Frederick Douglass Book Review Essay Example

Frederick Douglass Book Review Essay In the Narrative of the Life of Frederick Douglass, Douglass portrays the many horrors he went through as a slave and those on his way to freedom.Douglasss refined writing skill aims at giving the reader the true meaning of being a slave in good times and in bad. Douglasss narrative is a non-fiction, historical autobiography.Douglass writes about his life as how it happened to him, the whippings, starvation, etc.The book has its place in history, just as slavery and all of cruelty does. As a slave for life it is understandable that one might want to change his fate given the opportunity.Douglass, on the other hand, creates his own opportunity; he changes his destiny given to him at birth.Douglass tells about his many lessons in reading and writing even though they are informal they are sufficient. Douglass uses vivid imagery to depict the severity of slavery.Douglass speaks of few kind masters, but he speaks of many cruel ones.Some of which whipped their slaves nearly to death, an d nothing could be done to stop it.With the unbearable inhumanity, escaping was the only answer. Many authors, like Douglass, who write about slavery, write of its severity and inhumanity.People were sold as animals, and treated like dirt.Family and friends were separated, traded off as property.Some were lucky enough to escape like Douglass, but many were unfortunate and had to suffer as brutes. Douglass should have provided more detailed information about his actual escape.For example, details showing why his master had let him hire his time, and how long it took for his plan of freedom to work. Frederick Douglass gives detailed pictures of his punishments as well as others in his narrative.He also provides good, although sickening, descriptions of the labor he is forced to do and the many journeys he must take. The Narrative of the Life of Frederick Douglass is overall a well written

The Debate over Hunting essays

The Debate over Hunting essays The state of Vermont has recently initiated a hunting season on moose. Any licensed moose hunter can now shoot a moose legally and eat or sell the meat for a high profit. The season runs from October 17 through October 21. One of the objectives of the hunt is wildlife management, which is basically killing off a certain number of animals to control the population. There are approximately 2,500 moose roaming Vermont and it was reported that the population had increased by 1,000 moose in just one year. There are only 100 or so moose are killed in the strictly regulated hunting season, and in 1998 alone, 500 were involved in traffic accidents, which mostly likely killed or injured the moose. The state is only handing out a couple hundred permits per year. Is this enough? . With more and more moose populating Vermont each year even with a hunting season, the vehicle accident rate is also increasing. Hunting only a small number of them for a few days is the right thing to do. In fact, the state should be less strict and hand out even more permits or have the season extended a couple more days. The moose are in absolutely no danger of going extinct from Vermont; so regulating their growth in numbers is a very smart thing to do. I am not a hunter and I never have hunted before. I dont support it in any way, but because the moose population is increasing even with a regulated moose-hunting season and they are a threat to anyone driving on Vermont roads, especially highways, I feel that they should be controlled somehow. What would happen if we didnt hunt them? They would have really no predator besides vehicles, which could lead to even more of a growth and nuisance. The moose is a mighty animal indeed and one to be respected especially by those unfamiliar with its ways. It is a treat to see one in the wild and realize how big and beautiful of a creature it is. But when its population growth is increasin...

