Saturday, August 31, 2019

Daily Lives Essay

WW1 had just ended and the soldiers who were fighting were returning home. When the men returned home they found things were much different than when they had left, women were working. Transitioning was very difficult for the men because they were used to the women cleaning and cooking, not getting ready for work. It was very hard for a husband and wife to both get ready for work in the morning but with all the new inventions such as the hairdryer and the electric razor it made getting ready for work much faster and easier. Before the 1920s, women had to blow-dry their hair by inserting a flexible pipe in the exhaust of a vacuum cleaner. In 1920, the first hair dryer was invented. Women were so excited even though the machine was not quit designed well, and got overheated easily, it was still better than using a vacuum cleaner! For the men the first electric razor was a revolutionary invention. As one could shave quickly without using soap, or water, electric razors grew in demand qu ickly. For breakfast they could simply put a piece of bread into the pop up toaster. It was a quick easy meal to eat before work. After a long day at work the family can come home and sit in their recliners and quickly eat a frozen food dinner so they would be on time for their favorite radio station, KDKA on the radio together. After eating breakfast, they would get in their car and drive to work. By late 1920s, the automobile had confidently proven itself as the newest and most popular means of road transportation. The invention of the automobile made it much easier and quicker to drive to work, rather than walking or driving a buggy. Because of the invention of the automobile it made it conceivable to live a further distance from work, making the option of different career choices available, and possibly better jobs. The invention of the car radio was very enjoyable while on their way to work and once again they could listen to KDKA on the radio. The traffic signal was very helpful and after they were invented and put into use there was a decrease in the number of accidents that frequently occurred because of  missed communications between drivers. Working conditions in the early part of the 20th century were dirty, crowded, and dangerous. Factory jobs were booming, and more families were moving to the cities to find opportunities. The reason the factory jobs were going so quickly was because of the need for assembly line workers. People could also work in construction companies and now were able to use the huge shovel called the bull dozer instead of using the shovel manually. This was a big time saver for the construction companies. Also the Radial Arm Saw was invented and was used for cutting long pieces of lumber and could also be used in construction. The men were able to do their work in more than half the time. Plus with both of this invention it helped alleviate people having as much back pain. The jobs of detectives became more efficient because of the invention of the lie detector. The device measured the heartbeats and breathing rate of a person in order to check whether the person was lying. With the invention of the Audiometer it made the results of a hearing test more efficient and made it easier doctors to evaluate hearing loss. In the 1920s when 3-D movies were coming out and the radio had just been invented people were happy as their social life was booming. People were using instant cameras, and loud speakers were being used at sporting events. One of the most exciting inventions for people was when they went to a carnival they could have the thrill of their life by riding the famous Tilt -a – Whirl for the first time. It changed their life in several ways such as making thing faster and easier and more efficient, and way more exciting. Technology has changed a lot since t he 1920’s and continues to change daily. I hope the United States continues to have entrepreneurs who never give up trying to make new technology that can better the world and help those who live in it. http://www.ask.com/question/transportation-in-the-1920s

Friday, August 30, 2019

The Philippine Local Fiscal Administration

In the Philippines took three forms- devolution, deconcentration and delegation. As Carlno affirms, the framers of the 1987 Constitution institutionalized decentralization with the end-view of realizing democracy and development especially at the grassroots level. Devolution paved way for the transfer of political power from the central government to the local government units.This transfer of power and functions was accompanied by the provision of a higher Internal Revenue Allotment (IRA), broader tax base and a just share In the national ealth to finance devolved responsibilities and provision of various goods and services. This was accompanied by deconcentration which is the transfer of administrative powers and functions from central offices of government agencies to the field offces at the regional, provincial, and municipal/city level.In consonance with the concept that local government units are more responsive to the needs of their communities, deconcentration was institution alized vis-a- vis devolution as a means tor national government agencies (NGAs) to provide assistance to LGUs by etung standards In the Implementation of various programs and monitor the operation and services of the LGUs along the different socio-economic and political dimensions.Contrary to the past practices wherein the central government through the national government agencies (NGAs) exercises a degree of control in the implementation of programs at the LGU level, deconcentratlon aims to lessen, If not remove, the control from the national government and replace it with supervisory functions. Ideally, through deconcentration, NGAs set standards and supervise LGUS provision of various services to the community (i. DOH and LGLJ health services).Decentralization in the Philippines also took the form of delegation, or what other author calls as â€Å"debureaucratization†. This was the result of the surmounting clamor for participatory governance and active citizenship during the ouster of the late President Ferdinand Marcos through the People's Power Revolution and even prior to and after the said historic event. The author of the Consitution saw it fit, as a response to the call of the times, to put greater emphasis on the Involvement of non- government organizations, people's organizations, and the private sector in governance.In this way, democracy and development was believed to be realized when the voices ot the marginalized, poor and other people aggrupations are heard and considered In decision-making at the different government level. In contrast to the experience of other countries, decentralization In the Philippines took a complete form. This may be attributed to the political atmosphere in the 1980S- 1 BOO's conducive to decentralization and democratic form of government. Colombia deconcentrated its state services but placed a limit In the delegation and devolution of powers.Same can be said with the experiences of Mexico and Togo. The Phil ippines also has a legal framework conducive to democratic decentralization. Decentrallzatlon tnroDs In tne Article x 0T tne IYB/ constltutlon wnere tne congress is mandated to enact a Local Government Code which â€Å"shall provide for a more responsive and accountable local government structure instituted through a system of decentralization†. Countries like Spain and China lack this legal framework despite substantial decentralization.This means that decentralization in the Philippines possesses a degree of â€Å"permanency' that would ensure the continuity in LGUs' exercise of devolved powers and functions. In the words of Katorobo, decentralization in the Philippines has a â€Å"more stable environment† (Katorobo, 2004). The system of decentralization in the country is also more responsive to the needs of the local community. Unlike the experiences of India, China and Russia where powers and functions were only devolved at the state and regional levels, decentral ization in the Philippines reaches down to the basic unit of government, the barangays.Due to our countrys bent towards democracy, the Philippines has a â€Å"higher form of decentralization† as compared to other countries (Ibid. . The central government has transferred more powers and functions to the local governments and has provided more avenues for civil society engagement in local governance. Role of Local Fiscal Administration in a Decentralized Setup The transfer of powers and functions to local government units (LGUs) necessitates the transfer and redistribution of financial resources. LGUs need sources and means to finance devolved services.Thus, the Local Government Code of 1991 provided LGUs with an increase in the IRA share, broader tax base, and a Just share in the national wealth. The redistribution of financial resources is essential for LGUs to realize local development as more responsive services are provided to the community. Local fiscal administration pla ys an important role in the attainment of local development as well as in the attainment of national goals. LGUs have to maximize powers and functions particularly their taxing powers and other functions in line with revenue generation and resource allocation to hasten development at the local level.A good local fiscal administration is needed to realize inclusive growth and poverty reduction as utlined in the Philippine Development Plan 2011- 2016. Improvements in the different aspects of local fiscal administration- systems, structures, processes, officials and personnel, and policy environment- is a means for the local government to obtain higher income levels to finance local government operations and services intended to uplift living conditions in the communities. As stated in the Handbook of Local Fiscal Administration in the Philippines by Celestino, et. al. these improvements may come in the form of new technology, good staffing patterns, adequate skills of ersonnel, height ened awareness of LGUs of available credit facilities, enhanced capacity of LGU for development planning, and the presence of political will among others. These contribute to increased LGU revenues and improved delivery of services to the community. Ultimately, poor living conditions and issues on human development (i. e. health diseases, malnutrition, illiteracy, unemployment, underemployment, environmental degradation, etc. ) are addressed when LGUs are able to provide more than adequate services.Improvements along these areas have an intrinsic value to the society. A healthier and educated population is a way of eradicating poverty. Same is true with the provision and generation of Jobs at the local level. same can De sala wltn eTTo rts to protect ana preserve ecological Dalance in any given community. These contribute to the achievement of inclusive growth and eradication of poverty. Local Fiscal Administration 20 Years after the Code's Enactment A closer look at the 20- year Ph ilippine experience of decentralization,however, shows that the country has succeeded only to a certain extent in its decentralization efforts.Llanto, in his iscussion paper, â€Å"The Assignment of Functions and Intergovernmental Fiscal Relations in the Philippines Twenty Years after Decentralization†, has observed that expenditure responsibilities with benefits confined within the territorial Jurisdiction of local governments were correctly assigned to LGUs. By these, he means that the Code correctly devolved functions and responsibilities on social demands and concerns that LGUs are in the best positions to respond to. He also mentioned that the Code ensured a clear tax- expenditure assignment.Nonetheless, despite success tories on decentralization particularly on local fiscal autonomy, Llanto observed pressing issues that need to be addressed if the country has to succeed in its decentralization efforts. These issues are: 1. The presence of two- track delivery system wher e NGAs perform devolved functions falling under the LGUs. 2. The increase in NGA budgets as a result of overlapping implementation of devolved programs 3. The misallocation of resources at the local level caused by the abuse of the pork barrel. 4. The low locally- sourced revenues in comparison to the total LGU expenditure. 5.The IRA-dependency of LGUs . The mismatch in the increase of expenditures and the quality of services 7. The inequitable access to local tax bases where cities have broader taxing powers than the provinces and municipalities. 8. The inability to raise adequate local revenues to the absence of competent staff and poor revenue generation systems. 9. The poor predictability in the size of the IRA. His suggestions to address these issues include the following: 1. The conduct of regular local public expenditure review 2. The use of poverty index, human development index, or resource indicator instead of the equal sharing criteria. The improvement of local tax admini stration. 4. The review and updating of local tax codes. 5. The institutionalization of a monitoring and reward system to recognize good local government performance in fiscal administration. 6. The avoidance of the imposition of unfunded mandates by the identification of source of funding apart from the coffers of the local government units 7. The alliance building/ resource pooling among LGUs for activities and services with inter-]urisdictional spillovers. There is still a lot of work to be done in our pursuit of successful decentralization nd the attainment of local development.Legislators and other policy makers have to pause and seriously consider the issues which surfaced in our first 20 years of decentralization. I believe that if we are to make any progress, incremental steps have to be taken towards countering these issues and challenges. And there is no importune time than the present to start providing interventions to the multiple concerns that confront the Philippine d ecentralization system.

