Chronic Offenders Assignment Example | Topics and Well Written Essays - 500 words

Chronic Offenders - Assignment Example A group of North American researchers, including Don Andrews, Paul Gendreau, Robert Ross and Ted Palmer were reanalyzing data in 1975, same time as Martinson was announcing that only a few things had effect on recidivism, and found out that many things worked in contrast to the report that Martinson was basis his theory on. The re-analysis of the facts proved that the ‘Nothing works doctrine’ was wrong, a claim which was further boosted by Martinson’s proclamation of the same in his paper in 1979, acknowledging the errors in the earlier reviews. Since then, a number of meta-analytical study results verify the efficacy of some of the correctional approaches to chronic offenders. Instances include review of twelve meta-analyses on correctional treatment by Losel, which estimated the effects sizes of these treatment ranges between r=+.05 and r=+.36, with a mean of r=+.10 in all the cases analyzed. McGuire followed suite in 2000 with analysis of six other meta-analyses, obtaining a reduction rate on recidivism of between 5% and 10%. His conclusion was that some methods of correction were more effective and consistent than other, but rehabilitation definitely worked on chronic offenders. Punishment-oriented correctional measures are not effective. Personally, I perceive these punishments as crime cultivators; enhancing the growth of what they claim to root out. The intimidation of the offenders by punishment-oriented measures does not lower the risk of these offenders engaging in crime, rather, it increases it. Recidivism increases with each punishment. These sentiments are consistent with the recent research carried out by RAND Corporation on adult inmates of state prisons in America (Franklin, Pratt & Gau, 2011). Inmates subjected to punishments had a tendency to commit more crimes than those subjected to rehabilitation measures. According to Robert Ross and Gendreau, claims of effective rehabilitation of chronic

Canada Essay -- Geography Canada Expository Essays

Canada Canada, is the world's second largest country and it is the largest country in the Western Hemisphere. It comprises all of the North American continent north of the United States, with the exclusion of Alaska, Greenland, and the tiny French islands of St. Pierre and Miquelon. Its most easterly point is Cape Spear, Newfoundland and its western limit is Mount St. Elias in the Yukon Territory, near the Alaskan border. The southernmost point is Middle Island, in Lake Erie and the northern tip is Cape Columbia, on Ellesmere Island. Canada is bounded on the north by the Arctic Ocean, on the west by the pacific Ocean, and on the east by the Atlantic Ocean and its associated bodies of water, including Baffin Bay and the Labrador Sea. Canada has an abundance of mineral, forest, and water-power resources. The mining industry has been a major force in Canada's economic development in the past and is still the main force in the advance and economic activity and permanent settlement into the northlands. The principal minerals are petroleum, nickel, copper, zinc, iron ore, natural gas, asbestos, molybdenum, sulfur, gold, and platinum; in addition extensive beds of coal, potash, uranium, gypsum, silver, and magnesium are found. Fresh water covers an estimated 756 276 sq km or 7.6% of Canada. The many rivers and lakes supply ample fresh water to meet the nation's needs for its communities and for irrigation, agriculture, industries, transportation, and hydroelectric power generation. Canada has four principal drainage basins: the Atlantic Basin which drains to the Atlantic Ocean by way of the Great Lakes and the St. Lawrence River, the Hudson Bay Basin which drains northward into Hudson Bay via the Churchill, Nelson and Saskatchewan rivers, the Arctic Basin which is drained by the Mackenzie River and the Pacific Basin which drains into the Pacific Ocean via the Fraser, Yukon and Columbia rivers. Canada has six major physical, or physiographic, regions: the Canadian Shield, the Arctic Islands, the Great Lakes-St. Lawrence Lowlands, the Appalachian Region, the Interior Plains, and the Cordilleran Region. In simple terms, Canada can be considered a vast, saucer-shaped basin, bordered by mountainous lands on the west, east, and northeast. Hudson Bay and the lowlands along its southern shore form the central depression of this... ... During the last 75 years, the Canadian economy has been transformed from on based primarily on agricultural production and the export of agricultural products and raw materials to one based primarily on its manufacturing and service sectors, as well as a mining sector of continuing importance. Canada's economy reflects an affluent high-tech industrial society and resembles the United States, with whom it has close economic ties. This is one reason why a large percentage of the population live by the U.S.-Canadian border. Another reason is because a large number of the manufacturing plants are located in the southern section of Canada. Canada is rich in natural resources. It is a world leader in value of mineral exports and produces and exports many of the mineral needed for modern industrial economies. It's soils which are especially rich in the three prairie provinces of Alberta, Saskatchewan, and Manitoba, are intensively utilized and make Canada one of the world's largest exporters of agricultural products. Forests cover much of the land, and Canada is the world's largest exporter of newsprint and a leading supplier of lumber, pulp, paper, and wood products.

