Amoral markets and immoral health care show
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Markets alone cannot adequately address the moral obligations of healthcare delivery. Countries with the largest increases in life expectancy over the last 30 years implemented social policies before experiencing rises in GDP or growth of private markets. The US and UK spend much more per capita on healthcare than other countries but achieve worse health outcomes, with the US having both higher costs as a percentage of GDP and more citizens without coverage.
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This document discusses rising health care costs in the United States. It notes that costs are constantly increasing due to factors like prescription drug costs, an aging population, and expensive treatments for conditions like heart disease and cancer. Specific data is provided on the percentage of total health care costs accounted for by the chronically ill and elderly. The document also examines public attitudes about who deserves health care and how personal responsibility could play a role in reducing costs. It concludes by announcing the topic of discussion for the next class will be deliberating options to reduce health care costs while ensuring access to needed care.
Sick around the world
The document discusses how consumer behavior is changing in healthcare due to rising costs and economic pressures. It notes that consumers are beginning to apply the same value criteria like price, service, and experience when making healthcare decisions as they do for other purchases. However, widespread changes may not be seen yet. The crisis is causing more employers to drop health insurance and more people to become uninsured or underinsured. The document also provides some statistics showing increased cost-cutting behaviors and examples of demand becoming more elastic.
Health economics
The document defines health economics as the application of economic principles to the health care system. It discusses key concepts in health economics including supply and demand of health care, costs associated with health care like fixed vs variable costs, and methods of economic evaluation used in health care planning like cost-benefit analysis. The document also outlines factors that influence health expenditures like changing demographics and disease patterns, new technologies, and rising public expectations. Overall, the document provides a broad overview of the basic concepts and scope of health economics as a field of study.
Health economics
The document defines health economics as the application of economic principles to the health care system. It discusses key concepts in health economics including supply and demand of health care, costs associated with health care like fixed vs variable costs, and methods of economic evaluation used in health care planning like cost-benefit analysis. The document also outlines factors that influence health expenditures like changing demographics and disease patterns, new technologies, and rising public expectations. Overall, the document provides an overview of basic concepts and terminology in the field of health economics.
ReadWSJ - We Do Not Spend Enough on Health Care and write a .docx
Read
WSJ - We Do Not Spend Enough on Health Care
and write a 1 page analysis, based on what you currently know about the health care industry.
Follow this format -
1. The paper should be 1 page, double spaced, Arial 11 font, 1 inch margins.
2. Begin the paper with a BRIEF summary of the article - about 1/4 of the content.
3. The rest of the paper should be your analysis of the author's point of view - 3/4 of the content.
4. Address these issues -
Should we be concerned that health care is 15%+ of the US GDP? Explain.
What impact has today's health care system had on the health status of most Americans? Substantiate.
Find out who Jack Benny was, & say how you would answer his question.
note:
i am supporting the writer opinoion
on time
only one page
answer the qustions
follow the instructions
the wall street journal
OPINION
AUGUST 17, 2009
We Don't Spend Enough on Health Care
By Craig S. Karpel
Americans are being urged to worry about the nation spending 17% of its gross domestic
product each year on health care—a higher percentage than any other country. Addressing the
American Medical Association in June, Barack Obama said, “Make no mistake: The cost of our
health care is a threat to our economy.” But the president is mistaken. Japan spends 8% of its
GDP on health care—the same as Zimbabwe. South Korea and Haiti both spend 6%. Monaco
spends 5%, which is what Afghanistan spends. Do all of these countries have economies that
are less “threatened” than that of the U.S.?
No. So there must be other factors that affect the health of a nation's economy.
Mr. Obama has said that "the cost of health care has weighed down our economy." No one
thinks the 20% of our GDP that's attributable to manufacturing is weighing down the economy,
because it's intuitively clear that one person's expenditure on widgets is another person's
income. But the same is true of the health-care industry. The $2.4 trillion Americans spend each
year for health care doesn't go up in smoke. It's paid to other Americans.
The basic material needs of human beings are food, clothing and shelter. The desire for food
and clothing drove hunter-gatherer economies and, subsequently, agricultural economies, for
millennia. The Industrial Revolution was driven by the desire for clothing. Thus Richard
Arkwright's water frame, James Hargreaves's spinning jenny, Samuel Crompton's spinning
mule, Eli Whitney's cotton gin and Elias Howe's sewing machine.
