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Critical regulatory issue in health care, a case of ambulatory surgical centers in America

Critical regulatory issue in health care, a case of ambulatory surgical centers in America

According to (Lindsey Dunn, 2009) of Ambulatory Surgical Centers (ASCs), the nature of law issues facing surgical centers in America evolves around out patient and non members , doctors ownership of the centers and issues regarding the qualification of and safety of the nurses required. Robert Mosher explains this further by noting that the doctors’ ownership of the surgical centers poses a major issue in eradicating the retirees and ushering in new board members as major retirees are the owners of these centers. Associated with this is the problem of interpreting what the law requires in terms of coming with the acceptable market price in the buying and selling of the centers as away of changing ownership. Patients requiring surgical services are also hit by another problem of determining what goes to the doctors as a cover for their finances for the services offered. The rules have the advantage of stipulating the rights and the directions for the services, and the doctor’s monetary interests in the whole gamut of treatment process.

As put forward by (People to people Health Foundation, 2010) It is a requirement that should be put in writing by the surgery centers to inform the patients of any monetary interests by the doctors as a result of using the centre a few days before the patients goes in for the surgery, the contrary is that adhering to these rules has posed a problem. Amber MC and Graw Walsh, 2008 explains that among the nurse requirements on the other hand, is a prerequisite that all ASCs makes sure that all doctor ownership is a third of all the revenues generated by both surgeries done in the specified ASCs as well as those performed outside the said centers which is attributed to fair distribution of wages to both the doctors and other ASCs officers. In determining members fees the surgical centers are faced with another problem in the law about the interpretation of what is to be contained and exempted from the fees. Walsh further argues that Surgical centers from surgery procedures in most cases get so much revenue coming from people known to their previous clients and with it comes more monies from insurance firms who lack the knowledge of the best fair rates even though the patients suffer from higher monetary obligations in the long run, which in the end results to exploitation of the patient by the centers and the insurance firms. Some ASCs on the other hand ignores the collection of their fees from the client know patients as well as from the insurance firms as a result of being paid huge sums even without the said fee.

Laws on issues of surgical centers as noted by Wachler & Associates, healthcare attorneys in America for many years have not been fully dealt with, especially laws relating to out of the members fees, doctors’ ownership as well as the issue of safe nurse requirements which have not been covered well as per the expectation. This has therefore resulted into the following; ASCs in most case lack the know how to understand the agreements put forth in regard with what the fair value is in the market so as facilitate the selling and buying of the members ownership which is usually brought about by market uncertainty .As a result, it is a necessity for ASCs to agree that selling and buying of new stocks should be practiced from day to day and not wait until things are not going right in the market in order to facilitate the sales or equally not whenever the market is doing pretty well. It is also important for ASCs to have a list of all the doctors’ owners and make sure the copies of this is easily accessible to all the representatives of patients and the patients themselves as a way to promote accountability. They should also as matter of fact ensure that the list can be understood by all the stakeholders that may need to understand it. ASCs also should make sure that they adhere to all safe nurse requirements in order to avoid legal cases that could be brought forward against them and to ensure equitability and availability of funds. The idea that centers lack ways to enable them to know to what extent to waiver the doctors’ owners and what guidelines to follow in order to be consistent in their application as well as lacking the direction on what their patient clientele is billed is seen as a legal issue facing ASCs.

INCLUDEPICTURE “http://www.turnitin.com/images/spacer.gif” * MERGEFORMATINET INCLUDEPICTURE “http://www.turnitin.com/images/spacer.gif” * MERGEFORMATINET Functions of law on issues relating to surgical centers as supported by (H. J. Peter & S.M William, 2003) include the following; Firstly, it facilitates the coming up with regulations that will guide ASCs on how to come up with the best market rate INCLUDEPICTURE “http://www.turnitin.com/images/spacer.gif” * MERGEFORMATINET thus providing a mutual satisfaction to all the stakeholders in healthcare surgical centers. Secondly, the law enables the establishment of what guidelines to follow in order to be consistent in their application in terms of waiver values, come up with laws governing the adherence to safe harbor requirements therefore making centers to comply with the requirements, make sure they do not face bribery violation or anything coming with such vice. This will help surgical centers in the world and mostly in America to come up with the rules that should be followed when it comes to exemptions. It will also help in solving the problems of misunderstanding and lastly it assists ASCs to analyze state law on issues such as what the what fair competition, anti bribery, claims that should not be paid involves and ways on how to go about any of the problems arising from the issues above.