Any Kind Checks Cashed, Inc. v. Talcott Essay

According to the UCC, a holder in due course is a holder who takes an instrument for value in good faith and devoid of notice of assured claims, as well as defenses on the instrument. It is imperative in the case of ‘Any Kind Checks Cashed, Inc. v. Talcott’ to determine if the holder of the instrument acted in good faith, in fair dealing as is compulsory in order to be considered the holder in due course. According to the Commercial Law Article 3-103 (a) (4); good faith refers to sincerity or honesty in fact and the adherence to logical commercial standards of fair dealing (Twomey, D., & Jennings, M.). Apart from this, the court upholds the trial court finding that Any Kind did not act in good faith when cashing a check for $10,000. However, Any Kind had been in good faith in later on cashing one more check for $5,700. I agree that ‘Talcott’ was responsible for the $5,700 even despite the fact that he was illegally persuaded to issue a check (Legale .com). The procedures in place at Any Kind Checks Cashed, Inc.states that a supervisor that has the power as well as authority to approve checks over $2,000. However, the supervisor should have been more cautious due to the unusual amount of the check of $10,00.00. When the second check of $5,700.00 was presented the check cashing company had been in contact with Talcott getting his verbal approval for cashing a check. As a result, Any Kind Check Cashed Inc. satisfied the good faith prerequisites for a holder in due course. In reviewing if, the tellers actions where in accordance with good faith and acted reasonable within the commercial standards for accepting and processing the check. The fact is that the clerk did take action and question the intent of the check of $10,000.00 by calling the maker of the check Mr. Talcott, but was not able to reach him. As a result  of not reaching Mr. Talcott the, the supervisor relied on her judgment and experience to make her decision to cash the check. Using her judgment coupled with appeared to be evidence the FedEx envelope showing that the FedEx was sent from Mr. Talcott the supervisor was acting in good faith but not in accordance with a the reasonable commercial code. There should have been some level of suspicion that someone would pay a 500.00 fee to cash a check and not go to his or her bank and collect the full amount of the 10,000.00. To a reasonable person this type of behaviour may raise a red flag as to the desperation of the person (payee) to cash such a large check. The check cashing store should have verified with the issuing bank to ensure that there was enough monies in the account to cover the check and verify that the check is good (no stop payment was issued). When Mr. Guarino presented a second check to the check cashing store for $5,700.00, the store reached out and spoke with Mr. Talcott asking him to verify the check for $5,700.00, which he verified. The check cashing store never mentioned the first check of $10,000.00. Perhaps they presumed that since Mr, Talcott approved the second check that and never said anything about the first one being of issue it may have seemed as a nonissue. If Any Kind processed the $10,000 check with proper caution and procedures beyond making a phone call and not getting an answer from the maker of the check. Any Kind should have contacted the bank the check was drawn on to verify that there was no issue with the check and not rely on experience and a FedEx cover. In order to ensure that they and preserved their status of the holder in due course status. The courts determined that Any Kind was not the holder in due course due to the manner in which they did not ensure that the check was valid before cashing and processing it. I agree with the court’s decision in finding that Any Kind is not the HDC for the $10,000.00 since they were really negligent in the handling and processing of the check. I agree, with the court’s ruling in favour that Any Kind is the HDC for the $5,700.0. Since ‘Any Kind’handled the process in good faith and within accordance with reasonable commercial standards according to the UCC 3-419[3] (Legale .com). References Cornell Law: Uniform Commercial Code. Retrieved Dec 30, 2014. http://www.law.cornell.edu/ucc/3/3-419 â€Å"Federal Reserve Bank: Regulation and compliance guide.† Federalreserve.gov. Retrieved Dec. 28, 2014. http://www.federalreserve.gov/bankinforeg/reglisting.htm ANY KIND CHECKS CASHED, INC. v. TALCOTT | Leagle.com. (n.d.). Retrieved from http://www.leagle.com/decision/2002990830So2d160_1973.xml_br Twomey, D., & Jennings, M. (2014). Kinds of Instruments, Parties, and Negotiability. Business Law: Principles For Today’s Commercial Environment (4th edition ed., pp. 567- 568). Mason: Cengage learning.