Juan Luna and Filipinos Great Pride Essay

The first thing you’ll notice about the painting is its size. Standing at 4 meters in height and 7 meters in width, the painting no doubt commands attention and gives off a majestic aura. Any viewer of the painting will feel dwarfed by the large painting and may feel overwhelmed by the magnanimity of it. The next thing you’ll notice about the Spoliarium is the rich colors used. Predominantly, the painter made use of warm colors for his work of art, with reds being a central color that attracts the most attention. In person, the colors are striking and quite unique. The Spoliarium depicts an even during the Roman empire, where gladiators die for entertainment. The painting shows how gladiators are being dragged mercilessly by men towards an unknown darkness, where other tragically killed gladiators are brought. To the left is a cheering crowd, screaming for blood while to the right, a woman is crouched and seemingly in sorrow. The painting shows a tragic event, definitely. But it also shows a deeper meaning, especially for the Filipinos during the time of the Spanish colonization (which lasted over 400 years! ). According to art experts, the fallen gladiators who are being dragged are the Filipino people, while the men dragging them into the darkness are representative of the Spanish rule. The woman crouched on the right side of the painting is believed to be the Mother Country or the Inang Bayan who weeps for her Philippines. The blood thirsty crowd to the left is a representation of the social cancer of that time. Truly, there is more than meets the eye when it comes to Luna’s painting. The Spoliarium shows the Spanish government’s mistreatment of the Philippines. The dead bodies of the gladiators represent the Spanish killings of Filipino revolutionaries. The Spoliarium is famous among the Filipino people, to say the least. The fact that Luna had gained recognition among other Spaniards in Madrid because of this painting has given the Filipinos great pride. This also shows that the Filipinos have skills that can equal, if not, surpass the Europeans of that time. This is why the painting, along with Hidalgo’s, are deemed National Cultural Treasures, because they were able to contribute to the development of art in the Philippines. The Spoliarium can be found in the Hall of the Masters of The National Museum of the Philippines. Whether you are a foreigner or a local, take a few hours off your schedule to visit the museum and learn more about Philippine culture and history through the eyes of its artists. It is an educational and enriching experience. The first thing you’ll notice about the painting is its size. Standing at 4 meters in height and 7 meters in width, the painting no doubt commands attention and gives off a majestic aura. Any viewer of the painting will feel dwarfed by the large painting and may feel overwhelmed by the magnanimity of it. The next thing you’ll notice about the Spoliarium is the rich colors used. Predominantly, the painter made use of warm colors for his work of art, with reds being a central color that attracts the most attention. In person, the colors are striking and quite unique. The Spoliarium depicts an even during the Roman empire, where gladiators die for entertainment. The painting shows how gladiators are being dragged mercilessly by men towards an unknown darkness, where other tragically killed gladiators are brought. To the left is a cheering crowd, screaming for blood while to the right, a woman is crouched and seemingly in sorrow. The painting shows a tragic event, definitely. But it also shows a deeper meaning, especially for the Filipinos during the time of the Spanish colonization (which lasted over 400 years! ). According to art experts, the fallen gladiators who are being dragged are the Filipino people, while the men dragging them into the darkness are representative of the Spanish rule. The woman crouched on the right side of the painting is believed to be the Mother Country or the Inang Bayan who weeps for her Philippines. The blood thirsty crowd to the left is a representation of the social cancer of that time. Truly, there is more than meets the eye when it comes to Luna’s painting. The Spoliarium shows the Spanish government’s mistreatment of the Philippines. The dead bodies of the gladiators represent the Spanish killings of Filipino revolutionaries. The Spoliarium is famous among the Filipino people, to say the least. The fact that Luna had gained recognition among other Spaniards in Madrid because of this painting has given the Filipinos great pride. This also shows that the Filipinos have skills that can equal, if not, surpass the Europeans of that time. This is why the painting, along with Hidalgo’s, are deemed National Cultural Treasures, because they were able to contribute to the development of art in the Philippines. The Spoliarium can be found in the Hall of the Masters of The National Museum of the Philippines. Whether you are a foreigner or a local, take a few hours off your schedule to visit the museum and learn more about Philippine culture and history through the eyes of its artists. It is an educational and enriching experience.

Thursday, August 29, 2019

The Criminal Justice System Essay Example | Topics and Well Written Essays - 3000 words

The Criminal Justice System - Essay Example The study presents Theoretical Criminology that refers to a discipline focusing on the establishment, development, and the advancement of the theoretical, speculative, or notional aspects of criminological knowledge. In other terms, theoretical criminology encompasses the various theories, crimes, and the narratives related to or explaining crime and delinquency. In addition, theoretical criminology entails the study and surveys of criminal/delinquent behaviors, criminal law, social deviance, morality, and social regulation/governance crimes/criminals. Besides the renewal of healthy theoretical debates in the criminal justice systems, theoretical criminology explores the interrelation of criminological theories and empirical data from crime-focused researches, thereby promoting the establishment of linkages between cultural, socio-political theories, and criminological analysis. Although the academic nature of criminal justice became more apparent in the 1950s, a period during the di scipline was mainly characterized by observational researches; recent times have realized the diversification of the discipline, with more complex criminal justice systems, organizations, and agents/personnel. Consequently, the criminological theories have since evolved to become more complex and equally diversified in their elements and areas of applicability. In fact, the contemporary theories of criminology could not be easily identified with the theoretical criminology that existed fifty years ago. ... Theoretical Criminology Theoretical Criminology refers to a discipline focusing on the establishment, development, and the advancement of the theoretical, speculative, or notional aspects of criminological knowledge (Walsh & Ellis, 2007). In other terms, theoretical criminology encompasses the various theories, crimes, and the narratives related to or explaining crime and delinquency (Beccaria & Davies, 1974). In addition, theoretical criminology entails the study and surveys of criminal/delinquent behaviors, criminal law, social deviance, morality, and social regulation/governance crimes/criminals. Besides the renewal of healthy theoretical debates in the criminal justice systems, theoretical criminology explores the interrelation of criminological theories and empirical data from crime-focused researches, thereby promoting the establishment of linkages between cultural, socio-political theories, and criminological analysis. Although the academic nature of criminal justice became mo re apparent in the 1950s, a period during the discipline was mainly characterized by observational researches; recent times have realized the diversification of the discipline, with more complex criminal justice systems, organizations, and agents/personnel. Consequently, the criminological theories have since evolved to become more complex and equally diversified in their elements and areas of applicability. In fact, the contemporary theories of criminology could not be easily identified with the theoretical criminology that existed fifty years ago. With the more complex theoretical researches accumulated in the last sixty years, relatively more specific criminological theories have been postulated. Most of these specific criminological theories explain various types of

Wednesday, August 28, 2019

Schedule and Cost Control Techniques - Quality Essay

Schedule and Cost Control Techniques - Quality - Essay Example However, from the perspective of the project management, total quality management poses a slightly different orientation. Quality in terms of project management means "project management technique or strategy that is implemented to assure that an awareness of quality is embedded in all phases of the project from conception to completion." (http://www.project-management-knowledge.com, 2008). It is believed that implementing quality in service oriented organizations as well as the project management is trickier in comparison to the manufacturing concerns mostly due to the measurement issues related with the quality (David A.Waits, 1994). However, despite that organizations and project managers are continuously stressing on the use of quality measurement tools for project management so that a consistent level of performance is achieved which is comparable with certain standards of quality. Insuring a good quality in project management requires that certain key areas are taken care of before implementing the concepts of quality and expecting the results which may be exceeding the expectation. First and foremost, it is very critical that quality assurance within the project management must get the commitment from the top management. Top management of the organization must have the ability to plan for the quality in project management but also have the required willingness to provide the resources to the project managers to deploy the necessary resources required to make the quality an integrated part of the project management. Further, top management of the organization must review the progress made against the set standards for the project management and must have the ability to reward the appropriate successes made in achieving the required quality standards for projects.It is also important that in order to achieve the quality in project management, the employees' em powerment is the key. This empowerment is achieved through the training and development of the members of the project teams. Further, empowerment can also be achieved through initiating the culture of appreciation and rewarding the genuine successes made towards achieving the required quality within the projects as well as through the various suggestion schemes so that the members of the project management team should feel themselves as part of the project as well as the whole organization. This can create strong stimulus for the project management team to deliver beyond the expectations of the management while achieving and maintaining a defined level of quality also. In order to achieve and maintain quality within the projects, it is very critical that the decision making is based on the facts and not made out of the emotions or guess work. As we have been discussing the various techniques of project management such as PERT and CPM, it is of the highest importance that the data provided for calculations made with the help of such techniques are correct and that the decisions made by the project managers at the various stages of the project are made inconsistent with the available facts and figures. This

