Waiting lists in the NHS clearly demonstrate that it is inefficient Essay Example

Waiting lists in the NHS clearly demonstrate that it is inefficient Essay In 2002, public expenditure on health represented 7.7% of GDP. At the same time, over one million people were waiting for treatment on the NHS.1 Through a regression analysis with a sample size of over ten thousand, T.Besley et al found that if the long term waiting list were to rise by one per thousand, then there would be a 2% increase in the probability that an individual.would buy private insurance. It has therefore been shown through regression studies that consumers of health perceive quality in the NHS through waiting times. Given that taxation remains the primary method of funding the NHS, the fact therefore, that waiting lists do exist remains a cause for concern to many people as they question how their resources are being allocated. In this essay, I will principally discuss why waiting lists exist at all, and consider the related efficiency arguments. According to this aim, I plan to dispel the thought that waiting lists are altogether inefficient. When applying economics to any area in an efficient area we usually consider two variables; price and output. In this respect, the NHS can be considered an anomaly with respect to economics as resources must be allocated without the price mechanism. It can thus be seen on a very basic level why waiting lists might exist. Consider the following diagram:- Figure 1. We will write a custom essay sample on Waiting lists in the NHS clearly demonstrate that it is inefficient specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Waiting lists in the NHS clearly demonstrate that it is inefficient specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Waiting lists in the NHS clearly demonstrate that it is inefficient specifically for you FOR ONLY $16.38 $13.9/page Hire Writer As far as we are concerned, in the NHS, there are no costs of treatment. The NHS will face a demand curve, D1 and its patients will consume up to the point Qnhs. Were there an efficient price mechanism in place, it can be assumed that the optimum quantity would be at OQ*. It is thus the case that in the NHS there exists excess demand to the degree Qnhs OQ*. This excess demand can be simply thought of as the level of waiting lists. Before we can discuss fully whether waiting lists are efficient we must ask what efficiency is in the NHS. I will asses efficiency in the NHS predominantly around the concept of Pareto efficiency. Pareto defined the economically efficient outcome in society as being a situation where it is impossible to improve the lot of any person without hurting someone else. This implies allocative efficiency as there is the correct application of resources to each person. According to a single market, in this instance health, we can infer that this means that marginal benefits equal the marginal cost of consumption. We may also consider productive efficiency. That is that output is produced at minimum possible cost. Given that there is no price mechanism in the NHS to equate supply with demand, consumers are not deterred from using services as they face zero monetary expense. The main restrictions to access are formed through waiting lists. But why must they exist at all? A good answer to this question is provided by Buchanan. It is shown in the following diagram:- Figure 2 (Figure taken from Are waiting lists inevitable? A Street, S Duckett.) The x axis represents the level of private health provision. The individual with budget constraint AB and indifference curve I2 will purchase OQ1 health care. Given the introduction of an NHS, the x axis must now represent the level of social health care provision. Assuming that the individual transfers to public health care, he now has to purchase health care for others (according to the tax system) in contrast to the previous, private system in which he was only concerned with himself and his family. This will alter his indifference curve, I2-I2 , and less health care will be demanded, OQ2. If this is the case across the market, the consequence of public health care is that there will be a smaller aggregate expenditure on health care as compared to a private health care system. In addition to these problems, there will also be an increase in demand. In the NHS there are no user charges, as explained earlier. The consumer of public health care will therefore consume up until the point where the marginal utility of health care is zero. This will result in the optimum resource demand being OQ3. This restriction in supply and expansion of demand leads Buchanan to suggest that waiting lists are endemic to the (NHS) system. Since most potential patients cannot afford private health provision, they have a simple decision, be treated (and wait) or not be treated. Therefore, assuming that society is rational, the prospective patient will wait until he tops the list to get treated. This implies that the Pareto efficient outcome in a single market does not exist here and that waiting lists do suggest that the NHS is inefficient. The marginal patient is not the patient that equates his marginal cost of waiting with the marginal benefit of treatment, but the patient that perceives any benefit whatsoever from the treatment that he will receive at the future date. This suggests that as long as the demand curve is unchanged, the potential consumer surplus from inpatient treatment is not dissipated by the wait for treatment.2 Another reason why long waiting lists are inefficient is that as the waiting time increases, resources are allocated away from treatment towards administrative costs. This implies that as waiting times increase the service displays decreasing returns to scale rendering the quality of service smaller. Ideally, the hospital should aim to allocate its budget to the point at which it is indifferent between further3 increasing admissions and marginal wait reduction. A significant reason why this problem persists is that often, hospital managers cite increasing waiting lists when negotiating the hospitals budget with the government. In such situations in the past, the government has displayed a positive willingness to pay in reaction to increasing waiting lists, and as a result hospitals havent given a great enough weight to reducing lists, but rather to increasing admissions. It might however be unfair to judge the NHSs level of efficiency on its waiting list levels. Firstly, it might be the case that where there are areas that show a high proportion of people that are privately insured, lobbying for shorter waiting lists would decrease and this could lead to a positive correlation between private insurance and waiting lists. But why might this be? One of the greatest problems with the NHS is that of Supplier Induced Demand (SID). In terms of health care this refers to the extent to which a doctor provides or recommends the provision of medical services that differs from what the patient would have chosen if they had the same information and knowledge available as the doctor. Would a patient, for example, have given up an afternoon in the workplace if they had known on referral that the specific treatment for a complicated disease was a plaster to the toe? This idea falls in line with the fact that many remuneration systems are designed so that the doctor receives a greater income when they give a greater amount of services to each patient. This is borne out by a study by Krasnik et al (1990) who found that after GPs in Copenhagen had their remuneration methods changed to a fee-for-service basis, their activity increased until they attained their target incomes at which stage activity fell, suggesting SID. Might it be the case that waiting lists merely reflect the greed of GPs and the perverse incentives offered to hospital managers, rather than the actual inefficiency of the NHS? For certain waiting patients, it is evident that inpatient treatment is needed now, or not at all. A wait of any duration will be of no help at all. In the current NHS, priority is given to these patients. In the UK, waiting lists tend to build up for delay able cases5 In respect of this, waiting lists may simply represent a stock of work for doctors, ensuring that their scarce and skilled resources are utilised in the correct instances. It is also argued by Cullis and Jones that a waiting list allows for a balance of cases of differing nature and complexity, facilitating the teaching function of many hospitals. Taking these two points into account it may be argued that waiting lists optimally use the scarce resources presented to them, implying that waiting lists might actually facilitate efficiency. There is no doubt that increasing waiting lists are more than likely to indicate a poor performance in terms of economic efficiency. Between 1997 and 2002, expenditure on public health grew in total by over 50%. At the same time, waiting lists only fell by 15%, suggesting that there is a large misallocation of resources throughout the NHS and an undesirable level of efficiency. That is if we are looking to waiting lists as the key indicator of NHS performance. The weighting given to this area of NHS performance seems unfair and misinformed. It is my opinion that a reasonable waiting list actually gives rise to an efficient allocation of resources in a system that cannot naturally do so through the price mechanism. Undoubtedly lists can become unhelpfully large. In these cases I would argue that reforms such as buyer contracts could be easily be implemented that would prevent lists from becoming too large through the perverse incentives provided by the government to use waiting lists as a bargaining tool.