Though it hasn't been widely realized, the desire for shelter was a major driver of the U.S.
economy during the second half of the 20th century and the first several years of the 21st.
About one-third of the new jobs created during the latter period were directly or indirectly related
to housing, as the stupendous ripple effect of the bursting housing bubble should make painfully
obvious.
Once these material needs are ...
Cost of Diabetes
This document discusses the rising costs of diabetes in the United States. It notes that the total costs of diabetes, including both direct medical costs and indirect costs, have risen from $91.8 billion in 2002 to an estimated $174 billion in 2007 after adjusting for inflation. The prevalence and costs of diabetes are expected to continue increasing substantially in the coming decades due to growth in diabetes rates and rising medical costs. Prevention efforts like lifestyle interventions and diabetes education can help control costs and are more cost-effective approaches than treatment alone. Overall social policy changes are needed to better address diabetes as a growing public health challenge.
صناع الحياة
Obesity is a growing global problem caused by eating too much and exercising too little. It is the leading risk factor for chronic diseases like diabetes and heart disease. To address obesity, a multi-pronged approach is needed that involves governments, the food industry, healthcare providers, media, and individuals. Education promoting healthy lifestyles, nutrition, and physical activity is crucial to preventing and managing obesity.
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The document discusses several issues related to health care in America, including rising costs, obesity, and proposed reforms. It focuses on costs, providing 3 potential solutions: increasing quality, increasing access through universal healthcare, and reducing costs. Reducing costs could involve cutting services, lowering prices, or implementing a single-payer system, which is proposed as a way to reduce administrative expenses which account for around 25% of total healthcare costs in the US.
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This document discusses rising health care costs in the United States. It notes that costs are constantly increasing due to factors like prescription drug costs, an aging population, and expensive treatments for conditions like heart disease and cancer. Specific data is provided on the percentage of total health care costs accounted for by the chronically ill and elderly. The document also examines public attitudes about who deserves health care and how personal responsibility could play a role in reducing costs. It concludes by announcing the topic of discussion for the next class will be deliberating options to reduce health care costs while ensuring access to needed care.
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The document discusses how consumer behavior is changing in healthcare due to rising costs and economic pressures. It notes that consumers are beginning to apply the same value criteria like price, service, and experience when making healthcare decisions as they do for other purchases. However, widespread changes may not be seen yet. The crisis is causing more employers to drop health insurance and more people to become uninsured or underinsured. The document also provides some statistics showing increased cost-cutting behaviors and examples of demand becoming more elastic.
Health economics
The document defines health economics as the application of economic principles to the health care system. It discusses key concepts in health economics including supply and demand of health care, costs associated with health care like fixed vs variable costs, and methods of economic evaluation used in health care planning like cost-benefit analysis. The document also outlines factors that influence health expenditures like changing demographics and disease patterns, new technologies, and rising public expectations. Overall, the document provides a broad overview of the basic concepts and scope of health economics as a field of study.
Health economics
The document defines health economics as the application of economic principles to the health care system. It discusses key concepts in health economics including supply and demand of health care, costs associated with health care like fixed vs variable costs, and methods of economic evaluation used in health care planning like cost-benefit analysis. The document also outlines factors that influence health expenditures like changing demographics and disease patterns, new technologies, and rising public expectations. Overall, the document provides an overview of basic concepts and terminology in the field of health economics.
ReadWSJ - We Do Not Spend Enough on Health Care and write a .docx
Read
WSJ - We Do Not Spend Enough on Health Care
and write a 1 page analysis, based on what you currently know about the health care industry.
Follow this format -
1. The paper should be 1 page, double spaced, Arial 11 font, 1 inch margins.
2. Begin the paper with a BRIEF summary of the article - about 1/4 of the content.
3. The rest of the paper should be your analysis of the author's point of view - 3/4 of the content.
4. Address these issues -
Should we be concerned that health care is 15%+ of the US GDP? Explain.
What impact has today's health care system had on the health status of most Americans? Substantiate.
