Combahee River Collective Essay Example | Topics and Well Written Essays - 250 words

Combahee River Collective - Essay Example Furthermore, they were committed to working on issues such as abortion rights, rape, sterilization abuse, rape and battered women. Pertaining to Black Nationalism, the collective affirmed its involvement in movements that were involved in the liberation for the Blacks. However, the black feminists asserted that they were disillusioned by the tactics employed by such movements in attaining their goals. Evidently, the collective noted that the politics in such movements were mainly racist and anti-sexist in nature. In relation to socialism, the collective asserts their belief in work being organized for the collective benefit of the workers and not solely for profit for the bosses. Moreover, the collective reiterates the equal distribution of material resources among those who create them. The collective was strongly in opposition to lesbian separatism as advocated by white females. On the contrary, it called for unity among all black feminist irrespective of sexual

Philosophy of Hans Jonas Essay Example | Topics and Well Written Essays - 1750 words

Philosophy of Hans Jonas - Essay Example Hans Jonas studied the philosophy of biology and at some point made the whole theory belong to him, this resulted in many philosophers following suite. It is for this reason that the philosophy of biology has become an independent subject of its own and this was realized fifty decades ago. Hans Jonas’s thought of biology in terms of life and this made his work willingly easier. For him, life was not just a living presence but also a cognitive science of a living being. Many philosophers of biology ignored to cover the traditional mechanism of life in a living being and instead covered the theory of modern biology. Philosophy of Hans Jonas Hans Jonas discovered the phenomenal origin of life in relations to biology, and this quickly changed into a venture of philosophy. Hans Jonas justified the thought between God’s creation and the existence of life on earth. From the introduction of Deoxyribonucleic acid (D.N.A) to the study of psychology, biology has become an importan t aspect in life. Hans Jonas examined that the philosophy of biology can sometimes be interpreted in the same concept as theoretical biology. This is because of the mathematical concept involved in the study of medicine in theoretical biology. Hans Jonas made the study even more related to the philosophy of biology by using genes to examine both theories of biology. According to Hans Jonas, the main issue facing many scientists is doing a research on the living beings without the experimental exploitation. Hans Jonas stresses out that the main solution is putting across and explaining the individual rights to biological theories. The medical experts have attributed outbreak of various diseases to lack of human experiments. Hans Jonas examines the philosophy of biology and reflects on the justification of medical experiments on human beings. Hans Jonas also ponders on life as an experience that might have biological experiments of its own. According to him, not all aspects of life re quire biological attention as some human beings justify life as an experience. Though some philosophers have linked the two to biology, Jonas has come out to differentiate the two as stemming back to the traditional examination of biology. Hans Jonas has used this approach to differentiate the biblical theory of life from the philosophy of biology. Though Hans Jonas does not criticize the biblical concept attributed to life, he acknowledges the biological concept as an easier understanding of life. Hans Jonas has categorized life in three aspects and this has enabled many philosophers to understand biology more easily and as a result put it in their own understanding. Being is the first classification that Hans Jonas used to examine life. He acknowledged that without life, there would not be in existence any living being. He ponders this theory of life as a mortal tension between being and nonbeing. According to him, the idea of death causes trauma in the minds of every being. Birth is more an intellectual theory of life than death and Han Jonas examines that all beings would welcome the idea of birth more than death. Self and world is the second classification that Hans Jonas used to relate life to biology. Hans Jonas ponders into the idea that once an individual is born then he considers himself to be alone in this world. According to him, alone would mean owning your own life and not the physical self. He examines the fact that an individual has an access to his own life and therefore

Debate Speech Essay Example for Free

