Albert Dros: great impression

 

Creating a photo it’s quite important to understand that to make it eye-catching it has to contain some idea and be done very professionally.

 

Today there are lots of good photographers, that catch the attention of audience with by marvelous creations and Albert Dros is among them. His pictures of landscapes take breath and very published by many popular channels like National Geographic, Time and so on.

 

Many creators made photos of nature and it’s difficult to believe that someone can be impressed by such works, but photos of Dros can not only impress, but even inspire. Even after the first sight on them it make no doubt that he is a real professional.

 

  • First, let’s get a little historical perspective on American health care. This is not intended to be an exhausted look into that history but it will give us an appreciation of how the health care system and our expectations for it developed. What drove costs higher and higher?

    To begin, let’s turn to the American civil war. In that war, dated tactics and the carnage inflicted by modern weapons of the era combined to cause ghastly results. Not generally known is that most of the deaths on both sides of that war were not the result of actual combat but to what happened after a battlefield wound was inflicted. To begin with, evacuation of the wounded moved at a snail’s pace and this caused severe delays in treating the wounded. Secondly, many wounds were subjected to wound care, related surgeries and/or amputations of the affected limbs and this often resulted in the onset of massive infection. So you might survive a battle wound only to die at the hands of medical care providers who although well-intentioned, their interventions were often quite lethal. High death tolls can also be ascribed to everyday sicknesses and diseases in a time when no antibiotics existed. In total something like 600,000 deaths occurred from all causes, over 2% of the U.S. population at the time!

    Let’s skip to the first half of the 20th century for some additional perspective and to bring us up to more modern times. After the civil war there were steady improvements in American medicine in both the understanding and treatment of certain diseases, new surgical techniques and in physician education and training. But for the most part the best that doctors could offer their patients was a “wait and see” approach. Medicine could handle bone fractures and increasingly attempt risky surgeries (now largely performed in sterile surgical environments) but medicines were not yet available to handle serious illnesses. The majority of deaths remained the result of untreatable conditions such as tuberculosis, pneumonia, scarlet fever and measles and/or related complications. Doctors were increasingly aware of heart and vascular conditions, and cancer but they had almost nothing with which to treat these conditions.

    This very basic review of American medical history helps us to understand that until quite recently (around the 1950’s) we had virtually no technologies with which to treat serious or even minor ailments. Here is a critical point we need to understand; “nothing to treat you with means that visits to the doctor if at all were relegated to emergencies so in such a scenario costs are curtailed. The simple fact is that there was little for doctors to offer and therefore virtually nothing to drive health care spending. A second factor holding down costs was that medical treatments that were provided were paid for out-of-pocket, meaning by way of an individuals personal resources. There was no such thing as health insurance and certainly not health insurance paid by an employer. Except for the very destitute who were lucky to find their way into a charity hospital, health care costs were the responsibility of the individual.

    What does health care insurance have to do with health care costs? Its impact on health care costs has been, and remains to this day, absolutely enormous. When health insurance for individuals and families emerged as a means for corporations to escape wage freezes and to attract and retain employees after World War II, almost overnight a great pool of money became available to pay for health care. Money, as a result of the availability of billions of dollars from health insurance pools, encouraged an innovative America to increase medical research efforts. More Americans became insured not only through private, employer sponsored health insurance but through increased government funding that created Medicare and Medicaid (1965). In addition funding became available for expanded veterans health care benefits. Finding a cure for almost anything has consequently become very lucrative. This is also the primary reason for the vast array of treatments we have available today.

    I do not wish to convey that medical innovations are a bad thing. Think of the tens of millions of lives that have been saved, extended, enhanced and made more productive as a result. But with a funding source grown to its current magnitude (hundreds of billions of dollars annually) upward pressure on health care costs are inevitable. Doctor’s offer and most of us demand and get access to the latest available health care technology in the form of pharmaceuticals, medical devices, diagnostic tools and surgical procedures. So the result is that there is more health care to spend our money on and until very recently most of us were insured and the costs were largely covered by a third-party (government, employers). Add an insatiable and unrealistic public demand for access and treatment and we have the “perfect storm” for higher and higher health care costs. And by and large the storm is only intensifying.