Bessie smith biography

Bessie Smith was born In Chattanooga, Tennessee in April 15, 1894. She was the most popular female blues singer known as The Empress of the Blues. She started her career by singing in tent shows in 1912, alongside another blues specialist Ma Rained. Bessie influenced other singers including Earth Franklin, Nina Simons, Frank Sinatra, Billie Holiday, Dinah Washington and Janis Joplin. Bessie Smith was married to jack Gee on June 7, 1923. She made her first record with Columbia records Downhearted Blues in 1923. It was a hit selling 780,000 copies. It was the best selling blues record to date.Between 1923 and 1931, Smith recorded 160 songs for Columbia. Throughout the sasss, she recorded with many famous musicians, including Fletcher Henderson and members of his band, and the pianist James P. Johnson, with whom she recorded her masterpiece Backwater Blues. In addition to recording blues, Smith traveled around the South America with her own show, which was wildly popular, In 1929, smith made her film appearance, In SST. Louis Blues. In the film, she sings the title song with members of Fletcher Henderson orchestra, the Hall Johnson Choir, pianistJames P. Johnson. Smiths marriage to gee ended in 1929; Columbia records ended its nine-year contract with her. In 1937 she was killed in a car accident In Tennessee. Bessie Smith died on September 26th, 1937. 5 Most well-known songs: Down Hearted Blues SST. Louis Blues Backwater Blues Gulf coast Blues Nobody Knows you when youre down and out Backwater Blues: 12 bar blues chord structure relaxed style. Smith has a laid-back, Smith frequently slides Into and out of notes (sliding in the vocals) The piano is responding to smiths melodic line. A lot of repetitionIn the 4th chorus the left hand is descending and low chords are played by the right hand. The tune changes. Smith remains in the same melody. The 5th chorus the piano sounds more march-like. Bessie Smith adds variation to certain pitches. Element of Improvisation Sad lyrics, slow tempo, steady beat, call and response In my opinion Bessie Smith has very strong and powerful vocal skills. I Like the way the pianist accompaniment style frequently changes during different verses of the song, he also tries to depict the meaning of the lyrics while playing. Bessie smith biography By troubleBessie Smith was born in Chattanooga, Tennessee in April 15, 1894. She was the most to Jack Gee on June 7, 1923. Masterpiece Backwater Blues. In addition to recording blues, Smith traveled around the South America with her own show, which was wildly popular. In 1929, Smith made her film appearance, in SST. Louis Blues. In the film, she sings the title nine-year contract with her. In 1937 she was killed in a car accident in Tennessee. Smith frequently slides into and out of notes (sliding in the vocals) The piano is Element of improvisation In my opinion Bessie Smith has very strong and powerful vocal skills.

Giving Birth Control to Teenagers Essay Example | Topics and Well Written Essays - 500 words

Giving Birth Control to Teenagers - Essay Example This essay considers questions of teenage birth control and argues that it is in the best interest of the country to permit teenager’s access to it. One of the primary arguments against providing birth control to teenagers is that it encourages them to engage in sexual relations. When one considers this argument, it’s demonstrated to be completely erroneous. The human sexual drive is one of the primary instinctual motivations and as such teenagers will continue to experiment with sex whether effective contraception is made available or not. Indeed, teenage pregnancy rates are on the rise (Dawn). In these regards, it’s clear that policymakers must make a shift in their perspectives from viewing birth control as a harmful element, to one that can actually aid teenagers who are already engaging in sexual practices. The idea that birth control contributes to teenage sex is in large part derived from a naive notion of teenage sexual norms. Policymakers are assuming th at in the process of educating teenagers of their birth control options, the teenagers will suddenly become sexually aware and decide to engage in sexual practices. In reality teenagers are not this naive. In prohibiting birth control then policy makers are essentially increasing the chances of teenage pregnancy, as teenagers will increasingly resort to riskier methods of intercourse.

Porters Model of National Competitive Advantage Essay

Porters Model of National Competitive Advantage - Essay Example This paper illustrates that in the book ‘The Competitive Advantage of Nations’ Michael Porter discussed the reasons why some nations, social groups and economic institutions advances than others. His work focused on the collective competitive advantages of the firms in the nation rather than the performance of the individual firms. The orientation of his work is positive rather normative focusing on the international patterns of competitive advantage. He developed this model by combining theories in the fields of strategies to compete and international economics and performed an inductive and deductive analysis. Porter’s model was a result of the analysis and the study of 100 industries in 10 countries which included counties from Europe, Asia, and America, regarding their competitive performance. His work showed how industrial competiveness with a different insight can be incorporated into company’s strategy. Porter used strategic management theories and a nalyzed them with international trade and economy. The book emphasizes the fact that the national competitiveness is determined by the firms rather than the nations. The theory suggests that the influence the nation has on the competitiveness of the firms depends on the firm’s competitive success that the environment built over time. The nation acts as a ‘home base’ for the firms, this home base helps in developing the firm’s strategy, culture, character of its management, the availability and quality of resources, technology and helps it in establishing prior to its expansion internationally as the firms grow domestically before they plan their expansion internationally. The theory basically analyses the characteristics, rather four variables of the national environment which are the basis of competitive advantage and determines firm’s ability to compete and sustain itself in international markets. The Porter referred these variables as ‘Nati onal Diamond’. These four variables are firm’s strategy structure and rivalry, factor conditions, demand conditions and related and supporting industries.