Tuesday, August 27, 2019

Social work Essay Example | Topics and Well Written Essays - 1750 words

Social work - Essay Example e been made to eliminate racism through community awareness, education, legislation, training of community service workers as well as planned attempts to try to cater for all segments of the society. Racism at all levels of a society including institutional, personal and structural, can be particularly difficult for the older people because of the psychological damage that it can cause. Social workers and those who are managing social services have to be aware of and be prepared to counter any racism that the encounter. This brief essay takes a look at the impact of racism on social work practice with older people in the United Kingdom. Older adults have been increasing in number in the industrialised countries as a result of the demographic changes which have taken place in these countries due to low birth rates and a high quality of health care that is provided to the citizens (Roberts, 2002, Pp. 1 -3). Many of these older adults are not from the mainstream racial or cultural background which is to be found in such countries and their presence has been the result of the immigration which has taken place into these countries which include the United States of America, Canada, United Kingdom, Australia and New Zealand. The immigration policies of these countries have been in line with their requirements for economic development, but these policies have also meant that the immigrant accepting societies have also a responsibility towards providing care of the elderly migrants who have contributed to their new countries in their younger years. The United Kingdom is now moving towards becoming a cohesive and well integ rated society which includes citizens who were formerly from many Commonwealth countries such as Pakistan, India, Hong Kong, West Indies, South Africa and Nigeria etc, to name a few. The government in the United Kingdom has been conscious of its responsibilities to the society and a considerable effort has been made by the government to ensure that

Monday, August 26, 2019

The Impact of Information Technology in the Vodafone Group Research Paper

The Impact of Information Technology in the Vodafone Group Organization - Research Paper Example This paper discusses and describes the Vodafone Group business Organization structure with a focus on the role of IT in its business Organization structure. Vodafone Group is a multinational British telecommunication company, whose main office is in London, with a registered office in Newburry Berkshire. Vodafone company started as a joint venture between Hambros Technology Trust , Millicom and the subsidiary of Racal Electronics PLC’s strategic Radio Ltd in 1982 with its name being derived from a company’s goal of establishing data services and voice services over mobile telephone networks. Hence its network was called Racal Vodafone. The company was renamed Recal Telecom in 1988. In 1991, Racal Telecom became demerged from the Racal Electronics there is when the mobile telephony giant came into existence. In 1996, the company bought people phone and acquired 80% of the Astec Communication, a move that so it increase its shares of UK mobile customers. According to the report findings since 9th December 2010, the key elements of the Vodafone Organizational structure are as described. The operating companies for the group are under two operating regions reflecting the different geographies or different nature of assets, as well as to reflect the differences in development of the sector considering various economies. These included Europe which comprise all existing controlled business located in Europe, in addition to Turkey, Hungary, Czech Republic, and Hungary. At the helm, as the regional CEO, Michel Combel is in charge of the Europe Region.

Sunday, August 25, 2019

The dangers of genetically modified organisms Research Paper

The dangers of genetically modified organisms - Research Paper Example The benefits of this technology accompany risks that are associated with it. The dangers of producing genetically modified organisms portray the other side of this picture. The risks of this technology have been analyzed and categorized in this essay in a systematic order. This essay depicts analysis of the dangers of this technology. First of all there are some fundamental Weaknesses in this Concept. This technology can’t exactly be defined precisely. The process of genetic modification involves gene transfer from one organism to another. A specific gene can be precisely isolated from DNA; however, the insertion of that isolated gene into the target DNA is basically random so this can cause interruption in the functioning of other genes that may be essential to the sustainability of that organism. This imprecision has further implications as well. This procedure can certainly cause mutations which may harm the environment. â€Å"Genetic engineering is like performing heart surgery with a shovel. Scientists do not yet understand living systems completely enough to perform DNA surgery without creating mutations which could be harmful to the environment and our health. They are experimenting with very delicate, yet powerful forces of nature, without full knowledge of the repercussions† ("What are the, "). Genetic engineers have genetically modified crops and plants to have specific desired characteristics. The firms that produce such crops have patents for their products. Here is a scenario to ponder upon. Since the seeds of such plants and crops have the same genetic structure and are being produced on a massive scale, the widespread crop failure of these crops is not unquestionable incase these crops are attacked by a virus or a pest that they are not resistant to. Moreover, this is not just limited to bioengineered farms. Plants reproduce by cross-pollination with the help of insects, birds and even wind which act as the

Saturday, August 24, 2019

Online shopping Research Paper Example | Topics and Well Written Essays - 2500 words

Online shopping - Research Paper Example mer premise, a major characteristic of online shopping provides a possibility of the transfer of customers shopping travels to a more effective products transportation that at the end has the possibility of producing constructive results on sustainability, use of land as well as mode of travel choices. The fact that online shopping is more popular in big towns and cities means that it will thus act as an incentive for the required changes in these cities that face the most obstacles for logistics (Cairns, 2005). There is a lot of controversy regarding the effects of online shopping on road use and the overall changes in consumers travel habits and the impacts of the changes. Some studies indicate good or desirable effects on road use while others indicate negative results with a final group indicating net neutral results. However, a good number of this research indicate that with the increasing popularity and expansion of online shopping, coupled with the adoption of the necessary changes required then online shopping is going to be the solution for most of the transport challenges we experience in our towns and cities (Cairns, 2005). In spite of transportation policy and regulations, online shopping continues to expand as more and more people accepts the system. Despite the fact that, business to business section dominates online shopping in terms of money value of all the completed transactions, the business to consumer section remains very vital for the possible effects on travel habits, patterns of land use, logistics in cities as well as the effects on sustainability. The highest level of efficiency in the use of roads and other transportation facilities is achievable through restructuring and reorganizing the transportation activities linked to business transactions (Hu and Saleh, 2005). There is the need to find out how the changes in the manner of conducting online shopping will influence the efficiency and the overall contribution towards a more

Friday, August 23, 2019

Proposed Healthcare Refrom Act Essay Example | Topics and Well Written Essays - 1000 words

Proposed Healthcare Refrom Act - Essay Example Increasing health insurance premiums and limitations in insurance itself keep people uninsured. The overall effect finally keep people away from early diagnosis and treatments or negligence of health and this will increase the morbidity and mortality rates which affect the living standards and the development of the country (Health Care, 2009). There is a huge difference in the health cost between the countries. Some Asian countries provide similar medical treatments with similar success rates to a cost few folds less than that of the US. Therefore it is interested to find the reason for this difference. Health cost includes not only the price of the medicines used but also the wages of the health staff and insurance company staff, there mortgages, bank charges, allowances, insurance for the building and equipments, transport cost etc. More intermediate involvement unnecessarily increases the final cost. Researchers have pointed out considerable opportunities to improve quality of the health care service while dropping the cost. Some academic medical centers in the country provide high quality service for less than half a cost and those physicians and others are provided with all the infrastructure, incentives and support needed. (Dartmouth Atlas Project, 2006) The proposed health scheme will assess the quality of the health services and inquire the discrepancy between the care providing institutions and take action to cut down unnecessary burden of health care cost. Obama’s plans will allow patients to select their preferred practitioner and most appropriate treatment plan without limiting to the choice of the insurance company. This will also empower people to quarry any doubtful condition of the insurance scheme and act upon medical malpractices and deliberate negligence and compensation. When health cost becomes low citizens are able to undergo early diagnosis and early treatments. This will

Thursday, August 22, 2019

Misconceptions in Science Essay Example | Topics and Well Written Essays - 1000 words

Misconceptions in Science - Essay Example Most cardboard boxes would start out floating, but the porous nature of the cardboard would allow the water to swamp the voids, changing the density of the overall structure. The cardboard would become waterlogged and sink. A marble would sink because the density of the marble relative to the amount of displaced water would be too great. The surface area of the marble and the surface tension of the water would not create a ratio conducive to buoyancy. An orange is able to float because the orange rind is a low-density material. The makeup of an orange rind provides buoyancy for the orange. It is interesting to note that if an orange is pealed from the rind and placed in a bucket of water, it will not flood because the removal of the orange rind has altered the overall density of the object. One common misconception children have about objects sinking or floating is inked to the weight of the object. Many children think that heavy things sink and light things float. We know that this is not true. The density of the object relative to the density of the water is the determining factor in whether something sinks or floats. A misunderstanding of force also causes this misconception. Students reason that something heavy pushed down on the water harder than something light. If it floats, the water is pushing up hard enough to support it, but if it sinks the water is not strong enough to support it. Students need to understand the water doesn’t push up against the object. The determining factor is the relationship between water density and object density. Another misconception many students have is that small items will float more easily than large items. This is closely related to the idea of weight being a determining factor and shows a misunderstanding of density as well. Many young elementary children do not understand the differences between density and weight. For example,

