The document discusses rising healthcare costs in the US and a new study projecting that healthcare spending will increase substantially over the next decade. It also summarizes strategies that large employers are implementing to better manage costs, such as health improvement programs, engagement of employees, accountability measures, and use of technology. Finally, it provides legislative updates on expanded preventive care coverage for women and subsidies available through the Affordable Care Act.
The document summarizes recent studies and trends related to rising healthcare costs in the US. It discusses projections that healthcare spending will grow faster than GDP over the next decade and account for 20% of national spending by 2020. It also outlines strategies that large employers are using to better manage costs, such as engaging employees in wellness programs, linking provider strategies to quality outcomes, and using health technology. Additional sections provide updates on provisions and guidelines under the Affordable Care Act.
The document discusses rising healthcare costs in the US and a new study projecting that health care spending will grow faster than GDP over the next decade. It also summarizes strategies that large employers are using to control costs, such as account-based health plans, engagement of employees in wellness programs, and accountability measures. Updates on the Affordable Care Act include expanded preventive coverage for women and guidelines for employer health subsidies in 2014.
This document summarizes a report on shifting public pension plans from defined benefit to defined contribution models. It discusses how the private sector led the shift to defined contribution plans in the 1970s-80s due to changes in tax law and accounting standards. It then examines how the federal government implemented a similar reform for federal workers in the 1980s through a new defined contribution plan paired with a reduced defined benefit plan. The document uses these cases to argue public sector employers can achieve fiscal sustainability by implementing a similar pension reform approach.
Shifting away from employer-provided healthcare means individuals will be responsible for cost containment.
With the onset of the ACA, will the Government become the last -or- best resort for the private sector's healthcare cost containment?
The document is a newsletter from Mike Wojcik discussing rising healthcare costs, the impacts of the Affordable Care Act, and strategies for controlling costs. It notes that a new study projects healthcare spending to grow faster than GDP over the next decade. It also discusses provisions of the ACA like expanded preventive care coverage for women and guidelines for employer health subsidies in 2014. The newsletter provides updates on legislative actions and profiles initiatives by healthcare organizations like Blue Shield to reduce costs and improve care.
The document discusses the implications of the Affordable Care Act on individuals, employers, and the healthcare industry. It finds that the Act will provide coverage to around 30 million uninsured Americans through Medicaid expansion and insurance subsidies. For individuals, there will be a penalty for not obtaining coverage starting in 2014. Employers with over 50 employees will face a penalty starting in 2015 if they do not provide affordable coverage. The healthcare industry will see both costs and revenues impacted, with insurers expected to gain many new customers but also facing new regulations, and hospitals losing some funding but gaining new insured patients. Overall the impacts are viewed as manageable for most employers and positive for the healthcare sector in the long run.
The document discusses rising healthcare costs in the US and a new study projecting that healthcare spending will increase substantially over the next decade. It also summarizes strategies that large employers are implementing to better manage costs, such as health improvement programs, engagement of employees, accountability measures, and use of technology. Finally, it provides legislative updates on expanded preventive care coverage for women and subsidies available through the Affordable Care Act.
The document summarizes recent studies and trends related to rising healthcare costs in the US. It discusses projections that healthcare spending will grow faster than GDP over the next decade and account for 20% of national spending by 2020. It also outlines strategies that large employers are using to better manage costs, such as engaging employees in wellness programs, linking provider strategies to quality outcomes, and using health technology. Additional sections provide updates on provisions and guidelines under the Affordable Care Act.
The document discusses rising healthcare costs in the US and a new study projecting that health care spending will grow faster than GDP over the next decade. It also summarizes strategies that large employers are using to control costs, such as account-based health plans, engagement of employees in wellness programs, and accountability measures. Updates on the Affordable Care Act include expanded preventive coverage for women and guidelines for employer health subsidies in 2014.
This document summarizes a report on shifting public pension plans from defined benefit to defined contribution models. It discusses how the private sector led the shift to defined contribution plans in the 1970s-80s due to changes in tax law and accounting standards. It then examines how the federal government implemented a similar reform for federal workers in the 1980s through a new defined contribution plan paired with a reduced defined benefit plan. The document uses these cases to argue public sector employers can achieve fiscal sustainability by implementing a similar pension reform approach.
Shifting away from employer-provided healthcare means individuals will be responsible for cost containment.
With the onset of the ACA, will the Government become the last -or- best resort for the private sector's healthcare cost containment?
The document is a newsletter from Mike Wojcik discussing rising healthcare costs, the impacts of the Affordable Care Act, and strategies for controlling costs. It notes that a new study projects healthcare spending to grow faster than GDP over the next decade. It also discusses provisions of the ACA like expanded preventive care coverage for women and guidelines for employer health subsidies in 2014. The newsletter provides updates on legislative actions and profiles initiatives by healthcare organizations like Blue Shield to reduce costs and improve care.
The document discusses the implications of the Affordable Care Act on individuals, employers, and the healthcare industry. It finds that the Act will provide coverage to around 30 million uninsured Americans through Medicaid expansion and insurance subsidies. For individuals, there will be a penalty for not obtaining coverage starting in 2014. Employers with over 50 employees will face a penalty starting in 2015 if they do not provide affordable coverage. The healthcare industry will see both costs and revenues impacted, with insurers expected to gain many new customers but also facing new regulations, and hospitals losing some funding but gaining new insured patients. Overall the impacts are viewed as manageable for most employers and positive for the healthcare sector in the long run.
Chapter 6Alternative Responses and Initiatives of Institutions aJinElias52
Chapter 6
Alternative Responses and Initiatives of Institutions and Professions
Nongovernmental health care organizations provide most medical services and handle the financing of much of the system. For-profit and nonprofit institutions operate side by side, often competing directly for the same business.
This chapter identifies a number of strategies that individuals and organizations adopt in response to governmental programs or initiate on their own to influence health policy. We start with Table 6-1, which outlines the actors and the alternatives for responding to government actions and the marketplace. Where alternatives have been addressed and terms defined in earlier chapters, we try not to repeat that information.
6.1 COMMON RESPONSES
All of the players listed in Table 6-1 employ strategies to influence the marketplace and its regulators. These can be classified into three main types of interventions:
• Public relations
• Marketing and education
• Lobbying
Table 6-1 Responses and Initiatives of Institutions and Professions
Common Approaches
• Public relations
• Marketing and education
• Lobbying
Payers
• Employers
• Eligibility
• Subsidy offered
• Plans offered
• Relationship with insurers/self-insurance
• Worker education and training
• Insurers
• Method of organization
• Method of payment
• Plans offered
• Case management/carve-outs
• Utilization constraints
• Consumer education
Providers
• Professionals
• Organization of practice
• Services offered
• Incentives
• Pricing
• Patient relationships
• Primary versus specialty care
• Efficiency
• Institutions
• Organizational structure
• Scope and scale of services
• Pricing/discounts
• Efficiency
• Quality improvement
• Consumer information
• Credentialing decisions
• Involving payers in change processes
• Professions
• Quality improvement
• Provider education
• Consumer education
Consumers
• Plan selection
• Provider selection
• Self-help
Each player manages its relationships with the media and with politicians and regulators directly, and each acts indirectly through trade associations and professional groups. You will see illustrations of this throughout the cases included in this text and in subsequent chapters dealing with political feasibility and values. The focus of each intervention changes depending on the nature of the specific market. Lobbying is particularly intense in administered markets such as Medicare and Medicaid, especially when new legislation is under consideration. Lobbying also goes on continuously with the relevant executive branch agencies. Public relations and education are used more assertively when regulators are considering changes, and marketing, especially advertising, is most intense where the market is less regulated. The term education can apply to the many different types of efforts to influence behavior. Government antismoking campaigns can be characterized as education, for example, but the term can also ...
The document proposes a six-step plan to reform the Illinois State Universities Retirement System (SURS) and set it on a path to long-term fiscal sustainability. The steps include: 1) linking annual retirement annuity increases to inflation; 2) setting the effective interest rate based on Treasury bond yields; 3) phasing in contributions from universities and colleges and increased employee contributions; 4) requiring the state to pay down unfunded liabilities on a set schedule; 5) replacing the current Tier II plan with a hybrid defined benefit and defined contribution plan for new employees. The proposal aims to reduce costs and liabilities while continuing to provide retirement security.
1) The document summarizes key aspects of national health reform and its potential impact and challenges for implementing it in Florida. It outlines opportunities to expand Medicaid coverage to over 1 million newly eligible residents, create health insurance exchanges, and reform insurance markets.
2) Implementing the reforms successfully could improve access to care, reduce costs, and lower uncompensated care while posing challenges like ensuring adequate provider capacity and developing new regulatory systems.
3) The report recommends Florida take steps like innovative outreach and enrollment for Medicaid and exchange programs, applying for federal grants, enacting legislation, and monitoring insurance affordability and quality.
Journal of Economic Perspectives—Volume 19, Number 2—Spring 20.docxtawnyataylor528
Journal of Economic Perspectives—Volume 19, Number 2—Spring 2005—Pages 11–32
Saving Social Security
Peter A. Diamond and Peter R. Orszag
F or almost 70 years, Social Security has provided retirees with a basic level ofincome that is protected against inflation, financial market fluctuations andthe risk of outliving one’s assets. It protects against other risks as well, such
as disability or the death of a family wage earner. In addition, through its progres-
sive structure, Social Security provides some protection against one’s career not
turning out well. Social Security plays a critical role in providing financial security
during retirement: It provides the majority of income for two-thirds of elderly
beneficiaries, and all income for 20 percent of elderly beneficiaries.
Over the next 75 years, Social Security costs are projected to rise by about
2.5 percent of Gross Domestic Product (GDP), while revenues are projected to
decline slightly as a share of GDP. Social Security’s long-term financial health can
be restored through either minor adjustments or major surgery. In our view, major
surgery is neither warranted nor desirable—sustainable solvency and improved
social insurance can be accomplished by a progressive reform that combines
modest benefit reductions and revenue increases (as presented in more detail in
Diamond and Orszag, 2004).
