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Health Systems Issues and Strategic PlanningWords: 3151 Length: 10 Pages Document Type: Essay Paper #: 41437384
Health Systems Issues and Strategic Planning
The delivery of high quality healthcare services requires a sophisticated health system infrastructure that provides a multidisciplinary team approach. This health system infrastructure varies from country to country, but there are some common features that characterize health systems that can be used to identify best practices and current trends in healthcare delivery and administration in general and for an elderly American patient in particular. As the United States becomes an increasingly multicultural society, there will also be an increasing need for informed and culturally sensitive approaches to healthcare delivery. Everyone gets older, though, and there will also be an increasing need for health systems that provide the range of services needed by the elderly. In this regard, this study identifies health systems issues for such a typical elderly American patient, including a review of the relevant peer-reviewed and scholarly literature concerning these issues and…… [Read More]
Health Information Exchange in the USWords: 2723 Length: 10 Pages Document Type: Essay Paper #: 94102190
Health Information Exchange
Health Information Exchange in the U.S.
The Guidelines
Privacy and Security
Challenges and Strategies
Why Clinicians Use or Don't Use HIE
Doctors' Opinion on HIE
Consumer Preferences around HIE
Health Information Exchange or HIE is a system, which allows the immediate electronic access of a person's health information records by a health provider (Fricton and Davies, 2008). The overall objective is to improve the safety and quality of health, especially for emergency care. This is the response to the problem of poor communication and exchange of medical information from one provider to another. This has resulted in many medical errors and undesirable drug effects (Fricton and Davies).
The use of the personal health record or PHR has been brought up as an innovative solution to this problem concerning diverse electronic medical record systems or EMR (Fricton and Davies, 2008). It becomes the…… [Read More]
Health and Health Promotion According to PublicWords: 1507 Length: 5 Pages Document Type: Essay Paper #: 80917490
Health and Health Promotion
According to Public Health Agency (2001), Health is an ingredient of life that enables individuals to be independent socially, and live economical lives. Health is a concept that emphasizes social and personal resources. All action directed towards health, social and economic development should aim at providing human needs including peace, basic needs, and access to basic human rights. Understanding all the fundamental requirements of health will help in understanding health and the need to provide these fundamentals because the fundamentals are essential to human beings. Health affects the social, mental, and spiritual being of an individual. Precisely, health means being physically healthy and sane influencing the individual to act in a way that promotes health
Health promotion is the practices of ensuring people have complete control over the fundamental needs of health, leading to improvement of their health. Health promotion is a concept and set of…… [Read More]
Health Information Technology the Development of PatientWords: 1087 Length: 4 Pages Document Type: Essay Paper #: 53633106
Health Information Technology
The development of patient management systems continues to revolutionize the field of healthcare, specifically in the areas of treatment plans, content and records management systems, and predictive analytics. These areas are all making healthcare information and knowledge management a critical success factor in creating effective healthcare information systems globally (Epstein, Fiscella, Lesser, Stange, 2010). Implicit in the areas of records management and predictive analytics is also the need for more effectively managing standardized terminologies that are critical to document patient care. The greater the depth of insight that healthcare information systems can deliver, including the acuity of analysis and availability of predictive analytics to measure the progress of treatment plans, the greater the need for an agile, flexible taxonomy of standardized methodologies as well (Schmitt, 2002). The intent of this analysis is to evaluate how taxonomies can be used for defining and managing standardized terminologies used for…… [Read More]
Healthcare Management Australia's Health Care System IsWords: 1307 Length: 4 Pages Document Type: Essay Paper #: 93393008
Healthcare Management
Australia's health care system is funded and administered by the national, state, and local government. The initiatives by these levels of government are also supported by private health insurance schemes (Australian Bureau of Statistics, 2012). The Australia's Medicare is funded and administered by the medical services, prescription pharmaceuticals, and hospital treatment. The Australian and territory governments deliver population health programs, community health services, health and medical research, mental health services, and health workforce and health infrastructure. The Australian government primarily funds health services; regulates health products, services and workforce; and national health policy leadership (Australian Bureau of Statistics, 2012). The delivery of healthcare services and management of public health services is the sole responsibility of the states and the territories. This implies that public hospital, community health, and public dental care are a responsibility of state and territorial governments. The state and territorial governments also regulates healthcare providers…… [Read More]
Health Care in the U.S. And Singapore
Healthcare in the U.S. And Singapore
This paper compares the U.S. healthcare system with the Singapore healthcare system. It starts with a brief description of both healthcare systems and then explains and compares the issues in both the systems. The number of underinsured in both systems are also compared in the paper. The paper also gives the pros and cons of both the system. It ends with a brief conclusion about which system is the best.
Healthcare System
The healthcare system in the U.S.A. consists of both private and public insurers. The key feature of this system is the dominance of the private sector over the public sector. The U.S.A. healthcare system offers a wide variety of insurance policies for adults, children and elderly. The insurances provided by the public sector include Medicaid, S-chip and VA. The private sector insurance, on the other…… [Read More]
Health Care Systems and InstitutionsWords: 1564 Length: 4 Pages Document Type: Essay Paper #: 15652638
Health Care Systems
In today's advanced and modern society, which is dependent upon new and emerging technologies in almost all fields of life, the importance of health care systems cannot be denied in any case. Health care is being associated with the technological advancement as because of several new medical techniques, it has become possible to devise the treatments of many such diseases which were considered deadly in older times. On the whole, from diagnosis to treatment and to make preventions from the disease, health care systems have now become an essential part of today's civilized nations, particularly those having an economic boom and strong financial sector. It is a common observation that stronger the economy of the country, greater would be the number of facilities provided to the citizens. Good health care systems are too, associated with strong and developed nations like U.S., UK, Canada and Germany etc. These…… [Read More]
Health Care Delivery Systems
The structure and organization of the resources that make it possible to provide health care services to target populations is referred to as a health care system. The variety of health care systems is very wide with strong evolutionary histories tied to the governments, religious organizations, charitable organizations, labor unions, and for-profit market participants.
Five Health Care Delivery Systems
eid set out around the world to study healthcare systems in countries across the globe. He identified five distinct healthcare delivery systems. They are as follows: (1) The Bismarck model; (2) the Beveridge model; (3) the national health insurance model; (4) the out-of-pocket model; and (5) the American model for health.
The Bismarck model. Otto von Bismarck is credited with establishing the first form of this model that is followed in Germany. Private companies and private initiatives provide the medical services and insurance coverage under this model.…… [Read More]
Healthcare Management Health Care Management on MarchWords: 1544 Length: 4 Pages Document Type: Essay Paper #: 42678368
Healthcare Management
Health Care Management
On March 2010, the U.S. president, Barrack Obama, signed the Affordable Care Act. This act highlights detailed health insurance reforms expected to roll out from 2011 and beyond (Vlvar, 2011). The provisions of the affordable Care Act started in 2010, and the president stressed on the immediate benefits and changes to the people of America. While people view these reforms as good public relations targeting the elections, the average person wants to understand how the health care reforms affect the lives of the common citizens from 2010 and beyond.
The Kaiser Family Foundation that steers the implementation of the health care reforms provides the twenty one provisions that were expected to take effect in 2011. Over the last ten years the foundation embraced a substantial and effective way of addressing a system that would cater for various populations who are extensively served by Medicaid and…… [Read More]
Health Program Assessment: Inequality in Philadelphia Communities
How long have you lived in your community?
I have been a Philadelphia resident for 23 years, during which time I have come face-to-face with a wide array of pressing public health issues. As a recent article by Melwert (2012) shows, Philadelphia is routinely ranked as the least healthy county in the State of Pennsylvania.
hat do you believe are the greatest health issues that exist within your community and who are the populations you believe are most impacted by these health issues?
The population that concerns us most is the youth demographic. In Philadelphia, young people between the ages of 1 and 19 are at the highest risk for certain prevailing health challenges. Additionally, based on the findings from our interviews with local residents, the vast majority of youths in high-risk categories are of African-American or Hispanic ethnicity. There are yet further…… [Read More]
Healthcare Administration
It has been in the last 3 decades that a rapid increase has been seen in the providence of geriatric healthcare. The main reason for this increase is the increase in demand and need of these services for the elderly people. The knowledge base, core values along with the clinical skills that are required by this field in order to develop the health care, well-being and functioning of the old people has been identified in plentiful studies spanning across several decades. Latest care models and treatments for common geriatric conditions have been developed and implemented by geriatric medicine to improve the health and well-being of old people (Murtaugh et al., 2009).
Even though a lot has been done by the geriatric medicine for the well-being of older people, there are still a lot of things that need to be completed in order to fulfill all the needs of…… [Read More]
Healthcare Reform History of SocializedWords: 2697 Length: 8 Pages Document Type: Essay Paper #: 73633244
What this means is that the lifetime limits on most benefits are barred for all latest health insurance plans. Another interesting thing is the reviews premium increase (Wakefield, 2010). This is saying that insurance companies must now openly defend any type of unreasonable rate hikes. The last thing is that it helps a person get the most from all of their premium dollars. In other words, a person's premium dollars will need to be spent mainly on health care -- not cost that are administrative. However, now, when it comes to care an individual could possibly be eligible for recommended for something like the preventive health services. Also, when it comes to the no copayment a person will be able to choose the primary care doctor that they desire from their plan's network.