Don DeLillos White Noise novel and Malcolm Gladwells...

Don DeLillo’s novel, White Noise revolves around the life of Jack, a Hitler Studies scholar at College-on-the-Hill. The characters within the novel all want to involve themselves with the events in an industrial American society. Jack and his fourth spouse, Babette are characterized by their love, fear of loss of life, and four seemingly civilized children. The family seeks to live in a society where the consumerism culture is highly influenced by media and companies. The characters’ consumerism culture becomes influenced by the dangers of the industrial chemical cloud that hangs over their lives. This essay explores the importance of honesty in the wake of a consumerism culture that is highly influenced by the media and companies as†¦show more content†¦Jack is shown as one who is highly established in his field of work. Unfair influences of the consumerism culture are to blame for the Jack’s outfits and his professional title. In addition, the fact that only highly valued tourist destinations do record significant tourist visits could have persuaded Murray to look closer into the value of the site, perhaps due to media influences on his ideology. Murray’s skewed analysis of the important tourist attraction as a seemingly worthless facility deserves more thought in order to uncover the actual reasons behind the highly toured places. In general, worthless tourist destinations play host to just a handful of visitors who upon noticing the worthlessness would not want to return to the site. By contrast, the landmark might have attracted significant public investment for a reason. Murray’s perception that no credible difference exists between superficial and deeper meaning of the barn is highly dependent on skewed external forces within the media. Similarly, DeLillo mocks neo-modern human’s inability to distinguish realism from the new Simulated Evacuation â€Å"they are still battling over funds for† (DeLillo 139). The Simulated Evacuation is arguably the most fascinating case showing the conflict between two opposing sides, but which could not be understood subjectively. The Simulated Evaluation is real occurrences, like the airborne incident, are employed in the preparations of

Elements Of Art Visual Elements - 2090 Words

Elements of Art Line: The visual element of art that is a continuous mark made on a ground support and has one dimension - length. Lines are a very common part of everyday life. There are different lines that have various directions. Different line direction can suggest movement. The different directions of line are—horizontal, vertical, diagonal, straight, and curved. Lines are considered to be one dimensional and are usually only measured in length. Depending on the thickness, thinness, or boldness of a line, the line can portray a variety of different moods and character. Horizontal lines go across - left to right. Vertical lines go up and down. Diagonal lines angle either up from left to right or down from left to right. Curved lines turn any number of ways. †¢ Space: Space is the element of art that is the void area surrounding and within shapes and forms. Space is an element of art that artists use to create dimension and depth within their compositions. The amount of interest and atmosphere that the artwork can project to the viewer depends upon the successful development of space in a composition. This can dramatically increase the aesthetics of the work. There are two kinds of space, negative and positive. Positive space is the area that the shape or form occupies. Negative space is the empty areas around, above, below, and between the shapes and forms. Space is part of every piece of artwork, whether it is a two-dimensional piece, such as a painting, or aShow MoreRelatedVisual Elements Of Art Falls1236 Words   |  5 PagesAn â€Å"unestablished† piece of art that stuck out to me was railroad tracks. This work of art speaks to me because it reminds me of the many people who were slaves that tried to escape to freedom many year s ago. Their journey was filled with endless runinng trying to escape their old lives filled with danger, and abuse. These individuals were in search of an uknown world that awaited them. Moreover, it is reminiscent of leaving one’s old life behind in search of something new, the unkown. The artisticRead MoreArt Activity Pl Demonstrating The Element Of Space1014 Words   |  5 PagesArt Activity Plan: Demonstrating the Element of Space Art Activity Description: The students will be introduced to Man with a Hoe by Jean-Franà §ois Millet and my artwork. Then the students will learn about the element of art emphasizing on space. Subsequent, students will be invited to analyze our use of space. Students