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Thursday, December 26, 2019

dsfsdsfs - 4469 Words

Dear Wikipedia readers: We are the small non-profit that runs the #5 website in the world. We have only 175 staff but serve 500 million users, and have costs like any other top site: servers, power, programs, and staff. Wikipedia is something special. It is like a library or a public park. It is like a temple for the mind, a place we can all go to think and learn. To protect our independence, we ll never run ads. We take no government funds. We survive on donations averaging about $30. Now is the time we ask. If everyone reading this gave $3, our fundraiser would be done within an hour. If Wikipedia is useful to you, take one minute to keep it online and ad-free another year. Please help us forget fundraising and get back toÃ¢â‚¬ ¦show more contentÃ¢â‚¬ ¦Furthermore, Huxley argues that essays belong to a literary species whose extreme variability can be studied most effectively within a three-poled frame of reference. These three poles (or worlds in which the essay may exist) are: The personal and the autobiographical: The essayists that feel most comfortable in this pole write fragments of reflective autobiography and look at the world through the keyhole of anecdote and description. The objective, the factual, and the concrete-particular: The essayists that write from this pole do not speak directly of themselves, but turn their attention outward to some literary or scientific or political theme. Their art consists on setting forth, passing judgement upon, and drawing general conclusions from the relevant data. The abstract-universal: In this pole we find those essayists who do their work in the world of high abstractions, who are never personal and who seldom mention the particular facts of experience. Huxley adds that the most richly satisfying essays are those which make the best not of one, not of two, but of all the three worlds in which it is possible for the essay to exist. The word essay derives from the French infinitive essayer, to try or to attempt. In English essay first meant a trial or an attempt, and this is still an alternative meaning. The Frenchman Michel de Montaigne (1533Ã¢â‚¬â€œ1592) was the first author to describe his work

Tuesday, December 17, 2019

Fast Food And Its Effect On Society - 2059 Words

Fast food has came to be very popular in today s society even with all of the negative affects that it carries with it. In 1970, there were about 30,000 fast-food restaurants in the United States; that number increased to 222,000 by 2001 (Therien,1). With the increase in fast food restaurants the number of people that are obese has also increased and fast food options provide a quick, effortless meal (Sharkly, Johnson, Dean, and Horel,1). Many people like convenience after a long day of work even if they know that fast food is highly processed and contains large amounts of carbohydrates, added sugar, unhealthy fats and salt (Carey,4). Fast food doesnÃ¢â‚¬â„¢t just affect a personÃ¢â‚¬â„¢s body weight, it also has the possibility to affect academic performance (Woodhouse,1). Fast food often contains too many calories and not enough nutrition (Pietrangelo,1). If fast food is consumed on a daily basis, obesity will come to be a factor in someoneÃ¢â‚¬â„¢s health history. Many diff erent contributors have lead to the fast growth of the fast food industry. Will people learn how horrible fast food is for themselves? What has caused this fast food revolution to grow at such a speedy rate, and what could be done to amend some of the issues that have surfaced with it? The intriguing, cheap price of McDonaldÃ¢â‚¬â„¢s and other fast food chains is very tempting. Therefore, it is important for everyone to be more aware of oneÃ¢â‚¬â„¢s own choices and set a better example for others. Correspondingly, fast foodShow MoreRelatedFast Food And Its Effect On Our Society1761 Words Ã‚ |Ã‚ 8 PagesStop the Increasing Weight of the People? Fast food, the highly addictive food that many people can not go a day without eating. In our society today fast food has become the Ã¢â‚¬Å"normÃ¢â‚¬ when we are looking for something to eat, causing our society to accept it as something to be eaten ALL the time. Fast food can affect our bodies more than most people comprehend. According to the United States Healthful Food Council, they say 8 out of 10 people eat fast food monthly and half say they even eat it weeklyRead MoreThe Fast Food Industry Has a Harmful Effect on Society1211 Words Ã‚ |Ã‚ 5 PagesThesis: The fast food industry has a harmful affect on society. Topic Sentence 1: Fast food causes Coronary Artery Disease. Topic Sentence 2: Fast food is popular among our nation. Topic Sentence 3: The environment is affected by the fast food industry. We provide food that customers love, day after day after day. People just want more of itÃ¢â‚¬ (Ray Kroc, Founder of McDonaldÃ¢â‚¬â„¢s). Coronary Artery Disease is a type of heart disease and the most common cause of heart attacks. Plaque from eating unhealthyRead MoreAnalysis of David Zinczenkos Dont Blame the Eater: Fast Food and Its Effect on the Contemporary Society838 Words Ã‚ |Ã‚ 3 Pagesthe Eater fast food and its effect on the contemporary society David Zinczenkos article Dont Blame the Eater discuses with regard to a series of health-related topics involving food that most people and, particularly, young individuals eat today. The article is meant to raise public awareness concerning the risks associated with consuming particular foods. These respective risks are generally ignored because companies selling the products refrain from emphasizing the exact effects that consumingRead MoreEssay about Fast Food is Destroying America1477 Words Ã‚ |Ã‚ 6 Pagesprovide food that customers love, day after day after day. People just want more of itÃ¢â‚¬ (Ray Kroc, Founder of McDonaldÃ¢â‚¬â„¢s). Coronary Artery Disease is a type of heart disease and the most common cause of heart attacks. Plaque from eating unhealthy foods, builds up in the arteries, the arteries harden and begin to become narrow and can cause chest pain and heart attacks. Ã¢â‚¬Å"Obesity is a medical condition in which excess body fat has accumulated to the extent tha t it may have a negative effect on healthRead MoreFast Food Is An Integral Part Of Our Society Essay1455 Words Ã‚ |Ã‚ 6 Pages Fast food has become an integral part of our society by providing the option for a cheap and quick meal and on-the-go dining. In 1954, Ray Kroc, a seller of milkshake machines, took interest in the hamburger shop owned by the McDonaldÃ¢â‚¬â„¢s brothers. From there, Kroc suggested that the brothers Ã¢â‚¬Å"franchiseÃ¢â‚¬ their restaurants and after skepticism from the brothers, Kroc took on most of the responsibility for making the chain national venture. Today, McDonaldÃ¢â‚¬â„¢s is a global phenomenon and a billion-dollarRead MoreFast Food Nation Essay862 Words Ã‚ |Ã‚ 4 PagesFast food is very popular amongst todayÃ¢â‚¬â„¢s society. Fast Food Nation has reasons for the explosion in popularity of fast food restaurants in the mid-1900Ã¢â‚¬â„¢s. It also explains negative effects on American Culture in todayÃ¢â‚¬â„¢s society. The fast-food industry has multip lied across America and changed the food industry. Eric Schlosser describes in Fast Food Nation the way people think about what they eat and what people think of the fast food industry, and also its impact on society. 2 ND There are manyRead MoreFood Nation : The Dark Side Of The All American Meal1299 Words Ã‚ |Ã‚ 6 PagesIMPLICATIONS OF PROCESSED FOODS TO HUMAN HEALTH Processed foods, refers to any deliberate alteration or modification of foodstuff before its availability for consumption. These alterations ranges from simple undertakings such as drying or freezing food for nutrients and freshness preservation to complex undertakings such as formulation of a frozen meal with the correct balance of ingredients and nutrients. Nowadays, processed foods have become a large part of the human food industry and this has beenRead MoreAre We Taking It Too Far by Blaming Fast Food Restaurant for Obesity?1285 Words Ã‚ |Ã‚ 6 PagesAre we taking it too far by blaming fast food restaurant for obesity? Although throughout the years many people have claimed that obesity is a genetic disorder for the most part; results of recent studies strongly indicate that lifestyles rather than genetics are what are causing an obese society, because people choose to not exercise, not watch their diet, and eat fast food. For the past few decades, food companies had aimed their marketing at single meals, pushing to inflate portion sizes. ThatRead MoreFast Food Nation By Eric Schlosser848 Words Ã‚ |Ã‚ 4 PagesLAST THREE DECADES, fast food has infiltrated every nook and cranny of American societyÃ¢â‚¬ , Schlosser writes. Fast Food Nation, written by Eric Schlosser, includes topics about fast food chains impact on the community, jobs relating to fast food, and health issues. Fast Food Nation uses logic to appeal to the aspects of fast food chains by giving relatable examples from the devastating effects on the communities to the millions of jobs offered for our country. Moreover, fast food chains have contributedRead MoreUnderstanding The Impact Of Junk Food Essay1510 Words Ã‚ |Ã‚ 7 Pages: Understanding the Impact of Junk Food INTRODUCTION Junk Food is that type of food which doesnÃ¢â‚¬â„¢t contain nutritional value. It do not contain high level of calories and has little protein, vitamins and minerals. Such foods are also not good for health and has negative effects after consuming them. Why there is a More Demand of Junk Food? There are following reasons which shows that why people are attracted towards junk food:- Ã¢ ¦ Preparation of junk food doesnÃ¢â‚¬â„¢t take so much time and it is

