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Economic value of Physician assistants or Development of the PA concept in FOREIGN COUNTRIES (International PA issues)

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Economic value of Physician assistants or Development of the PA concept in FOREIGN COUNTRIES (“International PA” issues)

The high shortage of doctors in most parts of the world, especially developing nations, has resulted into many countries undertaking the concept of Physician Assistant (PA) as a strategy to train and employ health workers. PAs are medical practitioners licensed to carry out healthcare duties with the help of a qualified physician. The increasing health care costs and diversification in health care specialists, as well as the rising issues of health care needs, leaves most foreign countries with no option other than adopting the PA concept to offer solutions to these workforce issues. The concept of PA started in United States (U.S.) and has since expanded into many parts of the world through the support of the Physician Assistant Education Association (PAEA) and American Academy of Physician Assistants (AAPA). PAEA and AAPA have volunteered to offer education to PA professionals in foreign countries. Most countries across the globe have incorporated US-trained PAs to help them establish their programs (Allison et al 1).

According to Pedersen and DeGracia, allocation of resources to cater for major causes of healthcare burden worldwide and reduce health disparities forms the major challenge facing the health care industry today (4). The United Kingdom (U.K.) healthcare department needs more health care providers to cater for the high number of workforce needed in order to realize National Health Service (NHS) goals. In order to achieve their objective, U.K. government has established two PA programs in two universities, the Wolverhampton University and the University of Herefordshire. The adoption of PA strategy in foreign countries will help tackle these challenges because it is cost effective, efficient and flexible to utilize. The research findings indicated that most countries that have used American-trained PAs to implement the program have seen more success in their healthcare workforces. PA education offers a wider view in terms of organizational productivity as countries come up with new labor forces.

Works cited

Allison, Donald., Boudreaux-Milligan, Jessica., Catanzaro, Rachel., et al. (n.d). Global Development of Physical Assistants. Web

http://www.paeaonline.org/index.php?ht=a/GetDocumentAction/i/75206

Pedersen, J. Kathy. Aand DeGracia Donna. Global Health Workforce and Physician Assistants,

Global Health Education Consortium. 2014. Web

http://www.cugh.org/sites/default/files/content/resources/modules/To%20Post%20Both%20Faculty%20and%20Trainees/28_Global_Health_Workforce_And_Physician_Assistants_FINAL.pdf

“The Calm”

“The Calm”

“We can’t be together.” Were the words that left Calixta and Alcee heartbroken after their passionate caresses in Assumption. Calixta never expected to see Alcee in Assumption after four years of not hearing anything from him. His family left New Orleans because of the depression, and they had to end their relationship. After that, they never expected to see each other and so they moved on. Calixta met Bobinôt who she thought she loved; but deep down she knew she would never find someone who would make her as happy as Alcee did.

Finding him in Assumption was a surprise for the both of them, and they could not hold their selves back. Calixta remembered how he held her tightly as he kissed and kissed her. They were speechless, and all they wanted was each other’s touch. She was caught in the moment that she let of her worries aside until she remembered she was now carrying another man’s child. She pushed Alcee back and looked into his eyes as she tried to regain her breath.

“I’m with child, Alcee. We can’t be together.” Calixta’s eyes began to water as she remembered how heartbroken they both were. What broke her heart even more is that Alcee stayed loyal. He did not find another woman; he always knew they would find each other again. They had to part ways. However, a couple months later Alcee moved back to New Orleans where they would see each other often. Alcee, couldn’t stand to see her with Bobinot so he would be out of sight whenever he would see them in town.

Calixta heard the front door open and she was shaken out of her thoughts. She saw Bobinot and Bibi walk in, they were going back to town today. It had been a week since the storm.

“We’re ready to go, Calixta. Are you sure you don’t want to come with us?” Bobinot asked.

Calixta shook her head, “I have enough to do today, I’ll be wasting my time with the two of you. The two of you go along, and if the weather gets bad stay inside an’ be careful.” Calixta replied as she walked them out to where the horse was waiting for them. Bobinot helped Bibi get onto the horse then he hopped onto the horse himself. Bibi waved at his mother and she smiled waving back at him.