Debate Speech Essay A pleasant afternoon to one and all, standing in front of you is Alliah Dominique M. Sta. Ana, 3rd affirmative speaker, opposing the proposition of Mr. Despi that â€Å"Republic Act No. 10354 also known as Responsible Parenthood and Reproductive Health Act of 2012† should be legalize here in the Philippines. Let us all be open minded as I begin. First and Foremost, let me give you brief information about RH Bill. It guarantees the universal access to methods of contraceptions, fertility control, maternal care and sex education.   There are many reasons why I stand before my proposition because implementing RH Bill is unconstitutional. Why? It seeks to regulate or legislate morality. It criminalizes the practice of faith and religion as well as other cts that are not inherently evil or against public policy. It is socially and economically unjust and destructive. The law justifies the imposition of new taxes and higher tax rates, government borrowing, price controls, distortions, massive regulations, that will affect not just the entire economy but also people’s rights. It will also benefit certain bussinesses and industries in a monopoly or crony system. Where will they buy contraceptives, preganancy kits, RH products and equipments, employer’s fee for their time and service? There are already dozens of RH Laws or RH related laws enacted in the past. It seems all of them didn’t work. Did they? Because the only solution to this problem would be having self control and discipline. I firmly believe that an ordinary person is capable to be good so it does mean that everyone, catholic or not, can be disciplined. The main purpose of sex is to procreate not to satisfy our senses or needs. So if you will have sex, bear in mind that its main purpose is to reproduce which is God’s will. Now, if you are to have sex with contraceptives, then that is not called procreation. It is called sense gratification or lust which is a strong desire for someone, that way doing sex is purposeless. If you are to have sex without contraceptives, without thinking the consenquences, without family planning, make sure you are ready to face such big responsibility that will change your life. Life is created and is the will of the Lord. How it begins and how it ends is His thing – Not ours. When God allowed the process of sex which at the same time is the free will of woman and man which will put that child in a woman’s womb, whether the mother or father is sick, that is His will. And now if you are a follower of God which the RH supporters also claim, and you are spiritually realized, then you must know that you do not have the right to hinder such event or manifestation by killing what is forming or what is inside you. Therefore, I strongly believe that RH bill should not be implented for this will not be created if we just control ourselves. This methods will offend the Church and the Catholics, this methods are just expenses, RH Bill will only change the clearer vision of life. It will be such a bad impact to the country. Bear in mind that we are in a religious country. Besides, Natural Family Planning helps the married partners to strengthen their communication. A baby made with conjugal love is the result of natural family planning that’s why I prefer natural family planning to be the only method to decrease our population rate. That’s all, thank you and Good Afternoon!

Evidence Based Public Health Health And Social Care Essay

Evidence Based Public Health Health And Social Care Essay Public programmes have absorbed huge amount of money for health improvement, social welfare, education, and justice. However, the result of the programmes are still unkown whether improve peoples lives or not and experts knowledge is not used in policy decisions (Oxman, et al. 2010). Gaps between research of effectiveness and policy implementation are also clearly seen (Brownson, Chriqui, Stamatakis 2009). These gaps occur because policy makers have different priorities. Black (cited in Wallace 2006) argued that ideological blinders, economic pressures (both in governmental budgets and their own campaign coffers), electoral realities, bureaucratic inertia, and a host of other factors that can make good data irrelevant, influence policy maker in decisions making. Wallace (2006) also stated that political concerns lead to immune to facts in policy makers. Brownson, Chriqui, Stamatakis (2009) stated that the process of making public policies can be complex and messy and the policies are not only technically sound, but also politically and administratively feasible. The first step of health-policy making-process is problem identification and agenda setting. In this stage, public problems will be political agenda if the problems are converted into political issue (Palmer Short 2000). Evidence-based public health enable to influence policy makers in public health decisions because evidence-based practice use a particular type of evidence and focus on clear reasoning in the process of appraising and evidence interpretation (Rychetnik et al 2004). Evidence-based practice rises evidence from research which encompass a wide variety of public health research. Rychetnik et al (2004) also mentioned several type of studies which used in evidence-based public health such as decriptive, taxonomic, analytic, interpretive, explanatory and evaluative. Prinja (2010) asserted that evidence and information contribute to policy making process through research and consultative process or published documents or reports. Moreover, Rychetnik et al., expanding on earl ier Brownsons argument (cited in Fielding Briss 2006) argued that evidence-based public health decisions can be supported by three types of scientific evidence. Type 1 evidence is that something should be done is determined by causes and magnitude of disease, severity and preventibility. Type 2 evidence shows that which intervention or policies should be done may effective in specific intervention to promote health. Type 3 evidence describe how something should be done that how and under what circumstances interventions were implemented and how they were received. Those type of evidence are useful in public health decision