Impact of the Affordable Health Care Act on Nursing Profession
The Affordable Care Act (ACA) brings in…… [Read More]
Outlook of the Nurse Case Manager ProfessionWords: 249 Length: 1 Pages Document Type: Essay Paper #: 51826369
The Nurse Case Manager
Educational Requirements:
· Bachelor or Advanced Nursing Degree.
· Case management certification.
Scope of Practice
· Coordination and facilitation of care.
· Quality management.
· Utilization and resource management (Cesta, 2011).
· Transitional and discharge planning.
Work Activities
· Assessing, planning, implementing, and evaluating patient care.
· Monitoring quality of care.
· Providing short-term or long-term assistance to patients and their families.
· Acting as advocates for patients, families, insurance, and healthcare facilities.
Licensing Requirements
· At least 4 years bachelor's degree in nursing.
· Certification through American Nurses Credentialing Center (ANCC) or Commission for Case Manager Certification (CCMC).
Practice Settings
· Hospitals, nursing homes, and assisted living facilities.
· Rehabilitation facilities and community health centers.
Average Median Pay
· The average median pay for nurse case managers is $64,000 (Nurse Journal, 2015).
Occupational Outlook for Northeast Region
· Nurse case managers in the…… [Read More]
Health of Indigenous Australian Using Ecological andWords: 2500 Length: 8 Pages Document Type: Essay Paper #: 72970397
Health of Indigenous Australian Using Ecological and Holistic Health Paradigm
Patterns of health and illness
Physical Health
Mental Health
Spiritual Health
Social Health
Impact of Broader Environments
Critical eflection
Health is a basic component of human life that comprises of multiple facets. The description of health has witnessed dramatic change during past few years, as it has become a holistic phenomenon. Previously, it was considered that a healthy person is the one who does not suffer from any ailment or illness. However in recent times, the physical, psychological and communal aspects of human life have been amalgamated to give a broader perspective to human health which is identical to the concept of indigenous communities (Hjelm, 2010).
Numerous organizations are working extensively for providing adequate health care to the world population since many decades. However, it is appalling to notice that discrimination on social, economic and…… [Read More]
Health Program Bronx Racial Disparities in theWords: 1214 Length: 4 Pages Document Type: Essay Paper #: 91586564
Health Program Bronx
Racial Disparities in the Healthcare System
America's healthcare system is one of the most visible indicators of the broad array of social, economic and racial inequalities that still impact American life. For racial minorities such as African-Americans and Latinos, health outcomes are disproportionately worse than they are for white patients. This denotes a core inequality that goes to the root of our society. Outreach, education and advocacy programs such as the one described here in relation to minority populations living in the Bronx helps to provide a valuable case demonstration of this public health issue.
Collaborating Organizations:
The pressing racial issues that are evidenced in our imbalanced healthcare system serve as the impetus for the agenda and actions taken up by the REACH Bronx organization. This action-group is actually described as a coalition of groups and demonstrates the considerable push from a wide variance of parties to…… [Read More]
Health Reforms Health Rearms for a LongWords: 2156 Length: 7 Pages Document Type: Essay Paper #: 48876678
Health eforms
Health earms
For a long time, the Health Care concern has been a centre of discussion in the society as well as among the representatives in a bid to find out which would be the best way to cushion Americans from the ever increasing burden of having to take care of themselves medically. Efforts have been made but still there is no single solution to the issue hence a combined effort between the citizens and the government is very essential in ensuring that the ultimate goal is achieved and each American has adequate Health care assurance. This is the aim of the Health eforms that was passed into law at the behest of the current president, Obama.
Provisions of the Health eform
There are several benefits that the Health eforms are expected to bring to the American population in general. One of the central changes is the fact…… [Read More]
Health Structures in Government Levels Health atWords: 1071 Length: 3 Pages Document Type: Essay Paper #: 90642390
Health Structures in Government Levels
Health at different Government Levels
Health Structures at Government Levels
Health at Government Levels
A national government has a task in ensuring quality health assurance standards across its region are up-to-date. Similarly, increased rates of unexpected epidemics have put governments under the surge of dealing accordingly with factors that can affect the nation directly and indirectly. Different governmental levels of health are identified and objectified in various agency websites. In this context, I have identified with a state level website; Illinois Public Health Institute website. Information presented to the website articles prioritizes in reducing and preventive, curative diseases, complementing health policies and championing for environmental changes.
Website Article eview
The Illinois Public Health institute articulates its review and implication to health quality through partnership programs. The website has supported state-oriented health involvement in ameliorating health levels, in Illinois. The institution has show-cased partnering programs with…… [Read More]
Health Psychosocial Model of Health Use QuestionsWords: 1354 Length: 4 Pages Document Type: Essay Paper #: 59055296
Psychosocial Model of Health
Use questions 2, 3, 5, 11, and 12
Many times a health professional will look at a health issue and see only the problem at hand. The difficulty with this approach is that most health problems affect the entire person whether or not the issue is localized or not. The psychosocial model of health looks at more than an individual's physical state to determine how they will respond to treatments in the short- and long-term. A patient's psychological well-being and their support system are as important as a willingness to see a treatment through to the end. The following paper looks at two patients and whether they were well-served from a psychosocial perspective, and, if not, what improvements could be made to serve the patient better.
In the documentaries, two of the patient interviews stood out as especially relevant to this discussion. One of these…… [Read More]
Health Care in the Wake on NewWords: 1147 Length: 3 Pages Document Type: Essay Paper #: 5433181
Health Care
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).
Identify the milestone you chose in the history of quality improvement in…… [Read More]
Health Care Drivers for IncreasedWords: 3735 Length: 10 Pages Document Type: Essay Paper #: 23797263
United States
Virgin Islands
West Virginia
All spending includes state and federal expenditures. Growth figures reflect increases in benefit payments and disproportionate share hospital payments; growth figures do not include administrative costs, accounting adjustments, or costs for the U.S. Territories.
Federal Fiscal Year: Unless otherwise noted, years preceded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30. for example, FY 2009 refers to the period from October 1, 2008 through September 30, 2009.
Urban Institute estimates based on data from CMS (Form 64) (as of 12/21/11).
From this entire chart, the entire increase in expenditure of…… [Read More]
Healthcare Financial Management to Quote Jonathan ClarkWords: 1064 Length: 4 Pages Document Type: Essay Paper #: 20934207
Healthcare Financial Management
To quote Jonathan Clark at the beginning of his article, "Improving the revenue cycle can be a daunting task due to the scope and complexity of the interdepartmental process." Of the suggestions offered by the authors, which concept(s) give you the greatest insight into creating an improved evenue Cycle process in the organization where you work (or one in which you are familiar)? Be sure to identify which article or author you are referencing.
In his comprehensive advisory article to improve the medical industry's revenue capturing capabilities, entitled Strengthening the evenue Cycle: A 4-Step Method for Optimizing Payment, Jonathan Clark provides a series of sensible solutions to the ongoing dilemma of payment optimization. David Hammer also provides guidance to healthcare finance professional in his article The Next Generation of evenue Cycle Management, by reminding them that the key performance indicators (KPIs) which dictated policy in previous years…… [Read More]
Health Organization Case StudyWords: 1525 Length: 5 Pages Document Type: Essay Paper #: 36805554
Health Organization Case Study
The mission of Banner Healthcare is to make a difference in the lives of people through excellent patient care. They achieve this by providing leadership for excellence in patient safety and clinical care. Traditionally, healthcare institutions focused on analyzing aggregate performance, questioning causation, monitoring scorecards and identifying gaps. Planning and managing stages at integral to the process of achieving Banner Healthcare's vision. Planning entails the development of standards, rules, and work teams necessary for the work. Concurrent management involves patient-oriented care and coordinated health care. Across the various work teams, care management efforts and the number of people are involved in making clinical improvements across the organization have been gradually increasing.
This occurs regardless of whether they are work groups, system wide teams, strategic initiatives, and special projects. The work is organized under functional teams. Besides the functional teams, initiative work groups and clinical consensus groups…… [Read More]
Health Management Discussion Questions First Student theWords: 953 Length: 3 Pages Document Type: Essay Paper #: 94885056
Health Management (Discussion questions)
First student
The Emergency Medical Treatment and Labor Act (EMTALA) is a law governing how and when patients may be denied treatment or moved from one hospital to another in cases of extreme medical conditions. EMTALA was legalized as a component of the 1986 consolidated budget reconciliation (ichards & athbun, 2009). Sometimes, it is known as the CONA law. This generalized name has generated other laws. A common provision under the COBA name is the statute that governs continuation of benefits derived from medical insurance after job termination. The principal provision of this statute is as follows:
Patients visiting the emergency unit seeking treatment or examination for medical conditions must be given the required medical screening diagnosis. This will be helpful in identifying if they are suffering from emergency medical conditions. In case they are, then hospitals are obliged to either furnish them with appropriate treatment…… [Read More]
Health Policy Analysis Nursing &Words: 3179 Length: 12 Pages Document Type: Essay Paper #: 25929258
" (Jacobs and Skocpol, 2007)
rown and Sparer (2003) state that Medicare is "...administered by the federal government. Not only eligibility criteria and financing policy but also the benefit package, policies governing payments to providers, and decisions about the delivery system (for instance, fee-for-service vs. managed care) are determined in Washington, D.C., with no direct participation by the states. (the program delegates important decisions about coverage and payments to third-party insurers -- fiscal intermediaries and carriers -- and thus these national determinations do not preclude considerable regional variations that reflect local differences in wage costs and other factors)." (2003) Medicaid is state-managed "...although a framework of federal rules constrains state program administrators, they retain wide, and widening, discretion on all of the basic issues: eligibility, benefits, payments, and organization of care." (rown and Sparer, 2003)
V. Eligibility, Physician ehavior and Low-Income Population Access to Care
The work of aker and…… [Read More]
Healthcare Occupational Safety and HealthWords: 1605 Length: 5 Pages Document Type: Essay Paper #: 44142264
The penalties for being out of compliance when OSHA comes knocking should be enough to motivate any healthcare facility to devise a plan to make sure that they are in compliance with OSHA's regulations. The startling thing is that it took an initiative like NEP to wake these facilities up and get them thinking about being compliant. Since they deal with people and their well being on an everyday basis, these are things that they should have been doing all along and not just because there is an increased probability of getting into trouble by OSHA.
Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? etreived from http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx
Healthcare workers. (2012). etrieved from http://www.cdc.gov/niosh/topics/healthcare/
New OSHA inspection initiative focuses on healthcare. (2011). etrieved from http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6EM
Occupational Safety and Health Administration ("OSHA") Targets Nursing and esidential
Care Facilities. (2012). etrieved from http://www.hancocklaw.com/p/OSHA_Newsletter_212_May_H1768037.PDF
Prepare Your Facility…… [Read More]
Healthcare Leadership & Prejudices HealthcareWords: 1543 Length: 5 Pages Document Type: Essay Paper #: 3466094
Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences…… [Read More]
Healthcare Administration and Leadership Health Care inWords: 853 Length: 3 Pages Document Type: Essay Paper #: 97330642
Healthcare Administration and Leadership
Health care in the United States has progressed and improved to the point at which providers in all health care settings have defined and developed at least 4 major areas of importance for effective health care. Knowledgeable health care leaders have identified Quality and Safety; Community Health; Health Care Access and Coverage; and Leadership and Governance as key areas that must be constantly addressed and improved to provide optimal health care. The Human Research and Educational Trust has provided significant leadership in those 4 areas since its establishment approximately 60 years ago. By developing studies and assessments, as well as uniting health care leadership across the nation, HRET has exerted a great impact on health care in America.
Two of the HRET's Major Areas and Why Each Area is Important to Health Care Administrators
The four major areas addressed by the Health Research and Educational…… [Read More]
Healthcare Reimbursement and BillingWords: 1160 Length: 4 Pages Document Type: Essay Paper #: 91090578
Health Care Reimbursement and Billing
Both Mrs. Zwick and Mr. Davis face significant issues in the presented scenarios. Mrs. Zwick has multiple considerations under Medicare Parts A, B and D, in addition to her hospital-acquired urinary tract infection. Meanwhile, Mr. Davis must address the severe time constraints and costs of COBRA in light of his job termination. These two scenarios underscore current difficulties and complexities of current health care in the United States.
Discussion of Mrs. Zwick's coverage under Medicare Parts A, B and C
Medicare Part A (often called "hospital insurance") (U.S. Department of Health and Human Services, 2011, p. 15) assists in covering inpatient hospitalization and skilled nursing facilities, hospice and home health care (U.S. Department of Health and Human Services, 2011, p. 14). There is usually no monthly premium if you and/or your spouse paid Medicare taxes while employed (U.S. Department of Health and Human Services, 2011,…… [Read More]
Healthcare Institutions Are Seeking NewWords: 792 Length: 2 Pages Document Type: Essay Paper #: 2633007
Cost is one of the primary issues -- it is cheaper to go to an RN than a doctor, and walk-in clinics have lower overhead costs than physician's offices, which is of great concern to uninsured or minimally insured patients. ait time is another concern -- clinics provide immediate treatment, patients do not have to wait for appointments for a brief, routine procedure, which insured patients may balk at if they merely wish to get a routine culture for strep throat. Using the Internet to access information about insurance and care results in lowered administrative costs for providers, less need for phone operators to provide advice, and results in additional speed for the consumer, in accessing records.
For a patient without insurance, ordering drugs online and not having to pay for a 'live' consult may be more cost-efficient, despite the higher costs of the drugs. Healthcare companies' desire to make…… [Read More]
Realistically this compliance and assistance should be sought and used before, during and after negotiations with other health care organizations with which this organization might merge or enter a joint venture. Furthermore, the proposed contract itself should be passed by the FTC's Office of the General Counsel or its designee for approval before final ratification of the contract.
3. Conclusion
In order to merge and operate in a joint venture acceptable to the FTC, the organization must be mindful of Title 15 of the U.S. Code, specifically Section 7 of the Clayton Act, 15 U.S.C. § 18, Sections 1 and 2 of the Sherman Act, 15 U.S.C. § 1, 2, and Section 5 of the Federal Trade Commission Act. In addition, due to the FTC's recent special interest in the mergers/joint ventures of health care organizations, particularly but not solely in connection with price fixing, the organization should assume that…… [Read More]
Health Care Leadership Problems OverWords: 1005 Length: 3 Pages Document Type: Essay Paper #: 56997426
The idea with this part of the strategy is to be able to form some kind of a partnership with these individuals. This will help to push for a transformation inside the organization. As, these people will help to provide everyone with: a reason for adapting and pushing others to do so (indirectly). (Turner, 1999, pp. 162 -- 163)
Once this occurs, you could then have these individuals become a part of a committee. They will have the responsibility for making specific recommendations about how this can be implemented. This is important, because this will help everyone to realize that some kind of change is occurring inside the facility. Over the course of time, this will lead to shifts in the operating environment by giving people reason for embracing these changes. (Turner, 1999, pp. 162 -- 163)
The Effectiveness of the Plan
To determine the effectiveness of the plan the…… [Read More]
Health Care Strategic Planning OverWords: 937 Length: 3 Pages Document Type: Essay Paper #: 8831945
The reason why, is because this is a sign that the quality of care that is being provided in declining. What normally happens is staff members, will often become frustrated with: health care environments that are inefficient and where management has an attitude of indifference. This is problematic, because it can spread through the organization like cancer by: eating away at the fundamentals that made the facility great.
Once this occurs, it will have an impact on: the costs, efficiency and profitability of the hospital. This is the point that this could undermine the reputation of facility and it could have an impact on the brand. When this takes place, it is a sign that many hospitals are falling into a downward spiral of: declining quality of care and increasing costs. At which point, it only becomes a matter of time until: some kind of major restructuring must occur or…… [Read More]
Health Services Administration Delivery Strategies Examples ofWords: 974 Length: 2 Pages Document Type: Essay Paper #: 99616583
Health Services Administration
Delivery Strategies
Examples of three value-added support strategies for a safe and caring environment
Managers of any nursing home are expected to promote the existence of safety and harmony within the nursing environment. This is possible through the adoption of various strategies targeting its valued-added care activities like bedsides procedures, teaching, vital signs, communication with patient care, and activities of daily living. Some of the strategies that can be adopted in order to bolster safety in the nursing home include:
Adopting diverse communication strategies between the patients and the nurses. The management must ensure that patients and nurses can voice their issues and possible grievances to the relevant authorities without fear of victimization. All stakeholders must be free to communicate with the nursing; this will enhance safety because individuals will be having a sense of freedom when expressing themselves. The best strategy is to promote the anonymous…… [Read More]
Healthcare Reform Review of LiteratureWords: 6070 Length: 20 Pages Document Type: Essay Paper #: 45810582
(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.
The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…… [Read More]
Healthcare Poverty Health Care ReformWords: 3343 Length: 12 Pages Document Type: Essay Paper #: 63584903
As a result, millions of Americans remain unable to bear the heavy financial toll of medical expenses. Indeed, the problem of a lack of insurance for many is related to the problem of the cost of healthcare. So confirms the article by Consumer Reports (CR) (2008), which finds that "health-insurance premiums have grown faster than inflation or workers' earnings over the past decade, in parallel with the equally rapid rise in overall health costs. Industry spending on administrative and marketing costs, plus profits, consumes 12% of private-insurance premiums." (CR, 1) This reiterates the case that the undue imposition of costs by the healthcare industry -- a reflection of a free-market industry with little to no regulatory oversight -- has negatively impacted the accessibility and quality of healthcare for many of the poorest users.
Moreover, these users are most vulnerable to the long-term economic damages provoked by unexpected healthcare costs. So…… [Read More]
However, they contradict themselves trough supporting one's right to commit physician-assisted suicide, since this would virtually mean that the individual who is no longer willing to live is not provided with health care meant to prevent him or her from dying (Epstein, 1999, p. 1).
Among those opposed to the fact that health care is becoming increasingly better are those who are in their twenties and are obliged to work hard in order to pay for their own medical insurance and for that of the underprivileged (Bonner, 2010).