Joseph John Thomson Essays - Electron Beam, Charge Carriers

Joseph John Thomson Essays - Electron Beam, Charge Carriers Joseph John Thomson Biography Joseph John Thomson was born in 1856 in Cheetham Hill, Manchester, England. His mother, Emma Swindells, came from a local textile family. His father, Joseph James Thomson, ran an antiquarian bookshop founded by a great-grandfather. He had a brother two years younger than him, Frederick Vernon Thomson. His early education was in small private schools where he demonstrated great talent and interest in science. In 1870 he was admitted to Owens College at the unusually young age of 14. His parents planned to enroll him as an apprentice engineer to Sharp-Stewart & Co, a locomotive manufacturer, but these plans were cut short when his father died in 1873. He moved on to Trinity College, Cambridge in 1876. In 1880, he obtained his BA in mathematics (Second Wrangler and 2nd Smith's Prize) and MA (with Adams Prize) in 1883. In 1884 he became Cavendish Professor of Physics. One of his students was Ernest Rutherford, who later succeeded him in the post. In 1890 he married Rose Elisabeth Paget, daughter of Sir George Edward Paget, KCB, a physician and then Regius Professor of Physic at Cambridge. They had one son, George Paget Thomson, and one daughter, Joan Paget Thomson. One of Thomson's greatest contributions to modern science was in his role as a highly gifted teacher: seven of his research assistants and his son won Nobel Prizes in physics. His son won the Nobel Prize in 1937 for proving the wavelike properties of electrons. He was awarded a Nobel Prize in 1906, "in recognition of the great merits of his theoretical and experimental investigations on the conduction of electricity by gases." He was knighted in 1908 and appointed to the Order of Merit in 1912. In 1914 he gave the Romanes Lecture in Oxford on "The atomic theory". In 1918 he became Master of Trinity College, Cambridge, where he remained until his death. He died on 30 August 1940 and was buried in Westminster Abbey, close to Sir Isaac Newton. Thomson was elected a Fellow of the Royal Society on 12 June 1884 and was President of the Royal Society from 1915 to 1920. (1) J.J. Thomson's Atomic Model and Theory Thomson discovered the electron in the year 1897. His work put forward a new theory, that atom was made up of small particles.Thus he discovered the electrons. He proved his theory using the cathode ray tube. Scientists had already done many experiments to find the structure of the atom. They passed an electric current through a vacuum tube. They saw a light glowing inside the tube. It travelled in a straight line. They could not explain the phenomenon. Thomson did more experiments on the cathode tube. He placed two electric plates on its path. One was positively charged. The other was negatively charged. The glowing light bent towards the positively charged plate.and found that the glowing materials bent towards the positively charged plate. He found out that the glowing light were smaller particles. They were smaller than the atom. Thus Thomson found the particle called electron. Thus J.J.Thomson's atomic theory was found. Thomson suggested that the electrons came out ofthe trace gas that was inside the cathode tube. Thus a new theory that atoms were made of tiny particles surfaced. Thomson discovered the electrons and it was proved that atoms were made up of protons, electrons and neutrons. Thus Thomson proved that the atom was divisible. Since the atom was neutral, Thomson suggested that the negatively charged electron equalled the positively charged proton and neutrons had no charges.Thomson suggested to consider the atom as a sphere. It has positively charged particles. The positively charged particles is surrounded by the negatively charged electons. The electrons were placed there due to electrostatic forces. (2) What is a Cathode Ray Tube? Even without consciously realizing it, most of us are already aware of what a cathode ray tube is. Look at any glowing neon sign or any old-fashioned television set, and you are looking at the modern descendants of the cathode ray tube. Physicists in the 19th century found out that if they constructed a glass tube with wires inserted in both ends, and pumped out as much of the air as they could, an electric charge passed across the tube from the wires would