because they may improve the quality and availability of the evidence (Rychetnik et al 2004). Evidence for evidence-based policy can be determined into two categories, quantitative evidence and qualitative evidence. Both of them are important for policy relevant evidence (Brownson, Chriqui, Stamatakis 2009). Quantitative evidence for policy making, which provides data in numerical quantities, is collected from many sources, such as scientific information in peer-reviewed journals, public health surveillance systems, or evaluations of individual programs or policies (Brownson, Chriqui, Stamatakis 2009). Quantitative evidence, for example prevalence, incidence and cumulative incidence, may express the magnitude and severity of public health problems through frequency or proportion and rates measurments (Rychetnik et al 2004) but this type of evidence presents little understanding of why some relationships exists (Brownson, Fielding, Maylahn 2009). On the other hand, qualitative evidence or non numerical data may be taken from methods such as participants, group interviews, or f ocus group. Qualitative evidence may influence policy deliberations, setting priorities and proposing policy solutions by telling persuasive stories (Brownson, Chriqui, Stamatakis 2009). However, according to Rychetnik et al (2004) one of qualitative evidence that is expert opinion is positioned at the lowest level in levels of evidence hierarchies and identified as the least reliable form of evidence on the effectiveness of interventions. Nevertheless, the combination between two type of evidence leads to a stronger persuasive impact in policy making process than using only one type of evidence (Brownson, Chriqui, Stamatakis 2009). Evidence-based practitioner shoul build strong evidence to convince public health policy makers. Brownson, Fielding, Maylahn (2009) proposed three concept to achieve a more evidence-based approach to public health policy. First, scientific information on the programs and policies is required to make more effective in health promotion. Second, combination between information on evidence-based interventions from the peer-reviewed literature and the realities of a specific real-world environment is required to translate science to practice. Third, the prove of effectiveness of interventions must be informed in wide-scale consistently at state and local levels. Brownson, Chriqui, Stamatakis (2009) also recommended that evidence should show public health burden, identify priority of an issue over many others, present relevance at the local level, show benefits and harm from intervention, explain the issue by how many peoples lives are affected, and estimate the cost of intervention. In the article example (LeePark 2010) which is about HBV immunisation policy in the US, it is clear that the policy was based on convincing evidence, in this case was epidemiological data. According to these data which taken from different sources, such as American Cancer Society (ACS) and Centers for Disease Control and Prevention (CDC) showed that chronic HBV infection is responsible for the majority HBV-related morbidity and mortality. Some quantitative evidence was provided such as 1.4-2 million (0.4%) people had chronic HBV invection. The policy also relied on other successful policy intervention which might produce similar result if the HBV immunisation was implemented in population. The CDC reported that the incidence of acute HBV infection decreased 80% which was largely due to universal vacination programs for children. Characteristic of the HBV infected population was also identified such as 2.7-11% among injecting drug users, 1.1%-2.3% in homosexual, 1.5% among pregnant wo men. The data convincingly showed that there was corelation between HBV and HIV infection. The natural history of the disease also clearly identified led to assumption that HBV vaccination was important for community. The next stage of the health policy making process is policy formation. In this stage, policies are formulated or changed to a new policies. The formation stage, which is also referred to policy design or development, specific attention will be provided when policies are examined relating to the issues (Palmer Short 2000). According to Brownson, Chriqui, Stamatakis (2009) that formulation of health policies in public health practice is complex and depends on variety of scientific, economic, social, and political forces. However, huge number of people want policy and practice to be relied on the best scientific evidence. Maximising policy effectiveness and efficiency depend on evidence base (Wallace 2006). On the other hand, policy makers require a reasonable and justifiable policy solution. Hence, health public practice should develop a convincing message based on research evidence to explain policy makers how the intervention may solve the public health problems (Goldstein 2009). To develop policy formulation, research evidence should be reviewed and evaluated before being proposed to policy makers. The aim of the research evaluation is to determine the degree of credibility (validity and reliability) of information and usefulness (relevance and generality) in a different context (Rychetnik et al 2004). Systematic Reviews and Critical Appraisal are required in evidence review processes as a guide to understand the research methods (Rychetnik et al 2004). Systematic review implementation leads to practitioners and policymaker to understand