In recommending for effective functioning of the surgical centers, the law regarding all their health operations should be clearly defined and adhered to with proper mechanisms put in place by the judicial system and all stakeholders involved in provision of healthcare to ensure that they are applied effectively and to the later

References

Lindsey Dunn, 2009: ASCREVIEW: Practical Business, Legal and Clinical Guidance for Ambulatory Surgical Centers as extracted from HYPERLINK “http://www.beckersasc.com/news-analysis-asc/antikickback-legal-regulatory/top-lawyers-discuss-current-critical-legal-issues-facing-surgery-centers.html” http://www.beckersasc.com/news-analysis-asc/antikickback-legal-regulatory/top-lawyers-discuss-current-critical-legal-issues-facing-surgery-centers.html as it appeared on 7 May 2010.

Sage and Hammer, “A Copernican View of Health Care Antitrust”; and W.M.Sage, D.A. Hyman, and W. Greenberg, “Why Competition Law Matters to Health Care Quality,” HealthAffairs (Mar/Apr 2003): 31–44.

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Critical Regionalism

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Critical Regionalism

Introduction

In an era where free movement of information, products and services has increased tremendously, the society is increasingly experiencing incidences of homogeneity. More than ever, the global population is assuming a common culture that is characterized by a high level of uniformity. Although this is in most instances considered to be western culture, it is notable that local cultural aspects are also being incorporated in the global culture. Just like other aspects of culture, it can not be disputed that architecture has equally experienced increased homogeneity. Emergent research argues that although internationalization of culture is an indication of societal advancement, it can also have detrimental effects on local culture. In this respect, it is particularly feared that internationalization undermines creativity and innovation as local efforts are integrated in to designs that are then accorded a global orientation.

The current trend has culminated in a conflict between internationalization and regional artists who argue that their efforts are increasingly undermined by the former. Increasingly, preservation of local and regional architecture and culture in general is becoming tricky. Preservation and conservation of local culture and architectural designs is requiring complex efforts in order to attain optimal results. It is against this background that this paper provides an explicit review of the concept of critical regionalism form Kenneth Frampton’s point of view. In order to enhance a harmonic consideration, the essay is classified in different phases that exhaustively review particularistic aspects of this conception, the contribution of Jorn Utzon to the subject under review, practical examples with respect to how culture has been unified in the modern cities, the response of critical universalism to future technology and several other concerns that are related in different ways to the concept of critical regionalism.

According to Butler and Spivak (2007), critical regionalism refers to the concentrated efforts or attempts that seek to synthesize or mainstream the rooted aspects of a given region such as physical attributes and cultural characteristics with the relevant technology being employed in development at that given time. The main aim of the efforts is to counter the inherent lack of identity and placelessness by putting in consideration the unique aspects that are found within the context or environment of the given building. Besides being mindful of the local environmental aspects, the ultimate architecture also incorporates the universal aspects that characterize the contemporary mobile society. In the long run, the final architecture can be considered to be sustainable and unique in different ways. This is fundamental in preserving the local culture, encouraging creativity and innovation and at he same time enhancing societal advancement. The notion of sustainability is integral to this conception as the final piece of architecture needs to be both functional and aesthetic n nature.

