Issues Facing Medicare

Issues Facing Medicare Medicare plays an important role in the United States system of health care by providing more than 45 million American citizens with insurance cover. Medicare is a program established to provide health insurance to individuals regardless of the status of health and income level. Although it is mainly established to cater for health needs of the elderly (65 years and above), the program caters for the needs of about 7 million permanently disabled adults.Advertising We will write a custom essay sample on Issues Facing Medicare program established to provide health insurance. specifically for you for only $16.05 $11/page Learn More Registered members contribute a certain amount of money throughout their working life so that together with their spouses, their health needs are catered for after they have retired. In order to meet the financial obligations faced by the Medicare system, funds have to be sourced from beneficiaries, revenues from the federal governm ent and tax. At present, nearly all people aged 65 and above are insured by Medicare. Although it is a popular program, Medicare is currently faced with many challenges and issues. Issues Facing Medicare The greatest challenge facing Medicare is lack of sufficient funds to cater for health needs of the future generation. This is because of the high cost of health care and the increased number of baby boomers in the United States. Annual increase in the cost of health care has in turn increased expenditure. Studies conducted in 2010 show that the number of Medicare beneficiaries is likely to rise from 47 to 78 million by 2030. For instance, the estimated population of Baby Boomers expected to join Medicare in 2011 (individuals born between 1946 and 1964) was 77 million. To handle this number, Medicare needs some improvements. According to the Medicare Board of Trustees, if changes on the Medicare program are no put in place, the likelihood of the program being insolvent/bankrupt by 2 024 is high. The following measures have been suggested if the Medicare Trust Fund is to be financially stable beyond 2024. The salaries of physicians should be reduced by 40% and payments made to other companies providing services to the programs will also be deducted. According to government experts, available funds in Medicare Part A Trust Fund will not be enough to cater for full benefits of the large population. The experts also argue that the program requires additional revenue if it is to maintain the current benefits. This implies that beneficiaries will be forced to bear the burden of increased premiums. Today, 30% of the cost of healthcare comes from the pockets of the beneficiaries. These costs increased annually. Like health care expenditure, increased spending in Medicare is caused by the high cost of services offered in health systems, new technologies, and increased utilization of services.Advertising Looking for essay on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More The increased amount of funds utilized in the Medicare program influence smooth running of other programs. For instance, annual expenditure is expected to increase to about $3 trillion in 2030. The federal government will be forced to adjust the budget to accommodate the requirement of the program. This will affect funding of other important sectors like education and defense. Because of the increased number of retirees, Medicare will lack funding because the workers will be few. This is because Baby Boomers include the largest percentage of employees in the United States. The economy of United States is largely determined by Baby Boomers because they are innovative. In addition to lack of funds, the program will need to hire more professionals to cater for the large number of retirees.

Free sample - Poem Characters. translation missing

Poem Characters. Poem CharactersThe speaker of the poem is Edna St. Vincent Millay who was born in February 22, 1892 and died in October 19, 1950. Edna St. Vincent Millay was an American lyrical poet, feminist and playwright (p .1). She was the earliest female to obtain the Pulitzer Prize for Poetry, in addition to was acknowledged for her activism as well as her numerous love interaction. Edna St. Vincent Millay used the false name Nancy Boyd for her writing style occupation. The speaker of the poem is saying that love is not necessary basic thing neither sex only affair where man goes in and out of a woman. The main idea of the poem or the theme of the poem is love. The specific examples of poetic techniques used are rhyme scheme, alliteration, imagery, simile, metaphor, symbol, personification, allusion, The protagonist of a literary work always suffers in a particular problem or dilemma because his or her world view or value system in that there may be more than one antagonist in a story, and they are ever a villain. Sometimes, a work will offer a particular character as the protagonist, only to dispose of that character unexpectedly. Sometimes protagonist is impossible to identify because multiple plots in the novel do not permit clear identification of one as the main plot. These fictions of literary elements read in class this semester are of primary interest in the works as for instance:   Plot, or storyline, is often listed as one of the fundamental elements of fiction. It is the rendering and ordering of the events and actions of a story. On a micro level, plot consists of action and reaction, also referred to as stimulus and response. On a macro level, plot has a beginning, middle, and an ending. Plot is often depicted as an arc with a zig-zag line to represent the rise and fall of action. Plot also has a mid-level structure: scene and sequel. A scene is a unit of drama- where the action occurs. Then, after a transition of some sort of the sequel- an emotional reaction and regrouping, an aftermath. Types of plots: Chronological order Types of plotsIs where all of the proceedings happen in the order in which they happened in writing. There might be orientation to proceedings as of the past or future; on the other hand the actions are in black and white in time order. in attendance will not be flashbacks as well flash forwards.Flashback In times of the past in television, film as well as extra media, a flashback is also called analepsis, is an interrupted scene that acquire the description flipside in time from the up to date summit the story has get to. Flashbacks are frequently used to narrate proceedings with the intention of happened previous to the story's main series of measures or to fill in critical back-story. Character origin flashbacks specifically refers to flashbacks trading with key actions in the early hours in a character's progress casing he could fly, The method is used to generate anticipation in a narrative, otherwise build up a temperament. In writing, inner analysis is a flashback to a previous summit in the tale; outside analysis is a flashback to previous to the storyline in progress. Setting, the location and time of a story, is often listed as one of the fundamental elements of fiction. Sometimes setting is referred to as milieu, to include a context (such as society) beyond the immediate surroundings of the story. In some cases, setting becomes a character itself and can set the tone of a story. Characterization is often listed as one of the fundamental elements of fiction. A character is a participant in the story, and is usually a person, but may be any personal identity, or entity whose existence originates from a fictional work or performance. (Millay 1917, p. 2) Characters may be of several types: Character of Point-of-view is the character as of whose point of view (theme) the viewers understand the story. This is the character that represents the point of view the audience will empathize or at the very slightest, sympathize with. Consequently this is the "Main" Character. Character of Protagonist is the driver of the accomplishment of the story in addition to therefore accountable for accomplishing the stories of Objective Story Goal Character of Antagonist is the character that position in antagonism to the leading role. Character of Static is a character that does not appreciably revolutionize all through the track of a story. Dynamic character is a character that undergoes character development all through the itinerary of a story. Character of Foil contrasts to the protagonist in a manner in which to light up their behavior or quality Supporting character: A character that stage a division in the plot, however is not most important Minor character: A character in a small piece.    Methods of developing characters Appearance   gives details otherwise illustrate the typescript superficial manifestation for the person who reads to be intelligent to recognize them Dialogue is what they articulate as well as how they say it Action is what the character perform in addition to how he/she does it Reaction of others: how other characters see and treat him/her    Millay, E. S. (2010). Poems. New York: Knopf Doubleday Publishing Group,.