all of relevant information, how the evidence was collected and assembled, and how the conclusions and recommendations relate to the information (Fielding Briss 2006). Then, the result of evidence review will be integrated with social consideration which obtained from practitioners, policy makers and consumer to produce evidence based recommendations (Rychetnik et al 2004). Through systematic appraisal of research, public h ealth practice enable to demonstrate the effectiveness of interventions based on available evidence (McMichael, Waters, Volmink 2005). In other words, the evidence-based recommendations are based on the nature and strenghth of the evidence. Furthermore, the recommendations should be evaluated with respect to the balance of advantages and disadvantages (Rychetnik et al 2004) or the benefits of interventions must be weighed against the costs (Cookson 2005). However, systematic review tend to have narrow and regressive interpretation of the nature of evidence which leads to exclude a wide range of research-based information and professional experience that may be important to policy development (Nutbeam 2001). Therefore, combination between systematic review and narrative review may bring convincing evidence rather than systematic review alone. Iit is obvious in the article example that the recommendation of HBV immunisation in the US was based on previous research evidence. For example, in June 1982, the CDC Advisory Committee on Immunization Practices (ACIP) released the first inactivated HBV vaccines for individuals at a high risk for HBV infection (Lee Park 2010). The reason why the first HBV vaccine recommendation only for high risk community because epidemiological data showed that the distribution of hepatitis B cases was not uniform across populations. Large and urban immigrant-dense areas had higher prevalence of chronic HBV infection. The CDC concluded that high morbidity and mortality from chronic HBV infection in the US would be unavoidable if those high risk populations were not interfered by immunisation programs. In 1989, the recommendation of HBV vaccine were expanded to health care workers after obtaining surveillance data of the HBV infection prevalence and input from health professionals through public a nd private requests (Lee Park 2010). The third stage of the health-policy-making process is adoption. In this stage the policy formulation is enacted and brought into force, such as state legislation (Palmer Short 2000). Public health practice requires advocacy and lobbying to influence policies, change practice and achieve public health action. Nevertheless, the process of achieving influence is often difficult rather than appraising evidence and formulating recommendations because the process requires more complex social and political negotiations and often detrmined by social, political and commercial factors (Rychetnik et al 2004). Brownson, Fielding Maylahn also argued that translation from research to community applications may require many years. Moreover, evidence-based policy and practice inform the policy maker through evidence consideration whereas policy making will depend on prevailing values and priorities. Therefore, it is challenging for public health practice to close the gap between research and pract ice (Rychetnik et al 2004). According to Nutbeam (2001), policy development is a political process rather than scientific-based process. Hence, evidence-based public health requires a strong public health voice and advocacy supports within political system in which may be obtained from public and mass media. Another support may come from public servants who have skill in critical appraisal of evidence to use research evidence in the policy development. The article example of HBV immunisation programs in the US shows that several groups influenced the US government decisions in HBV immunisation programs. From inside of the government, such as National Health and Nutrition Examination Surveys (NHANES), American Cancer Society (ACS), Centers for Disease Control and Prevention (CDC), the CDC Advisory Committe on Immunization Practices (ACIP), supported the HBV immunisation proposals by providing convincing data to the government. WHO, as an outside of government institution, might influence the US government to consider the spread of the disease by presenting international data of HBV prevalence. Health professional also forced the government to expand the HBV immunisation program not only for infant and high risk groups but also children and all adolescents. The next step of the health-policy-making process is implementation of the policy. In this stage, policy document is changed into reality (Palmer Short 2000). Evidence-based public health is challenged to translate research evidence to practice among organisations, practitioner groups, or general public. Evidence-based practitioners enable to identify the most important component of an intervention to bring effective actions to the community (Brownson, Fielding, Maylahn 2009). Interventions in public health should focus on the benefit of communities or populations rather than individuals, although many intervention bring secondary advantages to individuals (Frommer Rychetnik 2003). Rychetnik et al (2004) stated that public health interventions include policies of governments and non-government organisations; laws and regulations; organisational development; community development; education of individuals