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A Test for the Anti-Trump Movement. Essays! A Test for the Anti-Trump Movement. In the week leading up to the presidential election, like hockey players who refuse to level cover, shave during the playoffs, the women of the Weiss family lived in their “Pussy Grabs Back” T-shirts. For months, our family texts had buzzed day and night with emoji-laden reactions to the latest Trump outrage, while my mother waged a very personal campaign against the Republican candidate. Essays! When the first Tuesday in entry level industrial engineering cover letter, November was upon us, my dad, who has a giant poster of fourth William F. Buckley in his office, bowed to shalom bayit and wrote in Steph Curry. All of this camaraderie put me in proof read, a strange position. Since the crucible of my college years—in which being an fourth grade essays outspoken Zionist made you fascist, supporting the research paper, war in Iraq made you an imperialist, and believing that some cultures are indeed more enlightened than others a hegemon—I’ve gotten used to feeling politically homeless. I’m typically the hardass among the squishes. All of a sudden, I found myself making common cause with those whom I disagree with vehemently on, say, the Iran deal (bad), the necessity of teaching Western Civ. Fourth Essays! (good), and most certainly Israel. It is the biology, difference on the Jewish state that has been the essays, starkest and the most painful, as anyone who has paid any attention to the increasingly leftward tilt of the Democratic Party will not be surprised to learn.

One of the proof read, rising stars of this new generation of progressive politicos is Linda Sarsour, who was honored as a “champion of fourth essays change” by the Obama administration and ap essays is now one of the grade, anti-Trump movement’s most visible leaders. Sarsour, a longtime Arab-American community organizer, was one of the heads of the Women’s March in Washington and is the named plaintiff in the high-profile lawsuit against Trump’s immigration ban. The image of cover her, hijab-clad and flashing a defiant smile, rivaled the pink knitted hat as the unofficial symbol of the march. She is also a proudly outspoken supporter of BDS. “Nothing is creepier than Zionism,” she has tweeted, a remark that, along with the fourth essays, fact that in ap essays, December she posed for a photo with a former Hamas operative, stirred a series of critical pieces on fourth essays, right-wing websites in the days following the march on the capital. Within hours, Sarsour’s newfound friends and supporters—do I even need mention that Mark Ruffalo and Susan Sarandon were among them?—burst forth with a social-media-driven campaign dubbed #IMarchWithLinda, in which the organization, stories about grade essays her background and views were presented as vicious hatchet jobs by pro-Trump legions determined to slow the momentum of the anti-Trump brigades. Indeed, how could a woman who last week made headlines for organizing a fundraising drive that raised more than $56,000 to repair the desecrated Jewish cemetery in point, St. Louis harbor hostility to Jews? Among those who have pledged allegiance to Sarsour are prominent Jewish leaders and rabbis. Criticism of the Muslim activist was nothing but “a deliberate smear campaign from the far right to delegitimize the march itself,” said Los Angeles Rabbi Sharon Brous, expressing the grade essays, view of many other anti-Trump Jews. “This is biology ap essays, a time for serious coalition-building, for standing beside other minority populations that are targeted.

It is time for essays, people to stand for thomas aquinas argument, and with each other. There will be in the mix a number of different perspectives. Fourth! I don’t feel at on man all uncomfortable about that,” Brous has said. “A much greater problem would be if the Jewish community stepped out of activism because we’re afraid that someone on the stage has a position on BDS different than our own.” This was something of a dodge, because, as Brous and others must know, Sarsour’s odious views aren’t limited to BDS, and stretch particularly into issues that directly relate to the systemic oppression of women. “You’ll know when you’re living under Sharia Law if suddenly all your loans credit cards become interest-free. Sound nice, doesn’t it?” Sarsour tweeted about the Islamic law code that justifies beating women and considers the testimony of grade essays a woman half that of a man. She has also denigrated the anti-Islamist feminist Ayaan Hirsi Ali in astonishingly vulgar terms, insisting that Hirsi Ali is “not a real woman” and proof read joking that she wishes she could take away Ali’s vagina—a particularly vicious bon mot , given that Hirsi Ali was well-known as a victim of genital mutilation in her native Somalia.

Still, anti-Trumpers argued, Sarsour’s personal imperfections didn’t come close to forcing Jews to disavow her and her movement. Essays! Echoing Brous, Yehuda Kurtzer, president of the Shalom Hartman Institute of North America, pushed back against those who use support of Israel as a single-issue litmus test. In a piece in the Jewish Journal , he made the case that American Jews should stick to aquinas cosmological argument, what he dubbed the “two-thirds and 51 percent” rule: “We identify in political communities, or organize for particular causes, with people who share, or at least do not operate in contradistinction to, two-thirds of our core moral imperatives, and essays with whom we agree on a minimum of 51 percent of our moral concerns,” he writes. By this standard, Sarsour’s leadership role is not a deal breaker. Structure Research Apa Style! “Rotten compromise, the essays, kind we must not do,” wrote Kurtzer, “entails making common cause with evil.” So what does boundary-crossing evil look like? Is it OK, for structure, example, to grade, support the civil rights of Palestinians, undocumented immigrants, and women who wear hijab while also calling for the denial of the national and point organization essay indigenous rights of Jews, and rejecting the essays, rights of women in Muslim-majority countries to control their own bodies? Is that a fair definition of Kurtzer’s 51-percent rule? If you call for the death of Zionists but support Palestinian nationalism, is industrial engineering cover letter, being against Donald Trump the moral tie-breaker that makes you a legitimate ally of American Jews like me—and immune from our criticism? Kurtzer doesn’t say, but the assumption was that nothing had thus far emerged in the anti-Trump movement to essays, meet the rotten compromise test. That logic resonated with almost all the anti-Trump Jews I know, who either actively rallied around Sarsour, or—like me—held their tongues. I justified it by telling myself that no political movement is perfect, no coalition entirely pure. Opposing this president, I reasoned, is too critical a priority.

Now, unhappily, the anti-Trump movement has produced a leader far worse than Sarsour: a woman whose actions must surely qualify as evil. Biology Ap Essays! If they don’t, the problem doesn’t belong to Zionists or Jews, but to the movement itself—and even more so to the spiritual health of the political party angling to benefit from it. The names Leon Kaner and Edward Jaffe are now lost to history, but Rasmea Odeh surely remembers them well. Kaner and Jaffe are the 21-year-old and 22-year-old who went to fourth grade, a Jerusalem supermarket on Feb. 21, 1969 to pick up food for a trip and were blown up thanks to a bomb that Odeh and an accomplice had placed there.

Nine others were injured in the blast. Four days later, a second bomb that the duo planted exploded at the British Consulate. Odeh was sentenced to life in cover, prison by Israel but was released in a prisoner exchange in the early 1980s. This convicted terrorist has surfaced since the march on Washington as a new leader of the women’s movement, announcing its next global action in the pages of the Guardian : a worldwide women’s strike on fourth grade essays, March 8. Along with Angela Davis and several others, Odeh called for a day of “striking, marching, blocking roads, bridges, and squares, abstaining from domestic care and sex work, boycotting, calling out misogynistic politicians and companies, striking in educational institutions.” And the point organization essay, organizers of the Washington March followed Odeh’s lead, recently announcing their participation in this international “day without women.” The political stupidity of embracing Odeh is plain. Fourth Grade! What better ammunition could there possibly be for a White House all too keen to dismiss a genuine grassroots movement as paid professional protestors and anti-American anarchists than the public participation of structure research a bona fide terrorist? If the fourth, anti-Trump movement is going to essays, stand for tolerance, genuine liberalism, civility, and fourth essays decency—everything we disdain Trump for disdaining—Odeh and five essays her ilk can have no place in it. Grade! But there is a deeper, darker point here beyond strategy: It concerns the alarming cheapness of and nature Jewish blood. A movement that has so much to say about the value of black lives, of transgender lives, of women’s lives, of Latino lives, of Muslim lives, of the lives of the grade, disabled and the poor and the weak, but becomes mealy-mouthed and contingent about the lives of Jews when those Jews happen to live in essays on man and nature, the land of Israel should make any person of conscience question the sincerity of that movement.

Indeed, what’s perhaps even more disturbing is the increasing tendency on the part of Jews to silence themselves on these fundamental moral matters to fit in or to avoid accusations of being soft on Trump. On this, our leaders must do better, even though it will surely mean fewer likes and retweets from popular progressives. It’s incumbent upon those who assert themselves as representatives of the Jewish community not to paper over this disturbing hypocrisy—especially if what they are trying to do is convince amcha that it’s still in their best interest to be at the anti-Trump table. Somehow it seems that Jews are always the grade essays, ones being asked to check their identity at the door in movements driven by identity politics. We may assiduously follow the “two-thirds and 51 percent” rule, but our partners often do not. Level Industrial Engineering! If asking for something so minimal—to disassociate and condemn a woman who murdered innocent Jews—seems impolite or greedy, then perhaps the compromise we have made is rotten. Fourth Grade Essays! Bari Weiss is an associate book review editor at The Wall Street Journal. Monthly rate: $18. Yearly rate: $180. Point Organization Essay! WAIT, WHY DO I HAVE TO PAY TO COMMENT?

Tablet is committed to essays, bringing you the best, smartest, most enlightening and on man entertaining reporting and writing on Jewish life, all free of charge. We take pride in our community of fourth grade essays readers, and are thrilled that you choose to engage with us in a way that is both thoughtful and thought-provoking. But the on man and nature, Internet, for all of grade its wonders, poses challenges to civilized and constructive discussion, allowing vocal—and, often, anonymous—minorities to drag it down with invective (and worse). Starting today, then, we are asking people who'd like to five essays and nature, post comments on the site to pay a nominal fee—less a paywall than a gesture of your own commitment to the cause of great conversation. All proceeds go to helping us bring you the ambitious journalism that brought you here in the first place. I NEED TO BE HEARD! BUT I DONT WANT TO PAY.

Readers can still interact with us free of charge via Facebook, Twitter, and fourth essays our other social media channels, or write to us at Each week, we’ll select the best letters and publish them in a new letters to the editor feature on the Scroll. We hope this new largely symbolic measure will help us create a more pleasant and cultivated environment for all of our readers, and, as always, we thank you deeply for your support. Evidence abounds that Trump and, increasingly the GOP (with some exceptions), are an existential threat to the big three #8212; liberty, prosperity, and security. Essays On Man And Nature! For me, that puts fighting Trump at the base of Maslow#8217;s hierarchy of needs.

I draw moral clarity by engaging with others, whether the adoration of Angela Davis or the Sarsour tweets you cite (the one about grade essays Ayann Hirsi Ali is repellent). Yet, for me, they don#8217;t obviate Sarsour#8217;s fundraising for desecrated Jewish cemeteries. I once worked with a politically active conservative man who said vicious things about gay people. These views were an essential part of his identity. I wasn#8217;t going to change that but, by indicating that I know and love gay people, I did not provide silent assent.

The point is, life requires a constant calculation #8212; where is my line? When should there be a line? It is all these things that Trump is taking a sledgehammer to American ingenuity, the idea of a common humanity the by point essay, ability to bring heart and fourth mind to everything from the proof read, simple to the complex. We must fight this with everything we#8217;ve got. Believe me, just as I#8217;m evaluating my bedfellows in this fight they#8217;re evaluating me. Let#8217;s take it step by essays step, with an eye toward the big threat. Thomas Aquinas Argument Essay! I never duck my Judaism and fourth grade essays Zionism; I also don#8217;t always lead with them.

It depends on five essays on man and nature, the situation. It#8217;s the bit by bit engagement with others with whom we have differences, even virulent ones, that has intrinsic value. Are there bright lines? Yes, there must be. It#8217;s up to us to identify them. Will Trump supporters do the same? I#8217;m amazed, I have to fourth essays, admit.

Seldom do I encounter a blog that#8217;s both educative. and entertaining, and without a doubt, you have hit the nail. on organization essay, the head. The problem is something that not enough people are speaking intelligently about. Fourth Grade! I#8217;m very happy that I found this in my hunt for something regarding this. A Test for the Anti-Trump Movement. Sabermetrician Ari Kaplan Uses the Science of Balls and Strikes to Illuminate the Fate of Holocaust Rescuer Raoul Wallenberg.

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Obamacare Essays and Research Papers. Kelli Thomas An Exploration of Health Care Legislation: Obamacare Americans have become divided over many issues at the heart of the current . political climate. Part of this societal division has come in the form of the essays, Patient Protection and Affordable Care Act (PPACA) or as it has been dubbed Obamacare . By Point? This 906 page composite bill is one of the fourth, most controversial and influential in point organization recent history effectively drawing widespread praise with equal criticism. Essays? With such a delicate economic situation. Economics , Employment , Health care 1496 Words | 4 Pages. Obamacare Pros The non-partisan Congressional Budget Office lists the advantages of Obamacare : The Act was designed to five on man and nature, reduce . overall health care costs by making services available to the 32 million who currently can't get insurance.

They often use a hospital emergency room as their primary care physician, increasing costs for everyone. This starts in 2014. It requires that all plans cover 10 essential health benefits. Preventive services are free, which lowers health care costs by treating. Disability insurance , Health care , Health economics 883 Words | 3 Pages. was upheld by the Supreme Court on fourth grade essays, June 28, 2012. Thomas Aquinas Essay? This act is also known as Obamacare . Grade Essays? When the act was passed it started a huge debate in . America. Some believe Obamacare is great for this country, but some believe this is a violation of the Constitution and dislike the actions made by this act. Whether you are a Republican or Democrat, both sides can see the positives and negatives of the Affordable Care Act. Obamacare is an unconstitutional act being forced on our country. The negatives greatly.

Barack Obama , Health , Health care 1325 Words | 5 Pages. Obama’s health care plan, Patient Protection and Affordable Care Act (PPACA), commonly known as ObamaCare , ensures that all people have some . type of apa style health insurance and that insurance agencies are not allowed to grade essays, discriminate against individuals with preexisting health conditions. Although the aquinas cosmological essay, idea of everyone having access to grade essays, health care via health insurance is proof read, ideal and worth working towards, the ObamaCare program is not advantageous for grade essays, the majority of thomas aquinas Americans because of fourth grade essays higher tax fees, over worked. Barack Obama , Health care , Health economics 1019 Words | 3 Pages. leaving the by point organization, field, a lot of health insurance companies will go bankrupt and may force people to go against moral beliefs. The future on the Patient . Protection and fourth essays, Affordability Act depends on the states.

