Guidance and Discipline Issues in the Early Education Essay

Children who come from a lower economic background have a much greater disadvantage than other children. Early childhood represents a particularly important time to target children’s risk of behavior problems through proper guidance and discipline. There is a great need for preschool classrooms where processes are able to support a young child’s emotional and behavioral development. Low-income children who attend a lower quality preschool do show an emotional and behavioral adjustment and are placed at a substantially greater risk in the long run (Magnuson, & Waldfogel, 2007). This shows us that even though the intentions to teach the child where there, we may be doing more harm to the child then help. It is imperative to learn whether interventions that target social-emotional development in preschool can avert the risk of higher behavior problems among low-income children while also supporting their emotional, behavioral, and academic adjustment. Children who are exposed to a wide range of psychosocial stressors such as living in a poor neighborhood are at a greater risk for developing emotional and behaviors issues. These children also have minimal access to mental health services (Fantuzzo et al. , 1999). Early childhood is quite possibly the most important time to target children’s risk of behavior problems. Evidence regarding the onset of behavior problems as early as toddlerhood is mounting. With this evidence, it suggests that the earlier the intervention is conducted there is a better chance for a more positive result. The goal is to reduce the early childhood behavior issues while preparing the children for school readiness. In order to do this, preschool classrooms have become increasingly important. Approximately 67% of young children in the United Stated are enrolled in center-based or non-relative care prior to enrollment in kindergarten (Innes, Denton, & West, 2001). If children from ethnic and minority groups are less likely to be enrolled in a beneficial program, the gap in education may be widened. Children who spend less time in beneficial programs and attend lower-quality programs do not receive the benefit that preschool is intended to give. The experience of a high quality preschool may narrow the racial and ethic gaps, if children from minority groups are more likely to be enrolled and spend more time in them. When it comes to preschool programs and ethic gaps in school readiness, there is shown to be a difference in racial diversity of school readiness. It is shown that a child who attends a quality center or preschool program is more ready to learn upon entering school. These children are much more likely able to know what is expected as far as behavior in the classroom. These children are given the skills in classroom guidance that they needed prior to entering elementary school. However, since not all preschools are of high quality and there are differences in the type and quality of programs, not all children are receiving the benefit. According to Magnuson and Waldfogel, black children are more likely to attend preschool than white children, but may experience lower- quality care. Hispanic children are much less likely that white children to attend preschool. (Magnuson & Waldfogel 2005) The best estimates of the effects of early childhood care and school readiness note that these programs enhance children’s cognitive development and academic skills.

Analysis of Setting in Gilman’s “The Yellow Wallpaper”

Eric Fitzgerald Critical Essay Keith Wilhite 10/22/12 Analysis: The Yellow Wallpaper In works of literature, authors tend to use various literary techniques to help the reader understand the work without an explicit explanation. In the short story â€Å"The Yellow Wallpaper† Charlotte Perkins Gilman uses setting to connect with the theme in order to give the reader an understanding of the narrator’s developing insanity along the common gender roles of the late 19th century.The narrator records journal entries that document the decline of her mental state throughout her progressively slanted perception of reality. Her decline in mental health, which seemingly begins as relatively steady, eventually becomes broken in a way that is exemplified through her explanation of the physical setting. Setting is used as a basis of the plot because without its unique setting, the story would have less credibility of being plausible. Gilman provides a compatible setting and theme, whi ch leads to a smooth plotline in the story.The story takes place in a pleasant summerhouse that the narrator’s husband John has rented out for three months to give his wife time to relax and recover from her illness. This setting immediately tells the reader that the husband and wife live upper-middle class or upper class lives. John, â€Å"a physician of high standing†, clearly does very well for himself financially as he lives comfortably enough to rent out a luxurious summer home for the three months of summer (316).Although the narrator refers to the rental rate of the home as cheap, it is still a luxury expense that not many families would so freely incur. This detail suggests that John makes a good amount of money and allows the reader to infer how this family lives. Because Gilman has provided this setting, the reader is able to assume these more descriptive aspects of the story. The narrator’s first entry in her diary seem sane when read superficially, h owever the way she views her living space seems all too optimistic.She referred to her bedroom as a â€Å"nursery† and assumed that it was a â€Å"nursery first, then playroom, and gymnasium, I should judge; for the windows are barred for little children, and there are rings and things in the walls† (317). Yet when she described the so called nursery, one can have serious doubts. She mentioned that the size of the bed was that of an adult’s, and was the only piece of furniture in the room. The reader can immediately question this detail because it does not make sense for there to be an adult’s bed in a room that was for young children, or a gymnasium.The narrator later mentions that, for some reason, the bed is nailed to the floor and that there is significant damage to the legs of the bed. She explains, â€Å"scratched and gouged and splintered,† and â€Å"the plaster itself is dug out here and there† (319). The narrator blames these descri ptions on violent children. The reader develops a further understanding of the narrator’s lack of sanity when the room in portrayed with a sense of her being locked inside. She discloses that the room has barred windows and a barrier taking away her access to the stairwell.She seems to be unaware of these possibly intentional confines of the room, but the reader gains insight to the credible previous usage of the room. In actuality, it allows the reader to question her sanity throughout all of her writing. There is a chance that the asylum was deliberately chosen for the insane narrator and John led her to believe it was a nursery to circumvent disturbing her â€Å"slight hysterical tendency† (316). â€Å"The Yellow Wallpaper† was written in 1892 and takes place in about this same time period.In this century, gender roles among men and women were distinct. The men worked and played a superior role in society, while the women stayed at home to cook, clean, and ta ke care of the children provided they had any. In the story, John has the overall power in the house, while the narrator does as he says. The narrator showed her obedience when she immediately stopped writing when she noticed her husband was on his way to her room. She said, â€Å"There comes John, and I must put this away, – he hates to have me write a word† (317).Beyond the relationship of physician to patient, John is demonstrating his empowerment as a husband in this late 19th century short story when he does not allow his wife to go visit her Cousin Henry and Julia,: â€Å"[†¦] he said I wasn’t able to go, nor able to stand it after I got there; [†¦]† (321). The husband-wife relationship between the two is further uncovered in the narrator’s fourth journal entry. She accidentally woke up her husband in the night when she got up from her bed to explore the activity in the wallpaper and goes on to say to John that it is â€Å"a good t ime to talk† (322).Through their discussion, it is clear that John is talking down to his wife when he calls her â€Å"little girl† and cries out, â€Å"Bless her little hear! † (322). Additionally, John seems as though he declines to acknowledge the fact that his wife’s condition is not improving as he continuously reinforces the idea that she is getting better. The relationship between the two is clearly dominated by John. His wife’s reliance on him and her lowliness are highlighted by John’s condescending conduct. Furthermore, John placed his wife in an upstairs bedroom, where she ended up spending all of her time away from the rest of the house.Contrary to where the wife wanted her bedroom to be, she nonetheless endured the discomfort that the hideous yellow wallpaper brought to the room. After a detailed description of the wallpaper’s lack of attractiveness, the narrator stated, â€Å"I should hate it myself if I had to live in t his room long† (317). In this moment, John’s wife’s declaration of hate towards the yellow wallpaper in a way foreshadows her imminent insanity. Throughout the story, the narrator’s thoughts become increasingly involved with the wallpaper to the point where most readers would question her sanity.Although she often mentions that she feels her health is improving, her writing becomes progressively obsessed with the wallpaper indicating her worsening mental state. Mentioning new â€Å"developments† in the wallpaper, she states, â€Å"There are always new shoots on the fungus, and new shades of yellow all over it. I cannot keep count of them, though I have tried conscientiously† (324). She also goes on to reference various other strange details of the paper such as its smell, its color, and that she believes there is a woman behind it making it move (325).At this point in the story, it is clear that the narrator has lost her grip on reality as th e setting ultimately contributes to the plot line of the short story. Additionally, the narrator’s distance from the central areas of the house symbolizes the distance between her mental state and reality. The rest of the family resides in the common place of the house where they carry out their days – a normal reality. The author portrays the narrator’s figurative separation from the regular, sane world by physically distancing her from everyone else in the house.The narrator is also separated in terms of the social hierarchy of the house. The husband paid for the rent of the house and moves about freely in it while he requires his wife to remain in her room at all times, which also demonstrates his gender dominance in the late 19th century. Often times, the setting of a literary work can contribute much more to the reader than simply informing the time and place of the work. The reader can gain a better understanding of many different aspects of a work when th e setting is critically analyzed.The narrator’s decline in mental health begins as relatively stable to the reader but eventually becomes fragmented in a way that is exemplified through her clarification of her physical setting. Her weakening mental state can partially be blamed her already preexisting nervous tendency, but is certainly a result of her questionable â€Å"treatment† and her husband’s denial to his wife as an adult on a level social hierarchy. The setting in â€Å"The Yellow Wallpaper† plays a crucial role in being able to thoroughly understand the literary work.

