Analysis of Police Corruption Research Paper Example | Topics and Well Written Essays - 1000 words

Analysis of Police Corruption - Research Paper Example The police department is constructed under the constitution and mandated to provide security and ensure all laws of the land have adhered. When the police are engaged in corrupt activities, they break their mandate. In responding to this, corrupt officers are arrested and charged in the court. This has been very effective in ensuring that the officers are responsible for all their actions. Through corruption, the police deny the citizens some rights like the right to protected by a law-enforcing agency. This is clearly stipulated in the constitution. In some corrupt police dealing, they collude with criminal for them to carry out their activities effectively. In covering up their activities, these officers may undertake the arrest of innocent people. This raises questions as to where the security of the citizen could be upheld. This leads to reduced trust in the operations of the police offices. Since the citizens may lack the sound background to bring forth their claims, various hum an rights groups have been on their rescue. They have made it possible for various reforms to be made which has gradually improved the interaction between the police and the citizens (Forst & Dempsey, 2011). Corruption is conducted in the police force in numerous ways. Bribery, which entails the exchange of a benefit between police officers, is the most common form of corruption. This is evident in traffic rules violation and illegal sale of drugs. Though this acts, the police officers propagate crimes rather than curbing it. In response to this, the root causes of the crime have been investigated and various strategies implemented. Since the public promotes the vice through producing bribes, they should be educated on the possible repercussions that may befall on them once they are identified. Therefore, in ensuring that the vice is completely gotten rid of, proper coordination between various stakeholders is necessary. Causes of police corruption Lack of professionalism by police officers in the conduction of their activities is one of the main causes of the increase in corrupt activities.

Sampling Probability Essay Example for Free

Sampling Probability Essay Probability And Non Probability Sampling Cultural Studies Essay A probability sampling method is any method of sampling that utilizes some form of random selection. In order to have a random selection method, you must set up some process or procedure that assures that the different units in your population have equal probabilities of being chosen. Humans have long practiced various forms of random selection, such as picking a name out of a hat, or choosing the short straw. These days, we tend to use computers as the mechanism for generating random numbers as the basis for random selection. Probability sampling methods are those in which every item in the universe has a known chance, or probability of being chosen for sample. This implies that the selection of the sample items is independent of the person making the study that is the sampling operation is controlled so objectively that the items will be chosen strictly at random. Types of probability sampling Simple Random Sampling: The simplest form of random sampling is called simple random sampling. Neither of these mechanical procedures is very feasible and, with the development of inexpensive computers there is a much easier way. Simple random sampling is simple to accomplish and is easy to explain to others. Because simple random sampling is a fair way to select a sample, it is reasonable to generalize the results from the sample back to the population. Simple random sampling is not the most statistically efficient method of sampling and you may, just because of the luck of the draw, not get good representation of subgroups in a population. To deal with these issues, we have to turn to other sampling methods. Systematic Sampling: Stratified Random Sampling, also sometimes called proportional or quota random sampling, involves dividing your population into homogeneous subgroups and then taking a simple random sample in each subgroup. There are several major reasons why you might pref er stratified sampling over simple random sampling. First, it assures that you will be able to represent not only the overall population, but also key subgroups of the population, especially small minority groups. If you want to be able to talk about subgroups, this may be the only way to effectively assure youll be able to. If the subgroup is extremely small, you can use different sampling fractions within the different strata to randomly over-sample the small group. When we  use the same sampling fraction within strata we are conducting proportionate stratified random sampling. When we use different sampling fractions in the strata, we call this disproportionate stratified random sampling. Second, stratified random sampling will generally have more statistical precision than simple random sampling. This will only be true if the strata or groups are homogeneous. If they are, we expect that the variability within-groups are lower than the variability for the population as a whole. Stratified sampling capitalizes on that fact. Strati fied Sampling: For this to work it is essential that the units in the population are randomly ordered, at least with respect to the characteristics you are measuring. For one thing, it is fairly easy to do. You only have to select a single random number to start things off. It may also be more precise than simple random sampling. Finally, in some situations there is simply no easier way to do random sampling. For instance, I once had to do a study that involved sampling from all the books in a library. Once selected, I would have to go to the shelf, locate the book, and record when it last circulated. I knew that I had a fairly good sampling frame in the form of the shelf list (which is a card catalogue where the entries are arranged in the order they occur on the shelf). To do a simple random sample, I could have estimated the total number of books and generated random numbers to draw the sample. Cluster Sampling: The problem with random sampling methods when we have to sample a population thats disbursed across a wide geographic region is that you will have to cover a lot of ground geographically in order to get to each of the units you sampled. Imagine taking a simple random sample of all the residents of New York State in order to conduct personal interviews. By the luck of the draw you will wind up with respondents who come from all over the state. Your interviewers are going to have a lot of travelling to do. It is for precisely this problem that cluster or area random sampling was invented. In cluster sampling, we follow these steps: divide population into clusters (usually along geographic boundaries), randomly sample clusters, and measure all units within sampled clusters. Multi Stage Sampling: The four methods weve covered so far simple, stratified, and systematic and cluster are the simplest random sampling strategies. In most real applied social research, we would use sampling methods that are considerably more complex than these simple variations. The most important principle here is  that we can combine the simple methods described earlier in a variety of useful ways that help us address our sampling needs in the most efficient and effective manner possible. When we combine sampling methods, we call this multi-stage sampling. Non probability Sampling Non probability sampling methods are those, which do not provide every item in the universe with a known chance of being included in the sample. The selection process is to some extent The difference between non probability and probability sampling is that non probability sampling does not involve random selection and probability sampling does. Does that mean that non probability samples arent representative of the population? Not necessarily. But it does mean that non probability samples cannot depend upon the rationale of probability theory. At least with a probabilistic sample, we know the odds or probability that we have represented the population well. We are able to estimate confidence intervals for the statistic. With non probability samples, we may or may not represent the population well, and it will often be hard for us to know how well weve done so. In general, researchers prefer probabilistic or random sampling methods over non probabilistic ones, and consider them to be more accurate and rigorous. However, in applied social research there may be circumstances where it is not feasible, practical or theoretically sensible to do random sampling. Here, we consider a wide range of non probabilistic alternatives. We can divide non probability sampling methods into two broad types: accidental or purposive. Most sampling methods are purposive in nature because we usually approach the sampling problem with a specific plan in mind. The most important distinctions among these types of sampling methods are the ones between the different types of purposive sampling approaches. Types of non probability sampling Accidental, Haphazard or Convenience Sampling: One of the most common methods of sampling goes under the various titles listed here. I would include in this category the traditional man on the street (of course, now its probably the person on the street) interviews conducted frequently by television news programs to get a quick (although non representative) reading of public opinion. I would also argue that the typical use of  college students in much psychological research is primarily a matter of convenience. In clinical practice, we might use clients who are available to us as our sample. In many research contexts, we sample simply by asking for volunteers. Clearly, the problem with all of these types of samples is that we have no evidence that they are representative of the populations were interested in generalizing to and in many cases we would clearly suspect that they are not. Purposive Sampling: In purposive sampling, we sample with a purpose in mind. We usually would have one or more specific predefined groups we are seeking. They size up the people passing by and anyone who looks to be in that category they stop to ask if they will participate. One of the first things theyre likely to do is verify that the respondent does in fact meet the criteria for being in the sample. Purposive sampling can be very useful for situations where you need to reach a targeted sample quickly and where sampling for proportionality is not the primary concern. With a purposive sample, you are likely to get the opinions of your target population, but you are also likely to overweight subgroups in your population that are more readily accessible. For each type of sampling give the advantages and disadvantages. Advantages and Disadvantages of Probability sampling Simple Random Sampling: Advantages: It is easy to implement It requires a listing of population element. Since selection of its items in the sample depends on change there is no possibility of personal bias affecting the result. As compared to judgment sampling a random sample represents the universe in a better way. As the size of the sample increases, it becomes increasingly representative of the population. The analyst can easily assess the accuracy of the estimates because sampling errors follows the principle of chance. The theory of random sampling is further developed than that of any type of sampling, which enables the researcher to provide the most reliable information at least cost. Disadvantages The use of simple random sampling necessitates a completely catalogued  universe from which to draw the sample. That is it uses large sample size. The size of the sample requires ensuring the statistical reliability is usually under random sampling rather than stratified. From the point of view of field survey it has been claimed that the cases selected by random sampling tend to be too widely dispersed geographically and that the time and the cost of collecting data becomes very large. It produces large errors. Random sampling may produce the most non random looking results. Systematic Sampling Advantages It is simple to design and convenient to adopt. It is easier to use than simple random sampling It is easy to determine sampling distribution Less expensive than random sampling. The time and work involved in sampling by this method are relatively less. The result obtained are found to be generally satisfactory provided care is taken to see that there are no periodic features associated with the sampling intervals. If the population are sufficiently large, systematic sampling can often be expected to yield results similar to those obtained by proportional stratified sampling. Disadvantages Using intervals may squeeze the sample and the result. If the population list has a monotonic trend a bias estimate will result from the starting point. The main issue is that it becomes fewer representatives if the analyst is dealing with populations having hidden periodic that is not all the elements are known. Stratified Sampling Advantages The researcher control the sample size in each group Increase efficiency It is more representative as population is first divided into various strata and then sample is drawn from each stratum. Thus there is little chance that any essential group of the population is being completely excluded. There is greater accuracy as each stratum will consist of uniform or homogenous items. Disadvantages Provide data to represent and analyse sub groups. Increase error in reason if sub group are selected at different rate. It is expensive because it is widely distributed geographically and the sample costs per observation are high. If the sample is not homogeneous the result may not be reliable. It requires assistance of skilled sampling supervisors. Cluster Sampling Advantages It provides a unilateral estimate of population. It is more efficient It is easy to do without population unit. It enables each sub division of the population to be used at various stages and permits the fieldwork to be more concentrated. It is valuable in surveys of underdeveloped areas. Can be cheaper than other methods e.g. fewer travel expenses, administration costs Disadvantages It is more error prone. Higher sampling error, which can be expressed in the so-called design effect, the ratio between the number of subjects in the cluster study and the number of subjects in an equally reliable, randomly sampled unclustered study. Multi Stage Sampling Advantages The main purpose of the creation and present-day use of multi-stage sampling is ti avoid the problems of randomly sampling from a population that is larger than the researchers resources can handle. Multi-stage sampling gives researchers with limited funds and time a method to sample from such populations. This sampling procedure in essence is a way to reduce the population by cutting it up into smaller groups, which then can be the subject of random sampling. As long as the groups have low between-group variance, this form of sampling is a legitimate way to simplify the population. The multi-stage form of sampling is flexible in many senses. First, it allows researchers to employ random sampling or cluster sampling after the determination of groups. Second, researchers can employ  multi-stage sampling indefinitely to break down groups and subgroups into smaller groups until the researcher reaches the desired type or size of groups. Last, there are no restrictions on how researcher s divide the population into groups/ This allows a large number of possibilities for methods of convenience, the maximization or minimization of variance or interpretability. Disadvantages The flexibility of multi-stage sampling is a double-edged sword. Because of the lack of restrictions on the decision processes involved in choosing groups, multi-stage sampling has a level of subjectivity. Thus, there will always be questions as to whether the chosen groups were optimal. Researchers must find a way to justify their choices when presenting the studys findings. Due to the fact that multi-stage sampling cuts out portions of the population from the study, the studys findings can never be 100% representative of the population. Even though the theory of multi-stage sampling is to focus on the within-group variance and de-emphasize the between-group variance (which should be minimized), there is no way to know if the demographics cut from the study could have provided any useful information to the researchers. (http://www.ehow.com/info_8544049_advantages-disadvantages-multistage-sampling.html#ixzz27Sqmq8C8) Advantages and Disadvantages of Non probability sampling (Non Rando m Sampling) Convenience Sampling Advantages Convenience samples are cheap. Convenience samples can be used to intervene to satisfy dissatisfied customers. A key, often forgotten aspect of probability sampling is its dependence on external selection: inviting and then repeatedly reminding people to take a survey, which helps ensure representativeness. Putting a survey postcard with every bill presented at a restaurant is a convenience sample, since there is no follow-up and encouragement to take the survey: no true external selection. And in such cases dissatisfied customers are often more likely to complete such surveys – the survey does provide an opportunity to hear from such customers and ask them for contact information in order to take action to improve their satisfaction. Convenience samples  can provide rich qualitative information. When illustrative quotes are important, surveys to convenience samples can be a great source of rich verbatim comments on specific topics. The survey can also provide detailed demographic profiles to shed further light on the comments. Convenience samples may provide accurate correlations. Some argue that correlation research is accurate enough with convenience samples, since the study is not of proportions of the target audience but of the relationship between variables. Disadvantages Convenience samples do not produce representative results. If you need to extrapolate to the target population, convenience samples aren’t going to get you there. The natural tendency is to extrapolate from convenience samples. The tendency when using convenience samples is to treat the results as representative, even though they are not. Many people do not understand the theoretical underpinnings of probability sampling and treat any survey results as accurate representations of the target audience. While mainstream media outlets often will not publicize the results of surveys that used convenience samples, small media organizations often will, without describing the methodology as a convenience sample. The results of convenience samples are hard to replicate. If you analyze the results of a convenience survey by list source, you will often find dramatic differences in the answers from the different lists, often in ways that confound easy explanation Quota Sampling Quota sampling is particularly useful when you are unable to obtain a probability sample, but you are still trying to create a sample that is as representative as possible of the population being studied. In this respect, it is the non-probability based equivalent of the stratified random sample. Unlike probability sampling techniques, especially stratified random sampling, quota sampling is much quicker and easier to carry out because it does not require a sampling frame and the strict use of random sampling techniques (i.e. probability sampling techniques). This makes quota sampling popular in undergraduate and master’s level dissertations where there is a need to divide the population being studied into strata (groups). The quota sample improves the representation of particular strata (groups) within the  population, as well as ensuring that these strata are not over-represented. For example, it would ensure that we have sufficient male students taking part in the research (60% of our sample size of 100; hence, 60 male students). It would also make sure we did not have more than 60 male students, which would result in an over-representation of male students in our research. The use of a quota sample, which leads to the stratification of a sample (e.g. male and female students), allows us to more easily compare these groups (strata). Disadvantages of quota sampling In quota sampling, the sample has not been chosen using random selection, which makes it impossible to determine the possible sampling error. Indeed, it is possible that the selection of units to be included in the sample will be based on ease of access and cost considerations, resulting in sampling bias. It also means that it is not possible to make generalisations (i.e. statistical inferences) from the sample to the population. This can lead to problems of external validity. Also, with quota sampling it must be possible to clearly divide the population into strata; that is, each unit from the population must only belong to one stratum. In our example, this would be fairly simple, since our strata are male and female students. Clearly, a student could only be classified as either male or female. No student could fit into both categories (ignoring transgender issues). Furthermore, imagine extending the sampling requirements such that we were also interested in how career goals changed depending on whether a student was an undergraduate or postgraduate. Since the strata must be mutually exclusive, this means that we would need to sample four strata from the population: undergraduate males, undergraduate females, postgraduate males, and postgraduate females. This will increase overall sample size required for the research, which can increase costs and time to carry out the research Purposive or Judgemental Sampling The advantages of Judgment sampling are: Lower cost of sampling Lesser time involved in the process A select number of people who are known to be related to the topic are part of the study which means that there are lesser chances of having people who  will distort the data Good method for pretesting instruments like questionnaires. Some disadvantages are: It can be subject to experimenter’s bias and stereotypes that may distort the results. The group selected may not represent all the population It might not be possible to accurately identify the sample using this method in case the population is very large.

