Milkweed

Stephanie Flores Per 2 Milkweed Book Report The book my class was told to do our book reports was on Milkweed. This book is written by the famous author Jerri Spinelli. In this novel, there are three main characters which are Misha Pilsudski, Janina Milgrom, and Uri. Misha is a young boy in the beginning of the story that has no family, lives on streets, and steals food from people to stay alive. He later joins a big group of kids who also steal food, and they live together in places that are abandoned. The leader of this group in called Uri. Uri is a very intelligent, young man who has red haired. Since he doesn’t look like a Jew, he ends up becoming a Jackboot at the end of the story. Janina Milgrom is a Jewish little girl who meets Misha when he steals food from her garden. This book is set in the year 1939 when World War 2 is barley starting out in Warsaw, Poland. It’s happens during the Holocaust. Another possible theme for this book is that your identity means everything. Before Uri named Misha, Misha was a nobody. He had no friends, and he just kept on running for forever. His identity was born when Uri gave him his name and his fake life story under the barbershop. Misha was very proud of his identity, and when somebody asked him who he was, he said his story it like it was the greatest thing in the world to him. One event in the story that contradicts this is when Uncle Shepsel tries to give up his identity as a Jew. His efforts were pretty good, but they still weren’t successful in the end. The last possible theme that I think is good for this book is to never have fear and if you do have fear, you won’t survive. One event that supports this theme is when Uri tells the other orphan boys that if you have fear you won’t survive on the streets. This is true because if the boys had fear to steal the food from stores and people they would mess-up a lot or not even do it. If that happened, they would either get caught and killed, or just end up starving cause of hunger. They key point of stealing the food was to be invisible and if you had fear, you wouldn’t be invisible. I learned many things about the historical events that occurred in this story. I learned that all the Jews had to move to a place called â€Å"the Ghetto†. It seems weird that people can be so mean to others just because they’re a different religion but they’re still good people on the inside. Another thing I learned was what the Holocaust was. I never really understood what it was, and surprisingly it’s very interesting to learn about once you get deeper into it. I’m actually very shocked in learning how the way people used to live during those times. It’s crazy to think that little kids my age and even younger would be living in the streets stealing food for a way to survive. Also it’s unbelievable, how it says that a lot of different families can would be sharing space in a tiny room. I was very surprised while reading this book because I didn’t think I would end up liking it. It was actually very good, and it taught me many things I didn’t know about how times were in other places back then. I liked how the author described everything very detailed, and while I was reading the book I could picture some events in my time. It got me thinking of how fortunate I am right now, in having all the things I have. One thing I didn’t like was that the chapters were very short and it would make it harder for me to stop reading it. I would recommend this book to my friends. Milkweed by Jerry Spinelli was an overall good book.

