Tuesday, July 13, 2010

In the best interest of the children

We live in a world where unfortunately not all children have the privilege of growing up with Mom and Dad together. When separation occurs between a child’s parents, who is the best caregiver? Who gets custody and why? Most the time the court and people that don’t even know the parties make the decision of who the child or children live with. They say that justice is blind but in the matter of custody of children, I say it is not.
Mothers and fathers both have a prominent role to play in supporting the growth and development of their children. However, it wasn't until the 1970s that the tender year’s doctrine was replaced by the best interests of the child doctrine as public policy, which guided the family courts in how they awarded child custody. Despite the 20th century shift to the best interest of the child doctrine, many family courts today continue to give great weight to the traditional role of the mother as the primary caregiver. The application of this standard in custody determinations has historically tended to favor the mother of the children. In situations in which the mother earns less than the father, it does not entitle him to get custody of the child in the event of a divorce. For example, in the early 1900's, fathers were typically given custody of the children in the case of a divorce. (“Why Mothers”) Many states then shifted to the tender year’s doctrine that completely favored the mothers as the primary caregiver. This standard is changing in recent times yet again. Child custody is being awarded to the parent keeping in view the best interests of the child with no preference towards gender. (“Why Mothers”)
This web page and article, ‘Why Mothers get Custody”, contradicts itself. It states that the mothers are stilled showed favoritism but then states that the courts look at the parents as equal. Steven Baskerville defines court-determined custody as not a right to parent one's children but as the power to prevent the other partner from parenting, and members of the fathers' rights movement state that family courts are biased against fathers and shared custody. Steven Baskervilles states that the outcome of divorce is overly one-sided, divorce is initiated by mothers in more than two-thirds of cases - especially when children are involved, and that divorce provides advantages for women, such as automatic custody of the children and financial benefits in the form of child support payments. Members of the FR movement also state that family courts are slow to help fathers enforce their parental rights because it is expensive and time-consuming. (Wikipedia)
The Liz Library web site states that mothers are strongly motivated to continue being the primary caregiver after the post-partum recovery period, because by this point the child has become strongly attached to the mother, and now actually needs that continuity for optimum development. The mother, being the more strongly attached parent, recognizes this. The mother has become more familiar with the child and more attuned to the child's needs. They have settled into a routine. This in turn creates more motivation to act on the child's needs, and so it's a self-perpetuating cycle. It starts out as a biological connection through pregnancy/hormonal differences post birth, including where applicable, breastfeeding. Societal expectations may factor in but they are not causative. It is not by happenstance that throughout mammalian species and across time and culture in the human species, mothers have been children's primary caregivers -- and that when they have not been, the substitute caregiver rarely has been the father. It's not an artificial "gender" issue, but a real function of reproductive biology. (The Liz Library)
This is very one sided and the tone of the argument being one that implies the father is not as important, statistics show that the father is just as important. 63% of youth suicides are from fatherless homes (Source: U.S. D.H.K.S., Bureau of the Census). 90% of all homeless and runaway children are from fatherless homes (Source: U.S- D.H.H.S., Bureau of the Census). 85% of all children that exhibit behavioral disorders come from fatherless homes (Source: Center for Disease Control). 80% of rapists motivated with displaced anger come from fatherless homes(Source: Criminal Justice & Behavior,Vol 14, p- 403-26, 1978). 71% of all high school dropouts come from fatherless homes(Source: National Principals Association Report on the State of High schools). 75% of all adolescent patients in chemical abuse centers come from fatherless homes(Source: Rainbows For All God’s Children.). 70% of juveniles in state-operated institutions come from fatherless homes (Source: U.S. Dept. of Justice, Special Report, Sept 1988). All these statistics are from “Fathers and Dads”, and it is evidence that the father is just as important to the development of children.
These statistics translate to mean that children from a fatherless home are 5 times more likely to commit suicide. 32 times more likely to run away. 20 times more likely to have behavioral disorders. 14 times more likely to commit rape. 9 times more likely to drop out of high school. 10 times more likely to abuse chemical substances. 9 times more likely to end up in a state-operated institution. 20 times more like to end up in prison. (“Fathers and Dads”)
Based on this information joint, custody would be the ideal situation for the child or children. Feminist groups state that if shared parenting were ordered, fathers would not provide their share of the daily care for the children. The National Organization for Women and the American Bar Association also question the motives of those promoting shared parenting, noting that it would result in substantial decreases in or termination of child support payments. (Wikipedia) The statistics show different: The U.S. Census Bureau has reported that fathers with joint custody pay 90.2% of all child support ordered; fathers with limited visitation rights pay 79.1%; and 44.5% of those fathers with no visitation rights still financially support their children. (“Fathers and Dads”)
In conclusion, a mother’s role and the father’s role in the raising of a child or children are equally as important. It is unfortunate that divorce occurs and the children have to live with their parents separated (it's not the way GOD intended it to be). However, it does happen and both parents should put themselves aside and do what is best for the kids. The court system is there to make decisions for the children when the adults cannot agree and do not cooperate for the best interest of the children. Strangers are not as qualified as the parents are, but sometimes it is necessary and mandatory to have them intervene.