We begin by describing some benefit improvements for vulnerable groups for
which there appears to be wide support, including from the President’s Commis-
sion to Strengthen Social Security (2001) appointed by President Bush. We then
discuss our proposed benefit and tax changes to close the underlying Social
Security deficit and finance these important social insurance improvements. We
also examine plans that replace part of Social Security with individual accounts,
explaining why, in our view, such a course would not represent sound policy.
y Peter A. Diamond is Institute Professor, Massachusetts Institute of Technology, Cambridge,
Massachusetts. Peter R. Orszag is the Joseph A. Pechman Senior Fellow in Economic Studies,
The Brookings Institution, Washington, D.C.
12 Journal of Economic Perspectives
Improving Social Insurance
We begin by focusing on a small number of particularly vulnerable beneficiary
types, following the lead of President Bush’s Commission to Strengthen Social
Security (2001) and others.1
First, workers with low lifetime earnings often live in poverty during retirement
despite Social Security’s progressive benefit formula. In 1993, taking into account
all sources of income, 9 percent of retired worker beneficiaries lived in poverty. Of
these poor retired worker beneficiaries, 10 percent had worked for 41 or more
years in employment covered by Social Security, and more than 40 percent had
worked between 20 and 40 years. In other words, many workers who have had
substantial connections to the work force throughout their careers nonetheless face
poverty in retirement. Our plan ...
This document summarizes key aspects of national health reform and its potential implementation in Florida. It finds that expanding Medicaid in Florida could insure 1-1.4 million additional residents and draw in $20-24 billion in federal funding. However, challenges include ensuring adequate healthcare workforce and funding the state's costs. The report recommends Florida create its own health insurance exchange, expand community health programs, and enact legislation to implement reforms.
The Affordable Care Act (ACA) has significantly impacted businesses and the healthcare landscape since it was passed in 2010. It has resulted in both positive outcomes like coverage for pre-existing conditions, but also increased costs for many. In response, insurers and benefit consultants are developing new plan options like self-funded plans that can provide better coverage at lower costs. Technology is also integrating benefits administration, payroll and reporting to help businesses navigate ACA compliance and offering requirements.
4 A Road Map For Americas Future Paul Ryanjenkan04
The document outlines Congressman Paul Ryan's proposal called "A Roadmap for America's Future" which includes reforms to healthcare, Social Security, taxes, and the federal budget. The healthcare section proposes providing tax credits to individuals for purchasing health insurance, creating state-based insurance exchanges, and transitioning Medicaid into a system that provides direct assistance for purchasing private plans. The Social Security reforms give workers under 55 the option to invest some of their payroll taxes into personal retirement accounts. The tax reforms aim to simplify the tax code and reduce rates while eliminating special deductions and broadening the tax base.
A Road Map For Americas Future by Paul Ryanjenkan04
The document outlines Congressman Paul Ryan's proposal called "A Roadmap for America's Future" which includes reforms to healthcare, Social Security, taxes, and the federal budget. The healthcare section proposes providing tax credits to individuals for purchasing health insurance, creating state-based insurance exchanges, and transitioning Medicaid into a system that provides direct assistance for purchasing private plans. The Social Security reforms give workers under 55 the option to invest some of their payroll taxes into personal retirement accounts. The tax reforms aim to simplify the tax code and lower rates while eliminating special deductions and maintaining progressivity.
The document summarizes the future of America's health care system based on a presentation given to the Ventura Rotary Meeting. It discusses key aspects of health care reform including reducing the uninsured, expanding Medicaid, establishing health insurance exchanges, individual and employer mandates, and revenue generation strategies. Implementation will occur between 2010-2020 with the goals of increasing access to insurance and reducing costs over time. Concerns were raised about the increased costs and bureaucracy that employers and those with current coverage may face during the transition.
Social impact bonds are a new financing model that could accelerate social innovation and improve government performance. Under this model, private investors provide upfront capital to social service organizations to deliver services meeting pre-defined outcomes. The government only pays investors if the program achieves success metrics like reducing recidivism. This focuses funding on results rather than inputs, speeds adoption of proven solutions, and transfers risk of failure to investors, not taxpayers. However, challenges include identifying interventions with sufficiently large benefits, measurable outcomes, well-defined populations, credible impact assessments, and contingency plans if performance falls short.
The document discusses several options for reforming Social Security in the United States. It outlines proposals to increase payroll taxes, raise or eliminate the taxable earnings maximum, change how benefits are calculated, modify retirement ages, and increase benefits for low-earners. It also discusses changing the cost-of-living adjustment, combining disability and retirement programs, and proposals to partially privatize the system through personal retirement accounts. Advocates and opponents of each approach argue about their potential effects on the long-term solvency of Social Security and retirement security.
hapter 5What Are the Governmental AlternativesThe United StatJeanmarieColbert3
hapter 5
What Are the Governmental Alternatives?
The United States has tried an alphabet soup of health policy options: HSAs, HMOs, IPAs, PPOs, POS plans, ACOs, and so on. Health care analysts often must look beyond specific organizational and financial alternatives and address issues at a higher level and deal with the threads of economic and political thought behind different proposals while considering the overall criteria of access, cost, and quality of care.
Politicians and businesspeople from outside the health care sector advocate many alternatives. To offset their tendency to ignore professional issues, in this chapter we discuss alternatives affecting professional status and roles and institutional responses to them. Table 5-1 presents an array of federal alternatives organized by their primary criteria—access, quality, or cost—and then by the economic philosophies behind them. The items in this array are not intended to be either mutually exclusive or collectively exhaustive; rather, the table provides a framework for looking at both the broad policy picture and specific health care actions taken at various times and places. Later in the chapter, another table (Table 5-3) summarizes policy alternatives added by state and local governments. Many of these alternatives were included as provisions of the Affordable Care Act (ACA). They are still included here, partly because they may be subject to reconsideration in the future.
Table 5-1 Illustrative Federal Government Health Policy Options
Access to Care
• Administered systems
• Universal coverage
• Expand or reduce eligibility or benefits
• Mandate coverage and services
• Captive providers
• Control insurance industry practices
• Mandate employer-based insurance coverage
• Consumer-driven competition
• Implement insurance exchanges
• Encourage basic plans with very low premiums for low-income workers and “young invincibles”
• Mandate individual coverage
• Allow states flexibility to reallocate federal funds for vouchers
• Oligopolistic competition
• Expand or contract coverages in entitlement and categorical programs
• Allow states to reallocate federal uncompensated care funds
• Eliminate ERISA constraints on the states
• Expand the capacity of the system
Quality of Care
• Administered system
• Mandate participation in quality improvement efforts in federal plans and programs
• Add more pay-for-performance incentives
• Select providers and programs on the basis of quality excellence
• Consumer-driven competition
• Encourage or mandate transparency of quality reporting in federal plans and programs
• Oversee licensure and credentialing of foreign-trained providers
• Oligopolistic competition
• Work reporting of quality care and adverse events into purchasing specifications for federal programs and disseminate to the public
• Encourage wider use of health information technology
Cost of Care
• Administered system
• Use full bargaining power in negotiation of ...
The document summarizes key facts about Florida's public retirement plans:
1) The Florida Retirement System is financially sound and better funded than most other state plans.
2) Retirement plans allow retired Florida workers to support themselves rather than relying on other government programs, with the average annual payment being $18,000.
3) Retirement payments circulate in the Florida economy and support thousands of jobs.
Forcing new employees into defined contribution plans would cost taxpayers more and provide less retirement income than defined benefit plans. Significant changes have already reduced benefits for public employees. Retirement security for public workers benefits all Floridians.
Riportella priester 2013 the affordable care actMarissa Stone
This document provides an overview of the Affordable Care Act (ACA). It discusses key provisions of the law including expanding Medicaid eligibility, establishing health insurance marketplaces, mandating individuals have health insurance, and enforcing employer responsibilities. The document outlines how the ACA aims to increase access to health insurance through a combination of public programs, employer coverage, and online marketplace coverage. It also addresses ongoing implementation challenges and debates around the law.
The document discusses healthcare reform and its potential repeal. It notes that while repeal seems out of reach currently, many aspects of the law have already taken effect. These include eliminating pre-existing condition exclusions for children, covering dependents until age 26, and minimum loss ratios for insurance companies. The document also discusses the costs and implementation of state health insurance exchanges. It provides the perspective of the author who has advised on the impacts of healthcare reform.
A Comparison of Health Care Payment Systems.pdfstudywriters
This document provides an overview and comparison of two common health care payment systems: fee-for-service and capitation. Fee-for-service involves paying providers for each individual service rendered, which can incentivize overtreatment but allows for clinical autonomy. Capitation involves paying providers a fixed amount per patient per time period regardless of services rendered, which can incentivize under treatment of patients needing more care but removes profit motives. Both systems provide different cash flows and incentives to providers. The document also briefly discusses the U.S. health care system, including private insurance, Medicare, Medicaid, and the roles of individuals, businesses, government, and private insurers in financing care.
A Comparison of Health Care Payment Systems.docxwrite12
This document provides an overview and comparison of different health care payment systems, including fee-for-service and capitation models. Fee-for-service involves paying providers for each individual service rendered, which can incentivize overtreatment but allows for clinical autonomy. Capitation involves paying providers a fixed amount per patient per time period, which removes profit incentives but may encourage neglect of patients needing extensive care or inclusion of unnecessary healthy patients. The US system uses a mix of private insurance, Medicare, Medicaid, and other programs to finance care through taxes, premiums, and out-of-pocket payments to both private insurers and the government.