School prefects generally enforce rules Essay Example for Free

School prefects generally enforce rules Essay 1. Prefects have been part of the British school system for decades, but many Americans had not heard of the concept until the advent of the Harry Potter books. School prefects are somewhat similar to the American hall monitor; students who are basically an extension of the school administration and are utilized to enforce school regulations. Prefects are usually chosen because of their maturity, leadership qualities and good behavior, so being chosen as a prefect Prefects are student leaders typically chosen by their teachers or peers based on academic or moral merit. Generally found in private education institutions in Great Britain, the school prefect plays a role similar to that of a hall monitor or student body government representative. Being a prefect requires leadership, responsibility and dedication to the management and efficiency of school policy in regard to his fellow students. Prefects are assigned area-specific duties on a daily basis to make sure school standards are continuously maintained. 1. Monitor Designated Areas * Prefects usually monitor one or more specific areas of the school, such as the hallways, library, common areas, lunchroom, bathrooms and assembly rooms. It is each prefects job to know when and where he is on duty at all times. But prefects are never off duty altogether, and may still administer discipline in an area they are not not assigned. In general, monitoring an area entails ensuring the students are maintaining good behavior, that there is no yelling, running, loitering or other disorderly behavior, and that the area is kept clean and free of trash. Prefects also must make sure any queue lines are orderly and that movement in and out of the area is carried out in an effective and efficient manner. 2.Uphold School Rules and Regulations * Prefects are, above all, leaders and role models for their fellow students. As such, it is important that they embody, follow and uphold all school rules and regulations, including dress and behavior codes. They should treat other students with dignity and respect, attempting to solve all disciplinary matters without physical action or intimidation. Prefects should remind their fellow students of the rules without arguing or debating the topic, and should discipline everyone in the same manner, leaving out personal or emotional payback. * 3.Report Incidents * When a prefect cannot handle a difficult situation himself, he must report the incident according to school policy. Reportable incidents include intimidation or abuse of fellow students, damage to personal or school property, breaking school rules and situations of severe personal disrespect. Methods of reporting incidents include notifying a senior prefect, a teacher or other administrator, or by filling out a form which leaves the situation to be dealt with by an appropriate staff member. Students will them be reprimanded or punished according to school policy for the specific matter. it has its irritations, is considered an honor. 4.Lead by Example * One of the most important duties of a head boy is to lead by example. Each day at school, he must act in keeping with school rules and regulations, keeping in mind that other students will look to him for behavioral clues. This includes showing up to class on time, participating in school events, maintaining good grades and showing school spirit at sporting events. 5.Represent the School Head boys are often required to be ambassadors for their school at events around the county or even the country. At these events, which may include festivals and conferences, the head boy may speak on behalf of the student body, volunteer or man a school booth. At school parents evenings 6.Organize Prefect Duties * The head boy is responsible for organizing school prefects, who are leaders from each grade level. He must plan and assign duties, head meetings, explain the rules and regulations and is often the first line for prefect conflicts. The head boy ensures that prefects are taking care of their supervisory responsibilities and may speak with teachers to discuss any issues. 7.Participate on Committees * During the course of a school year, the head boy is responsible for serving on various committees to plan school events. He may head up committees for dances, school carnivals, newspaper activities, clubs or other organized events. He may also handle fund-raising events. 8.Read Daily Bulletins * Depending on the school, the head boy may read daily announcements, whether it be over a loudspeaker system or in person at assembly. 9.Resource for Students * The head boy is often the person younger students go to when they are having problems with bullies or when they run into other trouble at school. Depending on the school, the head boy has a varying level of authority in such situations, but is always able to give advice and may organize a mediation session when necessary.

Alcohol in Our Society; Huxley’s View in Relation to Brave New World Es

Alcohol in Our Society; Huxley’s View in Relation to Brave New World Aldous Huxley’s Brave New World is a science fiction book that captures both the good and bad sides of cloning and mass production of humans through science. Huxley’s book, published in 1932, conveys his well-developed and disturbingly accurate ideas about human behavior in what was then the distant future. In addition, his writing measures the capacity for which humans can obsess over not only having a perfect society, but also having total control over everyone and everything in a world where nothing is wild and untamed. Individualism is seen as a cause of instability, and society in its entirety is broken down into five castes. For the people of the â€Å"World State†, life is based on immediate pleasure and constant happiness; sex and the use of the drug soma are a major part of every person’s life. The use of soma is so prevalent in the World State that no other drugs are ever used by anyone. It is the cure for everything and the supplement to happiness. In some ways, it is possible to say that soma is used in a fashion that could draw comparisons to the use of alcohol in the society known to humans today. On several occasions in the book, major characters show their use soma as a way to escape from harsh or uncomfortable feelings, or to further enhance their social activities. In one such case, Lenina and Henry take several doses of the drug while on a date (Huxley, 75). The use of soma, in this instance, causes the two to become rather oblivious to what is happening around them, and eventually leads to them engaging in sexual intercourse. In this sense, it can easily be seen how soma is used in a similar way as alcohol; people use i... ...ohol became an instance of how soma could be considered a good alternative to alcohol. Linda’s uncontrolled drinking, however, came as a result of her conditioning and use of soma when she was a resident of the World State. Consequently, it can be argued that everyone from the World State is an abuser of soma in that he or she uses it to escape from anything and everything, similar to the way Linda uses alcohol to escape her past and her son. Huxley is clearly using soma to make a statement about society in general, how people use alcohol and other drugs as an escape and associate them with happiness and fun. It is obvious from his writing that he believes that a society, which is so intent on self-indulgence and considers this to be â€Å"High Life†, is truly a scary thought and worth comparing such a world to our own. (www.grlzontop.com/bnw/index2.html)

