Animal Bullying

The skyline softened over the sky, the setting sun no place to be seen. A seagull jumped over the sky, heading skyline. I sat on the sandy sea shore, gazing at the entrancing faithfully next to me. Taking a gander at it, a flood of new recollections returned racing into my psyche, overwhelming me in it†¦Ã¢â‚¬ ¦ It was a hot Saturday evening, left to my own gadgets. I sat on my soft love seat, eyes stripped on the goggle box, making the most of my preferred TV program, ‘Zero no Tsukaima’. At that point, the show at long last finished, I scoured my still blurred eyes and gave the clock a brisk glance.It was still early, just 3 o’clock. Considering what to do, I gazed vacantly at the roof. At that point the phone began ringing sharply. Decisively, I ran to answer it and amazingly, it was my closest companion, John welcoming me for a ride in the recreation center. I concurred promptly. Like a feline on hot block, I immediately changed and looked on many occasions at the check simultaneously, at that point, I immediately boarded my bicycle and began cycling towards the recreation center. In spite of the fact that the recreation center was just a stone’s discard from my home, at that point it appeared as though it was miles away.After what appeared to be an unending length of time, I at last arrived at the recreation center and discovered John sitting tight for me there fretfully. I immediately moved toward him and we started cycling around while talking about the fascinating happenings with regards to class. Similarly as we having a whale within recent memory, a terrified ‘mew’ and afterward a horde of rambunctious chuckling stimulated our consideration. We immediately landed from our bicycles and afterward edged ever closer to the heading where the giggling was coming from. Holing up behind a cluster of brambles, we looked cautiously through the holes between the leaves to perceive what had happened.To our articulate awf ulness, three young men framed a little hover around a white and earthy colored splotched feline and each was outfitted with a few elastic groups and a bundle of soda pop. At that point, one of the young men let free an elastic band striking the feline close to the eye, it withdrew and the kid behind it let free another elastic band hitting it on the back and he likewise edged forward to step its tail. The feline gave another boisterous abandoned ‘mew’ and it almost made meextremely upset. â€Å"How might they venture to do that to such a defenseless little feline? † I thought.I started to stand up, however John snatched my arm and we withdrew to a couple of meters away and John quickly asked me, â€Å"What would you like to do? They are so a lot greater and more grounded than us! † I gave a murmur and disclosed to him how I felt and I likewise revealed to him that I was unable to stand to see the cat being tormented and beaten by the young people and I we nt to go towards the youngster, and John snatched me again and attempted his best to convince me not to go however I would not tune in, the disturbance stimulated the consideration of the adolescents and they came out, seeing what had occurred. When they saw us, they laughed and asked, â€Å"What business do you have here child? Outrage began to bubble inside me and I ached to go up to him and give him a slam straight in the face, yet I needed to smother my displeasure and stated, â€Å"I might be a child yet in any event I realize it isn't right to hurt honest creatures not at all like you dullards. † The young people in a flash erupted and were splitting their knuckles. Right away, I lamented what I had quite recently said. John was remaining close to me trembling from head to toe. At that point, the pioneer of the posse growled at me, â€Å"Who thinks about a spoiled chunk of hide. † I made a snappy scramble for the little cat that came limping towards us and after ward without a subsequent look, I ran away.John additionally tailed me and furthermore continued looking in reverse, however amazingly, the young people didn't pursue us. In the wake of running for a serious significant distance, we halted to get a breath. I additionally halted to investigate the cat, its correct leg was draining and its blood colored my red shirt as I held it near myself a little while ago. At that point the cat began licking its injury. In the wake of talking about with John, we chose to carry it to the vet. After arriving at the vet, we demonstrated him the veterinarian and he revealed to us that the little cat was not very severely harmed aside from some shallow cuts.Only at that point, we moaned in alleviation. At that point, we chose to return home and John said that he didn't have anything to do with the cat, so I brought it home. At the point when my folks returned home, I related the episode to them and I inquired as to whether I could keep the cat. From th e start, they were firm and said no, yet after much asking and influence, they at last concurred me and mentioned me to deal with the little cat myself as my mom was anxious about the possibility that that after some time, I would lose enthusiasm for the feline and the obligation of dealing with it would arrive on her.That, I promptly concurred. Abruptly, my feline limited from my light and ran it around me once more into the real world. Taking a gander at the sky once more, it was turning dim and I gave a moan prepared to get moving back home for supper, conveying the cat in one hand, I set off to home. I was extremely appreciative that I got the opportunity to drop by the cat. I will give myself to deal with the little cat forever. That is the stuff to be a capable pet proprietor.