A Comparison of Health Care Payment Systems.docxwrite30
This document compares two common methods for paying healthcare workers: fee-for-service and capitation. Fee-for-service pays providers for each service rendered, which can incentivize overtreatment but gives autonomy. Capitation pays providers a fixed amount per patient per time period regardless of services, which can incentivize undertreatment but reduces profit motive. The US system uses both private insurance and government programs like Medicare and Medicaid to finance payments to providers from taxes, premiums, and out-of-pocket costs.
This chapter discusses employee benefits, including legally required benefits like workers' compensation, Social Security, and unemployment insurance. It covers retirement and savings plans such as defined benefit pensions, 401(k) plans, and IRAs. Health care benefits like medical insurance, life insurance, and disability coverage are also addressed. The chapter examines strategies for controlling costs and considers benefits for contingent workers.
The American College of Obstetrics and Gynecology, Committee on.docxtodd801
The American College of Obstetrics and Gynecology, Committee on Adolescent Health, has published an opinion paper on Comprehensive Sexuality Education. Click
here
to read the opinion then respond to the following questions.
At what age should sexuality Education begin in a public school setting?
Is public or community Education an appropriate manner to teach sexuality?
What should the curriculum include or exclude?
Who should be responsible for developing and approving the curriculum?
What are the pitfalls and benefits of incorporating social media as an educational tool?
.
The Allegory of the CaveAt the beginning of Book VII of Plato’s .docxtodd801
The Allegory of the Cave
At the beginning of Book VII of Plato’s Republic, Socrates famously invokes an image of human nature with respect to education and the lack of it, likening our situation to that of prisoners in a cave. Imagine an underground cave-like dwelling, its entrance entirely out of sight. Inhabiting this cave are human beings whose feet and necks are chained so that they can neither get up nor turn their heads; they can only see straight ahead. Above and behind them burns a fire, and between them and the fire there is a raised path and a low wall, like the screen above which performers display their puppets. Behind this wall men pass to and fro carrying statues and figures of human beings, animals, and other objects in such a manner that the artifacts appear over the top of the screen, projecting onto the wall opposite the fire. The prisoners, unable to see neither the objects carried behind them nor one another, behold only the shadows of themselves and of the statues cast onto the wall in front of them.
The prisoners represent the vast majority of the human race: “they’re like us.” They live in a world in which images are mistaken for realities. What is a shadow, after all, but a mere image of something real (in this case a statue, which is itself an image of something even more real, namely a living human being or animal)? Moreover, the prisoners have not the faintest clue that throughout their entire lives they have been exposed to nothing but distortions of the truth—they are, in other words, unaware of their ignorance (just like Euthyphro, the fanatical young priest about whom you will read in the next chapter). The shadows represent the authoritative opinions that govern the hearts and minds of whole communities, and give a transcendent purpose and meaning to our particular existence.[1] These shadows are to be contrasted with the light of truth illuminating the world beyond the cave (but which also makes the shadows visible within it). The people carrying the statues are the lawgivers and poets who establish the cultural values and cosmic worldview that characterize and define a given society. In his excellent commentary on Plato’s Republic, Professor Allan Bloom explains: “We do not see men as they are but as they are represented to us by legislators and poets. A Greek sees things differently from the way a Persian sees them. One need only think of…the significance of cows to Hindus as opposed to other men to realize how powerful are the various horizons constituted by law or convention.”[2] These authoritative opinions are not accurate reflections of nature, but rather a curious amalgam of natureandconvention. To quote once again from Professor Bloom: “The first and most difficult of tasks is the separation of what exists by nature from what is merely made by man.”[3]
This, precisely, is the business of philosophy, which literally means “the love of wisdom,” coming from the ancient Greek words philein, meaning “to .
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Chapter 6Alternative Responses and Initiatives of Institutions aJinElias52
Chapter 6
Alternative Responses and Initiatives of Institutions and Professions
Nongovernmental health care organizations provide most medical services and handle the financing of much of the system. For-profit and nonprofit institutions operate side by side, often competing directly for the same business.
This chapter identifies a number of strategies that individuals and organizations adopt in response to governmental programs or initiate on their own to influence health policy. We start with Table 6-1, which outlines the actors and the alternatives for responding to government actions and the marketplace. Where alternatives have been addressed and terms defined in earlier chapters, we try not to repeat that information.
6.1 COMMON RESPONSES
All of the players listed in Table 6-1 employ strategies to influence the marketplace and its regulators. These can be classified into three main types of interventions:
• Public relations
• Marketing and education
• Lobbying
Table 6-1 Responses and Initiatives of Institutions and Professions
Common Approaches
• Public relations
• Marketing and education
• Lobbying
Payers
• Employers
• Eligibility
• Subsidy offered
• Plans offered
• Relationship with insurers/self-insurance
• Worker education and training
• Insurers
• Method of organization
• Method of payment
• Plans offered
• Case management/carve-outs
• Utilization constraints
• Consumer education
Providers
• Professionals
• Organization of practice
• Services offered
• Incentives
• Pricing
• Patient relationships
• Primary versus specialty care
• Efficiency
• Institutions
• Organizational structure
• Scope and scale of services
• Pricing/discounts
• Efficiency
• Quality improvement
• Consumer information
• Credentialing decisions
• Involving payers in change processes
• Professions
• Quality improvement
• Provider education
• Consumer education
Consumers
• Plan selection
• Provider selection
• Self-help
Each player manages its relationships with the media and with politicians and regulators directly, and each acts indirectly through trade associations and professional groups. You will see illustrations of this throughout the cases included in this text and in subsequent chapters dealing with political feasibility and values. The focus of each intervention changes depending on the nature of the specific market. Lobbying is particularly intense in administered markets such as Medicare and Medicaid, especially when new legislation is under consideration. Lobbying also goes on continuously with the relevant executive branch agencies. Public relations and education are used more assertively when regulators are considering changes, and marketing, especially advertising, is most intense where the market is less regulated. The term education can apply to the many different types of efforts to influence behavior. Government antismoking campaigns can be characterized as education, for example, but the term can also ...
The document proposes a six-step plan to reform the Illinois State Universities Retirement System (SURS) and set it on a path to long-term fiscal sustainability. The steps include: 1) linking annual retirement annuity increases to inflation; 2) setting the effective interest rate based on Treasury bond yields; 3) phasing in contributions from universities and colleges and increased employee contributions; 4) requiring the state to pay down unfunded liabilities on a set schedule; 5) replacing the current Tier II plan with a hybrid defined benefit and defined contribution plan for new employees. The proposal aims to reduce costs and liabilities while continuing to provide retirement security.
1) The document summarizes key aspects of national health reform and its potential impact and challenges for implementing it in Florida. It outlines opportunities to expand Medicaid coverage to over 1 million newly eligible residents, create health insurance exchanges, and reform insurance markets.
2) Implementing the reforms successfully could improve access to care, reduce costs, and lower uncompensated care while posing challenges like ensuring adequate provider capacity and developing new regulatory systems.
3) The report recommends Florida take steps like innovative outreach and enrollment for Medicaid and exchange programs, applying for federal grants, enacting legislation, and monitoring insurance affordability and quality.
Journal of Economic Perspectives—Volume 19, Number 2—Spring 20.docxtawnyataylor528
Journal of Economic Perspectives—Volume 19, Number 2—Spring 2005—Pages 11–32
Saving Social Security
Peter A. Diamond and Peter R. Orszag
F or almost 70 years, Social Security has provided retirees with a basic level ofincome that is protected against inflation, financial market fluctuations andthe risk of outliving one’s assets. It protects against other risks as well, such
as disability or the death of a family wage earner. In addition, through its progres-
sive structure, Social Security provides some protection against one’s career not
turning out well. Social Security plays a critical role in providing financial security
during retirement: It provides the majority of income for two-thirds of elderly
beneficiaries, and all income for 20 percent of elderly beneficiaries.
Over the next 75 years, Social Security costs are projected to rise by about
2.5 percent of Gross Domestic Product (GDP), while revenues are projected to
decline slightly as a share of GDP. Social Security’s long-term financial health can
be restored through either minor adjustments or major surgery. In our view, major
surgery is neither warranted nor desirable—sustainable solvency and improved
social insurance can be accomplished by a progressive reform that combines
modest benefit reductions and revenue increases (as presented in more detail in
Diamond and Orszag, 2004).
We begin by describing some benefit improvements for vulnerable groups for
which there appears to be wide support, including from the President’s Commis-
sion to Strengthen Social Security (2001) appointed by President Bush. We then
discuss our proposed benefit and tax changes to close the underlying Social
Security deficit and finance these important social insurance improvements. We
also examine plans that replace part of Social Security with individual accounts,
explaining why, in our view, such a course would not represent sound policy.
y Peter A. Diamond is Institute Professor, Massachusetts Institute of Technology, Cambridge,
Massachusetts. Peter R. Orszag is the Joseph A. Pechman Senior Fellow in Economic Studies,
The Brookings Institution, Washington, D.C.
12 Journal of Economic Perspectives
Improving Social Insurance
We begin by focusing on a small number of particularly vulnerable beneficiary
types, following the lead of President Bush’s Commission to Strengthen Social
Security (2001) and others.1
First, workers with low lifetime earnings often live in poverty during retirement
despite Social Security’s progressive benefit formula. In 1993, taking into account
all sources of income, 9 percent of retired worker beneficiaries lived in poverty. Of
these poor retired worker beneficiaries, 10 percent had worked for 41 or more
years in employment covered by Social Security, and more than 40 percent had
worked between 20 and 40 years. In other words, many workers who have had
substantial connections to the work force throughout their careers nonetheless face
poverty in retirement. Our plan ...
This document summarizes key aspects of national health reform and its potential implementation in Florida. It finds that expanding Medicaid in Florida could insure 1-1.4 million additional residents and draw in $20-24 billion in federal funding. However, challenges include ensuring adequate healthcare workforce and funding the state's costs. The report recommends Florida create its own health insurance exchange, expand community health programs, and enact legislation to implement reforms.
