of what is coming up next . Tis now the very witching time of night, When churchyards yawn , and the hell itself breathes out. In this particular line , we see that the atmosphere tells the audience that something unpleasant is awaiting the main character. A metaphor has been used , for hell is given the human quality of beathing. Another very dramatic technique of Shakespeare is using cross reference . I will speak daggers to her , in Macbeth a similar image is created in the readers mind. Hamlets soliloquies enables the audience to see Hamlets feelings about himself , and other characters in the play. It basically aims at seeing the main characters inner feelings , and his confused state of mind is usually seen only through his soliloquy. We also meet a new phase of Hamlet as he exposes a new sentimental and emotional side , that is new to us. The scene ends with a short soliloquy of Hamlet , and the line , Now could I drink hot blood. This particular line talks of the revenge that Hamlet wants to avenge. Animals are part of the Elizabethan natural order in the universe and are parallel of the characters. It is very relevant to the audience , as it relates to the scene , emphasizing on the evil side of it. Another very dramatic scene is Act 5 , scene 2. The very beginning of the scene , talks of old memories a t sea , and he finds actual proof that Rosencrantz and Guildenstern are really not his true friends. It stated that Hamlet should be executed immediately on his arrival in England , and the idea of making them taste a bit of their own medicine , teaches the audience that Hamlet was ready to take revenge. Hamlet , once again justifies his idea of taking revenge in these lines , giving four reasons. He hath killed my king , and whored my mother, Popped in between thelection and my hopes, Thrown out his angle for my proper life. In this particular scene , we see that Hamlet has grown stone hearted , and even after his 2 schoolfellows have died , he has no feelings of remorse or sorrow whatsoever. In his conversation with Horatio , it is seen he is a different person , and is now confident of avenging his fathers murder. The language over here has a consistent cold tone , and it is not very difficult to understand. In certain lives we see that forceful words have been used , such as , Grinding of the axe and , My head should be struck off. The mention of weapons , tells the reader that something unpleasant is awaiting the characters in the play. Shakespeare , creates an atmosphere with the trumpets and drums , making the particular moment in the scene memorable. In this scene , we meet a new person , Osric. We learn a lot about this character , through what Hamlet thinks of him . We see , that Hamlet does not particularly like him , and in his sarcastic and casual ton e , we see that he considers him to be a person of no great substance or morals. Claudius hosts a fencing match , between Laertes and Hamlet , and we see that Hamlet accepts it , and is ready to undertake anything that fate has in store for him . Even though , Laertes accepts Hamlets apology , we see that he really doesnt forgive him , and still looks forward to murdering him. The audience sense victory , the King orders for vine and music in case Hamlet wins . Claudiuss slow and conniving moves , of slipping a poisoned pearl into the cup , tell the audience what is really in his mind. It excites them , and baffles them at the same time. Another theme in the novel , is a mother-son relationship. We see this time and again , when Gertrude tries her level best to encourage her son , and wipes the sweat of his face in intervals . We see that Gertrude may have also been guilty , of re marrying and may be her sons words may have convinced her to take her own life. It is here when Hamlet realizes what is really going on and he coaxes the king to drink the rest of the poison. Claudiuss melodramatic line , It is too late , shows his selfish nature , telling us that he did not really value his wifes life. Once again over here we see repetition and lists , in Hamlets lines to the King , Here , thou incestuous , murderous , damned Dane. We see that even Laertes in successful in killing Hamlet , and so is Hamlet. The unexpected death of all the characters makes the end very emotional , and frightening. Hamlets last words to Horation tell us of his dedication to him ,Now crack a noble heart. Goodnight sweet prince. This line has a double meaning and does not clearly tell the audience of what Hamlet is actually trying to say. I truly enjoyed reading the play , and it was not only exciting , but very moralistic as well. The saying , Procrastination is the thief of time , is proved right for Hamlet is so reluctant to kill his uncle , and in the end , he has to give up on his own life as well. It dealt with many themes , and it is easy for everyone to relate to it. The change in Hamlets character at different intervals remind anyone of his/her very own state of mind . The play has given revenge a very positive side , and it once again shows the confused and rebellious side of any human.