Critical regionalism is a concept that has been accorded increased attention since historical times. The term was initially coined by Liane Lefaivre and Alexander Tzonis. It was later analyzed and accorded new meanings by Kenneth Frampton in the preceding years. In his Towards a Critical Regionalism, Frampton provides an explicit analysis and review of different methodologies that can be employed in embracing modernity without compromising the role of the local knowledge. He also cites a host of modern construction practices that compromise the ability of the developers to incorporate important cultural aspects in constructions. His main argument revolves around the contention that as much as assuming modern values and attributes is imperative for enhancing competitiveness within the global sphere, equal attention also needs to be accorded to diverse features that are found in the environment that the building would be located.

Several authors of whom Powell (2007) is represented contend that internationalization has increasingly contributed to the erosion of critical traditional values, culture and attributes. Almost all aspects of the global population are undergoing a significant transition and more emphasis is being placed on homogenous cultures. In his review, Ricoeur (1965) contends that the current trend towards modernization can be implicated for disregarding the role of old civilizations in development. He argues that critical regionalization provides a credible alternative that can be employed in resolving the emergent challenges. The fact that the concept recognizes the importance of continuous evolution makes it instrumental in sustainable decision making as past lessons are used in determining the nature of future decisions and moves. The activities that are proposed by this conception tend to be flexible and can be employed in redefining the current decisions in order to adopt timely interventions that would reverse the current destructive trend.

In his critical review of culture and civilization, Frampton (1983) indicates that the current state of architecture and building is essentially conditioned by the building industry. This has led to the development of building restrictions and regulations that determine not only the design but also the citing of the buildings that are set up in different areas. The fact that the respective building codes and regulations are standardized and replicated in different areas undermines the ability of mainstreaming vital cultural concerns during construction of buildings. Contravention of the set restrictions and regulations often exposes the given developer to stringent measures that impact negatively on their welfare. This has led to the increase in high rise buildings that in most instances assume a similar design. At this point, it can be argued that this has played a leading role in suppressing cultural expression as well as creativity and innovation. In his research, Jameson (1983) cites that the current developments in this regard are laying undue emphasis on the concept of utility as opposed to different aspects whose interplay culminates in a sustainable construction practices.

The concept of critical regionalization according to Powell (2007) seeks to counter this trend by ensuring that as much as certain building codes are strictly adhered to, room is also provided for creativity, innovation and incorporation of critical cultural aspects. In essence, modernization is placed within the traditional concept and vice versa.

In current times, arts are increasingly employed in enhancing creativity and innovation. Artists use this medium to express their diverse cultural aspects to the entire world. It is also a viable way through which culture is preserved by the respective society and used for educational purposes in future. The fact that innovation and creativity is slowly but progressively being undermined through the gravitation of arts is also worrying. In this regard, it is argued that entertainment and manufacturing of commodities are providing avenues through which the society is increasingly developing a hybrid global culture. Specific techniques, methodologies and standards of constructing buildings provide limited room for inculcation of vital cultural aspects in the same. This is where critical regionalism comes in handy in a bit to counter the scenario. In this regard, the concept initiates and maintains an acceptable level of resistance that contravenes the set standards and procedures. This according to Frampton (1983) has been critical in putting brakes on the avant-garde pendulum. Respective efforts are geared towards a noble cause of preserving certain ideals that characterize the present day culture.

As indicated earlier, Frampton (1983) postulates that the current arrierre-garde holding position is likely to culminate in incidences of resistance and a persistent identity giving culture that is characterized by universal techniques. Seemingly, it is defined by the enlightenment progress myth that does not advocate for a return to vernacular forms. Critical regionalism at this point is defined as a bridge whose central position demands that the future architecture must pass over it in order to attain optimal results. Essentially, it is argued that position of critical regionalism demands that both universal civilization and world culture accord it utmost attention. This recognition is characterized by deconstruction of alien forms that have been forcefully or intentionally acquired by the global society and limitation of the economy that entirely depend son technological production.