The Affordable Care Act (ACA) has significantly impacted businesses and the healthcare landscape since it was passed in 2010. It has resulted in both positive outcomes like coverage for pre-existing conditions, but also increased costs for many. In response, insurers and benefit consultants are developing new plan options like self-funded plans that can provide better coverage at lower costs. Technology is also integrating benefits administration, payroll and reporting to help businesses navigate ACA compliance and offering requirements.
4 A Road Map For Americas Future Paul Ryanjenkan04
The document outlines Congressman Paul Ryan's proposal called "A Roadmap for America's Future" which includes reforms to healthcare, Social Security, taxes, and the federal budget. The healthcare section proposes providing tax credits to individuals for purchasing health insurance, creating state-based insurance exchanges, and transitioning Medicaid into a system that provides direct assistance for purchasing private plans. The Social Security reforms give workers under 55 the option to invest some of their payroll taxes into personal retirement accounts. The tax reforms aim to simplify the tax code and reduce rates while eliminating special deductions and broadening the tax base.
A Road Map For Americas Future by Paul Ryanjenkan04
The document outlines Congressman Paul Ryan's proposal called "A Roadmap for America's Future" which includes reforms to healthcare, Social Security, taxes, and the federal budget. The healthcare section proposes providing tax credits to individuals for purchasing health insurance, creating state-based insurance exchanges, and transitioning Medicaid into a system that provides direct assistance for purchasing private plans. The Social Security reforms give workers under 55 the option to invest some of their payroll taxes into personal retirement accounts. The tax reforms aim to simplify the tax code and lower rates while eliminating special deductions and maintaining progressivity.
The document summarizes the future of America's health care system based on a presentation given to the Ventura Rotary Meeting. It discusses key aspects of health care reform including reducing the uninsured, expanding Medicaid, establishing health insurance exchanges, individual and employer mandates, and revenue generation strategies. Implementation will occur between 2010-2020 with the goals of increasing access to insurance and reducing costs over time. Concerns were raised about the increased costs and bureaucracy that employers and those with current coverage may face during the transition.
Social impact bonds are a new financing model that could accelerate social innovation and improve government performance. Under this model, private investors provide upfront capital to social service organizations to deliver services meeting pre-defined outcomes. The government only pays investors if the program achieves success metrics like reducing recidivism. This focuses funding on results rather than inputs, speeds adoption of proven solutions, and transfers risk of failure to investors, not taxpayers. However, challenges include identifying interventions with sufficiently large benefits, measurable outcomes, well-defined populations, credible impact assessments, and contingency plans if performance falls short.
The document discusses several options for reforming Social Security in the United States. It outlines proposals to increase payroll taxes, raise or eliminate the taxable earnings maximum, change how benefits are calculated, modify retirement ages, and increase benefits for low-earners. It also discusses changing the cost-of-living adjustment, combining disability and retirement programs, and proposals to partially privatize the system through personal retirement accounts. Advocates and opponents of each approach argue about their potential effects on the long-term solvency of Social Security and retirement security.
hapter 5What Are the Governmental AlternativesThe United StatJeanmarieColbert3
hapter 5
What Are the Governmental Alternatives?
The United States has tried an alphabet soup of health policy options: HSAs, HMOs, IPAs, PPOs, POS plans, ACOs, and so on. Health care analysts often must look beyond specific organizational and financial alternatives and address issues at a higher level and deal with the threads of economic and political thought behind different proposals while considering the overall criteria of access, cost, and quality of care.
Politicians and businesspeople from outside the health care sector advocate many alternatives. To offset their tendency to ignore professional issues, in this chapter we discuss alternatives affecting professional status and roles and institutional responses to them. Table 5-1 presents an array of federal alternatives organized by their primary criteria—access, quality, or cost—and then by the economic philosophies behind them. The items in this array are not intended to be either mutually exclusive or collectively exhaustive; rather, the table provides a framework for looking at both the broad policy picture and specific health care actions taken at various times and places. Later in the chapter, another table (Table 5-3) summarizes policy alternatives added by state and local governments. Many of these alternatives were included as provisions of the Affordable Care Act (ACA). They are still included here, partly because they may be subject to reconsideration in the future.
Table 5-1 Illustrative Federal Government Health Policy Options
Access to Care
• Administered systems
• Universal coverage
• Expand or reduce eligibility or benefits
• Mandate coverage and services
• Captive providers
• Control insurance industry practices
• Mandate employer-based insurance coverage
• Consumer-driven competition
• Implement insurance exchanges
• Encourage basic plans with very low premiums for low-income workers and “young invincibles”
• Mandate individual coverage
• Allow states flexibility to reallocate federal funds for vouchers
• Oligopolistic competition
• Expand or contract coverages in entitlement and categorical programs
• Allow states to reallocate federal uncompensated care funds
• Eliminate ERISA constraints on the states
• Expand the capacity of the system
Quality of Care
• Administered system
• Mandate participation in quality improvement efforts in federal plans and programs
• Add more pay-for-performance incentives
• Select providers and programs on the basis of quality excellence
• Consumer-driven competition
• Encourage or mandate transparency of quality reporting in federal plans and programs
• Oversee licensure and credentialing of foreign-trained providers
• Oligopolistic competition
• Work reporting of quality care and adverse events into purchasing specifications for federal programs and disseminate to the public
• Encourage wider use of health information technology
Cost of Care
• Administered system
• Use full bargaining power in negotiation of ...
The document summarizes key facts about Florida's public retirement plans:
1) The Florida Retirement System is financially sound and better funded than most other state plans.
2) Retirement plans allow retired Florida workers to support themselves rather than relying on other government programs, with the average annual payment being $18,000.
3) Retirement payments circulate in the Florida economy and support thousands of jobs.
Forcing new employees into defined contribution plans would cost taxpayers more and provide less retirement income than defined benefit plans. Significant changes have already reduced benefits for public employees. Retirement security for public workers benefits all Floridians.
Riportella priester 2013 the affordable care actMarissa Stone
This document provides an overview of the Affordable Care Act (ACA). It discusses key provisions of the law including expanding Medicaid eligibility, establishing health insurance marketplaces, mandating individuals have health insurance, and enforcing employer responsibilities. The document outlines how the ACA aims to increase access to health insurance through a combination of public programs, employer coverage, and online marketplace coverage. It also addresses ongoing implementation challenges and debates around the law.
The document discusses healthcare reform and its potential repeal. It notes that while repeal seems out of reach currently, many aspects of the law have already taken effect. These include eliminating pre-existing condition exclusions for children, covering dependents until age 26, and minimum loss ratios for insurance companies. The document also discusses the costs and implementation of state health insurance exchanges. It provides the perspective of the author who has advised on the impacts of healthcare reform.
A Comparison of Health Care Payment Systems.pdfstudywriters
This document provides an overview and comparison of two common health care payment systems: fee-for-service and capitation. Fee-for-service involves paying providers for each individual service rendered, which can incentivize overtreatment but allows for clinical autonomy. Capitation involves paying providers a fixed amount per patient per time period regardless of services rendered, which can incentivize under treatment of patients needing more care but removes profit motives. Both systems provide different cash flows and incentives to providers. The document also briefly discusses the U.S. health care system, including private insurance, Medicare, Medicaid, and the roles of individuals, businesses, government, and private insurers in financing care.
A Comparison of Health Care Payment Systems.docxwrite12
This document provides an overview and comparison of different health care payment systems, including fee-for-service and capitation models. Fee-for-service involves paying providers for each individual service rendered, which can incentivize overtreatment but allows for clinical autonomy. Capitation involves paying providers a fixed amount per patient per time period, which removes profit incentives but may encourage neglect of patients needing extensive care or inclusion of unnecessary healthy patients. The US system uses a mix of private insurance, Medicare, Medicaid, and other programs to finance care through taxes, premiums, and out-of-pocket payments to both private insurers and the government.
A Comparison of Health Care Payment Systems.docxwrite30
This document compares two common methods for paying healthcare workers: fee-for-service and capitation. Fee-for-service pays providers for each service rendered, which can incentivize overtreatment but gives autonomy. Capitation pays providers a fixed amount per patient per time period regardless of services, which can incentivize undertreatment but reduces profit motive. The US system uses both private insurance and government programs like Medicare and Medicaid to finance payments to providers from taxes, premiums, and out-of-pocket costs.
This chapter discusses employee benefits, including legally required benefits like workers' compensation, Social Security, and unemployment insurance. It covers retirement and savings plans such as defined benefit pensions, 401(k) plans, and IRAs. Health care benefits like medical insurance, life insurance, and disability coverage are also addressed. The chapter examines strategies for controlling costs and considers benefits for contingent workers.
Similar to The American Academy of Actuaries is a 17,000-member profess.docx (20)
The American College of Obstetrics and Gynecology, Committee on.docxtodd801
The American College of Obstetrics and Gynecology, Committee on Adolescent Health, has published an opinion paper on Comprehensive Sexuality Education. Click
here
to read the opinion then respond to the following questions.
At what age should sexuality Education begin in a public school setting?
Is public or community Education an appropriate manner to teach sexuality?
What should the curriculum include or exclude?
Who should be responsible for developing and approving the curriculum?
What are the pitfalls and benefits of incorporating social media as an educational tool?
.
The Allegory of the CaveAt the beginning of Book VII of Plato’s .docxtodd801
The Allegory of the Cave
At the beginning of Book VII of Plato’s Republic, Socrates famously invokes an image of human nature with respect to education and the lack of it, likening our situation to that of prisoners in a cave. Imagine an underground cave-like dwelling, its entrance entirely out of sight. Inhabiting this cave are human beings whose feet and necks are chained so that they can neither get up nor turn their heads; they can only see straight ahead. Above and behind them burns a fire, and between them and the fire there is a raised path and a low wall, like the screen above which performers display their puppets. Behind this wall men pass to and fro carrying statues and figures of human beings, animals, and other objects in such a manner that the artifacts appear over the top of the screen, projecting onto the wall opposite the fire. The prisoners, unable to see neither the objects carried behind them nor one another, behold only the shadows of themselves and of the statues cast onto the wall in front of them.