Fast Food And Its Effect On Society - 2059 Words

Monday, December 9, 2019

Social - Legal and Ethical Frameworks

Question: Discuss about the Social, Legal and Ethical Frameworks. Answer: Introduction: In treatment is a series film which is adopted from a Jewish popular show Be Tipul produced by Hagai Lei. The main film character is Psychologist Paul Weston who meets four patients every week and consequently encounters his therapist Mr. Amy Ryna on every Friday. The paper will focus on an episode in season three of the "In Treatment" to formulate a case study. The case study will focus on season three episode seven which involves Paul and Sunil who is a retired teacher from India and whose wife has died six months earlier thus seeking therapy from Paul the psychologist (Stern, 2014). He is also on deportation process due to a decision not to disclose the immigration papers to the police on request. On the other hand, Paul is angry with Sunil because he feels he was used by Sunil to achieve his intentions. The aim of the paper, therefore, is to analyze the ethical dilemma or issues touching on the characters in the episode as well as to offer an appropriate response by the ethical p rinciples. In episode seven of the season three, Psychologist Paul develops a caring therapeutic friendship with his client Mr. Sunil to a point of not keeping the professional boundaries required in the counseling sessions. Paul cultivates an intimate therapeutic relationship with Sunil as a result of empathy. It can be argued that this kind of a relationship result from Paul personal experiences as an immigrant from Ireland and as a divorcee. As a result, Paul works tirelessly to identify what holds back Sunil's life after the death of his wife. Some of the possible reasons Paul identifies include Sunil's manifest criticism of his Son's marriage. In addition, Paul sees the possibility of jealousy in Sunil's life due to the loss of his wife. As a result of this relationship build by Paul there lacks the requisite boundaries which must be maintained between a therapist and a client during a therapeutic session (Richards Brown, 2011). Some of the ethical and the legal principles that emerge from the episode include failure to maintain the professionalism in the therapeutic encounter as well as dishonesty. Furthermore, Sunil willingly gives wrong information to the law enforcers hence committing a crime. It is essential that a psychotherapist set and maintain professional boundaries both within the office and without. To ensure that the therapeutic session remains focused to the client it is necessary, therefore, to work within the set boundaries during the session and outside the session. In therapeutic sessions boundaries refers to the psychologist's self-discloser to the client either through communication outside the session, exchanging of gifts, touching or establishment of relationship outside the therapeutic sessions. In this case, there exist a dual relationship between the therapist and the client. This is from the fact that Paul treats Sunil as friend more than a client (Marxen, 2012). In the psychotherapy, dual relationships are discouraged to protect both the client and the psychotherapist. In addition, this kind of a relationship compromises the healing process and the entire therapeutic process. Exploitation which results from dual relationship includes business and sexual exploitation. The concern is mainly that psychotherapist or counselors may take advantage of their client due to the power they have over them. A client who is in crisis is likely to be vulnerable hence must be protected. In addition, some client may take advantage over the psychotherapist and therefore he/she needs equal protection. Sunil in this episode takes advantage over Paul to achieve his intentions of traveling back to India (Kahr, 2011). From such an instance, therefore, dual relationships in counseling sessions must be opposed to the latter. It is clear that failure to maintain the boundaries that hinder such a relationship threatens the entire therapeutic process hence, causing harm to the client. Furthermore, it is clear that failure to main boundaries has negative effects to the counseling profession. Traditional psychoanalyst theory holds that boundaries are necessary, and therefore anything contaminating the boundaries is a threat to the psychotherapist profession (Johnson, 2013). The theory advises that poor management of the boundaries must be avoided by the counseling professionals to ensure that the integrity of the clinical work is sustained. However, it is vital to distinguish between boundary violation and boundary crossing. Boundaries violation entails actions that are perpetrated by the therapist against the client which hurts client's dignity and the integrity of the profession. On the other hand, bou ndary crossing refers to a reasonable deviation from the traditional therapeutic format with an intention to benefit the client. It is unfortunate that though Paul is a professional psychotherapist he does not differentiate the two hence his inability to maintain the necessary professional boundaries (Hillman Ventura, 2012). The interaction of Paul with his client outside the therapeutic session facilitate to the friendship. At one point in the episode, Paul encourages Sunil to smoke and drink more alcohol contrary to what is expected of a therapist. In counseling interaction outside the office is highly discourage for ethical and legal reasons. Study on therapist confirms that more than seventy percent of the therapists disclose information about themselves to clients outside the office. It is therefore widely agreed that association with a client outside the therapeutic session greatly hurt the therapeutic session (Bainbridge, 2012). Psychoanalyst advises that Psychotherapist must work to maintain the image of an omnipotent therapist a quality that lacks in the relationship between Psychologist Paul and his client Mr. Sunil. Furthermore, avoiding outside office encounters aids in maintaining confidentiality. Psychotherapy is mainly founded on confidentiality and privacy which result to trust. Office se ttings, therefore, assure clients of his/her privacy and confidentiality as well as a sense of security and safety. Therapist interaction outside the office, however, must be distinguished into three types of encounters. One is perceived as part of the thought-out treatment plan. The second encounter is viewed as outside office strategy to enhance the therapeutic efficiency, and the third outside office encounter is referred to as overlapping relationship which entails the natural relationships that occur as a result of our habitats. Interaction with clients outside the therapeutic session and within the ethical standards is beneficial to clients (Gottlieb, 2013). Honesty is fundamental in the psychotherapy exercise, it only in honesty the client discovers his/her potential over the problem he or she is facing. It, therefore, necessary that client and the therapist exercise honesty during the therapeutic session. It is also essential that client accepts to honest with the self throughout the session. The aspect of honesty and maturity lacks in the sessions involving Paul and Sunil. It is demonstrated by the fact that Sunil doesn't want to be responsible for his decision and therefore uses Paul to achieve his ends. Similarly, Paul is not living his decision rather he is living the wishes of others. He fantasies on the illness that may be the avenue to get him out his situation. Paul is thus a clear illustration of unresolved experiences which has been carried forward to professional life. It is the primary task of a therapist to facilitate change hence important to deal with personal experiences apart from the clients. To be the desired agent o f change in the psychotherapy one must not live in self-deception (Bainbridge, 2013). Ethical dilemmas induce anxiety to counselors and therapist equally, yet little attention is given to the subject during formation period. The issue of ethics in the dual relationship, therefore, must be focused through adequate knowledge which facilitates the management of the boundaries. Principles such principle of autonomy, of fidelity, and of justice must be considered while evaluating the issue. Hence, a therapist needs appropriate prudence to deal with a case similar to the one discussed in the paper. It is vital for a therapist to strike a balance between the professional and the personal concerns during the relationship with a client. In addition, every counselor or a therapist must implement all the moral principles as well as the ethical codes to achieve the desired results in a therapy session. In instances where an ethical conflict persists and has affected the therapeutic process, it is then prudent for the therapist to refer the client to another therapist or terminate the client-therapist relationship (Breton, 2014). In conclusion, it is necessary for the therapist to formulate reasoned and realistic social, legal and ethical frame works within which the profession must be practiced and from which the client-therapist relationship, as well as other communal connections, are managed and monitored. It is further advisable that therapist discusses with their supervisors any conflicting ethical issues they encounter during the practice. At times the horns of the ethical dilemmas are sharp and hurting hence inflicting serious damage. Hence there is a need for counselors and therapist to discuss realistic answers to the prevailing ethical dilemmas (Bainbridge Yates, 2013). In addition, the role of supervision should be should be enhanced especially in the process of resolving an ethical dilemma. It should also be understood that both the therapist and the client may fail to maintain the desired ideals due to their human nature. Thus, the need to train therapist and counselors appropriately as well as appreciate that ethical dilemma is real and demand practical response more than a theory. Reference Bainbridge, C. (2012). Psychotherapy on the couch: Exploring the fantasies of In Treatment. Psychoanalysis, Culture Society, 17(2), 153-168. Bainbridge, C. (2013). In Treatment (2012). Began airing in the UK in 2009 as the. Television and Psychoanalysis: Psycho-Cultural Perspectives, 47. Bainbridge, C., Yates, C.(2013). Psychoanalysis and popular culture: reflections on the development of a psycho-cultural approach. Psychoanalysis, Culture, and Society, 17(2). Breton, H. O. (2014). Coping with a crisis of meaning: Televised paranoia. In Media and the Inner World: Psycho-cultural Approaches to Emotion, Media and Popular Culture (pp. 113-134). Palgrave Macmillan UK. Gabbard, G. O. (2016). Boundaries and boundary violations in psychoanalysis. American Psychiatric Pub. Gottlieb, O. (2013). Media Studies Orientations for Israel Education: Lessons from In Treatment, Homeland, and Z-Cars. Journal of Jewish Education, 79(1), 49-69. Hillman, J., Ventura, M. (2012). We've had a hundred years of psychotherapy--And the world's getting worse. San Francisco: HarperSanFrancisco. Johnson, D. R. (2013). The role of the creative arts therapies in the diagnosis and treatment of psychological trauma. The Arts in Psychotherapy, 14(1), 7-13. Kahr, B. (2011). Dr. Paul Weston and the bloodstained couch. The International Journal of Psychoanalysis, 92(4), 1051-1058. Marxen, E. (2012). Therapeutic thinking in contemporary art: Or psychotherapy in the arts. The Arts in Psychotherapy, 36(3), 131-139. Richards, B., Brown, J. (2011). Media as drivers of the therapeutic trend?. Free Associations, (62), 18-30. Stern, D. N. (2014). Forms of Vitality: Exploring Dynamic experience in psychology, the arts, psychotherapy, and development. Oxford University Press.