Effects of gambling Essay

During people’s life, they develop empirical knowledge about many things. Knowing is the power that everyone has to decide which information is right or wrong to face big challenges and succeed when taking the decisions. All possibilities in this life might be good within the constraints; however, when people take themselves to an abusive level of necessity, it becomes dangerous for them and all those surround them. Gambling has a number of negative effects that distinguish it from other challenging activities; some of these issues are: addictions, family problems and bankruptcy. Gambling is not only a problem in the United States. Gambling is a big problem many other countries such as England and Whales (Department for Culture, Media and Sport, 2002). Reports have proven that over 72% of adults have reportedly gambled within the last year. (Sproston et, al. 2000). Gambling is used like a drug, if people have an issue with family, work, or any worldly problems. The irony of that is, gambling causes family problems, Firstly, gambling is apparently an entertainment industry where many end up being innocent victims of addictions such as alcoholism and lies. Society should be able to resolve its problems without depending on external agents, but people have point breaks. Because casinos provide free alcohol to their customers, they could easily get alcohol problems; while gamblers spend money on their bets, they are drinking alcohol. Compulsive gamblers usually tell lies because they seek to hide their gamble habits; they begin to distort their actions to their partners, friends and even at work. For instance, sometimes bettors gamble in secret, or they do not tell how much time or money they spend; instead, they often create stories to try to justify their activities. Gamblers believe in fake hopes that they will surprise themselves with a big win some day. Compulsive Gambling can be addicted to the adventure of the risk. An addictive gambler is anxious of winning and will tend to play with games that involve other players, so they can feel the adrenaline rush. The most unfortunate consequence of gambling is suicide. Many times have gamblers become depressed because of their financial situation. A lot of gamblers tend to think of themselves as losers. They think that their lives are not worth living and that they are a waste of space in this world. Gambling also brings family problems because gaming causes emotional issues, and it has an impact on children. Whether bettors have just discovered a gambling problem, or they have been living with it for some time; they may feel destroyed by the magnitude of the problem. For example, if gamblers have feelings of desperation, they feel like their assumptions are consumed by the problem they are dealing. They might handle that they need to separate from their couple at least for a period of time. Emotions of this nature are common when they are approaching the complex issues that emerge as a result of a gambling problem. Also, being a person with gambling issues at home can affect children in many ways. For example, gamblers spend less time with their families is due to they invest a lot of time in casinos; therefore, children think that they parents do not love them anymore. These troubles can leave a family feeling frustrated and even worse if the gamblers are fighting over money. It can frighten the relationship. If the family is the core of the society, gambling for any reason could harm the family members because in the family people acquire respect for a moral values in the society. Another negative effect of gambling is a financial crisis; many gamblers accumulate thousands of dollars of debt without knowing. Borrowing money and selling personal items to gamble are signs of aggravated indebtedness. First, Acquiring money from banks and credit cards with the hopes that they can win back their losses is just a way to create long term financial issues for both players and family. For example, while Antony’s wife is fast asleep, Antony spends hours in front of the computer gambling online; authorizing automatic withdraws from his bank accounts and credit cards. They are behind on bills, and the couple gets threatening calls from collection agents on past loans. Thus, his annoyed wife finds that the online gambling losses are the cause that add up to hundreds of dollars a month. Gamblers often say that they do not know where the money is going if they really do not spend too much. Second, Family investments usually are diminished because the gambler seeks more and more resources with which to gamble. For example, a gambler who manages the family finances could liquidate the all family’s properties such as: houses, cars, etc theses possessions may be faded or lost. Consequently, individual beliefs might change when they face beyond their limit, trying to get back their losses. The effects of compulsive gambling are almost immediately overwhelming; gambling can result in uncontrolled cravings, family troubles and economic crisis. Because some people have a low self-esteem they believe that they are not in control of their actions and emotions. Leaders’ thoughts are developed on these false ideas; hence, gambling seeks to control gamblers’ life. Gambling can leave players with devastating effects; as a result, governments can find many solutions the problem associated with gambling. For example, taking an allowance of the gambling revenues and putting it towards rehabilitation programs would be a very positive charity from gambling. For these reasons, governments should find a way to make gambling safer.