Benign Prostate Hyperplasia

The prostate gland is an exocrine gland found only in the male. Exocrine glands secrete chemicals to the outside of the body. It is a glandular organ and is found just below the bladder and at the top of the penis. It is normally about the size of a walnut and it surrounds the urethra which is the tube that brings urine from the bladder to the outside of the body. It is made of fibrous tissue and some muscle tissue. Anatomy The gland is divided into zones or lobes. The peripheral zone is the outside part of the prostate and this is where most prostate cancers are found.The central zone makes up about 25% of the gland and the transition zone makes up about 5% of the gland. The transition zone, however, is where are the hypertrophy happens. This part of the prostate is closest to the urethra so as it grows it puts pressure on and squeezes the urethra causing problems with urination. However, in benign prostate hyperplasia, the prostate grows and begins to cause the person problems. It is usually an age related disease which is nonmalignant. Large lesions grow on that central section of the prostate.It is believed that 60% of men over the age of 60 have BPH (Porth & Matfin, 2007). The exact cause is unknown but there are some risk factors which include age, history, race, dietary fat, and hormonal factors. The older one gets, the more likely to have it and African American men get it most often. When young the gland grows with the hormones testosterone and dihydrotestosterone and it is believed that in some men the hormones do not slow down and stop when they should so the gland continues to grow past what would be normal. Signs and SymptomsBPH causes compression on the urethra so it causes partial or complete obstruction of urine flow. As the obstruction increases (prostate gets larger), acute or emergent retention of the urine may occur with distention of the bladder. The urine that is left in the bladder when a man tries to urinate and is not able to empty his bladder causes a frequency to occur, consistently trying to empty the bladder. This usually becomes worse at night. When there is a lot of bladder distention accidents may happen every time pressure is put on the abdomen or when coughing causing pressure inside the abdomen.When urine is not completely emptied from the bladder the chances of a urinary infection occurs and this sometimes happens frequently. All of this develops in stages over time so there is often changes in the kidney and ureters because of the long time back up of urine causing hydronephosis which eventually begins to kill kidney gomeruli. If not treated early this can lead to renal failure. Diagnosis When making a diagnosis of BPH seven questions are at first ask. These questions are regarding incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia.A final question relates to the quality of life the patient is having related to this problem. A history, physical exam and rectal exam is done. Also to be done are urinalysis, PSA, and serum creatinine as well as other blood tests. The urinalysis is done to detect bacteria or infection, the serum creatinine is used to estimate whether there is renal function problems and the PSA is used to screen for cancer. Our Patient JJ has BPH and he has symptoms of frequent or urgent need to urinate, he also has developed cysts in his urine and a urinary tract infection.All of these symptoms make sense because they are symptoms of the enlarged prostate putting pressure on the urethra. The urinary tract infection has occurred because of the retention of urine in the bladder. His treatment plan is medications and TURP or TIP. Treatment Treatment in the early stages is aimed at symptom relief, then there is a time of watchful waiting which is suggested by most physicians. There are presently medications that work pretty well for some time. These are Finasteride which reduces prostate size by blocking the effect of androgens on the prostate.This drug also cause atrophy of the prostate cells which can cause a 20% reduction in volume. The onset of the drug takes some time, sometimes 3-6 months but it usually works for some time. The side effects may be erectile dysfunction and decreased libido. There can also be the surgical removal of the enlarged prostate gland. This surgery can be done through the urethra, through a suprapubic incision, or through an incision in the peritoneum. The most commonly used way is called a TURP which is transurethral prostatectomy or through the urethra.The prostate is a very vascular organ and though this procedure is fairly simple to do, there is a great deal of bleeding on average and irrigations are often necessary post-operatively. There are presently many experimental treatments that it is hoped will provide less side effects. These include laser surgery, transurethral vaporization, transurethral microwave therapy, and transurethral needle ablation. There is also a new technique using balloon dilation but these effects at this time seem to be transitory. Stents can also be placed in those men that have major heart of lung issues and cannot tolerate surgical procedures.Treatment Plan So, JJ had symptoms of BPH which was treated by medication but his symptoms persisted and he had a TURP. This procedure after recovery relieved his symptoms and he is progressing quite well with most of his symptomology gone at this time. Conclusion BPH which is thought of as a cancerous condition of the prostate is a benign condition of the prostate. The symptoms which it causes are usually the method of treatment in the beginning and this may last for some time, but there may be a later need for a more aggressive method of treatment which at this time is the TURP.There are side effects of this surgery, some of them immediate because of the vascular condition of the prostate. This surgery, at this time usually solves the problem long term. There are many more less inv asive procedures being studied at this time. Our patient JJ is doing quite well after a TURP and will most likely not need a further procedure. It does not relieve him however, of the possibility of prostate cancer because that part of the prostate is still there so he will need to continue to have checkups. References Porth,C and Matfin, G. (2007). Pathophysiology. 8th ed. Lippincott: Boston Add textbook