Monday, December 2, 2019

Social Systems free essay sample

CHAPTER 1 Defining Modernization I Modern societies Modernization originally referred to the contrast and transition between a Ã¢â‚¬ËœtraditionalÃ¢â‚¬â„¢ agrarian society and the kind of Ã¢â‚¬ËœmodernÃ¢â‚¬â„¢ society that is based on trade and industry. For example traditional and modern would describe the difference between medieval England and late-Victorian Britain. A traditional society is Ã¢â‚¬ËœverticallyÃ¢â‚¬â„¢ organized by hierarchical division by class or caste Ã¢â‚¬â€ a specialization of prestige. But a modern society is Ã¢â‚¬ËœhorizontallyÃ¢â‚¬â„¢ organized by function, such that the major functions are performed by modular social systems. These major social systems include the political system, the public administration (civil service), the armed forces, the legal system, the economy, religion, education, the health service and the mass media. So, while a traditional society is like a pyramid of top-down authority, a modern society is more like a mosaic held together by the cement of mutual inter-dependence. A further contrast is that traditional societies consist of a single, unified system with a single centre of power; while a modern society is composed of a plurality of autonomous systems which interact with each other, influence each other, but do not absorb each other. We will write a custom essay sample on Social Systems or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Modern societies are fundamentally heterogeneous with multiple centres of power; and this is no accident The Modernization Imperative but intrinsic to their nature. Indeed, the continued process of modernization tends to break down any remaining vestiges of hierarchy and centralized domination of social functions. Modern and traditional societies differ according to their complexity of organization and their rate of growth in complexity. Modern societies are much more complex than traditional societies and are growing ever-more complex. Traditional societies are simpler and have a static structure (or one that increases its complexity so slowly or erratically that they perceive themselves as static). Complexity is favoured by selection processes, which are more powerful in modernizing societies, because specialization of function enables greater efficiency (for instance when division of labour, or increased trade and communications enables greater efficiency). Increasing efficiency then frees resources and drives further growth. 1 Modern societies are based upon growth and the expectation of growth. Indeed the cohesion of modernizing societies requires more or less continuous growth. This is why it is impossible to stop modernization at a particular favoured point Ã¢â‚¬â€ if growth stops then the nature of society reverts towards a traditional form. Growth in modern societies includes economic growth (increasing output and productivity), but also entails Ã¢â‚¬Ëœcognitive growthÃ¢â‚¬â„¢ Ã¢â‚¬â€ which means an increase in knowledge and capability across a wide range of activities such as science, technology and political administration. Traditional societies exhibit division of labour and cognitive specialization, but their complexity is constrained by the hierarchical structure into three main categories of peasants, warriors and priests (GellnerÃ¢â‚¬â„¢s Ã¢â‚¬Ëœplough, sword and bookÃ¢â‚¬â„¢). Warriors and priests constitute the ruling class who are concerned mainly with maintaining social cohesion by means of physical coercion and ideological propaganda. Peasants Ã¢â‚¬â€ whose role is agricultural production Ã¢â‚¬â€ constitute the vast majority of the population of traditional societies. Beyond the division into warriors, [1] For discussion of the meaning of Ã¢â‚¬ËœcomplexityÃ¢â‚¬â„¢ and Ã¢â‚¬ËœselectionÃ¢â‚¬â„¢, see Appendix. Ã¢â‚¬â€œ4Ã¢â‚¬â€œ Defining Modernization priests and peasants there is only a small Ã¢â‚¬Ëœmiddle classÃ¢â‚¬â„¢ of technical specialists (for example the different types of craftsmen). But in modern societies the Ã¢â‚¬Ëœmiddle classÃ¢â‚¬â„¢ is dominant: the vast majority of the population is cognitively specialized, and there are many thousands of distinctively different occupations. A deeper understanding of modernization reveals that one vital qualitative difference between traditional and modern is the difference between a unified social system in which all activity is (in principle) subordinated to politics (Ã¢â‚¬ËœpoliticsÃ¢â‚¬â„¢ being variably combined from different proportions of military force and theological legitimation); and a modern society in which politics does not dominate all activities, but in which there is instead a fundamental and continually-increasing functional specialization such as ever more division of labour into more different types of job. The categorization of societies into traditional and modern is crude, and of limited usefulness. At present almost all societies are at least partially modernized. On the other hand, no society is Ã¢â‚¬ËœcompletelyÃ¢â‚¬â„¢ modernized and the rate of modernization is variable between societies, and between systems in a society. Pre-modern forms are obvious in all societies. There has always (so far) been scope for further increase in adaptive complexity, in a positive feedback cycle where increased productivity fuels increased complexity, which in turn fuels increased productivity. Since modernization is dynamic, it is more useful to consider modernization as a process than as a state. A Ã¢â‚¬ËœmodernÃ¢â‚¬â„¢ society based on the process of modernization: this is Ã¢â‚¬ËœmodernityÃ¢â‚¬â„¢. Modernization can be seen as the general mechanism by which the social transformation from agricultural dominance to domination by trade and industry takes place, and the permanent continuation of this process. The difference between modernizing and traditional societies is profound Ã¢â‚¬â€ being the difference between simple static structure and complex dynamic process. 5Ã¢â‚¬â€œ The Modernization Imperative II Modernization and complexity Increasing adaptive complexity of societies enables the increased efficiency of information-processing, where information-processing has an abstract meaning. Ã¢â‚¬ËœInformationÃ¢â‚¬â„¢ includes all entities with meaning in systems (such as money, agricultural produce, industrial goods, human minds), while Ã¢â‚¬ËœprocessingÃ¢â‚¬â„¢ includes any transforming social activities such as economic production in factories, trade, markets, formal education, the health services and the activities of the mass media. For example, increased economic productivity entails increased complexity of information-processing by increased division and specialization of labour, increased complexity of organization, and the use of complex machines and (more recently) computers. This potential adaptive advantage for complex systems is the underlying reason why biological evolution has generated ever-more-complex organisms over the history of life on earth. The largest and most dominant organisms in the history of life on earth are late products of evolution and the most ominant animals in terms of biomass are humans in the temperate zones and ants in the tropics and equatorial regions Ã¢â‚¬â€ both complexly social. Increased organizational complexity does not inevitably generate increased efficiency since complexity increases the need for communication and co-ordination. But in modernizing societies there is a selection pressure on each social system by other social systems, which means that there is an evolu tionary tendency for more functionally efficient increases in complexity to survive while increases in useless or damaging complexity tend to be eliminated over time. Of course, selection is a Ã¢â‚¬Ëœtrial and errorÃ¢â‚¬â„¢ process, having the tendency to improve efficiency on average and over the long term. Selection does not generate perfectly efficient mechanisms or optimal solutions, and short-term changes may be less efficient. Nonetheless, the overall tendency is towards greater complexity and efficiency. Ã¢â‚¬â€œ6Ã¢â‚¬â€œ Defining Modernization Modernizing societies are therefore already-complex societies that display the tendency to become more complex with time Ã¢â‚¬â€ this increasing complexity being kept under selective pressure for improved efficiency. III Social cohesion Maintenance of stable social cohesion is the main problem for traditional rulers, and processes such as growth, or specialization of labour will be sacrificed to maintain the cohesion of a stable structure. Any significant social change is potentially a threat to structure, and new knowledge, institutions or technologies may be suppressed. Social cohesion is imposed vertically, from above, by hierarchical command. Hence, traditional socialization typically entails the inculcation of obedience to the prevailing order. Modernizing society, by contrast, implicitly adopts the growth of adaptive complexity as its core value, and a modernizing system of education and socialization will (by comparison with traditional education/socialization systems) tend to inculcate the desirability of growth and functional specialization as core values. Existing social structures are often sacrificed when they conflict with these modernizing processes (for example the class system impairs flexible functional specialization and tends to be dismantled by modernization). Social cohesion naturally remains vital, since all social systems have self-reproduction as their primary function (if they did not, they would not exist), but social cohesion becomes an indirect by-product of the growth in adaptive complexity. The increasing adaptive complexity continually generates greater efficiency and a surplus of product, and this surplus is potentially available to maintain cohesion. For example, a more complex and functionally specialized organization may lead to greater economic efficiency and generate more profits, and some of these extra profits can be used to solve problems caused by new forms of organization. For example, deterioration in workÃ¢â‚¬â€œ7Ã¢â‚¬â€œ The Modernization Imperative ing conditions caused by more complex forms of organization may be compensated by paying higher wages, employing extra personnel or eliminating menial jobs through new forms of technology. A modernizing society implicitly operates on the basis of faith in the future Ã¢â‚¬â€ or more exactly a self-belief in generating a continually expanding capability as the best means of solving emergent problems. Just as a growing organization may expand without a comprehensive plan, but by expanding its capability faster than the problems it encounters; so a modernizing society does not know how it will be able to maintain growth and coherence in the unknown but more complex future, but implicitly has confidence that this can be achieved by growth in knowledge and resources. Social cohesion is therefore bound-up with deferred satisfactions. Present disaffection is ameliorated by the possibility of future improvement in modernizing societies. This is plausible when society as a whole is on an upward escalator of capability. Modernization therefore depends on the socialization of sufficient numbers of the population into a forward-looking and optimistic attitude. A traditional society is held together mainly by force and propaganda which is imposed from above Ã¢â‚¬â€ warriors providing the force and priests the propaganda. 2 An example would be feudal medieval England, in which a tiny minority of Norman warriors (aristocrats) and the Roman Catholic priesthood ruled a mass of Anglo-Saxon peasants. Although modernizing societies continue to deploy top-down force and propaganda, the aim is not a static structural stability, nor are force and propaganda the ain instruments of social cohesion. In a modernizing society, social cohesion is a necessary consequence of the mutual inter-dependence of social systems Ã¢â‚¬â€ which means that the most important forces of cohesion are horizontal rather than top-down. Because of the specialization of social systems, each system depends upon other systems for its [2] i . e. a belief in the long-term stability of the social, political and economic organization, with the minimum likelihood of change. Ã¢â‚¬â€œ8Ã¢â‚¬â€œ Defining Modernization ability to function. For example, the economic system requires freedom to trade (political system), an educated workforce (educational system), a healthy workforce (health services) etc. All of the major functions performed by social systems are necessary to the continued survival of the society. In a modern society, (almost) everyone depends on (almost) everyone else in a vast and intricate web of reciprocal influence. Such interdependence generates the web of forces that tends to bind society. Such forces are both formal and informal, and cohesive mechanisms differ between societies due to their different histories. For example, many early-modernizing societies depended upon nationalistic loyalty to bind their populations, but nationalism has become weaker in most of the more complex modernizing societies. Formal forces of cohesion include the legal and regulatory framework Ã¢â‚¬â€ and this necessity is one reason why this framework tends to increase in complexity in modernizing societies. But one of the most important informal cohesive mechanisms in complex modernizing societies is the mass media. The mass media serves to represent society to itself. The media samples information from the functional social systems and processes it into forms that are able to attract and hold attention, then these are communicated widely. The amount of information which circulates in the media, and in private life as a consequence of communications from the media, is a powerful force for cohesion (even when its contents are conflictual and sensational). The mass media not only provide horizontal links between the specialized social systems, so that a newspaper contains information relating to politics, law, education, health etc; but the media also links its own content temporally. In the mass media social memories are created, maintained and transformed. Each media Ã¢â‚¬ËœstoryÃ¢â‚¬â„¢ is presented as growing from other stories, and leading onto yet more stories in an endless process: so that a new medical treatment for cancer may be presented in relation to knowledge about that type of cancer (perhaps linked to a celebrity sufferer), and future possible links are created Ã¢â‚¬â€ Ã¢â‚¬â€œ9Ã¢â‚¬â€œ The Modernization Imperative maybe in relation to potential side effects (referring to memories of thalidomide, perhaps) or to the costs of the new treatment (linking to health service politics). In such ways, the mass mediaÃ¢â‚¬â„¢s own requirements to have something to say on a daily basis and to attract people to attend to their communications leads to a vital social function of maintaining social cohesion by the circulation of communications potentially concerning all systems. The necessary basis of the mass mediaÃ¢â‚¬â„¢s own continued existence has therefore evolved to become a functional necessity for modernizing societies Ã¢â‚¬â€ which is presumably one reason why all modernizing societies include a very large mass media system which is continually growing in complexity and size to match the society in which it operates. IV Economism There are many fundamental misconceptions about modernization, the commonest of which is that modernization entails subordinating all of society to the goal of maximizing