“Be careful now,” She called out to them as she watched them ride out of sight.

She walked back into the house and waited by the side window. Calixta knew he would come, she knew that he had been observing their home and waiting for the right opportunity to come back. Minutes passed and she heard a knock at the door. Her heart started to beat faster as she walked up to the door and opened it to see him again. As soon as she opened the door Alcee approached her and Calixta stepped back.

“Alcee, we have been through this before. We can’t do this.” Calixta told him. Alcee was shocked by her words. How could she say this after what happened last week?

“Calixta, I know you are scared but we can make this work. I promise to be careful. I don’t want to cause you no trouble.” Calixta shook her head, and as much as she wanted to be with this man the world wouldn’t have it.

“Alcee, listen to me. You have a wife an’ I have a husband, we have children. Think about the children.” They had created new lives, but it wasn’t with themselves and they had to face reality even though it was heartbreaking. Alcee stood still and looked down at the ground not knowing what to say. He knew Calixta was right, but he didn’t want to admit it because he only wanted to be with her. He could only think back to days when they were together, and they would talk about their future. The future that they were currently living in separate lives.

“I am sorry our lives ended up like this, and it’s my fault for not waiting for you.” Calixta said breaking the silence, “I have a four-year old son, and you have your own babies. We can’t be selfish and think about us no more.”

“Calixta, I don’t want you to blame yourself.” Alcee finally spoke up. He really didn’t know what to say. He was angry that their lives had to end up this way, but he had also made other life decisions where he had to take responsibility. He knew Calixta was right, and if they were able to move on, then they would just need to continue with the lives they now had. He loved Calixta, and didn’t want to risk the life she had created with Bobinot. After all these years, he still cared for her happiness even though he wasn’t the one providing that happiness for her.

Before walking down the steps of the porch Alcee grabbed Calixta’s hand and pulled her in for one final kiss. Even though it was seconds, the kiss held all the emotions that were bottled inside them. Alcee looked into her blue eyes one last time before walking down the steps.

Tears ran down Calixta’s face as she watched the love of her life walk away for the third time in her life. She wanted to run after him, but instead held herself back and closed the door not wanting to know in which direction he went or if he was still out there.

A couple hours passed by and Calixta could not stop replaying the three times she saw that man walk away from her life only to leave her inconsolable each time. Why was it that their lives had to end up this way? She thought to herself. Before she could get herself deeper in her thoughts she heard the front door open once again snapping her out of thoughts. She quickly got up and walked over to greet Bobinot and Bibi.

“Oh! You are back already? How was the trip?” Calixta asked them as she helped Bibi take off his boots.

“It was good. I brought you back more shrimp since you were so delighted the last time I brought some.” Bobinot took out the can of shrimp and handed it to Calixta.

“Oh, Bobinot you are too good to me!” She replied grabbing the can and walking over to the kitchen. She started to prepare for dinner as Bobinot talked to her about their trip to town.

Alcee Laballiere wrote to his wife that night, Clarisse, that night. It was a letter describing how much he missed her, and needed her back. He missed his babies, and wanted them to come home as soon as possible. He wrote that he realized he could not bear being without them, and he was wrong.

Clarisse received the letter

“The Best War Ever” and the Second World War

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“The Best War Ever” and the Second World War

Introduction

“The Best War Ever” book by Michael C. C. Adams tries to dismiss the various misconceptions which surrounded the Second World War. Adams who is the author of the book suggests that the United States applied the promulgation of the myth that the Second World War was going to be “the best war ever” and thus it was able to influence its citizens that this war was certainly a noble war. Whereas post-war America was going through, “prosperity and a burgeoning middle class” (Adams, p.46) as stated by Adam, the government exploited towards the “best war ever” myth over the duplicitous demonizing of radical ideologies; particularly those of communism who exhibited diverse ideologies to their own. The myth that was used was intuitive from various factors. The external setting of both fields of the warfare, the extreme propaganda by the government, glamorization of Hollywood as well as the tremendous economic affluence. Therefore from this paper, it is evident that the Second World War was not good as individuals may be made to think as it had several challenges. Misconceptions, propaganda, economic crisis and the media industrialized the Second World War into a decently defensible experience in the United States.