Nanotechnology Essay -- Cause Effect Papers

Nanotechnology Jeremy Rifkin wrote, in his article Biotech Century: Playing Ecological Roulette with Mother Natures Design, "Humans have been remaking the Earth for as long as we have had a history." Well the path of history humans have chosen to take also affects how we remake the Earth. In Neal Stephensons novel, The Diamond Age, one is shown how the technology of the time reshapes the political, economical and educational aspects of history. That technology is the manipulation of molecules into atomic-sized machines called nano-machines. Stephenson brilliantly shows how such a powerful and truly revolutionary technology like nanotechnology could change life, as we now know it, or they in the future know life. Nanotechnology, as nanotechnology exists in The Diamond Age, is well developed and highly used. Matter compilers use nanotechnology to make most mass-produced consumer products, and most matter compilers are powered by resource suppliers called Feeds. Those who control the Feeds control nan otechnology and have a great amount of political and economical power. These same individuals or groups of individuals called phyles usually represent those who hold most the wealth and political sway in the world. That power and wealth then causes the wealthy citizen or phyle to take for granted what they have so well. Such things include the best education, the nicest material possessions, inheritance, and even responsibility. However, what if that same technology that made the privileged, the privileged, was given to the masses, rich or poor, with the tools and talents to implement such technology? In a sense, making that same power that the upper class took for granted a great equalizer for society to play around with. This is w... ...would be excluded from nanotechnologys reach. Political power could be created and destroyed in a day; education would no longer be a problem in a sense of the uneducated being a problem; the world would no longer seem to get smaller because we could make the world bigger if need be- and if there was no more room to expand out, we could always expand up. The power of nanotechnology might seem like a blessing, but if nanotechnology were really as capable as Neal Stephenson made it, then I would be putting in for assignment relocation- probably to a more primitive planet Works Cited Rifkin, Jeremy. Biotech Century: Playing Ecological Roulette with Mother Natures Design, The Presence of Others. 3rd Edition. Eds. Lunsford, Andrea. Ruszkiewicz. Boston: Bedford/St. Martins. 2000. (244-254) Stephenson, Neal. The Diamond Age. New York: Bantam Books. 1995.