Qualities and skills necessary for success in a specific Essay

Characteristics and abilities important for accomplishment in a particular profession Business - Essay Example Just through an alluring character can an individual success the consideration and enthusiasm of the individuals. Charming character is basic for making progress in one’s individual just as expert life. Alongside this, the capacity to convey well is a basic necessity. This is the place the appeal of speakers lie. The essential weapon of a speaker is his/her capacity to convey. Like some other calling an individual who wish to be a speaker should initially have a good example. He/she should peruse and tune in to their discourses and break down it to decide the components of their prosperity. There are numerous regular aptitudes and qualities which a significant number of the open speakers and speakers share for all intents and purpose. However, the absolute most significant aptitudes are: Thorough Research: Telling similar expressions and episodes over and over makes just a decent speaker. In any case, inquiring about additional on the subject and introducing new thoughts devel op incredible speakers. Center: A great speaker ought not occupy from the message to be passed on. All increments like diversion, story, phrases, and so on should end in the exchange of message plainly to the crowd. This will assist your crowd with grasping your message. Sorted out: You should be composed and present your thoughts intelligently. A composed discourse will assist the crowd with recalling it without any problem. Funniness: Humor is a simpler and intriguing approach to pass on the message. Likewise, the planning of the cleverness is additionally of most extreme significance in a discourse. Information about the crowd: Awareness about the crowd is fundamental to deliver the discourse effective. A speaker ought to convey the message that the crowd need to hear. Legitimate input: It is imperative to comprehend that no introduction or moderator is great. A speaker should look for persistent criticism from the crowd so as to make nonstop personal development. Act and talk mo rally: Ethics and regard for the crowd is significant for a decent speaker. A decent speaker is answerable for his words and proclamations. Open talking openings stem directly from the play school of a kid and the quality mounts high as we mount the stepping stool of expert achievement. To be a fruitful open speaker, the speaker should be intriguing. An exhausting speaker is a terrible speaker. A decent open speaker should be sound. He/she ought to have solid expert on the announcements. Expert on the announcements can be accomplished just if realities are given energy and conviction. They have the course and capacity to give thoughts and heading to tackle their issues. They ought to move the crowd with a â€Å"Can Do Approach†. The well known talks of Sir Winston Churchill, Martin Luther King, and so on represent the key traits of extraordinary open speakers. Awful Public Speakers Bad open speakers are self centered as opposed to crowd centered. A portion of the center thing s which terrible speakers have are as per the following: Voice tone: Bad speakers are tedious in nature. This will prompt loss of enthusiasm among the crowd. Pace: is critical to talk gradually and obviously. In the event that your words are not satisfactory it is hard to establish any kind of good connection with the crowd. A few speakers don’t talk with a conviction. You should be quiet and take the right stops. Outgoing individuals versus contemplative people: Extroverts are seen as awful open speakers. They are hard to be prepared. Simultaneously self observers will in general be acceptable speakers as they are better audience members. End

Is Blogging Still Relevant in 2018