Compare and Contrast Great Depression Essay Example for Free

Compare and Contrast Great Depression Essay The 1929 stock market crash and the subsequent ‘great depression’ was the biggest economic crisis that the world has experienced. The depth and length of the crisis and the suffering that it caused is legendary. Therefore when the global financial crisis struck in 2007, many rushed to proclaim that we were about to experience another depression on a similar scale, or at least what some have termed a ‘great recession’. This essay will compare and contrast the two economic crises to analyse the key similarities and differences between the two. To do this, the essay will firstly provide an outline of the conditions that led to the 1929 crash in the economy. Moving on from here the essay will then look at the policy responses that were implemented to tackle the crisis before analysing the conditions that precipitated the 2007 financial crisis and the policy responses, to draw out the similarities and differences of each of the crises, and to ascertain were any lessons learned during the current global crisis from the policies of the great depression era. Finally the essay will conclude with a discussion of the main points raised by the analysis of both crises and a look at the future prospects for recovery. Capitalism is a system of economic development that has crises as an inherent feature. Many crises have occurred both before and after the 1929 stock market crash, however the length and depth of the great depression has made it the point of reference for judging the severity of a financial crisis. Much debate has occurred over the causes of the great depression. While many see the late October 1929 New York stock market crash as the defining feature of the crisis, the reality was much more complex and multifaceted. As (Teichova 1990, p.8) suggests, the great depression was â€Å"the deepest, all embracing (agricultural, industrial, financial, social and political) and longest crisis with catastrophic consequences†. As well as this, although the United States led the way, this crisis was global and the rest of the world also experienced depression. So, any analysis of the great depression must look at the various factors that caused and perpetuated it. The 1920s in America hav e been described as the roaring twenties. After the devastation of the first-world-war, during the 1920 to 1925 period US and international economies were experiencing a boom. During that period, world mining and manufacturing output grew by nearly twenty percent (McNally 2010, p.63). However, in terms of inequality the poor were less poor but the rich were  getting richer at a rate of four to one. As well as this, four fifths of American had no savings compared to twenty-four thousand families at the top who held a third of all savings combined (Canterbery 2011, p.13). During the boom, ninety percent of all Americans saw their incomes fall in relative terms (McNally 2010, p.64). A factor in this was an increase in union-busting and anti-labour laws which increased income inequality. As well as this, agriculture, coal mining and textile industries were suffering from a post-war hangover which saw their profitability decline and in many instances wiped out. This inequality which concentrated wealth in so few hands led to a huge increase in consumer credit which in turn sparked off rising levels of private debt and a massive speculative bubble in the form of a property boom in Florida (Canterbery 2011, pp.13-14). The mania of speculation was not confined to proper ty and between May 1924 and the end of 1925, there was a huge eighty percent rise in stock prices. The trend continued and as Galbraith (2009, p.16) has suggested, â€Å"in early 1928, the nature of the boom changed. The mass escape into make believe, so much a part of the speculative orgy, started in earnest†. During 1928, the Times Industrials (a pre-cursor to the DOW) gained a huge thirty-five percent, from two-hundred and forty-five points to three-hundred and thirty-one points. To maximise their gambling profits, many investors financed their purchase of stocks with borrowed money, with speculators buying one-thousand dollars of stock by putting down one-hundred dollars (Canterbery 2011, p.15). Of course, capitalism’s bubbles must always burst, and this was no exception. The US real economy was showing signs on a slowdown long before the stock market crash. However, on Wednesday October 23rd 1929, a drop in the stock market lost four months of previous gains and the following day panic selling began. This was briefly halted by a meeting of the nation’s biggest bankers who promised to pool their resources to halt the slide. Their efforts however were futile and on ‘Black Tuesday’ October 29th the bottom fell out of the market, giving up all of the gains of the previous year (McNally 2010, p.65). Most economists agree that the great depression that ensued lasted for over ten years. Its economic impact was striking as GNP fell from a peak of $104.4 billion in mid-1929 to $56.6 billion in 1933. Its social impact was even more harrowing as twenty-five percent of the US civilian labour force was unemployed by 1933, the worst point of the  depression (Canterbery 2011, p.18). There are a number of competing explanations as to why the crisis was so severe. Explanations can be grouped into the two categories of monetarist and non-monetarist. For example, in a mixture of the two Ben Bernanke (1983) suggests that there were three interlinked factors that propagated the great depression. The first was the failure of financial institutions, in particular commercial banks. The percentage of failing banks in 1930 was 5.6% jumping to 12.9% in 1933 and this left a situation whereby in 1933 there were half the number of banks that had been operating in 1929 (Ibid, p.259). Bernanke goes on to cite defaults and bankruptcies as key, with the ratio of debt service to national income going from nine percent in 1929 to nearly twenty percent in 1933. This was pervasive across all sectors with home mortgages; farm mortgages, personal debtors and even state governments defaulting on their obligations (Ibid, p.260). However, key to Bernanke’s view was the correlation of the financial crisis with macroeconomic factors. The crux of this view was that the financial crisis affected the macro-economy by reducing the quality of certain financial services, primarily credit intermediation (Ibid, p.263). In line with the monetarist view, it could also be argued that the Federal Reserve did not help matters. Its policy at the time was only to increase the credit base in line with requirements of trade, which essentially meant that as businesses were afraid to borrow, the Federal Reserve did not increase the money supply. Somewhat similar to the monetarist elements of Bernanke’s analysis is that of Friedman and Schwartz (1971,pp. 359-60) who argue that the crisis that originated in the United States was a domestic construct which was prolonged and deepened by a failed policy of failing to cut the discount rate, which meant a failure to provide credit and expand the currency. Kindleberger (1986a) taking a similar monetarist position but focusing more on international factors suggests that the world depression stemmed from reparations and war debt, the overvaluation of the pound, the return to the gold standard in Britain and an undervalued French franc. These factors were aggravated by a fall in commodities and a rise in stocks in New York. From a non-monetarist perspective US government actions were no better, with the introduction of the Smoot-Hawley Tariff in mid-1930, sparking of a wave of protectionist tariffs around the world and a trade war which saw world trade figures nosedive (Canterbe ry 2011, p.19). The  deflationary process was exacerbated by the huge levels of unemployment, which combined with other factors to initiate the ‘multiplier/accelerator’ interaction, reinforced by wage-cut enforced under-consumption as wages fell for manufacturing production workers by at least thirty-one percent between 1929 and 1933, as well as debt deflation and international interactions (Devine 1994, p.166). While this was happening, consumer prices only fell twenty percent during the 1929-33 period. This, as Devine points out helps to explain that falling consumption was a major factor in the decline in GNP during this time, more so than previous or subsequent recessions (Ibid). There are others such as Temin (1976) who suggests that monetarist explanations are wrong, and it was consumption and spending that declined first, therefore leading to a tightening of the money supply. Therefore, it was not monetary factors alone that caused the depression. Taking a different approach to explaining the depth and length of the depression, Kindleberger cites the lack of a lender of last resort as the major factor preventing any form of fast recovery (Kindleberger 1986b, p.4). This he suggests was due to Britain’s inability after the First World War, and the United States’ unwillingness to act in that regard. What each of these arguments above show is there is still no consensus on the policy responses that would have prevented such a deep depression occurring. Such a lack of a consensus has also been a feature of the current global crisis. Since the global financial crisis broke out, many have rushed to make comparisons between it and the great depression. However, before one makes these comparisons, an analysis of the fundamental differences in the nature of the capitalist system between now and then must be undertaken. After the World War boom in output and the post-war move to Keynesian economics, which essentially saved capitalism from self-implosion, the emergence of neoliberal capitalism in the latter 1970s in the form of Reaganism in the US and Thatcherism in Britain ushered in a new era of capitalist development that was distinctly different from its previous incarnations. This period of capitalist modification saw the creation of the era of what Canterbury has termed ‘casino capitalism’ (Canterbery 2011, pp.83-121). He suggests that this era began with three powerful forces converging. These were; monetarism, which Milton Friedman advised Regan would bring down inflation with minimal effect on employment or production, the influence of the  Ã¢â‚¬Ëœneo-Austrians’ who sought to reduce state influence over entrepreneurs through deregulation and finally, the pervasive idea that less taxes on the rich produced the trickle-down effect (Ibid, p.83). Regan’s policies during this era, continued under the Clinton administration gave huge power over to Wall St through deregulation, and contributed to a huge shift from production to financial services. As the financial sector grew its asset base, it became a much bigger part of the national economy. This can be seen in the fact that between 