The World Is an Apple

The play â€Å"The World is an Apple† is one of the most famous Filipino play by famed playwright, Alberto S. Florentino. In the story, it was shown how the main character Mario was forced to choose a path that he has long promised to not walk through again because of poverty. The story shows one sad reality of life that when an individual was backed up on a wall, he will do anything even if it's not accepted in his society. The scenario of the story is not far from what's happening with members of our society now that due to limited educational attainment that would qualify them for a proper-paying job that would be adequate for their families' needs. The sequence of the story and the technical aspect of the play should be commended. This has shown what Florentino is capable of. It's as if that the fluidity of the dialogues used in the play could have no fault and it came freely out from the playwright's mind into the sheets he spread out in front of him. It's no wonder that the play † The World is an Apple† is still one of the most used plays in the Philippines. This is a story of how wrong decisions become greater burdens to a family. Mario’s family happens to be in the lower bracket of society. He cannot even provide for his family’s basic needs. Albeit all this hardships, his wife Gloria, still manages to keep her good virtuous. She insists that the way they are living is a much better than the one they will have if they do wrong acts. But Gloria’s entire constant reminder to Mario did not prosper. Mario decided to come back to his old life of crime when he lost his job when he tried to steal an apple for his daughter. He keeps on insisting that his priority is to provide what his wife and daughter needs. He left with Pablo, his old crime buddy, even if Gloria pleaded very hard for him not to go with the man. This is a sad representation of what is happening in the society today. Due to lack of better opportunities to heighten one’s standard of living, some become entangled with the wrong crowd. By doing so, these individuals do not help their family at all; instead, they end up worsening their family’s problem. It is man’s basic instinct that drives him towards his survival. But, no matter what, he should not forget that society expects him to conform to its norms. One’s action is weighed right or wrong and thus should be kept towards the proper action. Another User Said: â€Å"This is a story of how wrong decisions become greater burdens to a family. Mario's family happens to be in the lower bracket of society. He cannot even provide for his family's basic needs. Albeit all this hardships, his wife Gloria, still manages to keep her good virtuous. She insists that the way they are living is a much better than the one they will have if they do wrong acts. But Gloria's entire constant reminder to Mario did not prosper. Mario decided to come back to his old life of crime when he lost his job when he tried to steal an apple for his daughter. He keeps on insisting that his priority is to provide what his wife and daughter needs. He left with Pablo, his old crime buddy, even if Gloria pleaded very hard for him not to go with the man. This is a sad representation of what is happening in the society today. Due to lack of better opportunities to heighten one's standard of living, some become entangled with the wrong crowd. † Another Users Summary: Mario's family happens to be in the lower bracket of society. As Mario got home one night, Gloria, his wife, asked for money, which they needed to feed their daughter. Mario told her that he doesn't have money. Gloria didn't believe him, and asked him to tell the truth. Mario told his wife the truth – he was fired from his job. The reason is because of an apple. He stole an apple for his daughter because he thought that she would like it – this part shows his love for his daughter. He left with Pablo, his old crime buddy, even if Gloria pleaded very hard for him not to go with the man. Another User Said: When Mario got home. Gloria saw Mario and she was asking for some money to feed there children to Mario. Mario said that he have no money because he did something. Gloria didn't believe on what Mario said and said to tell the truth. When Mario answered it, Gloria was shocked on what she heard because Mario lost his job. Gloria asked Mario if how he lost his job and Mario answered it and Gloria was shocked again because Mario said that he lost his job because of an apple. Gloria said that how can he loose his job by just taking one not a dozen not a crate but one apple and Mario answered that he just saw it rolling and he found himself putting it in his bag because Tita would love to have it, and Mario told Gloria that there's no need to worry because he found a new job. Suddenly Pablo was there ruining the whole conversation and asked them if how is there daughter doing and he'll loan a few pesos to help there daughter and Gloria said that no thank you because Mario stopped depending on Pablo. Pablo said that Mario's new job was with Pablo and when Gloria heard it he told Mario that it's a bad doing and risky. But Mario didn't listen and walks away with Pablo and told Gloria not to worry because he will come back early morning and don't wait for him. Gloria cries and shouting Mario, while Tita was crying also because he heard the conversation. This story is written by a Filipino author Alberto Florentino and has many morals, but one major point stands out: no matter what circumstances you are facing in life (failed marriage, infidelity, illness, poverty) you have a role†¦ responsibility and you have the power to choose to do the right thing; In the end we all have the power of choice. Plot Summary: An apple factory worker is fired from work after stealing an apple. He claims that he stole it to feed his sick daughter, what he left out is that he actually had been using his salary to pay for prostitutes, hence, the money that was intended for the family was diverted to satisfy his selfish desire for sex.