The prisoners represent the vast majority of the human race: “they’re like us.” They live in a world in which images are mistaken for realities. What is a shadow, after all, but a mere image of something real (in this case a statue, which is itself an image of something even more real, namely a living human being or animal)? Moreover, the prisoners have not the faintest clue that throughout their entire lives they have been exposed to nothing but distortions of the truth—they are, in other words, unaware of their ignorance (just like Euthyphro, the fanatical young priest about whom you will read in the next chapter). The shadows represent the authoritative opinions that govern the hearts and minds of whole communities, and give a transcendent purpose and meaning to our particular existence.[1] These shadows are to be contrasted with the light of truth illuminating the world beyond the cave (but which also makes the shadows visible within it). The people carrying the statues are the lawgivers and poets who establish the cultural values and cosmic worldview that characterize and define a given society. In his excellent commentary on Plato’s Republic, Professor Allan Bloom explains: “We do not see men as they are but as they are represented to us by legislators and poets. A Greek sees things differently from the way a Persian sees them. One need only think of…the significance of cows to Hindus as opposed to other men to realize how powerful are the various horizons constituted by law or convention.”[2] These authoritative opinions are not accurate reflections of nature, but rather a curious amalgam of natureandconvention. To quote once again from Professor Bloom: “The first and most difficult of tasks is the separation of what exists by nature from what is merely made by man.”[3]
This, precisely, is the business of philosophy, which literally means “the love of wisdom,” coming from the ancient Greek words philein, meaning “to .
The Allegory of the Cave 1. Plato realizes that the general run .docxtodd801
The Allegory of the Cave
1. Plato realizes that the general run of humankind can think, and speak, etc., without (so far as they acknowledge) any awareness of his realm of Forms.
2. The allegory of the cave is supposed to explain this.
3. In the allegory, Plato likens people untutored in the Theory of Forms to prisoners chained in a cave, unable to turn their heads. All they can see is the wall of the cave. Behind them burns a fire. Between the fire and the prisoners there is a parapet, along which puppeteers can walk. The puppeteers, who are behind the prisoners, hold up puppets that cast shadows on the wall of the cave. The prisoners are unable to see these puppets, the real objects, that pass behind them. What the prisoners see and hear are shadows and echoes cast by objects that they do not see. Here is an illustration of Plato’s Cave:
From Great Dialogues of Plato (Warmington and Rouse, eds.) New York, Signet Classics: 1999. p. 316.
4. Such prisoners would mistake appearance for reality. They would think the things they see on the wall (the shadows) were real; they would know nothing of the real causes of the shadows.
5. So when the prisoners talk, what are they talking about? If an object (a book, let us say) is carried past behind them, and it casts a shadow on the wall, and a prisoner says “I see a book,” what is he talking about?
He thinks he is talking about a book, but he is really talking about a shadow. But he uses the word “book.” What does that refer to?
6. Plato gives his answer at line (515b2). The text here has puzzled many editors, and it has been frequently emended. The translation in Grube/Reeve gets the point correctly:
“And if they could talk to one another, don’t you think they’d suppose that the names they used applied to the things they see passing before them?”
7. Plato’s point is that the prisoners would be mistaken. For they would be taking the terms in their language to refer to the shadows that pass before their eyes, rather than (as is correct, in Plato’s view) to the real things that cast the shadows.
If a prisoner says “That’s a book” he thinks that the word “book” refers to the very thing he is looking at. But he would be wrong. He’s only looking at a shadow. The real referent of the word “book” he cannot see. To see it, he would have to turn his head around.
8. Plato’s point: the general terms of our language are not “names” of the physical objects that we can see. They are actually names of things that we cannot see, things that we can only grasp with the mind.
9. When the prisoners are released, they can turn their heads and see the real objects. Then they realize their error. What can we do that is analogous to turning our heads and seeing the causes of the shadows? We can come to grasp the Forms with our minds.
10. Plato’s aim in the Republic is to describe what is necessary for us to achieve this reflective understanding. But even without it, it remains true that our very ability to thi.
The Airline Research Paper is an individual student effort but with .docxtodd801
The Airline Research Paper is an individual student effort but with roots in the group collaboration. Students will choose an airline (passenger or cargo) associated with their group's region and individually write a critical analysis of the airline's operation. The paper will cover the listed topics (as a minimum) in a paper of 8 to 12 pages (not including title and reference pages) in current APA format. Note: A paper of this length does not require an abstract or table of contents.
Topics will include:
Introduction and brief history of the chosen airline
Fleet analysis including issues associated with fleet composition
Route structure analysis (hub and spoke, point to point, or linear)
For example, does the route structure fit the regional needs?
Cost control analysis
For example, how effective is the airline at controlling their costs, and what techniques (like fuel hedging) do they use?
Profitability
Historic, recent, and your future profit projections
Recommendations for improvement
Use Qatar airlines
.
The After Life App has great potential to compete with the e.docxtodd801
The After Life App has great potential to compete with the existing clubbing software in the market. However, the app design work was conducted using insights collected from existing bibliographies as well as intensive market study. Most of the approaches used in this study enabled the designers to come with features that would capture Brighton students’ attention (Curtis, Lahiri and Brown, 2015). The major challenge that makes Android apps and Apple apps not to perform well in the current technology market is inadequate market research and reduced ability to address users’ needs.
Potential Frameworks, Techniques, and Theories
The positive impacts of the software can be measured using the general opinion given by users and its compatibility with internet connected devices. In this consideration, the PESTEL analysis was utilized at large to help the designers to install features that will stimulate positive usage of this application. This approach played a crucial role in guiding developers on how to create functions that would satisfy government and social needs (Joorabchi, Mesbah, and Kruchten, 2013). More importantly, the principle supported technological diversity where the app was engineered in such a way that it became flexible and easier to operate.
After launching a trial of this application, we witnessed a burgeoning development in user’s ability to control their clubbing ticketing behaviours. In this consideration, the app has been able to promote positive behaviour in the society and comply with the government rules and regulations. The goal of this app was to support operators in locating clubs of their choice at an affordable price (Song and Oh, 2016). Indeed, this app improves users’ ability to make sound clubbing decisions; thus, supporting ecological and legal considerations of this app.
The underlying hypothesis in the software development; the After Life App largely stimulates mental and physical impact on customers’ lives. Mainly, using this software client’s lifestyle is changed where they can only visit clubs which the app indicates (Pakroo, 2016). To a greater extent, when designing this App, the developers considered the software ability to enable long-lasting positive behaviours. The software plays a significant role in promoting user’s capability to locate secure clubbing sites which also offers high-quality services.
The other approach used in the design and development of this software is Tuckman principles. This model of software development ensured that the After Life software is beautiful to operate and it is entrenched on reminding customers about their best clubbing joints. In the quest to influence clients’ daily life, the team of developers remained focused since they had undergone Tuckman first and second stages, forming and storming where compatible individuals were selected. Notably, this approach argues that software developers need to solve or norm their differences to be able to come up with an app.
The Affordable Care Act was signed into law by President Barack .docxtodd801
The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:
"About the Affordable Care Act"
"Health Care Transformation: The Affordable Care Act and More"
What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?
.
The advent of the worldwide Internet has made all the nations vir.docxtodd801
The advent of the worldwide Internet has made all the nation's virtual next-door neighbors. It allows various nation's populations to connect in different ways for the integration of goods, services, and culture. Globalization was existing for a long time; it was evolving over time. We can definitely say in different phases, the most recent globalization when the internet boom happened in 2000.
Web-enabled playing field that allows for multiple forms of collaboration, the sharing of knowledge and work, in real time without regard to geography, distance or in the near future. This is what when we say the world has been flattened.
But the real question is it really flattened? Are not overhyping globalization term, or have we misunderstood the term? Though we connected through technology, it still not spread to each individual across the globe. Still, there are lots of people from lots of countries are which are behind the rest world. Those who are already using or
using the benefits of globalization seems like statistically still not truly utilizing the al the benefits of it.
But still, all means globalization is spread across the globe and all the people some extinct known to this phenomenon. Also, everyone in terms of all the aspects trying to use the systems efficiently and working towards to connect in different ways for the integration of goods, services, and culture better manner.
.
The advent of the microphone in the mid-1920s brought about the .docxtodd801
The advent of the microphone in the mid-1920s brought about the vocal style of crooning. This gave the listener a private experience and the ability to hear all the nuances of a voice, as well as allowed the singers to treat the text using their vocal abilities, giving special attention to certain words and notes.
Choose two favorite crooners, one from the 1920s –1950s era and one from modern music today. Discuss their similarities and differences in vocal treatment.
Please post links to the YouTube video of each that you wish to use as a reference point.
Response Parameters
Your response should be a minimum of 300 words.
The source material used in all assignments, including the class text, must be properly cited and referenced in accordance with APA style
.
The Affordable Care Act was signed into law by President Barack Obam.docxtodd801
The Affordable Care Act was signed into law by President Barack Obama on March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:
"About the Affordable Care Act"
"Health Care Transformation: The Affordable Care Act and More"
What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?
.
The Adventures of David SimpleSarah FieldingTable of.docxtodd801
The Adventures of David Simple
Sarah Fielding
Table of Contents
The Adventures of David Simple.............................................................................................................................1
Sarah Fielding................................................................................................................................................1
ADVERTISEMENT TO THE READER......................................................................................................2
BOOK I.......................................................................................................................................................................2
CHAP. I..........................................................................................................................................................2
CHAP. II........................................................................................................................................................3
CHAP. III.......................................................................................................................................................7
CHAP. IV.....................................................................................................................................................10
CHAP V.......................................................................................................................................................12
A Dialogue between Miss Nanny Johnson, and Miss Betty Trusty.............................................................14
CHAP. VI.....................................................................................................................................................15
CHAP. VII. ..................................................................................................................................................18
CHAP. VIII..................................................................................................................................................20
CHAP. IX.....................................................................................................................................................23
CHAP. X......................................................................................................................................................28
CHAP. XI.....................................................................................................................................................29
BOOK II....................................................................................................................................................................32
CHAP. I........................................................................................................................................................32
CHAP. II......................................................................