Find out who Jack Benny was, & say how you would answer his question.
note:
i am supporting the writer opinoion
on time
only one page
answer the qustions
follow the instructions
the wall street journal
OPINION
AUGUST 17, 2009
We Don't Spend Enough on Health Care
By Craig S. Karpel
Americans are being urged to worry about the nation spending 17% of its gross domestic
product each year on health care—a higher percentage than any other country. Addressing the
American Medical Association in June, Barack Obama said, “Make no mistake: The cost of our
health care is a threat to our economy.” But the president is mistaken. Japan spends 8% of its
GDP on health care—the same as Zimbabwe. South Korea and Haiti both spend 6%. Monaco
spends 5%, which is what Afghanistan spends. Do all of these countries have economies that
are less “threatened” than that of the U.S.?
No. So there must be other factors that affect the health of a nation's economy.
Mr. Obama has said that "the cost of health care has weighed down our economy." No one
thinks the 20% of our GDP that's attributable to manufacturing is weighing down the economy,
because it's intuitively clear that one person's expenditure on widgets is another person's
income. But the same is true of the health-care industry. The $2.4 trillion Americans spend each
year for health care doesn't go up in smoke. It's paid to other Americans.
The basic material needs of human beings are food, clothing and shelter. The desire for food
and clothing drove hunter-gatherer economies and, subsequently, agricultural economies, for
millennia. The Industrial Revolution was driven by the desire for clothing. Thus Richard
Arkwright's water frame, James Hargreaves's spinning jenny, Samuel Crompton's spinning
mule, Eli Whitney's cotton gin and Elias Howe's sewing machine.
Though it hasn't been widely realized, the desire for shelter was a major driver of the U.S.
economy during the second half of the 20th century and the first several years of the 21st.
About one-third of the new jobs created during the latter period were directly or indirectly related
to housing, as the stupendous ripple effect of the bursting housing bubble should make painfully
obvious.
Once these material needs are ...
Cost of Diabetes
This document discusses the rising costs of diabetes in the United States. It notes that the total costs of diabetes, including both direct medical costs and indirect costs, have risen from $91.8 billion in 2002 to an estimated $174 billion in 2007 after adjusting for inflation. The prevalence and costs of diabetes are expected to continue increasing substantially in the coming decades due to growth in diabetes rates and rising medical costs. Prevention efforts like lifestyle interventions and diabetes education can help control costs and are more cost-effective approaches than treatment alone. Overall social policy changes are needed to better address diabetes as a growing public health challenge.
صناع الحياة
Obesity is a growing global problem caused by eating too much and exercising too little. It is the leading risk factor for chronic diseases like diabetes and heart disease. To address obesity, a multi-pronged approach is needed that involves governments, the food industry, healthcare providers, media, and individuals. Education promoting healthy lifestyles, nutrition, and physical activity is crucial to preventing and managing obesity.
Health care
The document discusses several issues related to health care in America, including rising costs, obesity, and proposed reforms. It focuses on costs, providing 3 potential solutions: increasing quality, increasing access through universal healthcare, and reducing costs. Reducing costs could involve cutting services, lowering prices, or implementing a single-payer system, which is proposed as a way to reduce administrative expenses which account for around 25% of total healthcare costs in the US.
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- Healthcare costs have risen tremendously and remain the highest in the world, placing a large financial burden on individuals, employers and taxpayers. Many Americans lack health insurance coverage.
- Major health issues Americans face include chronic diseases like heart disease, cancer and stroke, as well as problems caused by smoking, stress, depression, and the influence of the fast food industry.
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This document discusses the economic impact of ill health on households. It outlines how illness can result in direct medical costs as well as indirect costs such as lost income. Households cope with illness costs by depleting savings, selling assets, or taking on debt. Long term or chronic illness is especially burdensome for poor households and can contribute to impoverishment. The document also examines common health conditions in India and their associated costs. Improving access to affordable healthcare, providing health insurance and education, and strengthening public health services are proposed to help reduce the economic impact of illness on households.
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The document provides an overview of key concepts in health economics, including:
1) It discusses who has access to healthcare based on ability to pay and examines issues of equity, finance, delivery, and outcomes in healthcare systems.
2) It explores expenditures on healthcare as a percentage of GDP and characteristics of the insured population in the US.
3) It introduces basic questions of economic systems that also apply to health economics, such as what and for whom to produce, and how to achieve economic growth with scarce resources.