A classic example of such a situation has been cited by Frampton to constitute Jorn Utzon’s Bagsvaerd Church that was built in 1976 and is located in Copenhagen. This is an exemplary illustration of the concepts of world culture and universal civilization. The construction of the exterior part was basically based on the universal technique. This is built using concrete blocks and concrete wall panels that are pre-cast. These are set up in a repetitive manner that creates an impression of a grid. Notably, this building code is found across the globe and it constitutes one of the important regulations that are set forth by the industry. Thus it can be considered a universal attribute that is in line with the global expectations with regards to building and construction.

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Interior Design of Jorn Utzon’s Bagsvaerd Church

However, the interior part can be considered to express the world culture or secular culture that is typical to Copenhagen. One dominant feature of the interior pertains to the concrete vault that is not economic in nature and is not common on a universal scale. The inherent manipulation of light is only typical to sacred places found in the region. As mentioned afore, this is not an implication of western culture; rather it can only be likened to Chinese pagoda roof that is a representation of world culture.

Also worth acknowledging with regard to the concept of critical regionalism is the mainstreaming of the regional peculiarities in the construction process. In this respect, Lovine (2004) asserts that buildings need to put in consideration the environmental features and attributes of the locales within which they are situated. Generally, modernization puts lays particular emphasis on economizing the available space and in most instances, it is forced to get rid of certain aspects such as topography. The elimination of such aspects is a clear indication that certain techniques are employed during construction. Notably, other important aspects such as climate have also been controlled by human techniques during construction. In his research, Norberg-Schulz (1980) asserts that these aspects are important as they represent certain cultural aspects of the developer. Critical regionalism counters this by assuming the principle of building the site that incorporates diverse environmental aspects that are also a reflection of the cultural aspects of the given population.

A classical illustration of the importance of preferring tectonic over scenographic features is exemplified by the Aalto’s SSynatsalo Town hall that was constructed in 1952. In this, a tactile surface is successfully employed in enhancing the legibility of the architecture. The brick steps that line the exterior and lead to the chambers of the council create a harmonic impression that arguably affirms the feet as it meets each tread. The inside of the chambers are then made up of wood that presents a different feeling and reading altogether.

Generally, Slessor (2004) contends that designers that put in consideration regional criticism need to incorporate aspects of a physical as well as localized sense of place. Respective elements that can be effectively employed in attaining this included orientation, topography, lighting characteristics, micro climatic conditions and vegetation. Further, probabilities for natural ventilation, natural lighting and shading for cooling purposes are equally important. The benefits that accrue from this are not only economic in nature but they also place the building within the physical environmental surroundings and enhance the general harmony of the two. The inherent sense of interaction with the natural surroundings is an indication of environmental sensitivity that is critical in the twenty first century. Of great importance would be the employment of local materials for construction that not only cuts down economic costs but also enhances the performance of the given building.

Also worth mentioning with regard to critical regionalism is the ability of the designer to clearly interpret the passage of time using the building. According to Foucault (1986), a building that provides clear ways of recording and understanding the passage of time is a clear expression of the period that it was constructed. This is important as it enables the society to understand it in light of historical revolution. The respective recording methods can also offer a basement upon which future construction can be devised as well as understood. In particular, attitudes regarding durability, permanence, change and decay that are related to recording are a vital expression of the sensibility of the region.

Further, Butler and Spivak (2007) indicate that emphasis on the importance of human interaction during construction is also an important aspect of regional criticism. In this regard, the given design needs to consider the organization as well as structure of the family that would reside therein. In certain communities, concerns expand beyond the domestic sphere and incorporate the dimensions of the community within which the family is situated as well as the economic and political structures that characterize the region. Issues pertaining to power, the ability of the design to either express invitation or exclusion is also accorded utmost attention during this time. Other concepts include democracy, hierarchy and bureaucracy. These need to be clearly defined as they are critical in the understanding of the places and spaces that buildings present.