According to the article, The Future of Obamacare Jonathan Oberlander, Ph.D writes that “regulated marketplaces where the uninsured and small businesses will shop for coverage. Five Essays On Man And Nature? Initially, 16 states and the District of Columbia will operate their own exchanges. Fourth Grade? Another 15 have, to date, refused to. Barack Obama , Health care , Health economics 1569 Words | 5 Pages. things including offering Americans a number of new benefits, rights, and protections in regards to their healthcare and setting up a Health Insurance . Marketplace where Americans can purchase federally regulated and industrial cover, subsidized health insurance ( Obamacare ). Fourth Grade? Lawmakers passed a law that requires nearly all Americans to carry health insurance or pay a fine if they choose not to be covered. Healthcare government states that the Health Insurance Marketplace will give people more choice and control over. Health , Health care , Health economics 829 Words | 3 Pages. ? ObamaCare is Driving a Wedge Between the level engineering letter, Socio-Economic Classes. Presented to Mrs. Elham Rouhani . ECON2106-Microeconomics (40956) By Arianit Gruda, Nicole Kalgren, Richart Stephens,Tanyi Njehliweh March 22, 2014 Arianit Gruda, Nicole Kalgren, Richart Stephens,Tanyi Njehliweh ECON2106-Microeconomics (40956) Elham Rouhani 03/22/2014 ObamaCare is Driving a Wedge Between the Socio-Economic Classes. Fourth? The Affordable Care Act.

Employment , Full-time , Health care 1306 Words | 7 Pages. ? ObamaCare offers a number of protections and benefits to all Americans. Along with the 10 essential health benefits authorized by . ObamaCare , additional benefits range from slowly taking away pre-existing conditions to expanding health services. However, there are multiple problems with ObamaCare that Americans can’t stop talking about. Although ObamaCare allows tens of millions of uninsured Americans get access to affordable health insurance, it also means there will be new taxes. Most of point organization essay the. Affordable Health Care for America Act , Barack Obama , Health care 1000 Words | 3 Pages. Even though ObamaCare does a lot right, it does have some consequences for specific groups of Americans.

ObamaCare does hurt a . small percentage of essays small businesses, has had a negative effect on insurance premiums and has made some reforms that have hurt some medical industries and their workers. Five And Nature? Here are some of the fourth grade essays, cons of the healthcare bill: ObamaCare Cons: Taxes on Small Business .2% of firms in proof read the US have over 50 full-time employees and will have to grade essays, choose to insure full-time workers. Boiler insurance , Business , Disability insurance 895 Words | 3 Pages. Patient Protection and biology, Affordable Care Act The Patient Protection and Affordable Care Act of 2010 is the first major healthcare act passed since the . 1967's Medicare and fourth grade, Medicade act. Obamacare is the entry level engineering cover letter, name given by critics, because of the power that is given to fourth grade, the federal government to regulate healthcare prices. The reason given that this act was passed is that it willl save billions of federal dollars each year.

Many people against the act believe it should be repealed ,and the reason for. Barack Obama , Democratic Party , George W. Bush 1125 Words | 3 Pages. Historical Misrepresentation of the Affordable Care Act Affordable Care Act also known as . Proof Read? ObamaCare is fourth grade, a statute signed into biology ap essays a law by President Barack Obama on fourth, March, 23 2010. This act is a part of a health care reform which among other things will change and regulate requirements for employers group insurance plans as well as private health plans and public health programs. Ever. Barack Obama , Economics , Federal government of the United States 607 Words | 4 Pages. ?Is ObamaCare Bad for aquinas essay, Business? On March 23rd, 2010, President Barack Obama signed into legislation the grade, “Patient Protection and Affordable . Care Act.” Since then, the paper apa style, new bill, nicknamed “ ObamaCare ,” has sparked heated controversy all across the country between Democrats and Republicans, each side fiercely tearing at each other with facts and statistics.

I was curious as to what all the hoopla was about, so I decided to look into ObamaCare , and find out what I could about the 2,000-page mandate. Barack Obama , Business , Health care 1291 Words | 6 Pages. Obamacare “Change will not come if we wait for some other person or some other time. We are the ones we've been waiting for. We are the . change that we seek.” Those words were famously spoken from Barack Obama during his election period. Following through with those words, he begins to make change in the country. Change isn’t easy, yet you hope it’s worth it in the end. The USA seems to be standing on both sides of the fence when it comes to the changes the President is making with healthcare.

Affordable Health Care for essays, America Act , Barack Obama , Health care 636 Words | 2 Pages. According to United, and in compliance with state law, the company won't be able to five essays on man and nature, re-enter the California individual market until 2017. By then though, . competitors will get stuck with sicker patients like Sundby signing up in essays the first wave of Obamacare . This means that companies like United can cover cheaper patients if it decides to go back to the California individual insurance market. According to a report by Dylan Scott at Talking Points Memo, a Seattle woman named Donna received a cancellation. Cost , Costs , Economics 422 Words | 2 Pages. but since Democrats held a majority in the House and structure paper, the Senate at fourth, the time, their version was the structure research apa style, one that passed. On March 23rd, 2010, President Obama . signed into law the Patient Protection and fourth essays, Affordable Care Act (dubbed by many Republicans as “ ObamaCare ”). Level Industrial Cover? According to the White House, it claims four key components of the law: stronger consumer rights and fourth grade essays, protections (which includes a ban on thomas aquinas, lifetime limits, a ban on denying children health insurance based on grade essays, pre-existing conditions, and structure paper apa style, a ban on. George W. Bush , Harvard Law School , John G. Roberts 1645 Words | 4 Pages. ?Amanda McLain Dr.

Harbour POSC 150-05 October 8, 2013 Obamacare : Blessing or a Curse? On October 1, 2013 insurance exchanges opened for . individuals buying their own insurance with assistance from the government. This program commonly referred to, as Obamacare is formally known as The Patient Protection and grade, Affordable Care Act (PPACA). Since 2009, when legislation was still in the debate stage, people have been beating down bogus claims about the aquinas argument essay, Affordable Care Act. But in fourth essays the recent months. Barack Obama , Deductible , Disability insurance 1152 Words | 5 Pages. Public Acceptance of the ObamaCare Reform.

? Abstract This is an analytical report about the public acceptance of the Patient Protection and aquinas, Affordable Care Act also known as the . ObamaCare reform. Acceptance of the ObamaCare Reform The Patient Protection and Affordable Care Act, also known as ObamaCare , is a bill signed into fourth grade essays law created to five on man and nature, reform the health care industry. It was approved on fourth essays, March 23 2010. When President Obama signed the Affordable Care Act into law, comprehensive reforms was put in place to paper apa style, improve. Health care , Health economics , Health insurance 1216 Words | 4 Pages. Westerman 1 Stephanie Westerman Mr. Hendricks Class Name 14 November 2013 ObamaCare : Reforming Our Healthcare System . In the grade, 2008 election, Presidential candidate Barack Obama focused on healthcare reform.

Barack Obama stated that the high costs of health insurance were, “a threat to our economy” (“History of the Passage”). He made it publicly known that health insurance should be every American's right (“History of the Passage”). Obama began his journey to establish a working healthcare plan. Arianna Huffington , The Huffington Post 1292 Words | 7 Pages. The Necessity of ObamaCare in the United States. The Necessity of ObamaCare in the United States The United States is biology, heavily watched around the world in terms of politics or any other . action as it is one of the leading countries of the world.

Recently, the United States caught the eye of the world in its recent debate of the health care reform. Most commonly referred to as “ ObamaCare ” the official name is the Patient Protection and Affordable Care Act (PPACA) or for short, the Affordable Care Act (ACA). President Barack Obama on grade essays, March 23, 2010. Barack Obama , Health care , Health economics 1394 Words | 4 Pages. The effects of Obamacare on aquinas argument, Medicine. According to Obamacare facts Obamacare contains more than a thousand pages of fourth grade reforms to the insurance industry and health care . sector in essays on man and nature order to reduce health care costs and provide affordable health insurance for all Americans. This sounds like a great idea, right?

This is the American dream, is not it? For many people, this is a great idea that they will finally be able to receive health care and take that burden off their backs. People see this as someone finally caring and listening, politics. Health care , Health care provider , Health economics 977 Words | 3 Pages. ? Obamacare , America’s Healthcare By English 1020-104 24 April 2013 Outline Thesis . statement: Government healthcare is undermining the healthcare system not to mention the essays, framework of the Constitution.

The quality of structure apa style healthcare today will diminish and it will restrict the grade essays, healthcare supply. I.) The history of government healthcare A.) Medicare set up in industrial cover letter 1965 intended to relieve the grade essays, financial burden of medical bills for the elderly and disabled. Health care , Health care in and nature the United States , Health insurance 1782 Words | 5 Pages. Act in America, known as Obamacare . Obamacare is the universal health care in the United States that provides Americans access to . affordable, quality health insurance, with a goal of fourth grade essays reducing growth in research paper healthcare spending. This universal health plan is technically a mandate or tax, in which non-compliers may be penalized through their federal return. Our topic debates whether Americans should be forced to pay this ‘shared responsibility fee’ for not complying with Obamacare . Arguments for Pro’s . Barack Obama , Health , Health care 2148 Words | 6 Pages. ? Obamacare Small Business BUS 207 01 November 25, 2013 Melissa Spinden Many people have . Fourth Grade Essays? a lot of questions when it comes to the new healthcare reform law. First off Obamacare is formally called the Patient Protection and Affordable Care Act. The Patient Protection and Affordable Care Act is the healthcare reform law that was signed in by point 2010 and fourth grade essays, now many states have opened their health insurance marketplace exchanges as of October 1, 2013. . Business , Economics , Health care 1867 Words | 6 Pages. Obamacare Controversy always surrounds change.

Healthcare is ap essays, this kind of controversial topic where people refuse to accept changes, even . though changes must be made. Obamacare details many changes, how they will be made, and whom they will affect. As with any bill, there are pros and essays, cons that exist as the entry level industrial engineering letter, bill helps many, but makes some a little worse off. Fourth Essays? Taking into account the pros that include the minimum benefits package and expansion of Medicare coverage as well as the cons that include. Federal government of the proof read, United States , Health , Health care 1707 Words | 4 Pages. ?Gracynn Malone POLS101 Paper 1: Question 3 The Affordable Care Act “ Obamacare ” was signed into law to reform the health care industry by fourth, . President Barack Obama on March 23, 2010 and upheld by the Supreme Court on June 28, 2012. Obamacare’s goal was to give more Americans access to affordable, quality health insurance and to thomas aquinas cosmological essay, reduce the growth in fourth grade health care spending in the U.S ( Obamacare ). Thomas Essay? But which political party benefits more from the essays, act? In the long run, Democrats benefit from the Affordable. Barack Obama , Health care , Health care in the United States 961 Words | 3 Pages.

ObamaCare and the Healthcare System Cause and Effect Essay ObamaCare and the Healthcare System Medical and health insurance is by point organization, a . very helpful and needed aid in grade America. Although not everyone can get it since some have pre-existing conditions, it helps a great deal of people. One of the terms in the Patient Protection and Affordable Care Act, a.k.a. ObamaCare , says that even children with pre-existing conditions are guaranteed medical insurance. This may seem like a great thing to some, but that. Disability insurance , Health , Health care 1029 Words | 3 Pages. Affordable Care Act is proof read, a statute signed into a law by Barack Obama on March, 23 2010. This act which is fourth grade, also known as Obamacare is a part of a . health care reform which among other things will change and regulate requirements for and nature, employers’ group insurance plans as well as private health plans and public health programs. There are a lot of pros and grade essays, cons to this reform and a lot of on man aspects of the act are being misinterpreted or misunderstood. Although this reform was designed with.

Health care , Health economics , Health insurance 1886 Words | 5 Pages. Kim Cummings February 21, 2011 Obamacare – Satan’s Healthcare Plan Healthcare reform is a very touchy subject these days. Presidential . Fourth Grade Essays? campaign promises have been made in the past to biology ap essays, reform the healthcare system but like a lot of campaign promises, they were not kept. There is fourth grade essays, too much money and politics involved in the current healthcare system. Big insurance companies pay a lot of money to lobbyists to keep the status quo, which is more money coming in than paying out. Entry Level Engineering? Healthcare reform was. Barack Obama , Bill Clinton , Democratic Party 2043 Words | 5 Pages. The Debt Ceiling and Obamacare On June 23rd, 2011, an article published in the TIME magazine (“One Document, Under Siege” by Richard Stengel) . discussed how the Constitution was under attack and how we should interpret it. Grade Essays? It also addressed the question of what the essays on man and nature, founding fathers, or the framers, would have to say about current issues. Essays? The answer to that is biology, simple. Times now are so different compared to what life was when the Constitution was written, that the fourth grade, framers would most likely be in shock.

Barack Obama , Democratic Party , Federal government of the United States 957 Words | 3 Pages. ? Final Essay Instructor: Jason Jakubowski The War on Terror has changed the lives of all American citizens. Our civil rights and liberties . have been changed forever. Five Essays On Man? There is little to no federalism left in the government. There now seems to be a power struggle between the grade essays, three branches of government: the Judicial, Executive and Legislative, on who gets to make the laws. The checks and balances system does not appear to be in balance. Many Acts have been put in place since the. Boumediene v. Five On Man? Bush , Habeas corpus , Hamdan v. Rumsfeld 1755 Words | 7 Pages.

America’s Political Conflict Over Obamacare. ? Jones International University America’s Political Conflict Over Obamacare Prof. Julia Maypole Submitted in Partial Fulfillment of . the Requirements for HUM201 Peace and Conflict Studies By John W. Odom, III Abstract Affordable Care Act (A.C.A.) The conflict about the Affordable Care Act (or ObamaCare as it commonly called) has been one of the most controversial subjects in essays our country since the beginning of Barack Obama’s presidential campaign in 2007. Ironically, the majority. Barack Obama , Bill Clinton , Democratic Party 863 Words | 7 Pages. The Seeker of essays Truth (ambiguity at its best) Albert Camus’s The Stranger, and Raymond Carver’s Short Cuts, through their individual stories, presents a . Fourth Grade Essays? logos based appeal; the two authors, Carver and Camus convey the message that life has no rational meaning, and that we live in structure research a world filled with irrational behavior without explanation, and purpose. The characters throughout Carver’s Short Cuts struggle in an emotion-based atmosphere, with their lives in fourth grade private desperation, and inapt social. Emotion , Existentialism , Feeling 1404 Words | 4 Pages. ? On March 10, 2010, the Patient Protection and point essay, Affordable Care Act (PPACA), commonly called “ ObamaCare ,” became law. The basic premise of the . Grade Essays? law established state-based health insurance exchanges via the Internet, in which individuals and small businesses could purchase private insurance plans. The Obama administration claimed the website would be a simple, easy to use, one stop destination for uninsured Americans to find affordable health care.

However, on proof read, the launch date for the website, October. 1966 , 1973 , 1979 853 Words | 4 Pages. David Farmer ENGL 1010-04 Dr. Fourth Grade? Hale April 29, 2011 Obamacare : The Real Threat to America President Barack Obama has been written into the . history books for becoming the first African American president of the on man and nature, United States. The president plans on changing history again by fourth essays, bringing universal health care into the United States, which has won him much popularity among Democratic voters. President Obama’s speeches are adored by his fans but raise many red flags for five and nature, the majority of America.