1978 and 2005, the financial sector grew from 3.5 percent to 5.9 percent of the US economy in GDP terms. To put this in perspective, from the 1930s to around 1980 the rate of growth for the financial sector was roughly the same as that of the non-financial sector. However, from 1980 to 2005 financial sector profits grew by eight-hundred percent, compared with two-hundred and fifty percent for the non-financial sector (Ibid, pp.116-117). This form of capitalism, where value and profit are not ‘produced’ but the result of speculation is a form that gives huge power to unelected rating agencies and bankers to set the agenda, which even governments and international institutions find difficult to alter. It was under this system of capitalism that the global financial crisis emerged. Many different arguments for the causes of the global crisis exist and whilst it can be difficult to pin down the exact causality because of its global nature, there is agreement on a number of factors. Just like its sister crisis the great depression, before the global crisis struck, the global economy went through a boom period with the world economy growing at a faster rate between 2001 and 2007 than in any other period in the past thirty years (Wade 2008, p.23). Most agree that the crisis was sparked by the subprime mortgage bubble collapse in the United States. However this spark was not the sole cause of the crisis. Just l ike the great depression, the factors that caused the crisis were numerous. Although signs of an emerging crisis first appeared in 2006-7, it was not until 2008 when banks such as Lehman Brothers were going to the wall and financial assets were crashing that the full extent of the crisis was realised. As a result, flows of credit dried up and economies the world over started to suffer. However, this crisis was not solely a monetary crisis and had deeper dynamics at play. In particular, the financialisation of capitalism being built upon debts as a means of making profit (McNally 2010, p.86). The subprime  mortgage crisis is illustrative of this. For example, in the year 2000 there was $130 billion of subprime lending in the US, backed up with $55 billion of mortgage bonds. Yet by 2005, those figures had jumped to $625 billion in subprime loans backed by $500 billion in securitised bonds (Ibid, p.103). The ‘speculative orgy’, as Galbraith termed it speaking on the 1929 crash, was back with a bang. What exacerbated the orgy more was the creating of innovative financial instruments in the form of credit default swaps (CDS) and other debt securities. For example, by 2006 the CDS on mortgage bonds was eight times the value of the bonds themselves, so when the crisis hit, that wealth was wiped out (Ibid, p.103). The European context experienced similar problems as contagion spread throughout the world economy. Trade imbalances within the Eurozone created by the power of the German economy, in particular its exports produced vast wealth within Germany, generating credit that was more than was required for domestic demand. The result was an outflow of cheap and easy credit to peripheral European states. This in turn with low interest rates created the basis for a speculative property bubble in places such as Ireland and Spain, and a rise in consumer debt across Europe (Avellaneda and Hardiman 2010, pp.4-5). This, coupled with the ECB having light regulatory practices and liquidity responsibilities, and the fact that the Euro project created an quasi-federal state with a centralised monetary and exchange rate policy, but had no fiscal control over individual states led to a disaster of structural design in the Euro which prevented adequate policy responses from individual states, who instead we re burdened with a one size fits all, centralised Franco / German led response. It is clear that the immediate causes of the crisis were centred on â€Å"excessive debt leverage or imprudent lending† (Wade 2008, p.27). Much of this debt leveraging was in the form of the complexly structured credit securities, like the CDS, and when market panic set in following the collapse of Lehman, and this huge default risk pushed investors towards the tipping point. However, as Bernanke (2010) has pointed out, many factors were at play. Although the most prominent was the prospect of losses on the subprime market when the housing bubble burst, the system vulnerabilities as well as shortfalls in government responses explain the severity of the crisis. For example, the â€Å"sudden stop† in June 2007 of syndicated lending of asset backed securities to large borrowers. Other factors included the  overreliance of banks on short-term wholesale funding, deficiencies in private sector risk management, an over-reliance on ratings agencies, excessive leverage on the part of households, businesses and financial firms, statutory gaps in regulation on special purpose vehicles and a failure of existing regulatory procedures worldwide (Bernanke 2010). Although causality had similarities between the United States and Europe, the policy responses to deal with the crisis have been markedly different. Quite early into the crisis, perhaps learning from pa st mistakes from the great depression, the US government approved various Keynesian inspired fiscal stimuli and financial and auto sector bailouts. In particular, the Troubled Asset Relief Program (TARP), a $700 billion rescue fund for the banking sector which bought toxic loans at reduced rates (Nguyen and Enomoto 2011). This policy has been seen to be a relative success with an estimated final cost of $32 billion to the United States taxpayer (Congressional Budget Office 2012). In contrast to this, the European solution has been overwhelmingly austerity based, and the cost of the crisis being mainly burdened by the taxpayers of Europe. In particular, the Irish taxpayer’s bill for the bailout of one bank, Anglo Irish will cost the taxpayer more than the total final cost of the TARP program in the United States. In this regard, it does not seem that lessons from the great depression have been learned in a European context. When we look to the rates of unemployment over the past number of years, it seems like the American policy of stimulus may be working slightly better than the European austerity agenda. For example, in the US unemployment rose sharply after the onset of the financial crisis going from 4.6 percent in 2007, to 7.2 percent in 2008, 9.3 percent in 2009 and 9.7 percent in 2010. However, in 2011 there has been a decline in unemployment to 9 percent (Index Mundi 2012). The European Union (twenty seven members) on the other hand has seen its unemployment rate grow from 8.3 percent in 2006, to 9 percent in 2009 and 9.7 percent in 2011(United Nations Economic Commission for Europe 2012) to a current figure of 11.7 percent (Eurostat 2012). So, how does the global crisis match up to the great depression? It is obvious that there are a number of similarities between the two crises. For example, with both crises there was an extended period of economic growth preceding the crashes. Each of the crisis periods also saw speculative bubbles based on the flow of easy credit  which fuelled both property based and stock market excess. Both crises also saw staggering drops in Industrial production and increases in unemployment. However, there are also key differences between the great depression and the global crisis. Primarily, the nature of the capitalist system has cha nged fundamentally from productive industrialisation to financial capitalisation. The policy responses of governments have also showed that lessons have been learned, especially in the American case, where Keynesianism and central bank intervention has been preferred to the Laissez-faire attitude during the great depression. In a European context, the decision to make taxpayers foot the bill for the losses of financial speculators marks a departure from the policies of the great depression where speculators suffered heavy losses. There are of course other key differences between the two crises in-so-far as although initially the global crisis seemed every bit as bad, if not worse than the great depression, there are now signs that this may not be the case. For example, by measuring from the peaks in industrial production the decline in industrial production in the nine month period from April 2008 was at least as severe as in the nine months following the June 1929 peak (Eichengreen and O’Rourke 2009). Similarly, in that initial nine month period, global st ock markets were falling even faster than in the Great Depression and World trade was also falling much faster than in 1929-30 (Ibid). However the authors of this study have revised their analysis for 2012 and it paints an altogether different picture. The levels of industrial production had shown shoots of recovery over the past couple of years but growth of global industrial output now appears to be slowing. The upturn had been promising, but this follows months when production was essentially stagnant. Notably in the Eurozone, industrial production declined (Eichengreen and ORourke 2012). Since initial early forecasts, global trade had showed signs of recovery â€Å"But trade is now also fluctuating without direction, at levels barely higher than those of April 2008† (Ibid). As the authors also point out, while equity markets have recovered to a large degree compared with their initial drop, â€Å"it is worth observing that world equity markets remain considerably below pre-crisis levels† (Ibid). The somewhat gloomy outlook is confirmed by the latest United Nations ‘World Economic Situation and Prospects’ pre-release document which states; Four years after the eruption of the global financial crisis, the world economy  is still struggling to recover. During 2012, global economic growth has weakened further. A growing number of developed economies have fallen into a double-dip recession. Those in severe sovereign debt distress moved even deeper into recession, caught in the downward spiralling dynamics from high unemployment, weak aggregate demand compounded by fiscal austerity, high public debt burdens, and financial sector fragility (United Nations 2012, p.1). So, although there are signs that the global crisis may not be as severe as the great depression, recent economic forecasts do not suggest that there will be a clear path to recovery in the near future. Capitalism has been proven to be susceptible to crises and cycles of boom and bust. The two cases here have been the most high profile of those crises. It does seem that some of the lessons of the great depression have been learned to reduce the severity of the global crisis. However, only time will tell if these lessons will ultimately stop a double dip global recession and if lessons can be learned from the global crisis for the inevitable next financial crisis that will come down the line.