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1. India is experiencing rapid urbanization, rising incomes, and increased discretionary spending, fueling growth in private healthcare consumption. Chronic diseases like diabetes, hypertension, and respiratory illnesses present a large market opportunity.
2. India's healthcare infrastructure is below global standards, with most care delivered through scattered local clinics rather than centralized systems. This presents an opportunity to introduce more organized, process-based care models.
3. Diabetes in particular is a growing problem, with official estimates of 6% of the population affected but possibly up to 11% when including undiagnosed cases. The diabetes market
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The document is a website URL for www.cartoonkate.co.uk. It likely contains cartoons or illustrations by an artist named Kate. The exact content and purpose of the site is unclear from just the URL alone.
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- Life expectancy has increased dramatically over the past century due to improvements in medicine and healthcare, though it remains lower than other wealthy nations due to health problems related to diet and lifestyle.
- Healthcare costs have risen tremendously and remain the highest in the world, placing a large financial burden on individuals, employers and taxpayers. Many Americans lack health insurance coverage.
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1) It discusses who has access to healthcare based on ability to pay and examines issues of equity, finance, delivery, and outcomes in healthcare systems.
2) It explores expenditures on healthcare as a percentage of GDP and characteristics of the insured population in the US.
3) It introduces basic questions of economic systems that also apply to health economics, such as what and for whom to produce, and how to achieve economic growth with scarce resources.
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1. India is experiencing rapid urbanization, rising incomes, and increased discretionary spending, fueling growth in private healthcare consumption. Chronic diseases like diabetes, hypertension, and respiratory illnesses present a large market opportunity.
2. India's healthcare infrastructure is below global standards, with most care delivered through scattered local clinics rather than centralized systems. This presents an opportunity to introduce more organized, process-based care models.
3. Diabetes in particular is a growing problem, with official estimates of 6% of the population affected but possibly up to 11% when including undiagnosed cases. The diabetes market
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The document is a website URL for www.cartoonkate.co.uk. It likely contains cartoons or illustrations by an artist named Kate. The exact content and purpose of the site is unclear from just the URL alone.
Health and well being seen from the ground march 13
The document discusses issues around health and wellbeing seen from the perspective of local communities in east London. It summarizes that people are fearful of changes to benefits, the future of the NHS, and their ability to work. When accessing healthcare, people report that GPs are too busy, only prescribe paracetamol, and won't refer them to specialists. The document advocates for an approach that starts with the community, empowers people, and tackles social determinants of health through collaboration between communities and healthcare providers. It outlines the work of the Social Action for Health organization in bringing local people together to take responsibility for their health through training, information sharing, and advocacy.
Health and well being seen from the ground march 13
The document discusses concerns about changes to the UK benefits system and NHS from the perspective of local communities in East London. It describes people's fears about these issues and negative experiences accessing healthcare. It then outlines the approach of Social Action for Health (SAfH) in working with local communities to empower people and improve health and well-being by addressing social determinants of health like poverty and racism. SAfH aims to build relationships, provide health information to communities, and advocate for the voices of local people.
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Nhs diagrams
The National Health Service (NHS) was established in 1948 to provide universal healthcare for all UK citizens, funded through general taxation rather than private insurance. It was created based on recommendations from the 1942 Beveridge Report and the 1944 White Paper that proposed a comprehensive health service. The NHS has since expanded and evolved, including taking responsibility for community care in 1974, undergoing major reorganization in the 1980s and 1990s, increasing public involvement in decisions, and facing ongoing challenges around funding and an aging population.
How can our Labour government’s health inequalities targets become achievable?
How can our Labour government’s health inequalities targets become achievable?Socialist Health Association
The document discusses strategies to reduce health inequalities in the UK. It argues that current Labour government targets have failed to adequately address the root causes of inequality, such as economic policies that cause poverty. Instead, it advocates for a commission to review health inequalities and inform policy reforms, focusing on upstream social and economic factors beyond just outcome targets. The document also critiques New Labour's approach as emphasizing rhetoric over meaningful action on inequality issues.25 years after the Black report
1) 25 years after the Black report on health inequalities, little has changed in terms of the underlying causes and explanations of inequality.
2) New Labour's policies since 1997 have been ineffective at reducing health inequalities and have in some ways exacerbated them through privatization and marketization of the healthcare system.