Caring of Parents

Caring for Elderly Parents How to care for elderly parents is a major concern of many Foreign Service families. Our concerns mirror those of other American families, but how to ensure good health care, find the right living situation, and handle legal questions is often complicated for Foreign Service families by being posted abroad. The distance involved makes it harder to get information and help so contingency planning is essential. Often Foreign Service families only have short visits during R & R or on home leave and hate to spend the precious time with their parents talking about serious business or unpleasant possibilities. Or we may be caught up in hectic preparations for an overseas assignment and not want to take the time to do contingency planning with parents. While it is difficult to discuss the issues of aging, the family who has discussed the options and agreed on plans will be better able to handle whatever happens. It will be worth the time taken, if there is an emergency. The ideal situation is when the parents take control of their own situations and make decisions in advance of an emergency. They should investigate the types of retirement options and decide which is most appropriate, make informed decisions about life-sustaining medical care, and make sure that documents, instructions, and powers of attorney are available to those who must take responsibility in an emergency. The American Association of Retired Persons recommends that elderly people use a document locator list (scroll to bottom of this page) to make sure their papers are in order. This list can then be given to the person(s) who will be responsible for them should an emergency arise. Going through the list with your parents should ensure that their wishes are understood. Communicating with Elderly Parents Talking with our elderly parents about their living situations and the possible need for change is not always easy. A successful conversation depends to an extent upon the relationship we have with the parent, as well, of course, as on the parent's mental, emotional and physical condition. While many people put off serious conversations to avoid conflict or awkwardness, both parent and adult child may lose an opportunity for closeness, understanding, access to information that may affect the decision, and optimum peace of mind. To the extent possible, talk with your elderly parents gently and honestly about their wishes, their abilities and their options. Far more often than not, these conversations are helpful and put the adult child in a better position to make decisions later when the parent may not be able to do so. The following are suggestions for conversations with your elderly parent: * Share your own feelings, and reassure the parent that you will support them and can be depended upon to help them solve their problems. * Help the parent to retain whatever control is possible  in making his or her own decisions. Respect and try to honor their wishes wherever feasible. * Encourage the smallest change possible  at each step, so that the parent is more able to adjust to the change. Educate yourself on legal, financial and medical matters  that pertain to your parent as background for your conversations, including current knowledge on the aging process. * Respect your own needs  Ã¢â‚¬â€œ be honest with your parents about your time and energy limits. If this kind of conversation seems impossible or the situation and relationship with the elderly parent become overwhelming, professional counseling may be very helpful. You may also consider using the Department of State's resources to appro ach this delicate issue somewhat indirectly. Filling out FIVE WISHES for yourself and sharing your decisions with your parents may encourage them to open up on the subject. You may also wish to raise the subject of long-term care insurance as a practical matter. (For more information about FIVE WISHES and Long-Term Care Insurance, see below). When a Lifestyle Change May Be Necessary Physicians and geriatric social workers warn that there are a number of danger signs that indicate an elderly person needs extra help or a change in living arrangement. Any marked change in personality or behavior should be heeded. However, no change in lifestyle should be made without discussions with the elderly person, other family members, and doctors or other health professionals. Danger Signals * Sudden weight loss  could be an indication that the elderly person is simply not eating or not preparing foods. * Failure to take medication or over-dosing  may indicate confusion, forgetfulness, or a misunderstanding of the doctor's instructions. * Burns or injury marks  may indicate physical problems involving general weakness, forgetfulness, or a possible misuse of alcohol. Deterioration of personal habits  such as infrequent bathing and shampooing, not shaving, or not wearing dentures could be the result of either mental or physical problems. * Increased car accidents  can indicate slowed reflexes, poor vision, physical weakness, or general inability to handle a vehicle. * General forgetfulness  such as not paying bills, missing appointments, or consistently forgetting name, address, phone number, and meal times could be a signal. * Extreme suspiciousness  could indicate some thought disorder. Your parents thinking that their neighbors, friends, family, doctor, and lawyer are all conspiring against them would be an example. Intense ungrounded fears about dire consequences may be a danger signal. * A series of small fires  could be caused by dozing off, forgetting to turn off the stove or appliances, or carelessness with matches. They may indicate blackouts or dizzy spells. * Bizarre behavior of any kind  could be a warning sign. This behavior could be dressing in heavy gloves and overcoat in 90 degree weather or going outside without shoes when it's snowing. Watch for uncharacteristic actions or speech. Disorientation of a consistent nature  may indicate a need for help. Examples include not knowing who one is, where one is, who the family is, or talking to people who are not there. Elder Care Options If you see danger signals in your parent's behavior, it is important to discuss the changes and do some research. (See IQ: Information Quest below for information about the Department of State's free resource referral service. ) There are many housing options available to the elderly. Choosing the best one will depend on the elderly person's preference, age, health, and financial condition. Aging in Place Under this option, the elderly person continues to live in his/her own apartment. Many elderly people live in Naturally Occurring Retirement Communities (NORCs), apartment buildings, condominiums, or cooperatives not designed as retirement communities but where at least 50 percent of the residents are 62 years old or older. These buildings often have amenities such as grocery stores, pharmacies, limousine service, or shopping services. Recent technological advances often make aging in place easier: Velcro asteners, lightweight wheelchairs, devices to control appliances and dial telephone numbers. There is even a â€Å"walk-in bathtub† for people who have difficulty climbing into an ordinary bathtub. Many services are available to help the elderly person stay in his/her home. Information about them can be obtained from contacting IQ: Information Quest (see below) or  your local Area Agency on Aging. * Home care services  are available in many communities, pro viding appropriate, supervised personnel to help older persons with either health care (giving medications, changing dressings, catheter care, etc. or personal care (bathing, dressing, and grooming). * Meals and transportation  are available to older people to help them retain some independence. Group or home-delivered meal programs help ensure an adequate diet. Meals-On-Wheels programs are available in most parts of the United States. A number of communities offer door-to-door transportation services to help older people get to and from medical facilities, community facilities, and other services. * Adult day care  is similar to child day care. The elderly person goes to a community facility daily or 2 or 3 days per week. Activities include exercise programs, singing, guest lectures, and current events discussions. Cost varies and there are often long waiting lists at such centers. * Respite care  brings a trained person into the home to give the full-time caregiver time off to get a haircut, visit the dentist, or take a vacation. Service is generally offered through area Departments of Social Services and is based on a sliding fee scale. Other Housing Options There are several types of retirement communities that provide living arrangements and services to meet the needs of both independent seniors and those who need assistance. Large hotel corporations are in this field and other facilities are set up for members of a certain organization (retired military, Elks, etc. ). It is important when investigating these housing options to understand completely the services provided and the cost. * Adult congregate communities  are designed for the fully able-bodied, 55 and older. Residents buy co-ops or condominiums and pay a monthly fee for grass mowing, leaf raking, and snow shoveling. A pay-as-you-go medical center is on site and a nurse is on duty 24 hours a day to make home visits in emergencies. Leisure World is the most famous example of an adult congregate ommunity. * Assisted living communities  are rental retirement communities for independent seniors who need some assistance. A homelike atmosphere, three meals a day, maid, linen, and laundry service, availability of a registered nurse, and many personal care services are provided in the all-inclusive rent. * Rental retirement communities  with fee-f or-service nursing units charge residents an entrance fee plus a substantial monthly rent. When the need for nursing care arises, residents pay an extra daily fee and stay in a nursing unit, usually located on site or nearby. Life care or continuing care communities  provide a continuum of care from independent living to nursing home care on the premises. The individual must be independent when s/he enters the community. These communities require a substantial entrance fee and monthly service fee. Residents get one meal a day in a dining room, maid service, linen service, maintenance, transportation to shopping and cultural events, travel planning, and a pull cord to an emergency nurse. If nursing care is needed, it is provided at no extra cost. Personal care homes (board and care)  are licensed in many communities to provide shelter, supervision, meals, and personal care to a small number of residents. * Subsidized housing for the elderly  is an option for the elderly poor in reasonably good health. Subsidized by Department of Housing and Urban Development, income limits apply. No round-the-clock care is provided but nurses come in to check blood pressure and assess a resident's functioning. Residents take meals in a dining room and may have use of a library, recreation area, or beauty shop. Nursing Facilities If the elderly person is not capable of independent living, a nursing home may be the appropriate option. Nursing homes offer two levels of care – skilled nursing and intermediate care – depending on the patient's needs. Most nursing homes offer both levels of care on a single site. * Skilled nursing facilities  provide 24-hour nursing services for people who have serious health care needs but do not require the intense level of care provided in a hospital. Rehabilitation services may also be provided. * Intermediate care facilities  provide less extensive health care than skilled nursing facilities. Nursing and rehabilitation services are provided but not on a 24-hour basis. These facilities are for people who cannot live alone but need a minimum of medical assistance and help with personal and/or social care. Paying for Long-Term Care It is important to understand the different types of insurance that are available to older people. Many people believe that Medicare will cover long-term care needs. It will not. Medicare Medicare is a Federal health insurance program which helps defray many of the medical expenses of most Americans over the age of 65. Medicare has two parts: (Part A) Hospital Insurance  helps pay the cost of inpatient hospital care. The number of days in the hospital paid for by Medicare is governed by a system based upon patient diagnosis and medical necessity for hospital care. Once it is no longer medically necessary for the person to remain in the hospital, the physician will begin the discharge process. If the person or the family disagrees with this decision, they may appeal to the state's Peer Review Organization. Medicare  does not  pay for custodial care or nursing home care. It will, however, cover up to 60 days in a nursing home as part of convalescence after hospitalization. (Part B) Medical Insurance  pays for many medically necessary doctors' services, outpatient services, and some other medical services. Enrollees pay a monthly premium. Medicaid Medicaid is a joint federal-state health care program for people with a low income. The program is administered by each state and the type of services covered differs. There are strict income requirements so it is necessary for the person to â€Å"spend down† all income and assets to poverty levels before becoming eligible. Medicaid is the major payer of nursing home care. The Medicaid requirement to â€Å"spend down† all income and assets created a great hardship for the spouse of a person needing nursing home care. Changes in the Medicaid rules now allow the spouse to keep a monthly income and some assets, including the primary residence. The amounts allowed change, so you must check for current levels. Other Insurance Why buy other insurance? The purchase of additional insurance gives the policy holder access to a greater choice of facilities without dipping into additional financial resources. Medigap  is the name given to rivately-purchased supplemental health insurance. It is designed to help cover some of the gaps in Medicare coverage but does not cover long-term care. Study Medigap policies carefully to be sure they provide the protection needed and do not duplicate other health insurance. Long-Term Care Insurance  is a private insurance that is usually either an indemnity policy or p art of an individual life insurance policy. An indemnity policy pays a set amount per day for nursing home or home health care. Under the life insurance policy, a certain percentage of the death benefit is paid for each month the policyholder requires long-term care. Policies are priced differently depending on the age of the policyholder, the deductible periods chosen, and indemnity value or duration of benefits. Information about other long-term insurance