Solid Waste Generation

Solid waste generation is an inevitable consequence of production and consumption activities in any economy (Bennagen, M. E., 2002). Dumping of solid wastes in unauthorized places such as roadside, drains, and undeveloped piece of land leads to accumulation of solid wastes in the environment. Agricultural wastes are solid wastes that contribute to the amount of accumulated solid wastes in many parts of the world. The Philippines, which is considered as an agricultural country, contributes a large percentage of agricultural wastes in the world. The country contributes more than 10,000 tons of solid wastes per day (Bennagen, M. E., 2002).  This large amount of accumulated solid wastes contributes to problems such as flooding in urban areas, uncollected garbage, and inadequate disposal sites. The effects of accumulated solid wastes in the environment are becoming one of the major concerns of the country and worldwide.In the field of civil engineering, the effects of solid wastes on the hydration process of concrete have been investigated and the studies provided promising results (Okonkwo, 2012). Attempts have been made by various researchers to convert solid wastes to beneficial applications with high level of success in helping to reduce solid waste. Therefore, identifying analogous material from the waste products and using for beneficial application is an idea worth embracing.Eggshell is an agricultural waste that litters the environment. It is a common waste product in fast food, restaurants, and other food-related business establishments. This waste material was found out to be mainly composed of compounds of calcium. Eggshells are composed of 93.70% calcium carbonate, 4.20% organic matter, 1.30% magnesium carbonate, and 0.80% calcium phosphate (Rabiu A. and Mtallib M., 2009). Eggshell is primarily composed of calcium carbonate, which is the primary raw material in producing cement. This compound, which is naturally occurring and abundantly found in the Earth's crust, can also be found in bones, marbles, stalactites, and stalagmites. On the basis of the common compositional characteristics of cement and eggshells, heating or incineration of eggshells to produce eggshell ash and adding controlled amounts would significantly affect the properties of cement in its application to concrete.

heavy metal and gender essays

heavy metal and gender essays Year/Major: 3rd Year. Film, TV, and Media Studies. Question: Choose one popular music genre and analyze with respect to race, gender OR class. Analysis Of Heavy Metal With Respect To Gender. Heavy Metal music usually include impressive technical feats on the electric guitar, counter posed with an experience of power and control that is built up through vocal, guitar power chords, distortion, and sheer volume of drums. Also Visually, metal musicians typically appear as males, leaping about the stage, leather clothing punctuating their performances with phallic thrusts of guitars and microphone stands. Heavy metal is, a discourse shaped by patriarchy. Circulating in context of Western society, for much of its history metal has been appreciated and supported primarily by a male teenage audience. This is a group lacking in social, physical, and economical power but besieged by cultural messages promoting such forms of power, insisting on them as masculinity. The purpose of a genre is to reproduce a particular ideology, and the aim of heavy metal until mid 1980s was for young white male performers and fans to hear and believe in certain stories about the nature of masculinity. However these representations can never be definitive and they are always open to transformation and changing figures. Since social circumstances may change so that particular forms of culture are no longer related to an individual. For example metal fans as they get older may gain some amount of economical power, or they may find children who replace them at the bottom of social or physical power. Also we have seen a great increase in number female fans, since around 1987, concert audiences for metal shows have been roughly gender balanced . In my discussion I will try to explain why metal has been dominated by male musicians and fans, also why there was a big increase in the number of female fans. I will be framing heavy metal songs and videos in terms ...