and communities; engineering and technical developments; service development a nd delivery; and communication, including social marketing. In the example article, the recommendation of HBV immunisation in the US was implemented by ACIP whereas the federal provided vaccine for health care workers and children. The final step of the health-policy-making process is evaluation which include monitoring, analysis, criticism and assessment of existing or proposed policies. The result of the evaluation is used as data sources in agenda setting and policy formation. The goal of the evaluation is to bring policy implementation in effective and efficient ways (Palmer Short 2000). Evidence-based policy requires documenting the effect of implemented policies to undertand the impact of interventions on community and individual which may change peoples behaviour (Brownson, Chriqui, Stamatakis 2009). McMichael, Waters, Volmink (2005) believed that evidence around intervention effectiveness plays important role to address health priorities for the next policies particularly in developing countries or resource-poor areas. Evidence-based practice use evidence as valuable sources in evaluation to maximise the benefits and limits the harms of public health policy and practice. The evidence enable to inform e valuation planning to improve the quality and relevancew of new research (Rychetnik 2004). Evaluation may also be useful to explain failures in policy implementation, unintended side effects, and monitoring the policy application towards achieving the policy goal (Wallace 2006). Evidence-based practice also evaluate public health policy in economic perspective because it can provide information about the association between economic investment on public health programs and policies and health impacts, such the prevelance of prevented disease or years of life saved. This method, named cost-effectiveness analysis (CEA), can explain the relative value of alternative interventions on public health programs and policies (Brownson, Fielding, Maylahn 2009). Another important evaluation of evidence-based policy is health impact assessment (HIA) that enables to estimate the possibility impacts of policies or interventions in out side of health perspective, such as agriculture, transportation, and economic development, on population health. HIA also analyse the envolvement of stakeholders in the policy interventions. Evidence-based practitioner use this method because there is much evidence that population health and health disparities are influenced by many determinants such as social and physical environments (Brownson, Fielding, Maylahn 2009). Therefore, it is essential to evaluate health policy implementation in different ways. In the article of HBV immunisation in the US, CDC always conducted evaluation and found that the incidence of HBV infection had declined after releasing recommendation of HBV vaccination. The CDC also identified that education of health care providers was clearly important to make the program successful (Lee Park 2010). The result of CDCs evaluation, which formulated into epidemiological data, can help to build new strategies to eliminate HBV infection, such as expansion of HBV immunisation recommendation for other groups and routine screening for HBV positive persons. In conclusion, evidence-based public health is important in public health policy making because evidence-based approach enables to provide policy suggestion based on convincing evidence generated from rigorous research. Since many determinants influence public health, analysis of quality and quantity evidence is essential to convince policy makers in identification of policy priorities and the best public health interventions. This essay also suggest that faster and better scientific information may influence public assumption in public health which leads to support evidence-based policy making in public health interventions.

Salem Witch Trials Essay -- essays research papers

Deep inside a town in Massachusetts innocent people were accused of the devil’s work, witchcraft. God-fearing Puritans took it upon themselves to exterminate Satan’s followers influenced by anti-witch ideas and other sources including books and the words of various priests. Over 100 people were given unfair trials; many were jailed while quite a few were lynched. Although the Salem witch trials are considered one of the depressing parts of American history the topic also provides an interesting look at how people thought and lived during the colonials times.   Ã‚  Ã‚  Ã‚  Ã‚  The practice of capturing witches didn’t start at Salem. For centuries Europeans had been catching supposed witches and burning them at the stake. In 1492 two priests were elected by the Catholic Church to write a book on the evils of witchcraft. The book was read widely and told people how witches worked for the devil and the various ways they could torture and kill people. After reading this book and another anti-witchcraft book, Relating to Witchcraft and Possessions, by Cotton Mather(a local priest) which encouraged colonists that even torture was fine to convict people of sorcerery(since real witches couldn’t feel pain) it was no wonder that the Puritans of Salem took it upon themselves to expel witches in God’s name. Another cause of the trials was a problem brewing in Salem itself. For many years Salem Town and Salem Village had been separate parts of Salem. Salem Town had the rich m...