policies are available from: The American Foreign Service Association (AFSA) Retiree Liaison 2101 E Street, NW Washington, DC 20037 Tel:  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  202-338-4045  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  , ext. 528 Fax: 202-338-6820 E-mail:  [email  protected] org http://www. afsa. org American Foreign Service Protective Association (AFSPA) 1716 N Street, NW Washington, DC 20036 Tel:  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  202-833-4910 Fax: 202-883-4918 ttp://www. afspa. org As with Medigap health insurance, it is important to read the policy carefully and understand its restrictions before purchasing. Who Can Help? IQ: Information Quest (formerly LifeCare? ) IQ: Information Quest is a free 24-hour/ 7 days per week counseling, education and referral service t hat can help Department of State employees find the programs, providers, information, and resources they need to manage personal and professional responsibilities. IQ: Information Quest makes referrals, not recommendations. IQ: Information Quest counselors will help etermine what services are needed and available in any U. S. locality and refer to appropriate providers. In addition to other services, they provide referrals in the area of adult care services (anywhere in the U. S. ), including case management, emergency and respite care, home health care, long-distance care giving and legal and financial issues. Their web site features information on caring for an aging loved one, discussing caregiving options with your loved one, adult care information worksheet, caregivers of older adults, managing work while caring for your loved one, and geriatric care management services. IQ: Information Quest will also provide an â€Å"Eldercare Kit† upon request which features caregiving guidance, checklists, and resources information, as well as a few useful practical items such as a pill sorter, night light and jar opener. Permanent employees of the Department of State, The U. S. Agency for International Development, the Department of Justice, the Department of Labor, and FMAs overseas are eligible to use IQ: Information Quest. For the Department of State, this includes both Civil Service and Foreign Service employees serving at any Department assignment location nationwide and worldwide. Other employees working for the Department are not covered at this time (contractors, Foreign Service Nationals, PITs, PSCs). Spouses, children or others who are members of the employee's immediate household may use IQ: Information Quest. They verify eligibility by providing the name and date of birth (month and day) of the eligible employee. Employees of agencies other than the Department of State should check with their headquarters for guidance in how to contact and use IQ: Information Quest services. IQ: Information Quest Tel:  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1-800-222-0364  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  or  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1-888-222-0364  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  for the hearing impaired http://www. worklife4you. com For access to the passworded area of the site, contact your agency's HR Bureau. The Employee Consultation Service (ECS) The Employee Consultation Service (ECS) at the Department of State should be the first stop for Foreign Service members with eldercare concerns. The clinical social workers offer brief counseling and help in coordinating an evaluation and assessment anywhere in the United States. ECS social workers act as a liaison in providing appropriate and necessary services for the elderly. All services are free and confidential. In Washington, make an appointment for a personal consultation; from overseas write or cable for advice. ECS also conducts support groups for employees and their families who are responsible for an aging relative. The groups meet at the State Department to share issues, resources, and approaches to the problems that arise as an elderly person declines, including the issue of emotional stress that occurs for family members watching such decline. Employee Consultation Service (M/MED/ECS) Columbia Plaza, Room H246 Washington, DC 20520 Tel:  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  202-663-1815 FAX: 202-663-1456 Email:  [email  protected] gov The Administration on Aging (AoA) The Administration on Aging (AoA) is part of the U. S. Department of Health and Human Services. It was set up to â€Å"remove barriers to the economic and personal independence of older persons and to assure the availability of a range of appropriate community and family based services for older persons in social or economic need. AoA supports a network of the state and  Area Agencies on Aging  that reinforce and supplement the daily support that the elderly receive from family, friends, and neighbors. Administration on Aging Department of Health and Human Services 330 Independence Avenue, SW Washington, DC 20201 Tel:  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  202-619-0724 http://www. aoa. gov To get information on eldercare servi ces in a particular community, contact the Area Agency on Aging. One can locate a specific state agency on aging through the Eldercare Locator Service via telephone (  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1-800-677-1116  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  ) or the website at  http://www. ldercare. gov. The  Eldercare Locator Service  is sponsored by the AoA and operated by the National Association of Area Agencies on Aging. National Association of Area Agencies on Aging 927 15th Street, NW Washington, DC 20005 Tele:  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  202-296-8130 http://www. n4a. org Services provided by Area Agencies on Aging include information and referral, homemaker/home health aides, transportation, congregate and home delivered meals, chore and other supportive services. Types of services available vary in each community based upon needs and resources. Private Geriatric Care Managers Private geriatric care managers are professional social workers and nurses who assist the elderly and their families by assessing need, coordinating services, and monitoring care for a fee. They are particularly helpful when long-distance care giving is necessary. Fees vary and are sometimes covered by Medicare or private insurance. The Department of State's Employee Consultation Service or IQ: Information Quest, the local Area Agency on Aging, and community agencies can provide referrals nationwide. If the older person has been hospitalized, hospital discharge planners can also provide information and referrals for after-care. Services Offered by the Private Sector Some private companies have set up programs to help their employees with eldercare. Foreign Service spouses who work in the private sector should investigate any eldercare options offered by their employers. These programs can include seed money for eldercare services, flexible work schedules for caregivers, subsidies for eldercare expenses, unpaid leave for up to a year, referral services, inter-generational day care centers (for both the elderly and children), geriatric assessment and case management, and group rates for long-term care insurance. Unfortunately, many of the services provided by companies require that the elderly person meet the tax-law definition of a dependent. This increases the burden for families whose elderly relatives are not financially dependent or who are not living with the employee. Eldercare in the Foreign Service Putting Parents on Your Orders Foreign Service employees may request that their elderly relative(s) (including step parents and legally adopted parents) be approved as an eligible family member and added to their Post Assignment Travel Orders for an overseas assignment. The employee must complete an OF-126 Foreign Service Residence and Dependency Report. This form can be found on the Department of State Infoforms with instructions on completion. Each new OF-126 replaces the old OF-126, therefore all blocks must be filled out each time a new OF-126 is done. The new OF-126 must be forwarded to the employee's personnel technician in HR/CDA/ASD, Room 2419, Truman Building (Main State). Travel orders can not be authorized for newly-acquired eligible family members until the personnel technician receives the OF-126 form. Along with a completed OF-126 form, the officer must prove that the relative is at least 51 percent dependent for support (subject to review and approval per 6 FAM 117; USAID employees should also see Supplement 1B to HB 32, Chapter 1). The officer must quantify that he/she has provided more than 51% of support by submitting an affidavit or notarized statement testifying to that fact. This is termed passing the â€Å"financial support test. † An explanation regarding the parent's residency is also required, with an explanation as to why the application is being made to add the parent to the travel orders. Other documentary evidence may be required by the employee's agency. These documents are attached to the completed OF-126 form and sent to the officer's agency as specified on the forms. Requests are reviewed for approval by a Personnel OF-126 Committee. Employees of the Department of State can obtain advice on how to put your parents on your orders through the Career Development and Assignments (CDA) division of the Bureau of Human Resources. Ask for an Assignments Support (CDA/AS) officer. Employees of other agencies should contact their HR representative. See section below, Taking an Elderly Relative to Post, for details regarding official government support. Bringing Parents to Post Who Are Not on Your Orders If your relatives are not financially dependent on you, they may come to post as members of the employee's household, but will receive no official support from the U. S. Government. No official support translates into no access to the U. S. embassy health unit, no airfare or allowance payments in the case of evacuation from post, and no diplomatic status with the host country. Parents who come to live overseas for an extended period of time should consider having additional medical insurance (Medicare does not cover costs related to care overseas). In addition, parents should also maintain Air Medical Evacuation Insurance. A list of companies that provide this insurance can be found on theDepartment of State Consular Affairs  web site. Family Medical Leave Act and Family-Friendly Leave If you think you may need to care for an elderly relative, be sure to check the provisions of the 1993 Family Leave Act on taking leave for this purpose and contact the a leave specialist in your agency. Department of State employees can contact a Department leave specialist in the Office of Employee Relations (HR/ER/WLP) about paid and unpaid leave at  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  202-261-8180  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  . Eldercare Emergency Visitation Travel (Eldercare EVT) In January 2001, the Eldercare Emergency Visitation Travel (Eldercare EVT) provision was implemented, permitting travel at government expense for employees and eligible spouses serving at an overseas post who need to assist parents in declining health. Eldercare EVT allows an employee two trips over a career to visit his or her parents. It is meant to support one mother and one father of the employee and of the eligible spouse. It does not mean a couple may pool their four eldercare visits to assist the parent(s) of only one member of the married couple. For more information, email the Family Liaison Office ([email  protected] gov) for a copy of â€Å"Questions and Answers on Eldercare Emergency Visitation Travel. † Taking an Elderly Relative to Post If elderly relatives are classified as eligible family members, they travel on diplomatic passports and have the same diplomatic immunity as a spouse or child. If not classified as such, elderly parents use tourist passports and do not have diplomatic status. Housing assignments are based on the number of official eligible family members the employee brings to post. Travel to and from post (with the exception of medical travel) is also available to all elderly parents designated as eligible family members. Elderly parents, regardless of their status, are  not covered  by the Foreign Service medical insurance program. While the use of post's health facilities is not promised as a benefit, these limited facilities are sometimes available depending on the location and an authorization by the Ambassador. The medical officer has the authority to refuse to provide services should a patient have a complicated problem that the physician is unable to treat. Employees may, however, ask the Health Unit for names of local physicians who can provide medical services for their elderly parent. This kind of assistance from the Health Unit may also be requested during the bidding process, to determine if a post has adequate local heath care providers to meet the medical needs of a parent. The Department of State Office of Medical Services has a brochure entitled  Medical Questions and Answers about Taking Your Parent Overseas. The brochure addresses the questions of obtaining prescription medicines overseas, high altitude climates and the elderly, health unit access, hospitalization overseas, and more. For a copy of the brochure or more information about medical questions related to taking your parent overseas, contact the Office of Medical Services, Foreign Programs (MED/FP). Because elderly parents are not covered under the Foreign Service medical insurance program, they also do not have access to embassy medical evacuation (medevac) services. Therefore, all parents coming to post for either a short or an extended period of time should purchase (and maintain) Air Medical Evacuation Insurance. A list of companies that provide this insurance can be found on the  Department of State Consular Affairs website. Medical Insurance It is essential that a parent going overseas, either officially or unofficially, have adequate medical insurance. Medicare only pays medical expenses in the United States, and in Canada and Mexico under certain very limited circumstances. The insurance companies listed below provide a variety of coverage and can be contacted for more information. Pay special attention to â€Å"age limit† noted in the policy. Clements and Company Under its GlobalCare Plus program, Clements and Company provides overseas major medical insurance, including full world-wide evacuation services. Coverage is offered for individuals as well as families. Substantial coverage is available at a reasonable cost. GlobalCare Plus is for policies lasting 6 months to one year. Clements also write policies for shorter-term travel (15 days to 4 months) through Patriot Travel Medical Insurance.

