Thursday, January 30, 2020
Population and Economic Growth Essay Example for Free
Population and Economic Growth Essay The debate between positive and negative sides of population growth is ongoing. Population growth enlarges labour force and, therefore, increases economic growth. A large population also provides a large domestic market for the economy. Moreover, population growth encourages competition, which induces technological advancements and innovations. Nevertheless, a large population growth is not only associated with food problem but also imposes constraints on the development of savings, foreign exchange and human resources. Generally, there is no consensus whether population growth is beneficial or detrimental to economic growth in developing economies. Moreover, empirical evidence on the matter for developing economies is relatively limited (Savas, 2008). According to Population ââ¬Ërevisionistââ¬â¢ economists, population growth acts as an indispensable constituent for stimulating economic development because a sizeable population provides the required consumer demand to generate favorable economies of scale in production, lower production costs, and provide a sufficient and low-cost labor supply to achieve higher output levels (Todaro 1995, p. 03). Johnson (1999) pointed out that a high rate of economic growth is associated with high population growth and low economic growth is associated with low population growth. The issue of population and economic growth is as old as the discipline ofeconomics itself. The debate on the relationship between population andeconomic growth could be traced back to 1798 when Thomas Malthus published the book An Essay on the Principle of Population. Malthus claimed that there is a tendency for the population growth rate to surpass the production growth rate because population increases at a geometrical rate while production increases at an arithmetic rate. Thus, the unfettered population growth in a country could plunge it into acute poverty. However, the pessimist view has proven unfounded for developed economies in that they managed to achieve a high level of economic growth and thus, both population and the real gross domestic product (GDP)per capita were able to increase (Savas, 2008). Similarly, many of the empirical studies that claimedthat a rapid population growth impeded economicdevelopment could not be considered reliable. This isbecause the statistical correlation between populationexpansion and economic growth has not addressed thecausal relationship between the two (Repetto, 1985). The nature, direction and pattern of the causal relationship between population growth and economic growth has been the subject of very old debate among economists, demographers, policy-makers and researchers which is an open issue in development economics. Even though the nexus between population development and economic development has received extensive attention in the earlier period, it seems a stylized reality that it is hard to obtain a robust effect of population on economic development today. Despite the fact that there are abundant research studies on the relationship between population and economic development, there is no universal consensus as to whether population expansion is beneficial or detrimental to economic growth. (SarbapriyaandIshita, 2012). Population and Economic Growthà The debate on the relationship between population and economic growth could be traced back to Malthus. According to Malthus, population tends to grow geometrically, whereas food supplies grow only arithmetically. According to the Malthusian model, the causation goes in both directions. Higher economic growth increases population by stimulating earlier marriages and higher birth rates, and by cutting down mortality from malnutrition and other factors. On the other hand, higher population also depresses economic growth through diminishing returns. This dynamic interaction between population and economic growth is the centre of the Malthusian model, which implies a stationary population in the long-run equilibrium. Malthuss concern created quite a stir in the early nineteenth century England, leading to widespread calls for restraints on population growth. Still, the English population expanded quite rapidly throughout the nineteenth century, but by most evidence real income rose and the spectre of mass starvation declined(Sarbapriya and Ishita, 2012). One of the stylized facts about population in all contemporary developed nations is that over the past couple of centuries it has passed through three stages (i. e. , demographic transition). The first stage is characterized by high birth rates and high death rates, resulting in a slow population growth. In thesecond stage there was a decrease in death rates, however the birth rates remained high as a consequence of increases in population. Finally, in the third stage, fertility rates fell and combined with low mortality rates resulted in very low or no population growth. The usual explanations for the time evolution of population relies generally on the idea that the improvement of economic conditions ââ¬â which includes massive improvements in public health ââ¬â led first to a reduction in the mortality rates, and finally to a decrease in the birth rates. As income per capita is a good proxy for economic conditions because it reflects, among other things, the impact of technology, education and health, the usual explanations therefore suggest that there is a strong link between per capita income and population. Indeed, the main theories put forward by economists to explain the evolution of population relates it to per capita income not aggregate output. This implies that there is a direct relation between per capita income and population size, an increase in income per capita leads to an increase in the size of population ((Sarbapriya and Ishita, 2012) The relationship between population and economicgrowth is complex and the empirical evidence is ambiguous, particularly concerning the causes and impacts3. It can be demonstrated in a theoretical model that a large population growth could have both negative and positive impacts on productivity4. A large population may reduce productivity because of diminishing returns to more intensive use of land and other natural resources. Conversely, a large population could encourage greater specialization, and a large market increases returns to human capital and knowledge. Thus, the net relationship between greater population and economic growth depends on whether the inducements to human capital and expansion of knowledge are stronger than diminishing returns to natural resources. Therefore, it is important to examine the population and economic growth nexus (Savas, 2008).
