The Affordable Care Act

The Affordable Care Act is one of the major issues debated about the American Healthcare system. Since the enactment of the Obama Care, many people, including the Congress, the media, and the courts, have been debating on whether to amend or to end it. With President Obama as the sitting president, it was not expected to change. However, with a Democrat as president, it may be difficult to change it because Obama Care will already be covering 15-20 million of American. Therefore, the incoming president will have to work with the Congress so as to either amend it or to remove some parts of the law.

The two competing solutions to the Affordable Care Act are whether to amend it or to end it. Over the years the Law has been faced with some issues such as market stability, even though the federal government has been trying to protect the insurers from the high prices. However, the law keeps changing due to frequent amendments. Also, the Cadillac tax created by the health law makes it unaffordable to some individuals. Also, the law could be removed due to political resistance since the Republicans are against it.

The best option would be to amend it because there are more advantages to the people as compared to the limitations involved. For instance, more Americans now have health insurance, due to the affordability and also because the law aims at preventing the insurers from increasing the rates unreasonably. Also, the law allows for coverage for people with pre-existing health conditions, unlike other insurers. However, the law has some limitations, such as reduction of working hours as a result of increased insurance to employees with more working hours. Also, there is the fact that the law is likely to change with the transition in politics. Despite the few challenges, the law is quite beneficial to the citizens. Therefore, it should be amended to fit the need of all citizens.

Responsibilities of Federal, State, and Local Government

The main responsibilities of the federal government are to create and enforce laws to ensure order as well as the stability of society. Additionally, the government regulates the welfare of every citizen through the provision for the establishment of marketplaces whereby one can access qualified health plans and administering of premium subsidies to achieve affordability of the cover. The federal courts, therefore, have helped in the interpretation and implementation of the law to facilitate the expansion of its coverage. Also, it has helped in enhancing the achievement of the policy goals. However, there are some shared responsibilities between the federal and state governments such as the funding of Medicaid to help people with low income to afford the cover. Also the creating and collection of taxes, the establishment of courts, transportation, borrowing money and improvement of infrastructure to enhance the availability of the services to the citizens.

The state government is responsible for ratifying and establishing constitutional amendments of the state, provision of public health and safety. The state also does the issuing of licenses and the establishment of local government. The local government roles are education, the welfare of the police, fire department and also human services. Also the construction and maintenance of the public assets including management of sewers. Other roles include economic development and recreation facilities and parks.

Politics and Government

Whether we like it or not, politics and government influence nearly every aspect of our lives. Since we all reckon that, why shouldn’t we take the time to comprehend the way in which the laws work and impact us? Being knowledgeable about politics means you are acquainted with your rights as a citizen. And, truthfully, history taught us that if the individual gets involved in the political system, one has the unique opportunity of changing the world.

Being part of a society, we can play our part and change the world for the better. Although the change might seem a tad insignificant, the more informed citizens, the better it will be for the society. Additionally, being informed about politics makes you an informed voter. In other words, you are less likely to be manipulated by the media. Knowing is power, and that is why we are keen on writing about politics, covering a wide spectrum of subjects.

Health and Care

Living healthy is so important. Unfortunately, though, many people take their health for granted, overlooking the significance of having an appropriate diet, lifestyle, habits, so on and so forth. On that note, we consider that each individual should be aware that each lifestyle decision one makes impacts one’s health, in one way or another. For instance, anxiety is often rooted in one’s lifestyle. Plus, many diseases and illnesses are the results of chronic stress and inappropriate lifestyle and dietary choices.

And that’s the fundamental reason why you should be informed regarding the far-reaching subject of health and care. It’s our responsibility as individuals to be knowledgeable regarding the things that interest and affect us the most. In this category, you’ll find a wide range of posts concerning health and care topics, on the importance of exercising, and the decisions you should make for leading a healthy lifestyle.


There are countless quotes that try to grasp the essence of education, its significance and importance for the development of the individual, and the society, as a whole. In simplest terms, one could argue that education is the act of transmitting valuable information and experience to another individual. But, truthfully, education means much more than being knowledgeable. Education equals power, because it increases our awareness regarding the universe, ourselves and the people surrounding us. And what is more important than aiming at grasping the essence of life?

That is not all, since education contributes to forming dependable members of the society, who can actively participate in changing and developing the society, fighting injustice and making this world better than it is. Since we recognize the majestic importance of education, we think it is our responsibility to write about it, because it affects us, in one way or another.

Summary of the Theory of Subjectivism

Subjectivism theory asserts that any kind of moral judgement is just one’s own expression of his or her personal opinion on the event or matter at hand. It emphasizes that moral view only express beliefs concerning facts. The reports or beliefs express an individual’s subjective state of mind. As such, the beliefs can be false or true in correspondence to the subjective state of mind at that time. Therefore, a moral judgement is considered true only if it accurately corresponds to an individual’s subjective state of mind. Similarly, a moral judgement is considered false if it inaccurately correspond to the individual’s subjective state of mind. This, therefore, means that there are moral facts which are mind dependent and relate to a particular subjective mind state. For a statement to be viewed as morally right, it must be approved by the person of great interest with a distinct perception (Wiggins & David 20).