A Definition Of Monopoly Economics Essay

A Definition Of Monopoly Economics Essay Monopoly is an industry that has only one firm that sells a good which has no close substitutes. Monopoly firms also represent industries because there are no other firms in the market. Products that are from monopoly market are electricity, water, cable television, local telephone services and many more. Examples of monopoly firm in Malaysia is Tenaga Nasional Berhad, TNB’s unique position as a monopoly in the generation, transmission and distribution of electricity in Peninsular Malaysia. TNB is the only firm that provides us electricity to every building in Malaysia. Another monopoly firm in Malaysia that only provide sewerage services is Indah Water Konsortium Sdn Bhd. Indah Water Konsortium is the only firm in Malaysia that mainly responsible for operating and maintaining the public sewage treatment plants and network of underground sewerage pipelines. Characteristics of Monopoly Market One seller and large number of buyers Monopoly market characteristics are they is onl y one producer or seller in the market and there are many buyers. Therefore, the firm had the power to control the whole market whether it is from the angle of determining the price or the quantity of production. A monopolist has the power to determine the level of price because there is no competition from other firms. Therefore, if the monopolist intends to sell a bigger quantity, it has to reduce the price. This means that the monopolist can only control the price or the quantity of sales, and not both at once. No close substitution Furthermore, monopoly firm’s goods have no substitutes, its means consumers have no choice other than what is produced by the monopolist and they can’t find any substitute of the product. For example, Telekom Malaysia is a firms that provide home telephone services which has no close substitutes but if the buyer can find another firms that provide home telephone service therefore the product is no longer in monopoly. Restriction of entry of new firms All the competitors are prevented from entering the market due to strict barriers to the entry of new firm. To restrict the entry of new firms into the industry, there are barriers to entry that are natural or legal restrictions. There are no competition faces by monopolist is because of barriers of entry. Advertising A monopolist doesn’t need to advertise their product or services to increase sales because monopolist had the right to control the market and consumers know where to obtain the products and they have no choice to buy from other producer. Monopoly firms that provide local public utilities such as water, electricity and home phone services doesn’t need to advertise since they are the only firms that provide it and customers had no choice to buy it from another firm. Intro to Question 2 It is traditional to divide industries into categories according to the degree of competition that exists between the firms within the industry. There are four such categories. First of all is perfect competition is the market where there is a large number of buyers and seller. The goods sold in the market are homogenous where most of the goods are alike and most likely the same. Therefore, sellers can easily enter and exit from the market. Most of the agricultural goods are included in perfect competition market such as vegetables, fruits, rice, coffee beans, wheat, primary commodities, gold, silver and others.

Rhematoid Arthritis Essay Example | Topics and Well Written Essays - 1000 words

Rhematoid Arthritis - Essay Example Besides, the lining of the tissue joint can become thicker and thicker, and may wear away surrounding ligaments, cartilage and bone as it spreads. One of the structures that get severely damaged is the synovium in the joint. It becomes inflamed and causes swelling and pain. The main characteristic and the one that differentiates rheumatoid arthritis from osteoarthritis is that it usually occurs in a symmetrical pattern, in the sense that if one knee or hand has it, the other one also have it. This disease is a systemic disease that often affects extra-articular tissues all through the body including the skin, blood vessels, heart, lungs, and muscles. Studies show that about 60% of rheumatoid arthritis patients are unable to work 10 years after the onset of their disease (Wikipedia, n. pag, 2007). The epidemiological studies show that the incidence of rheumatoid arthritis occurs in 3 persons in a population of 10,000 every year. While the onset of this disease is very uncommen under the are of 15 it increases with age until the age of 80. Among men and women, women is affected three to five times as often as men. It is also estimated that the prevalence of the disease is 4 times more common in smokers than non-smokers (Wikipedia, n. pag, 2007). Though several studies have been conducted around the world to pinpoint the causes of rheumatoid arthritis, none of them are successful. ... pag). Some of the researchers link this disease to genetics. They believe that the tendency to develop rheumatoid arthritis may be inherited genetically. It is strongly associated with the inherited tissue type Major histocompatibility complex (MHC) antigen HLA-DR4 and hence provide a strong link with family history (Wikipedia, n. pag, 2007). The disease results in a progressive degeneration. However the symptoms of rheumatoid arthritis are sometimes severe and sometimes absent. It generally varies with the inflammation of the tissues. The disease is in the active mode and is painful when the body tissues are inflamed. The disease goes into the inactive mode when tissue inflammation subsides. In general when the patient takes the treatment the pain and inflammation reduces and these conditions may last for weeks, months, or years. During remissions, symptoms of the disease disappear, and patients usually feel well. But when the disease becomes active again (relapse), symptoms return as usu al and sometimes the pain may be severe. In fact each patient has a unique pattern in which the disease presents. Some of the common observation regarding the symptoms of the disease when it is in the active mode includes fatigue, lack of appetite, low grade fever, muscle and joint aches, and stiffness. Muscle and joint stiffness are typically most prominent in the morning and after periods of inactivity. In rheumatoid arthritis, multiple joints are commonly inflamed in a symmetrical pattern. In severe cases chronic inflammation may result in damage of body tissues, cartilage and bone, which in turn leads to a loss of cartilage, erosion and weakness of the bones as well as the muscles. Ultimately it results in joint deformity, destruction, and loss of function. The systemic