will discuss their interpretations of the painting and provide visual evidence to back up their ideas. Following, they will be invited to share their understanding of how the manRead MoreArt, Art And Art915 Words   |  4 PagesArt, one of the most important ways for individuals to express their thoughts and feelings about things. Painting is one of the many artistic forms used to communicate the aforementioned. Paintings are often displayed at museums or art galleries in order to allow people to admire them and analyze their meaning. A painting that is displayed at the Albright-Knox art gallery in Buffalo, New York is La Vie Paysanne. French-Russian artist, Marc Chagall, painted La Vie Paysanne in the year 1925. InRead MoreJoe Tilsons Nine Elements1565 Words   |  7 PagesNine Elements uses a wooden relief with acrylic, pearl and candy paint, to represent those elements that make up mass media pop culture. Tilson uses defined iconography that visually absorbs the viewer through its differentiation within the symmetrically structured borders of the wooden relief. It is a piece that allows the observer freedom to use the representative symbols of senses and concepts present in our every day life to take their own meaning of the piece. Joe Tilson’s Nine Elements, producedRead MoreThe Seven Principles Of Art1012 Words   |  5 Pagesunderstanding of the seven principles of art. â€Å"The principal of art are the guidelines or the organizing factors in the visual arts that help artists to create designs and control how viewers likely react to art images and objects.† The topics that are included in this chapter are unity and variety; proportion; balance; emphasis; pattern and repetition; rhythm and movement. All of these topics demonstrates how they tie in with one another to create a piece of art. To elaborate more on the topics discussedRead MoreImportance of Art Education Essay1410 Words   |  6 PagesThe arts are everywhere in our lives and have always been an important part of human daily experiences. The arts also are an enormous economic force in our world from fashion to design to the entertainment business; all are multibillion-dollar industries. Numerous studies have shown a positive correlation between a balanced and comprehensive education in the arts and high student standardized tests. A comprehensive arts education program helps students develop self-esteem, self-discipline, cooperativeRead MoreArt as a Mirror of Society678 Words   |  3 PagesART AS A MIRROR OF SOCIETY Art is seen as mirror of our society. It is therefore a source of communication put into meaning by ones ideology and inspiration, which allows us to related to Art in our own way. Visual Arts evokes conversation and seeks to solve problems of creativity and visual communication which has become a dominant global, social, racial, political, religious and capitalist force. The commercialization and commodification of this Visual Art shapes perceptions of visual culturesRead MoreAnalysis Of Run Lola Run And Street Art I Love You 1030 Words   |  5 PagesLola Run and street art ‘I love you’ by Banksy both explore distinctively visual elements though various film techniques and visual techniques. The two texts aim to manipulate the way in which we explore and interpret the images we are exposed to in our world. One main reason these pieces interrelate is because both texts utilise various techniques in order to create distinctively visual elements which explores the basic aspects of life-love, time and chance. Banksy’s street art, ‘I love you’ expressesRead MoreElements and Principles of 3d Design1588 Words   |  7 PagesThe Elements and Principles of Three-Dimensional Design Design: v. to mark out, to plan, purpose, intend... n. a plan conceived in the mind, of something to be done... n. adaptation of means to end... The Shorter Oxford English Dictionary Elements of 3-D Design Space: distance, area, volume; physical space independent of what occupies it; absolute space. Line: the edge or outline of a form, the meeting of planes; linear materials include: wire, wood, metal rod, string or any materials withRead MoreThe Futurist Movement Of Art1172 Words   |  5 PagesThe Futurist movement of art has been regarded as a movement of â€Å"artistic rupture. It was the rupture of the already existing genres and verse forms, categories such as â€Å"prose† and â€Å"verse†, and also phenomena’s like â€Å"art† and â€Å"life† were put to question†[ ]. Futurism brought about the first collages and the different forms of the arts such as poetry, painting music and theater had started to be brought together into something new [ ]. Development in the movement of futurism brought about what we

An Allegory of Sigmund Freud’s Psychoanalysis Theory in...