John Wayne Gacy, the Third Most Prolific Serial Killer in U.S. History

John Wayne Gacy, the Third Most Prolific Serial Killer in U.S. History John Wayne Gacy was convicted of the torture, rape, and murder of 33 males between 1972 until his arrest in 1978. He was dubbed the Killer Clown because he entertained children at parties and hospitals as Pogo the Clown. On May 10, 1994, Gacy was executed by lethal injection. Gacys Childhood Years John Gacy was born on March 17, 1942, in Chicago, Illinois. He was the second of three children and the only son born to John Stanley Gacy and Marion Robinson. From age 4, Gacy was verbally and physically abused by his  alcoholic father. Despite the abuse, Gacy admired his father and constantly sought his approval. In return, his father would hurl insults at him, telling him he was stupid and acted like a girl. When Gacy was 7 years old, he was molested repeatedly by a friend of the family. He never told his parents about it, fearing that his father would find him at fault and that he would be severely punished. Gacys Teen Years   When Gacy was in elementary school, he was diagnosed with a congenital heart condition which limited his physical activity. As a result, he became overweight and endured  teasing from his classmates. At age 11, Gacy was hospitalized for several months at a time after experiencing unexplained blackouts. His father decided Gacy was faking the blackouts because the doctors were unable to diagnose why it was happening. After five years of being in and out of the hospital, it was discovered that he had a blood clot in his brain, which was treated. But Gacys delicate health issues failed to protect him from his fathers drunken wrath. He received regular beatings, for no particular reason other than his father disdained him. After years of abuse, Gacy taught himself not to cry. This was the only thing he consciously ever did that he knew would provoke his fathers anger. Gacy found it too difficult to catch up with what he had missed in school while hospitalized, so he decided to drop out. His being a  high school dropout  solidified his fathers constant accusations that Gacy was stupid. Las Vegas or Bust At the age of 18, Gacy was still living with his parents. He became involved with the Democratic Party and worked as an assistant precinct captain. It was during this time that he began to develop his gift for gab. He enjoyed the positive attention he received in what he felt was a prestigious position. But his father quickly squelched whatever good came out of his political involvement. He belittled Gacy’s association with the Party: he called him a Party patsy. Gacy’s  years of abuse  from his father finally wore him down. After several episodes of his father having refused to let Gacy use his own car, he had enough. He packed his belongings and escaped to Las Vegas, Nevada. A Frightening Awakening In Las Vegas, Gacy worked for an ambulance service for a short time but was then transferred to a mortuary where he was employed as an attendant. He often spent nights alone at the mortuary, where he would sleep on a cot near the embalming room.   On the last night that Gacy worked there, he got into a coffin and fondled the corpse of a teenage boy. Afterward, he was so confused and shocked by the realization that he had been sexually  aroused by a male corpse, that he called his mother the following day and without providing details, asked if he could return home. His father agreed and Gacy, who had only been gone for 90 days, quit his job at the mortuary and drove back to Chicago. Burying the Past Back in Chicago, Gacy forced himself to bury the experience at the mortuary and move forward. Despite not having completed high school, he was accepted at Northwestern Business College, where he graduated in 1963. He then took a management trainee position with the Nunn-Bush Shoe Company and was quickly transferred to Springfield, Illinois, where he was promoted to a management position. Marlynn  Meyers was employed at the same store and worked in Gacys department. The two began dating and nine months later they married. Community Spirit During his first year in Springfield, Gacy had become very involved with the local Jaycees, dedicating much of his spare time to the organization. He became adept at self-promotion, utilizing his salesmanship training to gain positive attention. He rose through the Jaycee ranks and in April  1964 he was awarded the title of Key Man. Fundraising was Gacys niche and by 1965 he was appointed the vice-president of the Jaycees Springfield division and later that same year he was recognized as being the third most outstanding Jaycee in the state of Illinois. For the first time in his life, Gacy felt confident and full of self-esteem. He was married, a good future before him,  and had persuaded people he was a leader. The one thing that threatened his success was his growing need to be  sexually involved with young male teens. Marriage and Fried Chicken After dating in Springfield, Illinois, Gacy and  Marlynn  married in September 1964 and then moved to Waterloo, Iowa where Gacy managed three Kentucky Fried Chicken restaurants owned by Marilyns father. The newlyweds moved into  Marlynns  parents home, rent-free. Gacy soon joined the Waterloo Jaycees, and once again quickly moved up the ranks. In 1967, he received recognition as Outstanding Vice-President of the Waterloo Jaycees and earned a seat on the  Board of Directors. But, unlike in Springfield, the Waterloo Jaycees had a dark side that involved illegal drug use, wife swapping,  prostitutes, and pornography. Gacy slid right into the position of managing and regularly participating in these activities. Gacy also began to act on his desires to have sex with male teenagers, many of whom worked at the fried chicken restaurants he managed. The Lure He turned a basement room into a hangout as a way to attract teens. He would entice the boys with free alcohol and pornography. Gacy would then take sexual advantage of some of the boys after they became too intoxicated to put up any resistance. While Gacy was molesting teens in his basement and doing drugs with his Jaycee pals, Marlyn was busy having children. Their first child was a boy, born in 1967, and the second child was a girl, born a year later. Gacy later described this time of his life as being nearly perfect. It was also the only time he finally gained any approval from his father. The Colonel A common trait shared by many  serial killers  is their belief that they are smarter than everyone and that they will never get caught. Gacy fit that profile. With his above-average earnings and his social connections through the Jaycees, Gacys ego and confidence level grew. He became pushy and commanding and would often brag about accomplishments, most of which were transparent lies.   The Jaycee members who were not into hookers and porn began putting a distance between themselves and Gacy, or Colonel, as he insisted on being called. But in March 1968 Gacys near-perfect world quickly fell apart. First Arrest In August 1967 Gacy had hired 15-year-old Donald Voorhees to do odd jobs around his house. Donald met Gacy through his father, who was also in the Jaycees. After finishing his work, Gacy lured the teen to his basement with the promise of free beer and  porn movies. After Gacy supplied him with an abundance of alcohol, he forced him into having oral sex. This experience seemed to unplug any fears Gacy had about getting caught. Over the next several months, he sexually abused several teenage boys. He convinced some of them that a scientific research program that he was involved in was looking for participants and they would be paid $50 for each session. He also used blackmail as a way to force them into sexual submission. But in March 1968 it all came crashing down on Gacy. Voorhees told his father about the incident with Gacy in his basement, who immediately reported it to the police. Another 16-year-old victim also reported Gacy to the police. Gacy was  arrested  and charged with oral sodomy of the 15-year-old and attempted assault of the other boy, charges he strongly denied.   As his defense, Gacy said that the accusations were a lie by  Voorhees  father who was trying to sabotage his efforts to become president of the Iowa Jaycees. Some of his Jaycee friends believed it was possible. However, despite his protests, Gacy was indicted on the sodomy charges. In an effort to intimidate Voorhees and keep him from testifying, Gacy paid an employee, 18-year-old Russell Schroeder, $300 to beat up the teenager and warn him against showing up in court. Voorhees went straight to the police who arrested Schroeder. He promptly  admitted his guilt  and Gacys involvement to the police. Gacy was charged with conspiracy-assault. By the time it was over, Gacy pled guilty to sodomy and received a 10-year sentence.   Doing Time On December 27, 1969, Gacys father died of cirrhosis of the liver. The news hit Gacy hard, but despite his obvious poor emotional state, the prison officials denied his request to attend his fathers funeral. Gacy did everything right in prison. He earned his high school degree and took his position as head cook seriously. His good behavior paid off. In October 1971, after completing just two years of his sentence, he was released and placed on  probation  for 12 months. Marlyn filed for divorce while Gacy was in prison. He was so angered by the divorce that he told her that she and the two children were dead to him, vowing never to see them again. Marlyn, no doubt, hoped that he would stick to his word. Back in Action With nothing to return to in Waterloo, Gacy moved back to Chicago to begin rebuilding his life. He moved in with his mother and got a job working as a cook, and then worked for a construction contractor. Gacy later bought a home 30 miles outside of Chicago, in Des Plaines, Illinois. Gacy and his mother lived in the house, which was part of the terms of Gacys probation. In early February 1971, Gacy lured a teenage boy to his home and tried to rape him, but the boy escaped and went to the police. Gacy was charged with  sexual assault, but the charges were dismissed when the teen did not show up in court. Word of his arrest never got back to his parole officer. First Kill On Jan. 2, 1972, Timothy Jack McCoy, age 16, was planning on sleeping at the bus terminal in Chicago. His next bus wasnt scheduled until the following day, but when Gacy approached him and offered to give him a tour of the city, plus let him sleep at his house, McCoy took him up on it.   According to Gacy’s account, he awoke the following morning and saw McCoy standing with a knife at his bedroom door. Gacy thought the teen intended on killing him, so he charged the boy and got control of the knife. Gacy then  stabbed the teen to death. Afterward, he realized that he had mistaken McCoys intentions. The teen had a knife because he was preparing breakfast and had gone to Gacys room to wake him up.   Although Gacy had not planned to kill McCoy when he brought him home, he couldnt dismiss the fact that he had become sexually aroused to the point of orgasm during the kill. In fact, the killing was the most intense sexual pleasure he had ever felt. Timothy Jack McCoy was the first of many to be buried in the crawl space under Gacys home. Second Marriage On July 1, 1972, Gacy married a high school sweetheart, Carole Hoff. She and her two daughters from a previous marriage moved into Gacys home. Carole was aware of why Gacy had spent time in prison, but he had downplayed the charges and convinced her that he had changed his ways. Within weeks of being married, Gacy was  arrested and charged  with sexual assault after a teen male accused him of impersonating a police officer to get him into his car, then forcing him to engage in oral sex. Again the charges were dropped; this time because the victim had tried to blackmail Gacy. In the meantime, as Gacy added more bodies in the crawlspace under his house, a horrible stench began to fill the air, both inside and outside of Gacys home. It got to be so bad that neighbors began to insist that Gacy find a solution to get rid of the odor.   Youre Hired In 1974 Gacy left his construction job and started a contracting business called Painting, Decorating, and Maintenance, or PDM Contractors, Inc. Gacy told friends that one way he planned to keep his costs down was by hiring teenage boys. But Gacy saw it as another way to find teens to lure to his basement of horrors.   He began posting available jobs and then invited the applicants to his house on the pretext of talking to them about a job. Once the boys were inside his home, he would overpower them using various tricks, render them unconscious and then begin his gruesome and sadistic torture that almost always led to their death. The Do-Gooder While he wasnt killing young men, Gacy spent time reestablishing himself as a good neighbor and good  community leader. He worked tirelessly on community projects, had several neighborhood parties, developed close friendships with his next-door neighbors, and became a familiar face, dressed as Pogo the Clown, at birthday parties and at the childrens hospital.   People liked John Wayne Gacy. By day, he was a successful business owner and community do-gooder, but by night, unknown to anyone but his victims, he was a sadistic killer on the loose. Second Divorce In October 1975 Carole filed for divorce after Gacy admitted to her that he was attracted to young men. She wasnt surprised by the news. Months before, on Mothers Day, he had informed her that they would not be having any more sex together. She was also bothered by all of the gay porn magazines lying around and she could no longer ignore all the teenage males coming in and out of the house. Having Carole out of his hair, Gacy focused on what really mattered to him most; keeping his do-gooder facade in the community so that he could continue to achieve sexual gratification by raping and killing young boys. From 1976 to 1978, Gacy had managed to hide the bodies of 29 of his victims under his house, but because of lack of space and the odor, he dumped the bodies of his last four victims into the Des Moines River. Robert  Piest On December 11, 1978, in Des Moines, 15-year-old Robert Piest went missing after leaving his job at a pharmacy. He told his mother and a co-worker that he was going to an interview with a construction contractor about a summer position. The contractor had been in the pharmacy earlier in the evening discussing a future remodel with the owner.   When  Piest  failed to return home, his parents contacted the police. The pharmacy owner told investigators that the contractor was John Gacy, owner of PDM Contractors. When Gacy was contacted by the police, he admitted being in the pharmacy on the night the boy disappeared but denied ever speaking to the teenager. This contradicted what one of  Piests  fellow employees had told the investigators. According to the employee,  Piest  was upset because he had been turned down earlier in the evening when he asked for a raise. But when his shift ended, he was excited because the contractor that was remodeling the pharmacy agreed to meet with him that night to discuss a summer job. Gacy’s denying that he had even spoken to the boy raised a lot of suspicions. Investigators ran a background check that revealed Gacys past criminal record, including his conviction and prison time for sodomizing a minor. This information put Gacy on the top of the list of possible suspects. On December 13, 1978, a  warrant to search  Gacys Summerdale Avenue home was granted. While investigators searched his home and cars, he was at the police station giving an oral and written statement about his activities at the pharmacy on the night  Piest  disappeared. When he learned that his house had been searched, he went into a fit of anger. The Search The  evidence  collected at Gacys house included a high school ring for the class of 1975 with initials J.A.S., handcuffs, drugs and drug paraphernalia, two drivers licenses that were not issued to Gacy, child pornography, police badges, guns and ammunition, a switchblade, a piece of stained carpet, hair samples from Gacys automobiles, store receipts, and several items of teen-styled clothing in sizes that would not fit Gacy.   Investigators also went down into the crawl space, but did not discover anything and left quickly due to the rancid odor that they attributed to being a sewage problem. Although the search solidified suspicions that Gacy was likely an active pedophile, it did not turn up any evidence linking him to  Piest. However, he was still their prime suspect.   Under Surveillance Two surveillance teams were assigned to watch Gacy 24 hours a day. The investigators continued their search for  Piest  and continued interviewing his friends and co-worker. They also began interviewing people who had contact with Gacy. What investigators learned was that Robert  Piest  was a good, family-oriented kid. John Gacy, on the other hand, had the makings of a monster. They also learned that  Piest  was not the first, but the fourth person who had disappeared after having contact with Gacy. Meanwhile, Gacy seemed to be enjoying a game of cat and mouse with the surveillance team. More than once he was able to sneak away from his house undetected. He also invited the team into his home and served them breakfast, and then he would joke about spending the rest of the day getting rid of dead bodies. The Big Break Eight days into the investigation the lead detective went to the  Piests  home to bring his parents up to date. During the conversation, Mrs. Piest mentioned a conversation that she had with one of the employees working on the night her son went missing. The employee had told her that she had borrowed her sons jacket when she went on her break and left a receipt in the jacket pocket. This was the same jacket that her son had on when he left to go talk to the contractor about a job and never returned. That same receipt was found in the evidence collected during the search of Gacys house. Further  forensic tests  were performed on the receipt that proved that Gacy had been lying and that  Piest  had been in his home. Gacy Buckles Those closest to Gacy were interviewed by detectives on multiple occasions. Afterward, Gacy demanded that they tell him everything that was said. This included the in-depth questioning of his employees regarding the crawl space under Gacys home. Some of these employees admitted that Gacy had paid them to go down into specific areas of the crawl space to dig trenches. Gacy realized it was just a matter of time before the extent of his crimes would be exposed. He began to buckle under the pressure, and his behavior turned bizarre. On the morning of his arrest, Gacy was observed driving to the homes of his friends to tell them goodbye. He was seen taking pills and drinking mid-morning. He also talked about committing suicide and confessed to a few people that he had killed thirty people. What finally led to his arrest was a  drug deal  that Gacy orchestrated in full view of the surveillance team. They pulled Gacy over and placed him under arrest.   Second Search Warrant While in police custody, Gacy was informed that a second search warrant of his home had been issued. The news brought on chest pains, and Gacy was taken to the hospital. In the meantime, the search of his house, particularly the crawlspace, had begun. But the extent of what would be uncovered shocked even the most seasoned investigators. The Confession Gacy was released from the hospital later that night and taken back into custody. Knowing that his game was up, he  confessed to murdering  Robert  Piest. He also confessed to thirty-two additional murders, starting in 1974, and hinted that the total could be as high as 45. During the confession, Gacy explained how he had restrained his victims by pretending to do a magic trick, which required that they put on handcuffs. He then stuffed socks or underwear into their mouths and used a board with chains, which he would place under their chest, then wrapped the chains around their neck. He would then choke them to death while raping them. Victims Through dental and radiology records, 25 of the 33 bodies found were identified. In an effort to identify the remaining unknown victims, DNA testing was performed from 2011 to 2016.   Went Missing Name Age Location of Body January 3, 1972 Timothy McCoy 16 Crawl space - Body #9 July 29, 1975 John Butkovitch 17 Garage - Body #2 April 6, 1976 Darrell Sampson 18 Crawl space - Body #29 May 14, 1976 Randall Reffett 15 Crawl space - Body #7 May 14, 1976 Samuel Stapleton 14 Crawl space - Body #6 June 3, 1976 Michael Bonnin 17 Crawl space - Body #6 June 13, 1976 William Carroll 16 Crawl space - Body #22 August 6, 1976 Rick Johnston 17 Crawl space - Body #23 October 24, 1976 Kenneth Parker 16 Crawl space - Body #15 October 26, 1976 William Bundy 19 Crawl space - Body #19 December 12, 1976 Gregory Godzik 17 Crawl space - Body #4 January 20, 1977 John Szyc 19 Crawl space - Body #3 March 15, 1977 Jon Prestidge 20 Crawl space - Body #1 July 5, 1977 Matthew Bowman 19 Crawl space - Body #8 September 15, 1977 Robert Gilroy 18 Crawl space - Body #25 September 25, 1977 John Mowery 19 Crawl space - Body #20 October 17, 1977 Russell Nelson 21 Crawl space - Body #16 November 10, 1977 Robert Winch 16 Crawl space - Body #11 November 18, 1977 Tommy Boling 20 Crawl space - Body #12 December 9, 1977 David Talsma 19 Crawl space - Body #17 February 16, 1978 William Kindred 19 Crawl space - Body #27 June 16, 1978 Timothy O'Rourke 20 Des Plaines River - Body #31 November 4, 1978 Frank Landingin 19 Des Plaines River - Body #32 November 24, 1978 James Mazzara 21 Des Plaines River - Body #33 December 11, 1978 Robert Piest 15 Des Plaines River - Body #30 Guilty Gacy went on trial on February 6, 1980, for the murder of thirty-three young men. His defense lawyers tried to prove that  Gacy was insane, but the jury of five women and seven men did not agree.  After only two hours of deliberation, the jury returned a verdict of guilty and Gacy was given the death penalty. Execution While on death row, Gacy continued to taunt authorities with different versions of his story about the murders in an attempt to stay alive. But once his appeals were exhausted, the execution date was set. John Gacy was executed by lethal injection on May 9, 1994. His  last words  were, Kiss my ass. Sources Fall of the House of Gacy by Harlan Mendenhallï » ¿Killer Clown by Terry Sullivan and Peter T. Maiken