Health promotion Essay Example | Topics and Well Written Essays - 3500 words

Health promotion - Essay Example The Nature of Health Information 11 2civ. The Nature of Health 13 2cv. Ethical and Cultural Considerations 13 3. Future Recommendation With Regards to Obesity 14 Part B 15 Individual Reflection 15 References 18 Bibliography 22 Overview The lifestyle of the people often tends to determine the occurrence of illness and at times lead people towards future illness. However, large part of the populace fails to adhere to the healthy lifestyle. For instance, obesity can be considered as the major risk factor for the cardiovascular diseases, osteoarthritis, cancer, premature mortality, type two diabetes mellitus and several other medical conditions (University of Maryland, 2011). Part A 1. Health Issue Related To Lifestyle Behaviour That Is Obesity Lifestyle can be described as a way through which the people generally invest in health. There are varieties of health related habits such as material factors along with psychological factors that can have an impact upon a person’s health. The health promotion encompasses variety of mechanism and implementation strategies that include fostering self-care, risk factor detection, health enhancement and health maintenance. It is to be noted that the major tasks of the health promotion involve both to understand the health behaviour and the transformation of the knowledge about the behaviour into a few important strategies for the enhancement of health. There are various lifestyle factors that affect the health of the individuals. It has been noted that the behavioural and the social issues that have an impact upon the health include smoking, diet, nutrition and alcohol. Obesity can contribute to the variety of health related problems such as heart diseases, high blood pressure, indigestion, diabetes and also cancer (Clemen-Stone & Et. Al., 2002). It has been evident that few basic behavioural approaches to health can help to dramatically change the risk and reduce the impact of such issue on the health of the individual. There are certain factors that are responsible for the health issues. Each and every individual endure a certain kind of lifestyle. A few may be living a healthy lifestyle while others may be living an unhealthy lifestyle. The health benefits of the physically active lifestyle are well documented and there are huge evidences which suggest that the regular activity is related to reduce incidence of various chronic conditions. However, it has been noted that quite a few number of people live a healthy lifestyle. The physical activity may provide health benefits to the individuals and the regular physical activity may contribute to improvement of the health outcomes irrespective of the fact whether the individual has lost weight (Jakicic & Otto, 2005). It has been found from the information centre that the rate of obesity in England is increasing every year (The information Center, 2011). It was in the year 2008, when almost a quarter of the adults in England were categorised as obese . The age group of such victims have been 16 or more. It was further observed that about thirty nine percent of the adults had a ‘raised waist circumference’ in the year 2008. The most surprising fact was that the percentage of ‘raised waist circumference’ was evident more in women in comparison to men. It was further observed that boys were more likely to participate in the suggested level of physical activities in the year 2008 when compared to girls. The study of percentages makes it quite apparent that the number of boys