Sunday, March 1, 2020
The History of the Invention of the Telegraph
The History of the Invention of the Telegraph When British officials wished to communicate between London and the naval base at Portsmouth in the early 1800s, they utilized a system called a semaphore chain. A series of towers built on high points of land held contraptions with shutters, and men working the shutters could flash signals from tower to tower. A semaphore message could be relayed the 85 miles between Portsmouth and London in about 15 minutes. Clever as the system was, it was really just an improvement on signal fires, which had been used since ancient times. There was a need for much faster communication. And by the middle of the century, Britainââ¬â¢s semaphore chain was obsolete. The Invention of the Telegraph An American professor, Samuel F.B. Morse, began experimenting with sending communications via electromagnetic signal in the early 1830s. In 1838 he was able to demonstrate the device by sending a message across two miles of wire in Morristown, New Jersey. Morse eventually received funds from Congress to install a line for demonstration between Washington, D.C., and Baltimore. After an abortive effort to bury wires, it was decided to hang them from poles, and wire was strung between the two cities. On May 24, 1844, Morse, stationed in the Supreme Court chambers, which were then in the US Capitol, sent a message to his assistant Alfred Vail in Baltimore. The famous first message: ââ¬Å"What hath God wrought.â⬠News Traveled Quickly After the Invention of the Telegraph The practical importance of the telegraph was obvious, and in 1846 a new business, the Associated Press, began using the rapidly spreading telegraph lines to send dispatches to newspaper offices. Election results were gathered via telegraph by the AP for the first time for the 1848 presidential election, won by Zachary Taylor. In the following year AP workers stationed in Halifax, Nova Scotia, begin intercepting news arriving on boats from Europe and telegraphing it to New York, where it could appear in print days before the boats reached New York harbor. Abraham Lincoln Was a Technological President By the time Abraham Lincoln became president the telegraph had become an accepted part of American life. Lincolns first State of the Union message was transmitted over the telegraph wires, as the New York Times reported on December 4, 1861:ââ¬â¹ The message of President Lincoln was telegraphed yesterday to all parts of the loyal states. The message contained 7, 578 words, and was all received in this city in one hour and 32 minutes, a feat of telegraphing unparalleled in the Old or New World. Lincolns own fascination with the technology led him to spend many hours during the Civil War in the telegraph room of the War Department building near the White House. The young men who manned the telegraph equipment later recalled him sometimes staying overnight, awaiting messages from his military commanders. The president would generally write his messages in longhand, and telegraph operators would relay them, in military cipher, to the front. Some of Lincolns messages are examples of emphatic brevity, such as when he advised General Ulysses S. Grant, at City Point, Virginia in August 1864: ââ¬Å"Hold on with a bulldog grip, and chew and choke as much as possible. A. Lincoln.â⬠A Telegraph Cable Reached Under the Atlantic Ocean During the Civil War construction of telegraph lines to the west proceeded, and news from the distant territories could be sent to the eastern cities almost instantly. But the biggest challenge, which seemed utterly impossible, would be to lay a telegraph cable under the ocean from North America to Europe. In 1851 a functional telegraph cable had been laid across the English Channel. Not only could news travel between Paris and London, but the technological feat seemed to symbolize the peace between Britain and France just a few decades after the Napoleonic Wars. Soon telegraph companies began surveying the coast of Nova Scotia to prepare for laying cable. An American businessman, Cyrus Field, became involved in the plan to put a cable across the Atlantic in 1854. Field raised money from his wealthy neighbors in New York Cityââ¬â¢s Gramercy Park neighborhood, and a new company was formed, the New York, Newfoundland, and London Telegraph Company. In 1857, two ships chartered by Fields company began laying the 2,500 miles of cable, setting off from Irelands Dingle Peninsula. The initial effort soon failed, and another attempt was put off until the following year. Telegraph Messages Crossed the Ocean By Undersea Cable The effort to lay the cable in 1858 met with problems, but they were overcome and on August 5, 1858, Cyrus Field was able to send a message from Newfoundland to Ireland via the cable. On August 16 Queen Victoria sent a congratulatory message to President James Buchanan. Cyrus Field was treated as a hero upon arrival in New York City, but soon the cable went dead. Field resolved to perfect the cable, and by the end of the Civil War he was able to arrange more financing. An attempt to lay cable in 1865 failed when the cable snapped just 600 miles from Newfoundland. An improved cable was finally put in place in 1866. Messages were soon flowing between the United States and Europe. And the cable which snapped the previous year was located and repaired, so two functional cables were operating. The Telegraph Was Depicted In the Capitol Dome Constantino Brumidi, the Italian-born artist who was painting inside the newly expanded US Capitol, incorporated the transatlantic cable into two beautiful paintings. The artist was an optimist, as his lofty depictions were completed a few years before the cable was finally proven successful. In the oil painting Telegraph, Europe is portrayed as clasping hands with America while a cherub offers a telegraph wire. The spectacular fresco inside the top of the Capitols dome, Apotheosis of Washington has a panel titled Marine showing Venus helping to lay the transatlantic cable. In the Late 1800s Telegraph Wires Covered the World In the years following Fields success, underwater cables connected the Middle East with India, and Singapore with Australia. By the end of the 19th century, much of the globe was wired for communication.