Is Blogging Still Relevant in 2018 Make Money Online Queries? Struggling To Get Traffic To Your Blog? Sign Up On (HBB) Forum Now!Is Blogging Still Relevant in 2018?Updated On 01/05/2018Author : Pradeep KumarTopic : BloggingShort URL : http://bit.ly/2rd6GPX CONNECT WITH HBB ON SOCIAL MEDIA Follow @HellBoundBlogThere are some who say that blogging is dead, and has been for a while. Whatever profound impact bloggers once had on marketing and communication has run dry. Naysayers might say that the reach and impact the power that blogging bestowed on the everyman has dissipated or been transferred to more novel modes of broadcast, such as podcasting… but we dont believe that. In 2018, blogging is still as relevant as ever, and just as easy to get involved in as before. After youve sourced a decent web package easy enough with providers like that of 11 its then a case of producing meaningful content that can be leveraged in some different contexts, such as:A Marketing ToolThis is where blogging shines through most a nd is one of the key reasons why its still essential to have a blog its a supreme marketing tool. There are two reasons for this. The first is that by having a blog, youre automatically better off regarding search engine optimization. Search engines such as Google look favorably upon natural and meaningful content that encourages real engagement and will, therefore, rank higher in search results. The trickledown effect is that the more discoverable your site is on Google, the easier it will be to convert browsing customers into regular ones. The second reason is that by providing useful information, youre creating value, giving customers a reason to stick around and use your site and blog as a tool, ultimately creating longer-lasting and meaningful client relationships. This has to do with the fact that…There is Still a Huge Blogging ReadershipWhile the number of blogs has decreased from the early 2000s, this hasnt diminished the readership. In fact, the gradual fade out of lesse r blogs in favor of higher quality writing has simply raised the standards of the industry as a whole. The blogosphere has evolved, changing the function and purpose of blogs, but when it comes to readership, there is still a dedicated following hungry for valuable content. Which leads to the next point; whereas useful content used to mean short, to-the-point condensed pockets of information…READ5 Reasons Why Blogging Is Equivalent To EntrepreneurshipLong Form is Now Becoming Popular500 700-word blog posts used to be the standard when it came to content creation, but longer posts are gaining more traction. According to Kissmetrics, Long-form content gets you more online visibility (social shares, links), more proof of your authority and industry expertise, and more material for altruistic community building and engagement. Of course, this ultimately depends on your type of blog and what you intend to use it for, but as a general rule, this is a trend that shouldnt be ignored. Thi s doesnt mean you have to stick steadfastly to the written word, however, as…Blogs Work Beautifully in Conjunction with Other MediumsBlogging should only be one weapon in the entire arsenal of your marketing strategy. Used by itself, it produces fair results, but used in conjunction with other broadcast mediums such as video creation, blogging, podcasting or social media, its incredibly potent and will attract traffic to your site the way a conductor would lightning. The reason for this has to do with the fact that many users arent satisfied by text alone user research has shown that up to 53% of those questioned would like to see more video integrated into websites, for example.What this means is that blogging is still very much alive, well and relevant in 2018. Its not what it once was, but this should be celebrated rather than lamented. The form has evolved, the audience has remained, and its up to the creators to adapt rather than cling to outdated modes of the past to ensure a strong readership.