The Rise And Fall Of The American Economy Coursework

The Rise And Fall Of The American Economy - Coursework Example In the US economy, there is a high level of unemployment and the interest rates in the economy are almost down to zero. The inflation is about 2% per year and the Gross Domestic Product (GDP) is increasing at less than 3% per year. It is necessary to raise the GDP growth to about 3% per year while keeping the rates of unemployment and inflation low in the economy. Economic depression in an economy can be controlled by the formulation of effective monetary and fiscal policies. While the Fiscal Policy is administered by the American Government, the Federal Reserve (the Central Bank of America) possesses the power to implement the monetary policies in the economy. These policies are based on a number of laws and theories; Okun’s Law and the Phillips Curve are two such important theories. The Okun’s law states that when actual output grows faster than potential output, unemployment rate in an economy, decreases and vice versa. The rate of output (GDP) growth corresponding to the stable rate of unemployment is then considered as the growth rate of the economy. Thus, it is the empirical relation between the output gap and the unemployment rate. (House of Representatives, USA, p.44) Phillips Curve shows the negative relationship between the unemployment rate and inflation rate in the economy. This implies that in order to reduce unemployment, some amount of inflation has to be tolerated or inflation can be reduced at the cost of rising inflation. (Tucker, 2011, p.453) Wages was not taken as a component of the Phillips curve as in the presence of unemployment, the bargaining power of labor is almost non-existent and thus, wages cannot be considered a key variable. However, Phillips Curve is a short-run phenomenon and there is no trade-off between inflation rate and unemployment rate in the long-run. (Mankiw, 2009, p.789) These two theories are indispensable to study monetary and fiscal policies because they show the relation between output, inflation and unemployment in an economy. A General Framework: The GDP of a country is the sum total of the values of all the goods and services produced within the geographical boundaries of a country in a particular year. Keynesian economics states that GDP can be expressed as the sum of the Consumption expenditure, the investment expenditure, the government expenditure plus exports minus imports. The equation can be expressed as: GDP = C + I + G + (X – M)†¦Ã¢â‚¬ ¦ (1) where C: Consumption expenditure of the households I: Investment expenditure G: Government expenditure X: value of exports M: value of imports Equation (1) represents the real side of the economy where the concerned variables are all real variables. Fiscal Policy: The Government can alter the level of output, consumption, emplo yment and aggregate demand in an economy, using the two main instruments of fiscal policy – taxation and government spending. Keynesian economists believe that fiscal policy has a more straightforward and immediate impact compared to monetary policy (Genovese, 2010, p.160), as it affects the real sector of the economy, rather than the monetary sector. Expansionary Fiscal Policy: Equation (1) can also be expressed in terms of personal disposable income of the household sector as: Thus, GDP = C (y – t.y) + I + G + (X – M) where y: income of the households t: income tax rate in the economy (y – t.y): disposable income of the households Therefore, GDP = C {y (1-t)} + I + G + (X – M)†¦Ã¢â‚¬ ¦ (2) When there is a high rate of unemployment in the economy, the Government can reduce the tax level in the economy i.e. the Government reduces â€Å"t† in the economy. When â€Å"t† is reduced, the consumers are required to pay less amount of t heir income as tax which increases their disposable income. The household’s consumption expenditure which is a function of their disposable income, naturally record a rise. In the equation (2), as a result of the decrease in

This paper is all about bonds and their different types Essay

This paper is all about bonds and their different types - Essay Example Let's have a glance over the definition of Bonds and their importance and usage. A debt security in which the issuer is liable to pay interest at a later date to the security holder, which termed as maturity is called bonds. More precisely we can say that a bond is a type of a loan in which the person which issues the bonds is termed as borrower and by contrast a person which holds it, termed as lender. Interest or coupon rate is the thing which becomes a bridge between the borrower and lender which ultimately constrains the value of return, and it must be repaid at fixed interval over a specified period of time. A little bit contradiction found between the bonds and stocks. In general, both are securities but stock holders are the equity stake holder of the company and known as the real owner of the entity, while the bond holders are the lenders to the issuer, which usually have a specified term of maturity after which the bond security gets redeemed (Vernimmen, 2006). According to the statistics of the Federal Reserves (FED), there are more than $1.7 trillion municipal securities, $3.6 trillion of outstanding US Treasury securities, $2.7 trillion of corporate bonds and more than $470 billion of bonds issued by the foreign governments and corporations in the United States. There are several types of bonds a corporation issues. Usually treasury bonds are referred as the government bonds, whi... anding US Treasury securities, $2.7 trillion of corporate bonds and more than $470 billion of bonds issued by the foreign governments and corporations in the United States. There are several types of bonds a corporation issues. TREASURY BONDS: Usually treasury bonds are referred as the government bonds, which are issued by the US federal government. The bonds are free from default risk because the federal government will make payments on the promised time period. Now, we are well aware with the fact that the treasury bonds have no default risk but that's not mean that such bonds are totally free from risk because the price of the bonds may increase or declines with the fluctuations in the interest rates (Vernimmen, 2006). Treasury bonds are termed as the safest bonds, because the collateral of these bonds are in the hands of the government, which attracts the confidence of the investors and become a triumph for both the corporations and the bond holders. CORPORATE BONDS: We can get an idea in an instant from the name of the corporation bonds that the bonds which are issue by the corporations in order to raise the overall equity of the firm are called corporation bonds. As compared to the treasury bonds, corporation bonds have the default risk appetite in it. It means from any contingency, if the firm envisaged a bad time on the financial health then probably the firm is unable to facilitate its bond holders or we can say that unable to meet or fulfill their financial promises and legal obligations (Cinnamon, 2006). Level of default risk varies with the characteristics of the corporate bonds, which often refereed as "credit risk". MUNICIPAL BONDS: Municipal bonds are also issued by the local government. Its also have default risk like the corporation bonds.

Critical evaluation of a published paper Assignment

Critical evaluation of a published paper - Assignment Example Generally the primary aim of the research was to compare the potential impact of bundles of both collaborative and calculative human resource management. The analysis of the impact of the intermediary practices was more of a secondary interest (Gooderham, Parry and Ringdal, 2008, p. 2042). This paper critically evaluates the research design, strategies and methods used in the research article as well as their potential drawbacks to the research. Research design and approach Generally the authors have used a quantitative research method for their empirical study regarding the relationship between human resource management practices and firm performance. The research design used is primarily based on cross sectional data derived from a recent Cranet survey of human resource management in 16 European countries. The authors collected their data through survey questionnaire which were appropriately translated and mailed to the respective human resource managers of the selected sample nati onal firms in all the countries The resulted suggested that 5/6 of the calculative practices as well as two thirds of the intermediary practices had a significant impact on the performance. On the other hand, the analysis of the data further revealed that none of the collaborative practices had any impact on human resource management performance. ... On the hand, the independent variables used in the research were the various HRM practices that were obtained from a comprehensive literature review by the researchers. These variables were analyzed using SPSS and the results obtained were then used to support the hypothesis of the researchers. Benefits of the research design and approach There are a number of benefits of the research design that the authors used. For example, while the method use in data collection was too simple it provided the needed information to the researchers. One of the strengths of the research design used is that the literature review has offered a proper basis for the research as it clearly brings out principles and schools of thought that concern the research. For instance the review addresses some of the issues attributed to management system that aims to give the human resource new knowledge, information, motivation that results to a better workforce and commitment (Wright and Snell, 1998, p.764). To v alidate their findings, the authors have also used a comprehensive literature review in their study. A well outlined and detailed literature review with a detailed introduction to the research was a very good approach towards undertake of this research. The difference between calculative and intermediary HRM bundles and also collaborative HRM bundles has been well outlined. On the other hand, the method of analysis employed by the researchers included the use control variables that effectively provided a broad macrocontext of operation for the sample firms. Consequently this enabled the researchers to control the differences such as institutional settings and the variation in the economic conditions

Compare and contrast two explanations of late-nineteenth century Essay

Compare and contrast two explanations of late-nineteenth century European imperialism with regards to two European empires in at - Essay Example The British conquest of India began in the middle of the eighteenth century and played a major part in this country’s rise to world dominance in the nineteenth century. Because Britain had an excellent Navy and a spirit of exploration and conquest, the first settlers there quickly set up businesses to supply the factories at home with raw materials. Britain had just begun a period of great economic expansion at home, which has come to be called â€Å"the industrial revolution.† The East India Company was created to build up trade in goods like spices and cotton, and Britain soon relied upon this country for the supply of many goods. The East India Company was a private organization but it received a lot of support from the British government. It grew into a major cultural influence as well, aiming to educate the Indian population in English ways. Britain’s colonial influence extended far across the huge territories of India. Some of the profits from trade were us ed to introduce new technologies into India like roads and telegraphs, and even a vast railway network. The purpose was to support the colonial trade system, but an important side-effect was a shift in the culture of India for the native people there. Some historians see the colonisation of India in terms of bringing progress to the whole world, especially economic progress: â€Å"no organization in history has done more to promote the free movement of goods, capital and labour than the British Empire in the nineteenth and early twentieth centuries† (Ferguson: 2004, p. xxi) From this perspective, the brutal oppression of Indians who did not accept British rule is seen as an unfortunate price that had to be paid for this great progress. It is astonishing that so few British people managed to control such a huge land, for example in the period 1860-1905, â€Å"there were seldom more than 100,00 of them (European people) scattered among a population of over 250 million, and mos t were British soldiers who lived in cantonments concentrated in the northern half of the country.† (Ferguson, 2004, p. 341) The British government supplied troops to keep control over areas where uprisings occurred, for example in Bengal, which quickly became a centre for British influence. (Marshall: 2005, p. 241) A key factor in the success of the â€Å"Jewel in the Crown† of Queen Victoria’s empire was this partnership between business and government for purposes which benefited them both. This economic analysis is a convincing explanation of Britain’s great success in colonising the whole subcontinent of India. The colonisation of Tunisia by France is seen also by some historians as an incoming advanced nation bringing civilisation and progress to a backward country. The colonial attitudes are the same, and Africa was seen as a great prize which could be easily taken. There was a great rush by many European countries to take what they could: â€Å"Th e partition of Africa took little more than 20 years. It began with the French occupation of Tunisia in 1881†¦Ã¢â‚¬  (Wesseling: 2004, p, 148) France began to impose a political structure that fitted in with its centralist approach to government. Tunisia, along with Algeria and Morocco, became an extension of the French department system. At this late stage, more than a