3) The aim of capitalism is the unequal distribution of resources in order to create private profit, which inherently leads to inequality that is detrimental to health.
2011 survey article_chartpack
The document summarizes key findings from a 2011 survey of sicker adults in 11 countries that assessed access, affordability, quality of care and health system performance. Some of the main results presented include: 1) Out-of-pocket costs and problems paying medical bills were highest in the U.S. compared to other countries; 2) Access to same-day doctor appointments was best in Norway, Sweden and the UK, and worst in the U.S.; 3) Difficulty obtaining after-hours care without going to the emergency room was also greatest in the U.S.
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This document discusses the changing landscape for integration between the NHS and social care in England. It outlines the new legislative, fiscal, and ideological contexts, including the creation of clinical commissioning groups, health and wellbeing boards, and increased competition in the healthcare system. It questions how compatible competition and collaboration are and whether these changes will facilitate deeper integration or more tactical partnerships between organizations.
Integration presentation spa sha oct 2012 cameron
The document summarizes a review of literature on integration between health and social care services. The review found that most studies focused on the process of joint working rather than why it should be done or its outcomes. Evidence showed some improvements in quality of life from integrated services but differences were marginal. Factors promoting integration included stability, continuity of relationships, and previous positive experiences, while factors hindering it included difficulties in communication, differences in perspectives, and lack of trust. There remains a need for more clarity on what integration means, new approaches to address persistent obstacles, and more robust evidence on its impact including users' experiences.
York integration seminar [5.4.12] (c brand et al)
This study examined community mental health teams for older people and the outcomes and costs of different integration approaches. It found that integrated teams with social work membership facilitated access to specialist skills and resources, while non-integrated teams faced challenges in communication and joint working. Integrated teams showed higher community mental health service costs but did not reduce inpatient or care home admissions compared to low integration teams. The impact of integration on staff outcomes was unclear. Overall, the study suggests integration supports holistic care but other factors also influence outcomes.
Sha spa seminar york local authority and nhs integration 121012
This document discusses the challenges of integrating health and social care services between local authorities and the NHS. It argues that while integration has been a goal for decades, there have been many missed opportunities to truly integrate services. The current policy landscape claims things will be different now, but the document expresses skepticism, noting the systemic failures and that proposed solutions often try the same structural approaches rather than changing institutional designs. It advocates considering outcomes before structures and focusing on relationships, leadership, and flexibility to shift resources locally rather than just coordinating separate services.
Community development, transformation and deprived communities
This document discusses community development and its potential benefits for improving population health outcomes. It summarizes the HELP (Health Empowerment Leveraging Partnerships) project approach, which involves working with local residents and services to tackle issues, build social networks and make services more responsive. Evidence suggests that stronger social networks can reduce mortality risk and help address health inequalities. The HELP model has led to improved outcomes such as more responsive local services and reductions in health indicators like CVD admissions. Cost-benefit analysis indicates the HELP approach can save money compared to the investment required.
Community development, transformation and deprived communities
This document discusses community development and its potential benefits for improving population health outcomes. It summarizes the HELP (Health Empowerment Leveraging Partnerships) project approach, which involves working with local residents and services to tackle issues, build social networks and make services more responsive. Evidence suggests that stronger social networks can reduce mortality risk and help address health inequalities. The HELP model has led to improved outcomes such as more responsive local services and reductions in health indicators like CVD admissions. Cost-benefit analysis indicates the HELP approach can save money compared to the investment required.
Disparaties in access sha
This document summarizes evidence of ethnic inequalities in access to and outcomes of healthcare in the UK. It finds that while primary care use is not matched by greater secondary care, ethnic minorities experience longer wait times, poorer quality of infrastructure, and less access to follow-up and specialist care. The study aims to examine inequalities in access to primary, outpatient, and inpatient care, as well as outcomes for conditions like hypertension, cholesterol, and diabetes using UK health surveys from 1999-2004. Logistic regression is used to analyze differences in access after adjusting for demographics and health status.