Wednesday, January 22, 2020
Don Quxiote :: essays research papers
Don Quixote: Renaissance humor with a modern translation A Spanish knight, about fifty years of age, gave himself up so entirely to reading the romances of chivalry, that in the end they turned his brain, and nothing would satisfy him but that he must ride abroad on his old horse, armed with spear and helmet, a knight-errant, to encounter all adventures, and to redress the innumerable wrongs of the world. As is the case in this epic tale by Cervantes, modern man is not immune to prolonged sustained suggestion. All irony criticizes the imperfect ideas and theories of mankind, not by substituting for them other ideas and other theories, less imperfect, but by placing the facts of life, in mute comment, alongside of the theories. To be put in a more tangible sense, after addressing a subject matter over a sustained period of time one is apt to view them selves in the same light as the character of which they are enamored by. It plagues the news as high school children take arms and seek vengeance inside schools today. As the Scapegoat they place the blame on television, violent movies, and video games. Theorists and psychologists say that the harsh and abrasive nature of movies like the Matrix and Rambo are absorbed into the maturing mind of adolescence and are seen as fact. As is the case in Don Quixote where our chivalric hero takes arms after reading one to many romance novels. Every one sees the irony of Don Quixote, and enjoys it in its more obvious forms. This absurd old gentleman, who tries to put his antiquated ideas into action in a busy, selfish, prosy world, is a figure of fun even to the meanest intelligence. But, with more thought, there comes a check to our frivolity. Is it possible that the criticism is double-edged, and that what we are celebrating with our laughter is the failure of the world? But, Don Quixote, it may be objected, is mad.
Monday, January 13, 2020
Ethical Health Care Issues Essay
Healthcare ethics involves making well researched and considerate decisions about medical treatments, while taking into consideration a patientââ¬â¢s beliefs and wishes regarding all aspects of their health. The healthcare industry, above any other, has a high regard for the issues surrounding the welfare of their patients. This power over a patientââ¬â¢s wellbeing creates a mandatory need for all healthcare organizations to develop an ethics committee. The committeeââ¬â¢s goal is to establish a written code of ethics that details the policies and procedures that determine proper conduct for all employees. There are many ethical issues that may arise in regards to a patientââ¬â¢s healthcare. Treating patients with certain religious beliefs pose important ethical issues in the field of healthcare. This paper will describe an ethical health care issue concerning refusal of care, such as a blood transfusion. It will cover the four ethical principles as they apply to healthcare providers and patientsââ¬â¢ rights. It is important that health care workers have a rudimentary understanding of Jehovahââ¬â¢s Witnesses philosophy about blood transfusion so that as professionals we can be proactive in their management. Ethical Health Care Issue In all areas of practice, physicians come into contact with Jehovahââ¬â¢s Witnesses and their refusal to accept blood transfusion, even when it means saving their lives. The Jehovahââ¬â¢s Witness faith creates some challenges for physicians caring for its members. The ethical principles of autonomy versus beneficence come into conflict when a physician believes a transfusion is in the best interest of the patient, but the patient refuses. Legal precedence provides a backdrop. In addition, Panico, Jenq, & Brewster (2011) article states, there was a case involving a woman who had consented for examination of a fibroid tumor under anesthesia, but withheld consent for removal of theà tumor. While sedated, she underwent resection of the tumor that led to complications. She sued and the judge ruled in her favor, establishing the notion that every human being should have the right to decide what is done with his or her own body. Moreover, this premise gave any individual the right t o refuse treatment if he or she understands the risks; a Jehovahââ¬â¢s Witness has the right to refuse a blood transfusion. This ruling set a precedent for informed consent. In 1990, the Canadian case of Malette v Shulman described an emergency department physician who gave a blood transfusion to an unconscious patient who was in hypovolemic shock. Per report, the patient had a signed wallet card that identified her as a Jehovahââ¬â¢s Witness, although it was undated and unwitnessed. The wallet card, is considered a legal document which, stated that she