health managment

THE BUSINESS OF GOOD HEALTH
When looking at the medical field most people would probably think about the hospitals, doctors and nurses; the tests that are arranged to diagnose the patients and how they will all be compensated for. However, like anything else it is a business, the business of taking care of people. Behind the scenes, many responsibilities must be fulfilled in order to keep a medical facility running effectively and efficiently.
Health care is a business, and like every business it needs good management and support to keep it running smoothly. Workers in the field help in planning, directing, coordinating, and supervising the delivery of health care. (“Health”) Health care managers can work for private practice physicians’ offices, corporate run practices, clinics (including private, non-profit, and government), hospitals, outpatient care facilities and other health care entities. The most common setting for employment is a private practice physician’s office. Physicians’ offices run the gamut from family practice to dermatologists’ offices, psychologists’ offices, obstetrician/gynecology offices, pediatricians’ offices, etc. (“How”)
As a ‘health care executive ’or‘ health care administrator, the duties and responsibilities will vary depending on the facilities needs and the exact position employed in. In big hospitals, a medical office manager is responsible for handling and supervising the daily work of several office assistant administrators. They provide assistance in activities related to taking care of patients, surgical operation procedures, helping doctors in various therapies, checking and maintaining records, and educating the patients regarding living a healthy life. In case of small health care centers, he himself carries out every day obligations relating to managing patients and funds, which makes him the sole administrator of the facility. (Khan)
Dr. Khan states that “Medical office managers are trained in a particular area; however, they might as well handle most of the office administrative functions”. The work they do is certainly helpful for the physicians and nurses who diagnose the patients, thus enabling physicians to concentrate more on the treatment or operation rather than other official formalities. On certain occasions, they also formulate and implement policies, objectives and processes for their respective medical sections; ensuring proper functioning of the procedures; improved services; generating financial and other records; and coordinating work between other department managers.
So as stated above, there is a verity of aspects that a manager in the medical field must perform and it will be different depending on the facility one is employed. Financial, which includes preparation of operational budgets and data on all financial matters like billing and accounts payable. Staffing, where responsibilities include hiring and maintaining personal, policies and procedures, personal files on performance and evaluation of personal, and creating a work environment that encourages growth and development of employees. In addition, communication with physicians, programs, procedures and equipment needs. However, most important is the communication with patients that may have issues and maintaining a good patient satisfaction ratio.
The salary for a medical office management professional can range based on geographic location and the type of setting, however it is typically a lucrative profession. Office managers traditionally earn between $15-20 per hour if they are starting out without a degree. Practice managers make anywhere between $35,000-60,000 per year. Practice administrators typically start at around $60,000 and can make well into the six figures. In most administrator roles, a master’s degree is required. (“How”) Dr. Khan states the average annual salary to be 40,000 to 45,000. The pay rate also depends on the amount of schooling a person has, the more education the more money and higher demand an individual will have. Salary Expert.com gave a comparison of salaries for their ten major cities in the USA; Chicago, Houston, Phoenix, Atlanta, Dallas, charlotte, Indianapolis, Orlando, Miami, and Cincinnati. Indianapolis was the lowest at 69,922 and Miami was the largest at 99,351 for salaries in Health Management. (“Medical”)
According to the U.S. Bureau of Labor Statistics, healthcare related jobs are expected to grow faster than the national average for all other industries through 2014 and likely beyond. Jobs on the administrative end of the healthcare industry are also on the rise as insurance companies brace for the tide of health claims expected to hit the industry. (Khan) A career in health management looks to be one of growth and security with lots of potential. According to the Bureau of Labor Statistics Occupational Outlook Handbook, job prospects are expected to be good for applicants in the field, in particular for those with experience in health care and strong business and management skills. (“Health”)
A person looking at a career in health management will have to have particular skills and education, health management programs are designed to educate people in the business and administrative sides of the health care industry. Programs will combine some general education courses with medical and health-related courses and business and accounting courses. Let us start by looking at the minimum that is required.
An associate’s degree in Health Management is the starting point. The requirements needed to obtain an associate’s degree at Jackson Community College are as follows. The minimum credits needed are sixty and you must have a GPA (grade point average) of a 2.0. Twenty-eight credits are required in the general education portion.
Writing clearly, concisely and intelligibly will require courses that will enhance ones writing ability, for example Technical and business writing. In addition, a communication class will develop speaking clearly, concisely and intelligibly. These classes will be vital in the field because the job will involve communicating with colleagues and patients in many verbal and nonverbal ways.
There is also psychology and sociology classes called for that enhance people skills. A health manager will come in contact and need to be able to effectively communicate with people from all lifestyles. Understanding human behavior and people from different cultures is essential, the medical field has a lot of diversity.
Medical terminology and biology and health courses will give a foundation of the medical world. This knowledge will serve useful when working with the physicians and nurses that are working with or for the manager. The more medical related classes taken will only benefit and enhance a person’s opportunities.
Other requisites are in math and accounting. Being responsible for payroll, budgets, billings, all of which are the financial parts of the business, the understanding of numbers and skills involved with math are essential to run an efficient and profitable business, again the more education in this area the more chance for success.
There are leadership, ethics, customer services, and principles of management classes that are mandatory. These classes are designed to prepare and equip the person in the role of manager. As a manager, decisions will have to be made for the best interest of the company. Not everyone will agree and improve of the decisions, but it is the job of the manager to execute and enforce whatever has been implemented. Everybody has to answer to someone. All the requirements and information regarding obtaining a degree needed to pursue a career in health management was taken off the JCC web site, which goes much more in detail.
In conclusion, if you want a career where you have the opportunity to help people and make a difference in someone’s life, this may be the path for you. There must be a desire and a passion for helping and making improvements. Because of the rapid advances made in medicine and technology a member of the medical management team must be prepared to never stop learning, examples are more education and seminars. The hours and stress may be great but not as great as the rewards received.