Sigmund Freud, an Austrian psychologist, once said that â€Å"the ego is not master in its own house.† The novelLord of the Flies, written by William Golding, is an allegory for Sigmund Freud’s theory on the superego, the ego, and the id, and the constant struggle between the three psyches, which leads to a man becomingcrazy. The three characters in the novel which represent the three psyches are; the Lord of the Flies, Ralph, and Simon. The island that the boys are stranded on can be interpreted as the mind of the man. Simon’s death and the hunt for Ralph are both plot events that symbolize the struggle between the three psyches. The above quote is indicating that the ego is the consciousness in our mind, and though one would think that†¦show more content†¦At this point the boys have gone crazy and have no longing for civilization, and their fear of guilt is nonexistent. This plot event symbolizes that the id in the patient’s mind is now trying to destroy the ego. At this point of time, Simon, who is the superego, is murdered by the rest of the boys on the island. Now that the man no longer has a superego, the ego cannot do anything except please the id, therefore the id is winning, because of its overpowering desires. In the conclusion of the novel, when Jack and his tribe are about to kill Ralph, they all stumble upon a naval officer who had come to rescue them. This event represents that the mind has gone completely insane, and it has lost its superego. The naval officer represents the external help from a doctor or from society that the mind receives. When the officer arrives, all the boys start to cry; because they realize that what they have been doing is wrong. This could symbolize that the patient is recovering by the help of the doctor. These two plot events greatly support the allegory of a patient who is going crazy due to the struggle occurring in his mind. In the mind there are three psyches, the id, the ego, and the superego. They are always at struggle with the other. An allegoryof an insane person’s mind that loses his touch of humanity and almost falls

Wgu Kot 2 Free Essays

string(26) " is a duty to do no harm\." Medicare, the Uninsured, and International Healthcare Review Western Governors University Medicare, the Uninsured, and International Healthcare Review Healthcare and healthcare reform are hot topics of debate in today’s society. As the population grows and life expectancy increases, the nation faces many challenges in providing healthcare benefits to the people. â€Å"According to the report, titled Income, Poverty and Health Insurance Coverage in the United States: 2010, 49. We will write a custom essay sample on Wgu Kot 2 or any similar topic only for you Order Now 9 million Americans or 16. 3 percent of the total US population had no health insurance in 2010. That percentage represents a slight increase on 2009’s figures, when 49 million citizens or 16. 1 percent of the population was uninsured† (Gamser, 2011). Unless there is a turnaround in their economic downfall, unemployment rate, and healthcare reform these numbers will most likely continue to increase. This paper will discuss some of these issues and how they impact two different families. The paper will look at Mrs. Zwick, a 77-year-old female who was hospitalized for five days following a minor stroke and is then transferred to the skilled nursing facility for rehabilitation. Her rehabilitation is delayed 10 days into her stay due to a hospital acquired urinary tract infection. Discussion will include coverage for her medical care using Medicare Part A, Part B and Part D. Discussion will also include how the hospital acquired infection is not reimbursed by Medicare. Finally the paper will discuss how Mr. Davis, a gentleman with chronic sickle cell anemia and loses his job position due to his illness, will have the option to continue insurance coverage by way of the Consolidated Omnibus Budget Reconciliation Act (COBRA). Discussion will include two challenges that state or local government face when providing care for the uninsured with long-term or chronic illnesses. Elaboration on one of the challenges will be further described. Due to his frustrations with loss of his employment, healthcare coverage, and his chronic sickle cell anemia, Mr. Davis verbalizes he wish he lived in another country. Through investigation of healthcare in Great Britain, Japan, Germany, and Switzerland this paper will discuss which of these countries would best benefit Mr. Davis if you ere to become a citizen there. Mrs. Zwick was hospitalized for five days following a mild stroke, and then transferred to a skilled nursing facility for rehabilitation with projected