Non Case Study Example | Topics and Well Written Essays - 500 words

Non - Case Study Example Considering the geographical maps as shown in the diagram below of the position of the SAP and FRY, we have privileged information that the naval military of the SAP are majorly docked at the port of Banes and Haba (Heuer, & Pherson, 2011). These ports are directly opposite to two of our ports, that is the Mia and Eyer. Given that there are conflicting reports on the kind of impending attack the SAP are planning, reports of diversionary attack has also reached us. The report indicates that they are planning to attack the port of Eyer and Mia simultaneously. We are therefore expected to consider undertaking a naval reconnaissance in our territorial areas in a bid to understand how and when to place military control for any attack. Following the information on the attacks at the ports, we have to consider monitoring the ports so that any mishap from our adversaries does not materialize. The need to tighten security around the hot spots indicated by the reports should be swiftly put into place to curtail any advancement from the SAP. Following the analysis of the situation of the SAP, we are confident that the situation can be put under control given that we have all the necessary information to do so. The intention to attack us through their ports of Haba and Banes shows all indications to be true given that through our survey, we have noticed increased activities in the ports a clear show that they are preparing for attacks (IBM, 2013). Concerning the intelligence reports that have reached us, we should thus spare no effort to ensure that we cushion ourselves from the impending attacks from our opponents. Despite general sage who is the supreme commander in the SAP military calling for peace from the neighboring nations, it can only be interpreted as a public relation exercise aimed at programming people’s mind that they are for peace while the intention is to

Healthcare Delivery Essay Example | Topics and Well Written Essays - 750 words

Healthcare Delivery - Essay Example In most situations, nurses take the big role of consoling patients as they patiently wait for the doctor. This issue can arguably said to be contributed by the fact that doctors are not well paid thus, they go abroad to seek for greener pastures where they can get good salary (Lundy and Janes 121). In addition, it is also evident that due to low remuneration form in the public sector, many doctors opt to operate private clinics where they have potential of earning good money. As a result, public hospitals record shortage of doctors. On the other hand, it is evident that due to shortage of doctors in public hospitals, the few available doctors are overwork as a result of attending to many patients without enough rest. When this happens, studies have documented that employees who overwork tend to offer poor quality services to their clients. In this regard, it is evident that the doctors would not be in a position to offer quality care to the patients due to exhaustion. In another dime nsion, current studies have also shown that motivation is a crucial element required for employees to produce quality work. Nevertheless, when employees are not motivated, they end not giving top results. In light of this, the bottom line is that since the few available doctors in the public hospitals receive low salaries and few incentives to motivate them, they feel not motivated to devote all their professionalism when attending to patients (Lundy and Janes 121). In addition, although some of the few available doctors in public hospitals may be seen in the office, most of them just appear there for a few hours and leave for their other assignments which include attending to their patients on their private clinics of other businesses that would help in supplementing the deficit they feel exists as a result of low salary by the government. The latter is that many patients will spend many hours queuing as they wait to see the doctor only to be turned down when the doctor walks away. Some doctors keep on changing or postponing patients’ appointments due to their busy schedule. The end result of all these deliberations is the provision of low quality services in the healthcare delivery. The other important issue of concern is the high cost of medical. Medical processes including diagnosis, testing, emergency care, specialist, admission costs and prescriptions have been a challenge to many people in the United States. For instance, some tests are considered costly to middle class and poor people in the United States. A specialised test that requires special machinery and chemicals may be expensive for ordinary people. In addition, some diseases require specialist to attend. The problem is when such specialists are few in the public hospitals (Lundy and Janes 122). In fact, most of the specialist operates private clinics. Therefore, the cost of seeing and getting help from them becomes high for ordinary people. It is also evident that staying in hospital fo r a long time translates to more money required to settle the hospital bills. This would be a problem to people who are not enrolled to any of the healthcare programs subsidized by the government. On the same note, even after being dispatched from the hospital, some people may not be able to take care of themselves due to high cost of after care services and other prescriptions required for recovery. In this regard, they are bound to look for cheap alternatives that do not lender good and quality services. Conclusion It