A Comparison of Crime and Punishment and Othello :: comparison compare contrast essays

A Comparison of Crime and Punishment and Othello      Ã‚  Ã‚  Ã‚  Ã‚   In both Crime and Punishment and Othello there is a theme of necessary balance.   Crime and Punishment's theme that man must be balanced in order to function properly is very similar to Othello's theme that, tragically, jealousy is destructive, even to the one that holds it.      Ã‚  Ã‚  Ã‚  Ã‚   In Crime and Punishment, Raskolnikov's extreme intellectualism caused him to stop functioning as a complete and balanced individual which ultimately cost him his freedom.   For Othello, it was his extreme jealousy that caused him to become emotionally unbalanced, which cost him both Desdemona and his own life.   In both cases the extremes create unbalance which ends up costing a lot.   There is a difference, however, and that too lies in the extremes; while Raskolnikov is too intellectual and lacks emotion, Othello is a rage of emotions and requires some intellect or rationality.      Ã‚  Ã‚  Ã‚  Ã‚   One stylistic device both authors used to demonstrate this unbalance is foreshadowing.   On page 84 in Crime and Punishment, Raskolnikov says, "If they question me, perhaps I will simply tell.   Fall to my knees and tell."   This foreshadows Raskolnikov's confession to the police and his subsequent sentencing to Siberia.   Raskolnikov is obviously unbalanced if he can detachedly hypothesize about his confession. Similarly, Desdemona's willow song foreshadows her own death.   In this way we realize Othello must be extremely unbalanced if his wife can foresee her own death when they are still newly wed. Both foreshadowed events would usually be considered as negative.   The main difference is that while Raskolnikov's imprisonment is temporary, Desdemona's death is permanent.      Ã‚  Ã‚  Ã‚  Ã‚   The interesting thing about both foreshadowed events is their irony. While both events are usually construed as negative, good things come from both. Not until he has been in Siberia a year does Raskolnikov finally renounce his overman theory and become complete and balanced once again.   Also, Desdemona will be able to forgive Othello and be with him throughout eternity.   What makes these happenings different is their justness.   Raskolnikov was rightfully imprisoned for his crime, while Desdemona was unjustly murdered for a crime she did not commit.      Ã‚  Ã‚  Ã‚  Ã‚   Finally, both stories include a very important epiphany. Raskolnikov's acceptance of love and God at Sonya's feet is both similar and dissimilar to

Determinants Study Essay

Introduction â€Å"To Be on not to Be, that is the question,† a famous quote from Shakespeare poem Hamlet. My niece is interested in attending medical school and has solicited my professional opinion on whether it would be economical feasible for her to attend medical school and if so, the best location to practice medicine. There are many variables in determining the maximum benefit and/or advantages of medical school. Such variables could include but not limited to, gender, ethnicity, tuition, locations, schools, specialties, etc. This paper will touch on the advantages as well as some barriers which may countersuit some of the advantages to form a concise recommendation to my niece on whether becoming a physician is economically and socially a good profession in which she should pursue. Demand Determinants The demand determinants for this case will feature definition of the market and the availability of close substitutes. These two determinants were chosen because the market for medical school can pose many qu4estions, however, narrowing down the most compatible choice is essential in obtaining the value of becoming a physician. The article â€Å"Is Being a Doctor Worth it Financial? Not as much as you may Think,† will help us break down the demand determinant of availability of close substitutes. This article goes to analyze the author’s question on whether if it is worth becoming a physician. To determine the author’s answer, she compared the salary of a doctor to one of an average college graduate. In real numbers, not to say  that these numbers are of current market value, but for the sake of this paper, the author states that a graduate can earn an income of $40,000.00, minus after-tax deduction; this graduate will take home $30,000.00 a year. A resident af ter medical school and for the next three years can expect to make about $40,000.00 a year. However, after the three years, a doctor can expect to make $150,000.00 a year as a family practitioner, which after taxes (approximately 33%), a take home pay annually for a family practitioner doctor is $100,000.00. To amortize the cost of medical school and the amount of one’s yearly income, it is predicted that to find the financial gain of a physician oppose to someone who received a four-year degree, a person will have to wait 13 years to see the financial advantage of going to medical school after all variables have been computed. In relative to years, a college graduate without medical school will graduate at the age of 22, however, one will not see financial relief until the age of 35 if continued on to a medical degree. To end this assumption of is becoming a doctor is financially feasible, the answer will be yes, however, the return will be much farther in one’s career. But do take into account that a doctor will have to work much harder and longer hours, approximately 60 plus hours a week oppose to someone who generally will work between 35-40 hours a week. The maintenance of a doctor is continuing medical education to stay abreast of the latest and most up-to-date techno logy, inventions, and advancements. If a physician choose a specialty (which in my opinion is highly recommended), one will have to recertify for board exams every 7 -10 years. Lastly, retirement age which is typically 65 years old will not be unit the age of around 75 for a physician. Job security, however, will be in a doctor’s favor because the shortage as of right not for doctors, especially for primary care physicians will keep a doctor employed. This aspect explains the demand determinant of the definition of the market. The market in this text is saying the specialty of a primary care physician is in high demand. The author of the article calculated a $600,000 gain to be a doctor oppose to another profession which only needed a four-year degree. Moreover, the price elasticity for becoming a doctor as this article relates is that to determine the value of a physician’s income/net gain oppose to a four-year degree income is contingent upon one’s specialty. The demand for a physician will increase as the shortage for doctors decrease to help care  for the needs of American’s growing population whom is also living longer. The locations, especially rural areas will demand the need for more physicians. The need for a primary care physician is greater than the need for a family practitioner. To perform the midpoint formula, the following fictional number will exhibit the value of becoming a physician. Midpoint elasticity = (B2-B1)/(B2+B1)/2 à · (A2-A1)/(A2+A1)/2: the number we will use the amount of patients needed for a physician. The average number from the beginning and the ending number of patients needing a physician in a rural area is 75 or (50+100)/2, so if the number of patients increases, the formula will read (100-50)/50 will give us 50/50, or 100%. However, if the patients decrease the formula will read (50-100)/100 which will be -50/100, or -50%. The midpoint value will be (100-50)/75 or 50/75 which will equal to a percent change of 66.67%. Supply Determinants Becoming a doctor while analyzing the supply demands of the profession can be determine by the price the input prices, technology and the expectations. The price can be determined by the cost of medical school. According to the article â€Å"Medical School at $278,000 Means Even Bernanke Son Has Debt,† published by Bloomberg, the average debt of a medical student who finances his or her education through private and government loans is between $207,868 and $278,455. However, the article also states that the supply of doctors will be less than the demand due to a shortage that is forecast to happen by 2025. This makes the supply inelastic because we will face more patients in need of a physician than we have physicians. The shortage is reportedly more than 130,000 physicians to the more than 32 million American that will be receiving healthcare (Bloomberg, 2014). This type of debt can price out minorities and women who have interests in pursuing the idea of attending medical sc hool. Such and enormous debt can discourage someone to think elsewhere as far as becoming a doctor. African Americans typically leave medical school owing loans on the average of $184,125. However, the price of medical school or even a lucrative salary cannot be the sole determinant of why one chooses the profession of a doctor. A study, coming from the article â€Å"African American Female Physicians in South Caroline: Role Models and Career Satisfaction,† outlined results from 132 African  American female physicians with 62 responding answering why they choose to practice medicine. The majority of the respondent stated they went to medical school for altruistic reasons, in addition to having a high interest in the