    At this point, let’s turn to the key questions that will lead us into a review and hopefully a better understanding of the health care reform proposals in the news today. Is the current trajectory of U.S. health care spending sustainable? Can America maintain its world competitiveness when 16%, heading for 20% of our gross national product is being spent on health care? What are the other industrialized countries spending on health care and is it even close to these numbers? When we add politics and an election year to the debate, information to help us answer these questions become critical. We need to spend some effort in understanding health care and sorting out how we think about it. Properly armed we can more intelligently determine whether certain health care proposals might solve or worsen some of these problems. What can be done about the challenges? How can we as individuals contribute to the solutions?

    The Obama health care plan is complex for sure – I have never seen a health care plan that isn’t. But through a variety of programs his plan attempts to deal with a) increasing the number of American that are covered by adequate insurance (almost 50 million are not), and b) managing costs in such a manner that quality and our access to health care is not adversely affected. Republicans seek to achieve these same basic and broad goals, but their approach is proposed as being more market driven than government driven. Let’s look at what the Obama plan does to accomplish the two objectives above. Remember, by the way, that his plan was passed by congress, and begins to seriously kick-in starting in 2014. So this is the direction we are currently taking as we attempt to reform health care.

    Through insurance exchanges and an expansion of Medicaid,the Obama plan dramatically expands the number of Americans that will be covered by health insurance.

    To cover the cost of this expansion the plan requires everyone to have health insurance with a penalty to be paid if we don’t comply. It will purportedly send money to the states to cover those individuals added to state-based Medicaid programs.

    To cover the added costs there were a number of new taxes introduced, one being a 2.5% tax on new medical technologies and another increases taxes on interest and dividend income for wealthier Americans.

    The Obama plan also uses concepts such as evidence-based medicine, accountable care organizations, comparative effectiveness research and reduced reimbursement to health care providers (doctors and hospitals) to control costs.

    The insurance mandate covered by points 1 and 2 above is a worthy goal and most industrialized countries outside of the U.S. provide “free” (paid for by rather high individual and corporate taxes) health care to most if not all of their citizens. It is important to note, however, that there are a number of restrictions for which many Americans would be culturally unprepared. Here is the primary controversial aspect of the Obama plan, the insurance mandate. The U.S. Supreme Court recently decided to hear arguments as to the constitutionality of the health insurance mandate as a result of a petition by 26 states attorney’s general that congress exceeded its authority under the commerce clause of the U.S. constitution by passing this element of the plan. The problem is that if the Supreme Court should rule against the mandate, it is generally believed that the Obama plan as we know it is doomed. This is because its major goal of providing health insurance to all would be severely limited if not terminated altogether by such a decision.

    As you would guess, the taxes covered by point 3 above are rather unpopular with those entities and individuals that have to pay them. Medical device companies, pharmaceutical companies, hospitals, doctors and insurance companies all had to “give up” something that would either create new revenue or would reduce costs within their spheres of control. As an example, Stryker Corporation, a large medical device company, recently announced at least a 1,000 employee reduction in part to cover these new fees. This is being experienced by other medical device companies and pharmaceutical companies as well. The reduction in good paying jobs in these sectors and in the hospital sector may rise as former cost structures will have to be dealt with in order to accommodate the reduced rate of reimbursement to hospitals. Over the next ten years some estimates put the cost reductions to hospitals and physicians at half a trillion dollars and this will flow directly to and affect the companies that supply hospitals and doctors with the latest medical technologies. None of this is to say that efficiencies will not be realized by these changes or that other jobs will in turn be created but this will represent painful change for a while. It helps us to understand that health care reform does have an effect both positive and negative.

    Finally, the Obama plan seeks to change the way medical decisions are made. While clinical and basic research underpins almost everything done in medicine today, doctors are creatures of habit like the rest of us and their training and day-to-day experiences dictate to a great extent how they go about diagnosing and treating our conditions. Enter the concept of evidence-based medicine and comparative effectiveness research. Both of these seek to develop and utilize data bases from electronic health records and other sources to give better and more timely information and feedback to physicians as to the outcomes and costs of the treatments they are providing. There is great waste in health care today, estimated at perhaps a third of an over 2 trillion dollar health care spend annually. Imagine the savings that are possible from a reduction in unnecessary test and procedures that do not compare favorably with health care interventions that are better documented as effective. Now the Republicans and others don’t generally like these ideas as they tend to characterize them as “big government control” of your and my health care. But to be fair, regardless of their political persuasions, most people who understand health care at all, know that better data for the purposes described above will be crucial to getting health care efficiencies, patient safety and costs headed in the right direction.