Economics Essay Example | Topics and Well Written Essays - 750 words - 13

Economics - Essay Example tes are monitored and patterns are formed depending on the changes within the rate; those that monitor the rate trying to detect and understand the ways that the levels increase or decrease, or why there are so many or so few people that are unemployed and to the reasons behind those factors. The inflation rate is the measure of the increase of a price index. The rate of decrease in the power of purchasing is shown to be equal, or within the same range as the increase of a price index. The interest rate of an item, service, or monetary loan is the percentage of the principle that is paid as interest over a specific duration of time. The interest is involved in the inflation rate of an item as it adds or subtracts from the overall price index. The circular flow diagram illustrates the interaction of households, government, and business by showing how each of them influence the other and progress the workings of each other. The diagram shows the chain reaction that they all cause for each other, how the individual benefits the whole. The clockwise flow of the products, goods, and services are equally balanced by the counterclockwise flow of payments; everything is done in a pattern that can decrease or increase. Households purchase from businesses that get their products from their producers. The government falls into place when they charge taxes on the items being produced by companies and bought by consumers, or the households. Firms that are involved in this circle make factor payments, which include wages, interest payments, rent, and royalties in exchange for their labor services and any resources that they may buy. The circular flow diagram shows how each factor of the chart needs each other factor to function properly and to maintain business; it shows action and reaction in regards to consumerism. The circular flow chart is given its name because of this pattern, the continuous flow that these factors involve themselves and each other

Art Museum Paper Research Example | Topics and Well Written Essays - 1000 words

Art Museum - Research Paper Example He is considered a modern artist, which means that he belongs to the era that roughly extended from the 1980’s to the 1970’s, and of a movement that is characterized by a tendency towards experimentation and abstraction (Cahoone). However, despite the undeniable fact that his work was fresh and thought provoking, he shied away from creating abstract artwork, and stuck to the classical technique of oil painting. His paintings were composed and crisp, marked with the influence of the realist painter Gustave Courbet. With superficial examination one might declare that there is nothing modern about Balthus’ work. However, there is an indisputable air of strangeness to his work. This ‘strangeness’ that strikes many as almost disturbing is felt not through the style of painting but rather it was within his depictions and subjects that he displayed his modernism. Balthus’ art is marked with his fascination for the uninnocent sexuality of adolescent girls. Most of his work feature young women in an ordinary setting, but they are shown as naked, or are shown in contorted and suggestive positions. While the artist himself insists that there is no element of sexual provocation in his work (Cahoone), it is difficult to deny the stimulating and sexual nature of most of his work. An example of this would be the oil painting ‘Guitar Lesson’ which was made in 1934. While the title brings to mind an almost domestic scene, the actual painting depicts a young woman half naked with her skirt pulled almost to her waist exposing her bare private parts while she lies across her music instructor’s lap in place of a guitar. Her music instructor, who is a middle aged woman, holds her much as she would hold a guitar, with her right hand clutching the young woman’s hair and the left hand grasping her student’s inner thigh provocatively close to her

Women's Education in Utah Essay Example | Topics and Well Written Essays - 1000 words

Women's Education in Utah - Essay Example As per the Utah culture, girls should get married at a young age. Contextually, because majority of the population follows the same tradition, young girls getting engaged in house-keeping and looking after their family, restrain themselves from college education. Even though globalization and modernization has enhanced the social structure to a large extent, promoting women in various fields and encouraging them to take part in higher education in Utah, the society and its women still lack way behind in comparison to other states of United America (Madsen and Hanewicz, 1-2). This thesis will thus aim to assess the complexity of the problem barricading Utah women to pursue higher education in colleges, emphasizing two solutions and their justifications to derive a rational conclusion. COMPLEXITY OF THE PROBLEM The major complexity associated with the identified problem of lower proportion women pursuing college education in Utah, has been the identification of the rudimental causes. N otably, developments can be witnessed in almost every prospect of the Utah society today with better health facilities, women centric non-profit programs and other governmental measures to empower women populaces for better sustainable economic growth. However, the percentage of women getting education at the college level is observed to be marginally lower than the average rate in the US states. One possible reason to this problem might be the culture of getting married at young age. Certainly, getting married at a young age may give rise to complexities owing to which, they sometimes may suffer the state of depression, which further disassociates them from studies. Additionally, it has been observed that women of Utah suffer a lot due to low self-esteem. The priority in the lives of women of Utah is their sense of responsibilities towards their family and child that has arguably curbed their interests for pursuing higher education to a certain extent. Furthermore, young girls are often observed to lack open-minded nature for growth to lead an independent life with a sense of pride. Also, the upbringing of girls in the Utah culture is performed in a family oriented manner, decreasing the value for higher education in their lives. Owing to similar reasons, women who tend to study higher education face many issues in the colleges, such as the low level of confidence, lack of motivation and support from the family mostly because of the cultural factors prevailing within the society. Additionally, due to many cultural factors and the typical mindset of the people, women with higher education have to face difficulties in getting a job in Utah. Hence, women who have the urge to groom themselves tend to move outside Utah and prefer to get education, employment and better earning opportunities in their livelihood outside the state (Jacobs, 170-177). FIRST PROPOSAL A possible solution to this problem can be done by stimulating change drivers in the social structure of Utah to discourage marriage at a very young age, by giving more importance to women education and by motivating them to realize their importance in every aspect of life. The problem can also be resolved by creating awareness in Utah for women to seek postsecondary credentials and grades for convenient wage careers, successful household- and homebuilding, involvement in society as an educated community associate, and also for personal satisfaction. In addition, steps can be taken to encourage distance education so that women can keep a balance between their family and education facing lesser hindrances from the society. It is also recommended that the Governor’s office should form and promote a Utah Centre for Women and Higher Education which will be used as a â€Å"