Also equally important to critical regionalism is a clear understanding of human dignity and organization within the building. Emergent aspects such as leisure time need to be put in consideration during the construction process. In this regard, Jameson (1983) indicates that the twenty first century tendencies lay particular importance on the separation of spaces employed in production and consumption. These differences have been identified to have diverse impacts on the holistic functioning of the society. Relative concerns also involve the responsibility of individuals within vast business environments, the compartmentalization and separation of activities in the course of the process of production and the role of machines in the production process are important architectural concerns that need to be interpreted effectively.

Arguably, all the above concepts interlink and interrelate with each other to culminate to culminate in a suitable environment that is supportive of the activities of the post industrial society. Questions revolving around mass production and participation of individuals in the entire process need to be addressed accordingly. Human dignity needs to be upheld to attain optimal production that is fundamental for successful operation. At this juncture, it can be ascertained that critical regionalism is an all inclusive concept that generally seeks to enhance sustainable development with respect to architecture and construction.

In his research, Davey (2001) ascertains that the concept of regulation of building codes across the globe has led to unification of designs. Most cities adapt their design from the grid structure. The buildings contained therein tend to be of a similar design that is influenced by the set and standardized regulations. For instance, commercial buildings that are mostly found within the central business districts of cities such as New York and London tend to be of a similar design. This differs from those employed for constructing buildings in residential areas. Again, these tend to adopt a distinct design hat is stipulated by the technical expertise in the industry. The fact that developing economies are also increasingly adopting this trend has various implications on future construction and architecture in general.

According to Slessor (2000), the replication of these designs in developing countries can be attributed to the concept of westernization that is perceived to be more ideal than the cultural aspect. This is likely to have detrimental effects on the cultural welfare of the societies in general. In particular, this would probably be unified and would compromise the concept of diversity n the long run. Also worth mentioning are the current trends that tend to consider local and regional designs to be global in nature. Basically, this is contributed to by changes in perceptions that tend to accord certain cultural designs more importance and preference than others.

At this point, it can be contended that future architecture is compounded by various complexities that need to be effectively addressed by relevant institutions, persons and authorities. Certainly, creativity, innovation and cultural diversity are increasingly being compromised by internationalization of building codes. The loss of diversity is likely to have devastating effects on the wellbeing of the society as it would negatively impact on the ability of the given society to cushion itself against destructive environmental effects. Several factors have been put forth by relative studies in a bit to address this glaring shortcoming.

Powell (2007) maintains that the concept of sustainability needs to be revisited and made a mainstream factor during construction and architectural design. In this respect, it is suggested that practical measures need to be undertaken to significantly reduce energy consumption of buildings. Statistical evidence shows that the amount of energy consumed by the buildings is equal to those employed in the industrial sector. This can be attained if natural resources found in the given environment are employed in construction of buildings found therein. This implies that the architectural designs that are employed in such areas need to be localized.

Capitalization on the topography and other natural features found in the given environment also need to be assumed in order to reduce the resources employed in construction. Powell (2007) indicates that the current trend is leading to unification of architectural designs that undermines diversity. Environmental aesthetics is also being compromised by the internationalization of architectural designs. Techno-scientific-cum-economic agendas have inherent problems that could be difficult to resolve in future. Therefore, viable alternatives that reflect distinctive cultural aspects of a community need to be explored.

Conclusion

From the preceding analysis, it is certain that critical regionalism is an all inclusive concept that is based on the principle of sustainability. It is made up of various concepts that are imperative for sustainable development. It not only appreciates the importance of modernization in architectural design and building construction but also ensures that relative decisions are informed by important lessons learnt in the past. Traditional cultural aspects are integrated in architectural designs and construction that is driven by critical regionalism. The current trends have raised various concerns with regard to architectural designs and building codes being employed on a global scale. As it has been prescribed by this study, practical intervention measures need to be undertaken in order to counter the current scenario. The concepts of sustainability and inclusion of physical features like topography need to influence the development of modern architectural designs. This will not only save resources but will enhance diversity that is critical in cushioning the society against various threats.

ReferencesButler, J. & Spivak, G. (2007). Who Sings the Nation-State?: Language, Politics, Belonging. USA: Seagull Books.