    A brief review of how Republicans and more conservative individuals think about health care reform. I believe they would agree that costs must come under control and that more, not fewer Americans should have access to health care regardless of their ability to pay. But the main difference is that these folks see market forces and competition as the way to creating the cost reductions and efficiencies we need. There are a number of ideas with regard to driving more competition among health insurance companies and health care providers (doctors and hospitals) so that the consumer would begin to drive cost down by the choices we make. This works in many sectors of our economy but this formula has shown that improvements are illusive when applied to health care. Primarily the problem is that health care choices are difficult even for those who understand it and are connected. The general population, however, is not so informed and besides we have all been brought up to “go to the doctor” when we feel it is necessary and we also have a cultural heritage that has engendered within most of us the feeling that health care is something that is just there and there really isn’t any reason not to access it for whatever the reason and worse we all feel that there is nothing we can do to affect its costs to insure its availability to those with serious problems.

    OK, this article was not intended to be an exhaustive study as I needed to keep it short in an attempt to hold my audience’s attention and to leave some room for discussing what we can do contribute mightily to solving some of the problems. First we must understand that the dollars available for health care are not limitless. Any changes that are put in place to provide better insurance coverage and access to care will cost more. And somehow we have to find the revenues to pay for these changes. At the same time we have to pay less for medical treatments and procedures and do something to restrict the availability of unproven or poorly documented treatments as we are the highest cost health care system in the world and don’t necessarily have the best results in terms of longevity or avoiding chronic diseases much earlier than necessary.

    I believe that we need a revolutionary change in the way we think about health care, its availability, its costs and who pays for it. And if you think I am about to say we should arbitrarily and drastically reduce spending on health care you would be wrong. Here it is fellow citizens – health care spending needs to be preserved and protected for those who need it. And to free up these dollars those of us who don’t need it or can delay it or avoid it need to act. First, we need to convince our politicians that this country needs sustained public education with regard to the value of preventive health strategies. This should be a top priority and it has worked to reduce the number of U.S. smokers for example. If prevention were to take hold, it is reasonable to assume that those needing health care for the myriad of life style engendered chronic diseases would decrease dramatically. Millions of Americans are experiencing these diseases far earlier than in decades past and much of this is due to poor life style choices. This change alone would free up plenty of money to handle the health care costs of those in dire need of treatment, whether due to an acute emergency or chronic condition.

    Let’s go deeper on the first issue. Most of us refuse do something about implementing basic wellness strategies into our daily lives. We don’t exercise but we offer a lot of excuses. We don’t eat right but we offer a lot of excuses. We smoke and/or we drink alcohol to excess and we offer a lot of excuses as to why we can’t do anything about managing these known to be destructive personal health habits. We don’t take advantage of preventive health check-ups that look at blood pressure, cholesterol readings and body weight but we offer a lot of excuses. In short we neglect these things and the result is that we succumb much earlier than necessary to chronic diseases like heart problems, diabetes and high blood pressure. We wind up accessing doctors for these and more routine matters because “health care is there” and somehow we think we have no responsibility for reducing our demand on it.

    It is difficult for us to listen to these truths but easy to blame the sick. Maybe they should take better care of themselves! Well, that might be true or maybe they have a genetic condition and they have become among the unfortunate through absolutely no fault of their own. But the point is that you and I can implement personalized preventive disease measures as a way of dramatically improving health care access for others while reducing its costs. It is far better to be productive by doing something we can control then shifting the blame.

    There are a huge number of free web sites available that can steer us to a more healthful life style. A soon as you can, “Google” “preventive health care strategies”, look up your local hospital’s web site and you will find more than enough help to get you started. Finally, there is a lot to think about here and I have tried to outline the challenges but also the very powerful effect we could have on preserving the best of America’s health care system now and into the future. I am anxious to hear from you and until then – take charge and increase your chances for good health while making sure that health care is there when we need it.