The Aeneid and The Divine ComedyThe labyrinth of initiation,.docxtodd801
The Aeneid and The Divine Comedy
The labyrinth of initiation, the underworld, and the sacred grove
Publius Vergilius Maro
70 – 21 BCE
Virgil was regarded by the Romans as their greatest poet.
His influence on Dante and Western literature, like that
of Ovid, is profound. The Aeneid is his most famous work
and became Rome’s national epic.
The son of a farmer in northern Italy, Virgil came to be
regarded as one of Rome's greatest poets. Virgil devoted
his life life to poetry and to studies connected with it. He
never married, and the first half of his life was that of a
scholar and near recluse. But, as his poetry won him
fame, he gradually won the friendship of many important
men in the Roman world.
(adapted from Encyclopedia Britannica and poetry foundation.org)
Dante Alighieri
1265 – 1321 CE
Dante Alighieri was born in Florence, Italy to a notable family of modest
means. His mother died when he was seven years old, and his father
remarried, having two more children.
Dante was never married to his “Beatrice.” They met twice, at a nine
year interval (although it might be a symbolic time period). They were
both married to other people, and she died at 25. But he continued to
write about throughout his life. We consider his love for her to be a
type of “courtly love.” It is otherworldly and has a spiritual aspect.
His most famous work is the Divine Comedy. The story begins when he
finds himself lost in a woods in middle age. Virgil finds him and leads
him through hell and purgatory. Beatrice is his guide in Paradise.
(adapted from poets.)
Dante is very important to western literature.
T. S. Eliot claimed:
Dante and Shakespeare divide the world between them, there is no third.
And Virgil is very important to Dante.
Dante, addressing Virgil in Canto 1 of the Divine Comedy: Thou art my master.
We will start with The Aeneid.
Who is Aeneas?
There are multiple myths about the founding of Rome. One very
important one is told in The Aeneas, the story of a Trojan prince who
brought together the survivors from Troy. They boarded ships and
sailed in search of a new home. The Aeneid tells their story, focused
of course on their leader.
As The Aeneid opens, Aeneas and the Trojans come to Carthage,
where he falls in love with the Queen Dido. His bliss is short lived, as
he is told by the gods that he must leave her. Our reading, Book 6,
comes half way through the story. Aeneas’s father has died along the
way, and Aeneas wants to see him. To do that, he must descend into
the underworld—and come back. Very few have ever made the round
trip journey. He is guided by the priestess of Apollo.
The Temple of Apollo built by Daedalus.
Book 6 of The Aeneid gives an elaborate description of
how Daedalus had depicted the story of Theseus, the
minotaur, Ariadne, and his escape from Crete on the
doors.
Aeneas must go through these doors, get advice from
the Sybil, enter the wood sa.
The Admission Committee considers your Career Goals Statement to be .docxtodd801
The Admission Committee considers your Career Goals Statement to be an essential part of your application. While factors such as cumulative grade point average and social work-related experience are important, your rationale for entering the social work profession, your self-awareness, creativity, critical thinking and writing skills are major factors committee members consider when reviewing your application. Respond openly and honestly to each section.
The average statement length is four pages; submissions exceeding six pages are discouraged. Please double-space your statement, use a font size of no less than 12 and put your name in the upper right corner of each page. Answer questions 1-6 below. Answering question 6 is optional.
Prior to writing your essay, review the
NASW Code of Ethics
.
RATIONALE
Identify significant factors that influenced your decision to pursue a Master of Social Work (MSW degree and how you intend to use it in the future. (1-2 paragraphs)
SOCIAL WORK VALUES AND ETHICS
Describe your understanding of the social work profession and its core values. Compare your own values with the professional social work values, any potential value based or ethical conflicts you might experience and how you plan to address or reconcile these conflicts (whether it be in the classroom, in field, in future practice or in any other areas). (1 page)
PERSONAL & PROFESSIONAL ATTRIBUTES AND LIABILITIES
Describe any cultural, economic or social challenges and/or opportunities that have provided you with a unique perspective about social work issues. What insights have you gained from these experiences about how to maintain professional judgement and performance during times of distress? (1 page)
EMPLOYMENT AND VOLUNTEER EXPERIENCES
Discuss the relationship between your educational, employment and volunteer experiences and what qualities equip you for the social work profession. Describe your experiences and feelings about working with populations different from your own. (1 Page)
WORK LIFE BALANCE
Explain your plan for managing your graduate education. Consider how you will balance work, family and other responsibilities with the required courses, homework and internship responsibilities. (2-3 paragraphs)
OPTIONAL
Please address any special academic or other considerations that you would like GSSW to consider in the review of your application.
.
The Advantages of Budgeting A budget is a document that fo.docxtodd801
The Advantages of Budgeting
A budget is a document that forecasts the financial results and financial position of a business for
one or more future periods. At a minimum, a budget contains an estimated income statement that
describes anticipated financial results. A more complex budget also contains an estimated
balance sheet, which contains the entity’s anticipated assets, liabilities, and equity positions at
various points in time in the future.
A prime use of the budget is to serve as a performance baseline for the measurement of actual
results. Budgets may also be linked to bonus plans in order to direct the activities of various
company employees. A budget may also be used for both tax planning and treasury planning.
Despite these valid uses, there are also a number of problems with budgeting that have given rise
to a movement dedicated to the elimination of budgets.
Budgeting has been with us a long time, and is used by nearly every large company. They would
not do so if there were not some perceived advantages to budgeting. These advantages include:
▪ Planning orientation. The process of creating a budget takes management away from its
short-term, day-to-day management of a business and forces it to think longer-term. This is
the chief goal of budgeting, even if management does not succeed in meeting its goals as
outlined in the budget – at least it is thinking about the company’s competitive and
financial position and how to improve it.
▪ Model scenarios. If a company is faced with a number of possible paths down which it can
travel, you can create a set of budgets, each based on different scenarios, to estimate the
financial results of each strategic direction.
▪ Profitability review. It is easy to lose sight of where a company is making most of its
money, during the scramble of day-to-day management. A properly structured budget
points out which aspects of a business generate cash and which ones use it, which forces
management to consider whether it should drop some parts of the business or expand in
others. However, this advantage only applies to a budget sufficiently detailed to describe
profits at the product, product line, or business unit level.
▪ Assumptions review. The budgeting process forces management to think about why the
company is in business, as well as its key assumptions about its business environment. A
periodic re-evaluation of these issues may result in altered assumptions, which may in turn
alter the way in which management decides to operate the business.
▪ Performance evaluations. Senior management can tie bonuses or other incentives to how
employees perform in comparison to the budget. The accounting department then creates
budget versus actual reports to give employees feedback regarding how they are
progressing toward their goals. This approach is most common with financial goals,
though operational goals (such as reducing the scrap rat.
The adjusted trial balance of Parsons Company at December 31, 2014, .docxtodd801
The adjusted trial balance of Parsons Company at December 31, 2014, includes the following accounts owners capital $15,600, owners drawings $7000, service revenue $37000, salaries and wages expense 16000, insurance expense 2000, rent expense 4000, supplies expense 1500, and depreciation expense 1300. Prepare an income statement for the year
.
The additional info will be provided. View Windows Fir.docxtodd801
The additional info will be provided.
View Windows Firewall Features - Step 8 - Challenge 2 Complete
View Windows Firewall Features - Step 10 - Challenge 3 Complete
Configure An Exception In Windows Firewall - Step 21 - Challenge 4 Complete
View And Configure Windows Firewall With Advanced Security (WFAS) - Step 12 - Successful “Ping” of 192.168.12.11
Create A Firewall Rule (Iptables) Within Linux - Step 7 - Challenge 6 Complete
To complete this assignment, review the prompt and grading rubric in the
Lab Guidelines and Rubric
document. Refer to the
Course Lab Guidelines
document to view the screenshots you will need to take to complete this lab.
Screenshots
must
include your name and date
.
.
The activity provides opportunity for student to develop a descripti.docxtodd801
The activity provides opportunity for student to develop a description of a child with a communicative disorder and to explain how would you meet the needs of that child in their classroom . Students chose one communicative disorders from below. Please read Chapter 13. Use the Internet to search for your chose of disorder or textbook or journal article.
1. Language Disorder 2. Articulation Disorder 3. Fluency Disorder 4. Cognitive Impairment
Write a general description of the child do not use the child real name or parents.
Include the following information: 1. Age and Gender of the Child 2. Reason for Referral
3. Background (city/town/mother/grandmother,etc...)
4. Family (culture/home language of child/work) 5. health and Development
6. School 7. Standardize Assessment ( hypothetical if you do not have test results)
8. Intervention Planning
Student take a look at the searches below they are related to language case study examples : speech pathology case study example, language development case study example, case study of a child with communication disorder and case study- speech and language delay.
.
The additional component this week will be to share your plan with o.docxtodd801
The additional component this week will be to share your plan with one or more colleagues or administrators. Write approximately two to three pages describing the nature of the dialogue and any changes you make as a result of the collaboration. Include a reflection about the collaboration experience. Relate your discussion, changes, and reflection to the textbook and body of literature, by including in-text quotes and citations.
.
The additional info will be provided.Analyzing The Tra.docxtodd801
The additional info will be provided.
Analyzing The Traffic - Step 2 - Wireshark Showing FTP Password
Analyzing The Traffic - Step 3 - Wireshark Showing POP Password
Analyzing The Traffic - Step 6 - Wireshark Showing E-Mail TCP Stream
Analyzing The Traffic - Step 10 - Wireshark Showing Telnet “Creeper” Add
To complete this assignment, review the prompt and grading rubric in the
Lab Guidelines and Rubric
document. Refer to the
Course Lab Guidelines
document to view the screenshots you will need to take to complete this lab.