did not want to receive a blood transfusion under any circumstances (Lantos, Matlock, & Wendler, 2011). Furthermore, when the patientââ¬â¢s daughter arrived and asked that the transfusion be stopped, the physician did not comply. The physician argued that there was no way of knowing if the patient had changed her mind in the minutes before the car accident and thus he was duty bound to save her life (Lantos, Matlock, & Wendler, 2011). The court found the physician guilty of battery. Although it is easy to draw on emotion to argue against the ruling in this case, the verdict has not been overturned. This case illustrates the current teaching to todayââ¬â¢s physicians, who are taught to respect patientââ¬â¢s autonomy and preferences for their own bodies (Lantos, Matlock, & Wendler, 2011). Jehovahââ¬â¢s Witness have been known to refuse transfusions with packed red blood cells to treat their life-threatening diseases. Medical professionals must consider patient has autonomy of thought, intention, and action when making decisions regarding health care procedures. To comply with patientââ¬â¢s wishes medical professionals could offer fresh frozen plasma and platelets as an alternative. Furthermore, Jehovahââ¬â¢s Witnesses number over one million in the United States and at least six million worldwide. Witnesses believe in strict and literal interpretation of the Bible, which leads them to reject some aspects of modern medical care (Doyle, 2002). Medical professionals have discussed in open forums ethical decisions they are required to make while taking care of a dying patient who refused to accept a blood transfusion. Data suggests they struggled to relate to someone who would take some blood products, butà not others, and who are willing to risk death over a red blood cell transfusion. Refusal of blood transfusions became common practice only after a 1945 church decision (Mann, Votto, & Kambe, 1992). Indeed, Jehovahââ¬â¢s Witnesses interpret these sections of the Bible differently and if a member accepts blood into their veins, they are shunned and forfeit their membership in the faith community and eternal life. The society had enforced shunning and social isolation by Witnessesââ¬â¢ own family members, relatives, and friends, ultimately leading to expulsion from the religion (Doyle, 2002). Similarly, research suggest that the health care provider must consider four main areas when evaluating justice and the four areas are fair distribution of scarce resources, competing needs, rights and obligations, and potential conflicts with established legislation (Gillon, 1994). In considering the many ethical dilemmas associated with Jehovahââ¬â¢s Witnesses and their refusal to accept blood transfusion have medical professionals focusing on the ways in which treatments or interventions violates accepted norms of conduct of social science research. Physicians must be aware of the growing diversity of values and beliefs among Jehovahââ¬â¢s Witnesses. Some of the most intractable ethical problems arise from conflicts among principles and the necessity of trading one off against the other. The balancing of such principles in concrete situations is the ultimate ethical act (House, 1993, p. 168). Evaluation involves at least four levels of social-political interaction- with government and other agency policy makers who commission evaluation. Evaluation has to operate in this multilayered context of different interests, providing information to inform decisions while remaining independent of the policies and programs themselves (House, 1993, p. 170). More importantly, the weight of ethical judgment is thus put on experimental research to justify meeting ethical standards (Panico, Jenq, & Brewster, 2011). Resource allocation is a major issue that physicians are confronted with when dealing with Jehovahââ¬â¢s Witness allocation. Beneficence requires that the procedure be provided with the intent of doing good for the patient involved. As described above if a patient refuses a blood transfusion and opt for an alternative procedure that costs more it can prove problematic (Panico, Jenq, & Brewster, 2011). When society thinks of the greater good, this argument poses a challenge to the principles of patient autonomy that we also value. In a society in which medical resourcesà are costly, benefits will always need to be weighed against the potential cost to both the patient and society thus creating ethical challenges. Finally, the care of a Jehovahââ¬â¢s Witness with life threatening illnesses requires a multidisciplinary and planned approach. These patients suffer with certain diseases and are often anemic and must be prepared to deal with this issue in both outpatient settings and during an acute crisis. Clinicians must view each patient as an individual