Schizophrenia Essay Example | Topics and Well Written Essays - 1000 words - 1

Schizophrenia - Essay Example with schizophrenia is the reduction of the quality of life that they enjoy with lower rates of employment, disrupted marriages and the reduced ability to live independently (Frankenberg, 2007). Schizophrenia ranks among the top ten diseases that are responsible for causing disability among the population of the world. It affects all kinds of people irrespective of colour, caste, creed and culture, though there is a trend of higher prevalence in the developed world and among migrants (Saha et al, 2005). Estimates on the worldwide prevalence of schizophrenia put the prevalence rate at 1.1% making for about 51 million people suffering from the disorder around the world. The prevalence rate of schizophrenia in Australia is almost similar to the worldwide prevalence rate, which gives an estimated 285,000 people afflicted with the disorder in Australia (Schizophrenia Facts and Statistics). The aetiology of schizophrenia still remains an enigma, as there is limited clarity in it. Genetics and perinatal nutritional stress have remained the main postulated aetiologies of schizophrenia. The postulation of a genetic basis in the aetiology of schizophrenia stems from the studies conducted into schizophrenia in dizygotic and monozygotic twins, wherein it was found that the concordance for schizophrenia is nearly ten percent, whereas it was close to fifty percent in the case of monozygotic twins (Frankenberg, 2007). Nutritional deficiencies occur frequently during pregnancies. There is evidence to suggest that in utero exposure deficiencies in nutrition increase vulnerability to schizophrenia, as a result of disruption of neurodevelopment. This is the basis of the perinatal nutritional stress aetiology in schizophrenia. Evidence in support of this postulation has come from the studies into the association of the perinatal stress during the Dutch Hunger Winter of 1944-1945 and the severe famine in China. The nutrients whose deficiency is suggested to be associated with the

BUSINESS LAW Essay Example | Topics and Well Written Essays - 1000 words - 3

BUSINESS LAW - Essay Example Certainly, this includes looking for alternative markets in an event that the Chinese companies do not change from their pollution behaviours (economic sanction). Last but importantly, they can commit the Chinese firms to sustain and rehabilitate the river polluted through the legal system. The cash stripped JZ Holdings has an ethical responsibility to ensure that all things passing through their studios are of moral sound. On the other hand, they need all resources within their reach hence producing the irrational song â€Å"cop Killer† through JZ studios. Certainly, the song is likely to attract attention from the authorities eliciting even more problems that the cash deficit. Despite high expectations and the desire to retain reputation, more consequences are bound to knock at JZ holdings. Therefore, in resolving the scenario JZ Holding through its subsidiary studios should renounce the song recorded by Ice-T. In as much as the decision may dwindle future profits or subject the business reputation into question, the ethical responsibility in the song is likely to cause more harm (Ferrell, Fraedrich, and Linda 86). Lawsuits are part of civil disputes intended to resolve differences resulting into property or financial loss. In Mike’s case, the law suit will take place in either a state trial or federal district court. Federal jurisprudence gives districts courts the jurisdiction to hear and decide on civil and criminal matters. The exclusive roles and level in the court system makes the appropriate for listening and deciding appropriately. Additionally, the fact that the courts can listen to all categories of cases makes them the most appropriate for Mike’s case. Arguably, state trial court also forms a good platform for Mike’s claim because of the jurisdiction. Despite the limited jurisdiction, the court can listen to small claim cases and civil cases characterised by limited controversy. Furthermore, it has simplified

People Have Become More Overly Dependent On Technology Essay

People Have Become More Overly Dependent On Technology - Essay Example â€Å"The technologies that started out as aides to our existence have become vital to our everyday lives† (Digitaltrends, 20003). The use of technology has become an integral part of a person’s life. It all starts in the morning. A lot of working adults rely on the use of an alarm clock to get up in the morning. A house needs electricity to run the different electrical devices that people have in their homes. Electricity and water are the two most utilities. Other important technological services that people rely on as part of their everyday lives are cable or satellite television, telephones, and the internet. Television has been engrained into American society since its introduction in the U.S. marketplace. Today there are approximately 115 million households that view television programming which account for 292 million people above the age of two (Nielsen, 2009). Technology has been ingrained deeply into our society. The most important technology that transformed the lives of people in the 20th century was access to reliable electricity. Electricity is needed to run most electrical appliances and gadgets. The majority of electricity in the United States comes from fossil fuels. The demand for crude oil has been on the rise during the last couple of decades which has spiral its price upward. Access to electricity is extremely important for our everyday lives. Most kitchen appliances such as ovens, microwaves, stoves, and can openers are run by either electricity or propane gas. The use of technology is imperative for people to able to cook food. A technological advancement that changed the behavior of businesses and people was the computer. The first home computer was introduced into the marketplace in 1975 by Ed Roberts (Computerhope, 2012). The computer became extremely popular during the 1990s, an era often referred to as the computer age. The reason that the