economic growth Ã¢â‚¬â€ a doctrine sometimes termed Ã¢â‚¬ËœeconomismÃ¢â‚¬â„¢. By this definition, modernizers are accused of advocating that economic imperatives such as profit and productivity ought to be regarded as the ultimate social good. By this account, while traditional societies were characterized by domination of society by the political system, modern societies are dominated by the economic system. The debate about modernization is then defined as a choice between political or economic domination. This common error is exacerbated by the fact that modernizing societies are often termed Ã¢â‚¬ËœcapitalistÃ¢â‚¬â„¢. While it is true that all advanced modernizing societies have capitalist-type economic systems, this nomenclature carries the mistaken implication that capitalism is not only necessary to such societies, but definitive. However, a capitalist economy is only one feature of modernization, and (for instance) democ- Ã¢â‚¬â€œ 10 Ã¢â‚¬â€œ Defining Modernization racy, science and an independent legal system are equally definitive. Economism is an inaccurate and incomplete description which misrepresents modern society by disregarding its fundamentally plural, modular, functional interdependence. Modularity implies that the economy is narrowly focused on economic imperatives, and that the other social systems have distinct and different imperatives. Continual economic growth (e. g. especially growth in productivity) is indeed vital for modernizing societies, and economic factors influence almost all social functions. But the true nature of the relationship between social systems is two-way, or reciprocal. This arises precisely because the economic system has a narrowly economic set of functional criteria. Because it depends on the other social systems to perform non-economic functions, economics cannot dominate other systems in a one-way power relationship. Economic growth requires growth in many other social systems, efficient growth in other systems requires their autonomy, and this need for autonomy in all functional social systems leads to a balance of power between systems Ã¢â‚¬â€ not to an hierarchical domination. A growing economic system entails increasingly effective functioning in many other social systems. For instance, economic growth requires an evolving legal framework, the political arrangements to enforce that legal framework, an expanding and changing educational system to increase and modify the skills of the population, and an effective health service to maintain the functionality of economically-active people. Efficient functioning in these other social systems implies they become ever-more specialized and complex. Each social system becomes progressively optimized for its own functional purposes. Economics is often criticized for the narrowness of its evaluations (e. g. its Ã¢â‚¬ËœobsessionÃ¢â‚¬â„¢ with profits and productivity and its neglect of culture and human fulfillment). But if economic evaluations were to broaden, this would tend towards de-differentiation and absorption of the horizontal modular systems of modernizing societies into the single hierarchical system of a traÃ¢â‚¬â€œ 11 Ã¢â‚¬â€œ The Modernization Imperative ditional society. Many opponents of odernization who characterize modernization as economism are advocating a form of social organization in which the economy (along with the other social functions) is subordinated to specific political and cultural goals (and such dominating political goals might be either rightor left-wing in nature). The superficially humane appeal for a broader concept of economics therefore carries anti-democratic, anti-scientific and pro-hierarch ical implications. However, it is doubtful whether anyone truly advocates economism. It is an accusation levelled against those who are seen to be placing excessive emphasis on the need to maintain and enhance economic growth, or are apparently neglecting the importance of other systems such as education, health or the arts. When its opponents characterize modernity in terms of economic domination of society (as often happens in discussions of the phenomenon labelled Ã¢â‚¬ËœglobalizationÃ¢â‚¬â„¢), then there is little difficulty in demonstrating the absurdity, barbarity or unsustainability of modernizing societies. But economism is a Ã¢â‚¬Ëœstraw manÃ¢â‚¬â„¢. V Ã¢â‚¬ËœScissors, Rock, PaperÃ¢â‚¬â„¢ interdependency The stability of a modernizing society depends upon the interlocking of a mosaic of modular social systems Ã¢â‚¬â€ all of which are necessary, none of which is dominant. The outcome is a dynamically changing and growing network formed from relationships of mutual constraint and mutual benefit. Long-term stability comes from the fact that each system needs several other systems in order to function. Since system outputs are most efficiently provided by complex specialization, the tendency is for each system to evolve according to its own distinctive functional logic. For example, the legal system is organized around a distinction between legal and illegal, while economic logic is based around profitable/non-profitable. A modernizing society is therefore essentially and necessarily pluralistic. Society is a system variably constituted of ever-more Ã¢â‚¬â€œ 12 Ã¢â‚¬â€œ Defining Modernization numerous, ever-more specialized social systems held together by a web of cohesive forces that are themselves changing and evolving. Such pluralism is no accident, nor is it a temporary phase. Indeed, modernizing societies must be characterized by mechanisms to promote and maintain functional pluralism. Each system depends on the outputs of other systems. If system specialization is lost then efficiency is threatened, and reduced efficiency leads to reduced output Ã¢â‚¬â€ which weakens other systems and tends to reverse modernization and lead to social de-differentiation back towards the traditional form of static structure (as seems to have happened in the later phases of the Soviet empire due to increasing domination of all social functions by the political system). The more specialized social systems become, the more each system needs the outputs of other systems. Social cohesion and continued growth of adaptive complexity is in the interests of each of the social systems. This mutual dependence between systems creates a situation in which selection forces act to favour the evolution of horizontal mechanisms of cohesion. Although short-term expediency may lead to Ã¢â‚¬ËœparasiticÃ¢â‚¬â„¢ exploitation of one system by another, cohesion is the only viable long term strategy. The fact that social cohesion is a matter of enlightened self-interest for all systems is the key to understanding the observation that modernizing societies have less need for coercion and propaganda than traditional societies. Although increasing specialization of function tends to increase social fragmentation, specialization also simultaneously increases mutual dependence, thereby tending to maintain social cohesion. This probably explains why modernizing societies do not (despite predictions) simply disintegrate. The strength of this form of cohesion has increased because complex social systems have developed self-representations in the form of management, and management has developed functions of prediction and strategic planning. This implies that, in principle, social systems can avoid policies that offer short-term gains at the cost of longer-term damage. Ã¢â‚¬â€œ 13 Ã¢â‚¬â€œ The Modernization Imperative The inter-dependent nature of social systems in a modernizing society can be expressed by analogies drawn from childrenÃ¢â‚¬â„¢s games. A traditional society is like a game of Ã¢â‚¬Ëœking of the castleÃ¢â‚¬â„¢ in which competitors struggle to stand on top of a hill, and the one who succeeds has a height advantage which helps him to maintain his winning position. Being on top of the hill is the overall dominant position. But in a game of Ã¢â‚¬ËœScissors, Rock, PaperÃ¢â‚¬â„¢ there is no overall dominant position. Participants thrust out their right hand in the shape of either scissors, rock or a flat sheet of paper: scissors cut the paper, paper wraps the rock, rock blunts the scissors. Each strategy may be more powerful than, equal to, or weaker than another strategy; and the continuation of the game is defined by its circularity. If there was an overall dominant move, then the game would end in stalemate. Similarly, modernization is defined by a circular Scissors-Rock-Paper interdependence of social systems, with some systems dominating others in particular situations, but no system being dominant overall. VI The inevitability of modernization The Ã¢â‚¬ËœinevitabilityÃ¢â‚¬â„¢ of modernization is based upon the idea that competition will tend strongly to select the most efficient societies, and these will also be the most adaptively complex societies. The selection pressure will therefore be for societies to become ever more adaptively complex, therefore more functionally specialized and differentiated. Strictly speaking, modernization is not so much inevitable as very highly probable, at least so long as there is competition between societies. It is not that the outcome of such encounters is pre-determined, more that the odds are stacked heavily on one side. Because of this, the history of life on earth can be seen as one of cumulative and progressive increase in the adaptive complexity of social units, which shows itself as increases in the size and the functional differentiation of organisms. As Robert Wright has shown, this trend has been interrupted locally in the short term, Ã¢â‚¬â€œ 14 Ã¢â‚¬â€œ Defining Modernization but has continued globally over the longer term. Greater size, co-operation and complexity do not inevitably generate increased greater efficiency because they also generate problems that need to be solved efficiently; problems such as coordinating large mobile animals (requiring the evolution of a brain and nervous system) or preventing excessive selfishness in social animals (e. g. by means of extended familial networks in social insects). Greater complexity creates greater need for internal communications. But when these problems can be overcome, then complexity seems to be the main pathway to greater competitive advantage. The same trend towards increasing adaptive complexity can be seen in human society. For example, simple hunter-gatherer societies were once universal among humans, but were almost completely displaced by more complex agrarian societies (i. e. Ã¢â‚¬ËœtraditionalÃ¢â‚¬â„¢ societies) whose greater economic efficiency (supported by a more complex division of labour and technology) enabled them to extract more resources per unit of environment and support a denser population. The only remaining hunter-gatherer societies inhabited agriculturally marginal or geographically remote areas. Although traditional societies were often static, or grew in complexity only very slowly over centuries, there was a slow and intermittent trend towards greater complexity throughout history Ã¢â‚¬â€ resulting in larger Ã¢â‚¬ËœempiresÃ¢â‚¬â„¢, incrementally improved technologies, the beginnings of formal education etc. But when Ã¢â‚¬ËœmodernÃ¢â‚¬â„¢ societies began to emerge, then modernization began to spread rapidly around the world by conquest, colonization, trade and emulation. The world is now dominated by modernizing societies, and modernizing societies must continue to grow in adaptive complexity at least as fast as other competitor societies in order to survive. The rapid growth of modernizing societies has the consequence that the world is a smaller place with each passing year, while technological improvements mean that ever more of the world is suitable for modernization. There is now nowhere left for traditional societies to hide unmolested, and the conÃ¢â‚¬â€œ 15 Ã¢â‚¬â€œ The Modernization Imperative quest of modernization looks set to replace and even surpass the conquest of agriculture on a global scale. In the sense that the replacement of hunter-gatherer societies by Ã¢â‚¬ËœtraditionalÃ¢â‚¬â„¢ agricultural societies was Ã¢â‚¬ËœinevitableÃ¢â‚¬â„¢, so the replacement of traditional societies by modernizing ones is inevitable. Even if anti-modernization parties are in power, their success in reversing modernization will not be permanent so long as other societies are modernizing. To the extent that it succeeds, anti-modernization damages the competitive strength of societies. Traditional society is at the mercy of modernizing societies, in terms of military, economic, political, technological and cognitive strength. Sooner or later, by revolution, war, bribery, persuasion or voluntary emulation, traditional societies will modernize themselves or else be taken over and modernized by someone else. VII Politicians and modernization Modernization is a product of selection processes (see Appendix: Selection and functionality). This means that not all political initiatives that are self-described as a Ã¢â‚¬ËœmodernizationÃ¢â‚¬â„¢ can be considered as genuine modernizations. Many such Ã¢â‚¬ËœmodernizingÃ¢â‚¬â„¢ reforms actually diminish the selection processes that tend to generate complex functionality. This mismatch between rhetoric and reality3 arises from a terminological ambiguity by which modernization means different things in different contexts. In this book we follow Luhmann in arguing that true modernization is the increase in functional specialization of societies, and that the functionality of a social system is defined by its having prevailed over other social system variants during a history of competition. In other words, functionality is relative; and the most functional systems are those that have displaced other sys[3] Labels like Ã¢â‚¬ËœconservativeÃ¢â‚¬â„¢ and Ã¢â‚¬ËœprogressiveÃ¢â‚¬â„¢ can be highly misleading from the Systems Theory perspective. 