Major. Barack Obama , Bill Clinton , Democratic Party 2189 Words | 5 Pages. Healthcare Act was fully implemented on January 1st, 2014. Already, many Americans have signed up for grade essays, their insurance provided by the government. To be . specific, nearly 10 million people now are covered by this law as of January 6th of this year [“Has Obamacare really signed up 10 million people?” Ezra Klein. Mon. 6 Jan, 2014]. But since enrollment into the program began, the website had many technical issues. Conservatives argue that this poor enrollment process is by point, evidence.

Barack Obama , Democratic Party , Hawaii 1523 Words | 4 Pages. in coverage, more than 50,000 have started applications and more than 300,000 unique visitors have checked out what the marketplace has to grade, offer. For a state . with about 625,000 uninsured people, those are promising figures. (Kentucky Built Best Obamacare Website) One of the proof read, few desirable outcomes of this policy is that, with this plan everyone will eventually have health insurance. Fourth Essays? Not so sure on the undesirable side of things seeing that some may oppose the mandated rule altogether and become more. Barack Obama , Deductible , Disability insurance 1620 Words | 6 Pages. as Obamacare . Point By Point Organization? The issue currently debated with this piece of fourth essays legislature focuses on it's constitutionality, it's purpose as a tax hike, and proof read, . whether or not it should be passed. Essays? Is the Patient Protection and Affordable Care Act unconstitutional? From what I have studied in the article “Is Obamacare unconstitutional?”, at, and proof read, from what I know of the grade, act, I would say that it is certainly unconstitutional.

Does the act serve as a tax hike? According to “Voters consider ObamaCare a tax. Democracy , Federal government of the proof read, United States , Health care 644 Words | 2 Pages. Analysis Response Essay on Krauthammer's Obamacare vs. Constitution Article. Response essay on “ Obamacare vs. Constitution” Pamela Aceves Response essay on “ Obamacare vs Constitution” Now that . elections are coming we are hearing a lot of grade commentaries about politics and the candidates’ pros and cons.

I want to research, make a response essay on the article that Charles Krauthammer wrote. He is a Pulitzer-Prize winner and a political columnist very recognized, he is editor in the Weekly Standard and in The New Republic and he is also known as a conservative idealist. In this. Civil liberties , Constitution , Health care 1245 Words | 4 Pages. How the New Deal Defines the essays, Debate over Obamacare. ?12/2/2013 Article 11: How the organization, New Deal Defines the Debate over Obamacare The Affordable Care Act or more notably called, . Fourth? Obamacare is considered to be an extension to the New Deal since Medicare and point by point organization essay, Medicaid. Essays? The article took us back to the election of 1932 where Hoover and F.D.R. competed for presidency. A quote stated in this article reiterated Hoover saying, this was “more than a contest between two men, it was a contest between two philosophies of government.” A change in America was created.

Al Smith , Democracy , Eleanor Roosevelt 790 Words | 3 Pages. ?Niyyah Bilal Hayes October 19, 2014 Adejumo POS2041 The Affordable Care Act and Minorities After decades of health-care reform attempts, the U.S Senate . Structure Paper Apa Style? passed the Patient Protection and Affordable Care Act (better known as Obamacare or the Affordable Care Act). In response to fourth grade, this the 16th Annual Summer Public Health Research Institute and Videoconference on Minority Health’s (the Institute) June 8th, 2010 topic was “What Will Health-Care Reform Mean for Minority Health Disparities”. Thomas Aquinas Cosmological Essay? As we move. Health , Health care , Health disparities 540 Words | 3 Pages.

Recently, the subject of Obamacare (the Affordable Care Ac) is debated everywhere. There are pros and cons to Obamacare . Although . Obamacare is helpful to many, others see it as unfair, but with help from fourth grade, both sides a system that satisfies the needs of everyone should be obtainable. As far as pros, the Affordable Care Act contains many benefits, notably for point by point essay, those who receive low and middle incomes. Fourth Essays? This is incredibly helpful because healthcare is a necessity for everyone and Obamacare makes it easier to. Barack Obama , Health care , Health economics 527 Words | 2 Pages. How Obamacare Increases Unemployment. RUNNING HEAD: HOW OBAMACARE INCREASES UNEMPLOYMENT 1 HOW OBAMACARE INCREASES UNEMPLOYMENT Article #2 HOW . OBAMACARE INCREASES UNEMPLOYMENT 2 Our Employment rate is still high hovering over 8 percent and has remained this way for over three years. The new Federal mandatory $2,000.00 per worker tax law; which comes into effect in proof read 2014, for all employers which do not have the right kind of health insurance for their employees, inhibits and grade essays, restricts many employers to not hire. Economics , Economy of the United States , Employment 479 Words | 2 Pages.

ObamaCare vs. Religion Religious leaders are fighting against ObamaCare , saying it goes against five, what they believe in, and fourth grade, . that they should not be forced to level, pay for it in any way, even indirectly. I think differently, they should not have a say based on their religion alone as to whether or not they participate. Grade Essays? They can claim it violates their freedom, but I don’t think anyone quite understands what freedom means for us now, so let’s look at freedom first. Are we really free? The definition. 1995 singles , 2005 singles , 2007 singles 675 Words | 2 Pages. ?Health Care Reform and the Affordable Care Act The Affordable Care Act (also known as Obamacare ) is a hot topic in point by point essay today’s political . Grade? atmosphere. Advocacy and Opposition both run rampant throughout the country.

The goal of the act was to fix the health care concern. The Catholic Church (as an entity, not as members of the Catholic Church) has pledged their support for the act. It believes that everyone is five, entitled to fourth essays, the same benefits regardless of proof read whether or not they can afford it and that it. 111th United States Congress , Catholic Church , Health care 478 Words | 3 Pages. Senate Republicans Develop The Most Credible Plan Yet To 'Repeal And Replace' Obamacare. repeal and replace Obamacare . Grade? The plan seeks to ensure that as many Americans have health coverage as Obamacare does. The vast . majority of the Republican base is employed or retired; these active GOP primary voters are sometimes unaware of the degree to which their health coverage is heavily subsidized by essays on man, the tax code or financed by essays, the government. The Republican Study Committee, a caucus of House Republican conservatives, put out biology, a plan last fall that would replace Obamacare by capping the employer. Health care , Health economics , Health insurance 648 Words | 2 Pages. Questions and Answers: Obamacare, Free Will, Critical Thinking, and Advertising. they be able to implement Obamacare . Fourth Essays? What I mean by that is the thomas argument essay, health advisors and political advisors should have determined what the cost . would be to implement this program and after knowing the cost decide if it was justified for them to fourth, raise taxes and implement laws requiring all Americans to partake in structure apa style this debacleand be forced by new laws to have to pay into this program.

I for one, do not appreciate having to fourth grade, pay 4x as much for my health care than before ObamaCare . Proof Read? I feel that there could. Cognition , Critical thinking , Learning 742 Words | 2 Pages. As Obamacare Rolls Out, Retail Clinics are Booming Again. ? Strategic Marketing Management Current Events # 2: As Obamacare Rolls Out, Retail Clinics are Booming Again This article describes how . Retail Clinics are emerging as a new business model in the healthcare industry to satisfy the fourth, need for convenience, timely and affordable medical services, especially with the entry engineering, Affordable Care Act in motion. Retail Clinics started to appear in fourth essays 2006 and are becoming more and proof read, more popular. The fundamental model is the same: offer a limited number of basic ambulatory.

Centers for Medicare and Medicaid Services , Health , Health care 557 Words | 3 Pages. ? Obamacare Obamacare is a huge topic being discussed between many politicians and regular people across the country. . Obamacare is the fourth grade essays, major “accomplishment” of President Obamas Presidency. Essays On Man? While democrats generally are in favor of Obamacare , the republicans are against it. The arguments against fourth essays, Obamacare are the effects on Medicaid, whether it is structure apa style, constitutional or not, and costs of running it. I personally side with the republicans against Obamacare . First thing is the negative effects on. Barack Obama , Democratic Party , President of the United States 825 Words | 4 Pages. Small Business and fourth, United States Economy. Introduction In this essay it will be addressing the upcoming healthcare known as Obamacare . What is industrial, Obamacare ? . Fourth Essays? Obamacare is a new law signed by President Barack Obama; its main focus is to provide affordable health care, whether the American people like it not. If an American chooses not have health insurance, an biology, individual could be fined. As Obamacare approaches and becomes into effect in approximately 6 months it has become one of the most controversial subjects affecting the American people. Affordable Health Care for America Act , Barack Obama , Business 1742 Words | 6 Pages.

Health Insurance and Affordable Care Act. ObamaCare The Patient Protection and Affordable Care Act (PPACA), also called ObamaCare or the Affordable Care Act, is a . United States federal statute signed into law by grade, President Barack Obama on March 23, 2010. This is one of the proof read, most consequential expansions from the government and fourth, administrative overhaul of the U.S healthcare system, since the proof read, establishment of Medicaid and Medicare of 1965. The purpose of the Patient Protection and Affordable Care Act is for raising the fourth grade, rate of health coverage. Barack Obama , Federal government of the United States , Health care 1010 Words | 3 Pages. What is Obama Care? What is the point by point organization, Health Care For America Plan? You've heard of ObamaCare , but what is ObamaCare or the Health . Care For America Plan exactly?

Obama Care (also known as the fourth grade essays, Health Care for entry cover, America Plan) is a national health care plan aimed at reforming the American health care system. ObamaCare's main focus is on regulating the health insurance industry and reducing spending in health care. What is Obama Care?: Obama Care is the unofficial name for essays, The Patient Protection and point by point essay, Affordable. Barack Obama , Democratic Party , Health care 708 Words | 3 Pages. some policies will benefit some people more than others and fourth essays, some can just plain benefit the cosmological essay, ones who run the country. Obamacare has some . history behind the grade essays, issues, benefits, and policies that will be placed on Americans to abide by. We will take a look at the pros and cons of biology such a policy and weigh in on fourth, how it is good or bad depending on how it affects you and your family. Obamacare is an overall Medicaid expansion that is supposed to be one of the biggest milestones within healthcare reform by aquinas argument, insuring. Barack Obama , Federalism , Health care 731 Words | 3 Pages.

Political Campaign Analysis Paper. deceptive persuasion or making metaphorical comparisons. Grade Essays? When trying to persuade someone else to adopt a position, these rhetorical tools contribute to the . overall purpose of each campaign. The video campaign, “ Obamacare : More Than a Glitch,” is a perfect example of this. “ Obamacare : More Than a Glitch,” was a campaign ran by The Heritage Foundation in 2013. The Heritage Foundation is a forty-one year old institution which promotes conservative ideas and values. “The Heritage Foundation is. Barack Obama , Conservatism in the United States , Heritage Foundation 1269 Words | 4 Pages. ? ObamaCare pros and cons Lack of doctors, more spending, and research paper, distressed Americans is what we can relate to The Affordable Care Act, also . known as ObamaCare . The ACA was signed into law on March 23, 2010 intended to reform the essays, healthcare industry. “ObamaCare's goal is to give more Americans access to affordable, quality health insurance, and to reduce the growth in health care spending in the U.S” The general American population go back and forth on proof read, the pros and cons of the Affordable Care. Barack Obama , Democratic Party , Health care 1127 Words | 3 Pages.

Barack Obama and Affordable Care Act. Obamacare , or what is formally known as the Patient Protection and Affordable Care Act, is federal legislation that was signed into law on . March 23, 2010 by essays, present Barak Obama. The act aims to reform national healthcare and point by point, give more people than before access to affordable healthcare. Fourth Essays? The overall goal of the act is to cover all persons regardless of their conditions or other factors. Biology Ap Essays? The passing of Obamacare has led to much conflict in the government and throughout the nation. In particular, recently. Barack Obama , Democratic Party , Hawaii 1454 Words | 4 Pages. Innovation Olivia Elisabeth Brown HCA 210 January 27, 2013 Theresa Brock Health Care Innovation ObamaCare . ObamaCare is the official name for the Patient Protection and Affordable Care Act.

The bull was signed by the President on March 23, 2012. It provides affordable healthcare insurance to millions of uninsured people, and reduces the grade, growth in healthcare spending. Point By Point Essay? The ObamaCare Healthcare bill was created to provide more rights to people who struggle to obtain healthcare insurance. Health care , Health care provider , Health economics 765 Words | 3 Pages. this year has been ObamaCare . The cost of fourth grade essays health care has been skyrocketing for proof read, years, making it unaffordable for many people. The people who . cannot afford it wind up without any health insurance at fourth essays, all and the cost of caring for five, them when they are sick gets passed on to all Americans in the form of higher insurance premiums.

The Affordable Care Act was made to fourth grade, alleviate this problem. The official name for by point organization, ObamaCare is the Patient Protection and Affordable Care Act. Fourth Grade Essays? ObamaCare was signed into law. Barack Obama , Health care , Health economics 853 Words | 3 Pages. ? OBAMACARE Name: The Unknowns Course: Introduction to American Government Institution: Professor Luma Date: 24 March 2015 History . Prior to the onset of the entry industrial cover, Obamacare , the American healthcare system was characterized by increasing cost of healthcare.

For instance in grade the 10 years before the proof read, implementation of the grade, Obamacare , total expenditure increased at a constant rate. Proof Read? These rising rates of expenditure were unearthed to grade essays, be caused by the new technology and medicines; this is according. Health care , Health care in the United States , Health insurance 2389 Words | 13 Pages. Subject: Proposal to research the effects Obamacare has had on our health industry. In 2010, the president of the United States, Barack . Obama, successfully passed a new health care reform law. The Affordable Care Act “ Obamacare ” has dramatically changed the level industrial engineering cover letter, health industry in the past four years since its approval. Fourth Grade Essays? The question at hand is, was it a positive or a negative change in the health care industry? This proposal will summarize the major changes Obamacare has made in the way our health industry. Barack Obama , Health , Health care 846 Words | 3 Pages. Health Care and Insurance Premiums.

ObamaCare : Can the American people afford it? The Patient Protection and Affordable Care Act, also known as ObamaCare , was . By Point? signed into law on March 23, 2010 by fourth grade, President Barack Obama. The intent of entry cover letter this legislation was to provide all American citizens with healthcare and to grade essays, improve the structure, overall quality of the healthcare system in the United States. Unfortunately, the cost to implement and maintain ObamaCare will prove to be too costly for the American people. Essays? The main funding for this legislation.

Barack Obama , Health care , Health care provider 974 Words | 3 Pages.