Contemporary health care is basically provided by groups forced to pay taxes in order for others to benefit out of the process. The fact that health care is a privilege and not a right was made obvious ever since the 1954 foundation of the Department of Health, Education, and elfare. The name contained the term welfare with the intention of highlighting how…… [Read More]
S. Department of Health and Human Services, 2011). Furthermore, subpart C explains the privileges and the protections of confidentiality that is attached to the patient's record along with much exception (U.S. Department of Health and Human Services, 2011).
The penalty for anyone who breaks confidentiality is imperative. In "November, 23, 2009" was increased to $11,000 (U.S. Department of Health and Human Services, 2011). This goes for anyone in the medical field or has access to this information. A person has to follow HIPAA precisely or face a huge fine. If one thought of this ahead of time, whether or not they own a business, then no issues would arise legally. However, sometimes this does occur, especially for those who want to harm another person, yet in the medical field the goal is not to do this to any individual, regardless, otherwise he or she could face losing their license in…… [Read More]
The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.
In conclusion, this article review focused on new Healthcare Delivery Systems…… [Read More]
Health Inequalities Several Factors HaveWords: 3135 Length: 8 Pages Document Type: Essay Paper #: 10387894
ichard Mitchell and Professor Daniel Dorling from the University of Leeds and Dr. Mary Shaw from the University of Bristol on the parliamentary constituencies of Britain revealed a number of social policy scenarios. The study traced the impact of the variations to society that might be brought through the effective execution of three social and economic policies. Firstly, they examined the efficacy of the policy of modest redistribution of wealth to counteract the health inequalities. During the decades 1980s and 1990s there were a considerable variation in the wealth possessions of rich and poor reflected in the major variations in their health enumerated by mortality rates. The study revealed that by returning to the inequalities in wealth of 1983 about 7500 deaths annually could have been prevented. (educing health inequalities in Britain)
The study assessed the impact of such policy to be most effective in the Birmingham Ladywood constituency in…… [Read More]
Health Staff
the Allied health care staffing agency is a staffing agency that focuses on the niche of the nursing jobs within the healthcare industry in Chicago
The Allied healthcare staffing agency works to recruit registered nurses belonging to all medical Specialties, Practical Nurses that are licensed also called LPNs, Nursing Assistants that are certified also called CNAs and Specialists from the allied health sciences. These professionals would be hired both from the area of the metro city as well as the suburbs and placed within the hospitals, the neighborhood medical centers, Adult care facilities, clinics, and rehabilitation centers.
The mission of the Allied Healthcare Staffing Agency is to provide the best opportunities of employment both to its collaborators which are the local healthcare organizations as well as serving the entire nursing community to provide amply amount of job opportunities to choose from in a time when the turnover of…… [Read More]
Health eform Act
The work of Flanagan, Miller, Pagano, and Wood (2010) entitled "Employee Benefit Plan eview -- Meyerowitz, Health care eform Is Here -- Now What?" states that health care reform laws are expected to have an impact that is significant in nature and this is on the health insurance industry as well as on employee benefit issues as well. The Patient Protection and Affordable Care Act (PPACA), which was then supplemented and modified, less than one week later, by the Health Care and Education Tax Credit econciliation Act (HCEA)." (Flanagan, Miller, Pagano, and Wood, 2010) Those two laws are referred to as "Health Care eform" or "Health eform Laws." (Flanagan, Miller, Pagano, and Wood, 2010) The Health eform Laws are reported, while being extremely lengthy and in depth and very detailed to "leave open a host of issues that will have to be resolved either through agency regulations…… [Read More]
Healthcare Lobbyists Drugmakers Hospitals andWords: 1614 Length: 5 Pages Document Type: Essay Paper #: 91197596
Each of these was included in the initial Senate bill, but was struck from the final Senate version. Despite the victories, the group isn't ready to pledge support for health reform bills. The AMA will not endorse any legislation unless Congress gets rid of the mandated payment cuts of more than $200 billion over 10 years in the government's Medicare program for the elderly. The cuts are part of Congressional action that was passed in 1997 in order to cut costs in the Medicare program, but have never gone into effect. There are also several hospitals, insurers, pharmaceutical manufacturers and advocacy groups that are withholding final support. Most of these groups have pledged support to health care reform in principle while working privately through lobbyists to protect their industries (Eaton and Pell, 2010).
Healthcare lobbyists range from very large companies and corporations to very small groups who are all looking…… [Read More]
At which point, the overall costs of care will be passed on to the tax payer in the form of higher taxes. This leads to a decrease in the overall quality of care and it will not slow the price increases, as the government seeks to restrict access to these services. Then, when the program becomes broken (such as: what is happening to Social Security) removing or reforming the bureaucracy is nearly impossible. (Messerili, 2010)
A second argument that many critics make about universal health care is: it will stifle innovation. Whenever, the government is running any kind of program, they will place a large number of restrictions and regulations on the industry. When this takes place, you are causing some of the best and brightest minds to seek careers in other fields, as the restrictions from the government are too cumbersome. A good example of this would be: the…… [Read More]
Such equipment should be adequate to ensure personnel are protected from chemical exposure to the eyes, skin, and respiratory tract. PPE may be upgraded or downgraded by the site industrial hygienist, HSM, or qualified Site Safety Officer based upon site conditions and air monitoring results (Levin, et al., 2002)
Work practice and administrative controls
Administrative controls or work practice controls are changes in work procedures such as written safety policies, rules, supervision, schedules, and training with the aim of reducing the interval, frequency, and sternness of exposure to hazardous chemicals or situations. Workers who handle hazardous chemicals in the workplace should be familiar with the administrative controls required fewer than 29 CF 1910.1200, and the OSHA Hazard Communication Standard. This controls are perhaps most important, because they impact your people directly. On the one hand, they are the simplest, since all it takes is education. On the other hand, education…… [Read More]
Health Care Financing DeliveryWords: 774 Length: 2 Pages Document Type: Essay Paper #: 84141615
WHO rates France as having the best healthcare ("World Health," 2000). In addition to universal healthcare, France also has non-profit supplementary providers, which means that the government subsidizes 70% of regular expenses but pays 100% of more expensive or long-term treatment plans (Sandier, Paris, & Polton, 2004). Money for subsidies comes from mandatory earnings contributions such as 5.25% salary, capital income, and gambling winnings (Sandier, 2004).
An argument that often arises is that people say they don't want the government deciding what medical procedures they can have. However, decisions regarding what procedures are covered by a particular health plan are made by the healthcare insurance companies, which are for-profit ("Insurance Verification," n.d.). Many people are denied treatment regardless of the illness. As already mentioned, some of the other nations with universal healthcare have supplementary plans in addition to the government plans that allow the patient more choice.
There are many…… [Read More]
Not only is there cost competition, but the real cost of a lot of services have actually gone down over the past fifteen years despite a tremendous increase in demand and enormous technological change. For example, the cost of conventional LASIK vision correction surgery has dropped radically, even as the procedure has become more technically superior (Herrick and Goodman, 2007).
Many experts have suggested that the solution to the health care system's troubles is to have a more market-based approach. Consumer-directed health plans are at the heart of this idea. If people are made to spend more of their own money, they'll be more practical users of care and look for better value at lower prices. This is how other industries work, and people don't complain much about them. It has been asked why health care should be any different. People think that the government should get out of the…… [Read More]
Healthcare Issues With the ProvisionWords: 1180 Length: 4 Pages Document Type: Essay Paper #: 96629310
In their move from a completely government-paid and -- operated healthcare system to a fees-based approach, the Chinese have greatly improved the efficiency, availability, and efficacy of their healthcare system (Wan & Wan 2010). This suggests that a combination of perspectives, rather than the market or single-payer perspectives that form so many healthcare systems, is most effective.
There are also, of course, healthcare systems that have developed in the same period as those mentioned above, but with far more negative results. The South African healthcare system, though effective in combating certain specific conditions, has many of the same failings as the United States' system, only on to a far more apparent degree. A lack of organization and responsiveness, exacerbated by an attempt to exert highly politicized and highly centralized control over healthcare provision, has plagued South African efforts to combat AIDS and many other problems the country -- and the…… [Read More]
Healthcare and the Uninsured AccordingWords: 1691 Length: 6 Pages Document Type: Essay Paper #: 91952671
Polls examining public support of the bill and specifically the public healthcare option vary significantly. ith regard to physicians, the New England Journal of Medicine surveyed over six thousand medical doctors and found there was a majority in favor of federally provided public healthcare insurance (Keyhani & Federman). Other polls have suggested an opposition to the public option (Marmor).
The public option would provide an affordable alternative to the current private health insurance options and would provide impetus for competition and positive change. hether "America's Affordable Health Choices Act of 2009" will be passed is currently uncertain. hat is certain is that the healthcare and health insurance system is currently not sufficient to provide healthcare support for nearly 48 million uninsured Americans. Alterations need to be made to increase access and affordability for those individuals who desire health insurance.
The healthcare and health insurance system in the United States…… [Read More]
Healthcare Analysis of Newspaper ResearchWords: 982 Length: 3 Pages Document Type: Essay Paper #: 11358950
(Health Insurance Coverage, 2009). This is just a little higher than what was reported in the state of Pennsylvania over the last two-year period, which was at 25% (Krawczeniuk, 2009). "The number of uninsured rose 2.2 million between 2005 and 2006 and has increased by almost 8 million people since 2000" (Health Insurance Coverage, 2009).