As a subjectivist, animal experimentation is legally and extremely moral as far as subjectivism theory is concerned. It provides an alternative to testing when viewed ethically. This is because generally, people would consider it unethical to subject humans to invasive experiments which in most cases involve death. The human lives should not be put in danger when experimenting on potential toxicity or side effects of different medicines. Also, genetic manipulation tests are well monitored when done on animals first to establish their effects before carrying them out on actual humans.

From a different perspective, the animal experimentation is beneficial both ethically and medically to the animals too. The vaccines that have occasionally been conducted on the animals have resulted into curing of serious animal infections. These infections include anthrax, infectious hepatitis, feline leukemia, canine parvovirus and rabies. Most importantly, the vivisection test helped protect endangered species for instance, the black-footed ferret from being extinct (Wiggins & David 27).

Health Care Reflection

As a leader, I am committed to excellence in practice and partner in care through the establishment of cultures of high-quality health care for having inspiring visions that will operate at every level of health care systems. I will ensure that the patient and family care is of high quality. I will also ensure that the objectives are clearly aligned and followed strictly in the provision of primary, secondary and tertiary intervention as well as community-based and population-based care. This paper reflects my commitment to excellence as a leader in practice and partner in care.

I will provide my support as a leader to educate and train all our employees so that they can act on performance improvement of patient and family care. In my medical field, I will identify and standardize the best care practices across the organization. I have also aimed at partnering with highly and trained physicians who will provide excellent health care to our patients. Having a feedback platform from our patients and partners is also part of my strategy.

The primary intervention aims at preventing the occurrence of a disease or an injury while secondary intervention aims at reducing the impact of a disease which has occurred and tertiary intervention aims at softening the consequences of an ongoing injury or disease that has lasting effects (Tulchinsky, & Varavikova, 2014). I will set up a team that will combine the primary, secondary and tertiary interventions to achieve meaningful degrees of disease prevention and protection.

Community and population-based care can be well achieved by establishing community and health care programs (Tulchinsky, & Varavikova, 2014). Through the establishment of these programs, my team will assist in offering education, health care services, training and technical assistance to health care facilities. I shall seek the necessary support from the federal governments or other governing authorities to ensure all the populations and communities access quality health care.

Differences between China and US

Ever since I was young, I heard stories about the excellent education that is offered in the US and it developed the desire to study in this country. The opportunity came years later, when I was offered a place to study in the United States.  However, having been born and raised in China,  studying in the US heralded different uncertainties because of language and cultural differences between the US and China.  These uncertainties were exceptionally high especially at the early stage of my stay when I did not know how to communicate or behave appropriately in this new and entirely different culture.

Language is the most significant difference between China and US; English is the official language in the US, while standard Chinese, a dialect of the Mandarin language is the official language of China (Smith 34).  As a Chinese, I was well-versed in standard Chinese language and could write, speak, read and comprehend the language. Unfortunately, I cannot say the same about the English language.  After getting the opportunity to study in the US, I took English language lessons and attained high scores in TOEFL (Test of English as a Foreign Language), thus had excellent English reading and writing skills. Unfortunately, I found it quite challenging to comprehend English speakers, perhaps due to their pronunciation and accent. Additionally, I experienced various conversational challenges since my pronunciation and sentence structure had a heavy mandarin influence. The inability to fully understand native English speakers took an enormous toll in my studies and affected my participation in class. Conversely, the inability to speak English fluently affected my social life and I could not interact efficiently with English speakers. However, over time, my English communication, and comprehension skills have improved thus reduced challenges.

Besides language, China differs from the US in terms of culture. The Chinese culture expects individuals to treat each other with humility in all aspects of their interactions. In discussions, Chinese people are likely to nod at other peoples’ opinions even though they do not agree with them as a way of showing humility and respect for other people’s opinions. On the contrary, American culture encourages people to defend their ideas, a factor that often leads to confrontations (Hernandez 76). Coming from a culture that encourages humility and respect of other peoples’ ideas and opinions, I sometimes found myself agreeing with other peoples’ opinions even when I knew they were wrong to avoid confrontations. However, I was ridiculed since my humility was perceived as a weakness rather than a virtue by the American culture. However, this is slowly changing and I am learning to defend my opinions in a non-confrontational manner.

Chinese is a collectivist culture; it places significant importance on the wellbeing of a group rather than individual’s wellbeing.  As such, it is common for Chinese people to feel obligated to ask about the welfare of family members of the people they meet. Additionally, there is little privacy concerns in Chinese culture since Chinese people live together in large social circles. Conversely, American culture is highly individualistic and places significant importance on individual wellbeing (Hernandez 65).  Unlike the Chinese culture, the American culture places utmost importance on individual privacy and requires everyone to recognize and respect other people’s privacy.  As a new student, I had difficulties recognizing and respecting privacy a factor that sometimes burst into social conflict. However, with time, I have adjusted and recognized privacy rules even amongst my friends a factor that has promoted my social life.

As noted above, Chinese and American cultures are significantly different from each other in terms of language, communication styles, and privacy laws among others cultural issues. Being born and brought up in China and now studying in US, cultural differences between the two states had a significant influence on my stay. At the start these differences heralded different challenges language that negatively influenced my studies as well as social life. However, with time, I have adjusted and can now interact with Americans despite my Chinese background.