16 Ã¢â‚¬â€œ Defining Modernization tem variants in a competitive situation. Selection processes are therefore intrinsic to modernization. But another use of Ã¢â‚¬ËœmodernizationÃ¢â‚¬â„¢ is as a synonym for Ã¢â‚¬ËœrationalizationÃ¢â‚¬â„¢. Rationalization usually entails the reform of a social system by central government, along the lines of making it more of a Ã¢â‚¬Ëœrational bureaucracyÃ¢â‚¬â„¢ involving standardization of explicit procedures in a hierarchical command system. The confusion arises from the fact that (as Weber famously noted) the emergence of rational bureaucracies characterized many modern states, such as nineteenth-century Germany. Later, this ideal of rational bureaucracy as being the most Ã¢â‚¬ËœefficientÃ¢â‚¬â„¢ mode of organization was to dominate the social system of the USSR and its satellites. Rational bureaucracies may indeed be an instrument of modernization in the Luhmann sense, especially when (as in nineteenth-century Germany) Ã¢â‚¬ËœmeritocraticÃ¢â‚¬â„¢ formal bureaucracy replaced hereditary, arbitrary personal rule by an aristocracy. However, rational bureaucracy is not necessarily associated with modernization (as became obvious in the later decades of the Soviet Union), since politically-dominated bureaucracies that emerge without sufficient competition may tend to become less functionally efficient, in terms of producing less output per unit input. Rational bureaucracy is therefore merely a means to the end of increasing functional complexity. For example, in the economy a variety of organizational forms have prevailed in economic competition Ã¢â‚¬â€ such forms include rational bureaucracies, but are certainly not restricted to this model of organization. Furthermore, many of the most successful economic systems have been highly autonomous from control by central government. The point is that modernization in the Luhmann sense is not synonymous with the imposition of rational bureaucracies. Rationalizing political modernization may indeed be anti-modernizing Ã¢â‚¬â€ especially when central government introduces reforms that lead to long-term political domination of other social systems. This constitutes a de-differentiation of society, a Ã¢â‚¬â€œ 17 Ã¢â‚¬â€œ The Modernization Imperative reversion towards less specialized traditional social organization, and therefore tends to reduce efficiency in social systems. For example, if self-styled Ã¢â‚¬ËœmodernizationÃ¢â‚¬â„¢ of the educational system tended to increase direct political control of education, then this mixing of political and educational functions would constitute a reduction in the functional specialization of the education system; and would lead to lower efficiency of the system in pursuing educational objectives. Of course, true modernization might, in principle, legitimately involve a temporary phase of increased political control which led onto a more functionally-differentiated social system. For example, central government might impose re-structuring of a social system in order to encourage growth and competition (of the right sort); after which the government would withdraw its domination to allow the social system to increase in functional complexity in a selective environment that rewarded efficiency. In other words, short-term subordination of a social system might lead to greater autonomy of that system in the longer term. Examples might include economic Ã¢â‚¬Ëœde-regulationÃ¢â‚¬â„¢ by which a government intervenes to impose new rules and procedures on banking services or the stock exchange, but then stands back to allow the Ã¢â‚¬Ëœre-structuredÃ¢â‚¬â„¢ system to grow and differentiate in the new context of increased market competition. This is a classic example of effective modernization. But a rationalizing Ã¢â‚¬ËœmodernizationÃ¢â‚¬â„¢ which did not introduce selection mechanisms would probably be counter-productive. This eads on to a consideration of the extent to which the political system can Ã¢â‚¬ËœsabotageÃ¢â‚¬â„¢ modernization by increasing the power of the political system (or individuals within this system) at the cost of reduced efficiency in other social systems. Clearly, it makes a difference whether politicians and political parties make the right decisions with re spect to modernization. An effective modernizing government will increase the speed of modernization and/or diminish its disadvantages. An incompetent or anti-modernizing government can slow, stop or reverse modernization, at least temporarily. But given that we Ã¢â‚¬â€œ 18 Ã¢â‚¬â€œ Defining Modernization live in a modernizing world, no individual or government can roll-back modernization in the long term. Modernization does not depend upon individual will. Indeed, if modernization had depended upon the insight and motivation of politicians or parties it never would have happened in the first place. And certainly it would not have progressed so widely and with such rapidity over recent decades. It is the diversity of societies, and the competition between societies, which drives the process, and which enforces modernization in the long term. Governments that do the Ã¢â‚¬Ëœwrong thingÃ¢â‚¬â„¢, whether deliberately or accidentally, find their countries increasingly dominated by those countries which are making a better job of it. And this domination embraces all the social systems in which communications are international Ã¢â‚¬â€ such as economics, the armed forces, science, technology and the mass media. Since modernization is multi-system, dominance in one system tends to be associated with dominance in other systems. For example, the differential between the USA and Europe, hence the domination of the European social system by the US system, is probably growing in all the systems mentioned. VIII The desirability of modernization While there are strong objective arguments for the inevitability (i. e. very high probability) of continued modernization, the case for the desirability of modernization has to be made. Naturally, arguments for the desirability of a social system are seldom clear cut, since they depend on individual judgements which are a matter of perspective as well as knowledge. The process of modernization inevitably creates losers as well as winners. Furthermore long-terms gains may entail short-term costs. Nonetheless, if the contrast is drawn between traditional societies and modern societies then there would appear to be a very general consensus that life is better in modernizing societies Ã¢â‚¬â€ better for most people, most of the time. Ã¢â‚¬â€œ 19 Ã¢â‚¬â€œ The Modernization Imperative Peasants make up the vast majority of the population in traditional societies, which are based on agriculture, and (as Gellner has shown) in traditional societies the peasants are half-starving all of the time and actually-starving for considerable periods. Subsistence agriculture leaves very little margin for bad (famine) years and much food is expropriated by the ruling class. Peasants are physically stunted and have their lives made short by malnutrition and the diseases of poor hygiene and overcrowding. It is difficult to lead a happy or fulfilled life when hungry and sick, and living among families and communities who are themselves diseased and dying. The mass of people in modernizing societies have much better basic provisions than peasants, live longer, are larger in stature, suffer less hunger and pain, suffer fewer deaths among family and friends, and have many other technological advantages. It seems reasonable to assume that the mass of people in modernizing societies are also Ã¢â‚¬ËœhappierÃ¢â‚¬â„¢ than peasants Ã¢â‚¬â€ as most anthropologists would confirm. On the other hand, existence for the warriors and priests in traditional societies may be very good. While life is shorter and less healthy than in a modernizing society, the traditional ruling class have extremely high status and relatively high resources, and the social stability means that they have the ability to transmit these advantages to their children (this is entailed by an hierarchical class structure). The distinctively privileged position of the upper classes is reflected in the fact that the ruling groups (especially local landed aristocrats and the priesthood) are generally opposed to modernization, and the drive to modernization usually comes from the Ã¢â‚¬ËœexpertÃ¢â‚¬â„¢ middle classes such as merchants, industrialists, professionals, craftsmen and technicians supported by central governments keen on enhancing national power and prestige. The comparison is complicated by the fact that modernizing societies are continually changing Ã¢â‚¬â€ and some f the changes have made things worse for most people for considerable periods of time. For instance, during the nineteenth century, Britain Ã¢â‚¬â€œ 20 Ã¢â‚¬â€œ Defining Modernization was modernizing fast and for several decades this generated appalling conditions for the majority of workers, leading to the rise of socialism and especially Marxism. Marxism turned out to be the most influential of anti-modernization ideologies. Marx ism is anti-modernization since (whatever the short-term effects of forced-industrialization etc. it entails long-term domination of social systems by the political system, which imposes a limitation on differentiation and functional specialization. By contrast, certain phases of Ã¢â‚¬ËœmodernizationÃ¢â‚¬â„¢ have been regarded as Ã¢â‚¬Ëœgolden agesÃ¢â‚¬â„¢ Ã¢â‚¬â€ for instance (according to taste) Classical Athens, the Renaissance Italian city states, Elizabethan England, the 18th century Scottish Enlightenment, and pre-civil war New England were attractive eras Ã¢â‚¬â€ on a cusp between hierarchical, rigid and authoritarian traditional societies and more modular, chaotic and vocationally-fragmented modernization. But these were all transitional stages, and society could not have been frozen or stabilized to preserve them. Modernization has its ups and downs, its economic and other social system cycles, its better and worse times Ã¢â‚¬â€ but in the long-term a modernizing society must keep growing in complexity. The overall superiority of life in modernizing societies compared with traditional ones can be seen by the massive migration of able-bodied peasant populations away from the land and into the cities whenever this is possible and allowed (and despite what are often appalling conditions in the cities). Between societies, there is a migration towards the most modernized societies (except where traditional societies forbid their population to leave, or modernizing societies prevent them from entering). Modernizing societies are not only more prosperous, but usually more peaceful and less coercive than traditional societies dominated by soldiers and priests. This phenomenon of peasants voting with their feet is not purely a matter of seeking the prospect of riches, since it contrasts with the relative reluctance of hunter-gatherers to abandon their way of life. In a nutshell, hunter-gatherers require coercion or persuasion to join the modern world, while peasants Ã¢â‚¬â€œ 21 Ã¢â‚¬â€œ The Modernization Imperative typically require coercion to keep them as peasants. It is probable that hunting and gathering is more humanly satisfying than modern life, but since it is not a viable way of supporting the worldÃ¢â‚¬â„¢s population, the superiority of modern societies over traditional societies seems to be decisive. Given that the realistic choice lies between traditional and modernizing societies, modernization seems clearly the more desirable option. IX The ethos of modernization Because modernization is inevitable and (on the whole) desirable, it would make sense that modernizing societies ought to have an explicit ethos of modernization Ã¢â‚¬â€ that modernization is morally the best available option. This does not mean that modernization is without significant disadvantages, but the disadvantages are less than those of traditional societies, and there are grounds for optimism that the problems can (mostly) be ameliorated by the modernization process itself. Modernizing societies are not only superior to traditional ones, but also more hopeful Ã¢â‚¬â€ because of their potential for self-correction and creative problem-solving. A modernizing ethos would state (among other things) that growth is desirable, increased technical capability is desirable, increased cognitive capacity of social systems is desirable, specialization and complexity are desirable, competition and selection of systems is desirable, and democracy is desirable. For the individual this implies that more education is a good thing, social and geographic mobility are praiseworthy, and a flexible attitude towards life and work is beneficial. The modernizing ethos would be optimistic, would look forward to things improving, and would plan on that basis. In other words, the process of modernization is supported by what used to be called a Ã¢â‚¬Ëœbelief in progressÃ¢â‚¬â„¢, a belief that things are getting better. All this may sound naive and Pollyanna-ish, or even dangerously complacent, but it may more properly be regarded as Ã¢â‚¬â€œ 22 Ã¢â‚¬â€œ Defining Modernization self-consistent, realistic and adaptive both for individuals and for social systems. After all, whatever their expressed views, most people in modernizing societies implicitly operate on an optimistic basis. Most people plan their lives on the basis that the economy will grow, that scientific understanding and technological capability will increase, and that long-term investments (in children, in education, in pensions etc) are worth making. No matter how much they disagree with the government, most people acknowledge through their actions the legitimacy of democratic elections. Indeed, those that live by a pessimistic ethos are regarded as eccentric or dangerous (e. g. people who do not have children because of social despair, people who keep their money hidden in a sock, or fundamentalists who inhabit bomb shelters stocked with food, water and guns). A modernizing society is optimistic about the unknown. The idea is that although we donÃ¢â‚¬â„¢t already know how to solve the unknown problems that we will encounter in the future, we have Ã¢â‚¬ËœfaithÃ¢â‚¬â„¢ that (so long as we ensure that modernization continues) by the time the future arrives, we will know. The proviso that the necessary steps must be taken to ensure that modernization will continue, makes this an ethos of action and not one of complacency. Such optimism may be helped by a more accurate philosophical or scientific understanding of society, but also requires a mixture of such things as the historical experience of long-term progress, a commitment to inspiring stories about human triumphs over the unknown, and the personal experience of growth (e. g. continuing educational achievements, increasing wealth throughout life, the perception of improving medical capabilities etc. . Another factor is the future-orientation of public discourse Ã¢â‚¬â€ especially in the mass media. In order to maintain attention over time, the media generates a state of continual anticipation in which satisfaction is always somewhat deferred and never wholly achieved. The media future is always painted as if it ought to be brighter than the past, as if this is what people have a right to expect Ã ¢â‚¬â€ and if the future is not in every respect turnÃ¢â‚¬â€œ 23 Ã¢â‚¬â€œ The Modernization Imperative ing-out to be better, then somebody must be to blame. This kind of mind-set is often criticized as being insatiably acquisitive and restless, as ungrateful, and for its voracious seeking of satisfaction in concrete future attainments rather than present inner peace. But this perpetual renewal of motivation and striving is what modernization requires of most people most of the time Ã¢â‚¬â€ especially in their functional roles in the social systems. The necessity for optimism explains why Ã¢â‚¬ËœofficialÃ¢â‚¬â„¢ culture is almost always grounded in optimism in modernizing societies (e. g. he pronouncements by government, or by the leaders of any other modernizing social system). Long-term, overall optimism is necessary for people to tolerate the inevitable short-term and localized problems created by even the most beneficial change. By contrast, the counter-culture, and other advocates of traditional forms of social organization and status, are usually pessimistic Ã¢â‚¬â€ predicting continued decline and ultimate catastrophe unless soci ety can be stabilized and simplified. Short-term and localized problems are presented as absolute, intolerable and unjustifiable. If modernization is inevitable, then even if a society does not embrace an ethos of modernization it will still modernize in the end. But resisted modernization is likely to be traumatic if self-imposed following revolution; or experienced as an alien imposition if dictated by another culture following political or socio-economic conquest. Change that is embraced and self-directed in an optimistic spirit seems the least unpleasant option. We believe that a more general understanding of modernization makes more likely this preferred mode of voluntary self-modernization. Ã¢â‚¬â€œ 24 Ã¢â‚¬â€œ