Screenshots
must
include your name and date
.
.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
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তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
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This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
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A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
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2. helped
ensure its high level of public support.
Public attention increasingly has focused on Social Security’s
long-range financial problems. According to the most recent
report
of the Social Security trustees, by the fourth decade of this
century
the program will not have enough money to pay all benefits
when
due. A wide variety of possible reforms has been proposed to
elimi-
nate or reduce Social Security’s long-range financial deficit.
Among these proposed reforms is reducing or eliminating bene-
fits for wealthy and/or high-income participants and
beneficiaries,
generally called “means testing.” Advocates of means testing
note
that reducing or eliminating benefits for those whose income or
as-
sets exceed certain thresholds would help preserve Social
Security
as a safety net for those who truly need it.
This proposal raises some important issues:
n Would such a profound change in philosophy weaken
public
support for the program?
n How would such a change alter the balance between
individual
equity and social adequacy?
n Would other factors reduce the expected financial gains
from
3. means testing?
n How would means testing be administered?
MA R C H 2 0 0 9
American Academy of Actuaries
DECEMBER 2012
Key Points
n Means testing would reduce benefits
to par ticipants whose current income
or assets exceed specified thresholds.
n Advocates argue that means testing
would reduce costs to the Social
Security program. But such a move
could have serious unintended
consequences, including erosion of
public suppor t for Social Security,
savings disincentives during working
years, and administrative complexity.
n Social Security already includes an
“earnings test” based on the principle
that Social Security payments
should replace lost earnings, and it
is therefore appropriate to reduce
benefits for those whose earnings
indicate that they have not yet retired.
n Polic ymakers seeking to avoid means
testing could achieve much of the
same results by adjusting the benefit
4. formula for highly compensated
individuals or by increasing the
taxation of Social Security benefits at
a higher rate than the one currently
used.
2 AMERICAN ACADEMY OF ACTUARIES ISSUE
BRIEF DECEMBER 2012
Members of the Social Security Committee include: Eric
Atwater, MAAA, FSA, FCA, EA; Janet Barr, MAAA, ASA, EA
- chairperson; Raymond Berry, MAAA, ASA, EA;
Michael Callahan, MAAA, EA, FSPA; Douglas Eckley, MAAA,
FSA; Jay Jaffe, MAAA, FSA; Eric Klieber, MAAA, FSA, EA -
vice chairperson; Timothy Leier, MAAA, FSA,
EA; Timothy Marnell, MAAA, ASA, EA; John Nylander,
MAAA, FSA; Brendan O’Farrell, MAAA, EA, FSPA, FCA;
Zenaida Samaniego, MAAA, FSA; Bruce Schobel, MAAA,
FSA, FCA; Mark Shemtob, MAAA, ASA, EA; P.J. Eric Stallard,
MAAA, ASA, FCA; Ali Zaker-Shahrak, MAAA, FSA
n Are there other ways to achieve a similar
degree of savings without changing the
current program structure?
The purpose of this issue brief is to ex-
plore these issues
Background
The Social Security benefit formula uses as input
the wages on which the worker and employer
have made contributions. This link between the
wages that have been taxed during a worker’s
5. career and the benefits the worker receives after
retirement establishes an “earned right” in the
minds of program participants, which is part of
the foundation of the program’s popular sup-
port.
Since Social Security’s inception, the program
has paid benefits to all workers who have worked
in covered employment for a sufficient period,
and to their dependents and beneficiaries, with-
out regard to wealth or other income. This uni-
versality reinforces the idea of Social Security as
an earned right and is another part of the foun-
dation of the program’s popular support.
These twin concepts, earned right and uni-
versality, have distinguished the Social Security
program from other government income-main-
tenance programs, such as Temporary Assistance
to Needy Families (“welfare”), food stamps, and
Medicaid, that provide benefits based on dem-
onstrated need. While these latter programs have
all been subject to major overhauls or benefit
cutbacks in recent decades, Social Security has
not changed significantly since 1983, and still re-
tains the basic design from its founding in 1935.
Consistent reports from the Social Security
trustees showing the system will not be able to
pay all benefits when due by the fourth decade of
this century, however, have focused public atten-
tion on the need for some change to the system.
Proposed reforms run the gamut from changing
the benefit formula, tax rate, and/or retirement
age while maintaining the same basic design
6. that has served the program since its inception,
to radically overhauling the program by divert-
ing all or a portion of workers’ payroll taxes into
individually owned accounts dedicated to pay-
ing benefits to the workers who contribute to the
accounts and to their dependents and benefi-
ciaries. Means testing falls somewhere between
these two extremes—while it maintains the ba-
sic design of the current program, it introduces
important changes to the program’s underlying
philosophy for providing benefits.
What Is Means Testing?
Social Security expenditures could be reduced
over the long term by applying a means test to
retired workers and their dependents and bene-
ficiaries otherwise eligible for benefits under the
current program. Means testing would reduce
or eliminate benefit payments to participants
whose current income or assets exceed specified
thresholds. There are many ways this could be
done. For example:
n An income test could take into account all
income or only “wealth-related” income,
such as investment income or income from
a business;
n An asset test similarly could include all
assets or exclude widely held assets such as
residential property and cars;
n The means test could be applied one time
when benefits begin or at regular intervals
after benefits begin;
7. n The test could eliminate benefits altogether
for those exceeding the threshold, or phase
out benefits gradually as income or assets
increase beyond the threshold;
AMERICAN ACADEMY OF ACTUARIES ISSUE BRIEF
DECEMBER 2012 3
n The test could be similar to those provisions
in the Medicare reform package enacted by
Congress late in 2003 that increase the Part
B premium for high-income retirees and
base the cost to the participant of the Part D
drug benefit in part on current income and
assets.
The first means testing proposal to gain wide-
spread public attention came from the Concord
Coalition, a bipartisan group of fiscal conser-
vatives, which it calls “affluence testing.” Un-
der affluence testing as originally proposed by
the Concord Coalition, Social Security benefits
would begin to be reduced if family income ex-
ceeds $40,000 with reductions reaching 85 per-
cent if family income exceeds $120,0001.
More recently, in late 2011 Rep. Jason Chaf-
fetz (R-Utah) offered a plan to restore sustain-
able solvency for the Social Security program
by a reducing Social Security benefits for ben-
eficiaries whose modified adjusted gross income
(MAGI) exceeds $60,000 for individual taxpay-
ers or $120,000 for taxpayers who file jointly.
8. For this purpose, MAGI equals adjusted gross
income less taxable Social Security benefits plus
nontaxable interest income. Benefits would be
reduced on a sliding scale starting at 0 percent
for beneficiaries whose income is exactly at the
threshold and increasing to 50 percent for those
whose incomes are at or above three times the
threshold. The reductions would start in 2019,
and the thresholds would be indexed thereafter
by changes in the national average wage.
The conservative Heritage Foundation also
has come up with a version of means testing as
part of a comprehensive proposal for improv-
ing the country’s long-term fiscal outlook called
“Saving the American Dream.” The Heritage pro-
posal would start reducing Social Security ben-
efits when non-Social Security income reaches
$55,000 for individual taxpayers or $110,000 for
taxpayers who file jointly, and eliminate benefits
entirely for those whose non-Social Security
income exceeds these thresholds by $55,000 or
more, with proportional reductions in between.
The reductions would begin taking effect imme-
diately upon enactment of the proposal. At the
same time, current-law taxation of some Social
Security benefits would cease.
Means Testing and the Earnings Test
Since its inception, Social Security has included
a feature that can, in some circumstances, have
effects similar to means testing—namely, the re-
tirement earnings test. The purpose of the earn-
ings test is not to save the system money. Rather,
9. the earnings test is based on the principle that
Social Security should replace lost earnings and
that it is therefore appropriate to reduce benefits
for those whose earnings indicate they have not
retired or otherwise withdrawn from the work-
force. The earnings test originally eliminated
benefits entirely for any otherwise eligible per-
son who received covered wages. Over the his-
tory of Social Security, the earnings test has been
liberalized in many ways: the all-or-nothing
test was replaced by an earnings threshold, un-
der which full benefits would continue as long
as earnings remained below the threshold; the
earnings threshold has been increased numer-
ous times and currently is indexed to changes
in national average wages; total elimination of
benefits for earnings over the threshold was re-
placed by a dollar-for-dollar offset of benefits by
excess earnings, later liberalized to a $1 for $2
offset and in some cases to a $1 for $3 offset; and
the earnings test was eliminated altogether, first
for recipients older than 72, then older than 70,
and recently older than the Social Security nor-
mal retirement age (which varies from 65 to 67
depending on the worker’s year of birth).
Strictly speaking, the earnings test is not
a means test. Since it takes into account only
earned income, the earnings test does not even
attempt to measure total income or wealth. In-
1The Concord Coalition made its proposal in the mid-1990s and
has not updated it recently, so some of the specific dollar
thresholds are now outdated.
10. 4 AMERICAN ACADEMY OF ACTUARIES ISSUE
BRIEF DECEMBER 2012
deed, those less well-off often derive the great-
est benefit from earned income after retirement,
since it is more likely their unearned retirement
income will not be sufficient to cover basic
needs. In addition, benefits not paid as a result
of the earnings test are not permanently lost, but
cause the benefit amount to be adjusted upward
when the participant is no longer affected by the
test.
Even though the earnings test is not a means
test, experience with the earnings test over the
years may be instructive in evaluating the politi-
cal feasibility of a means test. The many liberal-
izations in the earnings test came as a result of
public pressure for change. The obvious public
distaste for the earnings test indicates that it may
be difficult to implement a means test.