Most Americans are provided with health insurance coverage through their employers. But in today's society employment is no longer a guarantee of health insurance coverage. "As America continues to move from a manufacturing-based economy to a service economy, and employee working patterns continue to evolve, health insurance coverage has become less stable. The service sector tends to offer less access to health insurance than the manufacturing sector does. Further, an increasing reliance on part-time and contract workers who are not eligible for coverage means fewer workers have access to employer-sponsored health insurance" (Health Insurance Coverage,…… [Read More]
Healthcare Health Care Research HealthWords: 1017 Length: 3 Pages Document Type: Essay Paper #: 86002963
Canada is even further behind in its access to high tech equipment, including machines used for MRI's and CAT scans. This shortage of equipment affects wait time for diagnostic tests, which in some provinces can run well over three months (Beaudan, 2002).
According to Michael Decter, chair of the national board of Canadian Institute for Health Information, the Canadian health care system is dazed but he still believes that modernized public healthcare is the answer. "e do well on life expectancy and immunization of children compared to the U.S.," he says, noting that the United States spends 40% more on healthcare than Canada does (Beaudan, 2002).
Americans who go to Canada for cheap flu shots often come away impressed at how Canada offers free and first class medical care to everyone. But hospital administrators will tell a different story about having to cut staff for lack of funds or about…… [Read More]
Health Care Reform Recommendations toWords: 1761 Length: 5 Pages Document Type: Essay Paper #: 32743451
On the contrary, a comprehensive medical care solution that tackles the main issues driving up health care costs in America is possible. The main problem experienced by the average American is that health insurance premiums are cost prohibitive for the middle-class, but being uninsured can bankrupt a family forced to deal with even a minor catastrophic illness. Therefore, a national health insurance program has to be part of the solution. However, one cannot overlook the role that unpaid medical bills and exorbitant malpractice premiums also play in the modern healthcare crises. As a result, the solution must include a way to reduce malpractice premiums through tort reform, and a way to reduce the percentage of medical bills that go unpaid. The proposed three-prong approach would tackle all of those issues, without forcing any unwilling person to participate in a nationalized healthcare program.
orks Cited
American Tort Reform Association. "Medical Liability…… [Read More]
Healthcare - Unions Implications ofWords: 2117 Length: 8 Pages Document Type: Essay Paper #: 32690040
ecause unions retain the exclusive right to negotiate on behalf of its members, the individual worker may have little recourse to easily address incompetent leadership.
The Disadvantages of Unionized Labor for Healthcare Employers:
The primary disadvantages of unionized labor for healthcare employers correspond to the relative loss of control over issues and workplace elements commonly transferred to workers (through their unions), which accounts for the traditional resistance with which many employers responded to unionization attempts. On the one hand, unionized workforces are able to secure better pay and benefits from employers than would have been available to workers without union representation; likewise, employers must cede control over many aspects of operational and personnel decisions traditionally within administrative control.
On the other hand, particularly in light of the beneficial effect that unionized nursing has had on the quality of patient care and reduction in patient mortality, it is difficult to conceive…… [Read More]
Health Wars Phillip Day ArguesWords: 614 Length: 2 Pages Document Type: Essay Paper #: 60206997
The information contained in Health ars is of tremendous benefit to all readers. e need to take more control over our own health, especially given the rising cost of health care insurance and the exorbitant prices of doctor and hospital bills. Preventing problems depends largely on paying attention to our genetic history: finding out what problems our mothers, fathers, and grandparents and adapting our lifestyle accordingly. Reading Day's book also encourages readers to learn more about common problems and possible solutions that involve diet and lifestyle changes. Taking responsibility for our health is one of the main themes in Health ars. Readers should take heed of what Day believes to be a crisis in modern medicine: the inability or unwillingness to practice common sense prevention.
I would recommend Health ars highly for several reasons. First, I believe that the health care crisis might be one of the most important problems…… [Read More]
Healthcare - Discussion Responses HealthcareWords: 539 Length: 2 Pages Document Type: Essay Paper #: 89514861
Second, poor health in the individual probably detracts from his or her capacity to contribute to society more directly than the harm to productive society represented by the cost of the individual's healthcare.
Furthermore, the vast majority of American healthcare dollars are spent on individuals in their later years, after their productive lives are already over, rather than on working-age people. Finally, while reducing healthcare costs is necessary for the optimal health of the American economy, it probably relates more directly to private economic matters rather than to consuming national resources that could otherwise be dedicated to technological development in a general sense.
Response to Statement #3: As suggested in Response #2, optimum public health is not necessarily a prerequisite for global competitiveness unless by "health" one means healthy enough to reach productive adulthood. On the other hand, the American population is undoubtedly on the verge of an obesity crisis,…… [Read More]
Healthcare Policies Hospitals Should NotWords: 2007 Length: 5 Pages Document Type: Essay Paper #: 78180326
In fact Congress should pass a bill that gives that prescription drug benefit to Medicare patients.
QUESTION NINE: In the United States, healthcare is so expensive that over 45 million people are without health insurance. It is a broken system, leaving out many people, especially children. Recently the executive branch vetoed a bill that would have provided health insurance to millions of middle and low-income children, indicating a lack of government concern for the well being of the population. Bush said it was too expensive, yet it's not too expensive to continue spending billions on an unpopular war in Iraq. Meanwhile, for the past 45 years, Canada has had a "government-funded, national healthcare system..." based on these five principles, according to www.medhunters.com.One, it is universally available to permanent residents; two, it is comprehensive; three, it is available regardless of income; four, it is "portable within and outside" Canada; and five,…… [Read More]
Health Care Treated Differently HealthWords: 389 Length: 1 Pages Document Type: Essay Paper #: 50410560
People still die because they cannot afford health care, and that simply is not right in the most powerful nation on earth. People should not have to go bankrupt or lose their home because they cannot afford health insurance, and health care should be more affordable for everyone. An Indiana Congress member notes, "Expenditures on health-care lobbying last year rose to $325 million, as health-care providers, insurers, drug makers, medical professionals and others all worked to make sure their interests were served as Congress took up their issues" (Hamilton). Americans need to stop listening to lobbyists and start taking health care reform into their own hands for real health care reform to occur in this country.
Hamilton, Lee. "Who Lobbies for the est of Us?" Indiana University. 2004. 22 Jan. 2008. http://congress.indiana.edu/radio_commentaries/who_lobbies_for_the_rest_of_us.php
Montanaro, Domenico. "Kucinich Details Health-Care Policy." Firstead.MSNBC.com. 2007. 22 Jan. 2008. http://firstread.msnbc.msn.com/archive/2007/10/25/430486.aspx… [Read More]
" ("Let My Baby Live..." NP) Other messages of the campaign were to stress the need to avoid high risk pregnancy, prior to age 18 or after age 35 and to stagger pregnancies by two years to help the maternal body recover and be strong enough to care for the developing infant and go through labor successfully. The campaign, promoting these ideas states that it has been successful in reaching its goals, and has currently reached 66% of the population in the regions where the campaign was launched. ("Let My Baby Live..." NP) There is not mention as to whether the campaign will end, or be expanded to a broader audience in Turkey.
Turkey's example program could serve as a template for other health issues that need to be expressed to the public in Turkey and in other nations with challenged health care delivery infrastructures and limited public knowledge of…… [Read More]
Healthcare Reforms From 1990s TillWords: 1184 Length: 3 Pages Document Type: Essay Paper #: 41667635
(ennie; Fontanarosa, 2006)
Apart from financial reasons, millions are not bale to access healthcare due to a lot of barriers inclusive of geography, racial differences and immigrant status. The people who do not have access to required care, that might comprise incapability to get primary care chronic care, specialist care, or emergency care stand at risk for severe health consequences. As per a recent report, absence of health insurance was linked with considerably lowered application of recommended healthcare services for cancer prevention, cardiovascular disease threat reduction, and diabetes management within the lower-income as also higher-income adults. Apart from the concerns, trouble, and stress directly associated to their illness, patients those who lack insurance or are underinsured also encounter increased levels of debt, threatening calls from collection agencies, anxiety, and possible insolvency. (ennie; Fontanarosa, 2006)
Impact of reform measures on the nursing profession:
The U.S. healthcare system is considered among the…… [Read More]
Health Promotion Theory Description andWords: 1506 Length: 5 Pages Document Type: Essay Paper #: 58731126
Pender's is a theory of preventive medicine, for the healthy rather than the chronically ill. However, in an age where lifestyle-related disease are on the rise, it can provide an important function, particularly for nurses facing an epidemic of pre-diabetic and diabetic adolescents reared on poor diets and little physical activity. Some might protest that the genetic component to even Type II Diabetes, or obesity in general, might be unacknowledged in the model, but Pender would no doubt respond to her critics that although it is true that certain individuals have a greater predisposition to certain lifestyle diseases, everyone can act within those parameters to improve their life with preventative medicine, as counseled by her model.
orks Cited
McEwen & illis. (2007). "Chinn & Kramer Model." From Chapter 5 of Theoretical bases for nursing.
Pender, Nola J. (2003). "Most frequently asked questions about the Health Promotion
Model and my professional…… [Read More]
Health My Definition of HealthWords: 902 Length: 3 Pages Document Type: Essay Paper #: 12188327
Since being healthy includes a sound mind, less worrying over financial problems leads to a stronger, sounder mind.