The Bible Plan Of Salvation - 1740 Words

The Bible Plan of Salvation There have always been two attitudes toward the Word of God; one is liberal and the other is strict. And, in examining the Bible, we learn that in the three ages; the Patriarchal Age. The Jewish Age and the Christian Age, the attitude of God has always been very strict. God is kind, loving and gentile; easy to be entreated, but He will not allow humanity to trifle with His Word. Therefore, there are so many plans that have been advanced by men that are not according to the Bible plan of salvation, there’s a need to emphasis the Bible plan of salvation. For example, there are people who talk about â€Å"getting religion† and the idea is that it’s something that God pours into a person; it’s a feeling or a realization that is given miraculously. However, the Bible describes religion as something that a person is or something he does. James wrote, â€Å"Pure and undefiled religion before God and the Father is this: to visit orphans and widows in their trouble, and to keep one’s self unspotted from the world.† (James 1: 27) Others have said that we are saved by faith only, but the Bible says that we are not saved by faith only. James’ statement is: â€Å"You see then that a man is justified by works, and not by faith only. (James 2:24) The Bible is the only book that God gave and Paul said, â€Å"All Scripture is given by inspiration of God, and it is profitable for doctrine, for reproof, for correction, for instruction in righteousness, that the man of God mayShow MoreRelatedThe Bible : Finding God Essay1134 Words   |  5 Pagesin History The Bible provides Christian readers with an array of different themes and motifs within each book, but the main theme that encompasses the whole collection of works is the story of salvation history. Salvation history is the foundation and glue that holds together the wide compilation of books within the Bible. After the Fall of Adam and Eve, salvation history refers to God’s promise of salvation for human kind. The Bible is described as salvation history because the Bible tells the storyRead MoreSaved By Grace Through Faith : So Do Works Matter?1571 Words   |  7 PagesIvan Seito Amago 1. How Did It All Begin? In the Christian religion, one of the themes that are central to its belief system is the theme of Salvation. It all began in Heaven when Lucifer (now called Satan or devil) was dismissed from Heaven for stubborn rebellion against the divine government of God. You can read the brief account in the following bible references: Ezekiel 28:12 - 19; Isaiah 14:12 - 15; Revelation 12:7 - 9. He was cast out with those angels who decided to take sides with him,Read MoreMoses The Christ Like Man943 Words   |  4 PagesMoses the Christ Like Man One of the prominent characters of the Bible is the Hebrew prophet Moses. A consideration of some of the personal traits of Israel’s great leader can be profitable indeed. One of the most powerful compliment and honor to him is the fact that he was a true man of God, and a type of the coming Christ. According to Deuteronomy 18:15, Amplified Bible (AMP), â€Å"The LORD your God will raise up for you a prophet like me [Moses] from among you, from your countrymen (brothers). YouRead MoreThe Romans Road Is An Intellectual Method Of Evangelism1642 Words   |  7 Pagessaved. This method walks the evangelist and the nonbeliever through specific verses in the Bible. These verses have been selected because they call attention to the need for salvation, they state the good news that a way to salvation has already been prepared, they warn nonbelievers of what will happen if the nonbeliever remains in the sinful state, they inform the nonbeliever that there is no other way to salvation except through Jesus, and they proclaim that confessing this truth is the action whichRead MoreThe Core Beliefs That I Build My Life915 Words   |  4 Pagesbelieve the Bible to be the inspired Word of God. The Bible is infallible, eternal, inerrant, and preserved. This Book is the final authority for my life. It was written by holy men who were moved by the Holy Ghost. These men were used as instruments of God, since God was the One using them, the Bible cannot contain any errors. The Bible contains everything that a Christian needs to live a God honoring life. I believe that the King James Version is the only acceptable version of the Bible to be usedRead MoreNew Testament Survey On Suicide1635 Words   |  7 PagesGabe Lindblom September 29th, 2015 New Testament Survey Suicide in the Bible Is There Still Hope? There is one death by suicide in the United States every 13 minutes. Suicide is the tenth leading cause of death in the United States and depression affects 25% of our population. When someone commits suicide, it’s not only affecting to the individual him or herself, but it also affects the lives of the many people that knew them. There are many different views on suicide, but when it comes toRead MorePrayer 750 Word Reflection Of Prayer1000 Words   |  4 PagesMorning and Evening Prayer can certainly be a source of information from the word of God to people telling of God’s plan for salvation. Morning and Evening Prayer could also help supply our human need for spiritual closeness to our creator and therefore benefiting unto salvation. 