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Transcript: Barack Obama's Speech on grade, Race. Click to view mentions of key words in Obama's speech. hide caption. The number of structure research times Obama used these key words in fourth essays his March 18 speech on race in proof read Philadelphia. The following is essays a transcript of the remarks of Democratic Illinois Sen. Barack Obama, delivered March 18, 2008, in Philadelphia at the Constitution Center. In it, Obama addresses the entry industrial letter role race has played in the presidential campaign. He also responds to criticism of the Rev.

Jeremiah Wright, an fourth grade unpaid campaign adviser and essays pastor at Obama's Chicago church. Wright has made inflammatory remarks about the United States and fourth essays has accused the five essays country of bringing on the Sept. 11 attacks by spreading terrorism. We the people, in order to form a more perfect union . — 221 years ago, in a hall that still stands across the street, a group of men gathered and, with these simple words, launched America's improbable experiment in democracy. Farmers and scholars, statesmen and patriots who had traveled across an ocean to grade, escape tyranny and persecution finally made real their declaration of independence at a Philadelphia convention that lasted through the point by point essay spring of 1787. The document they produced was eventually signed but ultimately unfinished. It was stained by this nation's original sin of slavery, a question that divided the colonies and brought the convention to a stalemate until the founders chose to allow the slave trade to grade, continue for at least 20 more years, and to leave any final resolution to future generations. Of course, the answer to the slavery question was already embedded within our Constitution — a Constitution that had at its very core the ideal of equal citizenship under the law; a Constitution that promised its people liberty and and nature justice and a union that could be and essays should be perfected over time. And yet words on a parchment would not be enough to deliver slaves from on man, bondage, or provide men and essays women of every color and creed their full rights and obligations as citizens of the United States.

What would be needed were Americans in structure research paper successive generations who were willing to fourth, do their part — through protests and struggles, on the streets and in point by point organization essay the courts, through a civil war and civil disobedience, and always at great risk — to narrow that gap between the promise of our ideals and the reality of their time. This was one of the tasks we set forth at the beginning of this presidential campaign — to continue the long march of grade essays those who came before us, a march for a more just, more equal, more free, more caring and cosmological argument more prosperous America. I chose to run for president at this moment in history because I believe deeply that we cannot solve the challenges of our time unless we solve them together, unless we perfect our union by fourth essays, understanding that we may have different stories, but we hold common hopes; that we may not look the same and entry level engineering cover letter we may not have come from the same place, but we all want to move in the same direction — toward a better future for our children and our grandchildren. This belief comes from essays, my unyielding faith in structure apa style the decency and generosity of the American people. Fourth Essays! But it also comes from my own story. I am the son of a black man from aquinas cosmological, Kenya and a white woman from Kansas. Fourth Essays! I was raised with the help of a white grandfather who survived a Depression to serve in Patton's Army during World War II and a white grandmother who worked on entry letter, a bomber assembly line at Fort Leavenworth while he was overseas. I've gone to some of the best schools in America and lived in essays one of the world's poorest nations. I am married to a black American who carries within her the structure apa style blood of slaves and slaveowners — an inheritance we pass on to our two precious daughters.

I have brothers, sisters, nieces, nephews, uncles and cousins of fourth grade essays every race and every hue, scattered across three continents, and for as long as I live, I will never forget that in no other country on Earth is my story even possible. It's a story that hasn't made me the most conventional of candidates. But it is a story that has seared into my genetic makeup the idea that this nation is more than the sum of its parts — that out of biology ap essays many, we are truly one. Throughout the fourth essays first year of point this campaign, against fourth all predictions to the contrary, we saw how hungry the American people were for this message of entry industrial cover letter unity. Despite the temptation to view my candidacy through a purely racial lens, we won commanding victories in states with some of the whitest populations in the country. Grade Essays! In South Carolina, where the biology ap essays Confederate flag still flies, we built a powerful coalition of African-Americans and white Americans. This is grade essays not to say that race has not been an issue in this campaign.

At various stages in the campaign, some commentators have deemed me either too black or not black enough. We saw racial tensions bubble to the surface during the week before the South Carolina primary. Five! The press has scoured every single exit poll for the latest evidence of fourth essays racial polarization, not just in terms of white and biology black, but black and brown as well. And yet, it has only been in the last couple of weeks that the discussion of fourth grade race in structure research this campaign has taken a particularly divisive turn. On one end of the fourth essays spectrum, we've heard the implication that my candidacy is organization somehow an exercise in affirmative action; that it's based solely on the desire of wide-eyed liberals to purchase racial reconciliation on the cheap.

On the other end, we've heard my former pastor, Jeremiah Wright, use incendiary language to fourth grade essays, express views that have the potential not only to widen the racial divide, but views that denigrate both the greatness and the goodness of proof read our nation, and that rightly offend white and black alike. I have already condemned, in unequivocal terms, the statements of Reverend Wright that have caused such controversy and, in some cases, pain. For some, nagging questions remain. Did I know him to be an occasionally fierce critic of American domestic and grade foreign policy? Of course. Did I ever hear him make remarks that could be considered controversial while I sat in the church? Yes. Did I strongly disagree with many of his political views? Absolutely — just as I'm sure many of you have heard remarks from your pastors, priests, or rabbis with which you strongly disagreed. But the remarks that have caused this recent firestorm weren't simply controversial. And Nature! They weren't simply a religious leader's efforts to speak out against perceived injustice.

Instead, they expressed a profoundly distorted view of this country — a view that sees white racism as endemic, and that elevates what is wrong with America above all that we know is right with America; a view that sees the conflicts in the Middle East as rooted primarily in the actions of fourth stalwart allies like Israel, instead of emanating from the perverse and hateful ideologies of radical Islam. As such, Reverend Wright's comments were not only wrong but divisive, divisive at cosmological essay a time when we need unity; racially charged at a time when we need to come together to solve a set of monumental problems — two wars, a terrorist threat, a falling economy, a chronic health care crisis and potentially devastating climate change — problems that are neither black or white or Latino or Asian, but rather problems that confront us all. Given my background, my politics, and my professed values and ideals, there will no doubt be those for whom my statements of condemnation are not enough. Why associate myself with Reverend Wright in the first place, they may ask? Why not join another church?

And I confess that if all that I knew of Reverend Wright were the snippets of those sermons that have run in grade an endless loop on the television sets and YouTube, or if Trinity United Church of Christ conformed to the caricatures being peddled by some commentators, there is no doubt that I would react in much the same way. But the truth is, that isn't all that I know of the man. The man I met more than 20 years ago is a man who helped introduce me to my Christian faith, a man who spoke to entry level engineering cover letter, me about our obligations to love one another, to grade essays, care for the sick and lift up the poor. He is a man who served his country as a United States Marine; who has studied and lectured at point by point some of the finest universities and fourth essays seminaries in the country, and who for entry level engineering over 30 years has led a church that serves the community by doing God's work here on Earth — by fourth, housing the homeless, ministering to the needy, providing day care services and scholarships and level industrial engineering cover letter prison ministries, and reaching out to those suffering from HIV/AIDS. In my first book, Dreams From My Father , I describe the experience of my first service at Trinity: People began to essays, shout, to rise from their seats and clap and cry out, a forceful wind carrying the reverend's voice up into the rafters.

And in that single note — hope! — I heard something else: At the entry level foot of that cross, inside the thousands of churches across the city, I imagined the stories of ordinary black people merging with the fourth grade stories of essays David and Goliath, Moses and Pharaoh, the Christians in the lion's den, Ezekiel's field of dry bones. Those stories — of survival and freedom and hope — became our stories, my story. The blood that spilled was our blood, the tears our tears, until this black church, on this bright day, seemed once more a vessel carrying the story of a people into future generations and into a larger world. Our trials and triumphs became at once unique and universal, black and more than black. In chronicling our journey, the stories and songs gave us a meaning to reclaim memories that we didn't need to feel shame about — memories that all people might study and cherish, and with which we could start to fourth grade, rebuild. That has been my experience at Trinity.

Like other predominantly black churches across the country, Trinity embodies the black community in its entirety — the doctor and the welfare mom, the biology ap essays model student and essays the former gang-banger. Like other black churches, Trinity's services are full of raucous laughter and sometimes bawdy humor. Aquinas Argument Essay! They are full of dancing and fourth grade essays clapping and screaming and research paper shouting that may seem jarring to the untrained ear. The church contains in full the kindness and cruelty, the fierce intelligence and the shocking ignorance, the struggles and successes, the grade essays love and, yes, the bitterness and biases that make up the black experience in America. And this helps explain, perhaps, my relationship with Reverend Wright.

As imperfect as he may be, he has been like family to me. He strengthened my faith, officiated my wedding, and baptized my children. Not once in thomas my conversations with him have I heard him talk about any ethnic group in derogatory terms, or treat whites with whom he interacted with anything but courtesy and respect. He contains within him the contradictions — the fourth grade essays good and paper apa style the bad — of the community that he has served diligently for so many years. I can no more disown him than I can disown the grade essays black community. I can no more disown him than I can disown my white grandmother — a woman who helped raise me, a woman who sacrificed again and again for me, a woman who loves me as much as she loves anything in this world, but a woman who once confessed her fear of black men who passed her by on biology ap essays, the street, and who on more than one occasion has uttered racial or ethnic stereotypes that made me cringe. These people are a part of me. And they are part of America, this country that I love. Some will see this as an attempt to justify or excuse comments that are simply inexcusable. I can assure you it is not. I suppose the politically safe thing to do would be to move on from this episode and just hope that it fades into the woodwork.

We can dismiss Reverend Wright as a crank or a demagogue, just as some have dismissed Geraldine Ferraro, in the aftermath of her recent statements, as harboring some deep-seated bias. But race is an issue that I believe this nation cannot afford to essays, ignore right now. Organization! We would be making the grade essays same mistake that Reverend Wright made in his offending sermons about America — to thomas cosmological argument essay, simplify and grade essays stereotype and amplify the negative to and nature, the point that it distorts reality. The fact is that the comments that have been made and fourth essays the issues that have surfaced over the last few weeks reflect the complexities of argument race in grade essays this country that we've never really worked through — a part of our union that we have not yet made perfect. And if we walk away now, if we simply retreat into biology our respective corners, we will never be able to grade essays, come together and solve challenges like health care or education or the need to essays, find good jobs for every American. Understanding this reality requires a reminder of how we arrived at grade this point. As William Faulkner once wrote, The past isn't dead and buried. In fact, it isn't even past. Five And Nature! We do not need to fourth, recite here the entry cover history of racial injustice in this country.

But we do need to remind ourselves that so many of the disparities that exist between the African-American community and the larger American community today can be traced directly to inequalities passed on from an earlier generation that suffered under the grade essays brutal legacy of slavery and Jim Crow. Segregated schools were and are inferior schools; we still haven't fixed them, 50 years after Brown v. Board of Education. And the inferior education they provided, then and now, helps explain the pervasive achievement gap between today's black and white students. Legalized discrimination — where blacks were prevented, often through violence, from owning property, or loans were not granted to African-American business owners, or black homeowners could not access FHA mortgages, or blacks were excluded from unions or the police force or the fire department — meant that black families could not amass any meaningful wealth to aquinas cosmological argument, bequeath to future generations. That history helps explain the grade wealth and income gap between blacks and whites, and the concentrated pockets of poverty that persist in so many of today's urban and rural communities. A lack of economic opportunity among black men, and the shame and frustration that came from not being able to five and nature, provide for one's family contributed to the erosion of black families — a problem that welfare policies for many years may have worsened.

And the lack of basic services in so many urban black neighborhoods — parks for kids to play in, police walking the beat, regular garbage pickup, building code enforcement — all helped create a cycle of violence, blight and neglect that continues to haunt us. This is the reality in which Reverend Wright and other African-Americans of essays his generation grew up. They came of by point organization age in fourth the late '50s and early '60s, a time when segregation was still the law of the land and opportunity was systematically constricted. Cosmological Argument Essay! What's remarkable is not how many failed in the face of discrimination, but how many men and women overcame the odds; how many were able to make a way out of no way, for those like me who would come after them. For all those who scratched and fourth clawed their way to get a piece of the American Dream, there were many who didn't make it — those who were ultimately defeated, in one way or another, by discrimination. That legacy of defeat was passed on on man and nature, to future generations — those young men and, increasingly, young women who we see standing on fourth grade, street corners or languishing in our prisons, without hope or prospects for five and nature the future. Grade Essays! Even for those blacks who did make it, questions of race and racism continue to define their worldview in proof read fundamental ways. For the men and women of Reverend Wright's generation, the memories of humiliation and doubt and fear have not gone away; nor has the anger and fourth grade essays the bitterness of those years. That anger may not get expressed in public, in front of white co-workers or white friends.

But it does find voice in the barbershop or the beauty shop or around the kitchen table. Proof Read! At times, that anger is exploited by politicians, to gin up votes along racial lines, or to fourth grade, make up for a politician's own failings. And occasionally it finds voice in the church on Sunday morning, in the pulpit and in the pews. The fact that so many people are surprised to hear that anger in some of Reverend Wright's sermons simply reminds us of the old truism that the most segregated hour of American life occurs on Sunday morning. That anger is not always productive; indeed, all too often it distracts attention from essays on man, solving real problems; it keeps us from squarely facing our own complicity within the African-American community in grade essays our condition, and prevents the African-American community from forging the alliances it needs to bring about real change. But the anger is real; it is powerful. And to simply wish it away, to condemn it without understanding its roots, only serves to structure research paper, widen the chasm of grade misunderstanding that exists between the races. In fact, a similar anger exists within segments of the white community.

Most working- and middle-class white Americans don't feel that they have been particularly privileged by their race. Their experience is the research apa style immigrant experience — as far as they're concerned, no one handed them anything. They built it from scratch. They've worked hard all their lives, many times only to see their jobs shipped overseas or their pensions dumped after a lifetime of labor. They are anxious about their futures, and they feel their dreams slipping away. And in an era of stagnant wages and global competition, opportunity comes to be seen as a zero sum game, in which your dreams come at my expense. So when they are told to bus their children to a school across town; when they hear an fourth essays African-American is getting an advantage in cosmological argument essay landing a good job or a spot in essays a good college because of an injustice that they themselves never committed; when they're told that their fears about crime in urban neighborhoods are somehow prejudiced, resentment builds over time.

Like the anger within the black community, these resentments aren't always expressed in engineering cover polite company. But they have helped shape the political landscape for at grade least a generation. Anger over welfare and affirmative action helped forge the Reagan Coalition. Politicians routinely exploited fears of crime for their own electoral ends. Talk show hosts and conservative commentators built entire careers unmasking bogus claims of racism while dismissing legitimate discussions of by point essay racial injustice and inequality as mere political correctness or reverse racism. Just as black anger often proved counterproductive, so have these white resentments distracted attention from the real culprits of the middle class squeeze — a corporate culture rife with inside dealing, questionable accounting practices and short-term greed; a Washington dominated by lobbyists and grade essays special interests; economic policies that favor the few over biology ap essays the many. And yet, to wish away the resentments of white Americans, to label them as misguided or even racist, without recognizing they are grounded in legitimate concerns — this too widens the racial divide and blocks the path to grade, understanding. This is where we are right now.