Roe Vs. Wade Essay Example for Free

Roe Vs. Wade Essay Roe v. Wade is a United States Supreme Court case in the year 1973 that resulted in a landmark verdict regarding abortion. According to the Roe decision, most laws against abortion in the United States violated one of the most important fundamental constitutional right – right to privacy. The verdict overturned all state and federal laws banning or restricting abortion that were found to be incompatible or inconsistent with its holding. Roe Vs Wade case raised huge controversies. It is considered to be is one of the most controversial and politically significant cases in the history of U. S. Supreme Court. It gathered huge historical significance. The central verdict that came out of the Roe Vs Wade case made abortion permissible for any cause that a women shows, up until the point at which fetus becomes viable or potentially able to survive outside the mother’s womb. The Court’s verdict also permitted abortion after viability for those cases, where abortion becomes necessary to protect a woman’s health. The Supreme Court decision in Roe v. Wade was incorrect legally and constitutionally.   Ã‚  Ã‚  Ã‚   The Roe Vs Wade decision prompted huge debate on several issues regarding abortion on a national level. Debated issues include whether abortion should be illegal; if abortion is deemed to be illegal, then to what extent it should be illegal; who has the authority to decide whether or not abortion is illegal; what kind of methods the Supreme Court should use in constitutional settlement; and what should be the role of religious, or moral views in area of politics. Many people expressed their dissents on the verdict of Roe Vs Wade case. For example, associate justice Byron R. White gave vigorous dissenting opinion over the Court’s decision. What he suggested is that although one might agree with the court’s values and priorities, there is no constitutional justification for imposing such an order of priorities on the people and legislatures of the states.[1]   Ã‚  Ã‚  Ã‚  Ã‚   Roe Vs Wade has been criticized immensely on various grounds. One of the major criticisms is that inviolability and personhood have not been satisfactorily recognized. The argument of some of the pro- life supporter is that life begins the moment mother conceives, therefore, the fetus should be provided legal protection. Other pro-life supporter’s argument is that, when there is lack of exact knowledge of when life begins, the best thing to do is just to avoid the risk of doing harm. The decision is also criticized on the ground that the decision has no constitutional foundation. The supporters of the decision, however, challenge this criticism by arguing that the decision has a valid constitutional foundation, and the justification of it could be found in the constitution, not in the articles referenced in the decision. In spite of having been criticized so much against its decision, the Supreme Court, however, struck down numerous restraints on abortion imposed by states in a long series of cases stretching from the mid 1970s to the late of 1980’s. Legal basis of the criticism   Ã‚  Ã‚  Ã‚  Ã‚   Roe Vs Wade is more of a legal issue rather than a moral and religious one on the public ground, even if moral and religious values are strongly related to the question. Therefore, if Roe vs. Wade is to be defeated and revoked, it has to be examined on a solid juridical ground and have has to show that the decision has violated a basic legal principle, bound up in the Constitution of the United States. Therefore, a clear idea about the whole history of jurisprudence of America comes to our help in examining legal justification of the Roe Vs wade decision.   Ã‚  Ã‚  Ã‚   The abortion issue, on legal ground, is not actually a right to life issue; it is in fact a right not-to-be-killed issue. The Right not-to-be-killed is part of a larger right- the right of dominion. It is the law of dominion that is the basis of all constitutional government states. The law states that as a human being, one has dominion over his or her total person, as well as the free exercise of that dominion, a right given to him by the very Law of Nature. This law guarantees the right to dominion in any constitutional state. The purpose of all human law is to protect this right, to defend it whenever denied or ignored by any action of government or someone else. When one talks about liberty, he or she actually speak of his or her freedom to the right of dominion over his or her person, in his or her beginnings as a human being and in those stages of human growth by which he or she emerges into the human community. A human being emerges in the human community by the process of conception, i.e. conception is the starting point of one’s existence in the human community. One person has dominion over his or her person from the very first moment of his or her existence, and in the initial stages of growth, when one cannot exercise that dominion by himself or herself, it is kept in trust by his or her parents and by the law.   Ã‚  Ã‚  Ã‚   Roe vs. Wade, however, has given another human being, basically one’s mother, and rights over one’s personhood in the embryonic moment, a right that permits the termination of his or her existence. Roe vs. Wade has actually placed the right of dominion over the unborn human being in the hands of the mother, and it has been done under the claim of the right to privacy. Consequently, Roe Vs Wade decision has provided mothers with the right to destroy the life of the unborn. The right of dominion, however, belongs to a human being from the very first moment of his or her existence as mentioned earlier. The function of law and the parent is only to protect this right. That is the bottom line of the legal challenge to Roe vs. Wade. The Supreme Court gave its verdict unlawfully in granting to a woman the right of dominion over her unborn child. That dominion belongs lawfully only to the unborn child.   Ã‚  Ã‚   Embryonic Law, then, has been set up upon the Law of Dominion, the basic law of every Western system of jurisprudence and this Law states. This acts as the basis of any legal confrontation to Roe vs. Wade. It is on this ground that the debate over abortion takes place. The debate is not a Catholic or religious issue, but a human and legal one. Some viewpoints on Roe Vs Wade:   Ã‚  Ã‚  Ã‚   While some reporters and journalists may argue that abortion has not been identified as murder by the law and therefore such an opinion is entirely based on the fact that whatever court decides is to be accepted or taken for granted and that is the sole law. According to Frank Morriss, â€Å"It is the same philosophy that dominates the present U.S. Supreme Court, and contradicts the philosophy that declares that all men possess certain unalienable rights given by their Creator.†[2]   Morriss also argues as follows:   Ã‚  Ã‚   â€Å"What is democratic about the majority of a nine-person court declaring the killing of the unborn not to be murder, or in fact not to be illegal in any way at all? Those in authority being answerable to nothing but their own intellects and will is not democratic; it is a dictatorship of the arbitrary. Mere opinion, whether that of a legislature, or the majority of a court bench, or in fact of the populace as a whole cannot determine right or wrong, truth or nontruth, justice or injustice.†[3]   Ã‚  Ã‚  Ã‚   Some views, as upheld by Stevens Clifford says that the verdict was one sided –â€Å"The abortion issue is a national dispute, a dispute between those who oppose abortion and the members of the NARAL, the National Organization of Women and Planned Parenthood. At this point in adjudicating the dispute, only one side of the issue has really been heard, the views of those who support abortion. The only history of the question that has been examined, or even aired, is the history of the abortion laws, with an erroneous conclusion drawn from those laws.†   Ã‚  Ã‚   The annual March for Life rally in January 2008 took place stood against the least restrictive abortion laws of the Supreme Court. According to the President of the rally, Nellie Gray, referred to the judgment as the genocide pre-born and said, â€Å"We have a genocide because, after 35 years, it’s estimated that 48 million pre-born children have been killed†¦ So we’re coming together at the nation’s capital once more to petition Congress to enact legislation to stop the genocide here.[4] However the establishment media does not talk much about these marches.   Ã‚  Ã‚   After the verdict on the Roe v Wade case, the federal court has not decided in favor of pro-life friendly decisions and such decisions have been ‘virtually nonexistent’. John A. Boehner, representative of Ohio and the minority leader of Republican House commented, â€Å"I applaud the court for its ruling today. My hope is that it sets the stage for further progress in the fight to ensure our nations laws respect the sanctity of unborn human life.[5] Analysis of Catholics’ standpoint:   Ã‚  Ã‚   From the very moment of its initiation, it was subject to many controversies. This controversy or debate led to the evolution of two groups, namely, pro choice and pro life. The pro-choice movement extended huge support to abortion and regards that it is morally permissible. On the other hand, the pro-life movement denies the access to abortion and regards it as morally wrong. Over the time both the movement gathered their supporters and often move to the court to attain legal approval. Following these two movements even the world seems to be divided into two groups. For instance, in Canada, abortion is permissible while in Nicaragua it is strictly illegal. Some of the nations even took a midway like USA where abortion is legal but it is constrained by certain restrictions as well as certain circumstances. Though the debate on abortion encompasses issues on political consensus, infiltration of privacy, religious and ethical issues. However the ethical debate on the permissibility of abortion has been most important with most number of opposite thinkers.   Ã‚  Ã‚   According to Natural Law, five primary precepts and corresponding secondary precepts may be drawn. Abortion is not supported by two of the primary postulates Continuation of human species through reproduction (implies no abortion, contraception or homosexuality) and self preservation and preservation of the innocent (implies no abortion).[6] On the basis of Kant’s deontological moral theory it may be claimed that a person should act according to his or her duty irrespective of the consequences. In this case, we may therefore say that it is the mother’s duty to give birth to the child irrespective of what consequences she might have to endure. Thus, sticking to her duty the mother should not deviate from childbirth and hence should avoid abortion.[7] This would certainly support he Catholics’ standpoint and their activities and involvement are appreciable in dealing with the case of abortion. Their activities have brought about mass awareness and at least those who are true to their religion and roots shall certainly be averse to abortion and also assist the Catholics in their sincere efforts. Although some of the Greek philosophers like Plato and Aristotle commended abortion, the Pythagoreans criticized it and the clause of the Hippocratic Oath would help support it. The Oath states: â€Å"I will give no deadly medicine to anyone if asked, nor suggest any such counsel; and in like manner I will not give to a woman a pessary to produce abortion† and â€Å"I will neither give a deadly drug to anybody if asked for it, nor will I make a suggestion to this effect. Similarly, I will not give to a woman an abortive remedy.†[8]   Ã‚  Ã‚   The court argued on the basis of the term ‘person’ used in the 14th constitutional amendment. This may be stated as follows: â€Å"All this, together with our observation, supra, that throughout the major portion of the 19th century prevailing legal abortion practices were far freer than they are today, persuades us that the word â€Å"person,† as used in the Fourteenth Amendment, does not include the unborn.†[9]   Ã‚  Ã‚   Interestingly, if we agree with Warren’s definition of personhood then we have to disqualify two kinds of born human beings as ‘person’, namely, reversibly comatose patients and human infants. Both of them, like fetus are bereft of any of the characteristics mentioned by Warren. Warren moves further to justify her claim when she justifies even infanticide as morally acceptable under certain circumstances such as severe physical disability or in order to save the lives of a group of other infants.[10] At this point it is clear that Warren is suffering from severe complexities coming out of her thoughts. First of all, if the patients in coma especially those who are reversible, may come back to normal life as it has been seen in several medical case histories. Then, justifying his death will be the other name of killing. Miracle does happen and it is not that rare to ignore. In America, a patient in coma responded after more than 30 years. If he had denied the right to life at the very moment when he underwent the coma, then it would be denying life a chance to prove itself that it is stronger than death. Similarly, with the enormous advancement of medical science, even most severe of the physical disabilities can be cured or a supportive system can be provided so that the concerned infant, even with his disabilities, can perform most of the normal works. In a very recent issue in India, a two-year-old girl child who was attached with a parasitic twin underwent a twenty-seven hour operation to be freed from her additional outgrowths and after the operation, she is alive and seems to be behaving normally. Following Warren, if she would have been provided with a â€Å"justified medical death sentence† even with the consent of her parents, it could not be termed anything less than killing. Conclusion   Ã‚  Ã‚  Ã‚   Abortion can never be morally acceptable and it may be termed as the other name of killing. However, under certain circumstances abortion is a necessity. Therefore we may say that the decision of the Supreme Court is both legally and constitutionally incorrect. Often, after conceiving due to several complexities, the condition of the mother’s health deteriorates to that extent that moving forward with that pregnancy may only result in the death of the pregnant woman. In such a case an abortion could save the life of that woman. In case of forced pregnancy that may be out of rape, the woman must be given the liberty to choose abortion as she has been forced to carry that baby. In conclusion, we may say that a fetus is a seed of life, yet to flourish and see the lights of the sun. It has not come at its own will and the people involved knew at some point that it might happen. We cannot offer life and so we do not have the right to take it away. Moral or ethical justification of abortion seems to be a ‘Reverie of Poor Susan’ that can never be accepted under any justification. The catholic protests and the rallies have succeeded to some extent in awakening the consciousness of the media and the mass.    References 1.  Ã‚  Ã‚  Ã‚  Ã‚   â€Å"Abortion and Ethical Theory† (2008), retrieved on May 29, 2008, from: http://www.tutor2u.net/newsmanager/templates/?a=775z=62 Clifford, S. (2008) â€Å"ROE v. WADE: the Catholic Dilemma†, retrieved on May 29, 2008 from: http://www.priestsforlife.org/government/stevens4.htm Clifford, S. (2008) â€Å"The Rights Of The Unborn†, retrieved on March 24, 2008 from: http://www.priestsforlife.org/government/therightsoftheunborn.htm#basis Mass, W. (2007), â€Å"Supreme Court Upholds Partial-Birth Abortion Ban†, retrieved on May 29, 2008 from: http://thenewamerican.com/node/3526 Morriss, F.(2008) â€Å"Court Rulings Cannot Negate the Law of God†, retrieved on May 29, 2008 from: http://www.catholicculture.org/library/view.cfm?recnum=3122 Newman, A.(2008) â€Å"March for Life in D.C. Gets little Media Coverage†, The New American, retrieved on May 29, 2008 from: http://thenewamerican.com/node/6955   Ã¢â‚¬Å"Supplemental Notes on Kant†, (1999), retrieved on March 25, 2008 from: http://www.mtholyoke.edu/courses/ebarnes/205/205-sup-kant.htm Sungenis, R.A. (1993) â€Å"Abortion: The Reasons We Should be Against It: A Critique of the 1973 Supreme Court Decision, Catholic Apologetics International†, retrieved on March 25, 2008 from: http://www.catholicintl.com/epologetics/articles/pastoral/1973.htm â€Å"U.S. Supreme Court: Doe V. Bolton, 410 U.S. 179† (1973), Find Law, retrieved on March 24, 2008 from: http://caselaw.lp.findlaw.com/scripts/getcase.pl?court=USvol=410invol=179 Warren, M.A. (1973), â€Å"On the Moral and Legal Status of Abortion†. Thomas A. Mappes, David DeGrazia Biomedical Ethics, McGraw-Hill [1] â€Å"U.S. Supreme Court: Doe V. Bolton, 410 U.S. 179 (1973)†, Find Law, http://caselaw.lp.findlaw.com/scripts/getcase.pl?court=USvol=410invol=179 (March 24, 2008) [2] Morriss, Frank. â€Å"Court Rulings Cannot Negate the Law of God†, 2008, http://www.catholicculture.org/library/view.cfm?recnum=3122 (March 24, 2008) [3] Morriss, Frank. â€Å"Court Rulings Cannot Negate the Law of God†, 2008, http://www.catholicculture.org/library/view.cfm?recnum=3122 (March 24, 2008) [4] Newman, Alex. â€Å"March for Life in D.C. Gets little Media Coverage†, The New American, 2008, http://thenewamerican.com/node/6955 (March 24, 2008) [5] Mass, Warren, â€Å"Supreme Court Upholds Partial-Birth Abortion Ban†, retrieved on March 24, 2008 from: http://thenewamerican.com/node/3526 [6] â€Å"Abortion and Ethical Theory†, http://www.tutor2u.net/newsmanager/templates/?a=775z=62 (March 24, 2008) [7] Supplemental Notes on Kant, 1999, http://www.mtholyoke.edu/courses/ebarnes/205/205-sup-kant.htm (March 24, 2008) [8] Sungenis, Robert A. Abortion: The Reasons We Should be Against It: A Critique of the 1973 Supreme Court Decision, Catholic Apologetics International, 1993, http://www.catholicintl.com/epologetics/articles/pastoral/1973.htm (March 25, 2008) [9] Sungenis, Robert A. Abortion: The Reasons We Should be Against It: A Critique of the 1973 Supreme Court Decision, Catholic Apologetics International, 1993, http://www.catholicintl.com/epologetics/articles/pastoral/1973.htm (March 25, 2008) [10] Warren, Mary Ann, â€Å"On the Moral and Legal Status of Abortion†. Thomas A. Mappes, David DeGrazia Biomedical Ethics, McGraw-Hill, 1973.