positive challenges and opportunities practicing medicine presence. Another reason the respondents gave in the survey stated that there were other external reasons that influenced their decisions and that was the impact their family, teachers and childhood upbringings. Moreover, the study also revealed that most African American women shared the same desires as white female physicians. Lastly the study stated that the dissatisfying component of the respondents dislikes of being a doctor was managed care, time demands and paper work. (McFarland, F., Smith, J., West, A., & Rhoades, R., 2000). In essence, one’s gender and/or ethnicity one will have to analyze the explicit cost of what it takes to obtain a medical degree. One must incorporate the tuition, room & board, books, practical exams, etc., whereas the implicit cost will be calculating the interest rates of government and private loans. However, becoming a physician even with student loan debt, one can apply the theory of profit maximization because the return over time will far exceed the debt that was incurred. This theory also allows a medical student to actualize that there will be a normal profit as well as an economic profit because one would have covered the implicit and explicit cost to obtain the accounting profit, but will reach far above monetary return to achieve the economic profit once the loans have been repaid. As stated earlier, over a period of time, a physician will make approximately $600,000 over the course of his or her career than a four-year graduate. The below graph is illustrating the supply of physicians to the number of patients that need care. Recommendation In conclusion, my advice to my niece would be to follow her heart and desire as obtaining a medical degree will far exceed the satisfaction of serving people than the income and time spent. However, to quantify the return on the education of a medical degree, will yield a positive return, but not immediately, over time. Through the law of demand she will see that becoming a doctor is in high demand because the American population is living longer and physicians are needed to care for the generations to come  and the ones that are still here who need geriatric care. Another positive component in obtaining a medical degree is because she is a woman; she can be a pioneer of new cures and advancements as it related to terminal illnesses. The concerning questions is what are the best places to practice medicine? According to PR Newswire, â€Å"The Best Places to Practice Medicine are Idaho, Alabama, Texas, Nevada, and South Carolina. The metrics that were used in determining which plac e is best were: low density of practicing physicians per capita, medical malpractice insurance, low rate disciplinary actions, cost of living and tax burden. However, the article also stated that physicians must determine what is most important to them and their family in deciding where to practice medicine. To be or not to be is the question; yes becoming a physician is economically sound and wise because through the theory of supply and demand, physicians will be needed through eternity as long as there is human presence on this planet earth. References Lorin, J. (2013). Bloomberg. Medical School at $278,000 Means Even Bernanke Son Has Debt. Retrieved from http://www.bloomberg.com/news/2013-04-11/medical-school-at-278-000-means-even-bernanke-son-carries-debt.html Chen, M., & Chevalier, J. A. (2012). Are Women Over investing in Education? Evidence from the Medical Profession. Journal Of Human Capital, 6(2), 124-149. Miqueo, C. (1999). Women and doctors in medicine. Lancet, 354SIV65. Dacre, J., & Shepherd, S. (2010). Women and medicine. Clinical Medicine, 10(6), 544-547. Illinois State University. Department of Economics. Profit Maximinzation. Retrieved from http://www.economics.illinoisstate.edu McFarland, F., Smith, J., West, A., & Rhoades, R. (2000). African American female physicians in South Carolina: role models and career satisfaction. Southern Medical Journal, 93(10), 982-985. Medical School Success (N.D.) Is Being a Doctor Worth It Financially? Not as Much as You May Think http://www.medicalschoolsuccess.com/is-being-a-doctor -worth-it-financially/ PR, N. (2012, October 12). The Best Places to Practice Medicine are Idaho, Alabama, Texas, Nevada, and South Carolina. PR Newswire US. R. Glenn Hubbard, Anthony Patrick O’Brien, Hubbard, O’Brien. Economics. 4th Edition. Pearson Learning Solutions, 2012. Pg. 20. VitalBook file. Bookshelf. Reyes, J. (2008). Gender Preference and Equilibrium in the Imperfectly Competitive Market for Physician Services. Eastern Economic Journal, 34(3), 325-346. doi:10.1057/palgrave.eej.9050033