  • Living in France is one thing desired by many individuals. If you want to live in France then you have to get French property. You can read the advertisement section of the newspapers which has the section of houses for sale in France. After making a suitable choice, you should research about the properties for sale in France. French property is now a days very much wanted also.

    If you want to live in France and spend your life there you should select a proper house. French property is not cheap and you need to make a major investment. You must also know about the properties for sale in France at various locations. The houses for sale in France come in different prices depending on the location

  • Howdy! Quick question that’s totally off topic.
    Do you know how to make your site mobile friendly? My blog
    looks weird when browsing from my iphone4. I’m trying to find a template or plugin that might be able to correct this issue.

    If you have any recommendations, please share.

    Appreciate it!

  • You actually mɑke it seerm so easy ԝith youг presentation but I find thіѕ
    matter to be actualⅼy ѕomething thаt I think I ԝould never understand.
    Ιt sеems too complex ɑnd very broad for
    me. I’m lоoking forward foг yoᥙr next post, Ι’ll try to ɡet
    thе hang of it!

  • I truly wanted to construct a quick message so as to express gratitude to you for these marvelous tactics you are sharing on this site. My extensive internet look up has at the end been rewarded with awesome strategies to share with my guests. I ‘d repeat that most of us site visitors are undeniably endowed to live in a fine site with very many marvellous professionals with great tricks. I feel somewhat fortunate to have seen your entire webpage and look forward to so many more cool minutes reading here. Thank you once again for all the details.

  • After I originally commented I clicked the -Notify me when new comments are added- checkbox and now every time a comment is added I get four emails with the same comment. Is there any method you’ll be able to take away me from that service? Thanks!

  • I used to be more than happy to find this net-site.I needed to thanks to your time for this wonderful learn!! I undoubtedly enjoying each little bit of it and I have you bookmarked to take a look at new stuff you blog post.

  • I simply needed to thank you so much yet again. I do not know the things I might have gone through in the absence of the actual points shared by you relating to that topic. Completely was a very terrifying case in my circumstances, nevertheless observing the professional manner you managed the issue made me to jump over fulfillment. I am happy for your work and even pray you are aware of an amazing job you’re doing educating many others by way of your webpage. I am certain you haven’t got to know all of us.

  • Aw, this was a very nice post. In idea I would like to put in writing like this moreover ?taking time and actual effort to make an excellent article?but what can I say?I procrastinate alot and certainly not seem to get something done.

  • My wife and i ended up being very fortunate when Chris managed to do his investigations because of the ideas he received using your web site. It is now and again perplexing to simply always be giving freely guides which often many people could have been selling. And we also know we’ve got the website owner to appreciate for that. These illustrations you have made, the easy website menu, the relationships you give support to instill – it’s got everything unbelievable, and it is leading our son in addition to our family understand that concept is enjoyable, and that is especially mandatory. Thanks for the whole lot!

  • Thank you so much for giving everyone an exceptionally nice opportunity to check tips from this web site. It is always so ideal and as well , packed with fun for me personally and my office fellow workers to search your site at the very least 3 times in one week to read through the fresh stuff you have. Not to mention, we’re at all times happy considering the unbelievable principles you serve. Some 2 tips in this article are particularly the most efficient I have had.

  • My husband and i ended up being quite contented when Michael could complete his researching while using the ideas he had through your web pages. It is now and again perplexing to just be giving for free instructions which usually other people have been selling. And we also remember we have got the blog owner to be grateful to because of that. Those illustrations you made, the simple site navigation, the friendships you can assist to promote – it’s many powerful, and it’s really letting our son in addition to the family consider that this matter is brilliant, which is certainly seriously fundamental. Thank you for the whole thing!

  • That is the right weblog for anyone who desires to seek out out about this topic. You realize a lot its nearly arduous to argue with you (not that I truly would want匟aHa). You undoubtedly put a new spin on a subject thats been written about for years. Nice stuff, simply nice!