Thursday, February 13, 2020
Why do leaders lead in different ways Essay Example | Topics and Well Written Essays - 4000 words
Why do leaders lead in different ways - Essay Example This is what the leader does; instilling a sense of togetherness regardless of the dynamic. However, this is a daunting task for leaders who pick a wrong strategy or leadership style as they will struggle so much to lead them with the unsuitable styles. A question that may ring on oneââ¬â¢s mind, therefore, is that why do leaders lead differently? What brings the diversity? Why do some leaders succeed while others do not? In this essay, an exploration of different leadership styles and ways in which they influence the followers will be discussed to help unfold the underlying factors behind leadership while at the same time answering these questions. Leadership is not merely being in charge or in a position of authority. Effective leadership requires special skills in dealing with a range of people and the styles one deploy in this regard will extensively affect the team that is being led. To lead is to be in a control tower from which regulation, coordination, management of the followers is derived. Leadership, therefore, is a state of being in control of and in a position to command actions of a particular team for a specific objective. Leaders are mandated to direct and be in the forefront of any action a group or the team plans to undertake (Nahavandi, 2006, p.58). Behavioural theorist put focus on the conducts and deeds of a leader. They countercheck the behaviour of the leader in leadership duties and see if their (leaders) actions are justified. Some leaders dictate, coerce, command and are rude to the followers yet they expect loyalty and collaboration. Robertson (2011) puts forth a conception that classifies leaders in different categories based on their leadership behaviours. These include: autocratic, democratic and laissez-faire styles of leadership. Autocratic leadership according to Robertson (2011, p.73) is a style in which the leader is the sole decision maker. Decisions in this style are
Saturday, February 1, 2020
Lesson Plans Essay Example | Topics and Well Written Essays - 1500 words
Lesson Plans - Essay Example In the grade two lesion plan, there has to the overall time and the time spread out to give room for various activities involved in the teaching process. Nevertheless, the paper is aimed at deriving a lesson plan that will enable the students to achieve their learning objective in a physics class. 1 hour will be for interaction between the students and the lecturer on the subject (matter) giving examples of matter. This would equip the lecture with better perception of where the lecturer should start from in the next lesson. Students at this level will dwell more on the similarities and differences that tend to exist amongst the state of non- living matter. The comparison in this case will be in relation to their chemical and molecular structures. 1. To enable all students to actively participate in the class through question- answer engagement. Trying to ask them to present and answer some of the questions related to non- living matter or some related scientific concepts. The lesson will be based on liquid state of matter. However, after the definitive introduction, the lecturer should clarify on how the various characteristics of liquids depend on the molecular components. Students at this level will dwell more on the similarities and differences that tend to exist amongst the state of liquids. The comparison in this case will be in relation to their chemical and molecular structures. The lesson plan is based on non living matter. In physics students should be aware that non living matter is divided into three states namely liquid, solid and gaseous states. Considering the current state of the economy we realize that most of the industrial products, tools and equipments are derived from the study of physics for instance in the manufacturing sector (Patton, 2008, p. 129). In accordance with the lesson plan, the students are supposed to have not only the basic information on non living matter but also be able to
Friday, January 24, 2020
Problems with the Expansion of NATO :: Free Essay Writer
Problems with the Expansion of NATO Throughout the Clinton years the government has tried to make NATO expansion look like a risk free operation. But the truth is that there are many risks and dangers that go with the expansion of NATO. It has been said that the expansion of NATO would be a fatal error in the American policy. As NATO expands it is drawing an imaginary dividing line separating the many NATO nations from the Ukraine, Russia and other countries in the eastern half of the world. The goal should be to settle things between Russia by joining with them and making good relationships with them economically, militarily, and politically. This was done between the U.S. and Germany after World War II to end the threat between Germany and its neighbors. Why shouldnââ¬â¢t we do it now. But as NATO