Master Essay

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Edward Estlin Cummings Essay Example | Topics and Well Written Essays - 750 words

Edward Estlin Cummings - Essay Example four lean hounds crouched low and smiling the merry deer ran before. †¦my heart fell dead before (Cummings lines 1-5/ 31-35). The last line varies at the end of the poem from â€Å"the merry deer ran before† to â€Å"my heart fell dead before.† Even with this slight variation, the repeated lines have a magic effect of overturning the theme of the poem from tragic to that of vitality and life. Two most evident details in this repeated verse is the use of colors and numbers for the purpose of description. The persona is describing the green garb of his lover and the golden color of the horse as well as silver dawn. These details chronicle the beautiful atmosphere of the lovers at the time. There are also numbers, which are repeated throughout the poem. In this specific stanza, the persona talks of â€Å"four lean hounds† of deer (Cummings, line 4). The numbers and the colors are a combination of beauty and terror, especially when the carrier resembles the war carriers that take soldiers to war (Bloom 22). At some point in the end when the lines are repeated, the poem draws the beauty of the described place and the lover by engulfing them in an atmosphere of death. The poem describes from the start a chronological event where it first describes the chase and the death of the persona and the collapse of his lover. These images are alluded to but when the repeated lines appear the poem takes the form of vitality and life. As the two lines unite the poem, the lovers are unified in elation. The colors green is the color of life and connects the lovers who are partakers in the succession of life and fatality. B: Edward Estlin Cummings. Xaipe/Seventy-one poems The poem selected from this collection is titled â€Å"I thank You God for most this amazing.† The poem is like praise lyric made whole by playing with words, grammar, punctuation and syntax (Bloom 28). For example, there is lack of spacing and punctuation, which make the speaker, speak without breathing; thus showing the intensity of his overwhelming joy and appreciation. With only four stanzas, the first stanza captures the spirit of the rest of the piece, and it goes thus: i thank You God for most this amazing day:for the leaping greenly spirits of trees and a blue true dream of sky;and for everything which is natural which is infinite which is yes (Cummings, lines 1-4) In this stanza, the speaker describes the day as amazing with the â€Å"spirit of trees† and a sky of â€Å"blue true dream† with â€Å"everything† ordinary and inestimable and â€Å"yes.† By writing continuously without spacing, regardless of the presence of punctuation, the poet renders the speaker breathless. Reading the poem kills it and gives it a new life afterwards when it is reborn as the speaker reunites and communicates with Mother Nature. Like a small child, the speaker describes the new life in terms of his newly founded cognizance because he is rebor n. The first stanza is precedence to what has already happened, and the speaker is joyous of the renewed sun, life, love and wings; including the earth itself. The praise is merely a subjective experience because the speaker renders everything new because of his personal renewal. With rebirth or a new perspective in life, things become new and one is able to picture things from a different point of view. The persona establishes a personal deity, â€Å"

Do you ever feel as if your living between two worlds Essay - 1

Do you ever feel as if your living between two worlds - Essay Example I moved in the United States at the age of seventeen, and this was a major turning point in my life. The reason I moved here was to go to a good school and get a good education. In my country, education is greatly valued, and my parents thought that the US would offer me the best education in the world. I was really excited about what I would find here. However, my excitement quickly turned to apprehension once I landed at the airport as I realized that a whole new chapter of my life was about to begin. As a teenager, my life was not very smooth. When I came to the US things became even worse. I had very many questions about what I really wanted out of life. I had even more questions about what was right in terms of culture, family and values. I used to wander if not talking my language would really change who I really am. However, I did not have all the answers to all these questions and I realized that time was moving really fast and I had to settle down. I decided that I would try to leave as normal a life as possible since I believed that I held my destiny in my hands. I remember the first time I ventured out into the grocery store. This was only three days since my arrival in the US and everything was still strangely new to me. The people were different, and so were products and brands offered in the shops. Even the way customers were treated in these shops was very new to me. Back in Iran, I was used to looking at the price of products depending on their weight which was mostly in kilograms. However in the US, weight is measured in pounds, something that I took a really long time getting used to. I also had difficulties communicating fluently in English since I was used to speaking Farsi or Arabic back at home. I made a few friends with whom we used to do a few things together. However, having American friends did not help me settle down into my new culture as fast as I wanted. I could let them know of my