  • I抎 should verify with you here. Which is not something I normally do! I enjoy reading a publish that can make people think. Additionally, thanks for permitting me to comment!

  • I wanted to write you that very small word so as to give thanks yet again for your personal amazing secrets you have discussed on this site. It was quite seriously open-handed with people like you to make extensively precisely what numerous people could have marketed for an e-book to end up making some cash for themselves, especially considering the fact that you could possibly have done it in case you desired. The techniques also served to become a fantastic way to fully grasp some people have a similar interest just like my own to know the truth lots more on the subject of this issue. I believe there are thousands of more fun moments ahead for those who looked at your website.

  • This is the correct blog for anyone who needs to find out about this topic. You understand a lot its almost hard to argue with you (not that I truly would need匟aHa). You definitely put a brand new spin on a topic thats been written about for years. Nice stuff, simply great!

  • My wife and i ended up being really comfortable John could finish up his homework from the precious recommendations he obtained out of the web site. It is now and again perplexing to just find yourself offering guidance which usually people today might have been trying to sell. And now we take into account we’ve got the blog owner to thank for this. The most important illustrations you made, the simple web site menu, the friendships you will make it possible to create – it’s got many spectacular, and it’s really aiding our son and the family consider that that theme is amusing, which is certainly really serious. Many thanks for all!

  • Hi there! I just want to give an enormous thumbs up for the good data you’ve here on this post. I shall be coming back to your blog for more soon.

  • My wife and i ended up being quite joyous that Jordan managed to conclude his reports from the ideas he was given from your very own web page. It’s not at all simplistic to just find yourself giving freely key points that some other people have been selling. And we do know we’ve got you to thank for that. Those explanations you made, the straightforward site menu, the friendships your site make it possible to promote – it’s got most overwhelming, and it’s facilitating our son and the family imagine that the situation is cool, which is certainly exceedingly essential. Thanks for all the pieces!

  • I discovered your blog web site on google and verify a few of your early posts. Continue to keep up the very good operate. I simply extra up your RSS feed to my MSN News Reader. Seeking forward to reading more from you in a while!?

  • Youre so cool! I dont suppose Ive read anything like this before. So good to search out anyone with some unique ideas on this subject. realy thank you for beginning this up. this web site is something that’s needed on the web, somebody with a little bit originality. useful job for bringing something new to the internet!

  • I and also my friends appeared to be going through the nice thoughts located on your web page then all of a sudden developed an awful feeling I had not thanked the web site owner for those techniques. All the young boys became as a consequence joyful to study them and have clearly been loving these things. Thanks for indeed being simply considerate and then for considering this form of remarkable themes most people are really desirous to be informed on. Our own honest apologies for not expressing gratitude to you earlier.

  • I抦 impressed, I have to say. Actually rarely do I encounter a weblog that抯 both educative and entertaining, and let me tell you, you’ve hit the nail on the head. Your concept is outstanding; the difficulty is one thing that not enough persons are talking intelligently about. I am very pleased that I stumbled throughout this in my seek for one thing regarding this.

  • The following time I read a blog, I hope that it doesnt disappoint me as a lot as this one. I imply, I do know it was my option to learn, but I truly thought youd have one thing interesting to say. All I hear is a bunch of whining about one thing that you would repair for those who werent too busy in search of attention.

  • I and my guys happened to be following the nice tips and tricks from the website then all of the sudden developed a horrible suspicion I never thanked you for them. All of the boys came for this reason very interested to see all of them and now have in reality been loving those things. Appreciate your getting very kind and then for utilizing some superb guides millions of individuals are really needing to know about. My very own honest regret for not expressing appreciation to sooner.

  • Good day! I simply wish to give an enormous thumbs up for the good information you might have right here on this post. I might be coming again to your blog for extra soon.

  • Thank you a lot for providing individuals with an extraordinarily breathtaking opportunity to discover important secrets from this site. It is usually very terrific plus full of a good time for me personally and my office co-workers to search the blog at the least 3 times in 7 days to read the new items you will have. And definitely, we’re certainly contented with your superb hints you serve. Selected 4 tips in this article are really the most impressive we have all had.

Leave a Reply

Your email address will not be published.