expands the dividing line grows darker and darker between these nations. Since the Cold War era the goal has been to reduce nuclear weapons in Russia. But as NATO expands it scares Russia, who thinks to compete with NATO the only thing they can do is put emphasis on nuclear weapons. Russiaââ¬â¢s economy is no where near the strength of the United States which drives them to depend on nuclear weapons. It is the cheapest way for them to compete with us. Russia has always and will continue to have a great fear of foreign invasion as long as NATO expands. As NATO expands it sends fear into Russia that NATO is increasing in domination in former Soviet territories. As NATO expands it only will hurt any good relations that the United States has with Russia. There are also many economic setbacks in the expansion of NATO. Many of the nations will have to spend great amounts of money to modernize their militaries to the NATO standards. Many of these countries cannot afford expenses like that. It would just send small nations economies into the ground causing the needed economic reforms to be that much more difficult to achieve. One example of this is the Czech Republic that is receiving pressure from other NATO nations to modernize their military. The Czech Republic economy does not have that kind of money though. As NATO expands many of the smaller countries cannot or do not want to pay extra fees for things like military enlargement. These expenses will most likely get dumped on us. Causing the United
Thursday, January 16, 2020
Obama Care The Federal Legacy Health And Social Care Essay
The historical development of province wellness attention policies and their development to establishments of the present twenty-four hours has created an environment where the support of province wellness attention and its reform has been a focal point of citizens and governmental entities likewise. Recent province policy research and media focus frequently list the immense cost loads that states face to handle many of their uninsured citizens including the indigent and low-income persons, peculiarly those with important chronic medical conditions and viz. dialysis patients. Safety Net, or ââ¬Å" Disproportionate Share, â⬠Hospitals ( 1980s to 2009 ) Before 1981, Medicaid paid infirmaries with unreimbursed attention based on ââ¬Å" sensible costs. â⬠The disproportionately high costs of infirmary attention[ 1 ]caused Congress to acknowledge Disproportionate Share Hospitals ( DSH ) in the Omnibus Budget Reconciliation Act ( OBRA ) of 1981. DSHs are defined as those that serve preponderantly low-income patients, and as such, are public infirmaries that are entitled to federal aid. These DSH, or ââ¬Å" Safety Internet â⬠infirmaries, supply a broad assortment of attention. In 1987, the so Health Care Financing Administration[ 2 ]( HFCA ) released a survey that reviewed province DSH plans. As a consequence, Congress required provinces make payments to acknowledge DSH public infirmaries. In 1990, province discretion was increased in footings of their DSH plan designs. Different classs were allowed, but this increased DSH disbursement. By 1992, DSH disbursement cost $ 17.4 billion. As a consequence, Congress passed the Medicaid Voluntary Contribution and Provider-Specific Tax Amendments Act of 1991 to restrict funding of the non-federal portion and limited national sum DSH disbursement to 12 % of entire Medicaid disbursement. Further efforts to restrict DSH disbursement occurred in 1993, in the Balanced Budget Act of 1997, which reduced Medicare DSH payments by 8.6 % , and in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. In 2003, the Medicaid DSH Program funded 23 % of unreimbursed attention in the United States[ 3 ]. Projections indicate that $ 11.3 billion of the jutting $ 216 billion the federal authorities will pass on Medicaid in financial twelvemonth ( FY ) 2009 will be for DSH payments. This includes financess from ObamaCare ( Pete rs, Christie Provost, 2009 ) .Recent Attempts at Health Care ReformIn 1994, President Clinton attempted to go through the American Health Security Act without success. Harmonizing to one article, Business and insurance groups by and large opposed the reform bundle, while labour and the AARP supported Clinton ââ¬Ës measure. However, Clinton ââ¬Ës program was so comprehensive and complicated in the ways it might impact the dynamic wellness attention industry that some organisations changed sides during the legislative conflict and others splintered into opposing cabals ( Lowery, et al. , 2005 ) . In 1997, the Children ââ¬Ës Health Insurance Act ( CHIP ) plan was enacted. This plan provides insurance coverage for kids of low- to moderate-income places without private insurance. The plan is provided at both the federal and province ( SCHIP ) degrees as province legislative assemblies addressed wellness issues during the same clip. The legislative docket included prescription drug coverage, ordinance of managed attention, and cosmopolitan coverage, with different results than at the national