Phrenology essays

Phrenology essays Phrenology Phrenology is basically the study of personality through the study of the shape of the skull. The basis of this theory is that the brain conforms to the shape of the head and its contours. This pseudoscience says that because we have isolated where different parts of personality come from we can tell how dominant this trait would be in a persons life by the size of the piece of the brain. We have since proven that this theory is not true. Franz Joseph Gall is considered to be the founder of the direct scientific link between the morphology of the skull and personality traits. Gall was one of the first scientists to consider the brain the home of all mental activities. His main work was called The Anatomy and Physiology of the Nervous System in General, and of the Brain in Particular. In this article he put forth five points that phrenology was based on in general. 1. That moral and intellectual faculties and innate. 2. That their exercise or manifestation depends on organization. 3. That the brain is an organ of all the propensities, sentiments, and faculties. 4. The brain is composed of many particular organs as there are different propensities, sentiments, and faculties which differ from one another. 5. That the form of the head or cranium represents the form of the brain, and thus represents the relative development of the brain organs. Gall linked the faculties with precise brain localizations through careful observation and expensive experimental measures. Johann Spurzheims contribution to phrenology was also great. He helped Gall in a study of brain injuries with the phrenology concept Gall had created. He also studied many cases of aphasia following victims cranial injuries in battle. In 1832, he arrived in America, which was at that time desperate for insight into human personality, and started on a lecture circuit that eventually killed him only six months into it....

Spring Words With Activity Tips

Spring Words With Activity Tips This comprehensive spring word list can be used to create many spring activities such as worksheets, writing prompts, word walls, word searches, journal writing, and much more. Scroll down to the bottom of the page for tips on how to use these spring words in your classroom. Spring Words A AllergiesAprilApril Fools Day B BaseballBasketBeesBikeBloomBloomingBlossomBlueBlue SkyBreezyBrightBriskBunnyButterflyBudsBuzzing C CaterpillarChickChirpingCinco De MayoClouds D DaffodilsDaisiesDandelions E Earth DayEasterEggs F Flowers G GaloshesGardenGolfGrassyGreenGrowing H HatHatch K Kite L LadybugLambLight colorsLighteningLily M MarchMayMay DayMay flowersMeltingMemorial DayMothers Day N NatureNest O Outdoors P PastelPedalPinkPlantPuddlesPurple R RainRainbowRain bootsRaincoatRobinRoller skates S SeasonsSeedsSidewalkShowersSkySlickerSpringtimeSpring breakSproutingSunnySunglassesSunshine T TadpoleTreesTulipsTwigs U Umbrella W WarmWatering canWeatherWetWindyWorms Y Yellow Activity Tips Here are ten ideas for using this Spring word list in your classroom: Create a colorful word wall of these Spring words for your young writers to view throughout the season.Have students use the Spring word list to create an acrostic poem.Create a Spring word scramble, where students must be detectives and try and unscramble each word from the list.Have students fold a piece of paper in half, then write each spring word on the list down the left-hand side of their paper. Next, have them draw a picture on the right-hand column, to accompany the word in the left-hand column.Have students create a graphic organizer where they must write down ten spring words that are not on the list.Students must choose ten words from the list, and use the word in a sentence.Students must choose five words from the list, and write five adjectives describing each word.From the list, students must write five Spring words under each of the following categories: Spring weather, Spring holidays, Spring outdoors, Spring Activities, and Spring clothing.Using the list, students m ust write down as many compound words as they can find. Have students create a story using as many words from the list as they can.