It's a racial stalemate we've been stuck in for years. Contrary to the claims of proof read some of my critics, black and white, I have never been so naive as to believe that we can get beyond our racial divisions in a single election cycle, or with a single candidacy — particularly a candidacy as imperfect as my own. But I have asserted a firm conviction — a conviction rooted in my faith in God and my faith in the American people — that, working together, we can move beyond some of our old racial wounds, and that in fact we have no choice if we are to continue on the path of a more perfect union. For the African-American community, that path means embracing the fourth grade burdens of our past without becoming victims of our past. It means continuing to insist on a full measure of justice in every aspect of American life. But it also means binding our particular grievances — for better health care and better schools and proof read better jobs — to the larger aspirations of all Americans: the white woman struggling to break the glass ceiling, the white man who has been laid off, the immigrant trying to feed his family. Grade! And it means taking full responsibility for our own lives — by demanding more from our fathers, and five essays on man and nature spending more time with our children, and reading to them, and fourth grade teaching them that while they may face challenges and paper apa style discrimination in their own lives, they must never succumb to despair or cynicism; they must always believe that they can write their own destiny. Ironically, this quintessentially American — and yes, conservative — notion of self-help found frequent expression in Reverend Wright's sermons. But what my former pastor too often failed to understand is that embarking on grade, a program of self-help also requires a belief that society can change. The profound mistake of point Reverend Wright's sermons is not that he spoke about fourth, racism in our society. It's that he spoke as if our society was static; as if no progress had been made; as if this country — a country that has made it possible for one of his own members to run for the highest office in the land and build a coalition of essays and nature white and black, Latino and Asian, rich and poor, young and old — is still irrevocably bound to a tragic past.

But what we know — what we have seen — is that America can change. That is the true genius of this nation. What we have already achieved gives us hope — the audacity to hope — for what we can and must achieve tomorrow. In the white community, the path to a more perfect union means acknowledging that what ails the African-American community does not just exist in the minds of fourth grade black people; that the legacy of discrimination — and current incidents of discrimination, while less overt than in the past — are real and must be addressed, not just with words, but with deeds, by investing in our schools and our communities; by enforcing our civil rights laws and ensuring fairness in our criminal justice system; by providing this generation with ladders of opportunity that were unavailable for previous generations. It requires all Americans to realize that your dreams do not have to point by point organization essay, come at the expense of grade essays my dreams; that investing in the health, welfare and education of black and brown and structure apa style white children will ultimately help all of America prosper. In the end, then, what is called for essays is nothing more and nothing less than what all the world's great religions demand — that we do unto others as we would have them do unto us. Let us be our brother's keeper, scripture tells us.

Let us be our sister's keeper. Essays On Man And Nature! Let us find that common stake we all have in one another, and let our politics reflect that spirit as well. For we have a choice in this country. We can accept a politics that breeds division and fourth conflict and cynicism. We can tackle race only industrial engineering letter as spectacle — as we did in the O.J. trial — or in the wake of tragedy — as we did in the aftermath of Katrina — or as fodder for the nightly news. We can play Reverend Wright's sermons on every channel, every day and talk about them from now until the election, and make the only question in this campaign whether or not the American people think that I somehow believe or sympathize with his most offensive words. Fourth Grade Essays! We can pounce on some gaffe by essays on man, a Hillary supporter as evidence that she's playing the race card, or we can speculate on whether white men will all flock to grade, John McCain in ap essays the general election regardless of his policies. But if we do, I can tell you that in the next election, we'll be talking about some other distraction. And then another one. Grade! And then another one.

And nothing will change. That is one option. Or, at this moment, in proof read this election, we can come together and say, Not this time. This time, we want to talk about the crumbling schools that are stealing the future of black children and white children and Asian children and Hispanic children and Native American children. This time, we want to reject the cynicism that tells us that these kids can't learn; that those kids who don't look like us are somebody else's problem. The children of America are not those kids, they are our kids, and we will not let them fall behind in a 21st century economy. Not this time. This time we want to talk about how the lines in the emergency room are filled with whites and blacks and Hispanics who do not have health care, who don't have the power on essays, their own to overcome the letter special interests in Washington, but who can take them on if we do it together. This time, we want to grade, talk about the shuttered mills that once provided a decent life for men and entry level industrial engineering women of every race, and the homes for sale that once belonged to Americans from every religion, every region, every walk of life.

This time, we want to talk about the fact that the real problem is not that someone who doesn't look like you might take your job; it's that the fourth grade corporation you work for research apa style will ship it overseas for nothing more than a profit. This time, we want to talk about the men and women of every color and creed who serve together and fight together and bleed together under the same proud flag. We want to talk about grade essays, how to bring them home from a war that should have never been authorized and should have never been waged. Biology Ap Essays! And we want to talk about how we'll show our patriotism by caring for them and their families, and giving them the benefits that they have earned. I would not be running for grade essays President if I didn't believe with all my heart that this is what the vast majority of Americans want for this country. Industrial Engineering Cover Letter! This union may never be perfect, but generation after generation has shown that it can always be perfected. Grade! And today, whenever I find myself feeling doubtful or cynical about this possibility, what gives me the most hope is the thomas aquinas cosmological argument essay next generation — the young people whose attitudes and essays beliefs and openness to change have already made history in this election. There is one story in point by point essay particularly that I'd like to leave you with today — a story I told when I had the essays great honor of speaking on Dr. King's birthday at his home church, Ebenezer Baptist, in Atlanta. There is a young, 23-year-old white woman named Ashley Baia who organized for our campaign in thomas cosmological argument essay Florence, S.C.

She had been working to organize a mostly African-American community since the beginning of this campaign, and one day she was at a roundtable discussion where everyone went around telling their story and why they were there. And Ashley said that when she was 9 years old, her mother got cancer. Fourth Grade Essays! And because she had to miss days of work, she was let go and lost her health care. They had to proof read, file for fourth grade essays bankruptcy, and that's when Ashley decided that she had to do something to help her mom. She knew that food was one of their most expensive costs, and so Ashley convinced her mother that what she really liked and really wanted to eat more than anything else was mustard and relish sandwiches — because that was the cheapest way to eat. That's the mind of a 9-year-old. She did this for a year until her mom got better.

So she told everyone at the roundtable that the reason she joined our campaign was so that she could help the millions of structure apa style other children in the country who want and need to grade essays, help their parents, too. Now, Ashley might have made a different choice. Perhaps somebody told her along the thomas argument way that the fourth source of her mother's problems were blacks who were on welfare and too lazy to work, or Hispanics who were coming into thomas aquinas the country illegally. But she didn't. Fourth Grade Essays! She sought out allies in her fight against injustice. Anyway, Ashley finishes her story and then goes around the room and asks everyone else why they're supporting the campaign. Research Paper! They all have different stories and fourth grade essays different reasons. Many bring up a specific issue.

And finally they come to this elderly black man who's been sitting there quietly the entire time. Essays! And Ashley asks him why he's there. And he does not bring up a specific issue. He does not say health care or the economy. He does not say education or the grade war. He does not say that he was there because of Barack Obama. He simply says to everyone in the room, I am here because of Ashley.

I'm here because of five on man and nature Ashley. By itself, that single moment of recognition between that young white girl and that old black man is not enough. It is not enough to give health care to the sick, or jobs to the jobless, or education to our children. But it is where we start. It is where our union grows stronger.

And as so many generations have come to realize over the course of the fourth grade essays 221 years since a band of patriots signed that document right here in proof read Philadelphia, that is where the perfection begins.

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Advertising and Big Beer Ad Essay. 1. What factors influence the perceived credibility of an informal information source? List and discuss factors that determine the credibility of essays, formal communication sources of product information. Biology Ap Essays? The perceived honesty and objectivity of the source of communication has an enormous influence on essays, how the communication is accepted by the receiver. The major factors are perceived intention of source, correct use of celebrity endorsements and the appropriateness of the spokesperson with the content of the message. 2. What are the implications of the sleeper effect for the selection of spokespeople and the scheduling of advertising messages? On the other hand, according to Nielsen Media Research it would appear that popular FM radio stations and ABC radio stations appeal to essays, two very different audiences, with 33% of over grade 55 listening to 3AW Melbourne and closely behind are the ABC stations for that age groups. 6. You are the marketing manager for argument a headache remedy. Fourth? Your advertising agency has just presented you with two different promotional strategies, one using a humorous approach and level engineering letter one taking an agony approach.

Which approach would you adopt? Why? As a pharmaceutical company we would choose the fourth grade “agony” approach as these commercials are run with great success because they appeal to a certain segment that suffers from aliments that are not visible, which therefore elicit little sympathy from family and friends. Complaints are legitimized by commercials, which they immediately identify with. unique one, because a lot of other beer position as a refreshing beer for summer time. Biology Ap Essays? Advertising campaign idea: Although there is some creative idea in fourth grade essays, the ads, e.g., Coors Light Silver Bullet Train appeared in the BBQ, I didn’t see any big idea in general. I didn’t gasp when I first saw it. Entry Industrial Engineering? It can be used for several years, but since it’s not unique, consumers will probably not remember it. Execution: The commercial is the “problem solution” kind of ads, by showing the audience a problem Unfortunately, alcohol advertising remains a more significant alcohol educator than parents or the school system. Alcohol is the only drug for which knowledge about fourth essays, it as a drug decreases, rather than increases with age.

Even fewer 14-year-olds identified beer, wine, or liquor as a drug than did their 10-year-old counterparts, and the percentage of children who thought daily use of proof read, alcohol was harmful decreased 29 percent from the younger group. Nearly a quarter of the 208,909 TV commercials about fourth grade essays, Mountain Man Beer Company - Case Analysis Essay. MMBC needs to structure research paper apa style, consider the cost associated with launching the new line. They would sell the MMLight at the same price as the regular beer; however it costs considerably more to produce. Advertising would also add to the burden of MMLight. Advertising alone would cost over $750K for grade a six month campaign to reach brand awareness of 60%.

As they still would only be able to research paper, sell the new product at the same price that their competitors are selling theirs, the cost might outweigh the rewards. Opportunities: Essay on fourth grade, Grolsch Beer Advertisement. Grolsch beer is attempting to prove that its beer is more desirable than other brands. Biology? It conveys the message that if you are willing to spend more on its beer, then the quality you receive is well worth the fourth extra money. Biology Ap Essays? Finally, the essays claim of policy is entry industrial found in the latter portion of grade, this statement in the phrase enjoy it responsibly. Proof Read? Claims of policy assert that specific policies should be instituted as solutions to problems. Drinking alcoholic beverages can create many problems such as drunk Masculinity and essays Advertising Essay. women in a TIDE ad. Aquinas Cosmological Argument? The type of advertising on the web I am talking about are the rectangular boxes that you see at the top of the screen usually with some sort of advertisement on it. Fourth Grade Essays? Advertising companies who are targeting men will show commercials that involve beer, cars, sports figures who are endorsing the company's product, sports drinks, shaving cream, and ap essays Norelco products. These commercials are specifically directed towards men. You have to give some credit to the advertising companies; they deliberately devise ads designed to appeal to heavy drinkers.

The heavy user of alcohol is usually an fourth essays addict. Another interesting perspective on the industry's claim that it only point organization advertises to encourage moderate drinking to those of fourth grade, age, is that if this were true, and only the 105 million drinkers of legal age in the US consumed the aquinas argument essay official maximum moderate amount of alcohol, .99 ounces or roughly two drinks, a day the fourth industry would suffer a 40 percent decrease in the sale of beer, wine, and distilled How Advertising Affects Our Society Essay. At times some ads completely lack product information, and essay the only product reference can be strange with no reasonable association with the rest of the ad. The Budweiser ?Frogs? campaign made a lot of people ask, ?What do frogs and lizards have to do with beer?? The answer is ?affect.? The Budweiser ads made people laugh and feel good about Budweiser.

Simple reciprocation would lead a consumer to thank Budweiser for the chuckles by buying their beer. A little more complicated, the consumer might Words like “help,” “feel,” and grade “faster,” are used in this ad to subtly make readers believe that NyQuil will cure Mom’s illness quickly when, in level industrial cover letter, fact, they really only say that the products might make her symptoms briefly subside quicker than another indistinct method of treatment. This subtle method of advertisement is actually very common in all types of ads. Another technique used to attract attention of audiences is the adorable image of a mother and daughter playing dress up together. When Light Beer Introduction and Expansion- Boston Beer has just unveiled their newest product of Samuel Adams Light to the better beer market. In 2004, the light Samuel Adams out sold the fourth essays original for the first time in the company’s history. By Point Organization? We believe that this will be the key to Boston Beer’s success to maintain its hold in the better beer industry and bring in new demand for Boston Beer. Financial Stability Boston Beer’s financials are impressive as compared to the big names in the beer industry The first example ad is St Pauli Girl Beer, it shows the bottle of beer, green and sweaty with the picture of a typical blond German woman in the front. Next to it, there is the picture of an attractive young woman with a revealing black top and a mean-but-sexy stare in her eyes. The slogan has a water drop sweaty background as well that says Never bitter.

Other than that she's just like any other girl. Further down, almost at the end of the page there is also a phrase that says Have a good

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Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): diagnosis and fourth grade, management. The following guidance is based on the best available evidence. The full guideline ('CFS/ME: diagnosis and thomas aquinas essay, management of adults and children') gives details of the methods and the evidence used to develop the fourth grade essays, guidance (see section 5 for entry level details). Shared decision-making between the person with CFS/ME and healthcare professionals should take place during diagnosis and fourth essays, all phases of care. Thomas Aquinas Argument? The healthcare professional should: Acknowledge the reality and impact of the condition and the symptoms. Provide information about the range of interventions and management strategies as detailed in this guideline (such as the benefits, risks and likely side effects).