Wednesday, August 21, 2019

Medical Tourism In India: A Proposal

Medical Tourism In India: A Proposal Medical tourism- the concept of traveling far and wide for better medical treatment is not a novel idea, only the term. The globalization of the health care sector and the massive demand for low cost-high quality treatment in recent times has caught the attention of many developing countries that have the adequate resources and potential to meet these demands. The profitability and the lucrative nature of the medical tourism business has now put this trade, high on the agenda of both the Indian government and the private health care providers. Today, medical tourism has become a commonplace practice with a large number of people around the world since usual constraints like language, finance, difficulties in global travel and fear of the unknown are no longer acting as barriers to the tourists who seek medical treatment in foreign countries. Countries like India, Singapore, Malaysia etc have developed strategies specifically with the aim of tackling such issues and rendering themselves as the ideal medical tourism destinations. Although India is emerging as the hot-spot medical tourism destinations within the Asia-Pacific and other regions of the world, it seems to be facing tough competition from other big players of this industry who have projected an equally good reputation for themselves and are reaping the benefits of this business. Therefore, it is imperative for India to continuously rethink and reform its marketing strategies to gain competitive advantage and increase its market share in the health care sector. It is an undisputed fact that medical tourism is a rapidly growing industry and creating inroads into the Indian economy. There are a large number of stake holders in this industry in South East Asia including countries like Singapore and Malaysia. There are various marketing strategies being used for propagating this industry. My endeavor would be to seek the gaps that exist and suggest remedial action. Being from the medical fraternity and having had the opportunity to treat a number of overseas patients, the concept of medical tourism has generated a great deal of interest in me. I believe that there are some deficiencies in the marketing strategies for health tourism in India that need to be looked into and improvised. The aim of my research would be to propose marketing strategies that would boost the Indian Medical Tourism for the future. 3. Preliminary review of literature There are three sections of the literature review:- i) Historical aspects- inception and evolution ii) Medical tourism in India- the present scenario iii) Probable concerns and pitfalls of the Indian medical tourism industry. i) Historical aspects- inception and evolution The concept of constructing health complexes around hot springs goes back to as old as the Sumerian civilization (circa 4000BC) where health care facilities comprised of grand elevated buildings with flowing pools. The hill tribes of Switzerland of the area presently know as St. Moritz, during the Bronze Age (circa 2000 BC) recognized the benefits of bathing and drinking in iron-rich mineral springs. The discovery of bronze drinking cups used by them in thermal springs in Germany and France possibly signifies health pilgrimages within these cultures. As per written historical accounts, bathing and healing complexes were erected around therapeutic springs in Mesopotamia, India, Greece and China. The concept of medical tourism emanated as trips to sacred baths and hot springs. However, it is the Greeks who have to be given the credit for laying the foundations for medical tourism networks. Greek medical tourism. Asclepius was considered to be the god of medicine according to Greek mythology. In his honor, Asclepian healing temples had been constructed throughout Greece by the 4th Century BC. These temples were established near the mineral springs which were considered to be the prime Healthful Locations. The system of medical tourism during this period was as follows:- Patients and their attendants came to Asclepia temples seeking treatment for various ailments. At Epidaurus, the port temple, treatment included gymnasia, palaestra (exercise area), bathing springs and a dream temple. There was a retinue of priests, caretakers and stretcher carriers who attended to the patients before they were granted final appointment with the mighty priest. Patients made sacrificial offerings according to their status- the poor left shoes; Alexander the Great left his breastplate. Roman Medical Tourism. The hallmark of ancient Roman medical tourism centered around hot water baths called Thermae. These centers of medical treatment were posh establishments. Some of these centers comprised of art galleries conference halls, theatres and sometimes sport stadia. Because of the active trade with Asia, the Roman baths augmented medical tourism activities like Chinese medicine, Ayurvedic massage and various aspects of Buddhist spiritual healing at some Roman Thermae. Japanese Medical Tourism-Onsen. ONSEN means hot mineral springs in Japanese. Medical tourism in Japan centered around these hot mineral springs which were enriched by surrounding volcanic soil. It attracted a variety of people including hunters, fishermen, farmers and warriors. It was believed that these mineral springs were effective in alleviating pain, healing wounds and recuperation. A thousand years later, this form of medical tourism in Japan is still an ongoing phenomenon. Indian Medical Tourism. India has been the home ground of alternative system of medicine for the past 5000 years. Aspects of medical tourism include yoga, eastern cultural, spiritual and medicinal compilation with meditation thrown in. India has been a Mecca for alternative medicine practitioners. A new boost was given to health tourism in the 1960s with the New Age movement in the US. This New Age movement seeks Universal Truth and the attainment of the highest individual human potential and is characterized by an individual approach to spiritual practices and philosophies and the rejection of religious doctrine and dogma. With this movement, India had once again become the most sought after destination for thousands of western pilgrims. Indias deep commitment to health care infrastructure and technology furthered the mass influx of medical tourists. India is now one of the worlds oldest medical tourism destinations and has gained popularity over the years over other destinations. European Medical Tourism. European medical tourism came into existence with the rediscovery of the Roman baths in the 16th century. With the rediscovery of the Roman baths, Baden Baden , Aachen and most notably Bath, became spa towns. By the 1720s the spa towns came to be frequented by Aristocrats and gentlemen of leisure from other parts of Europe and even royal patronage. Michel Eyquem de Montaigne, French royal inventor of the essay was the most noteworthy medical tourist of this time. He traversed the continent for 9 years for the cure of his gall bladder problem. He is widely believed to be the father of luxury travel and has helped to write one of the earliest documented spa guides for European tourists. Health Tourism-New world. English and Dutch colonists in the 1600s, constructed log cabins near mineral springs in the newly discovered Americas. By 19th century the American reformists made it a habit to travel to remote Western springs that were rich in medicinal properties. Today, there are no physical, economical and cultural barriers that separate nations from one another. Coupled with the flattening global economy, ease of international travel and lenient trade policies has opened the vistas of medical tourism destinations around the globe. This has made affordable health care availability to patients who find it difficult or impossible to access such health care facilities in their own countries. Inflated health care costs are driving the patients to medical tourism destinations like Thailand and India for sophisticated procedures at a fraction of the price. Long waiting periods for medical treatment is another factor that is making patients seek treatment abroad. Also, lack of comprehensive medical insurance has attracted thousands of patients to seek treatment abroad. Medical tourism today has become a global phenomenon with many countries expanding their offerings, including unique tourism opportunities for example South Africa is promoting medical safari in a big way. ii.) MEDICAL TOURISM IN INDIA-the present scenario Medical Tourism India or Health Tourism India is a developing concept that has gained tremendous popularity and is attracting people from all over the world for their medical and relaxation needs. The treatments most commonly include knee transplant, cosmetic treatment, dental treatment and cardiac surgery. India is now a favorable medical tourism destination as its infrastructure and technology are at par with USA, UK and Europe, enabling it to provide treatment centers and hospitals that are best in the world with world class facilities. These factors coupled with visits to some of the most alluring and awe-inspiring places of the world have brought about the merging of tourism with medication giving rise to the concept of Medical Tourism. India is promoting health tourism through depicting the high-tech healing of its private healthcare sector. The Indian government is marketing the concept of traveling to India for cheaper and world-class medical facilities to foreigners, with the intention of encouraging the growing Indian medical tourism industry. The policy of the Indian government to merge medical expertise and tourism was announced during the 2003-04 budgets when the finance minister Jaswant Singh propounded India to become a Global Health Destination. According to a study conducted by Confederation of Indian Industry (CII), the field is so lucrative that it has the potential to become a $2.3 billion business by 2012. Around 150,000 foreigners visited India for treatment during 2004 and since then, this number has increased by 15% every year. In recent times, India has emerged as the Global Health Destination due to the following advantages: 1. Medical services are provided at almost 30% lower cost than the Western countries and are the cheapest in South-east Asia. 2. India has a large population of doctors and paramedical staff who have good knowledge of spoken English. Therefore language is a major comfort factor that attracts so many foreign tourists to visit for the purpose of medical and health tourism making it easier for overseas patients to relate well to Indian doctors. 3. Indian doctors expertise in various surgical procedures including cardiac surgeries, liver transplants, orthopedic surgeries and other medical treatments. 4. Indian hospitals offer a wide array of high quality treatment procedures comprising of joint replacements, cardiothoracic surgery, dental care, cosmetic treatments and more. iii) Probable concerns and pitfalls of Indian medical tourism industry Review of literature suggests the following concerns that need attention if one has to augment and boost the medical tourism sector. Concerns of the consumers Some of the consumers feel that India is unhygienic, polluted and bureaucratic. There is no appropriate accreditation system for the hospitals. Concerns about medical insurance which is underdeveloped, inadequate and has few global players. overseas companies refuse reimbursements. There are also concerns about terrorism, communal unrest and bad connectivity between cities and towns. While some of these concerns are genuine, most of them are mere perceptions. Concerns of the promoters From the promoters point of view, the concerns that have emerged revolve around lack of regulations concerning ethics and systemic support, lack of infrastructure deficiencies like electricity, power supply and water, inadequate land reforms, taxation anomalies, funding constraints, implementation lacunae and bureaucratic bottlenecks. 4. RESEARCH QUESTIONS AND OBJECTIVES. India seems to be an emerging medical tourism destination offering great opportunities in terms of creating new jobs and generating sources of revenue for the Indian economy. It is therefore imperative that the impetus gained so far should not be jeopardized and measures should be adopted to improve the present situation by developing and implementing new strategies. Research questions 1. What is the present state of Indian medical tourism? indicating assessment of the present situation. 2. What are the drawbacks or felt impediments of the medical tourism trade sector? indicating an analytical structuring of the data. 3. What are the ways to improve medical tourism in India through better marketing strategies? an assessment of the lacunae in the existing marketing strategies. 4. Is the government doing enough to support the medical tourism industry? an assessment of the governmental leaning towards the industry. Research objectives 1. To develop pragmatic marketing strategies for health care institutions involved in medical tourism in India. 2. To assess the impact of the government action on the present marketing strategies for foreign patients. 