During the month of Kartik in the Bikram Sambat calendar Essay Example for Free

During the month of Kartik in the Bikram Sambat calendar Essay During the month of Kartik in the Bikram Sambat calendar (late September and early October), the Nepalese people indulge in the biggest festival of the year, Dashain. Dashain is the longest and the most auspicious festival in the Nepalese annual calendar, celebrated by Nepalese of all caste and creed throughout the country. The fifteen days of celebration occurs during the bright lunar fortnight ending on the day of the full moon. Thorough out the kingdom of Nepal the goddess Durga in all her manifestations are worshiped with innumerable pujas, abundant offerings and thousands of animal sacrifices for the ritual holy bathing, thus drenching the goddess for days in blood. Dashain commemorates a great victory of the gods over the wicked demons. One of the victory stories told is the Ramayan, where the lord Ram after a big struggle slaughtered Ravana, the fiendish king of demons. It is said that lord Ram was successful in the battle only when goddess Durga was evoked. The main celebration glorifies the triumph of good over evil and is symbolized by goddess Durga slaying the terrible demon Mahisasur, who terrorised the earth in the guise of a brutal water buffalo. The first nine days signify the nine days of ferrous battle between goddess Durga and the demon Mahisasur. The tenth day is the day when Mahisasur was slain and the last five days symbolise the celebration of the victory with the blessing of the goddess. Dashain is celebrated with great rejoice, and goddess Durga is worshiped throughout the kingdom as the divine mother goddess. In preparation for Dashain every home is cleansed and beautifully decorated, painted as an invitation to the mother goddess, so that she may visit and bless the house with good fortune. During this time the reunion of distant and nearby relatives occur in every household. The market is filled with shoppers seeking new clothing, gifts, luxuries and enormous supplies of temple offering for the gods, as well as foodstuffs for the family feasting. Thousands of sheep, goats, ducks, chicken and water buffalo are prepared for the great slaughter. All types of organisations are closed for ten to fifteen days. Labourers are almost impossible to find; from the poor to the rich, all enjoy the festive mood. Anywhere you go the aroma of Vijaya Dashami is found. The first nine days of Dashain are called nawa ratri when tantric rites are conducted. In Nepal the life force is embodied in the divine energy and power of the female, depicted as goddess Durga in her many forms. All goddess who emanated from goddess Durga are known as devis, each with different aspects and powers. In most mother goddess temples the deity is represented simply as a sacred Kalash, carved water jug or multiple handed goddess holding murderous weapons. During these nine days people pay their homage to the goddess. If she is properly worshiped and pleased good fortunes are on the way and if angered through neglect then misfortunes are around the corner. Mother goddess is the source of life and everything. The first day of Dashain is called Ghatasthapana, which literally means pot establishing. On this day the kalash, (holy water vessel) symbolising goddess Durga often with her image embossed on the side is placed in the prayer room. The kalash is filled with holy water and covered with cowdung on to which seeds are sown. A small rectangular sand block is made and the kalash is put in the centre. The surrounding bed of sand is also seeded with grains. The ghatasthapana ritual is performed at a certain auspicious moment determined by the astrologers. At that particular moment the priest intones a welcome, requesting goddess Durga to bless the vessel with her presence. The room where the kalash is established is called Dashain Ghar. Generally women are not allowed to enter the room where Dashain puja is being carried out. A priest or a household man worships the kalash everyday once in the morning and then in the evening. The kalash and the sand are sprinkled with holy water everyday and it is shielded from direct sunlight. By the tenth day, the seed will have grown to five or six inches long yellow grass. The sacred yellow grass is called Jamara. It is bestowed by the elders atop the heads of those younger to them during the last five days when tika is put on. The jamara is taken as a token of Goddess Durga as well as the elders blessing. As days passes by regular rituals are observed till the seventh day. The seventh day is called Fulpati. On this day the jamara to be used by the royal household is brought from their ancestral royal house in Gorkha about a hundred and sixty nine kilometres away over the hills north west of the valley of Kathmandu. A parade is held in the Hanuman Dhoka Royal Palace. The fulpati, i. e. the procession bearing the jamara and other items necessary for the tika, is brought from Gorkha after a three day walk and most of the government officials are eagerly waiting for the fulpati parade to arrive at Rani Phokari in the afternoon. Rani Phokari area is filled with hundreds of government officials meticulously attired in the traditional formal dress. In fulpati, the royal kalash filled with holy water, banana stalks, jamara and sugar cane tied with red cloth is carried by Brahmans from the ancestral royal house on a decorated palanquin under a gold tipped and embroidered umbrella, led by the military platoon of the royal priest. The government officials also join the fulpati parade. Whilst the fulpati parade is heading towards the old royal palace, His Majesty the King observes the ceremonies taking place in Tundikhel, the army parade ground in the center of the city. There a majestic display of the Royal Nepalese Army is held. Guns are fired and the entire valley echoes with the resonance sound of it. The firing continues for ten to fifteen minutes to honour the fulpati. By the time the function ends the royal fulpati is already taken inside the Dashain ghar in Hanuman Dhoka Palace. With this the Dashain feasting starts. The eighth day is called the Maha Asthami. The fervour of worship and sacrifice to Durga and Kali increases. On this day many orthodox Hindus will be fasting. Sacrifices are held in almost every house through out the day. The night of the eighth day is called Kal Ratri, the dark night. Hundreds of goats, sheep and buffaloes are sacrificed at the mother goddess temples. In the darkness of the night Durga temples, army barracks, and old palaces all over Nepal hold sacrifices for the mother goddess. The sacrifice continues till dawn. The old palace in Basantapur Hanuman Dhoka, is active throughout the night with worships in almost every courtyard. While the puja is being carried out great feasts are held in the homes of common people where large amount of meat are consumed. The ninth day is called Nawami. The Taleju temple at Hanuman Dhoka is opened for the public only once a year on this day. Thousands of people go and pay their respect to the goddess day. Temples of mother goddess are filled with people from dawn till dusk. On this day the official military sacrifices are held in the Kot courtyard at Hanuman Dhoka. The government allows foreigners to witness this function so hundreds of tourists and diplomats eagerly gather here. Animals mostly black buffaloes are slaughtered by hundreds to honour Durga the goddess of victory and might and to seek her blessing. Military bands play war tunes, guns boom and officers with beautifully decorated medals in full uniform stand there. When the function ends the courtyard is filled ankle deep with blood. On this very day the god Vishwas Karma, the God of creativity is also worshiped. All factories, vehicles, any machinery instruments and anything from which we make a living are worshiped. We also give sacrifices to all moving machinery like cars, aeroplanes, trucks etc. to get the blessing from goddess Durga for protection for vehicles and their occupants against accidents during the year. The entire day is colourful. The tenth day is the Dashami. On this day we take tika and jamara from our elders and receive their blessing. We visit our elders in their home and get tika from them while our younger ones come to our home to receive blessing from us. The importance of Dasain also lies in the fact that on this day family members from far off and distant relatives come for a visit as well as to receive tika from the head of the family. This function continues for four days. His Majesty also receives tika from the royal priests and then gives on tika to his loyal subjects. Thousands of loyal Nepalese people as well as foreigners also receive tika from His Majesty the King as this is said to be auspicious. After four days of rushing around and meeting your relatives Dashain ends on the full moon day, the fifteenth day. In the last day people stay at home and rest. The full moon day is also called Kojagrata meaning who is awake. The Hindu goddess of wealth Laxmi is worshipped. On this day the goddess Laxmi is given an invitation to visit each and everyone. After Dashain the nation settles back to normal. After receiving the blessing of goddess Durga, people are ready to work and acquire virtue, power and wealth. Dashain thus is not only the longest festival but also the most anticipated one among all the festivals of Nepal.