degree ( IBID ) . The 50 provinces passed over 900 different Torahs modulating managed attention, between 1995 and 2001 as reported by the NCSL[ 4 ]. Health attention comprises a big part of province budgets ; multiple groups anteroom for Medicaid, SCHIP, public employees ââ¬Ë wellness insurance, and other wellness attention support. In 2003, President Bush expanded Medicare to include prescription drug coverage[ 5 ]. Massachusetts Health Care Reform In 2006, Massachusetts enacted wellness attention reforms, which were frequently touted by advocates of ObamaCare. The Massachusetts ââ¬Å" carrot and stick â⬠attack of single authorizations, coupled with a province tally insurance ââ¬Å" exchange, â⬠enables the uninsured to buy portable insurance at regulated/affordable rates. As of 2010, 97 % of Massachusetts occupants have wellness insurance ( see Appendix 6: Percentage of Massachusetts Residents without Health Insurance ) , with greater Numberss of employers offering wellness insurance than the national norm[ 6 ]. ââ¬Å" MassHealth, â⬠is the agencies by which the province provides comprehensive medical coverage, with eligibility standards for up to 300 % of the federal poorness degree ( FPL )[ 7 ]for low-income occupants and persons with disablements. Harmonizing to the Governor ââ¬Ës FY2011 budget, $ 9.84 billion is included for MassHealth Medicaid plans, an addition of 6.5 % from FY2010 ( see Appendix 7: MassHealth Average Enrollment ) . For those occupants who can non afford wellness insurance, Commonwealth Care provides wellness insurance for persons up to 300 % of the FPL with a full subsidy for those under 100 % of the FPL through a ââ¬Å" to the full capitated insurance theoretical account[ 8 ]ââ¬Å" . As of FY2010, over 150,000 occupants were enrolled, with a FY2011 budget of $ 838 million that includes a jutting 20,000 member enrollment addition. MassCare includes a $ 40 million Commonwealth Care Bridge for legal immigrants populating in the United States under five old ages. Massachusetts ââ¬Ë reform attempts ( Massachusetts Act, Chapter 58 of the Acts of 2006 ) have been both a success and a failure. Evidence of success reveal that in 2008, 96 % of occupants were estimated to hold wellness insurance. There were additions in insurance coverage reported across every population and conformity with the single authorization is high, with about 1 % of grownups assessed a punishment for disobedience ( Long, 2010 ) . Evidence of failure indicates the undermentioned ( Samuelson, 2010 ) : the province subsidizes insurance for people with incomes up to 300 % the federal poorness line ( FPL ) ; the easy portion ââ¬â spread outing state-subsidized insurance coverage ââ¬â succeeded ; the difficult portion ââ¬â controlling costs and guaranting that passing improves people ââ¬Ës wellness ââ¬â failed. Emergency suites are still as crowded, and that take place wage is being squeezed because of the coverage costs. Additionally, costs have shifted aut horities precedences from public safety, instruction, substructure, and lower revenue enhancements to wellness attention as the province budget went from 22 % for wellness attention to 35 % , of which 90 % of that is Medicaid. MassCare besides provides a Health Care Finance and Policy Division Health Safety Net ( HSN ) , once known as the Uncompensated Care Pool. HSN reimburses infirmaries and other Safety Net medical suppliers for low-income patients who are uninsured or underinsured. The payments for Safety Net suppliers decreased from 2007 to 2009 ( Appendix 8: Health Safety Net Payments Compared to Hospital Payments ) due to expanded wellness insurance coverage for occupants[ 9 ]. This lessening in Safety Net reimbursements may be a positive index for cost recovery at UMC. As patients obtain insurance, UMC may be able to better measure the insurance suppliers for attention provided, but it is excessively shortly to state if this will be a factor as patients may choose to pay the punishment of being uninsured instead than pay the higher premiums for wellness insurance. Round 2 of Massachusetts ââ¬Ë Health Reform attempted to turn to cost containment, but cost nest eggs obtained by Massachusetts ââ¬Ë wellness attention reform are overshadowed by growing in wellness attention outgos ( see Appendix 9: Growth in Health Spending in MA Expected to Surpass Other Economic Indicators Index of Health Expenditures Per Capita and Other Indexs in MA, 1991-2020 ) . Cost containment attempts outpace the province ââ¬Ës attempts to fit grosss to outgos. Harmonizing to the Governor ââ¬Ës FY2011 budget, ââ¬Å" Experts believe that about 30 % of today ââ¬Ës wellness attention disbursement produces no benefit to patientsaÃâ à ¦we pass a significant sum of money per twelvemonth on preventable and unneeded exigency room visits, hospitalizations and readmissions, while the United States has the doubtful differentiation of taking the universe in duplicative medical trials[ 10 ]ââ¬Å" and that farther payment reform is needed to incorporate these costs.
Subscribe to:
Posts (Atom)