3. To make a marketing plan model for the Health tourism industry in India 5. RESEARCH PLAN Research perspective My research approach is based upon the words of the renowned anthropologist Clifford Geertz man is an animal suspended in webs of significance he himself has spun. I take culture to be these webs, and the analysis of it is not to be an experimental science in search of law but an interpretive one inn search of meaning (Jewell,S.2010). It therefore forms an interpretivist approach. Since the medical tourism industry is a business and management perspective, any research into this field would fall into the gamut of positivist and interpretivist approaches. My research is essentially a qualitative one since my data collection is mainly secondary in nature. Furthermore, my research is theory forming where in I shall be using the inductive approach to analyze the data. My research also involves the assessment of factors of concern that are related to the health tourism industry of India. It would be my effort to sift out the relevant factors and analyze them from the point of view of deve loping marketing strategies. Research design The approach that best answers my research questions fits into the modified cross sectional design. Here, the research design revolves around the collection of data that is occurring naturally over a designated period. My research design also involves mainly quantitative data and some qualitative data too. My research is based upon observation and document analysis. The cross sectional design also gives information on aspects of who, what, how many, where, and the how and why. Data collection methods I shall be collecting my data through analysis of secondary data. I also intend to submit questionnaires to the stakeholders and the major players of the medical tourism in India with the aim of seeking relevant data that would help me in answering my research questions and fulfill my research objectives. Secondary data: the secondary data would be collected through the following; Written materials- various websites, websites of homepages of key players, magazines and journals, books and publications. I would also be looking for government publications, laws and acts related to this subject. Non-written materials- media, television etc. Most of the data from outside the individual organization will yield information about the medical tourism industry. While, data that is collected from the organizational websites would give information on how things are done within the organization and their modus operandi. ii. Questionnaires: I will be sending the questionnaires to all the major players in the Indian medical tourism industry. The questionnaires will be used to obtain data for quantitative analysis in order to assess the functioning of various medical tourism facilities in India. The idea of using questionnaires is that a large quantity of data can be made available covering a wide range of database for quantitative analysis. A good amount of objectivity can be incorporated and the results would be of valid and reliable nature. Analysis of data Having collected all the qualitative and quantitative data, I would subject it to appropriate analysis and apply relevant statistical tests of significance to ensure that the results are valid, reliable and give a reasonable level of generalisabilty. I aim to deduce the relevant marketing strategies being used and to assess their impact on the industry. I shall be presenting the analyzed data in the form pie diagrams, bar charts and other forms of statistical presentations. LIMITATIONS Validity and reliability Since my data is mainly secondary in nature it is presumed that global players in the me dical tourism industry would not putting false data to propagate their business ventures. From this point of view my data would be valid as well as reliable. As my data is being collected from internet, websites of various stake holders, magazines etc. I am confident that stake holders at this level of global competitiveness would not be putting up false data or information for promotional activities that could jeopardize their reputation. However, the limitations of validity and reliability I foresee to come across would be from the questionnaires I would be sending to the stake holders. The disadvantage I feel I would face using the questionnaires is that some people may not respond, may take a long time for returning back and the response rate cannot be predicted. However despite these limitations, I expect to be able to generate valid information and data for quantitative analysis. I shall be sending these questionnaires to the concerned stakeholders through their homepages and their websites and try and elicit as much response as possible from them. Generalisabilty My research design is based upon the study of an industry and does not impinge upon a case study research. All factors being studied can be considered as offshoots of a single industry. For e.g. the legislation aspects would be covering the entire industry and not a single institution or a hospital. Secondly, my aim is to give broad based generalized guide lines on the recommendations for improving medical tourism in India. My attempt therefore would be to collect and analyze data from where generalisabilty can be achieved. ETHICAL CONSIDERATIONS I will abide by the Coventry University BES ethical guidelines. I will conduct my research honestly and present all the data accurately. I will get the low risk approval form signed by my supervisor to get his approval before I begin my research. I shall take all precaution to ensure and respect the rights and integrity of subjects if any. I shall treat all the data confidentially and would ensure that it would not be used for any other purpose other than that intended. Since my data collection is mainly secondary in nature, my research work is considered to be a low risk from the ethical point of view. I shall keep all the raw information on ethics and the data collected for audit purposes. PLAGIARISM I will paraphrase; reference and cite the sources used by me, to acknowledge the work of others and avoid any sort of plagiarism. Michael Porter: Impact of Strategic Management Theory Michael Porter: Impact of Strategic Management Theory The field of strategic management is complex and multi-faceted. Strategic management has been defined in many different ways. The basic tenet of the Positioning School is that strategies are generic positions in a competitive marketplace and are based on analysis by a consulting firm. Michael Porter, indisputably one of the most influential thinkers on management and competitiveness in the world laid the groundwork for strategic positioning in 1980 with his book Competitive Strategy in which he presented his Five Forces model. His 1985, work, Competitive Advantage, described his activity-based view and introduced his Value Chain model. Since the publication of these influential works, their popularity has continued due to their general applicability and ease of use. Keywords: Michael Porter, strategic management, Five Forces Model, Value Chain Model, Porter, Positioning School. The Influence of Michael Porter The field of strategic management is complex and multi-faceted. Numerous definitions have been proposed in an attempt to prescribe the essential elements of management strategy and to discover a methodology to satisfy once and for all the needs of managers seeking to maximize their organizations potential in the dog-eat-dog business world. Strategic management has been defined in many different ways based on the organizations mission, policies, sector, structure, objectives, strengths, weaknesses, opportunities, threats, key success factors or decisions, capabilities, planning, implementation, and sustainable competitive advantage (Sadler, 2003). Generally, strategic management is the means by which organizational managers seek to bolster the success of their businesses via a series of competitive maneuvers. Such maneuvers may be taken with regard to the external environment in which the firm is currently operating or in relation to the organizations internal capabilities (or inabilities) (Sadler, 2003). Mintzberg, Ahlstrand and Lampel (as cited in Sadler, 2003, p. 15) developed a method of organizing these numerous schools of thought into three major groups labeled the Prescriptive, Descriptive, and Configurational Schools. The Descriptive group consists of those schools which seek to describe strategic management in terms of how it is formed in practice. The Configurational group encompasses one single school of thought which has two facets, the first seeking to describe the organizations state and context, and the second endeavoring to depict the strategy-making process. The Prescriptive Group is composed of those schools which venture to define strategic management in terms of how it should be formulated, as opposed to how it is formed in practice (see Descriptive Schools above). Within the Prescriptive group reside the design, planning, and positioning schools. The design school seeks to define strategic management as a conceptual process, and the most recent manifestation of this approach is the SWOT (strengths, weaknesses, opportunities, and threats) Analysis, developed by Ken Andrews in the early 70s. SWOT analysis aims to analyze the firm in terms of internal factors strengths and weaknesses, and external environmental factors opportunities and threats, in order to gain a competitive advantage. The planning school, on the other hand, focuses primarily on the future and has as its principal goal the formulation of decisions and actions that will guide the organizations actions and define its purpose. Michael Porters seminal and best-known work, Competitive Strategy, laid the foundation of the positioning school. The basic tenet of this school is that strategies are generic positions in a competitive marketplace and are based on analysis by a consulting firm. A renowned business management theorist and commonly recognized as the father of modern management theory, Porter is a respected professor holding the prestigious Bishop William Lawrence University Professorship at Harvard Business School. He is a prolific author; since 1976, he has written some 18 books and more than 125 articles on competition and strategy. Porter has advised management in numerous U.S. and international companies and governments worldwide and has won many honors and awards for his work in economics and strategic management theory. Michael Porter is indisputably one of the most influential thinkers on management and competitiveness in the world. Michael Porters Theories Porter is best known for the prescient theories illuminated in his 1980 work Competitive Strategy: Techniques for Analyzing Industries and Competitors. The hallmark of Porters works, Competitive Strategy presented Porters five forces model, five elements that affect an industrys profitability, and his generic strategies which are intended to counter those forces. In his follow-up piece, The Competitive Advantage: Creating and Sustaining Superior Performance, published in 1985, Porter developed his Value Chain Model, a framework for activity-based competitive analysis of a firm. Porters Five Forces Model Porters five forces are classified as industry-level (vice organizational-level) determinants of long-term profitability in an industry. These economic and technical characteristics are said to be foundational, key factors to industry success and affect such critical industry elements as prices, the degree of investment necessary for competitiveness, market share, potential profits, and profit margins, and industry volume (Childress Kirkwood, 2006). The five forces are industry competitors, pressure from substitute products, bargaining power of suppliers, bargaining power of buyers, and potential entrants. These five forces acting in unison comprise the competitive environment in which the firm must operate. The nature of competition within the industry is affected by factors such as the size of competitors the number of competitors, changes in demand for products, asset specificity, the strength of exit barriers and competitor variety and is generally considered to be the most powerful force. Competitive tactics employed by one firm may affect the entire industry (Mayo, Grigoroudis and Zopoundis, 2006). Pressure from substitute products affects the industry by imposing an artificial price ceiling. Decreases in customer switching costs and increases in the price of substitute products are causes of competitive pressure. The threat of substitutes varies inversely to the price of substitute products and consumers switching costs (Mayo, Grigoroudis and Zopoundis, 2006). The bargaining power of suppliers affects competition particularly when there are many, limited substitutes for raw materials exist, or when switching costs increase. When suppliers raise prices, or reduce prices or services or the quality of goods or services, competition intensifies. When suppliers reduce quality or services or increase prices, competition increases (Mayo, Grigoroudis and Zopoundis, 2006). Buyers affect competition when they are able to negotiate lower prices, distribution and quality. The number and concentration of consumers and product differentiation are influences. Switching costs and the power of buyers to backwards integrate are factors as well (Mayo, Grigoroudis and Zopoundis, 2006). High entry (and exit) barriers are a deterrent to companies seeking to enter new industries. New entrants alter the competitive climate by increasing capacity and competition for market share and by adding new resources. Entry barriers may take the form of capital requirements, economies of scale, product differentiation, switching costs, access to distribution channels, cost of promotion and advertising, and so on (Mayo, Grigoroudis and Zopoundis, 2006, p. 835). Porters model is versatile, popular and widely used. From banking to brewing, numerous examples of studies conducted using Porters model to analyze the competitive climate of a variety of industries can be found easily. Several of these are summarized below. Finnish publishing In a study investigating the effect of the internet on the consumer Finnish magazine publishing industry using Porters five forces model (Ellonen, Kuivalainen et al., 2008) conducted semi-structured interviews of eight industry experts. The researchers identified specific examples of some of the forces shaping competition within that industry. They chose Porters model as the vehicle for their analysis because it is a useful tool for examining the industry structure and assists in the analysis of industry competitiveness. They noted that the internet had intensified rivalries among competitors by making proprietary information and that competitors habitually benchmarked each others websites. Financing and support functions were recognized as barriers to entry. As for the treat of substitute products and services, the most significant threat was identified as the internet itself because it offers readers alternative ways to spend their leisure time and their money. Notably, however, neither the bargaining power of buyers (both consumers and advertisers) nor the bargaining power of suppliers was considered a significant hazard. Online banking Smith (2006) studied the online banking industry and, like the authors in the study of the Finnish publishing industry, used Porters five forces model to identify the strategic forces affecting the industry. Smith chose Porters model