Free Glass Menagerie Essays: The Characters :: Glass Menagerie essays

The Characters of The Glass Menagerie Generally when some one writes a play they try to elude some deeper meaning or insight in it. Meaning about one's self or about life as a whole. Tennessee Williams' "The Glass Menagerie" is no exception the insight Williams portrays is about himself. Being that this play establishes itself as a memory play Williams is giving the audience a look at his own life, but being that the play is memory some things are exaggerated and these exaggerations describe the extremity of how Williams felt during these moments (Kirszner and Mandell 1807). The play centers itself on three characters. These three characters are: Amanda Wingfield, the mother and a women of a great confusing nature; Laura Wingfield, one who is slightly crippled and lets that make her extremely self conscious; and Tom Wingfield, one who feels trapped and is looking for a way out (Kirszner and Mandell 1805-06). Williams' characters are all lost in a dreamy state of illusion or escape wishing for something that they don't ha ve. As the play goes from start to finish, as the events take place and the play progresses each of the characters undergoes a process, a change, or better yet a transition. At the beginning of each characters role they are all in a state of mind which causes them to slightly confuse what is real with what is not, by failing to realize or refusing to see what is illusioned truth and what is whole truth. By the end of the play each character moves out of this state of dreamy not quite factual reality, and is better able to see and face facts as to the way things are, however not all the characters have completely emerged from illusion, but all have moved from the world of dreams to truth by a whole or lesser degree. Tom Wingfield makes a most interesting transition. He changes twice during the course of the entire play. One change occurs at the end of the memory part of the play, then he is changed again sometime between when the actual play took place and the time that he returns after serving in the merchant marines. In the beginning Tom Wingfield, the main character and the narrator of the play, feels trapped like a caged animal who needs to be set free which some times causes him to seem to be without pity or remorse (Kirszner and Mandell 1806).