Public Health Expenditure And Health

Public Health Expenditure And Health Using a utility maximization approach as developed by Grossman, the results revealed that health expenditure does not affect health outcomes in Kenya. The factors that affect health outcomes include: distance to nearest health facility (5km or more) and other household income. This implies that increasing public health expenditure does not lead to reduced maternal mortality rates. Since the other determinants (access to medical facility and other household income) significantly affect the health outcomes, the government needs to put measures in place to ensure that women can easily access health facilities and sensitize them to ensure that they deliver in health facilities and attend antenatal care. This study did not include some important variables that affect maternal mortality rates like the impact of cultural practices such as female genital mutilation (FGM), preference of certain types of health care providers (including traditional and herbal medicine) and earlier marriages. Therefore we suggest that in future, studies in this field should give attention to these variables. CHAPTER ONE: INTRODUCTION 1.1 Background information Health is the extent to which an individual or group is able to cope with the interpersonal, social, biological, and physical environments (World Bank, 2004). Health is therefore a resource for everyday life, not the objective of living. It is a positive concept embracing social and personal resources as well as physical and psychological capacities. Health financing is a key input in the provision of quality healthcare. Governments have always had a prominent role in overcoming public health risks and this is a major area of concern in less developed countries like Kenya (Scott, 2001). The provision of good health satisfies one of the basic human needs and contributes significantly to maintaining and enhancing the productivity of the people (Owino, 1997). Public expenditure on health services therefore is a key investment in human capital and plays a catalytic role in the growth of the economy by enabling people to achieve their full potential and lead productive lives. In recognition of the importance of human health, one of the Kenya governments major goals since independence has been to achieve adequate and good-quality health care for all citizens (GOK, 1965). To address health outcomes in developing countries such as Kenya, UNICEF advocates for increased public expenditure on health (UNICEF, 2006). Therefore, many countries in developing countries have increased their health expenditure over time. For example, to achieve better health outcomes, Kenya has increased its health expenditure from Kshs. 11.9 billion in 2000 to Kshs. 20 billion in 2004 representing a 30% increase as shown in Figure 1.1 (GOK, 2007). But more resources alone may not necessarily lead to better health outcomes because health care expenditure is only one of the many factors that contribute to health outcomes, considering the fact that these resources may be channeled to various projects that may not directly influence health outcomes. The link between government health expenditures and health outcomes may therefore not necessarily be present. First, an increase in public health expenditures may result in a decrease in private health expenditures; a household may dive rt its funds towards other uses once the government increases its provision of basic health care. Second, the incremental government expenditures may be employed on the intensive rather than the extensive margin. An example of intensive expenditures would be if expensive and low productivity inputs are bought with marginal funds in which case the impact of these expenditures on health outcomes may be small. Third, even if extra funds are applied extensively to health care (e.g. more staff at hospitals, adequate stocking of medications), but complementary services, both inside and outside the health sector, are not there (e.g. lack of roads or transportation to hospitals and clinics, subsidized prices for medication, etc.) the impact of extra government health expenditures may be little or none (Wagstaff, 2002a). In addition to health expenditure, Kenya also joined hands with other one hundred and eighty eight countries in a global effort to improve health outcome and reaffirmed its commitment to the united Nations Millennium Development goals (MDGs). Three of these millennium development goals are directly related to health. These are to (i) reduce child mortality, (ii) Improve maternal health and (iii) combat HIV/AIDS, malaria and other diseases. Despite these global and local interventions in health, performance of Kenyas health sector in terms of maternal mortality has remained as high as four hundred and eighty eight maternal deaths per 100,000 live births in 2008/9, an increase from four hundred and fourteen per 100,000 live births in 2003, five hundred and ninety per 100,000 in 1998 (KDHS, 2008-09). Figure 1.2. Most maternal deaths are due to causes directly related to pregnancy and childbirth, unsafe abortion and obstetric complications such as severe bleeding, infection, hypertensive disorders, and obstructed labor (KDHS, 2008-09). Improving maternal health being one of the eight Millennium Development Goals (MDGs) adopted at the 2000 Millennium Summit, and with only three years left until the 2015 deadline to achieve the MDGs, closer examination of maternal mortality levels is needed to inform planning of reproductive health programmes and to guide advocacy efforts and research at the national level. These estimates a re also needed at the international level, to inform decision-making concerning funding support for the achievement of this goal. Therefore this study focuses on the relationship between health expenditure and health outcomes in Kenya more particularly, how public health expenditure impacts on maternal mortality rates and other determinants of health outcomes. Figure 1.1 Public Health expenditure trends in Kenya Source: Kenya Demographic Health Survey 2008/09 Figure 1.2 Trends in maternal mortality: 1990-2008 Source: Kenya Demographic Health Survey 2008/09 1.1.2 Public Health expenditure in Kenya Adequate resources are critical to sustainable provision of health services. The government remains the major financier of health care, meeting nearly half of the national health recurrent expenditure. The Kenya policy framework of 1994 identified several methods of health services financing, including taxation, user fees, donor funds, and health insurance. These methods have evolved into important mechanisms for funding health services in the country. The GOK funds the health sector through budgetary allocations to the MOH. However, tax revenues are unreliable sources of health finance, because of macroeconomic conditions such as poor growth, national debt, and inflation, which often affect health allocations. The government therefore works closely with development partners to raise money for the health sector. Donor contributions to the health sector have been on the increase, rising from eight percent of the health budget in 1994-95 to sixteen percent in the fiscal 2001/2002. In some years, donor contributions accounted for over ninety percent of the development budget of the MOH (Ministry of Health, 2006). According to the 2001-2002 national health accounts (NHA), as cited by Wamai (2009) Kenya spends 5.1% of its GDP on health. He cited that the health budget had grown significantly from Ksh15.2 billion in Fiscal 2001/02 to Ksh34.4 billion in Fiscal 2008/09. He added that the proportion of overall government expenditure that the government spent on health declined over the same period from 9% to 7.9% in Fiscal 2006/07. In 1992 a cost-sharing system was introduced to leverage more resources for health services (Collins et al, 1996). Revenue from the cost-sharing system increased exponentially from Ksh60 million in Fiscal 1992/93 to over Ksh1, 468 million in Fiscal 2005/06. However, the revenues overall share of total health expenditure for Fiscal 2005/06 was just 6.4% of the MOHs total spending (MOH, 2007). Figure 1.3: Overview of Kenyas health budget, FY2002 2008 ( US$ million) Source: Health Policy Initiative analysis of Ministry of medical services, 2008 Figure 1.4: Absolute value of Total Health Expenditure (THE) by financing source 2001-2010 Source: Kenya National Health Accounts 2009/10 Reviews of public expenditures and budgets in Kenya show that total health spending constitutes about eight percent of the total government expenditure and that recurrent expenditures have been consistently higher than the development expenditures, both in absolute terms, and as a percentage of the GDP. Government financing of health expenditure is about sixty percent of what is required to provide minimum health services, implying that healthcare delivery in Kenya is under-funded (KHDR, 1999). This is accentuated by inefficiency of the system, including lack of cost-effectiveness in service delivery. However, preliminary information from Kenyas national health accounts shows that the financial contributions of households (out of pocket expenses) exceed those of the government. (Collins et al. 1996) The per capita expenditure therefore falls short of the Government of Kenyas commitment to spend fifteen percent of its total budget on health, as agreed in the Abuja Declaration. The under-financing of the health sector has thus reduced its ability to ensure an adequate level of service provision to the population (Collins et al. 1996). The national health concern therefore is the extent to which additional health expenditure on specific care programmes like maternal health will promote /increase benefits of the patients through improved outcomes in health (decline in maternal mortality rates). 1.1.3 Maternal healthcare in Kenya Improving maternal health is one of the eight Millennium Development Goals (MDGs) adopted at the 2000 Millennium Summit. The two targets for assessing progress in improving maternal health are reducing the maternal mortality ratio (MMR) by three quarters between 1990 and 2015, and achieving universal access to reproductive health by 2015. With only three years left until the 2015 deadline to achieve the MDGs, closer examination of maternal mortality levels is needed to inform planning of reproductive health programmes and to guide advocacy efforts and research at the national level. These estimates are also needed at the international level, to inform decision-making concerning funding support for the achievement of this goal. Good maternal health is crucial for the welfare of the whole household, especially children who are dependent on their mothers to provide food and care. Prevention of the death of a mother is the single most important intervention for the health of a child. Women are intensely vulnerable to the effects of costs incurred during childbirth. User fees can be especially high for emergency or technological procedures such as caesarean section, sometimes reaching catastrophic amounts, which push families into poverty (Graham and Newell, 1999). Many women often leave the hospital before they are well enough for discharge because they cannot pay for the care they have received. User charges add to the costs of transport and companion time, which can be substantial for those living far from facilities. The time spent looking for cash can also delay access to emergency life-saving care in facilities (Kunst and Houweling, 2001). In sub-Saharan Africa, one in sixteen women die in pregnancy or childbirth (WHO, 2001). An estimated ten to twenty million women develop physical or mental disabilities every year as a result of complications or poor management (Ashford, 2006). The long-term consequences are not only physical, but are also psychological, social, and economic. Despite the commitment expressed with the Millennium initiative, maternal health has not been given financial priority internationally. Safe motherhood programmes compete for funding with other priorities such as tuberculosis, malaria and HIV/AIDS. 1.2 Statement of the problem In Kenya, as in most Sub-Saharan African countries, health care expenditure has steadily increased over time, therefore making its containment a major issue for successive governments. The existence of a large public deficit and the need to reduce it drastically to comply with the requirements of the AU has added importance to controlling health care expenditure. Financing health care has remained a challenge to the Government of Kenya for a long time. There seems to be very low investment in health by the government, and inappropriate allocation of resources within the government health budget. In Kenya, health is a basic human right and therefore the health situation in Kenya remains a significant concern for the policy makers. The cost of health care, especially maternal health is a heavy burden on households. While health financing has undergone numerous reforms, more changes are needed to ease the burden of maternal health care costs on households in a bid to increase utilization and subsequently improve the health status of the population. In Kenya, like in most developing countries, maternal health care program encompass a medical condition that is regularly associated with death. The maternal mortality rates are very high. The major concern in this study is therefore the change in patient improvement due to additional expenditure on maternal health care (reduced maternal mortality rates). It analyzes whether increasing health care expenditure towards maternal health care program will reduce the maternal mortality rates. 