Drinking a lot of water throughout the day is another health-promoting behavior. Drinking a lot of water adds natural moisture to your skin, giving a fresh glow today and helping the aging process tomorrow. It also helps when I exercise to drink more water because being properly hydrated during exercise allows me to have a better, more productive workout. Drinking water also improves my energy and increases both my mental and physical performance. Additionally it allows for proper digestion and relieves headaches and dizziness. For those reasons I believe that not smoking and drinking water regularly are two of my important health-promoting behaviors.
My Detrimental Health ehaviors
As improvements in health become more necessary and evident, the medical industry will continue to work to improve the overall health of all individuals. However,…… [Read More]


text:
Hi everyone,
Between now and 7th March we'll be rolling out the next major release of the poker client, v40. This is a nice release with two of the top-requested features since the launch of the new client.
Here are the features included in v40:
Cloud-Based Opponent Notes
In addition to adding a colour code to opponents, you can now add a note. The note will appear when you move the mouse cursor over the player, or tap on the player on mobile.
Click on your opponent's position at the table to make a note, see information about your opponent's achievements, and set a colour code.
For those of you who have the classic download client installed, on first launch of v40, we will automatically import the notes you have previously taken on players. Notes (and colours) are now stored in the cloud and sync across all your devices, so notes that you make on desktop will be visible on mobile.
NB. For now, it's not possible to take notes on mobile. But notes you've taken on desktop can be viewed on mobile devices. Notes are limited to 180 characters, and both notes and colour codes are lost if your opponent changes their alias.
Customisable Bet Slider
It is now possible to set custom increments for the bet slider.
Preflop, you can choose up to three different multiples of the big blind, in addition to 'Min' and 'Max' (all-in, or the pot size, depending on the game). Post flop, percentages of the pot can be specified.
Your bet slider configuration is stored in the cloud and syncs across your devices, so settings that you choose on desktop will also apply to mobile, and vice versa.
Tournament Break Advertisements
During tournament breaks, you will be offered the opportunity to jump into a quick Fish Party Sit & Go, the MPN's unique Progressive Jackpot SNG.
Our version of the game has competitive rake (5% + 0.85% progressive contribution, regardless of stake) and the progressive jackpot grows with every game played. It's the best version of Jackpot SNG concept in the business, hands down. Give it a shot, you might just love it.
Quick Access to Fish Party and Casino Games
We've reduced the amount of space taken up by casino icons at the table. Instead you can now click to slide out a panel with quick access to casino games and Fish Party Sit & Gos.
Achievements Improvements
The Achievements area of the poker client has been updated with a fresh look and feel, matching the user experience of the new client and better optimised for mobile and tablet devices. There are also new filter options and progress bars for each achievement.
- You can move the bet slider using the mouse scroll wheel.
- The length of tournament breaks has been increased to 6 minutes.
- The tournament info panel (click 'i' on the table) now displays your current position in the tournament, as well as the players remaining, to make it easier to track your progress.
- We've made back-end improvements to Casino in Poker, meaning that poker rooms are now able to offer new features:
- Poker rooms can now choose to offer casino games in Sweden.
- All poker rooms can now choose to offer casino games on mobile and tablet devices.
- Many more casino games will be available in the poker client, including all of the latest content from Microgaming's development studios.
- For some poker rooms, you can now participate in more promotions (such as Free Spins promotions) offered by the poker room's casino, without having to leave the poker client.
- We fixed an issue where bet slider buttons were incorrectly disabled on mobile.
- Significant reduction to the initial download size.
- Significant reduction in the table's CPU and GPU usage.
- Other minor bug fixes and performance improvements. Further performance improvements will be released in v40.1 and onwards in the coming weeks.
Version 40.1 – Released 28th February
- Last login time is now enabled for all markets.
- It's now possible to enable Stealth Mode from Fish Party tables.
- Fixed an issue that could cause the client not to update, even when an update was available.
- Earlier detection of potential connectivity issues.
- Visual improvements to the new Casino / Fish Party panel.
- Fixed issues where opponent notes and colour tagging were not working in some circumstances.
- Other minor bug fixes and performance improvements.
Version 40.2 – Released 25th March
- [Download] Significant improvements to performance and stability, and reduced CPU usage. In particular, this release includes a fix for an issue that could cause the action buttons to become unresponsive in low-bandwidth scenarios.
- The client now has a 'latency' indicator, showing if you have a poor connection to our game servers. A 'heartbeat' icon will also appear at the table, in situations where you are experiencing poor connectivity.
- In the UK market, you must now be logged in before you'll see any game tiles. This is to ensure that you are over 18.
- [Download] We've made it clearer that the software is downloading and installing a new update.
- Player Notes and Colours are now enabled at Anonymous Tables.
- Other minor bug fixes and improvements.
Version 40.3 – Released 17th April
- [Download] Significant improvements to the speed at which the table opens.
- [Mobile] The bet slider now uses the top two configured values, instead of the top and bottom.
- The bet slider now works on BB multiples at all times preflop (previously, it worked on multiples of the minimum bet).
- In the UK market, you must now be age verified before you are able to play.
- Minor fixes to the Fish Party adverts.
- UI improvements for post-login dialogs.
- Other minor bug fixes, security enhancements, and improvements.

subset: commoncrawl


text:
Hotel «Premium Club» in Yaremche offers its guests to take advantage of the services of restaurant and bar, located on territory. Modern interior, authorial cuisine, cozy atmosphere, nice music and professional service – we have everything needed for a maximal comfort of our dear guests.
Benefits of restaurant / bar in the hotel «Premium Club»:
- Extremely delicious food. We cook all the dishes ourselves. The main rule of our kitchen is using only fresh and quality products.
- • Multinational menu. Our guests can choose dishes both of national Ukrainian and European cuisine.
- • Wide drinks card in different price categories.
- • Stylish and modern design, wonderful panoramic view from windows.
- • The total capacity of the restaurant - 100 people. So, due to sufficient number of seats our guests never interfere with each other. In our restaurant is possible to simultaneously accommodate numerous companies and romantic pair seeking for a secluded holiday without any discomfort.
Cost of visiting the restaurant:
- • For the habitants of hotel reserving of restaurant is free of charge. Cost of foods and drinks – according to the current price-list.
Choose a vacation at «Premium Club» in Yaremche to enjoy mountain air, picturesque landscape and authorial cuisine.
Active rest in mountains involves plenty of hikes and journeys. For convenience, most visitors of "Premium Club" in Yaremche come here by car, that's why the hotel is equipped with a modern parking.
In addition to providing our guests with comfortable accommodation and ample choice of entertainments, we also care about safety. For this purpose, we have a 24/7 security on the territory of «Premium Club».
Advantages of car parking at the hotel «Premium Club»:
- • Parking is included in the cost of residence.
- • Is located directly near the hotel, no need to waste precious time to get there.
- • Arranged sufficient quantity of parking lots.
- • A 24/7 video surveillance is held. Cameras work both on territory of hotel and beyond.
Cost of car parking usage:
- • For residents of the hotel: free of charge for the entire stay.
Choosing the hotel "Premium Club" in Yaremche for rest, you can repose both in the safety and in maintenance of your auto and other valuable property.
The infrastructure of the hotel «Premium Club» in Yaremche is planned to make a family vacation maximally interesting and comfortable both for children and for their parents.
Clean mountain air and charming landscape – it is certainly an ultimate pleasure. But not every child may be interested in such type of pastime.
To make stay at the hotel absolutely beneficial for each resident, we arranged the children's entertainment room. Here our little guests can actively spend their free time. Thus adults get the opportunity to stay alone, knowing that their children are in a safe and interesting place.
Benefits of children's room in the hotel «Premium Club»:
- • Visiting is included in the cost of residence.
- • Modern high quality equipment for table tennis and table football playing.
- • Sports room has a safe and comfortable carpet coverage.
The hotel «Premium Club» in the Carpathians is a place for an active family holiday in the mountains. Relax with us.
Services of hotel "Premium Club" in Yaremche are regularly used by organizations for realization of various corporate events on its territory: seminars, trainings, negotiations, presentations or small group conferences.
Advantages of a conference hall in the hotel «Premium Club»:
- • Spacious apartment with total area of 40 m2.
- • Convenient location. Conference hall is located on the first floor.
- • Suitable for quite big events. The maximum number of seats – 40.
- • Both natural and artificial illumination is available.
Features of territorial location of the hotel, its extensive infrastructure, modern technical equipment and friendly and dedicated staff will provide guests with all necessities for work and leisure.
The cost of using the conference hall:
- • Price of the hall booking is accounted individually for each event.
Conference services of the hotel «Premium Club» in Carpathians is the guarantee of realization of your corporate event at high level.
Mainly, after the rest in mountains everyone wants to feel harmony, peace of mind, privation from stress and charge of positive energy. The best way to get these feelings is to spend time in the relaxation zone. Obviously, there is nothing better than to get warm in a bath-house, swim in the pool and drink a cup of herbal tea in the company of close friend in the frosty winter evening.
Such rest is not only pleasant but really good for your health as well, as it destroys harmful substances in an organism, assists relaxation and restoring of muscles.
For maximum enjoyment and recreation of tourists of the hotel «Premium Club» in Yaremche a comfortable modern spa area is equipped there.