3. The 1662 version of the Prayer Book lectionary provides for a virtually complete reading of the Bible in the course of a year. The daily recitation of Morning and Evening Prayer, canonically required for Anglican clergyRead MoreThe Doctrine Of Salvation And Grace1327 Words   |  6 Pagesrelation to the Doctrine of Salvation and Grace (Free Grace). Soteriology is â€Å"the study of the doctrine of salvation.† Basically, the teaching of Soteriology is part of Systematic Theology. This paper will approach each aspect of God Divine decrees, from a biblical standpoint and His plan of salvation. The working of God’s plan includes three periods in time: †¢ Eternity Past †¢ Earth’s History †¢ Eternity Future (Citing: Page 1, The Biblical Doctrine of Salvation, Tim Hegg) Abstract TheRead MoreChristmas As The Starting Point938 Words   |  4 PagesChrist, God, faith, sin, heaven, eternal life, and salvation can bring to the forefront both previous experiences and preconceived ideas. In the current worldview of truth being relative, the concrete descriptions and actions of Christianity can be difficult to focus. Use of historical texts, archaeological and geological evidence can provide â€Å"non-Christian† validation to the story of God, creation, Christ and ultimately the messages within the Bible. The starting point of any discussion about GodRead MoreThe Is Not A Perfect Understanding Of God1466 Words   |  6 Pageseffort, and there are some who never move themselves to pursue this knowledge. In place of making the struggle and effort to understand, they follow the opposite course, which requires no effort, and deny his existence.† Based on the writings of the Bible, as well as other spiritually uplifting documents, articles, and books , we as Christians have developed a testimony of sorts to the fact that there is indeed a God and that he knows each of us personally. We believe that he loves us, and he wants

Ethical dilemmas Free Essay Example, 1500 words

Gillison et al. (2012) assert that the main reason for vaccination is the benefit that it has to the entire population. In this regard, immunization of children offers no apparent benefit to the children themselves but to the greater society. Although the federal guidelines do not necessitate approval before immunization, the "National Childhood Vaccine Injury Act of 1986" necessitates that health care practitioners issue the vaccine recipients or their parents and guardians with a vaccine information statement that offers information on the risks and benefits and other information that may be used to assist in making informed decision (Patel, 2009). Lawmakers and patient rights advocates hold that an assent is ethical and suitable so that parents are knowledgeable about vaccines, and have passable time ask questions (Patel, 2009). Ohri (2007) denotes that HPV mandatory vaccination violates the rights of the parents in rearing their young ones, particularly on the sexual conduct of the young ones. Some parents have argued that vaccinating the children for a sexually infectious disease at such a tender age gives the children an implied consent to take part in risky sexual behaviors. We will write a custom essay sample on Ethical dilemmas or any topic specifically for you Only $17.96 $11.86/pageorder now Nonetheless, there has not been any evidence put forth to support this argument. Moreover, this vaccination has portrayed that adolescents are rather unaware of HPV and that the fear to contract any STI has petite effect on their choice to engage in sex or not (Patel, 2009). Further refutation of violation of the parent’s autonomy centers on a cost-benefit ethical review. The primary question here is how much parental control is lost because of the obligatory vaccination. According to Ohri (2007), this seems to be a small price that the parents have to pay for averting a dreadful infection that causes deaths of women and distress among millions of women with precancerous wounds from multiple procedures. The advantage of the HPV vaccine comes under the ethic of employing conventional medical technology to avoid severe infections whenever possible, in order to reduce suffering and pain. Notably, vaccines have been believed to excellently avert severe infections from among people, and unlike cervical cancer, some of these diseases have effective treatments but yet vaccination is believed to be essential. Vamos et al. (2008) acknowledge that the significance of vaccines that avert cancer infections ought to be comparatively obvious, and, therefore, the HPV vaccination is the primary public health landmark.