1.3 Objectives of the study The broad objective of this study is to analyze the relationship between health care expenditure and maternal health outcomes in Kenya. The specific objectives of this study are: To identify the determinants of maternal health in Kenya. To investigate the relationship between government expenditure on maternal health care and maternal health outcomes To make policy recommendations based on study findings 1.4 Significance of the study A key factor that has contributed to the declining health outcomes has been the decline in annual real per capita government budget to the health sector. As noted earlier, the actual expenditures fall below budgetary allocations. With respect to this, policy makers are highly interested in the relationship between expenditure on public health and the resultant health outcomes/benefits. The issue is whether extra spending on maternal health leads to better maternal health outcomes. From a policy perspective, this study can help set priorities on resource allocations across specific program of care. For instance it can help the government to know whether additional expenditure on maternal health care will reduce maternal mortality rates in the country. The government is able to set its priorities right whether to invest more on these specific care programme or to reduce its expenditure given the severe budgetary constraints. It also gives policy makers some guidance on appropriate cost containment measures that will help improve health system performance in Kenya. It is also very useful at the international level, to inform decision-making concerning funding support for the achievement of the fifth millennium development goal. This study also adds to the existing literature on the relationship between health care expenditure and health outcomes, determinants of health outcomes and how health outcomes can be improved. CHAPTER TWO: LITERATURE REVIEW 2.1 THEORETICAL FRAMEWORK Healthcare is an intermediate good that has no intrinsic value in itself but has value in its contribution (along with other inputs such as environmental and social factors) towards production of health itself. Health, or in general, health status, refers to measures of the physical and emotional well-being of an individual or a defined population. The quantity of healthcare product produced by a healthcare firm is referred to as its output. The ultimate output of the health sector is health. Healthcare therefore can be viewed as any other good or service in which each individual maximizes utility subject to a budget constraint. The basic economic theory of production provides a basis on the linkage of health expenditure and health outcomes. The theory suggests that there are many ways inputs can be used in various proportions to produce outputs (Wolfe, 2002). Inputs refer to the resources needed to carry out a process or provide a service. Inputs required in healthcare are usually financial, physical structures such as buildings, supplies and equipment, personnel, and clients while output refers to the direct result of the interaction of inputs and processes in the system; the types and quantities of goods and services produced by an activity, project or program. The use of inputs in healthcare leads to outcomes. (Cremieux et al. 1999). Health production theory highlights the manner in which health care as an input is related to health as an output. In this theory, health is the output measured in terms of improved health status such as reduced mortality, morbidity or achieving health related millennium development goals while inputs consist of the number of trained health professionals, the number of school years completed, residential place, the proportion of GDP spent on health and the government health expenditure in the health sector (Desai, 1998). Health production theory utilizes the health production function which is the change in health status affected as an approximate matter by changes in the consumption of various health services effective in improving health. The production function summarizes the relationship between inputs and outputs with health status being the dependent variable (function of healthcare) dependent on populations social and environmental factors, policy variables and country specific effects inclusive of biological endowment, and lifestyle. Many studies on this subject have adopted Grossmans (1972) model of health production which views each individual as both a producer and a consumer of health. It regards health as a commodity which the individual will wish to consume and maximize, subject to his/her budget constraints, in conjunction with a number of endogenous and exogenous variables which have an impact on individuals health. Within this model, income and educational level play an important role as explanatory variables. In Grossmans model, he regards health care as both a consumption good that provides direct satisfaction and utility, and as an investment good, it provides satisfaction to individuals indirectly through reduction in sick days, increased wages and increased productivity. In this case, health can be viewed as a stock which degrades over time if there are no investments in the individual health, and that health is taken as a sort of capital. Investing in health may seem costly as individuals must trade off resources and time that may be devoted to health, unlike other goals. These factors are also used in determining the optimal level of health that is needed by an individual. The model therefore makes predictions on the likely effects of health care price changes and other goods, outcomes in labor market such as technological changes, wages and employment. In the Grossman model, at the optimal level, health investment occurs where the marginal cost of health capital is equal to the marginal benefit. Over time, health is likely to depreciate at a certain rate which may be denoted by ÃŽÂ ´. The consumer faces an interest rate which may also be denoted by r. By adding these variables, the health capital marginal cost can be calculated as under: ÃŽÂ ´ In this case the health capital marginal benefit is the rate of return from this capital in both non market and market sectors. In this model, the health stock at optimal level can be caused by factors such as education, wages and age. The theory further advocates that investing in health should be combined with other factors which are crucial in order to produce new health, which in the long run may offset the process of deterioration in the stock of health. Medical scientists could argue that only effective medical care should be universally available (OHE, 1979). The government therefore may resort to explicit rationing which is not only to set limits on total expenditure for care, but also to develop mechanisms to arrive at more rational decisions as to relative investments in different disease specific programmes, and the establishment of certain minimal uniform standards. This rationing does not guarantee mothers to equal access to appropriate maternal/medical care. Treatment is still within the postulate that the doctor will do his best with the resources available to him but there is no such constraint on those resources as government decides (OHE, 1979). This study looks at maternal health as the output of an aggregate production which utilizes variables such as public health expenditure, access to government medical services and household incomes as the inputs. The assumption is that for reasons associated with diminishing returns and the adverse effects of certain variables after an initial positive outcome, the relationship is expected to be nonlinear (Nixon and Ulman, 2006). 2.2 EMPIRICAL LITERATURE Health status are commonly measured using four major indicators, maternal mortality, mortality rate in infants, mortality rate for under five and life expectancy at birth (Akinkugbe et al. 2009); (Gupta et al. 1999); (Wang,2002); (Imam et al. 2003). Other measures of health outcomes/status used include preference of cancer or circulatory diseases, disability adjusted life years, quality adjusted life years, fertility indicators and achievement of other health related millennium development goals. Similarly, government health expenditure, GDP per capita, female literacy, number of physicians, immunization coverage, urbanization and calorie intake among others are some of the most used explanatory variables (Wolfe, 1986); (Wang, 2002); (Or, 2000b); (Caldwell, 1990) and (Filmer et al. 1999). Most studies have used cross-sectional analysis (Bokhari et al.2007); (Imam et al. 2003); (Anyanwu et al. 2008); (Gani et al. 2009); (Wang, 2002); (Nixon and Ulman, 2006) and (Martin et al. 2009). Some have used panel data (Gupta et al. 1999) and (Or, 2000b), while Akinkugbe et al. (2009) used time series analysis to estimate the relationship between the public health expenditure and health outcomes. To solve the problem of autocorrelation in cross sectional analysis, heteroskedasticity test was done, corrected standard errors for panel data analysis while augmented Dickey Fuller tests were used to test for stationarity in all studies using time series data. All studies reviewed used health expenditure as one of the explanatory variables except Wang, (2002) who looked at it in a different perspective. According to him, demand for electricity, access to piped water and sanitation and female education increases health expenditure but it does not increase public health expenditure in improving health outcomes. Most studies indicated that public spending contributes significantly to health status improvements (Filmer et al. 1999); (Abel Smith, 1963); (Kiymaz et al. 2006); (Ester et al. 2011); (Gakunju, 2003); (Bokhari et al.2006); (Anyanwu et al. 2005); (Cremieux et al. 1999); (Nixon and Ulman, 2006) and (Blendon et al. 2006). For example, Filmer et al. (1999) used data from the early 1990s and estimated multivariate regression model of child mortality on per capita income, government health expenditure and other controls. They found that there was significant correlation between child mortality and income per capita. Some studies however indicated that public health expenditure alone as a determinant of health is inadequate (Ogbu and Gallagher, 1992); (Castrol-leal et al. 1999); (Gupta et al. 2003); (Anderson and Frogner, 2005); (Hitris and Posnet, 1992); (Caldwell, 1986); (Dor et al. 2007) and (Cochrane et al. 1978). In estimations, different methods were used by different authors. Generally two main methods were used: generalized least squares and the ordinary least squares. However, other methods have also been used. For example, Bokhari et al. (2006) and Gupta et al. (1999) used two stage least squares because of the instrumental variables used to address the problem of reverse causality and measurement errors in the variables. Anyanwu et al. (2005) used Robust Ordinary Least Squares as the baseline specification and robust two stage least squares to control for endogeneity and reverse causality. Bhalotra (2007) used the linear probability model. Particularly, Flippi et al (2006) took a broader perspective on maternal health and drew attention to the economic and social vulnerability of pregnant women. They called for action to reduce maternal mortality rates by channeling more resources towards maternal healthcare, improving on human resources and information. They used maternal mortality ratio (by cause) as the major indicator and recommended that research is needed on how to finance health services and ensure equitable access to generate more evidence. While examining the association of the socio-demographic characteristics of women and the unobserved hospital factors in Kenya, Magadi et al. (2001) used multilevel logistic regression. The results showed that the probability of maternal mortality depends on both observed factors that are associated with a particular woman and unobserved factors peculiar to the admitting hospital. The individual characteristics observed to have a significant association with maternal mortality include maternal age, antenatal clinic attendance and educational attainment. The hospital variation was observed to be stronger for women with least favorable socio-demographic characteristics. For example, the risk of maternal death at high-risk hospitals for women aged thirty five years and above, who had low levels of education, and did not attend antenatal care is about two hundred and eighty deaths per a thousand admissions. The risk for similar women at low-risk hospitals is about four deaths per a thous and admissions. In a study carried out on health care services and sources of revenue in six countries from Western Europe and North America, Abel Smith (1963) found that health care expenditure was associated with reduced life expectancy and increased mortality rates. In a similar study carried out in the year 1967 involving twenty nine countries he found that the level of national income was associated with improved health status and that the demand for healthcare increased in countries with declining mortality. Abel Smiths studies laid down foundation for the development of methodologies for tracking health expenditures in both private and public sectors. While investigating the factors that are associated with infant mortality in Sub-Saharan Africa, Ester et al. (2011) carried out an ecological multi-group study using a bi-variate and multi-variate analysis with infant mortality rate as the dependent variable. They used a linear regression model between infant mortality rate and the correlated indicators (social security expenditure and government expenditure per-capita on health). This study revealed, in the multi-variate analysis, three factors associated with the IMR: a higher social security expenditure on health as a percentage of the general government expenditure on health, a higher per-capita government expenditure on health and a higher number of children under five years of age with diarrhea receiving oral dehydration therapy indicated a lower IMR. During the examination of the effectiveness of public social spending on education and health care in several African countries, Castro-Leal et al. (1999) reviewed the benefit incidence of government spending in Cote divoire, Guinea, Kenya, Madagascar, South Africa and Tanzania. Their study found that public expenditures on health were not sufficient especially on the poor to reduce mortality rates. On the other hand, Gupta et al. (2003) used cross-country data for over seventy developing countries to assess the relationship between public spending on health care and the health status of the poor. Their findings confirmed that the poor have significantly worse health status than the rich. The results however suggested that increased public spending alone will not be sufficient to significantly improve health status. Another study carried out on the health effects of per capita income and public expenditure on social services in Kenya, proved that per capita income had been very influential in determining health status. The study found that expenditures on education and health care improved health status at a great margin. It further established that per capita income was significantly linked to the levels of mortalities, and that some of the negative trends in health status could have been attributed to unfavorable growth and insufficient social spending on health (Manyala, 2000). In his findings income elasticities were all statistically significant, current income had the expected effect on life expectancy but not on infant mortality. He further found that if mothers are malnourished and are in poor state of health, their infant will inherit part of this poor health, and therefore will be at greater risk of mortality relative to infants of healthy mother. A comparative study by Wagstaff (2002a) that focused on forty two developing countries used child mortality due to malnutrition and diarrhea as the health outcomes/indicators. Wagstaff (2002b) treated government health expenditure as an exogenous variable and found that it did have a statistically significant (negative) coefficient. The study used a simple stylized theoretical model rationalizing the health-income relationship and found that public spending on health care had a larger impact on child mortality among the poor than among the non-poor population. In his study on health and schooling investments in Africa, Schultz (1999) found that health status rose with increased public spending on health services. He also argued that the health status will tend to decline with a rise in relative prices of health inputs such as salaries of medical personnel, cost of drugs and other medical supplies, relative to prices of nutrients that help fight infections and disease. He also found that levels of education were correlated with lower mortality rates. The relationship between mothers education and mortality rate was stronger than the fathers. He recommended that an additional year of schooling to the mother especially in low-income countries was associated with a five to ten percent reduction in mortality rates. On his analysis of the factors determining health status in Kenya, Gakunju (2003) found that government expenditure on public health was noteworthy in shaping individual health status. He also found that government health expenditure influences health status with over a long time. This actually implies that the government investment and spending in the health sector have had a major effect on the health of the people. He also acknowledged a number of factors as being important in resolving the health problem Kenya such as: Per capita income, individual access to doctors, HIV/AIDs prevalence, literacy level for women, Child immunization coverage and spending/investment by the government in the health sector. His study majorly used the central government e