Impact of Means Testing
The means testing of Social Security benefits
could affect the system in ways other than the
obvious cost savings, some of which are not
obvious and could have serious negative conse-
quences:
EROSION OF PUBLIC UPPORT FOR SOCIAL
SECURITY. Any move toward means testing
would represent a significant change in the un-
derlying philosophy of the Social Security pro-
gram. Past changes to the program always have
11. been made within the universality and earned
right principles of the existing system, but means
testing would add a new element to the system.
Underlying means testing is the principle that
government-sponsored retirement programs
should be targeted at lower-income segments
of the population and should not be used to aid
those not in financial need.
In an era of pressing fiscal problems, propo-
nents believe there are more compelling uses for
limited government revenues than paying retire-
ment benefits to people who are already well-off.
But tampering with the universality and earned-
right principles by imposing a means test could
undermine public support for the Social Secu-
rity program. Loss of support might be expected
among the well-to-do, whose benefits would
be cut. These participants are likely to view the
payroll tax as just another income tax, since they
would receive little or no direct benefit from it.
Even though they may be relatively few in num-
ber, they may have disproportionate political in-
fluence due to their wealth.
A much broader loss of public support could
result if a means test caused Social Security to
be viewed as a government-mandated income
redistribution program rather than an earned
right. If this should happen, the political consen-
sus that has supported Social Security through-
out its history could break down, leading to
possible curtailment or even elimination of the
system as we know it.
12. INDIVIDUAL EQUITY VS. SOCIAL ADEQUACY.
Another basic principle of the Social Security
program is that benefits should balance indi-
vidual equity and social adequacy. Under this
principle, the benefit formula takes into account
each worker’s earnings history, providing high-
er benefits for higher earnings, but weights the
formula in favor of lower-paid workers, so that
those whose needs are greater receive dispropor-
tionately higher benefits. (Other features of the
system also contribute to this individual equity-
social adequacy balance.)
Means testing would tilt the balance away
from individual equity toward social adequacy
by weakening the link between earnings and
benefits and by diverting benefits from the bet-
ter to the less well-off while holding program
costs constant. This paper takes no position on
whether means testing provides for a more ap-
propriate balance between individual equity and
social adequacy, since this is a political question
that needs to be debated by the public.
DISINCENTIVES FROM SAVINGS AND INCEN-
TIVES FOR CONSUMPTION. If income from sav-
ings during retirement reduced or eliminated
Social Security benefits, participants would have
an incentive against savings toward consump-
tion during their working years. This would ap-
ply not just to workers, but also to their employ-
ers, who might forego maintaining or improving
AMERICAN ACADEMY OF ACTUARIES ISSUE BRIEF
13. DECEMBER 2012 5
private retirement plans if their benefits reduced
participants’ Social Security benefits. This out-
come would be contrary to the goal of raising
the low level of national savings and have pos-
sible consequences for future improvement in
labor productivity. Productivity has a major im-
pact on the nation’s economic well-being, as well
as the financial health of Social Security, and any
factor that negatively affects productivity could
deepen both the nation’s and Social Security’s
financial problems. Any direct improvement to
Social Security’s finances from means testing
therefore could be partially offset by the indirect
effect of lower national savings.
OTHER UNINTENDED INCENTIVES. If means
testing is based on income, people will have an
incentive to take lump-sum distributions from
employer-sponsored retirement plans and IRAs
rather than annuities or periodic installments.
This could cause some people to spend their
retirement savings too soon, leaving them in fi-
nancial difficulties later in retirement. This could
increase costs for other means-tested programs,
such as Supplemental Security Income (SSI) and
Medicaid, offsetting some of the direct savings to
Social Security. If the income threshold applies
to a participant’s family, this may be a disincen-
tive for some to get married or stay married.
POTENTIAL FOR FRAUD AND ABUSE. Ex-
perience with other means-tested programs
shows that both assets and income can be hid-
den, “spent down,” or transferred to others. Such
14. activity introduces distortions into the economy
and can create public suspicion about the in-
tegrity of the program. A graduated means test,
such as the tests described above, can help mini-
mize incentives for fraud and abuse, but with the
result of increased administrative complexity.
DISTORTIONS IN THE MANAGEMENT OF
PERSONAL FINANCES. In addition to the con-
cerns mentioned above, there are many legiti-
mate ways to alter the timing of income and val-
uation of personal finances. This includes gifting
assets, altering personal business finances, shift-
ing the receipt of income, and managing the mix
of assets to favor retaining those that are par-
tially or fully exempted from a means test. This
management of finances to minimize the impact
of a means test on individuals can be expected to
reduce the savings that might be realized from
applying a means test while also introducing dis-
tortions into the economy.
ADMINISTRATIVE COMPLEXITY. Despite a
complex benefit formula and the need to calcu-
late benefits based on worker careers that may
span many employers, Social Security is admin-
istered remarkably efficiently, with administra-
tive costs comprising approximately 1 percent
of payroll tax income. The paperwork, investi-
gations, and litigation associated with imple-
mentation of any kind of means test could add a
substantial administrative burden to the system
with a resulting increase in administrative costs.
These cost increases must be counted against
any expected savings in benefit payments.
15. Alternatives to Means Testing
Many of the same results of direct means test-
ing could be achieved by adjusting the Social Se-
curity benefit formula to reduce benefits for the
highly compensated. This might include chang-
ing the formula weights in favor of the lower
paid or providing a flat minimum benefit to
all Social Security recipients while reducing the
overall benefit based on a participant’s earnings
history.
As an alternative, the federal income tax sys-
tem could be used to recapture Social Security
benefits paid to high-income taxpayers. Individ-
uals whose income (including 50 percent of So-
cial Security benefits) currently exceeds $25,000
and couples whose income exceeds $32,000 pay
income tax at regular rates on up to 85 percent
of their Social Security benefits. Taxation of
Social Security benefits could be extended by
applying rates greater than regular tax rates to
beneficiaries whose income exceeds some higher
threshold level.
Both these methods could reflect wealth
without introducing new elements into the cur-
rent Social Security program and without add-
6 AMERICAN ACADEMY OF ACTUARIES ISSUE
BRIEF DECEMBER 2012
ing significantly to its administrative burden.
16. Any such alternative that reduces or eliminates
the economic benefit for wealthy and/or high-
income Social Security participants, however,
also could have some of the same negative con-
sequences as means testing.
Conclusion
While means testing could achieve significant
reductions in Social Security expenditures, it
would represent a change in the underlying
principles of the program. Before giving seri-
ous thought to means testing of Social Security
benefits, Congress should consider the following
questions:
n Should the Social Security program be
modified, making it a more traditional
government welfare program? Could Social
Security even survive such a fundamental
change in its underlying philosophy?
n What would be the true savings to the Social
Security program if some form of means
testing were adopted? Would direct sav-
ings from lower benefit payments be largely
eaten up by indirect costs, such as lower
productivity, legal or illegal avoidance of
benefit reductions, and higher administra-
tive costs?
n Are there alternatives that could have simi-
lar results to means testing while remaining
within the current program structure?
17. Performance Appraisal of Thirst Company
Prompt 9
By definition, the ‘base compensation’ is known to be the
relative amount of payment that an employee receives as an
exchange of the services and work they do as part of their job
designation.
This compensation/salary is exclusive of all forms of monetary
incentives, that are given to the employees over and above their
basis salaries.
Base pays are more like fixed salaries.
Prompt 9
Base compensations can be segregated into different categories
for the newly hired employees of the Thirst company.
The permanent employees can be provided fixed amount of base
salaries that would remain the same throughout the year.
Where the base pay excludes all the compensation benefits, the
annual pays are paid directly with keeping in account all the
earnings of the employees.
Prompt 9
The annual pays are also significant for keeping in account all
the medical, insurance and premium benefits for the employees.
What needs to be kept in mind is that the rates of base
compensations fluctuate between the employees on the basis of
their designations and positions.
Prompt 10
On the other hand, incentive pay systems are a monetary reward
18. offered to the employees solely on the basis of their
performance.
An increase in performance and productivity provides an apt
chance of an increase in the salary.
Therefore, the incentive pays are offered as additional benefits
and bonuses to the employees.
Prompt 10
The main aim of these incentive pay systems are to motivate
and inspire the employees to keep them focused on their jobs.
The basis of the incentive pay system can be gained from the
rationale of F.W. Taylor’s theory of motivating the employees
by offering them more monetary benefits for their efforts.
Prompt 10
Incentive pay system can be offered to the employees of the
Thirst company in 3 main domains;
Bonus payments: the HR department can be rewarded by
offering bonus payments for their efforts in recruiting
employees.
Commission: the newly hired position managers can be offered
commission for any project that ends in profits.
Prompt 11
The employees of a company are considered the most important
asset for the firm in terms of human capital.
The main goal of the employees is to work or a system where
they are offered maximum monetary reward for their efforts.
In this regard, the employee benefits package are the most
suitable form of benefits to help the employees reach
productivity levels.
19. Prompt 11
The Thirst company can offer various form of employee
benefits to the employees;
Housing: the company can offer accommodation to the
employees.
Utility benefits: the company can offer discounts to the
employees on their monthly utility bills.
Sick leaves or paid vacations: employees often need breaks
from time to time. The company can offer to pay for this break
to keep the workforce happy.
Prompt 11
Disability contribution: with a diverse range of employs such as
those hired by the Thirst company, the disabled employees can
be offered incentives for their pay.
Retirement benefits: like all larger corporations, the private
sector employees can be offered to receive their pensions when
they have reached their old age.
References
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HEATHFIELD, S. M. (2018, 11 4). What's in a Comprehensive
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https://www.thebalancecareers.com/what-s-in-a-comprehensive-
employee-benefits-package-1917860
Kappel, M. (2018, 2 7). What Is Compensation? Retrieved from
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https://www.patriotsoftware.com/payroll/training/blog/what-is-
compensation/
onetonline.org. (2019). O NET Online . Retrieved from
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