Betrayal in the city Essay

A critical analysis of the theme of betrayal in Francis Imbuga’s Betrayal in the City, Game of Silence and Man of Kafira This study examines the kind of influence postin dependence realities have had on Imbuga as a playwright. More specifically it is an exploration of some aspects of Imbuga’s dramatic transmission of these realities. A critical analysis of the dominant theme of betrayal, in Betrayal in the City, Game of Silence and Man of Kafira helps illuminate the realities. The guiding assumption is that drama in Africa carries a political dimension and is therefore socially committed. Drama may thus be read as a barometer of social change and progress. Imbuga’s drama artistically presents topical socio-political issues through dramatic exploration of the theme of betrayal and in the process reveals the playwright’s perception of society. The analysis starts off with a survey of the historical background of the three selected plays. This way we arrive at the origins of the theme of betrayal. The physical setting is Africa where the goings-on include the strangling of nascent democracy and the attendant oppression of the common people by the ruling elite. As Betrayal in the City demonstrates, the consequence of this state of affairs is a popular desire for change. Game of Silence is a dramatic critique of the culture of silence in which the playwright seems to advocate popular reaction against autocratic and anti-life forces. As Imbuga’s ideological stance as a writer becomes clearer in this play, we advance into Man of Kafira and its dominant theme of power crisis and the related positions of the former head of state. In the final analysis, we have read and understood society through Imbuga’s drama.