discharge in 21 days. However it is discovered that she developed a hospital acquired urinary tract infection 10 days into her rehabilitation requires IV antibiotics to treat. The infection leads per week and unable to continue her rehabilitation until the urina ry tract infection is cleared. As a result, instead of 21 days in rehabilitation she has to stay 40 days. When discharged she was giving a prescription for several medications and a walker. Her daughter inquires about the bills from other is insured with Medicare Part A, Part B and Part D and asks the nurse if she can explain the benefits to her. Medicare Part A, which is also known as hospital insurance, is usually provided free since Medicare taxes are paid into the program while working. â€Å"Part A is hospital insurance that helps cover inpatient care in hospitals, skilled nursing facility, hospice, and home health care† (Medicare. gov, n. d. ). Cherry and Jacob (2011, p. 28) states that Medicare is a federal health insurance plan for Americans 65 and older and certain disabled people. The client must be eligible for Social Security or Railroad retirement. The nurse would explain that Medicare Part A will cover the cost of the hospital stay as well as the skilled nursing and rehabilitation stay. Medicare Part B she explains is considered to be the medical insurance. This will cover services such as physician services, services and supplies that are needed to diagnose and treat her medical condition and would also cover certain preventative services such as flu vaccines (Medicare. ov, n. d. ). This would cover the rehabilitation services that her mother has received while in the rehabilitation center as well as the walker that was prescribed by the physician at the time of discharge. Medicare Part D is the prescription drug plan. There are various options under this portion of Medicare and depending on the one that your mother has chosen would base the amount of coverage that she would receive for prescription medications. This does not necessarily cover the full cost of the prescription medications; there are deductibles and copayments that must be met. The hospital acquired rinary tract infection that Mrs. Zwick developed during her hospital stay is not covered by Medicare. Research of an article in Medical News Today states: â€Å"Starting in 2009, M edicare, the US government’s health insurance program for elderly and disabled Americans, will not cover the costs of â€Å"preventable† conditions, mistakes and infections resulting from a hospital stay. So for instance, if you are on Medicare and you pick up a hospital acquired infection while you are being treated for something that is covered by Medicare, the extra cost of treating the hospital acquired infection will no longer be paid for by Medicare. Instead, the bill will be picked up by the hospital itself since the rules don’t allow the hospital to charge it to you† (Paddock, 2007). Healthcare acquired infections (HAI) not only contribute to exorbitant amounts of financial burden on the healthcare system but also attribute to staggering numbers of patient deaths. â€Å"Healthcare acquired infections (HAIs) are infections that patients contract while receiving treatment for medical and surgical conditions. The U. S. Centers for Disease Control and Prevention (CDC) estimates that HAIs contracted in U. S. ospitals account for approximately two million infections, 99,000 deaths, and an estimated $4. 5 billion in excess costs annually† (Centers for Disease Control and Prevention, 2009) More recent results show a very minuscule decline in these types of infections. It is but a mere scratch at the surface of the deeply rooted problem within our healthcare systems. There are ethical implications as well in treating Mrs. Zwick’s healthcare acquired infection. As healthcare providers, there is a duty to do no harm. You read "Wgu Kot 2" in category "Essay examples" Ethically we must do the right thing as an advocate for patient safety. To attain these standards the healthcare provider must diligently be cognizant of infection control measures and ways to improve current practice. Examples include strict hand hygiene, aseptic technique, and current best practice as defined by evidenced based medicine. The continuous monitoring and surveillance of all healthcare acquired infections looking for trends. Perhaps it is a specific hospital unit or employee. These identifiers will assist through education and competency in the correction and prevention of future occurrences. Healthcare as a whole also has an ethical obligation to make known to the patient, patient families and the community these HAI’s when discovered. This paper