Wednesday, November 27, 2019

Your guide on how to become an electrician

Your guide on how to become an electrician There will always be a need for tradespeople who work with wiring, machines, and other electrical equipment. Electricians keep us powered up, and they possess specialized skills to do work that could be dangerous in the hands of an amateur. If you are considering joining the ranks of these essential professionals, there are several things you need to know about becoming an electrician. What do electricians do?This seems like a no-brainer: electricians work with electrical equipment. That job description is both accurate and completely inadequate because the term Ã¢â‚¬Å"electrical equipmentÃ¢â‚¬ includes so much and the work is so varied. Electricians perform repairs, installations, and maintenance. We are probably most used to having electricians visit our homes to install new outlets or repair faulty wiring, but they also perform their work in factories, construction sites, shops, and businesses. They work indoors and out, and the equipment on which they work stretches well beyond household appliances and wiring. Electricians may also decide to specialize in wiring airplanes, ships, cable and data systems.As for the less-specialized electrician, there are four common types:Residential wiremen, who install and repair household wiring.Inside wiremen, who install and repair wiring in non-residential structures, such as factories, arenas, airports, schools, and office buildings.Outside linemen, who lay the cables that connect power plants to residences and buildings.Telecommunications electricians, who install television, telephone, and Internet cables.What skills do electricians have?Electricians do a lot more than connecting cables from one power source to another. They possess a large quantity of skills, both general and specific to their particular areas of specialization.General skills include:Understanding the National Electric Code, which is the regional standard for electrical safety requirementsProblem solvingElectrical safetyWorking with tools such as amp meters, digital multimeters, pliers, measuring devices, drills, saws, etc.Reading blueprintsPlotting the installation of wiring throughout buildingsLocating and replacing faulty wiresWorking with circuit breakers and fusesLocating the energy flow to transformers and circuit breakersAssessing the work of other electriciansEnsuring that electrical work is up to safety standardsManaging electrical crewsMentoring apprenticesMore specialized skills may include installing factory equipment, fiber optic cable, alarm systems, and intercom systems.What education do electricians need?Electrical work is not the kind of thing you need a masterÃ¢â‚¬â„¢s degree or even a bachelorÃ¢â‚¬â„¢s degree to do. You will, however, need a high school diploma or GED. ThatÃ¢â‚¬â„¢s because electricians need a solid foundation in reading comprehension, algebra, physics, trigonometry, and ideally, electronics. Shop and mechanical drawing classes can also be very relevant to the kind of work electricians per form, though these courses are not offered by all high schools. Therefore, it might be useful to seek out extracurricular courses in these areas. They will help you to work with the equipment, understand the technical documents, and comprehend the scientific concepts involved in electrical work.What training do electricians need?While electricians are not expected to earn higher education degrees, they are expected to undergo formal training and earn licenses. This begins with a pre-apprenticeship training program. Such programs are often offered at trade and vocational schools. Although it is possible to find work as an apprentice without having already gone through a pre-apprenticeship program, such a program will make learning a lot easier.Following the pre-apprenticeship program, you will apply for an apprenticeship. The earlier you apply the better, because there will likely be a lot of candidates vying for available apprenticeships.As an apprentice, the goal is to learn the sk ills you need on the job- acting under high-pressure circumstances, trying to perform a service for a customer, and making your supervisor happy. In a pre-apprenticeship program, thereÃ¢â‚¬â„¢s more room to make the kinds of mistakes that all new students make. You would also get plenty of hands on training in the classroom and a firm understanding of the National Electric Code.There are several organizations that offer apprenticeships:The International Brotherhood of Electrical WorkersIndependent Electrical ContractorsThe National Electrical Contractors AssociationThe National Joint Apprenticeship and Training CommitteeWhen you apply for an apprenticeship, you may have to take an aptitude test that examines your basic reading comprehension, arithmetic, and algebra skills. Certain states have other requirements, such as becoming registered, that may include paying a fee.While apprenticing, you get on-the-job training from a licensed electrician and an hourly salary for your work. Yo u usually start out performing simple tasks, but these will get more and more complex as your training continues.What certification do electricians need?Once you have completed your apprenticeship, you will need to earn a license and/or certification depending on the state in which you plan to work. Each state has its own requirements. For example, some states only require licenses if you plan to start your own business, while others do not require licenses at all. In states that do require licenses, you will earn yours by passing an exam. The exam tests your knowledge of such concepts as how electricity works, job safety, regional laws, and the National Electric Code. Most states require some formal education and practical electrical training.How much do electricians earn?ElectriciansÃ¢â‚¬â„¢ salaries can vary greatly, depending on factors like location, years of experience, and the specific company salary structure. On average, an electrician earns $25 per hour- about $13 per hour at the lower end of the scale and $35 per hour at the upper end. However, taking overtime, bonuses, tips, and profit sharing into account, the average annual salary is $52,720 and an electrician can earn as much as $82k per year. According to PayScale.com, two-thirds of electricians working in the United States also receive medical coverage.How is the job market for electricians?Short answer: great! According to the Bureau of Labor Statistics, the electrical industry is a fast growing one. With a 14% increase in jobs projected from 2014 to 2024, growth is happening much faster than it is in most other fields. This is due to a burst in construction of new homes and buildings. All of those structures need new wiring, and if you earn your electrician certification, that will be where you come in!