Motivational statement for joining Army Medical Corp Reserve Essay

Motivational statement for joining Army Medical Corp Reserve - Essay Example military as a field officer, my immediate objective to joining the Army Medical Corp reserve is to help solders who suffer from both medical and psychological injuries together with their families. This is majorly because I want my country’s defense force to have a positive image of a safe profession that can attract dedicated personnel. By working hard as a medical officer, and through influencing dedication among other members of the reserve, I hope to elimination permanent disabilities among wounded officers, and subsequent psychological instability among their family members. This will not only be a motivational factor to serving army personnel and their families but will also motivate others who currently perceive the military as a risky profession, to join the forces in protecting our country. My interest in adventure, structures, and challenging encounters, opportunities that are available within the reserve’s scope, are also motivators to my desire to join the Army Medical Corp reserve. I am also dedicated to exercise the expected level of discipline that is required within the

Conventional cryptography Essay Example for Free

Conventional cryptography Essay Conventional cryptography uses identical secret â€Å"key† in both message encrypting and decrypting. Secret key cryptography often times having difficulty securing key management usually in opens systems with large numbers of users (RSA Lab, n. d. ). Diffie and Hellman initiated the concept of public-key cryptosystems in 1976, to work out the problems with key management. (RSA Lab, n. d. ) The newly created concept of public-key cryptosystems employs encryption and digital signatures. The public-key cryptosystem works by providing each person a pair of keys, a public-key, and a private-key. The advantage of using public-key is you can send out classified information publicly but it cannot be decrypted. Safely, the recipient that holds the private key is doing the decryption. The form the holds the security information for both sender and receiver is called a certificate. Public-key certificate The Public-key cryptosystems principal ingredients in realizing its security tasks are: 1) Issuer – holds the public-key and the compulsory signed private key. It is the basis of the certificate. Issuer can be anyone with a public key and a private key. 2) Subject- contains public key, value, or name. The subject is receiver of the certificate. The particular recipient in this field has exclusive rights to view the certificate. 3) Delegation- this field contains a Boolean value providing the subject with rights to re-delegate the certificate. If the field is false, the subject may not pass or delegate the certificate to other subject. 4) Authorization- it restricts the subject access rights to a specific information, data, and locations. These rights may be given depending on applications and the level of security required. 5) Validity dates specify the validity period of a certificate by an issuer. It limits the duration of access of the subject. Sample transaction process of public-key cryptosystem. The sample above shows Ka as the issuer, Kb as the subject, True as Boolean value to allow the subject to re-delegate the certificate, Authorization to read file in â€Å". \john\documents,† and certificate validity dates from 02/10/2006 to 02/12/2006. John with a Public-key (Ka) issued a certificate to subject Dianne (Kb). The certificate is sign by Johns private key, when Dianne wants to read and write files in John’s document directory, request will be written, signs it with his own private key, and send it. When the file server gets the request and found Johns (Ka) signed private key, then the request is granted. The server will now allow Dianne to read and write files in John’s documents directory until the validity date specified in the certificates validity field expires. The delegation occur when the Boolean field is mark True, Kb can now impart its right to other subject. Let us call the new public-key as Kc. Kb re-delegate its certificate to Kc and signs a new certificate for Kc at the same time. Kc now has two certificates, which form a chain. References: RSA Laboratories, (n. d. ), â€Å"What is public-key cryptography? † [online], http://www. rsasecurity. com/rsalabs/node. asp? id=2165 Wang Yulian, 1998, â€Å"SPKI,† Computer Science, Helsinki University, [online], http://www. niksula. cs. hut. fi/~yuwang/publications/SPKI/SPKI. html