will now focus on Mr. Davis who was terminated by his employer for extended absences due to hospitalizations from chronic sickle cell anemia. Even though Mr. Davis is unemployed his employer must offer him the opportunity to continue his healthcare benefit under the Consolidated Omnibus Budget Reconciliation Act (COBRA). COBRA requires employers with more than 20 employees to provide the employee and his family the opportunity to continue medical benefits for up to 18 months. This includes voluntary or involuntary job loss, decreased work hours, changing jobs, and various life changing events. The employee may be responsible for paying the entire premium to continue this healthcare coverage. COBRA can also impose fines of up to $110 per day to employers that fail to offer continued healthcare benefits to the separated employee. (U. S. Department of Labor, n. d. ) Should Mr. Davis remain unemployed beyond the 18 month limit imposed by COBRA, state and local government are usually called upon to provide assistance. There are options available but often times these require months or even years to get assistance and quite frequently require the assistance of an attorney to receive benefits. Medicaid is probably the most widely known and the recommended source of state medical assistance. The Medicaid program is a federal and state grant program that used primarily for the disabled, low income families with dependent children, and people who are confined in nursing homes with low income levels. The state is responsible for setting the guidelines of eligibility for this program. Once Medicaid is approved for an individual, the coverage can be retroactive for up to three months from the time it was approved. Indigent and underinsured medical care must be funded by state and local government. This challenge is usually met through taxation. Each municipality and sometimes healthcare district must budget to provide care for its citizens through state and local tax. Depending on the economic region this can present a huge challenge. For example, areas of Florida where migrant farmers are present may have to budget more for healthcare than a wealthier district such as West Palm Beach. So in reality, all working citizens pay for the indigent healthcare in their particular municipality. In Texas such budgeting and care is known as the Indigent Health Care and Treatment Act passed in 1985. This act spells out what basic services must be allowed for the indigent in each county. If more care is provided then it is the local governments’ responsibility to pay for it. Other state and local programs may include State Children’s Health Insurance Program (SCHIP) which is also a state and national government run program designed for families that don’t meet the minimum requirements for Medicaid due to income even though the income is still modestly below poverty level. Local and state governments may also provide other benefits such as free clinics, public health, Meals on Wheels, subsidized housing, discounted transportation services, food stamps, and free or discounted childcare for working parents. Local consumers have even pitched in by providing either free or drastically reduced prescription medications that are commonly prescribed to provide assistance during these tough economic times. Mr. Davis had mentioned in his frustration that at times he wished he lived in another country. His hope would be that healthcare would be more accessible to him. This paper will look at the healthcare system of four different countries Great Britain, Japan, Germany, and Switzerland. After a brief review of the healthcare systems in these countries this paper will focus on one country’s health care system that would benefit Mr. Davis the most. Discussion of this country’s healthcare system will examine areas such as medication coverage, pre-existing conditions coverage, requirements if necessary for healthcare specialist evaluation and the access for retired people, children, and the unemployed. The healthcare system in Great Britain is considered to be socialized medicine. Basically what this means is that the citizens of Great Britain pay taxes for health care and in return the government-run National Health Service (NHS) provides and pays those funds to healthcare providers. There are no fees when a patient sees a physician since most physicians and nurses are government employees. In order to see a specialist patients must first visit there general practitioner for a referral. Physician visits are free; however there are fees for prescription medications. â€Å"Young people and the elderly are exempt from all drug co-pays† (Public Broadcast System, n. d. ). A