Starbucks Internationalization in Recent Years

With the first coffee shop opened in Sydney CBD, Starbucks entered into Australian market in July of 2000 and then expanded rapidly to 85 coffee shops in the following years. However, in August of 2008, Starbucks Coffee Company Australia announced to shut down more than 60 of its 85 coffee shops and to date it has scaled down to 22 opened in Sydney, Brisbane, the Gold Coast, the Sunshine Coast and Melbourne (Starbucks 2010).This writing will focus on the analysis on the attributes of Starbucks’ products and marketing, and identify the opportunities and threats facing the Starbucks Australia. The second part of the analysis also draws attention to the changes in social economy, competitors’ move and the main trends in the hot drink market. Based on the findings, recommendations are offered, aiming to help Starbucks gain competitive advantages in Australian marketplace and long run sustainability in a larger social context.In terms of coffee products and service quality, the cafe market in Australia is extremely mature and competitive. It is understandable that consumers’ expectation towards the newly-introduced coffee brand has been exalted high, especially when they are charged with premium price (Marketing Lessons 2010). However, the exotic coffee brand does not bring specialty to the local coffee culture as expected, the consuming experience stay mediocre. Meanwhile, products do not suit Australians' coffee tastes (Marketing Lessons 2010).Starbucks’ positioning in Australian cafe market has departed from the consuming needs and patterns of the local customers. Dismantled with the uniqueness it possessed and its success in the US and other Asian countries, Starbucks Australia seems to be as ordinary as one of the numerous choices for customers in Australia (Coffee Break and review 2008), and people never genuinely felt the necessity to go to a Starbucks shop. Evidently, Starbucks overestimates its points of difference, as well as th e customer-perceived value of its services (Marketing Lessons 2010).To compete out in Australian Cafe market, Starbucks needs to find new ways of creating competitive advantage to differentiate itself from local market competitors. What could make Starbucks special? It could be the menu including items catering customers’ special needs in coffee tastes, or the store environment which makes customer feel comfortable to sit in and enjoy the time, or the excellent service offered by people. Or it could be the combination of all the specialties makes the consuming experience unique.Datamonitor (2010) points out that the core competence of Starbucks is the quality of products. However, it is far from enough, because the best coffee and best equipment in the world could only make 20 percent of success, just as Ed Charles (2007) describes that success of product and service is 80 percent due to the performance of staff, and they must be trained to perform at their best both on produ cts and service to maximize the perceived value of customer.More specifically, customers’ perceived value is related to both tangible benefits such as price, product quality, service, convenience and price, as well as intangible benefits concerning reputation, aesthetics, social and emotional needs like self-enhancement and sensory pleasure needs. Quality service performed by staff could highlight both tangible and intangible benefits of customers. The attributes of the quality service in coffee shop can be demonstrated by thinking of the best consuming experience you could ever imagine.When entering a clean, well-furnished coffee shop with attractive decoration and cozy ambience, customers are recognized by friendly employees and greeted by own names. Order is made in an attentive manner, and fulfilled accurately and timely. Coffees with appealing aroma are served at moderate temperature and they are great and unique in taste. Market players could acquire some of the attribu tes depicted in the scenario to survive in the marketplace and their service quality varies depending on the competency of the service staff.What customers need is consistent quality services, which is discovered in the report by Chen and Hu (2010) that if customers feel confident that they can have a consistent quality consumption experience each time they come, they tend to choose the same coffee shop to enjoy their coffee. And such favorable attitude towards the service they have received could evolve into customer loyalty, since the essence of customer loyalty is, as Barnes (2001) depicts, â€Å"all about how you make them feel†, vice versa.Customer loyalty may result in consistent purchasing behavior of the brand over time. Therefore, it could be concluded that the all-round quality service performed by staff with high consistency could be the competitive advantage of Starbucks, which can make it special and achieve long run sustainability in Australian market. In light of this finding, Starbucks Australia should devote more efforts to human resources management. More specifically, a series of human resource practice could be designed and implemented to strategically improve employees’ competency and working attitude.For example, staff training could help them be more competent to perform all tasks involved up to standards and with high consistency and staff motivation could boost morale and let them know what is expected of them in a quite specific way. Both staff training and motivation could increase employees’ satisfaction to the extent that they are willing to exert effort to perform the service well and taking initiative to improve the service quality. It is supported by a study that a 5 percent increase in staff satisfaction can result in 1. 3 percent increase in customer satisfaction (Kleinman 2007).By improving the service performance of each staff, which is as Kleinman (2007) defined ‘employee-centered outcome’, Starbucks could achieve higher customer satisfaction, which is ‘organization-centered outcome’, and as the customer satisfaction accumulated and boosted, Starbucks would successfully deliver its positioning as ‘best coffee with premium service’ to the Australian market. And the company’s competitive advantage lies in its human resource management which includes a combination of human resource practice to increase employees’ competency and willingness to render consistent quality service to customers.Compared with the strategies which focus on price, menu and store environment, strategies on HRM would be less susceptible to imitation, since it is intangible and tacit and it is hard for competitors to know the exact HRM practices which could be replicated Additionally, the human resource management (HRM) practices should be facilitated with other non-HRM measures. For example, particular resources related to improving the service quality should be prioritized and allocated by the management to enhance the service performance.If Starbucks managed to acquire the quality service and achieve high customer satisfaction and loyalty through its competitive advantage in human resource management, it could have stayed profitable even during tough social economic condition and keep competitors away from its marketing territory. Since 2007, customer’s consuming confidence was dramatically decreased due to the economic recession and they spent money with more discretion as a result of or threatened by unemployment, bankruptcies and degraded credit. The decreased confidence of consuming caused the curbed spending which in turn resulted in pressure on the company's margins’ (Datamonitor 2010). Such tightening of consumers’ spending has encouraged defection. McDonald's, for instance, has already made small forays into providing decent coffee, and achieved some successes (Economist 2008). To retain customer, Starbuck s need to stress on premium service quality to achieve high customer satisfaction and further differentiate its products and service from McDonald’s, so that existing customers feel attached to the unique consuming experience in Starbucks and reluctant to defect.Although McDonald’s could offer decent coffee with a reasonable price, the premium consuming experience and series of HRM practice behind the strategy will be the major barriers for McDonald’s. Like most other coffee products, Starbucks' products contain caffeine, dairy, sugar and other active compounds. It is proved by public research that excessive consumption of these ingredients may lead to variety of health hazardous. The health issues are increasingly calling for public awareness and the public are suggested by doctors and experts to choose foods with discretion and reduce the frequency or quantity of intake.Such trends of food choice will reduce the demand of Starbucks’ beverage and food pr oduct (Datamonitor 2010). Noticeably, despite the threats from the health issues against the coffee products, a report by Parker (2005) reveals that the coffee demand in Australia will keep increasing from USD268. 57 million in 2006 to USD307. 13 million in 2011. This can be partly explained by the research (Luciano et al. 2005) that people’s preference to coffee beverage is genetic in Australia, and it is different from their preference to tea which is affected by the environment.It is understandable that although people’s consuming concept is becoming increasingly health-oriented, they still maintain their coffee-drinking habit. In this sense, Starbucks could retain the coffee demand by adding more decaffeinated coffee beverages and other coffee products incorporated with healthy components. The overall increase in coffee market could be seized if Starbucks manage to tune in the market trend by adjusting their coffee product structure.According to the research by Che n and Hu (2010), one of the attributes of the coffee industry is that it is highly competitive and homogenous in terms of services and products, and the availability of alternatives to the customers can be considered as an important attribute in decision making of purchasing. Therefore, Starbucks could offer a wide range of selection of coffee products as well as other beverages like tea and juices. This proposal of strategy could be justified by the finding that Wong (2010) mentions in her report.The culture of hot drinks in Australia has been evolved towards heath, and consumers are becoming mature while choosing the beverage in better taste as well as showing their preference toward premium products in both coffee and tea categories. The estimation by Datamonitor (2010) of the overall growth in the hot drink market in the next five years is 9. 1 percent, which will increase from AUD1350 million in 2008 to AUD1473million in 2013. Noticeably, the emerging tea market will increase b y 8. 1 percent, from AUD437million in 2008 to AUD473million in 2013.To optimize the profits, Starbucks could bank upon such trend and launch new products featured in tea category. Tea product can serve its market among the health conscious Australian consumers well in the next few years, due to its healthy and medicinal benefits. There is another marketing feature draws our attention. As discovered in the research by Luciano et al. (2005), women consume more beverages than men and show a lower preference for coffee than men, but higher preference for tea, which implies that the primary driving force for tea consumption is its appeal to women.This feature drives Starbucks to develop more tea products to cater for women’s preference in taste. By adding ingredients in women’s favor and making the beverage attractive in color and design, Starbucks just launched a series of tea products (Starbucks 2010) to attract more female customers. At the same time, Starbucks has creat ively combined the tea with coffee (Starbucks 2010) to create a product with specialty, which introduces a different way of enjoying coffee and tea product and also is an effective ay to surprise and delight their customers continuously. To be successful in the competitive Australian market, it is necessary for Starbucks to focus more on the human resource management practices to achieve sustainable and competitive advantages, which make their staff more capable and motivated to perform outstanding services with high consistency, so as to restore brand specialty in the marketplace. It is also important for Starbucks to be alert to all the changes in the market, as customers’ consuming habits and preferences in taste are always changing.The product structure, according to the market trends and new marketing strategies, should be adjusted to seize the opportunity facing the company. Just as Cairns put it in the report Starbucks (2008), the company needs to put the specialty to the market and grows with its customers. The winner could even proactively guide the market trends and foster the new consuming needs of customer to boost profitability. This requires the market player to be consistent in quality service performance but active and creative in marketing changes.