Do Credit Problems Lead to Bankruptcy Essay -- essays papers

Do Credit Problems Lead to Bankruptcy The reasons we as Americans buy on credit varies, but without it most of us would probably never be able to purchase necessities such as a home or automobile. The nation's economy depends on credit; the promise to pay later for goods and services used today. But along with consumer credit comes consumer debt. With the rise in telemarketing and commercializing in America it is no wonder why Americans feel the impulse to buy now, pay later. The most common form of consumer debt is installment debt, which is when a consumer borrows the money to purchase an item and agrees to repay the loan in equal installments over a fixed period of time. Without installment debt most consumers could not afford to purchase items such as a home. The truth of the matter is that we, as Americans, tend to want to purchase more than we can afford to purchase when we want it. But, we can afford to pay it out, over time, in fixed payments. Mortgages, a debt owed on real property, are the latest form of installment debt. Other forms include automobile loans and credit card purchases. Just pick up the newspaper any time after Christmas and you will find articles on managing your mounting debt from Christmas. Not realizing the extent of the consumers' debt is one of the most common types of credit problems. Denial may play a partial role in this problem, but the lack of education seems to be the largest reason for consumer debt. Cre...

Could America not have fought the British :: essays research papers

Could America have gradually and peacefully developed independence within the British Common wealth, as Canada later did, rather than engaging in a violent revolt? Soon after England’s victory in the Seven Years’ War, England struggled with the financial costs of the war. England’s Parliament tried to establish power in the New World by issuing a series of laws. England attempted to have the colonies help pay for the cost of the war that would later help lead to revolt in America. Prior to the Seven Years’ War, the English rarely intervened with colonial business. It was during this time that the colonies began gradually to think and act independently of England. This scared England, and initiated a period in which they became more involved in the colony's growth. The passage of these laws undermined the Colonist's loyalty to England and stirred the Americans to fight for their freedom. What began as a fight over economic policies soon deteriorated into t he difference in Americans and Britons political views, which help lead to the violence of the American Revolution (The American Pageant, pg 122). I believe a violent revolt could have been prevented only if England hadn’t pushed the Colonies past the point of non-violent resolutions. Before 1763, the only British laws that truly affected the colonists were the Navigation Acts, which monitored the colony's trade so that it traded solely with England. As this law was not rigidly enforced, the colonists accepted it with little fuss. The colonies also accepted England's right to monitor trade. The change of course in 1763 was what really riled the colonists. England began to slowly tighten its imperial grip on the colonies by ordering the British navy to begin strictly enforcing the Navigation Laws (The American Pageant, pg 125). Additional problems began when. This was a powerful weapon against smuggling, but most importantly to the Colonists; it allowed the invasion of their privacy. This was crossing the line and violating the rights of an English man. During the Seven Years War, the British sent over ten thousand troops to America to deal with property problems at the frontier. This cost a large amount of money, and Britain did not want to see the sum come out of its own pocket. To pay for some of the expense, Britain began to pass acts to tax the colonists and lighten the severe debt the empire was in.

Safe Personal Computing to National Security :: Computers Technology Internet Essays

Safe Personal Computing to National Security Am I Safe at my computer? I’ve posed that question and others to myself many times. Are the e-mail’s I send almost daily truly secure? Are my confidential e-mails from the Ohio University’s server truly confidential? Who else can see what I see? Sure in a perfect world we all would like to believe we‘re safe but the simple fact is that we are not safe all the time and the world is not perfect. People â€Å"hack†, as it is referred to, into almost anything or anywhere. I’d like to think that most people would have the ethics not to violate my personal security, but that’s just it they don’t. This since increasingly our â€Å"e-criminal† of today has the technical skills of an adult and the ethics of a small child (Shuchman). Most astonishing of all is that this is occurring because they are small children, or teens. I choose this topic because computers, e-mail, and the World Wide Web are increasingly becoming the dominate necessity of m y daily life. I am at a computer a least three times a day for lengthy periods of time. I send out personal account information, my social security number and other important secure information across the web and not mention all the information I store my computers hard drive. So I ask once again am I safe? Hacked at Home and Nation Wide You use to only here about the â€Å"serious† e-crimes. You know the ones that try to take down the CIA or the stock exchange. Now the hackers and security risks are hitting home. In the form virus that can do anything from crippling your PC to sending in worms that eat up your files. The attacks aren’t just personal wither. In the spring of 2001 there were attacks on hundreds of personal computers connected to the web via the new broad band connections. Two attacks involving nearly 500 Windows-powered PCs with broadband connections were used to shut down a security consultant's Web site in Southern California (Thorsburg). Hundreds of home computers were seemingly recruited into some sort of malicious cyber army. This or these hackers used computer like yours and mine to work for them turn them against a larger network.