Tuesday, June 15, 2010

go green- but not psycho

The social issue I would like to look at is this whole “green phenomena”. First I would like to state that I am all for a clean environment. I enjoy doing things out side, walks in the park, swimming in the ocean, just being outside! Now that I have stated that I would like to address the overboard attitude some are taking about the subject. This world has been here for thousands of years and it will still be here long after are names are forgotten. People who believe they are more powerful than nature and that they can destroy something that GOD has created are just delusional. I believe we were put on this earth to enjoy it and be good stewards but you don’t have to go around “hugging trees”. Remember Al Gore going around saying that the world is going to burst into flames (and it will be all are fault)? GIVE ME A BREAK! As a society, we are not perfect but we have made progress in preserving our environment. So recycle or don’t recycle, live your life and don’t fall for the “guilt trip” some extremist are trying to put on you. Remember GOD is in control!

Tuesday, June 8, 2010

black gold flowing into the ocean

From what I have read and heard about regarding the BP oil spill a lot can be said. This will effect the environment, gas prices, and hopefully the proficiency of the businesses that are responsible for the oil industry. I read about the government was going to put together a committee to investigate the circumstances around the oil spill. The headline stated that they were going to be looking for criminal actions that may have occurred. So I guess this is some sinister plot and not just an accident. I think the politicians are just posturing themselves ( to make it look as they care). I wounder how much money this will take and the amount of time? Shouldn't those resources and time be spent fixing the problem? BP will have reprocusions, for example boycotts and falling stock prices. Just a reminder people (s--t flows down hill) we the consumer will probably end up paying for this misfortune. I would suggest that nobody jump to any conclusions because the view will slant to which ever way the reporting forces believe.

Tuesday, June 1, 2010

news

Al and Tipper Gore announce their separation. OK where to start with this one! Like no one seen this coming? Are the Clintons next, that probably depends on how long they plan to stay in politics. The news article was posted June 1, 2010 by the associated press and I found it on line. The short article said they emailed their friends to inform them of the situation (I find this very humorous, the method of communication not the separation). I personally think a lot more political couple are together and stay together for the sake of the polls. Maybe people in a political office have more forgiveness when there husband is caught in the act of adultery and try to lie there way out at first, but then makes the “necessary apologies”. It is hard to believe that people are that gullible. My hypothesis on the Gores is that it has been over for some time now and the inability to advance politically says to me they are finally saying that now we can get away from each other.

Tuesday, May 18, 2010

i am from poem

i am from my kids laughing and playing with each other and sometimes fighting and annoying their mothers, i smile but shouldn't. i am from family gatherings, summer swimming fun party's and laughing-in trouble i was the one they were blaming. i am from warm loving people always around and my little brother dressing as a clown. i am from always outside with my best friends and our parents having to make us come in. i am from a family with lots of relatives, I'm Mexican so i would need more than twenty minutes to name them all. i am from long walks with my uncles and aunts, i once had a wasp in my pants-ouch. i am from holiday celebrations an high school not being an inspiration. i am from the neat freak category, my kids love this about me-not really. i am from models of trust and respect, i have not reached it yet. i am the guy with his feet in the sand and a drink in hand. no worries