Essay on Sigmund Freud on Human Nature - 1381 Words

Sigmund Freud, a noteworthy trailblazer of modern-day philosophy, developed a deterministic view on human nature based on instinct and personality. Unlike other theories, Freud considers us not as humans, but animals with inborn biological drives: a complex species with primitive urges. These urges, he says, are only kept under control by the pressures between peers and the repression of society. Though the word â€Å"instinct† can relate to a wide range of impulses, Freud narrowed it down to four main drives: Self-preservation, aggression, the need for love, and the impulse to attain pleasure and avoid pain. These topics along with the model of the psyche embedded within the principles of pleasure and civilization form the most†¦show more content†¦Passions, on the other hand, are a bit more complicated. In simple terms, men are so entirely governed by instinctual wishes that they often overlook their sense of reason. This claim is exemplified in the phrase â⠂¬Å"love is blind.† When two lovers are so encompassed by their relationship it is not uncommon for one of the two to make a few questionable decisions. Arguments of reason then relate to the idea of intellect. The voice of intellect is soft, but persistent which in turn provides optimism for the future of mankind. This optimism, however, dwindles in the fact that men have gained control and power over nature, granting them the ability to exterminate one another if they chose to. The awareness of this power results in unrest, unhappiness, and anxiety. Subsequently, this leads to Freud’s idea of Defense mechanisms and the Ego which will be discussed further along in this essay. In general, Freud claims that civilization has its own influence on human nature, providing guidelines to follow and morals standards to maintain. In addition to civilization, Freud expands his view of human nature according to pleasure. According to the â€Å"Beyond the Pleasure Principle,† hunger and love regulate the world. Though the original thought was taken from Schiller, Freud applies it to the core instincts he believes to sum up human nature. Hunger represents the instincts which aim at preservation of the self while love strives after objects and preservation of theShow MoreRelatedCarl Gustav and Sigmund Freud on Human Nature and Existencial Theory926 Words   |  4 PagesHuman Nature: Though Carl Gustav Jung was a colleague, friend, and the presumed successor of Sigmund Freud, their views on human nature drifted further and further apart as Jung grew intellectually. While they were both psychoanalysts, in the end their views on human nature were practically antithetical. Freud viewed human nature deterministically, and postulated that human motivation was grounded in unconscious biological urges for sexual satiation. Freud strongly emphasized the developmentRead More The Influence of Sigmund Freud on Society Essay822 Words   |  4 PagesThe Influence of Sigmund Freud on Society The late nineteenth century marked a number of radical developments on science, art, and philosophy. Although the lives of humans used to be constantly at the mercy of nature, during this time, humans began harnessing its power and eventually started controlling it. A sudden urge to look beyond the surface of things became widespread. Sigmund Freud looked beyond the effects of behavior and explored the unconscious. He significantly changed theRead MoreSigmund Freud Essay1721 Words   |  7 Pagesâ€Å"Man is a wolf to man.† These are the words that surprised millions when Freud first opened the discussion of human nature (Freud). Sigmund Freud, born in 1856 and died in 1939, was known to be the father of psychoanalysis (Jones). He lived his whole life trying to reach into the human unconsciousness and unravel the puzzle of life, human personality, and human nature (Chiriac). Sigmund Freud was influenced by the environment post World War I, and influenced the world thr ough his theories and hisRead MoreSigmund Freud Essay1264 Words   |  6 PagesSigmund Freud is known to be one of the most prominent scholars on research and thoughts regarding human nature. Freud is acknowledged for establishing out of the box theories with dominant concepts that are backed up by good evidence. Freud’s arguments are quite convincing, but very controversial. When thoughts get controversial, a loss of strength for an argument occurs. Freud feels that religion is a psychological anguish and suffering. (Webster, 2003) For Freud, religion attempts to influenceRead MoreSigmund Freuds Method and Theory of Dream Analysis Essay1069 Words   |  5 Pagesthis paper to get a better understanding of Sigmund Freud’s method and theory of dream analysis. The purpose of the paper will be to show the principals of Freud’s dream related theory that focuses on the physiology, interpretation, and psychology of dreams and to explain concepts such as latent and m anifest content of dreams, the part of unconscious process, and the nature of dreams role in the determination of dream content. I would like to explore Sigmund