who may have varying thoughts about transfusions of the multiple different blood products that are available. Therefore, medical practices today need to continue to open early lines of communication with these patients. Providing adequate information and educating the patient about realities and obtaining informed consent before subjecting a patient to any test, procedure, or surgery is very essential. It is vital to the optimal care of a Jehovahââ¬â¢s Witness patient. It is necessary that dialysis unit nurses and social workers have conversations with patients about their beliefs on blood products. Discussing a patientââ¬â¢s wishes, understanding their basis for these decisions, and discussing risks, benefits, and alternatives that can be used in both emergent and non-emergent situations is crucial to preparing for more urgent situations, when these conversations often are not possible. Conclusions To many Jehovahââ¬â¢s Witnesses, the consequences of accepting a blood transfusion can be worse than death itself. Not every Jehovahââ¬â¢s Witness patient abides by the same beliefs regarding the acceptance of blood products. These patients can be managed through careful planning and open lines of communication between physicians and patients. Understanding the premise behind the beliefs of patients who are Jehovahââ¬â¢s Witnesses is critical to beginning conversations and truly understanding the patient. Ultimately, when a patient establishes what they will accept, as clinicians, ethically we must optimize the care we provide within their wishes about blood products. Frequent and open dialogue is essential for enhancing care for a Jehovahââ¬â¢s Witness. As an alternative to violating a patientââ¬â¢s autonomy some physicians and some hospitals are more comfortable with bloodless procedures and patients can be referred to these centers if necessary for specialty care. Overall, health care professionals should be able to provideà ethical health care to patients who are Jehovahââ¬â¢s Witnesses at any hospital or community office, but must continue to be educated and aware of their beliefs and respect their wishes and the impact these may have on organizing and providing their care. If these considerations are neglected one can surely expect ethical breaches or dilemmas as inevitable. References Doyle D. Blood transfusions and the Jehovahââ¬â¢s Witness patient. Am J Ther. 2002;9(5):417ââ¬â424. Gillon, R. (1994). Informed consent: an ethical obligation or legal compulsion. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840885/ House, R. (1993). Ethics in evaluation. Retrieved from http://www.uk.sagepub.com/gray3e/study/chapter12/Book%20chapters/Ethics_in_Evaluation.pdf:168-170. Lantos J, Matlock A, Wendler D. Clinician integrity and limits to patient autonomy. JAMA.2011;305(5):495ââ¬â499. (Lantos, Matlock, & Wendler, 2011). Mann M, Votto J, Kambe J, McNamee M. Management of the severely anemic patient who refuses transfusion: lessons learned during the care of the Jehovahââ¬â¢s Witness. Ann Intern Med. 1992;117(12):1042ââ¬â1048. Panico, M. L., Jenq, G. Y., & Brewster, U. C. (2011). When a patient refuses life-saving care. American Journal of Kidney Diseases, 58(4), 647-653.
Sunday, January 5, 2020
Purpose of Confirmation Baptism and Confirmation and Eucharist Free Essay Example, 2000 words
We are initiated into the unconditional love of God to free us and cleanse us from original sin and be one with God. Baptism allows us to understand the meaning of the Paschal Mystery and Jesus mission on earth which is to save mankind. The Paschal Mystery enables the People of God to have power over sin. Immersion in or a sprinkling of water commemorates the passion, death, and resurrection of the Lord Jesus. Jesus began his ministry with the baptism of John in the River Jordan, then he comes out from the water glorious while a voice from heaven announces that he is the Son of God par. 1). When Christ was dying on the cross, the Roman soldier lanced his spear on the side of Christ and water and blood came out. It has great significance because it is like baptizing the sinful world while Jesus is dying and fulfilling his mission to save the world. Matter, Form, Ordinary Minister, and effect of the Sacrament of Confirmation, and the indelible mark received in the Confirmation is admi nistered by the Bishop and the ceremony takes place while the Holy Mass is celebrated. We will write a custom essay sample on Purpose of Confirmation: Baptism and Confirmation and Eucharist or any topic specifically for you Only $17.96 $11.86/page The bishop and the priests lay hands on the candidates, after which the bishop performs the confirmation bestowing upon the candidates the gifts of the Holy Spirit.
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