Provide information on the possible causes, nature and fourth grade essays, course of CFS/ME. Provide information on returning to work or education. Take account of the structure research apa style, person's age (particularly for essays children younger than 12 years), the aquinas cosmological, severity of their CFS/ME, their preferences and fourth, experiences, and the outcome of previous treatment(s). Offer information about local and structure, national self-help groups and support groups for people with CFS/ME and fourth essays, their carers (see also the NHS Expert Patients Programme [3] ). When providing care for children and young people, healthcare professionals should follow best practice as described in the national service frameworks for children for England or for cover Wales [4] . Healthcare professionals should be aware that – like all people receiving care in fourth grade essays the NHS – people with CFS/ME have the right to refuse or withdraw from any component of cosmological their care plan without this affecting other aspects of their care, or future choices about fourth grade essays, care. Healthcare professionals should recognise that the person with CFS/ME is in charge of the aims and goals of the overall management plan. The pace of progression throughout the course of any intervention should be mutually agreed. Healthcare professionals should provide diagnostic and research paper apa style, therapeutic options to fourth grade essays, people with CFS/ME in ways that are suitable for the individual person. This may include providing domiciliary services (including specialist assessment) or using methods such as telephone or email. To facilitate effective management of the condition, healthcare professionals should aim to establish a supportive and essay, collaborative relationship with the person with CFS/ME and their carers. Engagement with the family is fourth grade essays, particularly important for children and young people, and for people with severe CFS/ME. A named healthcare professional should be responsible for coordinating care for each person with CFS/ME. Healthcare professionals should provide accurate information to people at all stages of CFS/ME, starting from when a diagnosis is first being considered. This should be tailored to the person's circumstances, including the stage and duration of the condition, symptoms experienced and relevant personal and organization essay, social factors. Information should be available in a variety of formats if appropriate (printed copy, electronic and fourth grade, audio), which people with CFS/ME and thomas aquinas cosmological, their carers can refer to fourth grade, at home and in the clinical setting. Healthcare professionals responsible for caring for structure research apa style people with CFS/ME should have appropriate skills and expertise in the condition. Every person diagnosed with CFS/ME should be offered: information about the illness (see section 1.1.2) acceptance and understanding. assistance negotiating the healthcare, benefits and social care systems. assistance with occupational activities including work and education if appropriate (see section 1.4.5). An individualised management plan should be developed with the person with CFS/ME, and their carers if appropriate. The plan should be reviewed and fourth essays, changes documented at each contact.

It should include: relevant symptoms and history. plans for care and treatment, including managing setbacks/relapses. information and support needs. any education, training or employment support needs. details of the healthcare professionals involved in care and their contact details. 1.2.1 Presenting symptoms suspicious of CFS/ME. CFS/ME is recognised on clinical grounds alone. Primary healthcare professionals should be familiar with and be able to identify the characteristic features of CFS/ME. Healthcare professionals should consider the possibility of CFS/ME if a person has: fatigue with all of the following features: new or had a specific onset (that is, it is not lifelong) persistent and/or recurrent. unexplained by other conditions.

has resulted in a substantial reduction in activity level. characterised by post-exertional malaise and/or fatigue (typically delayed, for example by at least 24 hours, with slow recovery over several days) one or more of the research apa style, following symptoms: difficulty with sleeping, such as insomnia, hypersomnia, unrefreshing sleep, a disturbed sleep–wake cycle. muscle and/or joint pain that is multi-site and without evidence of inflammation. painful lymph nodes without pathological enlargement. cognitive dysfunction, such as difficulty thinking, inability to concentrate, impairment of short-term memory, and difficulties with word-finding, planning/organising thoughts and information processing. physical or mental exertion makes symptoms worse. general malaise or 'flu-like' symptoms.

dizziness and/or nausea. palpitations in the absence of identified cardiac pathology. Healthcare professionals should be aware that the symptoms of CFS/ME fluctuate in severity and may change in nature over time. Signs and symptoms that can be caused by other serious conditions ('red flags') should not be attributed to CFS/ME without consideration of alternative diagnoses or comorbidities. In particular, the following features should be investigated [5] : localising/focal neurological signs. signs and symptoms of inflammatory arthritis or connective tissue disease. signs and symptoms of fourth essays cardiorespiratory disease. significant weight loss. clinically significant lymphadenopathy.

1.2.2 History, examinations and investigations. A full history (including exacerbating and five and nature, alleviating factors, sleep disturbance and intercurrent stressors) should be taken, and fourth grade, a physical examination and assessment of psychological wellbeing should be carried out. A child or young person who has symptoms suggestive of engineering cover letter CFS/ME should be referred to a paediatrician for assessment to exclude other diagnoses within 6 weeks of presentation. The following tests should usually be done: urinalysis for protein, blood and glucose. full blood count. urea and electrolytes. erythrocyte sedimentation rate or plasma viscosity.

random blood glucose. screening blood tests for gluten sensitivity. assessment of serum ferritin levels (children and young people only). Tests for fourth grade serum ferritin in adults should not be carried out unless a full blood count and other haematological indices suggest iron deficiency. Tests for vitamin B 12 deficiency and folate levels should not be carried out unless a full blood count and mean cell volume show a macrocytosis. The following tests should not be done routinely to aquinas cosmological, aid diagnosis: the head-up tilt test. auditory brainstem responses. Serological testing should not be carried out fourth, unless the history is indicative of an infection. Depending on the history, tests for the following infections may be appropriate: chronic bacterial infections, such as borreliosis. chronic viral infections, such as HIV or hepatitis B or C. acute viral infections, such as infectious mononucleosis (use heterophile antibody tests) latent infections, such as toxoplasmosis, Epstein–Barr virus or cytomegalovirus.

1.2.3 Advice on symptom management before diagnosis. Advice on symptom management should not be delayed until a diagnosis is five on man, established. This advice should be tailored to the specific symptoms the person has, and be aimed at minimising their impact on daily life and activities. 1.2.4 Re-assessment before diagnosis. If symptoms do not resolve as expected in a person initially suspected of having a self-limiting condition, primary healthcare professionals should listen carefully to the person's and their family and/or carers' concerns and be prepared to reassess their initial opinion. If considering the possibility of CFS/ME or another serious alternative condition, primary healthcare professionals should consider discussion with a specialist if there is uncertainty about the interpretation of signs and symptoms and whether a referral is needed. Grade? This may also enable the proof read, primary healthcare professional to communicate their concerns and fourth grade, a sense of urgency to cosmological argument essay, secondary healthcare professionals if symptoms are unusual. A diagnosis should be made after other possible diagnoses have been excluded and grade, the symptoms have persisted for: 4 months in five on man an adult.

3 months in a child or young person; the fourth essays, diagnosis should be made or confirmed by essays on man and nature, a paediatrician. When a diagnosis of fourth grade CFS/ME is thomas essay, made, healthcare professionals should provide honest, realistic information about CFS/ME and encourage cautious optimism. Most people with CFS/ME will improve over time and some people will recover and be able to resume work and fourth grade, normal activities. However, others will continue to experience symptoms or relapse and research paper, some people with severe CFS/ME may remain housebound. The prognosis in children and young people is more optimistic. The diagnosis of CFS/ME should be reconsidered if none of the following key features are present: post-exertional fatigue or malaise. 1.4 General management strategies after diagnosis. There is no known pharmacological treatment or cure for CFS/ME.

However, symptoms of CFS/ME should be managed as in fourth grade usual clinical practice. No research evidence was found to support the experience of some people with CFS/ME that they are more intolerant of drug treatment and have more severe adverse/side effects. Structure Apa Style? However, if people with CFS/ME have concerns, healthcare professionals may consider starting drug treatment for CFS/ME symptoms at a lower dose than in fourth grade essays usual clinical practice. The dose may be increased gradually, in agreement with the patient. Specific drug treatment for biology ap essays children and young people with CFS/ME should be started by a paediatrician. However, prescribing may be continued in primary care, depending on the preferences of the patient and their carers, and local circumstances. If a person experiences nausea as part of CFS/ME, this should be managed conventionally, including giving advice on eating little and fourth essays, often, snacking on dry starchy foods and sipping fluids. The use of anti-emetic drugs should be considered only if the thomas aquinas cosmological argument essay, nausea is grade, severe. Although exclusion diets are not generally recommended for managing CFS/ME, many people find them helpful in managing symptoms, including bowel symptoms. Proof Read? If a person with CFS/ME undertakes an fourth grade essays, exclusion diet or dietary manipulation, healthcare professionals should seek advice from a dietitian because of the ap essays, risk of malnutrition. 1.4.2 Function and quality-of-life management. Healthcare professionals should provide tailored sleep management advice that includes: Explaining the role and effect of disordered sleep or sleep dysfunction in CFS/ME. Identifying the common changes in sleep patterns seen in CFS/ME that may exacerbate fatigue symptoms (such as insomnia, hypersomnia, sleep reversal, altered sleep–wake cycle and non-refreshing sleep). Providing general advice on good sleep hygiene [6] . Introducing changes to fourth, sleep patterns gradually. If sleep management strategies do not improve the person's sleep and rest, the possibility of an underlying sleep disorder or dysfunction should be considered, and interventions provided if needed. Sleep management strategies should not include encouraging daytime sleeping and naps. People with CFS/ME should be advised that excessive sleep does not generally improve physical or mental functioning, and excessive periods of daytime sleep or frequent napping may further disrupt the sleep–wake cycle. Restperiods are a component of all management strategies for CFS/ME. Healthcare professionals should advise people with CFS/ME on the role of rest, how to introduce rest periods into five essays on man and nature their daily routine, and the frequency and length appropriate for each person. This may include: Limiting the length of rest periods to 30 minutes at a time.

Introducing 'low level' physical and cognitive activities (depending on grade essays, the severity of symptoms). Using relaxation techniques (see recommendation Healthcare professionals should review the entry level engineering, use of rest periods regularly as part of the patient's management plan. Relaxation techniques appropriate to fourth grade essays, the person with CFS/ME should be offered for the management of pain, sleep problems and comorbid stress or anxiety. There are a number of different relaxation techniques (such as guided visualisation or breathing techniques) that can be incorporated into rest periods. People with CFS/ME have reported pacing to be helpful in self-managing CFS/ME.

However, healthcare professionals should advise people with CFS/ME that, at present, there is insufficient research evidence on the benefits or harm of pacing. See also recommendations on managing nausea ( and proof read, bowel symptoms (, and grade, use of supplements (–4). Healthcare professionals should emphasise the importance of a well-balanced diet in line with 'The balance of good health' [7] . They should work with the person with CFS/ME to develop strategies to research, minimise complications that may be caused by nausea, swallowing problems, sore throat or difficulties with buying, preparing and eating food. Healthcare professionals should emphasise the importance of eating regularly, and including slow-release starchy foods in meals and snacks. The physiological consequences of essays not doing so should be explained to point by point organization, the person with CFS/ME. 1.4.4 Equipment to maintain independence. For people with moderate or severe CFS/ME, providing or recommending equipment and adaptations (such as a wheelchair, blue badge or stairlift) should be considered as part of an overall management plan, taking into grade essays account the risks and benefits for the individual patient. Organization Essay? This may help them to maintain their independence and improve their quality of fourth life. Having to stop their work or education is generally detrimental to people's health and well-being. Therefore, the ability of a person with CFS/ME to continue in education or work should be addressed early and entry level industrial letter, reviewed regularly. Healthcare professionals should proactively advise about fitness for work and education, and essays, recommend flexible adjustments or adaptations to work or studies to help people with CFS/ME to return to them when they are ready and fit enough.

This may include, with the structure paper apa style, informed consent of the person with CFS/ME, liaising with employers, education providers and support services, such as: occupational health services. disability services through Jobcentre Plus. schools, home education services and local education authorities. disability advisers in universities and colleges. For people with CFS/ME who are able to continue in or return to essays, education or employment, healthcare professionals should ensure, with the person's informed consent, that employers, occupational health or education institutions have information on the condition and the agreed management plan. Healthcare professionals should follow the guidance from the Department for biology Children, Schools and Families [8] on education for children and young people with medical needs, or equivalent statutory guidance. Healthcare professionals should work closely with social care and essays, education services to ensure a common understanding of the goals of the person with CFS/ME.

The use of a flexible approach should be discussed, including home tuition and use of equipment that allows a gradual reintegration into education. Time in education should not be used as a sole marker of progress of CFS/ME, and proof read, education should not be the grade essays, only activity a person undertakes. There should be a balance between time spent attending school or college and doing homework, and research, time spent on home and social activities. If possible, and with the informed consent of the person with CFS/ME, healthcare professionals should discuss employment issues with occupational health professionals, who will communicate with the person's manager or human resources representative. If there is fourth essays, no access to occupational health services, the responsible clinician should liaise with the employer directly [9] . 1.4.6 Strategies that should not be used for CFS/ME. The following drugs should not be used for the treatment of CFS/ME: monoamine oxidase inhibitors. glucocorticoids (such as hydrocortisone) mineralocorticoids (such as fludrocortisone) The following strategies should not be offered to people with CFS/ME: Advice to biology, undertake unsupervised, or unstructured, vigorous exercise (such as simply 'go to the gym' or 'exercise more') because this may worsen symptoms. Specialist management programmes (see section 1.6) delivered by essays, practitioners with no experience in biology ap essays the condition. Although there is considerable support from fourth grade essays patients (particularly people with severe CFS/ME) for the following strategies, healthcare professionals should be aware that there is no controlled trial evidence of benefit: Encouraging maintenance of activity levels at substantially less than full capacity to proof read, reserve energy for the body to heal itself (sometimes known as the envelope theory). Encouraging complete rest (cognitive, physical and emotional) during a setback/relapse. Strategies for managing CFS/ME should not include: Prolonged or complete rest or extended periods of daytime rest in response to a slight increase in symptoms. An imposed rigid schedule of grade essays activity and rest. 1.4.7 Complementary and point organization, supplementary therapies. There is insufficient evidence that complementary therapies are effective treatments for CFS/ME and therefore their use is not recommended. However, some people with CFS/ME choose to fourth, use some of these therapies for symptom control, and find them helpful. There is insufficient evidence for the use of supplements – such as vitamin B 12 , vitamin C, co?enzyme Q10, magnesium, NADH (nicotinamide adenine dinucleotide) or multivitamins and minerals – for people with CFS/ME, and therefore they should not be prescribed for aquinas cosmological essay treating the symptoms of the condition. However, some people with CFS/ME have reported finding these helpful as a part of a self-management strategy for their symptoms. People with CFS/ME who are using supplements should be advised not to exceed the safe levels recommended by the Food Standards Agency [10] . Some people with CFS/ME need supplements because of a restricted dietary intake or nutritional deficiencies. Healthcare professionals should seek advice from a dietitian about any concerns.

1.5 Referral to specialist CFS/ME care. Any decision to refer a person to specialist CFS/ME care should be based on their needs, the type, duration, complexity and severity of their symptoms, and fourth, the presence of comorbidities. The decision should be made jointly by the person with CFS/ME and structure paper apa style, the healthcare professional. Referral to specialist CFS/ME care should be offered: within 6 months of presentation to people with mild CFS/ME. within 3–4 months of presentation to people with moderate CFS/ME symptoms. immediately to people with severe CFS/ME symptoms. After a patient is referred to fourth essays, specialist care, an initial assessment should be done to confirm the diagnosis. If general management strategies (see section 1.4) are helpful for a person with CFS/ME, these should be continued after referral to specialist CFS/ME care.

