The Ethical Neutrality of Prospective Payments: Justice Issues

1996 ◽  
Vol 5 (4) ◽  
pp. 570-578
Author(s):  
Jean McDowell

The U.S. healthcare system has been subject to unprecedented scrutiny over the past three years; one of the results of this scrutiny has been recognition of the serious problems that exist in both healthcare delivery and reimbursement mechanisms. While the verbal debate in Washington has essentially ceased, within the healthcare community a historic shift has taken place in the way healthcare reimbursement is structured: increasingly, traditional fee-for-service reimbursement methods are being replaced with capitation reimbursement methods. While this phenomenon originated on the West Coast, it has spread to all geographic sectors of the United States in varying degrees and can be expected to dominate the funding patterns of healthcare over the next decade.

Author(s):  
Raymond J. Batvinis

Counterintelligence is the business of identifying and dealing with foreign intelligence threats to a nation, such as the United States. Its main concern is the intelligence services of foreign states and similar organizations of non-state actors, such as transnational terrorist groups. Counterintelligence functions both as a defensive measure that protects the nation's secrets and assets against foreign intelligence penetration and as an offensive measure to find out what foreign intelligence organizations are planning to defeat better their aim. This article addresses the Federal Bureau of Investigation's (FBI) foreign counterintelligence function. It briefly traces its evolution by examining the key events and the issues that effected its growth as the principle civilian counterintelligence service of the U.S. government.


2014 ◽  
Vol 53 (6) ◽  
pp. 1578-1592 ◽  
Author(s):  
Nina S. Oakley ◽  
Kelly T. Redmond

AbstractThe northeastern Pacific Ocean is a preferential location for the formation of closed low pressure systems. These slow-moving, quasi-barotropic systems influence vertical stability and sustain a moist environment, giving them the potential to produce or affect sustained precipitation episodes along the west coast of the United States. They can remain motionless or change direction and speed more than once and thus often pose difficult forecast challenges. This study creates an objective climatological description of 500-hPa closed lows to assess their impacts on precipitation in the western United States and to explore interannual variability and preferred tracks. Geopotential height at 500 hPa from the NCEP–NCAR global reanalysis dataset was used at 6-h and 2.5° × 2.5° resolution for the period 1948–2011. Closed lows displayed seasonality and preferential durations. Time series for seasonal and annual event counts were found to exhibit strong interannual variability. Composites of the tracks of landfalling closed lows revealed preferential tracks as the features move inland over the western United States. Correlations of seasonal event totals for closed lows with ENSO indices, the Pacific decadal oscillation (PDO), and the Pacific–North American (PNA) pattern suggested an above-average number of events during the warm phase of ENSO and positive PDO and PNA phases. Precipitation at 30 U.S. Cooperative Observer stations was attributed to closed-low events, suggesting 20%–60% of annual precipitation along the West Coast may be associated with closed lows.


Laws ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 12
Author(s):  
Paul Baumgardner

When coronavirus began to descend upon the United States, religious freedom advocates across the country sounded the alarm that citizens’ religious practices and institutions were under threat. Although some of the most extreme arguments championed by these advocates were not validated by our legal system, many were. This article explores the underappreciated gains made by religious freedom advocates before the U.S. Supreme Court over the past year. As a result of the “Pandemic Court”, religious freedom in the United States has been rewritten. This promises to radically change the educational, employment, and health prospects of millions of Americans for the rest of the pandemic and long afterwards.


Author(s):  
Daisuke Dobashi ◽  
Akio Kuroyanagi ◽  
Ryo Sugahara

Effective utilization of oceanic space in Japan is just recent compared to U.S. Since the end of 19th century, water utilization and management for residence constructed on lake was promoted in U.S. It is then the aim of this paper to comprehend the laws and regulations for floating residence as well as water utilization and management of United States. Through web survey, each State in United States will be searched if there are existing laws and regulation on floating residence. After searching and reading all conditions of the U.S. States regarding laws and regulation as well as legal positions on floating residence, two states in the west coast of U.S: Seattle in Washington and Sausalito, California are chosen for this study. Floating residence in U.S. are divided into two; the Floating Homes and Houseboats. Floating Homes are handled by law the same with homes built in land while Houseboats are treated as type of ship. The State managing the water will lease it to the private sector, then, building of Floating Home will be carried out. Furthermore, design and construction of Floating Homes follow the building standards of the counties and cities where it will be built.


2020 ◽  
pp. 0094582X2097500 ◽  
Author(s):  
Paulo José dos Reis Pereira

In the past two decades, the United States has experienced a rapid rise in the use of opioids by its population, a context that has come to be assessed by the U.S. government as a threat to national and international security that requires emergency measures. The strategies of the U.S. government and transnational pharmaceutical corporations for resolving the insecurity generated by capitalist accumulation constitute what a certain literature calls “pacification.” In addition, these corporations export to the “foreign” the contradictions inherent in the opioid control policy that underlies the capitalist logic of drugs. Thus Latin American populations have been instrumentalized in the “solution” of this crisis either as a focus of violence by the state or as a focus of consumption by the market. Nas últimas duas décadas, os Estados Unidos vivenciaram uma rápida ascensão do uso de opioides pela sua população, contexto que passou a ser avaliado pelo governo estadunidense como uma ameaça à segurança nacional e internacional que demanda medidas emergenciais. As estratégias do Estado estadunidense e das corporações farmacêuticas transnacionais para solucionar a insegurança gerada pela acumulação capitalista configuram o que certa literatura chama “pacificação” Ademais, elas exportam para o “estrangeiro” as contradições próprias da política de controle de opioides que fundamenta a lógica capitalista das drogas. Assim, populações latino-americanas têm sido instrumentalizadas para a “solução” dessa crise, seja como foco da violência pelo Estado, seja como foco do consumo pelo mercado.


2019 ◽  
Vol 7 (1) ◽  
pp. 45-49
Author(s):  
Maria L. Andersen ◽  
Samantha H. Valone ◽  
Valeriia K. Vakhitova ◽  
Vir Chachra ◽  
Paul Martin Sommers

The authors use simple bilinear regression to assess changes in the geographical movement (latitude and longitude) of mass shootings in the United States between 1982 and 2017.  The path taken by the location of the ninety-five mass shootings over the 36-year period has shifted south.  An analysis of differences by census region and blue/red state distinctions within each census region reveals disproportionately many mass shootings in Midwestern states between 2000 and 2008, and disproportionately many in red Southern states over the past three-plus decades.  


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