Health Care Reform 2010 Health And Social Care Essay

Health Care Reform 2010 Health And Social Care Essay US healthcare system was inefficient despite of spending 15% of GDP during 2006 which was more than three times than in 1960. Ten years back, the health care system of USA was announced to be broken and in future it didnt improve. Managed care did not make visible the fixes promises. The rates of premium are increasing. The irritation of patients as well physicians flourish. The study shows that about 45 million people in Americans are still uninsured. In the coming future, these issues will get worse and new challenges will come on the screen. New technology is making place and it is making the things efficient, but the cost of treatment as well new test is higher then before.  Doctors are making the lives of people lengthy so now more people require the medical treatment then before. As the age of baby is increasing so they are demanding the better treatments. Owing to the increased cost, employers will not accept the status quo. Sp they exclude the benefits for new hiring. Others might leave the business of insurance business completely and will contribute only to cover the costs but will not give coverage by themselves. The number of uninsured people in America will increase because of these changes. Disenfranchised middle  class will rise in results of these changes. Employers will go for and favor this modification. The health care system of American splits the population into two groups first is insiders and second is outsiders. Insiders are those who are insured and they have good insurance so they get everything modern. No matter hoe expensive the medicine and treatment is. Outsiders are those who have poor insurance plan or nothing at all. They receive very little out of their insurance plans. About 47 million Americans are uninsured and the number is growing day by day. Insurance companies currently deny covering people with pre-existing conditions. People who have severe medical conditions like AIDS, cancer and other such diseases were not covered by the insurance companies. These people are at high-risk and thats why not covered by companies. Major employers are cutting their costs in healthcare spending to compete in the global challenging market.  [2]  Employers are denying paying insurance premiums to these workers due to high premiums and the current economic situations. Employers are shifting the economic burden towards the employees like deductibles and co-pays. Almost half of the bankrupt people are due to the high medical costs and this cost is directly or indirectly affects the economy. Hence, government has to pay more. One more problem in the current system that doctors are not paid according to their service quality. Doctors are paid very less as compared to other countries of globe like in United Kingdom, doctors are paid for 95% while in US only 30%. Lot of people even did not go to doctor due to high costs of tests, treatment or follow-up after the treatment. These higher costs associated with healthcare also stopped Americans visiting physician regularly for checkup. Also doctors do not know the history of patients due to not visiting them regularly. Americans also have high ratio of chronic diseases. This is also leads to more spending on healthcare and its availability to poor people. United States is the only country among the developed countries whose all citizens do not have access to its citizens except South Africa  [3]  . Medicare and Medicaid are two of government programs which provide medical as well as health related services to the specific group of people in USA. Both of them are different but are managed by the centers of Medicare and Medicaid which is a division of US Department of Health and Human Services. Medicaid is a program which includes means tested health and medical services for specific individuals and families who have low income and limited resources. It is primarily looked after at federal level, but each stat develops its own standards like eligibility standards; determines the amount, type, period and scope of the services; setting the rate of payment for services; administers its own Medicaid programs. As mentioned above that States is the final decision authority of planning of service which will be provided under their Medicaid program. But there are some necessary requirements which must be matched by the States to receive funding from Federal. Following are the mandatory services: Impatient and Outpatient