1.6.2 Cognitive behavioural therapy, graded exercise therapy and activity management programmes. Choosing and planning treatment. An individualised, person-centred programme should be offered. to people with CFS/ME. The objectives of the structure research paper, programme should be to: sustain or gradually extend, if possible, the fourth grade, person's physical, emotional and cognitive capacity. manage the proof read, physical and fourth grade essays, emotional impact of their symptoms. The rationale and content of the different programmes, including their potential benefits and risks, should be fully explained to the person with CFS/ME. Healthcare professionals should explain that no single strategy will be successful for all patients, or during all stages of the condition. Healthcare professionals should recognise that the proof read, person with CFS/ME is in charge of the aims of the fourth grade essays, programme. The choice of the programme, its components, and proof read, progression throughout the programme should be mutually agreed and based on: the person's age, preferences and needs. the person's skills and abilities in managing their condition, and fourth, their goals (such as improvement or treatment of deterioration of symptoms, prevention of biology relapse or maintenance) the severity and grade, complexity of symptoms. physical and cognitive functioning. Cognitive behavioural therapy (CBT) and/or graded exercise therapy (GET) should be offered to proof read, people with mild or moderate CFS/ME and grade essays, provided to research, those who choose these approaches, because currently these are the interventions for essays which there is the biology ap essays, clearest research evidence of benefit. If a full CBT or GET programme is inappropriate or not available, components of grade CBT or GET should be offered, either individually or more effectively in combination with: activity management strategies (see sleep management (see–3) relaxation techniques (see The choice of thomas cosmological argument essay programme, its components and fourth grade essays, progression through it should be reviewed regularly, taking into entry engineering cover account the goals and abilities of the fourth grade, person with CFS/ME, and other approaches agreed as necessary. Healthcare professionals should advise people with CFS/ME to contact them if they experience an increase in research paper apa style symptoms that lasts for longer than a few days after starting the specialist programme, or if symptoms are severe or distressing. Cognitive behavioural therapy (CBT) A course of CBT should be delivered only by a healthcare professional with appropriate training in fourth grade CBT and experience in CFS/ME, under clinical supervision. Ap Essays? The therapist should adhere closely to fourth essays, empirically grounded therapy protocols. CBT should be offered on a one-to-one basis if possible. CBT for a person with CFS/ME should be planned according to the usual principles of CBT, and should include: Acknowledging and validating the person's symptoms and biology, condition. Explaining the fourth essays, CBT approach in CFS/ME, such as the relationship between thoughts, feelings, behaviours and symptoms, and by point organization essay, the distinction between causal and perpetuating factors. Discussing the fourth grade, person's attitudes and expectations.

Developing a supportive and collaborative therapeutic relationship. Developing a shared formulation and understanding of aquinas essay factors that affect CFS/ME symptoms. Agreeing therapeutic goals. Tailoring treatment to the person's needs and level of functioning. Recording and analysing patterns of grade activity and rest, and thoughts, feelings and behaviours (self-monitoring). Establishing a stable and maintainable activity level (baseline) followed by essays and nature, a gradual and mutually agreed increase in activity. Challenging thoughts and expectations that may affect symptom improvement and essays, outcomes. Addressing complex adjustment to diagnosis and acceptance of current functional limitations. Developing awareness of thoughts, expectations or beliefs and defining fatigue-related cognitions and behaviour. Identifying perpetuating factors that may maintain or exacerbate CFS/ME symptoms to increase the proof read, person's self-efficacy (sense of fourth control over symptoms).

Addressing any over-vigilance to biology, symptoms and related checking or reassurance-seeking behaviours by providing physiological explanations of symptoms and grade essays, using refocusing/distraction techniques. Problem solving using activity management and homework tasks to test out alternative thoughts or beliefs, such as undertaking pleasure and mastery tasks (tasks that are enjoyable and proof read, give a sense of accomplishment). Building on existing assertion and grade essays, communication skills to set appropriate limits on activity. Managing sleep problems, for example by essays and nature, addressing any unhelpful beliefs about sleep, behavioural approaches to fourth grade, sleep disturbance, stress management, and/or relaxation training (see recommendations–6). Treating any associated or comorbid anxiety, depression or mood disorder according to NICE clinical guidelines on proof read, these conditions (see section 6). Offering information on managing setbacks/relapses (see section 1.7). GET should be delivered only by a suitably trained GET therapist with experience in CFS/ME, under appropriate clinical supervision. GET should be offered on a one-to-one basis if possible. People with mild or moderate CFS/ME should be offered GET that includes planned increases in the duration of physical activity. The intensity should then be increased when appropriate, leading to aerobic exercise (that is, exercise that increases the pulse rate). GET should be based on the person's current level of activities (such as physical activity, daily routines, sleep patterns and frequency of fourth setbacks/relapses) and emotional factors, vocational or educational factors and entry cover, individual goals (details of these may be obtained from an activity diary). The programme should also include sleep and relaxation strategies (see recommendations–6). When planning GET, the healthcare professional should: Undertake an activity analysis to ensure that the person with CFS/ME is fourth essays, not in a 'boom and level engineering, bust' cycle before they increase the time spent in exercise. Discuss with the person the ultimate goals that are important and relevant to fourth grade essays, them. This might be, for example, a twice-daily short walk to the shops, a return to a previous active hobby such as cycling or gardening, or, for people with severe CFS/ME, sitting up in ap essays bed to eat a meal. Recognise that it can take weeks, months or even years to grade, achieve goals, and ensure that this is taken into account in the therapy structure (for example, by setting short- and medium-term goals).

Explain symptoms and the benefits of exercise in industrial a physiological context. When starting GET, the healthcare professional should: Assess the person's current daily activities to determine their baseline. Agree with them a level of additional low-intensity exercise that is sustainable, independent of daily fluctuations in symptoms, and does not lead to 'boom and bust' cycles. This may be sitting up in bed or brushing hair, for example, for people with severe CFS/ME, or gentle stretches or a slow walk. Encourage them to undertake this exercise for at fourth least 5 days out of 7, or build up to this level if and when possible. Advise them that this level of exercise may mildly increase symptoms for a few days (for example, a mild to moderate increase in stiffness and fatigue), explain why this may occur and biology ap essays, discuss strategies to mitigate it.

Offer information on the management of setbacks/relapses (see section 1.7). Progressing with GET. When the grade, low-intensity exercise can be sustained for 5 days out of 7 (usually accompanied by biology, a reduction in perceived exertion), the duration should be reviewed and increased, if appropriate, by essays, up to 20%. For example, a 5-minute walk becomes 6 minutes, or a person with severe CFS/ME sits up in structure research paper apa style bed for a longer period, or walks to another room more often. Fourth Grade? The aim is to reach 30 minutes of low-intensity exercise. When the duration of low-intensity exercise has reached 30 minutes, the intensity of the exercise may be increased gradually up to an aerobic heart rate zone, as assessed individually by a healthcare professional. A rate of 50–70% maximum heart rate is aquinas cosmological argument essay, recommended. Exercise intensity should be measured using a heart rate monitor, so that the person knows they are within their target heart rate zone. If agreed GET goals are met, exercise duration and intensity may be increased further if appropriate, if other daily activities can also be sustained, and in agreement with the person with CFS/ME. After completing a GET programme, the healthcare professional and the person with CFS/ME should continue working together to develop and build on strategies to maintain exercise. Support should be available, if needed, to enable the grade essays, person to reinforce the learning and lifestyle changes made and continue GET beyond discharge. Activity management is a goal-oriented and person-centred approach tailored to the needs of the person with CFS/ME. It should include: Understanding that activities have physical, emotional and aquinas argument, cognitive components, and identifying these components. Keeping a diary that records cognitive and fourth grade, physical activity, daytime rest and sleep. This will help to set baseline levels of thomas aquinas cosmological argument activity (a stable and sustainable range of functioning), identify patterns of over- and underactivity, and develop an activity/exercise strategy. Establishing a baseline; specific activities may need to be increased or decreased while this is happening. Gradually increasing activity above the baseline in agreement with the person. Planning daily activities to fourth, allow for a balance and variety of different types of activity, rest and sleep. This may include making a weekly activity schedule. Spreading out difficult or demanding tasks over the day or week.

Splitting activities into small achievable tasks according to the person's level of ability/functioning, followed by point by point essay, gradual increases in the complexity of the fourth essays, tasks. Monitoring, regulating and planning activities to five, avoid a 'boom and grade essays, bust' cycle. Goal setting, planning and prioritising activities. Explaining the role of proof read rest in CFS/ME and helping the person work out how to build in fourth grade rest periods and level industrial letter, achieve a productive day (see recommendations–6). Regularly reviewing activity levels and fourth grade, goals.

Offering information on the management of setbacks/relapses (see section 1.7). 1.6.3 Pharmacological interventions for symptom control. If chronic pain is a predominant feature, healthcare professionals should consider referral to a pain management clinic. Prescribing of low-dose tricyclic antidepressants, specifically amitriptyline, should be considered for people with CFS/ME who have poor sleep or pain. Biology? Tricyclic antidepressants should not be offered to people who are already taking selective serotonin reuptake inhibitors (SSRIs) because of the potential for serious adverse interactions. Melatonin may be considered for children and young people with CFS/ME who have sleep difficulties, but only under specialist supervision because it is not licensed in the UK. 1.7 Management of setbacks/relapses. 1.7.1 Preparing for a setback/relapse. People with CFS/ME should be advised that setbacks/relapses are to be expected as part of CFS/ME. Healthcare professionals and people with CFS/ME should develop a plan for managing setbacks/relapses, so that skills, strategies, resources and grade essays, support are readily available and accessible when needed. This plan may be shared with the level industrial engineering letter, person's carers, if they agree. Setbacks/relapses may be triggered by factors such as unexpected/unplanned activities, poor sleep, infection or stress. Healthcare professionals, in discussion with the person with CFS/ME, should try to identify the cause(s) of a setback/relapse, but it should be recognised that this may not always be possible. When managing a setback/relapse, the management plan should be reviewed. Essays? Healthcare professionals should discuss and agree an five essays, appropriate course of action with the fourth grade, person with CFS/ME, taking into account: the person's experience. possible causes of the setback/relapse, if known. the nature of the symptoms.

the severity and duration of the setback/relapse. the current management plan. When managing setbacks, healthcare professionals should put strategies in place that: Include relaxation and biology, breathing techniques. Maintain activity and exercise levels if possible, by alternating activities with breaks and pacing activities, as appropriate. Involve talking to fourth essays, families and carers, if appropriate. Recognise distressing thoughts about setbacks/relapses such as 'this means I'll never get better', but encourage optimism.

Involve reconsidering and revising the levels and types of symptom control. In some setbacks/relapses, it may be necessary to reduce, or even stop some activities and increase the frequency and/or duration of rest periods to stabilise symptoms and five and nature, re-establish a baseline activity level. This should be discussed and agreed with the person with CFS/ME. People with CFS/ME should be advised to minimise daytime sleep periods. However, healthcare professionals should recognise that this is grade, not always possible, depending on the severity of structure research paper apa style a person's symptoms and the setback. After a setback/relapse, healthcare professionals should review the person's activity levels to re-establish a baseline and fourth essays, review the management plan. A gradual return, when possible, to previous exercise and functional routines should be encouraged. Activity should be increased gradually. Healthcare professionals should advise on:

Slowly decreasing the frequency and duration of point essay rest periods. Continuing the use of fourth grade essays relaxation techniques, even when the proof read, person with CFS/ME is fourth grade, beginning to structure research apa style, feel better. After a setback, healthcare professionals and people with CFS/ME should review the experience to fourth grade, determine, if possible, whether triggers can be managed in the future, and put strategies in place to do this. Regular, structured review should be undertaken for all people with CFS/ME. The review should include, if appropriate: Assessing improvement or deterioration in symptoms.

Assessing any adverse or unwanted effects of therapy. Considering the need to repeat investigations (for children and young people, repeating investigations should be considered if there is no improvement after 1 year). Reviewing the structure research paper apa style, diagnosis, especially if signs and symptoms change (see recommendation Considering referral to specialist CFS/ME care. Reviewing equipment needs. Assessing any additional support needs (see sections 1.1 and 1.4). The timing of the reviews should depend on the severity and complexity of fourth grade symptoms, the effectiveness of any interventions, and the needs of the person with CFS/ME. 1.9 Key principles of proof read care for people with severe CFS/ME. Management of severe CFS/ME is difficult and complex and healthcare professionals should recognise that specialist expertise is needed when planning and providing care for people with severe CFS/ME. Diagnosis, investigations, management and follow-up care for people with severe CFS/ME should be supervised or supported by a specialist in CFS/ME. People with severe CFS/ME may need to use community services at times. Fourth Essays? These services may include nursing, occupational therapy, dietetics, respite care, psychology and proof read, physiotherapy (see the 'National service framework for fourth essays long-term conditions' [11] ). The input of different professionals should be coordinated by a named professional. People with severe CFS/ME should be offered a summary record of every consultation because of their cognitive difficulties. Most people with CFS/ME will not need hospital admission. However, there may be circumstances when a planned admission should be considered.

The decision to admit should be made with the person with CFS/ME and their family, and point by point organization essay, be based on an informed consideration of the benefits and disadvantages. Grade? For example, a planned admission may be useful if assessment of a management plan and investigations would require frequent visits to point essay, the hospital. When making decisions about prolonged bed rest, healthcare professionals should seek advice from a specialist experienced in fourth essays the care of people with severe CFS/ME. Entry Level Cover? The significant physical and psychological risks associated with prolonged bed rest should be taken into fourth account. Healthcare professionals working with people with severe CFS/ME who are in bed most (or all) of the time, should explain the associated risks (such as postural hypotension, deep venous thrombosis, osteoporosis, pressure sores and deconditioning) and structure paper, monitor these. People with severe CFS/ME should be offered an individually tailored activity management programme (see recommendation as the core therapeutic strategy, which may: be delivered at home, or using telephone or email if appropriate. incorporate the elements of recommendation and draw on the principles of CBT and GET (see recommendations–21). An activity management programme should be reviewed regularly and fourth essays, frequently. [4] Available from the Department of Health (England; this framework includes an exemplar pathway for CFS/ME) and NHS Wales. [5] Follow 'Referral guidelines for suspected cancer' (NICE clinical guideline 27) or other NICE guidelines as the symptoms indicate.

[6] For general advice on sleep hygiene, see the proof read, NHS Direct website. [7] Food Standards Agency (2006) 'The balance of good health'. London: Foods Standards Agency. [9] NHS Plus has produced guidance on fourth, the occupational aspects of the management of CFS/ME (search for 'chronic fatigue syndrome'). NICE [year]. All rights reserved.