Misconceptions and Propaganda

Majority of Second World War occasions have been mythologized by both Hollywood as well as the government propaganda, and therefore throughout the years, the individuals who lived during the war have maintained this mythology. Adams thus has pursued to uncover these narratives for being fabricated and oversimplified, and he sought to afford the fundamental facts which enable a more accurate comprehension of the World War II besides the widespread cultural vicissitudes surrounding it, and that is before and after the war. According to Adams( page 58), the war was not as good as the government made the citizens believe but it applied several tricks, for instance, the media exploitation use of misconceptions plus propaganda.

In “The Best War Ever” the myths which are predominantly elaborated by Adams majors around the conciliation of Germany, the splendid combat, inhibiting discrimination of the troops as well as how the second world war ended this kind of depression. Under each sub-myth Adam seems to be frequently arguing and while he seems to be exaggerating the right things, he is raising disputed aspects. Some of these controversial aspects comprise of the bombing of sixty-one Japanese towns with napalm which resulted into six hundred and seventy-two casualties. Consequently, the American Gls also did some activities like mistreating the prisoners and soldiers, precisely when combatting in the Pacific.

The Media

Michael Adams scrutinizes the part that the media played in creating of the myth that the Second World War was a noble war. In his discussions, he seems not to doubt that the war was essential and however he contends that it was made to appear a good and a civil battle by the broadcasting media. The government together with them included censored all systems of media. Adams further stresses that the reporters were unable to provide the American individuals a vivid picture of what was happening in the war. It is indeed that if the individuals were able to find out what was going on, they could have engaged in this war as according to Adams viewpoint, every battle is brutal as well as bloody. The attractive all-American mama’s lads who were regularly publicized on posters all over the nation were the similar men being murdered and murdering others across the ocean (Adams, p. 89). According to the media and the government, the individuals were not prepared to get the news regarding the American boys being killed or mutilated.

Economic Crisis

Moreover, Adams expands his argument on the myth of the war of fixing an economic crisis. According to him, in the Second World War, the unemployment crisis changed when sixteen million workers joined the military and thus leaving the other individuals at home to take advantage of the economic opportunities. By comparison, the Gulf War was fought by professionals who had already joined the forces, to make sure there existed no preoccupation of the worker pool. Adams discussions of the American war machine highpoints the most crucial in the United States strategic initiative. He describes the home front’s ignorance of the war reality, some distress in the army from interfering generals to ethnic as well as gender discrimination in national plants, and mounting alienation amid the civilians and the soldiers. Therefore there were prevalent social problems at that time while it was considered a great era of America’s prosperity and thus the country was not unified as it appeared. There was rampant discrimination against the minority, the traditional custom behaviors were broken as women plus children took the wartime roles, and the individuals experienced a deterioration in the family ethics.

In defending his arguments, Adams collected his material from poems, magazines, advertisements, journals, movies, drawings besides other various monographs. From Adam’s cases, readers can undoubtedly observe Adams striking back at some prolific historians like Stephen Ambrose who in 1992, propagated the good war myth of the Second World War in his book “Band of Brothers” which was afterward turned into a prevalent HBO ministries going by the same name (Adams, p.93). Adams defended his statements with that evidence which he says that they propagated and also amplified the same myth.

Conclusion

In conclusion, it is evident from the above discussion that the Second World War was characterized by many issues like misconceptions and propaganda which activated this war. Therefore as depicted, the Second World War was not free of flaws as it may be thought for example from the Adams book title “The Best War Ever” which can be regarded to be ironically established. The book expresses the manner in which Americans tend to reflect on the war. Adams performs this by tearing down the misconceptions about the termed “good war” by revealing an open history of war (ex. Word Count: 972).

Works cited

Adams, Michael CC. Living hell: The dark side of the Civil War. JHU Press, 2014.

Adams, Michael CC. The best war ever: America and World War II. JHU Press, 1994.