hospital services Prenatal care Children Vaccines Service of Physician Facility of Nursing services for individuals aged 21 or older Services of Family planning with supplies Rural health clinic services Home health care for persons eligible for skilled-nursing services Laboratory and x-ray services Pediatric and family nurse practitioner services Nurse-midwife services Federally qualified health-center (FQHC) services and ambulatory services Early and periodic screening, diagnostic, and treatment (EPSDT) services for children under age 21 Besides the above, the states can add more 34 optional approved services and can receive the Federal matching funding. Although each state has the authority to set the eligibility criteria for getting the Medicaid services but basically the program has been started to help the people with low income. Other requirements may include age, pregnancy, disability, other assets and citizenship. Medicaid does not pay money to the individuals. Medicaid program works like a program provide treatment to the individuals and gives payment to the health care providers. State makes the payment while states receive reimbursement from Federal Government. Medicare is a Federal health program of insurance. It pays for elderly and certain disabled Americans to hospitals and medical care. The program is divided into 4 parts: Part A, B, C and D. But two main parts for hospitals and medical insurance are Part A B. Part A may be known as Hospitals Insurance, pays for the hospital stays and it includes meals, supplies, semi private rooms and testing. It also pays for home health care. Part B which is known as Supplementary Medical Insurance. It pays for physicians visits, home health care costs, outpatient hospitals, and other services for aged and disabled. It covers durable medical equipments, certain vaccinations, blood transfusion, lab and diagnosis tests, X-rays, chemotherapy, hormonal tests and eyeglasses. Part B requires a certain premium which caries each year. Part C is also known as Medical Advantage Plan because it allows the users to design a custom plan that can be more helpful and align to the needs of their medical needs. Part D includes the prescription drug plan. It is administered by one of many private insurance companies. Eligibility for Medicare requires a US citizen or continuous 5 years legal resident of US must be at least 65 years old or under 65 and disables or any age person with End Stage Renal Disease. Payroll taxes which are collected through Federal Insurance Contributions Act and Self Employment Contributions Act are the major elements of funding for Medicare. US healthcare reforms bill 2010 will cost $940 billion over the period of ten years.  [4]  This bill will cover 32 million American people who are uninsured. Health Insurance can be purchased through state-based exchanges and financial subsidy will be offered to the income below 133 percent and 400 percent of poverty level in US. Tax relaxations will be offered to the small business to purchase employee insurances. People who are availing subsidies will not be eligible for Medicare, Medicaid and also for employer covered insurance. New tax will be imposed in 2012 at rate of 3.8 percent on income of families making over $250,000 per year. Insurance reforms will be introduced and insurance companies wont deny to the people and children with pre-existing conditions. Medicaid will expand to include 133 percent of the poverty level in United States. In 2014, everyone must purchase a insurance or face the annual fine fees. Employers who have more than 50 employees must provide insuranc e to their employees or face a fine on the basis of per worker. Illegal immigrants can not avail insurance even if they pay their own money. Abortion insurance will be paid by private money and it will not be subsidized by federal or tax payer funds. Republican offered an alternative program on the basis of four common-sense reforms which can be afforded by people of US named as Common-sense healthcare reform. It includes that all businesses and families can buy insurance across US. The second point is that individuals, small businesses and trade associations can acquire insurances at lower costs by combine efforts. It also allows states to lower costs by creating innovative reforms. The last reform is to finish the lawsuits which must be obeyed by doctors because of getting sued by Police. This will end the high cost tests and other procedures which are actually not required by the patients.