What are the different ways in which tariffs are levied in the United Essay

What are the different ways in which tariffs are levied in the United States and what are the various types of nontariff barriers imposed in the United States - Essay Example Protection is achieved by raising the price of imported products so that they cost the same as those produced domestically. The government computes the tariffs in two main ways. The Ad Valorem, which means â€Å"On value,† involves tax that is levied as a fixed percentage of the value of the imported commodity. Currently, the U.S collects 2.5% on imported automobiles. Therefore, if the country imports $100,000 Hyundai automobiles, then the government collects $2,500 in tax (Suranovic 2012).Specific tariffs involve levying a fixed amount of tax on each unit of the imported product sold without regard to the selling price. In some cases, the tariffs imposed may be a combination of the specific and Ad Valorem (Webb 2011). For example, a specific tariff of $0.51% is levied on imported wristwatches in the U.S coupled with a $6.25% ad valorem tariff on the case and the strap. A 5.3% ad valorem tariff is also imposed on the battery (Suranovic 2012). The tariffs levied on imports vary depending on the commodities, for example, goods from a country with the status of â€Å"most-favored† nation may i ncur a different tariff compared to products from other trading partners. Non-tariff barriers include rules and regulations geared to keeping foreign goods out of the domestic market. They include specific limitations on trade, such as quotas. Quota refers to limiting an amount of import, for example, the U.S allows 1 million tons of sugar to be imported and not more than that (Bairstow 2011). The second barrier involves customs and administrative procedures such as antidumping practices and valuation systems. The implementation of standards, that is, packaging, labelling and other standard disparities are other barriers to trade that are incorporated in the U.S (Bairstow 2011). The government’s participation in trade through export subsidies, procurement policies, countervailing duties and domestic assistance programmes

Safety management assignment Example | Topics and Well Written Essays - 1250 words

Safety management - Assignment Example In this case, ladder inspection checklist must be done; ladder is the safety tool used. Things that must be checked and counter checked include: the surface, level, structure, ground, working area, scaffolding, edges, hand grip, movement of equipment, manual handling, lighting, weather condition, footwear, and experience of the individual. The chance of likelihood of a falling and injury occurring must be considered. This method aids in determining which hazards must be dealt with first in the case of an injury. This is done by looking at the task ahead, the number of individuals, and the machinery to be used. Control measures must be implemented so as to increase safety and eliminate injury probability. The most effective method of controlling risk is by elimination, design substitution, redesign, and administration. The control measures must be carefully evaluated so as to avoid any potential harm (Roughton, James, and Crutchfield, 298). In every workplace, communication is an essential factor. Another essential factor is the credibility of staff as well as following of the OSHA and workplace guidelines. Safety functions management is essential in promoting the health and well being of individuals who work in risky environments. Under the first function of management, which is planning; a good manager must make valid plans. This means that the needs of the hazard workers must be considered, as well as the mission of the organization. Financial as well as the well being of the workers must be considered. This ensures that the needs of the department are met; funds are available, and time set aside to implement a specific plan all for the upholding of the organization goals. Under planning, safety rules and measures must be written down so as to enable better and safe working environment. Better management of safety comprises of organization function. The company must have a hierarchy of organization, where the CEO is active,

Composing a Philosophy of Eating Essay Example | Topics and Well Written Essays - 1500 words

Composing a Philosophy of Eating - Essay Example I have few friends in my school who are suffering from obesity related health problems. These friends do not have the ability to play with us because of their overweight. Because of the severe harassments facing from their friends, they like to spend their leisure time either in the library or in front of the computers. Replying to one of my question, one of these obese friends told me that it is difficult for him to take less food even though he likes to reduce his weight. In other words, it is better to take preventive measures before obesity actually strikes a person. The above fact taught me a lesson and I decided to control my eating habits in order to escape from the threat of obesity related problems. This paper describes my philosophy of eating, formulated based on the data collected from my surroundings. My current philosophy of eating can be described in few words; eat nothing unless it’s worth eating. In other words, it is better to eat something only at times when we experience hunger. There are many people who eat something even if they don’t feel hunger, in order to give company to others. I also had such habits. Foods should be consumed only at times when a person feels hungry. Our body has the ability to remind us the necessity of energy in the form of hunger. The energy or calorie received from foods taken at the time when a person feels hungry, will be utilized for some bodily functions. Therefore extra energy or calorie will never be accumulated in our body if we take normal food at the time of hunger. On the other hand when we take food during unwanted times, the body forced to store the extra calorie in the form of fats which will make the person obese. Another major point in my current eating philosophy is the avoidance of fast foods as much as possible. Fast foods are tastier than other foods and people who take fast food may consume more than what is required for the body because if this extra taste. Most of the fast foods are enriched with fat contents. Moreover fast foods are comparatively cheaper and easy to cook. And therefore people make use of it more frequently. Half boiled or half cooked foods are popular in all over the world at present. Nobody wants to spend too much time in kitchen after a busy day schedule. So, people will purchase half boiled foods from groceries or supermarkets and prepare it quickly using a microwave oven or some other cooking equipment. Frequent use of foods cooked using microwave oven could raise radiation related health problems. In short, fast foods, half boiled or half cooked foods can create lot of health problems and it is better to avoid it as much as possible. It is better to eat slowly rather than attacking the dishes in a hurry. Slow eating will help us to eat only the required amount of food, Moreover, such habits will help the digestion process. I have a friend who does have the habit of taking foods in a hurry, irrespective of whether the food is tastier o r not. His philosophy of eating is take food as quickly as possible. He faced lot of problems in the past because of this peculiar eating style. Many times, the bones of fried chicken and fishes get jammed in his throat because of his speedy eating style. Since he is taking food in a hurry, he doesn’t have any idea about the volume of food he has taken. For him taking food three or four times in a day is a routine job and he

Sociological theory Essay Example | Topics and Well Written Essays - 2000 words

Sociological theory - Essay Example His book - Suicide: In the preface of suicide Durkheim says,† There can be no sociology unless societies exist, and societies cannot exist if there are only individuals." In this quotation and throughout his book Durkheim insists that society constitute a reality in itself, and could never be reduced to individuals. The proper focus of sociology was not the individual, but social facts which for Durkheim deal with attributes of society, not of individuals. Durkheim argued that if acts like suicide were purely individual in nature, they would fluctuate wildly from year to year. Social facts in contrast would be far less likely to exhibit such wide fluctuations, because societies seldom change that rapidly. Durkheims famous study of suicide took suicide rates as a dependent variable. Durkheim argued that two central variables--social integration and normative regulation--were independent variables that explained variation in suicide rates. He said that individuality can prosper o nly in a free society that promotes voluntary bonds between its members. In ‘Le Suicide’ Durkheim argues that collective social forces hold the upper hand for suicide than extra social or individual causes. In this book Durkheim argues that suicide is something which primarily results from a lack of integration of the individual into society, and it provides an incredibly detailed and complex understanding of the impetus for suicide as well as on it psychological and physical impact not only on the victim but also on their family and society in general. Erving Goffman: June 11, 1922 – November 19, 1982), was a sociologist and writer. The 73rd president of American Sociological Association, Goffmans greatest contribution to social theory is his study of symbolic interaction in the form of dramaturgical perspective that began with his 1959 book The Presentation of Self in Everyday Life and was developed throughout his life. Goffman became one of the most

Implementation and Modification IP 4 Essay Example | Topics and Well Written Essays - 1000 words

Implementation and Modification IP 4 - Essay Example This report gives an account of the effectiveness of the Medicare program and provides a futuristic approach towards the program and systems of implementing the changes (Moon, 2006). The topic "Strengthening and Improving Medicare" elicited various views from both public and private entities and individuals. The congressional subcommittee of health held a forum for persons of concern to give their witness accounts on the topic. Some of the prime witnesses who stood before the subcommittee include among others, Robert Berenson, the senior consultant officer at Academy Health, Foster, Richard, Buddy Robert, a beneficiary of the Medicare + Choice health plan and Grealy, Mary, the President of Healthcare Leadership Council. All these witnesses gave individual accounts of the success of the current Medicare system and gave recommendations on ways of improving it. According to Berenson, the well-established and effective Medicare program is being replaced by the Medicare + Choice program, which shifts focus from the government provided healthcare to private health insurance. There is no evidence to prove that shifting to such a system will reduce the program’s expenditure or improve on its financial position. The only entities to benefit from the new program will be private health insurance institutions, which will only serve to segment adversely the insurance pool and increase costs of maintaining the traditional program. Through her statement, Grealy, advocates for the introduction of a prescription drug benefit to boost the financial as well as healthcare quality of the Medicare program. According to the Healthcare Leadership Council (HLC), the 50 percent increase from $6,200 to $9,500 in cost of Medicare for one beneficiary by the year 2013 will have no significant improvement in the program’s quality of an outpatient prescription drug coverage is not included in the program. The HLC advocates for the establishment of a Medicare delivery module that incorporates the aspects of competition, flexibility and invests in beneficiaries who have consumer choice power. Through such a measure, Medicare would be able to provide similar benefits to employer-sponsored programs, which offer benefits such as outpatient prescription drugs, the ability to choose a health program that best suits individual needs and reduce out-of-pocket costs and. The Medicare + Choice plan reduces the number of services offered to Medicare beneficiaries because it receives lower payments than the previous fee-for-service Medicare program. Through this, the Medicare + Choice plan has increased beneficiary cost sharing, which squashes the chance of fair competition in healthcare provision (CEC, 2003). Robert Buddy, a beneficiary of the Medicare + Choice health program gave his account of the benefits of the Medicare Program and the Medicare + Choice plan, which he joined after the privatization of the Medicare program. According to Robert, the Medicare program did not offer comprehensive benefits thus had to spend at least $2,000 on a Medicare Supplement policy to gain more healthcare benefits. Emphasis of the Medicare + Choice plan is early detection and treatment, which affords better healthcare to its beneficiaries. Robert recounted the case of his father, who was on the Medicare prog