Davey, P. (2001). Regionalism: Time to Review and renew. Architectural Review, 210, 34-5.Foucault, M. (1986). Of Other Spaces. Diacritics, 16 (1), p.23.Frampton, K. (1983). Towards a Critical Regionalism: Six Points for an Architecture of Resistance. Washington: Bay Press.Jameson, F. (1983). Postmodernism and Consumer Society: The Anti-Aesthetic. Washington: Bay Press.

Lovine, J. (2004). Building a Bad Reputation: Sloppy American Construction. New York Times, Aug. 8, pp. 4-5.

Norberg-Schulz, C. (1980) .Where is Modern Architecture Going? Tokyo: A.D.A. EDITA.

Powell, D. (2007). Critical Regionalism: Connecting Politics and Culture in the American Landscape. USA: University of North Carolina Press.Ricoeur, P. (1965). Universal Civilization and National Cultures: History and Truth. Evanston: Northwestern University Press.

Slessor, C. (2000). Concrete Regionalism. New York: Thames and Hudson.

Critical Novel Review Hiroshima

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Critical Novel Review: Hiroshima

Hiroshima by John Hersey is among he most remarkable and influential novels of its generation. Set up in the period of the Second World War, Hiroshima provides a vivid account of the events following the American atomic bombing of the city of Hiroshima. To symbolize the various effects of the atomic bomb, Hersey uses the story of six survivors with different professions. What comes out throughout the story is the immense nature of the destruction left by the bomb and the debilitating effect it had on survivors. These are observations of fact rather than fiction as all findings of studies to review the aftermath of Hiroshima have pointed debilitating radiation effects (Gordin 317).

For all its complex intrigue with details and facts, Hiroshima is surprising a simplistic piece of journalistic writing focusing on six seemingly ordinary people who had survived the atomic bomb. The narrative begins on the morning the first atomic bomb was dropped from an American plane and ends as the survivors struggle to piece together their shattered lives several months later. On this morning, approximately 245,000 residents of Hiroshima, Japan, including the six characters, were going about their normal lives (Gordin 317). When the bomb detonates, Mrs. Hatsuyo Nakamura is watching her neighbor’s house and overseeing her sleeping children; all end up covered in debris when their house is destroyed. Miss Toshiko Sasaki, an office clerk, is leaning over to speak to a fellow worker when she is blasted out of her desk and trapped under heavy bookcases. She sustains a severely broken leg. A medical doctor, Masakazu Fujii, is reading on his porch when he is catapulted into a river and squeezed between two large timbers (Ross). Still another doctor, Terufumi Sasaki, falls to the floor in the corridor of the Red Cross Hospital and gazes in wonder at the scene outside the window. Father Wilhelm Kleinsorge awakens in the vegetable garden of the Catholic mission house, injured and dazed. The Reverend Kiyoshi Tanimoto throws himself between two large rocks and is hit with debris from a nearby house (Ross). All the six survivors are to a large extent injured, but they are all alive. They try to help each other and the rest of the population that is injured the best they can. There are frantic and desperate attempts to vacate as many of the injured population as possible to higher grounds. Mr. Tanimoto in particular is immensely instrumental in vacating the injured to safer ground.

Order is later restored but the scene of misery and human suffering remains a stuck reminder of the events of the disaster that just struck the city. These scenes were also a complete contrast of what various governments and government agencies were reporting regarding the bombing. A second bomb is subsequently dropped on another Japanese city of Nagasaki and this causes the government to come out of its shell. Indeed, the Emperor of Japan gave a radio address on August 15, telling his people that Japan has surrendered (Gordin 318). The truth of the matter, pertaining to the effects that the bomb had had on the local population is further revealed by radiation illnesses that follow. For instance, Dr. Kleinsorge must go to a hospital in Tokyo. He will never again regain his energy or health. Miss Sasaki, also in a hospital, is so depressed over being crippled for the rest of her life that her doctor asks Father Kleinsorge to visit her (Ross). Dr. Sasaki spends months and years analyzing the effects of the radiation and how best to treat it; he marries and begins a medical practice. Dr. Fujii also opens a medical practice and begins socializing with the occupation officers. Mrs. Nakamura and her children lose their hair and suffer from various illnesses, but because they are so poor, they cannot afford to see a doctor. Mr. Tanimoto attempts to operate his church out of his badly destroyed home (Ross). The survivors struggle on with the effects of the radiation, and attempt to find ways to manage despite their injuries.