Freud’s explanations of psycho-analytic andRead More Future of an Illusion by Sigmund Freud Essay949 Words   |  4 PagesFuture of an Illusion by Sigmund Freud In his book Future of an Illusion, Sigmund Freud utilizes his method of psychoanalysis on religion by comparing the relationship between human and religion to that of a child and his parents. Freud effectively demonstrates that religion is a product of the human mind. After exposing religion as a an illusion, Freud concludes that humanity will be better off when it has forgone religion. This paper will argue that Freuds assertion that religion is an illusionRead MoreSigmund Freud s Theory Of Psychology1568 Words   |  7 Pages Freud Sigmund Yifan Wang Current issues in history Vanier College 2014-11-11 Freud Sigmund In the 19th century, people progressed toward a new era of scientific revolution with new inventions and technologies. Doctors find treatment to heal cancer and people lives longer than before. On the other hand, Freud Sigmund the Jewish psychiatrist offered a new cure to mental illness that individual suffers from (The European Graduate School, 2012). Although he may have the most of influenceRead MoreThe Theory Of Psychoanalysis On The Unconscious Phases Of Personality Development1130 Words   |  5 Pagesdetermine their personality patterns later in life. And lastly, Sigmund Freud postulated that Personality consists of id, ego, and superego. This, in turn, is subdivided into ages and stages, from birth through to adolescent age. The theory of Psychoanalysis was propounded by Sir Sigmund Freud in 1896. However, this was not the date of conceptualization. The theory of Psychoanalysis was developed between 1856 and 1939. In 1896 Sigmund Freud made public his theory of psychoanalysis for the first timeRead MoreSigmund Freud And Humanistic Theories Of Psychology1636 Words   |  7 Pagespsychodynamic theory from Sigmund Freud and the humanistic theory from Carl Rogers. These two theorists have different views of how personality is developed, with both theorists influencing the world of psychological personality to this day. Disputes between both theorists exist with both of them having complete different views on personality and how personality influences a person. The main issues of this paper are going to be about the basic theory and research methods that Freud and Rogers used in theirRead MoreCarl Jung and Sigmund Freud1412 Words   |  6 PagesCarl Jung and Sigmund Freud Introduction Carl Jung (1875-1961) and Sigmund Freud (1856-1939) were two individuals whose theories on human personality would completely affect the way that people viewed the human mind. Carl Gustav was a practicing psychotherapist while Sigmund Freud created the discipline of psychoanalysis. The two men had seemingly identical beliefs about human behavior, but also had contrasting beliefs about concepts such as the ego, the psyche, and the state of unconsciousness

Fraud, Abuse, and Waste in the U.S. Healthcare System free essay sample

It is estimated that the United States spends between 15 and 25 billion dollars annually because of fraud, waste, and abuse (fwa). This paper will examine the types of fwa, the involvement of the federal government in prevention, the roles of healthcare organizations and employees, and the protection for whistle-blowers and consequences for those involved in fwa. FWA (fraud, abuse, and waste) can be described as the intentional deception to get an unauthorized or unwarranted benefit. A pharmacist that charges both the patient and the insurance company for a prescription is classified as fraud. A physician that prescribes unneeded tests for a patient to generate additional revenue is an example of waste. A pharmacist the receives a â€Å"brand necessary† prescription and enters the brand in the computer, charges the insurance company for the brand, but gives the patient a cheaper generic is an example of abuse. Many deceptive actions classify into more than one of these categories and for this reason they have been merged into one category as fraud, waste, and abuse by the government. We will write a custom essay sample on Fraud, Abuse, and Waste in the U.S. Healthcare System or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page In recent years the government has allocated more federal funds to combat the increase in fwa. Federal and state laws have been enacted to block the proliferation of abuse and increase the penalties associated with such violations. The government has also increased the number of audits performed on providers and as well as the number of auditors in has to perform these checks. The government has also increased the number of regulators and government personnel that oversee these activities that have larger percentages of fwa. Funding has also been provided for anti-fraud programs to educate all levels of the general population. CMS, which is the government agency that oversees Medicare, published a 70 page document on fwa requirements and recommendations in 2006. In 2009 Medicare formed the Healthcare Fraud Prevention and Enforcement Action