Saturday, November 23, 2019

Slavery and Identity Among the Cherokee

Slavery and Identity Among the Cherokee The institution of slavery in the United States long pre-dates the African slave trade. But by the late 1700Ã¢â‚¬â„¢s the practice of slaveholding by southern Indian nations- the Cherokee in particular- had taken hold as their interactions with Euro-Americans increased. TodayÃ¢â‚¬â„¢s Cherokee still grapple with the troubling legacy of slavery in their nation with the Freedman dispute. Scholarship on slavery in the Cherokee nation typically focuses on analyzing the circumstances that help to explain it, often describing a less brutal form of slavery (an idea some scholars debate). Nevertheless, the practice of African slaveholding forever changed the way Cherokees view race which they continue to reconcile today. The Roots of Slavery in the Cherokee Nation The slave trade on US soil has its roots in the arrival of the first Europeans who developed an extensive transatlantic business in the trafficking of Indians. Indian slavery would last well into the mid-to-late 1700s before it was outlawed, by which time the African slave trade was well established. Until that time, the Cherokee had a long history of being subject to capture and then exported to foreign lands as slaves. But while the Cherokee, like many Indian tribes who also had histories of inter-tribal raiding which sometimes included the taking of captives who could be killed, traded, or eventually adopted into the tribe, the continual incursion of European immigrants into their lands would expose them to foreign ideas of racial hierarchies that reinforced the idea of black inferiority. In 1730 a dubious delegation of Cherokee signed a treaty with the British (the Treaty of Dover) committing them to return runaway slaves (for which they would be rewarded), the first Ã¢â‚¬Å"officialÃ¢â‚¬ act of complicity in the African slave trade. However, an apparent sense of ambivalence toward the treaty would manifest among the Cherokee who sometimes aided runaways, kept them for themselves, or adopted them. Scholars like Tiya Miles note that Cherokees valued slaves not just for their labor, but also for their intellectual skills like their knowledge of English and Euro-American customs, and sometimes married them. Influence of Euro-American Slavery One significant influence on the Cherokee to adopt slavery came at the behest of the United States government. After the AmericansÃ¢â‚¬â„¢ defeat of the British (with whom the Cherokee sided), the Cherokee signed the Treaty of Holston in 1791 which called for Cherokee to adopt a sedentary farming and ranching-based life, with the US agreeing to supply them with the Ã¢â‚¬Å"implements of husbandry.Ã¢â‚¬ The idea was in keeping with George WashingtonÃ¢â‚¬â„¢s desire to assimilate Indians into white culture rather than exterminate them, but inherent in this new way of life, particularly in the South, was the practice of slaveholding. In general, slaveholding in the Cherokee nation was limited to a wealthy minority of mixed-blood Euro-Cherokees (although some full blood Cherokees did own slaves). Records indicate that the proportion of Cherokee slave owners was slightly higher than white southerners, 7.4% and 5% respectively. Oral history narratives from the 1930s indicate that slaves were often treated with greater mercy by Cherokee slave owners. This is reinforced by the records of an early Indian agent of the US government who, after advising that the Cherokee take up slave owning in 1796 as part of their Ã¢â‚¬Å"civilizingÃ¢â‚¬ process, found them to be lacking in their ability to work their slaves hard enough. Other records, on the other hand, reveal that Cherokee slave owners could be just as brutal as their white southern counterparts. Slavery in any form was resisted, but the cruelty of Cherokee slave owners like the notorious Joseph Vann would contribute to uprisings like the Cherokee Slave Revolt of 184 2. Complicated Relations and Identities The history of Cherokee slavery points to the ways relationships between slaves and their Cherokee owners were not always clear cut relationships of domination and subjugation. The Cherokee, like the Seminole, Chickasaw, Creek and Choctaw came to be known as the Ã¢â‚¬Å"Five Civilized TribesÃ¢â‚¬ because of their willingness to adopt the ways of white culture (like slavery). Motivated by the effort to protect their lands, only to be betrayed with their forced removal by the US government, removal subjected African slaves of the Cherokee to the additional trauma of yet another dislocation. Those who were the product of mixed parentage would straddle a complex and fine line between an identity of Indian or black which could mean the difference between freedom and bondage. But even freedom would mean persecution of the type experienced by Indians who were losing their lands and cultures, coupled with the social stigma of being Ã¢â‚¬Å"mulatto.Ã¢â‚¬ The story of the Cherokee warrior and slave owner Shoe Boots and his family exemplifies these struggles. Shoe Boots, a prosperous Cherokee landowner, acquired a slave named Dolly around the turn of the 18th century, with whom he had an intimate relationship and three children. Because the children were born to a slave and children by white law followed the condition of the mother, the children were considered slaves until Shoe Boots was able to have them emancipated by the Cherokee nation. After his death, however, they would later be captured and forced into servitude, and even after a sister was able to secure their freedom, they would experience further disruption when they along with thousands of other Cherokees would be pushed out of their country on the Trail of Tears. The descendants of Shoe Boots would find themselves at the crossroads of identity not only as Freedman denied the benefits of citizenship in the Cherokee nation, but as people who have at times denied their black ness in favor of their Indianness. Sources Miles, Tiya. Ties That Bind: The Story of an Afro-Cherokee Family in Slavery and Freedom. Berkeley: University of California Press, 2005.Miles, Tiya. Ã¢â‚¬Å"The Narrative of Nancy, A Cherokee Woman.Ã¢â‚¬ Frontiers: A Journal of WomenÃ¢â‚¬â„¢s Studies. Vol. 29, Nos. 2 3., pp. 59-80.Naylor, Celia. African Cherokees in Indian Territory: From Chattel to Citizens. Chapel Hill: University of North Carolina Press, 2008.

Thursday, November 21, 2019

Virigina Henderson Research Paper Example | Topics and Well Written Essays - 1000 words

Virigina Henderson - Research Paper Example To facilitate patient care, the paper employs Virginia HendersonÃ¢â‚¬â„¢s nursing theory as a profession. The theory of Henderson is significant in nursing profession and it states that nursing is rooted from the needs of human beings (Sitzman and Eichelberger, 2010). This theory is relevant to the personal philosophy of nursing practices because it deals with the role of nursing practice of helping patients to restore or improve their health. The purpose of the research project is to draw oneÃ¢â‚¬â„¢s attention into the subject of nursing philosophy thoughtfully in order to create awareness of the significance of nursing education. Personal Philosophy The personal philosophy of nursing is to promote the well-being of patients and facilitating patient care; thus improving the quality of life of human beings. The professional values and characteristics that are reflected in the personal philosophy are personal values which should play significant roles in the professionalization of nu rsing with an aim of improving the quality of patients. Therefore, one of the qualities reflected in the personal philosophy is nursing philosophy of superior leadership, which guides oneÃ¢â‚¬â„¢s actions, behaviors and thoughts; thus, these philosophies are influenced by internal and external forces. One can change who he or she is by simply changing his or her philosophy of leadership with an aim of delivering the best quality of services within the nursing spectrum. The major meta-paradigm concept of nursing as it is incorporated in the personal philosophy involves person, environment, health and nursing practices. First, the concept of the personal philosophy describes a person as an individual and a community who receives health care; thus, their needs should be met. Secondly, it takes into considerations the surrounding environment and this is where the concept emphasizes the need to keep the environment clean and safe in order to improve the health status of human beings. Thi rdly, the concept also focuses the health issues and this is where it emphasizes on the need for maintaining a healthy living through educating the public on the importance of living a healthy life. Lastly, the concept focuses on nursing practices of facilitating a patient care and improving the well-being of patients through proper treatment; thus improving the quality of human beings. Nursing Theorist Nursing care takes varied forms and sometimes it is the function of the nurse to offer proper medication in order to enable the patient to feel physically well. It is also the ability to improve or maintain the health of an individual or perform varied activities that contributes to the health of an individual. For many decades, nurses have made significant efforts of defining nursing; thus from these efforts, varied nursing theories have been developed. One of the nursing theorists is that one which was developed by Virginia Henderson who was also named as Florence Nightingale, the first nursing theorists to note that nursing knowledge is separate and distinctive from therapeutic knowledge (George, 2011). Virginia HendersonÃ¢â‚¬â„¢s Nursing theory focused on offering fresh air, proper nutrition, light, maintaining cleanliness in the surrounding environment. In this theory, the domain of nursing describes the subject of nursing profession, concepts, its values and beliefs, as well as, offers the means through which the nurses can promote the health of clients across the spectrum. The maj

Tuesday, November 19, 2019

Evaluation of a Business Code of Ethics Research Paper - 1

Evaluation of a Business Code of Ethics - Research Paper Example So, perfect work ethics mainly initiated and managed by the leaders and management will only ensure smooth functioning for the organization and elevate its image. A foolproof and effective ethical program should be given top most priority and should be incorporated in every aspect of organizational functioning, without exception. So, this article will evaluate the ethical program in the one of the largest corporations of the world, Shell Oil Company In 1833, Marcus Samuel, a London Shopkeeper, decided to introduce oriental shells as fashion in interior design. Till 1886, the demand for oil was restricted to lighting and lubricants. With the invention of internal combustion engine and the first automobiles, the demand for gasoline arrived. By then the business was taken over by Marcus Samuel Junior and Sam Samuel. In the 1880Ã¢â‚¬â„¢s, oil was being exported from Russia to other countries from the ports at Black Sea. Oil was transported in barrels and it consumed a lot of space in the hold of the ship. The Samuel brothers commissioned a fleet of bulk oil tankers for transporting oil. The Samuel brothers achieved a revolution in oil transporting with the maiden voyage of the first tanker the Ã¢â‚¬Å"MurexÃ¢â‚¬ through the Suez Canal in 1892. The brothers initially called their company the Tank Syndicate but later renamed it to Shell Transport and Trading Company in 1897. Petroleum was also being produced in the East Indies, whic h was a Dutch colony, by the Royal Dutch Petroleum Company. With stiff competition from Standard Oil, the two companies joined together to form Asiatic petroleum Company in 1903. The full merger of the two companies into Royal Dutch Shell Group came in 1907. Today, Shell is a global group of energy and petrochemical companies. As per Forbes report (2009), in the year 2009, the Royal Dutch Shell was ranked 2nd largest company in the world, with assets worth US $ 278.44