Sha sustrans presentation final
The document discusses how transport policy has negatively impacted public health by contributing to issues like climate change, air pollution, obesity, and road danger. It notes that global climate change poses significant health risks and that many countries, especially the US, are experiencing obesity epidemics due to inactive lifestyles. The document argues that environments can be made more "obesogenic" and that physical activity should be incorporated into everyday activities like walking and cycling instead of driving. It provides examples from places like the UK, Switzerland, Germany, and Denmark that have successfully increased active transport through measures like reallocating road space, building bike infrastructure networks, and restricting car traffic.
Groningen 2006 12 mar07
Richard Armitage gave a presentation about cycling in Groningen, Netherlands, a city known as a "cycling heaven." Some key points: Over 60% of journeys within a 3km radius of the city center are made by bike. The city has invested heavily in cycling infrastructure since the 1970s, allocating 42% of its transportation budget to cycling facilities in 1976. Groningen's success is attributed to ambitious long-term planning, large investments in cycling networks and facilities, prioritizing cycling over cars in the city center, and establishing cycling as part of local culture.
Groningen2006
The document discusses the city of Groningen in the Netherlands as a model "cycle city" that has invested heavily in cycling infrastructure and policies since the 1970s. Some key facts about Groningen are that over 37% of all trips within a 3km radius of the city center are made by bike. The city has over 10,000 bikes parked at its rail station every day. The document contrasts Groningen's success in promoting cycling with the lack of progress in the UK, citing issues such as poor leadership, low funding for cycling projects compared to driving projects, and a lack of long-term strategic vision and planning for cycling.
Reintroductioncompetition
The introduction of competition into the English NHS appears to have had some positive effects according to evidence from the Health Reform Evaluation Programme. Competition was associated with improved clinical outcomes and shorter hospital stays. Payment by results reduced lengths of stay and increased day surgery rates more in foundation trusts. However, patient choice directly affected only a small percentage of patients and barriers limited new provider entry. Overall, the evidence suggests the NHS market reforms have had some success in improving quality but implementation has been variable.
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校名:学校英文全称
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毕业生姓名：这是最重要的信息之一，标志着该证书是由特定人员获得的。
颁发日期：这是毕业正式生效的时间，也代表着毕业生学业的结束。
其他信息：根据不同的专业和学位，可能会有一些特定的信息或章节。
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Amoral markets and immoral health care show
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- 11. And this!
- 14. And definitely read this!
- 15. But if you only read one book... • About the way markets in healthcare exploit vulnerable people who are willing to pay absolutely anything to protect their health you absolutely must...
- 16. Read this!
- 17. The Cost Conundrum: Atul Gawande What a Texas town can teach us about health care
- 18. The Doctor’s Dilemma "That any sane nation, having observed that you could provide for the supply of bread by giving bakers a pecuniary interest in baking for you, should go on to give a surgeon a pecuniary interest in cutting off your leg is enough to make one despair of political humanity."
- 19. In McAllen, the man with two legs is king
- 20. If you want to understand this:
- 21. You need to read this:
- 22. Enough theory... Hoxton market Broadway market
- 23. Cafés Hoxton market Broadway market
- 24. Cakes Hoxton market Broadway market
- 25. Bare essentials Hoxton market Broadway market
- 26. Cakes again Hoxton market Broadway market
- 27. Sweets Hoxton market Broadway market
- 28. Bulk buys Hoxton market Broadway market
- 29. Discerning shoppers Hoxton market Broadway market
- 30. Lingerie Hoxton market Broadway market
- 31. Tough choices Hoxton market Broadway market
- 32. Fashion Hoxton market Broadway market
- 33. Pets Hoxton market Broadway market
- 34. Specials Hoxton market Broadway market
- 35. Hoxton
- 36. Your future
- 37. It’s tough getting old • dementia • depression • cancer • heart disease • diabetes • arthritis
- 38. It’s tough getting old • incontinence • high blood pressure • strokes • chronic respiratory disease • chronic kidney disease
- 39. It’s tough getting old • over 42 prescriptions a year • hospital admissions and fatal drug reactions • more than 10 repeat medications
- 40. It’s tough getting old • An elderly man goes in for his yearly health check with his wife tagging along. • When the doctor enters the examination room he says, "I will need a urine sample, a stool sample, and a sperm sample." • The man, being hard of hearing, turns to his wife and asks, "What did he say?" The wife yells back to him, "GIVE HIM YOUR UNDERPANTS"
- 41. Your future, your health, your choice