Team (HEAT) which is a special active taskforce that focuses on fraud in Medicare programs. Collectively the Federal and State authorities that enforce fwa include the Office of the Inspector General of US Department of Health and Human Services, US Department of Justice, CMS, and the States’ attorney general. Combined, these government agencies work together to reduced fwa in the US healthcare system. Examining what these government agencies look for with be discussed next. False claims are the largest of all government healthcare fraud. These could be claims submitted for patients that were never seen, claims submitted for procedures never performed, or claims submitted for procedures that were not necessary. The intent to defraud the government is not necessary if the actions are the results of reckless disregard of gross negligence. Even if intensions are good, the US government will prosecute false claims that are submitted. Prescriptions that have been forged, altered, or purchased also fall under the category of fwa. Practices such as â€Å"shorting† or partially filling prescriptions but charging the full price with no arrangement for delivery of the remainder of the prescription as another example of fwa. Double billing both the patient and the insurance company for prescriptions is another example. Improperly keeping an overpayment from a government or private payer also classifies as fwa. Now that there have been many examples cited, a clear definition of fwa exists, and the government agencies that oversee fwa have been reviewed, we will examine prosecutions and protections. Heavy fines, exclusions from participation, and criminal prosecution can be the consequences for those who violate the laws surrounding fwa for healthcare. Over 1500 entities were excluded from participating in federal healthcare programs last year because of their involvement with fwa. The government has also instituted to protect those who report fwa from repercussions from other institutions or individuals. The False Claims Act protects company whistleblowers by protecting their current job, forbidding the alleged company from acts of demotion, suspension, or harassment to the employee. Potential remedies against retaliation include job reinstatement with double back pay and other special damages. Law suits called â€Å"Qui tam† where a company employee or private citizen sues the company on behalf of the Federal Government for fwa violations. The employee of private citizen may be rewarded with as much at 30 percent of the amount discovered to be owed to the government based on the circumstances of the case. Several states have their own false claims acts. The deficit reduction act encourages states to create their own act by giving the states a larger share of recoveries from Medicaid providers. Federal kickback laws have been enacted to discourage and penalize those that knowingly and willfully offer, pay, solicit, or receive any profit from the referral of patients or prescriptions covered by healthcare programs. Violations are subject to imprisonment, high fines, exclusions from government benefits, costly civil penalties, and possible prosecution under state laws. Let’s look at a final piece of discouraging fwa with the education and awareness of those that work in the medical fields. Companies have proactively established positions, departments, and company wide education to reduce the amount of fwa in their company because the penalties for violations are so high. In other words, it is cheaper for them to change the culture of there company and create awareness, than to face the consequences, legal fees, and fines associated with violation. Companies have developed â€Å"codes of ethics† to give their employees the tools to determine right from wrong. Programs explain the duties of an employee and the consequences for non-compliance. The programs even include volunteers, board members and directors, as well as all the providers’ regular employees. Many organizations have created a compliance officer, or depending on the size of the company, and entire compliance department. The compliance officer enforces the code of ethics, reports compliance incidents to agencies, develops compliance training, develops and maintains a compliance reporting system, follows up on all internal reports of fraud and abuse, performs internal operational audits, and performs billing audits. Many companies have seen a dramatic decrease in fwa since implementing a compliance strategy inside their organization, which pays for its existence by decreasing legal fees, fines, and penalties the company would have otherwise incurred. A balancing act must constantly be maintained between the administrative cost associated with the prosecution and oversight of fwa and amount fwa that exists. After all spending 30 billion dollars to control and eliminate fwa when there is only 15-25 billion to be saved just does not make sense. Some people will always be dishonest, but making it harder and the penalties greater, may decrease the frequency of fwa in the healthcare industry.