Sunday, November 17, 2019

The Affordable Care Act and Primary Care Essay Example for Free

The Affordable Care Act and Primary Care Essay The purpose of this paper is to discuss the importance of providing increased access to primary care and the expected impact of the 2010 Affordable Care Act on the delivery of primary care in the United States, extending current trends through the year 2023. Addressed topics will include a brief overview of the Affordable Care Act, current state of primary care and the impact of the Affordable Care Act upon primary care patients, providers and payers. The Affordable Care Act In March 2010, President Obama signed comprehensive health reform, the Patient Protection and Affordable Care Act (ACA) into law. This law makes preventive care, including primary care, family planning and other services more accessible and affordable for many Americans. According to the Center on Budget an Policy Priorities , the ACA would expand health care coverage to 32 million citizens who are currently uninsured. Expanded coverage of Medicaid and Medicare allows for increased inclusion of individuals who previously were not eligible for state and federal health insurance programs. The Medicaid expansion is 100% federally funded for the first three years (2014-2016) and at least 90% federally funded through 2022 and beyond (CBO, 2013). Included in the law is health insurance reform that makes illegal preexisting condition clauses in health insurance coverage and provides coverage for young adults under a family health insurance plan. Affordable Care Act and Primary Care 3 The uninsured and self employed would be able to purchase health insurance through state-based Ã¢â‚¬Å"exchangesÃ¢â‚¬ . Subsidies would be available to those who cannot afford to purchase insurance if they meet income requirements. Primary Care in the United States In the United States medical practice was not regulated until the 20th Century. Medical care was provided by a Ã¢â‚¬Å"doctorÃ¢â‚¬ who may or may not have been trained at a medical school. Many doctors received no formal training, learning as apprentices. These early practitioners provided a multitude of medical services to an entire family including delivering babies, setting fractures, surgeries, diagnosing and dispensing medications. Through organizations such as the American Medical Association the practice of medicine became regulated. These early pioneers were the early practitioners of primary care. Influenced by American ideals and desire for technology and wealth, the number of medical students choosing a path in primary care diminished in favor of specialty practice such as surgery, cardiology, radiology, etc. For several years there has been a decline in the United States primary care workforce. Primary care providers include general practitioners, general internal medicine practitioners, family physicians, physician assistants and nurse practitioners. The United States healthcare system has been facing a decline in its primary care Affordable Care Act and Primary Care 4 workforce, infrastructure and access to primary care services for several years. According to research (Petterson,2013) a number of factors, including poor reimbursements to primary care providers, low comparative income, and poor quality of work life due to high patient loads, have contributed to more providers choosing to train and practice in specialty medicine. This trend has led to a shortage of primary care providers across the country, likely contributing to fragmented care, inappropriate use of specialists, and less emphasis on prevention. Patients People who have access to a regular primary care physician are more likelyÃ‚ than those who do not, to receive recommended preventive services and timely care for medical condiÃ‚ tions before they become more serious and more costly to treat by visiting the emergency room instead of a primary care provider (Abrams, 2011). Patients are more likely to adhere to physician recommendations when seen by a primary care provider. Among low-income patients, access to primary care is associated with better preventive care, better management of chronic conditions, and reduced mortality. Preventing illness is as much a part of primary care as is the diagnosis and treatment of health conditions. The Affordable Care Act provides positive incentives to encourage people to obtain preventive primary care services. Through provisions in the act, applying to Medicare and Medicaid beneficiaries, as well as the privately insured, the law eliminates coinsurance, deductibles, and co payments for approved preventive services Affordable Care Act and Primary Care 5 and tests, such as blood-pressure and cancer screenings, mammograms and Pap tests, and immunizations. Studies have shown full coverage of preventive services with no patient cost, increases use of preventive screening services over time (Abrams, 2011). In a study of low-income patients, researchers found that even small incremental changes in co-payments had a substantial impact on the affordÃ‚ ability and utilization of care. Included in the ACA is the concept of a patient Ã¢â‚¬Å"medical home.Ã¢â‚¬ This is a priÃ‚ mary care site that provides patients with timely access to care, including availability of appointments after regular office hours with patients to manage health conditions and prevent complications, coordinates all care, and engages in continuous quality improvement (Abrams, 2011). Primary care providers will be the coordinators of the medical home. These medical homes will also ensure greater coordinaÃ‚ tion between the primary care site and local emergency departments. Primary Care Providers With the ACA the total number of primary care office visits is expected to increase from the 462 million visits in 2008, to 565 million in 2015. AlsoÃ‚ expected is the need for an additional 52,000 primary care providers by 2025 due to insurance coverage expansion (Hofer, 2011). The ACA will entice primary care providers to accept more of the newly covered by increasing Medicare and Medicaid payments for primary care services. There are two Affordable Care Act and Primary Care 6 provisions in the ACA that augment payments to primary care providers, one provides a bonus to providers whom participate in Medicare, the second increases reimbursements for Medicaid participation. The goal of these financial incentives is to stabilize and expand the existing primary care workforce. The Affordable Care Act invests an estimated $3.5 billion in the primary care provider bonus program from 2011 to 2016. As a result, Medicaid primary care phyÃ‚ sicians are estimated to gain an additional $8.3 billion in reimbursement between 2013 and 2019 (Abrams, 2011). To address this growing shortage of primary care providers, the Affordable Care Act provides support of education and training for primary care providers and community health centers. The Affordable Care Act includes $1.5 billion authorized over 2011 to 2015 for the National Health Service Corps to provide scholarships and loan forgiveness for primary care physicians, nurse practitioners, and physician assistants practicing in health professional shortage areas (Abrams, 2011). Other provisions that offer financial support for training new primary care physicians include more favorable loan repayment requireÃ‚ ments for the federally supported Primary Care Loan Program and a loan repayment proÃ‚ gram for pediatric sub specialists and child or adolesÃ‚ cent mental or behavioral health providers working in underserved areas. The necessary midlevel primary care practiÃ‚ tioner is recognized through scholarships, loans, and loan repayment programs, as well as through the creation and expansion of training opportunities. Affordable Care Act and Primary Care 7 Payer The Affordable Care Act brings an unprecedented level of scrutiny and transparency to health insurance companies. The concept of an insurance exchange is a major component of the federal Affordable Care Act. An important component of the federal law is that individuals must have health insurance with federal subsidies to help them pay for it. To improve access and protect patient rights, ACA introduces new commercial insurance standards, such as the removal of medical underwriting, elimination of lifetime limits, prohibition of pre-existing condition exclusions, and removal of cost-sharing for preventive services. Insurance plans will be required to cover essential health benefits which are defined under the ACA (Rosenbaum, 2011). Insurance companies expect significant changes in enrollment, demographics, and plan types. Economic, behavioral, political, and strategic influences are expected to shape the changing insurance coverage landscape, according to a Department of Health and Human Services Report. Implications for insurance industry stakeholders are considerable, due to being regulated by state and federal government. Insurance companies and insurance trade publications are stating they will be forced to raise premiums due to ACA requirements, fess and taxes forced upon them ( DHHS,2013). The ACA imposes an annual fee or excise tax on most businesses that provide health insurance, starting in 2014. The fee will be raised proportionately each year among Affordable Care Act and Primary Care 8 insurance providers based on their share of the health insurance market (DHHS, 2013). Certain insurers are exempt from federal excise tax, including public charities and social welfare organizations. In addition, nonprofit insurers that receive more than 80 percent of their gross revenue from government programs that target low-income individuals, seniors, and people with disabilities (including Medicare, Medicaid, and the ChildrenÃ¢â‚¬â„¢s Health Insurance Program) are not subject to the tax. Supply and demand will determine how the excise tax is ultimately split between insurance companies and purchasers. Insurers have recently turned in strong financial results and thus are well positioned to bear some of the tax (DHHS, 2013). It is speculated they will pass a portion on to consumers. The Joint Committee on Taxation estimates that premiums subject to the fee will be 2 to 2Ã‚ ½ percent higher than they would otherwise be. The Congressional Budget Office estimates that ACA will slightly reduce premiums for employer-sponsored health insurance in the near future. For employers with more than 50 workers, CBO estimates that the law will reduce average premiums by up to 3 percent in 2016. For small employers, the estimated change in premiums ranges from an increase of 1 percent to a reduction of 2 percent . It is important to note that the health insurance industry will gain millions of new enrollees in the next few years as a result of ACA. Insurance plans providing preventative health coverage will benefit financially by providing less expensive care for treatable Affordable Care Act and Primary Care 9 chronic conditions and early diagnosis on other medical conditions. SummaryÃ‚ With the oncoming implementation of the Affordable Care Act the benefits of the plan encourage the active role of the primary care provider. The uninsured patient now has access to health care that will afford him a better quality of life and address the financial implications of a poorly managed health care system in the United States. The ACA provides a means to entice more into the field of primary care. While it is in the early stages of scrutiny, the health insurance industry is a growing industry and is positioned to be profitable as a result of ACA, even with increased regulation. Conclusion With the implementation of the Affordable Care Act, the United States is positioned to provide a more sustainable and stronger health care system, due in part to the primary care provisions provided with the ACA. The health care system outlined would provide expanded service for patients, improve outcomes and quality and reduce future health care spending for the nation. References Abrams, M., Nuzum, R., Mika, S. and Lawlor, G. (2011, January). Realizing Health ReformÃ¢â‚¬â„¢s Potential. The Commonwealth Fund. 1, 1-8. http://www.commonwealthfund.org/Publications/Issue-Briefs/2011/Jan/Strengthen-Primary-Care.aspx Center on Budget and Policy Priorities. (2013, July). Status of the ACA Medicaid Expansion After Supreme Court Ruling. Retrieved from http://www.cbpp.org Congressional Budget Office. (2013). CBOÃ¢â‚¬â„¢s Estimate of the Net Budgetary Impact of the Affordable care ActÃ¢â‚¬â„¢s Health Insurance Coverage Provisions Has Not Changed Much Over Time. (CBO Publication No. 144176). Washington, D.C. U.S. Government Printing Office. http://www.cbo.gov/publication/44176. Department of Health and Human Services. (2013, February). Health Insurance Premium Increases in the Individual Market Since the Passage of the Affordable Care Act. (DHHS. Research Brief). Washington, D.C. http://aspe.hhs.gov/health/reports/2013/RateIncreaseIndvMkt/rb.cfm Hofer, A., Abraham, J., Moscovice, I. (2011, March). Expansion of Coverage under the Patient Protection and Affordable Care Act and Primary Care Utilization. Milbank Quarterly. 89(1): 69-89. http://www.milbank.org/publications/the-milbank-quarterly Patient Protection and Affordable Care Act, 42 U.S.C. Ã‚ § 18001 (2010). Petterson, S., Liaw, W., Phillips, R., Rabin, D., Meyers, D. and Bazemore, A. (2013). Projecting US Primary Care Physician Workforce Needs: 2010-2025. Annuals of Medicine. 6, 503-509. http://annfammed.org/content/10/6/503.full Rosenbaum, Sara. (2013, February). The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice. Public Health Reports. 126, 130-135. http://www.publichealthreports.org/