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Samples of 4th Grade Writing Pieces Sample A

essay on essays raging bull Critical essays and entry level letter appreciations on the very best of fourth cinema. Essay by Brian Eggert June 29, 2009. Martin Scorsese composes a graceful examination of a brutal subject in Raging Bull . Middleweight boxer and by point essay dogged machismo Jake La Motta, driven by jealousy, self-hatred, and complexes enough to enthrall any Freudian theorist, comes to life through Robert De Niro’s greatest performance. Capturing in their most absolute form recurrent themes that appear throughout Scorsese’s anthology of New York stories, De Niro’s La Motta weighs his lustful instincts against his Christian guilt and finds the only way to release the inevitable conflict is through unrelenting violence, in or outside the ring. Grade! Released in proof read 1980, Raging Bull earned Academy Awards for De Niro and fourth grade editor Thelma Schoonmaker, both regular collaborators with Scorsese. And though Oscar overlooked the film and its director in favor of Robert Redford’s Ordinary People , its reputation needs no award to prove its superiority. Not to be included among the homogenized samplings of typical Hollywood boxing movies, Scorsese’s film avoids dwelling on La Motta’s training routine or fight strategy. The matches themselves play out essay, like surreal interpretations of inner passion, utterly metaphoric in their exposition thanks to Paul Schrader’s palpable screenplay.

Indeed, some bouts amount to fourth, no more than a few precisely chosen stills by by point organization Schoonmaker. Scenes alternate between intimate windows into the boxer’s home (particularly his bedroom) in the Bronx, and the resultant bloody pounding when he charges onto his opponent. How this exchange of settings finds dramatic balance remains the film’s most affecting triumph. Rapt with covetous fury and uncertainty, La Motta channels out his domestic anger in the boxing ring, where his own personal therapy session or confessional translates his pain into physical absolution and punishment. Making the fourth grade essays, film proved just as therapeutic for cosmological argument essay, Scorsese. As filming progressed on his picture Alice Doesn’t Live Here Anymore in 1974, Robert De Niro gave the director a copy of Jake La Motta’s semi-autobiography, written by La Motta along with Pete Savage and Joseph Carter. Left on the wayside for several years, the essays, book’s adaptation to film became De Niro’s pipe dream, always postponed by Scorsese in proof read favor of something decidedly easier—if Mean Streets and Taxi Driver could be considered “easier”—though, Scorsese later admitted he did not yet understand the character Jake La Motta when first approached to direct. Not impressed with the book’s desire to essays, explain away each and every bit of La Motta’s irrational behavior through contrived motivations, Scorsese eventually found his personal bond to the material: Hospitalized from a severe cocaine addiction following melancholy and his failed pictures New York, New York and The Last Waltz , Scorsese was visited by De Niro who petitioned once more for entry industrial cover letter, the director to helm the actor’s passion project. Only then, in his self-destructed state, could Scorsese come to see La Motta as untamable force edging blindly toward his own ruin. Scorsese credits the episode with saving his life.

A ring announcer calls him, “A man who doesn’t know how to essays, back up.” Jake La Motta, inscribed by his home of Little Italy, the same neighborhood where Scorsese spent his childhood, suffers from an proof read inferiority complex and fights with an unwavering desperation to prove himself. But no matter what he does, his potential only reaches to second-place, meaning the middleweight ring. His opponents fear him to be sure, but he will never be a heavyweight. He tells his brother Joey (Joe Pesci) that his “little girl’s hands” will prevent him from entering The Big Leagues. He asks his brother to punch him in the face as hard as he can, slapping and insisting until Joey breaks and delivers a few solid blows. Joey asks, “What does it prove?” Jake’s face lightly spattered with blood, he cannot answer.

Perhaps Jake unconsciously wants to demonstrate how he enjoys the essays, punishment, given his feelings of inadequacy; or perhaps the inflicted physical pain removes the biology, emotional sting of inferiority, albeit briefly. Married to a wife for fourth essays, whom he has no respect, one day he spots a young girl at the area pool. The 15-year-old Vickie (Cathy Moriarty) earns the description of “neighborhood girl,” a nice way of biology saying she knows her way around the block. Jake avoids the association and looks upon her from a distance in awe, the camera’s slow-motion gaze gliding over her. She looks ten years older than her age, and her experience undoubtedly lives up to that illusion, as around her swarm a throng of neighborhood men like Salvy Batts (Frank Vincent). After a brief courtship, Jake remarries to Vickie, but he refuses to grade, bed his new wife so as not to release any pent-up aggression before a fight. Part of him resents her sexuality even though she attracts him so, something Freud would call the “Madonna-whore complex.” Consumed by the suspicion that she cheats on thomas argument him, he watches her closely, misreading her innocent comments and not-so-innocent kisses from neighborhood friends. When she remarks that Jake’s new opponent Janiro is “good-looking,” he destroys the man’s face with an unparalleled pummeling, at which point a Mob boss in the audience announces, “He ain’t pretty no more.” Drawn entirely from his own doubts and paranoia, La Motta’s insecurities construct the drive that makes him an essays unstoppable fighter. Industrial Engineering Cover! Existing in a smoky, noisy haze, the boxing sequences touch on La Motta’s impressive record, though do better to inform his seemingly unmotivated behavior in his personal life. Grade! To put it simply: Everything is a fight.

Whether unleashed on his wife or brother, La Motta attacks them all with the same ferocity he would an adversary, beating down his familial rivals. Boxers rarely have motivation to entry level engineering letter, fight their opponents beyond “the business of boxing,” which includes their record and essays the inevitable paycheck. No more goaded by his family than by Sugar Ray Robinson (Johnny Barnes), his archnemesis of the ring, he beats them anyway, because violence is thomas argument essay all he knows. Finding a cyclical balance, his personal life fuels his professional one, and fourth grade vice versa. Inside the biology, ring, Scorsese places his audience into the points of view of La Motta and the poor sap that goes up against him; he forces us to take punches and fourth grade give them. Aquinas Cosmological Argument! Unlike so many boxing movies that keep us outside of the fourth essays, ropes looking in from the audience (while we look in from the audience), Scorsese involves us in the battle on a personal level. As a viewer, your head moves with the reality of the impacts, the camera passing over the blows and following them through. Adjusting the size of the ring from claustrophobic to expansive, not according to accuracy but as the scenes demand, Scorsese’s bouts rely on essays on man the dramatic subtext communicated through the fights. The film does not chronicle La Motta’s boxing career through these matches, rather informs his damaged ego through the allegory of boxing. Any Scorsese fan can attest to how much the filmmaker uses red, so the choice of black white may seem unnatural for his brand of essays filmmaking. Apart from apa style removing the actual color, the choice does nothing to reduce the film’s power, quite the opposite.

Friend and fourth grade essays idol director Michael Powell inspired the choice after seeing rushes of De Niro’s gym routine; he considered the spraying blood and biology bright red gloves and fourth grade essays resolved there was too much of the one color. Released in the era when the comparatively gentle fighting of Rocky Balboa earned America’s heart, Scorsese presented the bloodiest fisticuffs of any boxing film. No doubt the entry industrial cover, director felt some reluctance about portraying that much blood onscreen, with sponges hidden in grade essays boxing gloves and tubes under hair spewing fluids out in heavy streams and organization sprays as the actors make contact. Blood and fourth grade sweat seem to essay, drench the boxers, leaving the fourth grade essays, experience more visceral than any boxing matches put on biology film before or since, regardless of the absence of color. Ultimately, colors would have taken away from the drama of the images onscreen. Fourth Grade Essays! So much of Raging Bull is singular and functional, from the central conflict to the main character himself; the uniformity of black white, its simplicity of positive and negative, and the ways in which those formal themes appeal to biology, the narrative feel unreservedly precise. Jake La Motta is fourth essays not a character of aquinas argument depth and layers, and he should not be shown through an array of colors. Fourth Grade Essays! He fires on a single potent cylinder, and Scorsese reflects that in his choice of color scheme. Upon the film’s eventual release on the festival and college lecture circuit, Scorsese campaigned for paper, better film stock to grade, prevent fading, and he also demanded restorative efforts on five essays on man and nature films made in the last few decades that had already begun to diminish. Grade Essays! His black white film served as a sample of what all filmmakers should be using if no alternative to biology ap essays, the then-standard cheap color stock was provided. Shortly thereafter, Eastman Kodak began supplying studios with stock that better preserves the original color.

Delivering an fourth grade audible wallop on par with his visual violence, Scorsese’s use of sound effects jars the senses. Camera bulbs chink, fists make contact, and the audience roars through it all, each sound created from a different element, almost none from the studio’s stock sounds, and by point essay certainly not from their depicted source. Fourth Essays! Rather, panes of glass, smashed fruit, animal cries, and gunshots cover the audio-frenzied fight scenes, the level industrial cover letter, complexity of which extended the fourth, eight weeks of research paper apa style planned sound mixing twofold. Scorsese leaves the viewer in a virtual state of shell shock from the ensuing exchanges between the thwaps and grade essays snaps of the boxing scenes, to those potent moments when the audio is dropped completely, only to thomas aquinas argument, come back with a harsh crack. Afterward, sound man Frank Warner burned the individual recorded elements after the effects track was created; no other picture could sound the same as Raging Bull . Scorsese’s best utilized special effect, however, remains the remarkable performance given by Robert De Niro, whose longstanding union with the director generated some of the finest work in their respective careers. More than any audio or visual artistry the production contains, those tricks of the trade work to support De Niro’s uncanny transformation. Beginning with Mean Streets in 1973, continuing on to Taxi Driver , and all the way through Goodfellas , Cape Fear , and essays Casino , the Scorsese-De Niro director-actor affiliation lasted over twenty years. Among the biology ap essays, supreme partnerships in cinema, they rival even Kurosawa-Mifune, Ford-Wayne, and essays Flynn-Curtiz. Although Scorsese has now embraced Leonardo DiCaprio in a series of proof read equally significant collaborations, only grade time will judge the entry engineering cover, better of the two.

On and off set, De Niro worked closely with credited “Consultant” Jake La Motta, picking up his mannerisms, and even taking care of the broken soul on occasion. Fourth Grade! Though, La Motta was kept on-set only during the entry industrial engineering, ten weeks it took to shoot the fighting scenes, in which time De Niro took instruction on how to move and guard, where to hold his hands and grade essays how to throw a punch. Even when scrutinized in side-by-side comparisons between Scorsese’s film and La Motta’s vintage fight reels, the actor’s manifestation of the boxer’s fighting style is flawless. Structure Research Apa Style! The remaining time, although not allowed to essays, observe the shoot given the dramatic liberties the filmmakers intended to make on their subject’s life, the real La Motta remained accessible to De Niro. For the later scenes featuring a heavier La Motta, the production took a four-month hiatus while De Niro “ate his way around Northern Italy and France,” adding on the necessary girth to weigh the part. De Niro gained some 50 pounds, while Scorsese and Schoonmaker put together everything but De Niro’s fat scenes. In this archetypal actor’s metamorphosis, the research paper, one against which every subsequent actor’s physical transformation would be judged, De Niro goes from the lean physique of a champion athlete to an overfed has-been.

This bloated version of fourth La Motta, having won the middleweight champion belt, gives up fighting and runs his own Miami club, called “Jake La Motta’s” no less. The weight, the fighting, the Madonna-whore complex—these symptoms stem from a recurrent theme in Scorsese’s pictures, Christian guilt or self-punishment. After earning his belt, Jake becomes lazy and entry industrial overconfident; he then attacks Joey, suspecting his brother and fourth wife are having an affair. Severing his relationship with his brother, La Motta’s remorse overcomes him when he defends his title against Sugar Ray Robinson. Proof Read! Not fighting back, La Motta sentences himself to a fifteen-round beating. Blow after blow and La Motta does not go down, but rather he seems disappointed, even annoyed that Robinson’s punches do not relieve his remorse. Though the real La Motta claims he was playing possum, Scorsese shows us La Motta literally asking for it. The result of his self-permitted punishment drips off the fourth essays, ropes. Ap Essays! Scorsese tells the famous story, “Jonathan Demme gave me a portrait of Jake made by a folk artist and around the grade, edge of this piece of slate was carved, ‘Jake fought like he didn’t deserve to live.’ Exactly, I made a whole movie and this guy did it in one picture!”

When La Motta finds himself arrested and organization thrown in jail, having tried and failed to pawn off the fourth, jewels in his championship belt for bail, he slams his head and fists against the cell wall, crying “Why!” and “You’re so stupid!” His archenemy all along was himself, and unconsciously he knows this. Later, the five essays on man, former boxer, thick-necked and breathing heavy, performs his grating lounge act in a hole-in-the-wall dive. Scenes of him practicing a monologue from On the Waterfront bookmark the film. The audience sees De Niro doing La Motta doing Brando doing Terry Malone. And somehow that conversion resists being merely a series of parodies stacked on top one another because of De Niro’s brilliant translation. His performance eliminates the “acting” in grade the equation, so that what we see is La Motta identifying with the transcendence of his own words.

Here La Motta gives the “Coulda been a contender” speech, wherein Malone confronts his brother Charlie’s betrayal. “It was you, Charlie,” La Motta says, looking deep into the mirror at and nature, himself, presenting the fourth grade essays, very moment when this broken boxer understands his own cruelly self-deprecating nature. This performance-within-a-performance effect took some nineteen takes to accomplish and and nature represents some of the most extraordinary acting ever put to celluloid. Consider how Scorsese’s films continually reflect on instinctual, self-betraying drives standing in opposition of faith or inborn morality, producing a conflicted and fourth thus dynamic character who ultimately punishes himself to resolve his inner argument: Mean Streets features Harvey Keitel’s small-time hood balancing his criminal life with his devotion to proof read, God, holding a flame to his hand in hope of grade absolution. Travis Bickle in Taxi Driver expresses displacement within New York City, more specifically his reserved attraction to an underage prostitute by saving her in a suicidal pimp killing spree, which he tragically survives. Most controversially, The Last Temptation of Christ featured Willem Dafoe’s Jesus reflecting on his own crisis of faith and desire to rebel against his fate, concerns both resolved through his affliction on the cross. The examples could go on and on, and common throughout remains the structure apa style, resolution that human nature has been engineered to invariably destroy itself. Nowhere in Martin Scorsese’s career has this motif found such precise descriptions as within Raging Bull . Given the essays, total personification of thomas aquinas Scorsese’s ongoing thesis in the form of Robert De Niro’s performance, and fourth essays indeed the apa style, narrative in its entirety, perhaps the film should be thought of as an embodiment, encapsulating the subtext of nearly all his films and bringing those ideas to the surface in their most forward assault. By understanding this film, his audience consequently perceives the depth and intensity behind all Martin Scorsese pictures, and for that, it operates not only as a moving drama, but also a thematic instruction manual for one of the all-time great filmmakers.

Christie, Ian; Thompson, David (edited by). Scorsese on Scorsese . Revised Edition. London: Faber, 2003. Scorsese, Martin; Henry, Michael. A Personal Journey Through American Movies.

New York: Hyperion, 1997. Deep Focus Review 2006-2017. All rights reserved.