7 Questions You Need to Answer in Your Reaction Paper Writing

7 Questions You Need to Answer in Your Reaction Paper Writing 7 Questions You Need to Answer in Your Reaction Paper Writing It may seem like an easy task to write a reaction paper when it is assigned. Now, after you have put it off until the last minute, you find out that even though it is based on your opinion, it is much harder to complete than you originally thought. A reaction paper is designed to express your response to a piece of writing. It is a tool for analyzing the piece. You will need to show your reactions to a certain article or book, the author’s focus, and how it was written. When you have to go further than â€Å"I liked it† or â€Å"I didn’t like it†, the paper gets a bit more challenging. You need to expand on your ideas and create a paper that expresses the information in a logical and well-organized manner. The structure of a reaction paper needs to be much like a five paragraph essay with an introduction that includes a thesis statement, body paragraphs to back it up, and a conclusion that works to wrap it up. One of the best ways to make sure that this paper is a success is to answer these 7 key questions. If your paper answers them, you can be sure that you have done everything the right way. What Are Your Feelings about What Was Said? After you read the piece, jot down a few things about how it made you feel. Did you feel annoyed, sad, happy, glad, or indifferent? If you felt indifferent or the piece didn’t really appeal to you, then jot that down. It can show how the author failed to invoke your opinion or feeling on the subject. Are You on the Same Page with the Author? This is a yes or no question, however, don’t stop there. Explain the reasons why you agreed or disagreed with what the author had to say. Focus on thinking of at least three reasons to support your claims. Have You Experienced Anything That Can Be Applied to the Main Ideas? You have been through a lot in your lifetime and in order to really get the most out of this paper, think about whether or not you have had any life experiences that you can apply to the piece. Have you experienced anything that gives you an advantage over others who have read the article/book and does this change your opinion on the topics being discussed? Do You Have Any Deep Knowledge Regarding the Discussed Topic? Now think about what you have learned over the years. Does anything that you’ve learned relate to the topic that the reader is discussing? If so, this information can help you write this paper. Did You Have a Different Opinion on the Topic before Reading the Paper? Before you read the paper, did you have a differing opinion about the topic? How did it change your opinion? Why is this significant? These are some questions that you will want to consider as well. Did the Author Strengthen Your Previous Opinion of the Topic? Think about whether or not the paper firmed your opinion on the subject and why it did. This will help you decide whether or not the paper was persuasive and whether it had good evidence. Is the Main Point Supported by Evidence? Did the paper support the main point? Did the author back up the claims with evidence? This is a vital question that you need to consider. If your paper touches on these key points, it is a safe bet that your writing is effective and relevant. When you are able to determine the effect that the piece had on you and express it effectively, you are sure to write a great reaction paper.

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Asbestos Research Paper Example | Topics and Well Written Essays - 1250 words

Asbestos - Research Paper Example Previously, people did not know the risk associated with asbestos and began to use asbestos in a wide range of activities. With the due passage of time and extensive research by researchers, it was found that asbestos were responsible for a considerable proportion of health risk attached with people. People are both directly and indirectly affected by asbestos. People are directly affected by asbestos through inhalation of considerable amount of asbestos by people in their working environment. Asbestos fibers when exposed to air causes air pollution which indirectly affects people. Direct contact with person who inhaled asbestos can also affect the health of people. It was revealed that exposure to asbestos caused a number of health diseases. A few of them were manageable and some were fatal. Asbestos particles which are released into the air are inhaled by humans by breathing or through a membrane called mesothelium. The inhalation of these fibers can make cells more cancer prone. E arlier mainly the mining workers were exposed to asbestos and affected by it, but due to the wide acceptance of asbestos in industries, schools and housing, the number of people affected by asbestos has increased. The consequences of asbestos inhalation are usually associated with the amount of asbestos the person is exposed to, how often the person is exposed and the tenure of exposure. The main effects can result in asbestosis, pleural mesothelioma or lung cancer (Asbestos, 2010). With the increase in awareness of health diseases associated with asbestos, continuous efforts have been made to minimize its impact on human health. In 1970, the Congress in US passed the Occupational Safety and Health Act with a view to protect workers from occupational hazards. EPA also monitors the exposure of asbestos through its regulations which is known as National Emission Standards for Hazardous Air Pollutants. This regulation