major problem with this healthcare system according to Tanner (2008 p. 4) is the extremely long waits for healthcare and depending upon the patient’s severity of illness, a procedure such as an open heart surgery for someone deemed too ill or too old by the government may be denied treatment. Switzerland has long been considered to have one of the best healthcare systems in the world. However it is not without its drawbacks. The overall cost for healthcare and Switzerland is second only to the United States. Even still is far less than what the United States spends on healthcare. All residents residing in Switzerland are required to purchase basic healthcare insurance with them three months of residency. Swiss law requires all citizens to purchase a basic package of health insurance, an individual mandate. The term basic benefits package is somewhat misleading since the required benefits are quite extensive, including inpatient and outpatient care, care for the elderly and the physically and mentally handicapped, long-term nursing home care, diagnostic tests, prescription drugs, and complementary and alternative therapies. (Tanner, 2008 p. 25) The Swiss government does provide assistance for those that are low income and can’t afford to pay the healthcare premiums. It is expected that citizens pay no more than 10% of their income on healthcare premiums. Referrals to specialists are not required by the primary care physician. There are no exclusions for pre-existing conditions. Private rooms in the hospital and dental insurance require a supplemental policy and are not covered in the basic plan. Healthcare in Germany is based primarily on two types of insurances, public and private insurance. Anyone earning a salary in Germany must have public health insurance. This public health insurance covers not only the employee of German citizenship but all nonworking dependents as well. There is no added cost for pre-existing conditions. Pregnant women are provided public health insurance for free. The premium for the insurance is around 5% of the person’s total income. Referrals are not required to see a specialist but higher co-pay may be charged. If a person opts out of the public health insurance for private insurance he cannot go back later to the public health insurance, even if income drops below the level required for private insurance (Underwood, 2009). The unemployed people are covered through a social fund which pays the physicians fee. This paper will now discuss the healthcare system in Japan. The Japan healthcare system would probably be the most beneficial for Mr. Davis of the four countries that we have researched. There are two types of healthcare insurance in Japan, National Health Insurance and Employees’ Health Insurance. Anyone who cannot afford healthcare insurance is provided with public assistance. The premium for the Employees’ Health Insurance is usually split between the employer and the employee; although there are some companies that will pay more. â€Å"Everyone in Japan is covered by insurance for medical and dental care and drugs. Insurers do not compete, and they all cover the same services and drugs for the same price† (Arnquist, 2009). The government decides on the fee schedule. Insurance premiums are not held or inflated for pre-existing conditions. Premiums are based on taxable income for the National Health Insurance. This insurance is for the self-employed, retirees and students. â€Å"The financial resources for unemployment benefits are covered by insurance premiums paid by employees and employers (they equally bear the amount equivalent to 0. 8% of workers’ wages) and by the National Treasury† (The Ministry of Foreign Affairs of Japan, 2011). Healthcare is free for all children under the age of six. So as a result Mr. Davis would be well covered under Japan’s healthcare system. Mr. Davis will have coverage for his medications, he would be able to see any specialist of his choice although a premium might be added without having a referral, and there is no denial or rate increase for pre-existing conditions and the healthcare system provides for children, the unemployed and retired persons. In summation, this paper has discussed Medicaid Part A, B, and D. There is discussion on how COBRA would help Mr. Davis continue his insurance while he’s out of work. There has been discussion of at least two challenges that both local and state government would face in providing care for Mr. Davis. And then finally there is some discussion of healthcare in Great Britain, Germany, Switzerland, and of course Japan which is the system that was chosen for Mr. Davis. 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