Zone of spa in «Premium Club» includes:
- • Hamam (Turkish bath), decorated in the original design.
- • Indoor heated pool.
- • Lounge.
- • Showers and WC.
The maximum number of visitors – 6 adults or 4 adults + 3 children.
The cost of the spa zone:
- 400 UAH / hour.
- *Minimum order - 2 hours
- • The price includes using of a lounge, Turkish bath, indoor swimming pool, shower and WC.
We invite you to improve your health, get a boost of energy and strength in the spa of the hotel «Premium Club» in the Carpathians.
Gym is an important part of the hotel «Premium Club» in Yaremche infrastructure. We know that everyone who cares about his physical form and health, even while vacations does not abandon sport. So we decided to take care of our guests and equip a comfortable gym with all necessary equipment.
Advantages of the gym in the hotel «Premium Club»:
- • Visiting included in the cost of residence.
- • High-quality equipment for different types of physical activity: punching bag, bicycle track, treadmill, barbell, dumbbells.
- • Is possible to visit in any convenient time.
- • Gym room has safe and comfortable carpet coverage.
- • Modern ventilation system that guarantees fresh and clean air in the room.
Doing sports in a refreshing mountain climate is a possibility to restore harmony of body and spirit during the rest.
The cost of the gym:
- • For residents of the hotel: free of charge.
A wonderful look and good mood are indicators of quality and useful rest. Enjoy and improve your health with «Premium Club» in Yaremche.
Hotel «Premium Club» amenities are designed so that guests can spend their time usefully and regardless of the season. Summer vacations give you an opportunity to make use of our heated outdoor pool.
Advantages of external pool at «Premium Club»:
- • Visiting of the pool is included in the price of living.
- • Deck-chairs and towels: free of charge.
- • In cold and windy weather a pool is heated. The water is warmed up to a comfortable for body temperature - 26-28 degrees on Celsius.
- • Located on an open lawn with panoramic mountain views.
- • Equipped with modern water purification system.
Swimming is an effective way to relieve stress, strengthen the nervous system and improve a physical form. In addition, outdoor pool provides an opportunity to sit on the loungers near the water, enjoy views of mountains and drink soft drinks under the warm sun.
If you are planning a family vacation with children, we recommend you to bring toys and gear for swimming.
The cost of swimming pool:
- • For residents of the hotel: free of charge.
- • For other visitors: adults - 200 UAH / 2 hours; children older than 3 years - 150 UAH / 2 hours. For children under 3 years: free of charge.
You strengthen health and have fun by swimming. Enjoy the fresh mountain air and improve your health in the hotel «Premium Club» in Yaremche.
The hotel is allowed to accommodate with pets of small breeds weighing up to 10 kg, up to 45 cm in height. The visitor should show the International Veterinary passport, as well as bring a special mat for a pet. When arriving at a hotel with a pet, the guest is obliged to deposit a cash deposit in the amount of UAH 1,000 for possible risks of damage to the hotel property. In the absence of damages, upon the end of stay at the hotel, the deposit is returned. In case of more profound damage to the hotel property, the guest is obligated to make additional cash to cover the consequences of the damage. One-time payment for a pet's residence is 300 UAH and more than 3 nights - 500 UAH.
Well it is summer time in these parts and the Chief is trying to find different locals to visitors to our area. Are you listening Friends of the Dallas Cowboys?
This is a relaxing waterside haunt just what you need after a hard day of watching the Boys practice. Located 5 miles from the practice field ( take Gonzales to Harbor veer right before the bridge and follow the signs.
The food and drink are excellent. The patio is dog friendly. Try the spare ribs or duck tacos. Hope to see you there!


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A Girl's Guide to Hot Mess Yoga
by Lori Horvitz
Imagine lying in bed, drifting off to sleep, when you receive a text from a model-slinky Natalie Portman look-a-like. She says I can't stop thinking about you, I can't wait to kiss you, and her texts get more suggestive. You never sexted before, but find yourself sexting, and now you're not so tired. This Natalie Portman woman is named, coincidentally, Natalie. You met her two weeks before, at a bookstore, at your reading, and you went for coffee. She smiled a lot, whipped her hair back, applied gloss to her lips. She told you about her love of animals, her work as a veterinarian, how her favorite surgery to perform was bladder surgery because the bladder is so elastic. Charmed by her smarts, her gentle voice, a voice that could calm the anxious owner of a sick poodle, you exchanged phone numbers, figuring that was that. You didn't expect anything more than a Facebook friend request. After all, she lived a plane ride away and had three young children. But the next day she texted, said she was smitten, and you said, well, come visit, figuring she wouldn't.
You talk on Skype, her three-year old daughter in her lap and touching her face. She asks if you're dating anyone. You say you haven't been with anyone in eight months. She asks how you manage. You say, "How do you think?" She tells you she's dating two people–a man, a woman, nothing serious, friends with benefits. "But you," she says. "You make my heart flutter." She hasn't felt this way since meeting her ex-husband. She bites her lip. You see yourself smiling in the corner of your computer screen. Behind Natalie, her son smacks her older daughter and her daughter screams. Natalie has to go, but before ending the call, she says she'd love to visit.
She texts details of a proposed flight, and your anxiety level shoots up, and your heart races and your gut hurts. You run to a yoga class and breathe and can't find your center, even when resting in shavasana position. You write Natalie an email, ask how this is going to work, with her three children, and living across the country, and seeing other people. After all, you're looking for a long-term relationship. She says maybe down the line she'd be ready for monogamy, but she just left an abusive marriage, she needs time, she wishes she met you in a year. But if you only want a friendship, she says, that's fine too.
You Skype, and as soon as you see her face, her lips, as soon as she says, "It's okay, I understand why you'd be concerned," you cut her off and say, "Yes, I'd love for you to visit." You've always been monogamous, except for a year or two, after you got involved with a British woman, the first woman you'd been with, the woman you met on the Trans-Siberian Railway, on a slow-train to China, when you were twenty-three. She talked about monogamy, how it was so bloody boring, and you thought, yeah, you're right, it's so bloody boring. When you came back to the States, your moody ex-boyfriend promised he'd change and wanted to try again, and you said okay, only if you could date others. You dated a boyishly handsome Englishman and had a fling with a blonde Catholic girl, and there were others. And for a moment you thought you were so fucking hip. But in the end, your heart couldn't take it, and when New Year's Eve came around, you told them all you were sick and stayed home because it was easier that way.
Natalie tells you about the psychological test she took in order to gain custody of her children, how it came out fine except for one thing; something that could be construed as negative–she has hedonist tendencies. You say, "What's wrong with wanting pleasure?"
Before she visits, you ask what foods she likes. She says she loves cake, especially chocolate cake, and you say you love a good chocolate cake too. She loves making cake, and at that moment, she's making a dragon cake for her daughter's birthday. She sends you a picture, and you ask how she made the dragon's scales. "It's fondant," she says. "What fancy wedding cakes are covered in. Making cakes is my one kitschy secret."
You meet in the airport, and all the sexting makes things awkward, so you keep your distance, don't make eye contact. In the car she comments about the beautiful mountains in the distance, applies lip-gloss. Once you arrive to your house, she gets down on the kitchen floor and scratches behind your dog's ears. You ask if she could check the lumps on your dog's belly; after all, Natalie works as a veterinarian. She palpates her abdomen, says you shouldn't worry. Natalie's roller suitcase stands upright, and she wheels it behind you as you lead her to the guestroom, no assumptions.
You take her to an Indian restaurant and eat fried onion dumplings and dip them in tamarind sauce, which you refer to as magic sauce. Natalie's foot touches yours and you freeze, then move your foot closer. She leans her elbows on the table, her silver bracelets clanking downward. She thanks you for inviting her.
Later, you lie down on your bed and ask if she wants to join you. She rests her body near yours and asks if you'll kiss her, and you do, and you don't think about her kids or friends with benefits, and the kiss lasts and lasts, and you can't keep our hands off each other, even when walking through the Blue Ridge Mountains, and you watch the sun go down and feel a calmness you haven't felt before.
Everyone who meets Natalie–the lesbian waitress at the local cafe, the colleagues you run into at the farmer's market, the friend you meet up with at the sushi restaurant–comments how Natalie is hot, a looker, and you say she is also sweet and smart, and a doctor, and now you're confident and goofy, and when the magical weekend comes to an end, you bring her to the airport and take selfies of her kissing your cheek, a big grin on your face. She asks when you'll visit and you say soon.
Now she only has time for the occasional text, too busy with the kids, the lawyers, the job, even at night, and you don't think she's still sleeping with the others, why would she when she has you? Or maybe you don't want to know. Natalie sends a text: Being with you makes me feel beautiful, like I have no flaws. You buy a plane ticket.
Sweat coats your body at night and granted, menopause has kicked in, and even though Natalie texts now and again, you get sweaty and anxious and run to yoga. You've never gone to so many yoga classes. In the past, yoga made you anxious. You could never follow directions, and the teachers tugged and pushed at your body to help you get in the correct position, which only made you more anxious, but now, thank heavens, yoga calms you.
You ask Natalie if she still sleeps with her friends with benefits, and she says yes, she still sees them, though it's only sex. She knows most people can't understand, but after spending so many years in a controlling relationship, she's not ready for monogamy. "Down the line," she says, "I could get there." But her heart is opening, and her kids can't wait to meet you, and she'll make you her delicious chocolate cake.