because it provides clarity, ease of understanding, and is insightful when examining a complicated and complex issue like strategic management. Smith noted that economies of scale and product differentiation, capital requirements, limited distribution channels, and government regulation were substantial barriers to entry in online banking. Conversely, the bargaining power of suppliers is relatively weak as is the bargaining power of buyers, chiefly due to the low-cost or free nature of online banking services. Pressure from substitute products is considerable. Traditional banking offers customers a personal touch and some do feel online services are secure enough. Other substitute products are credit unions, ATMs and other financial institutions and credit card companies. Not surprisingly, Smith found that competition is intense in the online banking industry. This is largely due to the increasing popularity of computers the internet with each successive generation and the cost savings gained from using online services. European beer Niederhut-Bollmann and Theuvsen (2008), in yet another example of the versatility of Porters model, analyzed the dynamic competitive environment of the European (German and Croatian) brewing industry. Niederhut-Bollmann and Theuvsen chose Porters model, they say, because it is powerful, thorough, and provides a flexible framework for this type of analysis. The authors of this study provided a detailed look at the competitive forces affecting both the German and Croatian brewing industries. Moreover, they offered an extensive analysis of the generic strategies which various breweries had adapted in order to position themselves in the face of the industrys competitive pressures. Porters Generic Strategies Porter postulated three generic or broad alternative strategies which may be pursued as a response to the competitive pressures. They are termed generic strategies because they are broadly applicable to any industry or business. They are differentiation, cost leadership, and focus. A focus strategy may be further defined as cost focus, differentiation focus, or cost and differentiation focus (Ormanidhi Stringa, 2009). A differentiation strategy may be based on actual unique product features or the perception thereof, conveyed through the use of advertising and marketing tactics, in the eyes customers. Obviously, the product or service feature must be one the customer needs or desires. Moreover, such enhanced features and designs or advertising and marketing will increase costs, and customers must be price-insensitive willing to pay for the differentiated product or service. This willingness to pay for the differentiated product of service is what provides the company relief from competitive pressure, cost pressure specifically. Firms pursuing a cost leadership strategy must make lower production and distribution costs their priority (Thomas, J., 2006). By keeping their cost lowers than those of their competitors, firms using cost leadership can still price their products up to the level of their competitors and still maintain higher gross profit margins. Alternatively, these firms can price their products lower than those of their competitors in the hope of achieving greater market share and sales volume at the expense of gross profit margins (Thomas, J., 2006). A focus strategy is based on a particular market, customer, product, or geographic. A Focus strategy is a concentrated, narrowly focused niche strategy (Mayo, D., Grigoroudis, E. Zopoundis, C., 2006). It will normally be employed by smaller companies or small target markets. Products and services may be customized to the extent that customers are allowed input throughout all stages of production. European brewing In the case of European breweries mentioned above, Niederhut-Bollmann and Theuvsen (2008) noted that one German brewer used a cost leadership strategy to undercut larger competitors prices by as much as 50 percent. Another brewer used national brands to increase customer loyalty in a differentiation strategy. Klosterbrauerei Neuzelle, founded in 1589, uses traditional brewing techniques for a small local market, a focus strategy. The authors note that although Porter, in his original work, warned that a firm should choose one specific strategy, he later (2001) accepted that a hybrid strategy (lower operating costs and premium prices) may be appropriate. Japanese industry Allen, Helms, Takeda, White, (2007) studied the use of Porters generic strategies in Japanese firms. According to the authors, the traditional style of Japanese management in which all employees of a company share risks and gains of the operation; layoffs are a last resort, even during economic crises; and lifetime employment with a single company is expected, is often cited as a primary cause of the ongoing Japanese recession (p. 70). Recently the Japanese government implemented the Porter Prize in an attempt to spur improvement in the competitiveness of Japanese industry. Several small and medium-sized forms have received the prize presumably due to their strategy of operating in niche markets, a focus strategy. Larger corporations, those who operate under the keiretsu, or lineage system have not substantially participated in the program arguably due to the characteristic inability to react to change and over-reliance on a group decision-making style inherent in the keiretsu system. The authors believe that encouraging Japanese firms to vie for the Porter Prize will enable those firms to become accustomed to employing competitive strategies and become more profitable. Michael Porters Five Forces Model is still popular today due to its broad applicability and because it is easy to use. Competitive Strategy laid the foundation for the Positioning School of strategic management philosophy. Porters Five Forces Model and his generic strategies have substantially influenced strategic management thought for the last thirty years and will undoubtedly continue to do so. The Value Chain Model In 1985, Porter followed up and built upon his Competitive Strategy with Competitive Advantage. In Competitive Advantage, Porter developed the concept of a sustainable advantage and introduced his Value Chain Model. Porter referred to his own model as an activity-based view because used the activities of the firm to analyze the organizations competitive advantage. Value, Porter said, was defined as the sum total that a buyer is willing to pay for what the firm produces or delivers and is measured as total revenue or price times the number of units sold. Economically speaking, the firms value must exceed its costs, or it is not considered profitable. Competitive analyses, therefore, must be focused on those value-generating activities which influence the companys costs and provide a means for strategic differentiation (Patnaik and Sahoo, 2009). The value chain, according to Porter, is part of the larger value system comprised of the individual value chains of industry suppliers, constituent firms, distributers and buyers (Patnaik and Sahoo, 2009). Interestingly, the term value system has been as widely accepted as value chain has; the term industry value chain is more popular (Dommisse and Oosthuizen, 2004). The purpose of the value chain model, according to Porter, was to systematically examine all the activities a firm performs and how they interact (as cited in McPhee Wheeler, 2006). Sheehan and Foss (2009) undertook to examine the intellectual underpinnings of the theory Porter laid out in Competitive Advantage. They note Porters proposal that the true value of the firm was not its products or services, but the aggregate value of the chain of individual activities that went into the production process and the only way to identify a means of identifying potential sources of competitive advantage was to examine the firm in terms of these activities. They summarized the key characteristics of Porters activity-based model. The unit of analysis was the activities the firm performed. The value chain focuses on the business or industry level. Activity drivers cost and value drivers play a key role. Activity drivers are the factors that are the firm can influence in order to position the firm as either low cost or differentiator compared to ones competitors. Activities were categorized as either primary or supporting activities. Primary activities were defined as those which directly create customer value. Primary activities are related to production and sales of the product, delivery of the product, and after-market sales (Value Chain, 2005). Structure Primary activities Inbound logistics comprises those activities involved in receiving, storing, handling, and distributing materials to the manufacturing or operations department. Manufacturing activities include those activities involved in converting the inputs received into the final product. Outbound logistics activities are those activities which are involved in the shipping, storage, and final distribution of the end product. Marketing and sales activities are those which are aimed at persuading the customer to buy and pay for the product, e.g., advertising, promotion and pricing. Finally, service activities include all activities concerned with maintaining or enhancing the value of the delivered product such as installation and repair services (Value Chain, 2005). Supporting activities Support activities serve to enhance the value (create added value) already created by the primary activities. Support activities include corporate structure, human resources, technology development, and purchasing. Corporate structure includes those activities related to management including planning, financial and accounting, legal, public relations, and quality management. Human resources activities include recruitment and hiring, training, and pay and benefits. Technology development involves R D functions such as new product development and design. Purchasing encompasses activities relate to the procurement of supplies and raw materials. The models popularity Porters model is indisputably popular. Ormanidhi and Stringa (2009) examined Porters model in comparison to several other strategies: Structure-Conduct-Performance, the New Industrial Organization and Game Theory, the Resource-Based Perspective, and Market Process Economics. The authors cite as proof a study that found Porters Competitive Strategy referenced in nearly half of the articles published in the Strategic Management Journal from 1986 to 1990. They believe Porters model is a most apt methodology for competitive analysis for several reasons. Porters model is most suitable because of its well-defined structure; it provides an analytical framework of definite criteria. Porters value chain model is practically suited for empirical analysis because it facilitates the comparison of firms and analysis of their competitive performance. Another reason Ormanidhi and Stringa mention for their preference of Porters model is its conceptual clarity; its terminology is consistent and easily understandable. Furthermore Also, Porters model complements other strategies such as game theory and the resource-based model. The last reason is inherent in Porters definition, that is, it is a generic strategy that is sufficiently general that it is applicable to various types of industries such as service and manufacturing firms. Manufacturing White and Pearson (2001) proposed in a study of the manufacturing value chain using the JIT concept and technological advances related to systems integration, the establishment of customer service levels on par with overall management objectives in order to improve organizational performance. They used Porters value chain model to demonstrate how the application of JIT systems throughout the manufacturing process enables the organization to integrate its activities in a continuous improvement process. In each stage of the Porter model, primary activities and support activities, the authors illustrate how the application of JIT techniques can optimize the manufacturing process. Retail Dommisse and Oosthuizen (2004), utilized Porters model in a study of the U.K. retail life insurance industry and introduced an evolutionary a concept referred to as value chain deconstruction which, they say, is gaining acceptance. Based on Porters model, value chain deconstruction theory is largely a result of the proliferation of new technologies and regulatory measures. Analysts, they declare, have observed components of the traditional value chain fragmenting to form new or merge with other industries. This relatively new, conceptual models main advantage, according to the authors, is that it clearly highlights the areas in the value chain where the traditional strategies of differentiation, cost leadership and focus can be applied (p. 18). Thus, Porters model persists as the foundation of new and emerging concepts of strategic management. The field of strategic management is complex and various definitions have been proposed based on the different aspects of organizational infrastructure. One means of organizing the numerous schools of thought was proposed by Mintzberg, Ahlstrand and Lampel (as cited in Sadler, 2003, p. 15) who described three major groups labeled the Prescriptive, Descriptive, and Configurational Schools. Michael Porter, renowned scholar, author, advisor, and recipient of a myriad of rewards for his work, laid the foundation of the Positioning School, which falls into the Prescriptive Group. Porters is best known for the theories illuminated in his 1980 work Competitive Strategy: Techniques for Analyzing Industries and Competitors in which he presented his Fve Forces Model five elements that affect an industrys profitability, and his generic strategies which are intended to counter those forces. In The Competitive Advantage: Creating and Sustaining Superior Performance, published in 1985, Porter developed his Value Chain Model, a framework for activity-based competitive analysis of a firm. These two monumental works have influenced academia and management since their inception. Widely popular and broadly used, these prescient theories have influenced strategic management philosophy the world over. Across the spectrum of industry types, from Japan to Europe, the impact of Porters works is indisputable. Undoubtedly, Michael Porters influence will continue to be felt in the halls of business for years to come.