These events portray a tragic end to a society that had been formidable in the face of war. Although it largely shows how innocent civilians were targeted for attack in an armed war, it is vital to note the universal resolve and determination of the people of Japan; attributes that were presented to the outside world through their emperor and the relentless army. As such, most of the novel is based on facts and describe actual events that happened on that fateful morning of August 6. However, his attempt to portray all the possible outcomes of the bombing, Hersey describes scenes that are entirely contradictory to the time period of the atomic bombing. For instance, Mrs. Hatsuyo Nakamura is overseeing her children sleep when the bomb is detonated in the novel. The timing of the detonation was in the morning and it is hard to imagine anybody sleeping at that our, especially with such comfort, considering the nation knew it was at war with the British and American forces. Additionally, a female office clerk in East Asia is hard to imagine in the time that this bombing happened. According to the novel, Miss Toshiko Sasaki was an office Clerk, who was blasted out of her desk while leaning over to talk to a fellow worker. Nevertheless, it is overly convenient how Doctor Masakazu Fujii is catapulted from his porch, where he had been reading, into a river and squeezed between two large timbers, yet he survived both the impacts of shattered glass in his porch and that of a thud into the river. A glass porch in this time period is also wrongly represented.

However, these only prove to be few goofs that befall approximately all literary works. The author, as earlier mentioned, probably used them toad imagination to the story and draw empathy from his audience. They also accord a fictitious element to the story of Hiroshima bombing and save the author from any accusations of misrepresentation of facts. However, the bulk of the novel points to events that can be told and retold by immediate survivors of both Hiroshima and Nagasaki Atomic bombing; and their descendants.

To portray the continuity in the story of the atomic bombing, John Hersey transforms an originally four chapter novel into a five chapter book when he introduces ‘The Aftermath.’ This chapter was added to detail the lives of the survivors after the bombing (up to 1985). In the chapter, Mrs. Nakamura is receiving medical help for her many radiation illnesses and staying away from political rallies by the survivors, who are now called “hibakusha” (Ross). The hibakusha have become the targets of politics and the peace movement. Mrs. Nakamura’s children are grown, and she has retired from a job at a chemical company. Dr. Sasaki ran a lucrative medical practice. He lost his wife to cancer, and he is still haunted by the souls of those who died as a result of the bombing. Father Kleinsorge spent many years ill, both in and out of the hospital. In 1976, he slipped and fell on ice, resulting in fractures that left him bedridden (Ross). The following year he weakened, became comatose, and died. Miss Sasaki endured numerous surgeries on her leg. She converted to Catholicism and became a nun, helping people die in peace. Dr. Fujii died of cancer, but his life after the bombing was one of wealth and the pursuit of pleasure (Ross). The Reverend Mr. Tanimoto, after traveling to America several times to raise money to aid the hibakusha, has retired quietly, living out the rest of his life with vague memories that day forty years ago.

It is inevitable to associate yourself with the thousands of residents of Hiroshima while reading this novel. This is because, in a simple and straightforward way, Hersey has managed to re-create the events of Hiroshima bombing without having been there himself. As such, he accords insight into an event that permanently changed the history of Japan and Asia as a whole.

Works Cited:

Gordin, Michael D. “Hiroshima: The World’s Bomb (review).” The Journal of Military History 73.1 (2009): 317-318. Project MUSE

Ross, Stewart. Hiroshima. Mankato, Minn.: Arcturus Pub., 2010. Print.