Natalie's explanation, in theory, makes perfect sense, so you try to be understanding and empathetic. After all, you're a women's studies professor, and besides, you already bought the plane ticket, and as a consolation prize, you'll have good sex and homemade chocolate cake.
When you step into Natalie's arms, your anxiety falls away. In her white minivan, three empty child safety seats in the back, you kiss and grope and you move Natalie's hair from her face, and things get sweaty and hot and you say, "Let's not get caught making out in the airport parking lot." She drives to a pub and you hold hands and share a grilled salmon dish with ginger, your legs intertwined, and she tells you she's in no rush to get home, she hired a babysitter, and also, she spent the afternoon making chocolate cake. When the waitress asks if you're interested in dessert, you say we'll get that at home, meaning the cake, but the waitress rolls her eyes and walks away
Natalie's children hold your hand and touch your face, and her middle daughter sits in your lap and wraps her arms around your waist. Natalie hands you a giant slice of cake, a slice so delicious, rich, moist and sweet you only eat a few bites.
Finally, finally, she tucks her children in, sings them lullabies, and crawls into bed with you, and you spend hours caressing her body, breathe it in as if it were your own breath. Now you don't miss yoga, you have Natalie, and you sleep well, so well you don't hear her get up and turn the television on downstairs. Even though she says she hates when the kids watch television, she lets them watch today, a special day because of you.
Natalie hires sitters to watch the children much of the weekend, but you do spend time building Lego cities and reading children's books, one after the next, and you show her younger daughter a magic trick. You point to a napkin covering a ball and wave your hand over the napkin and say abracadabra and slap the napkin down. Then you pull the ball from her ear, and she laughs and screams and says, "Do it again!" and you do, again and again, pulling the ball from her butt, her nose. You show her how to do the trick, how to make the ball's indentation by pressing down on the ball with napkins, and when you take the ball away, it looks like the ball is still there. You say, "It's an illusion. You believe the ball's there because it looks like it's there."
Natalie books a room at a five-star hotel overlooking a river, just the two of you and a king-sized bed. At the hotel restaurant, you eat homemade guacamole and fried oysters and don't think about breathing, not until late into the night, when you hold her and ask why she has to sleep with others. She says, "Because I like sex and you're not here." You look at the river and imagine another naked body lying near Natalie's. "If you get to the point where it's too hard for you," she says, "let me know."
You don't feel comfortable asking for that; you don't want to come off as possessive. The others are just sex, friends with benefits. You wrap your body around hers, and in the morning, she takes you to a hipster café, lots of tattoos and piercings, and she puts her arm around your shoulder. You eat scallion pancakes and eggs, and before she takes you to the airport, she tells her babysitter, a family friend, what's going on. "She was surprised," Natalie says. "But said she'd never seen me look so happy."
When you get back home, hot flashes and anxiety come back with a vengeance, and you inhale, exhale, take one yoga class after the next, but your lungs get tighter, your breath disappears, like the ball underneath the napkin. You guess she is with her male friend when she doesn't answer your texts, and you can't sleep, and now you don't care how well she treats your dog, how much she looks like a movie star, how great the sex is, because if you can't breathe, you can't live.
You tell her you understand she needs to do what she needs to do, but you need to take care of your heart. She guessed how you were feeling, even discussed it with her male friend the night before, but she doesn't want to lose you, and if she stops sleeping with the others, would you still see her, would you be her girlfriend?
Exhausted and weak, you say yes, you'll be her girlfriend.
Natalie makes time to talk every night, after she puts her kids to sleep, but sometimes it gets late, close to midnight, and you text Maybe we could talk tomorrow, and she says Give me five minutes, and you hate waiting, always waiting, especially when you need to teach in the morning. Fifteen or twenty minutes later, she calls, and for the moment, her voice soothes you.
When she visits again, she makes French toast and strawberries and real whipped cream and puts cream on her lips and you kiss. You walk through town, hand in hand, and you introduce Natalie to a friend you run into. Your friend later says Natalie is dreamy, that she could feel the energy between you two.
Maybe Natalie's the one, you think, maybe you could help raise her kids; you always wanted a family. She says, "It's so easy with you," and you say, "Yes, it's so easy," and she says her kids adore you, and you make plans to meet up in New York, your old stomping ground, a city she's never been to. You go shopping at Target for clothes, and in the fitting room you kiss, take selfies in the mirror, the two of you embracing in your new dresses.
In New York, you see the musical Fun Home, a coming out story of a young woman with an emotionally abusive father. During a particularly harsh scene, you hold Natalie's arm, scared she might be reminded of her abusive ex. Later she says it did rattle her but not so bad. You eat cannolis in Little Italy, and you take her to your favorite Cuban restaurant, where you meet your friend, who later says, "I like her best of all."
In the meantime, she goes out with her friends with benefits, without the benefits. You don't want to sound controlling, but you say it makes you feel uneasy. She says you shouldn't worry; she isn't even attracted to the guy. "Sex with you," she says, "is so much more fun." She has plans to go to a movie with him that evening. She asks if you want to FaceTime with him later. "Maybe," she says, "if you meet him it would ease your worries."
"I don't think so," you say, scanning the yoga schedule.
A week later, Natalie asks if you're sure you couldn't open up the relationship. Just the fact she asks makes you anxious. She dreams about you checking her phone—that's what her ex did, and again she asks about seeing other people and now you have to push your heart back into your chest.
You step into Natalie's mini-van and her son orders her to change the radio station, the other two children strapped in and silent. At a restaurant, a carousel in front, her kids jump on, and the antique horses move up and down, and carnival music blares, and around and around they go, until her kids are dizzy. Natalie takes pictures of her children waving. You make small talk, and because she doesn't make eye contact, you feel her vanishing. During the night, each child wakes up, one by one, screaming from nightmares, night terrors, wailing, and at six in the morning, alone in her bed, you get up to scan the rooms but can't find Natalie. Did she drive off and leave you with the kids? Do you have to call child protective services? You look again and find her sleeping beside her little girl, Natalie's body blocked by the bed railing.
She sorts through a box of her ex's stuff, to see if you want anything to sell at a garage sale to raise money for your sick friend. She pulls out beer mugs and a pair of army boots and slouches against the wall, face in hands, tears streaming from her eyes. "What's wrong?" you ask. She says, "Those boots, he kicked me with those boots."
Her son screams and rips up his underwear–he doesn't want to be confined by anything. And neither does Natalie. You sit her down. "You're disappearing," you say, "and so am I."
She tells you that last night she came up with an escape plan.
You say, "From me?"
"That's what I did with my ex," she says. "It has nothing to do with you." She cries and holds you, and you focus on an upside down doll, its legs sticking from one of the many unpacked boxes scattered around the house.
You change your flight to leave a day early. When her son learns you're leaving, he screams, asks why you have to go, why can't you marry his mother?
At the airport, you listen to announcements and watch businessmen and hipsters and mothers with children board planes. You are free of Lego pieces and screams in the night, relieved when you finally find your airplane seat. You can't wait to get home, to your dog, your friends, your self.
The pilot says something about a mechanical difficulty, it will be taken care of shortly, to hold tight. A mechanic who looks about twelve sprints to the back and everyone claps. Twenty minutes later, he walks through the cabin, his face sullen. Another mechanic climbs aboard. The sun goes down, and the new mechanic, after working for a good thirty minutes, walks to the front of the plane, his arms hanging down. "Folks," the pilot says. "We have bad news."
Four hours passed since Natalie dropped you off. You could get a hotel, but you text her. She asks if you want to come back. You say yes.
You call your dog-sitter. "Now that I've had some time and space," you say, "I'm ready to go back to Natalie's."
"It must have been really bad," your dog-sitter says, "for you to be ready to go back only after plane-ing and deplane-ing."
Natalie's son screams when you swing open the minivan door: "Yay! The plane broke! Maybe it'll break tomorrow too!"
You say, "Yay for the broken plane!"
Natalie touches your arm. She winks and says, "I'm glad the plane broke too."
You help Natalie prepare dinner, and when she drains pasta, you embrace her from behind. She leans her head back into yours and you kiss her neck. Her children don't notice, or care, but instead watch a video, Taylor Swift's "Shake it Off." Her younger daughter practices the vanishing ball trick and performs it for her brother. With his arms crossed, the boy analyzes his sister's every move. When she slaps the napkin, he jumps up and down and yells, "I know how you do it! I know!"
The ball falls to the floor and her son picks it up and screams for his middle sister to watch while he performs the trick. "Abracadabra," he says, and pounds the napkin with his fist. He runs into the living room, where he shows her how to perform the trick. "The ball was never there!" he says.
But for now, Natalie is there, free from commitment, free from confines, free from the future, and together, you find yourself breathless, alive, and wake up holding Natalie–no strings, no illusions, free of worry, free of waiting, your breath intact. Imagine that.
Lori Horvitz' personal essays have appeared in a variety of journals and anthologies including Epiphany, Chattahoochee Review, The Guardian, South Dakota Review, Southeast Review, and Hotel Amerika. Professor of English at UNC Asheville, Horvitz is the author of the memoir-essay collection, The Girls of Usually (Truman State UP).


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