Boxing Should Be Banned

Akeira Golden March 28, 2013 Ms. Lewis Critical Reading Boxing is Dangerous and should be banned The article suggests that boxing needs a fighting chance but I would disagree on that. Boxing is a dangerous sport that can result in death, concussions, and forms of dementia from too much head blows throughout their career. Boxers like Benny †kid† Paret and Deuk koo kim have died in the ring due to injuries sustained during a fight. Boxing involves powerful people pounding each other in the head, and ribs until one has won.Even doctors see boxing as a dangerously unacceptable sport. Although boxing can cause injuries that you may see for example, black eyes, broken nose and swollen mouth, it also can cause injuries that are inside like internal bleeding caused by too many blows to the ribs. The sport of boxing maybe fun and entertaining to watch but dangerous in reality and should be banned. Many boxers are married with children, they can have one fight cause them not to see they daughter face again. Study shows too many blows to the eye can result in blindness.Boxing can be dangerous to the boxer that wins for instance in November 2011, James Butler lost against Alien Grant, so he invited him to the middle of the ring to congratulate him but instead he hit him with a haymaker breaking his jaw etc. Some boxers don’t know how to take their lost like a man in end up trying to retaliate. Everyone knows the Holyfield- Tyson fight when holy field and Tyson was going head to head in trying to win , when Tyson was upset that Holyfield was head-butting him he did a cannibalistic move and bit off his ear spitting it on the boxing ring floor.One fight resulted in a boxer losing his ear just because of retaliation. Boxing should be banned all the cons that’s in boxing and what boxing is all about. People killing each other and not getting penalized for it because it’s a sport. What about those families who are sitting in the audience watching their relative fall to the floor not knowing if he’s dead or just badly injured? Some may see boxing as a fun sport that gets you into shape but not see how boxers are getting damaged for the rest of their lives. In conclusion, boxing should have never been permitted so it definitely shouldn’t be given another chance.In the ring pounding each other brains out body parts on the floor, blood flying everywhere for what? A title?. Boxing doesn’t make sense it’s a sport where you are able to beat someone to death and not get penalized for it. I disagree with the author that thinks boxing needs a fighting chance. He may only think that because he sitting back and watching others beat their selves to death and he not in the ring getting himself hurt. These people be scarred for the rest of their life instead of using their strength to do something productive they use it to beat people to death.

Stefan’s Diaries: The Craving Epilogue

My time in New York clarified the perils of my existence; despite my good intentions, I am dangerous to humans, and my brother is dangerous to everyone. And now? What does the future hold? My days seem to pass like minutes. I suppose this means I'm growing accustomed to the idea of eternity. I have lost so much in the months since I became the creature I now am. But I have gained time. And with time, I gain opportunity. I will see Italy. And the rest of Europe. I will travel the whole world. But I will never make a home among humans again. As for Damon†¦ I believe our road together is long and our story is not over yet. Should one of us ever finally come to his doom, it will only be the other who causes it. And in the background†¦ heralded by the faint perfume of lemon and ginger†¦ will always be Katherine, laughing at both of us. Don't miss the new Vampire Diaries trilogy, The Hunters Read an exclusive sneak peek of the first volume, Phantom! Elena Gilbert stepped onto a smooth expanse of grass, the spongy blades collapsing beneath her feet. Clusters of scarlet roses and violet delphiniums pushed up from the ground while a giant canopy hung above her, twinkling with glowing lanterns. On the terrace in front of her stood two curving white marble fountains that shot sprays of water high into the air. Everything was beautiful, and elegant, and somehow familiar. This is Bloddeuwedd's palace, a voice in her head said. But when she had been here last, the field had been crowded with laughing, dancing partygoers. They were gone now, though signs of their presence remained: empty glasses littering the tables set around the edges of the lawn, a silken shawl tossed over a chair, a lone high-heeled shoe perched on the edge of a fountain. Something else was odd, too. Before, the scene had been lit by the hellish red light that illuminated everything in the Dark Dimension, turning blues to purples, whites to pinks, and pinks to the velvety color of blood. Now a clear white light shone over everything, and a full white moon sailed calmly overhead. A whisper of movement came from behind her, and Elena realized with a start that she wasn't alone after all. A dark figure was suddenly there, approaching her. Damon. Of course it was Damon, Elena thought with a smile. If anyone was going to appear unexpectedly before her, here, at what felt like the end of the world – or at least the hour after a good party had ended – it would be Damon. God, he was so beautiful. Black on black: soft black hair, eyes black as midnight, black jeans, and a smooth leather jacket. As their eyes met, she was so glad to see him that she could hardly breathe. She threw herself into his embrace, clasping him around the neck. She felt the lithe, hard muscles in his arms and chest as he held her tight. â€Å"Damon,† she said, her voice trembling for some reason. Her body was trembling, too, and Damon stroked her arms and shoulders, calming her. â€Å"What is it, princess? Don't tell me you're afraid.† He smirked lazily at her, but his hands were strong and steady. â€Å"I am afraid,† she answered. â€Å"But what are you afraid of?† That left her puzzled for a moment. Then, slowly, putting her cheek against his, she said, â€Å"I'm afraid that this is just a dream.† â€Å"I'll tell you a secret,† he said into her ear. â€Å"You and I are the only real things here. It's everything else that's the dream.† â€Å"Just you and I?† Elena echoed, an uneasy thought nagging at her, as though she was forgetting something – or someone. A fleck of ash landed on her dress, and she absently brushed it away. â€Å"It's just the two of us, Elena,† Damon said sharply. â€Å"You're mine. I'm yours. We've always loved each other, since the beginning of time.† Of course. That must be why she was trembling – it was joy. He was hers. She was his. They belonged together. She whispered one word, â€Å"Yes.† Then he kissed her. His lips were soft as silk, and when the kiss deepened, she tilted her head back, exposing her throat, anticipating the double wasp-sting he'd delivered so many times. When it didn't come, she opened her eyes questioningly. The moon was bright as ever, and the scent of roses hung heavy in the air. But Damon's chiseled features were pale under his dark hair, and more ash had landed on the shoulders of his jacket. All at once, the little doubts that had been niggling at her came into clear focus. Oh, no. Oh, no. â€Å"Damon,† she gasped, looking into his eyes despairingly as tears filled her own. â€Å"You can't be here, Damon. You're†¦ dead.† â€Å"For more than five hundred years, princess.† Damon flashed his blinding smile at her. â€Å"I don't know why it's such a shock to you.† More ash was falling around them, like a fine gray rain. Like the ash Damon's body was buried beneath, worlds and dimensions away. â€Å"Damon, you're†¦ dead now. Not undead, but†¦ gone.† â€Å"No, Elena – â€Å" â€Å"Yes. Yes! I held you as you died†¦.† Elena was sobbing helplessly. She couldn't feel Damon's arms at all now. He was disappearing into shimmering light. â€Å"Listen to me, Elena – † She was holding moonlight. Anguish caught at her heart. â€Å"All you need to do is call for me,† Damon's voice said. â€Å"All you need†¦Ã¢â‚¬  His voice faded into the sound of wind rustling through the trees. Elena's eyes snapped open. The room was full of sunlight, and a huge crow was perched on the sill of her open window. A cloud must have gone over the sun; for a moment, the world was dim. The crow tilted its head to one side and gave another croak, watching her with bright eyes. A cold chill ran down her spine. â€Å"Damon?† she whispered. But the crow just spread its wings and flew away.

Comparing the Poem “Richard Corey” with Money and Happiness

Do money and happiness go together? In the poem â€Å"Richard Corey ,â€Å" the author wants the reader to think or accept the generalization that money does not bring you happiness. There are different people in the public eye who would make you think, no, money does not make you happy. Then there are people in the public eyes that you would think, yes, money can make a person happy. But, does money really make you happy? Well, personally I have never been rich. I was poor and now I have enough money to save and pay bills so that I am not living pay check to pay check. There are famous people who are wealthy. They have drug problems, alcohol issues, and behavioral issues with the law. They are not happy. When you have a drug or an alcohol problem then you are running from deep-rooted issues. Look at Charlie Sheen, Whitney Houston, Elvis Presley, Kat Williams and many others. These people have either died from overdoses or have been in trouble with the law from either alcohol or drug related problems. I don’t think all the money in the world would have made or make them happy. If anything, money was a short term solution to their problems. Would they act the same if they were poor? There are people like Oprah Winfry, Beyonce Knowles, Jay-z, Michele Obama, and many more that you would think that money made these people happy. They all go on trips, have nice houses, and they are not in the spotlight of the media for any drug, alcohol, or negative publicity. They are always smiling and they are family and friend oriented. So is it the money that makes them happy? I feel we will never know. I am far from having a lot of money. My husband and I live comfortably with the money we make. We work together to bring in the money to support our kids. My husband works really hard at his job. Are we happy? Yes, we are very happy. It’s not because of the money though. We make each other happy. We are surrounded by our family and friends. It’s the love we have for our kids, family, and each other that makes us happy. It was not always like that for me though. With my ex-husband, we were living pay check to pay check. We always were broke and needed help from family all the time. My ex-husband did not want to work and put all the stress to take care of everything on me. Was I happy? No, hence the reason he is my ex-husband. It was not because of the money though. It was because my ex-husband was like black smoke that smothered me and stressed me out so much. In conclusion, I don’t think money can make a person happy for the long haul. I feel that kind of happiness is for that moment. Materialistic things are only there for that moment. All I know is money is not the reason for my happiness. We all have our own reasons for our own happiness. What is yours?