Allergies: NKDA, NKFA, or environmental allergies.

Fred, a 62-year-old male, presents to the primary care clinic with the chief complaint of fatigue. Upon further questioning, he also reports some difficulty concentrating and a decreased sex drive. Further review of symptoms reveals dry skin, left knee weakness, occasional heartburn, and polyuria and wheezing on exertion. He denies any chest pain or palpitations. He reports being on antidepressants in the past but did not take them as directed. He is easy to get along with, forthcoming in his complaints, and describes his fatigue as a little bit more pronounces in the last couple of months. He also complains of erectile dysfunction, which he has noticed is worse in the last few years, especially since his diabetes is out of control.
Past Medical and Surgical History: Significant for uncontrolled type 2 diabetes, insulin dependent. The patient reports the last hemoglobin A1c of 10.2. He also has hypertension, gout, obstructive sleep apnea (with refusal to wear CPAP), and dyslipidemia. His past surgical history includes a deviated septum repair 20 years ago.
Family History: His mother died at the age of 81 of Parkinson’s disease; his father died at the age of 57 of Hodgkin’s disease; and he has one sister who is alive and well at the age of 58.
Screening: He had a negative colonoscopy in 2008. His most recent PSA value was 3.1 in 2007.
Social History: He reports drinking 2 drinks of hard liquor daily. He quit smoking 20 years ago and drinks 4 cups of coffee every day. He reports not adhering to his prescribed diabetic diet and has many financial and marital stressors at home. He is self-employed with some college education.
Medications:
Humalog, 75/25, 20 units in the morning and 20 units at night
Nexium, 40 mg daily
Crestor 10 mg daily
Allopurinol, 300 mg daily
Trazodone, 150 mg at night
Lopid, 600 mg twice daily
Baby aspirin, 81 mg daily
Micardis 40/12.5 daily
Actos, 30 mg daily
Allergies: NKDA, NKFA, or environmental allergies. All immunizations are up to date.
OBJECTIVE
Vital signs: Temp 98, Pulse 72, RR 20, B/P 138/90. His weight is 312 lbs. and his height is 58 inches.
General: He has a very pleasant attitude. His is a morbidly obese male, calm, pleasant and in no acute distress.
Skin: His color is pale. His skin is clear. Small senile keratosis is noted on his left arm.
HEENT: Negative
Neck: He appears to have short neck syndrome. He has not palpable nodes, no JVD.
Cardiovascular: Regular rate and rhythm. S1 and S2 are present without any murmurs, rubs, or gallops.
Respiratory: Breath sounds CTA with equal rise and fall of chest.
Abdomen: Obese, nontender, bowel sounds present in all four quadrants.
Musculoskeletal: Full range of motion to all four extreme.
Genital: He has normal genitalia. There is no evidence of swelling. His testicular exam is normal and there is appropriate hair growth:
1. List at least 3 differential diagnoses (rule in or out by history, exam, or lab work).

Visit the National Coalition on Health Care Website. Briefly describe who they are, what they do, and their principles for improving our current health care system.

Visit the National Coalition on Health Care Website. Briefly describe who they are, what they do, and their principles for improving our current health care system.
• http://www.nchc.org/
1. What is the American Medical Association doing to expand coverage for the uninsured?
2. Visit the Agency for Healthcare Research and Quality Website. Choose a specific population and also a disease that the Agency for Healthcare Research and Quality is researching. Briefly discuss the scope of the problem, background, as well as the impact of AHRQ Research.
• http://www.ahcpr.gov/
1. Why is it important to have a balance of all five health components?
2. Briefly describe an example (not discussed in the lecture) of how one can participate in primary prevention.
3. Why is disease prevention important? Explain your answer in a few short paragraphs.
4. Visit the American Diabetes Association Website. Complete their risk test. Briefly explain the results.
• http://www.diabetes.org/risk-test.jsp
1. Visit the Healthy People 2010 Website, review the PowerPoint slide presentation at the link listed below, and answer the following questions using information from both the slides and Website.
• Health People – Website
1. How many focus areas are there? List five.
2. What were the previous initiatives titled?
3. What are the four health pillars?
4. How many Americans die each year of a chronic disease?
5. Visit the Healthy People 2010 Website. List and briefly discuss 5 links featured on the site that can help people make better choices about their health care.
• Health People – Website
1. List the two goals of Healthy People 2010. How do these relate to the three categories of health behavior?
2. Discuss the various ways that Healthy People 2010 is being implemented throughout the country.

Answer the following question with reference to the relevant legislative provisions operating in Australia concerning the application of relevant income tax rules and formulas.

Answer the following question with reference to the relevant legislative provisions operating in Australia concerning the application of relevant income tax rules and formulas. Do not consider the effects of legislation potentially applicable other than that specifically identified. Assessment Task Question 40 Marks Giving reasons, indicate any amounts that would be included as assessable income of the following resident taxpayers for the 2016/17 tax year: (a) Nick Addison is employed by Lazarus Holdings Ltd. His net weekly wages totalled $78,000 for the year. Total PAYG tax withheld from Nick’s weekly wages from Lazarus and forwarded to the ATO amounted to $19,000. (b) Additional wages paid to Nick as a Christmas bonus of $6,000 (net of $4,200 PAYG tax withheld). (c) Reimbursement of out-of-pocket travel costs of $1,200 that Nick incurred during his employment. (d) A travel allowance totalling $2,800. No PAYG was withheld from this amount. (e) Lazarus paid health insurance premiums for Nick and his wife to the value of $2,750. (f) $10,000 superannuation contribution to Lazarus Holdings Superannuation Fund on behalf of Nick. (g) Chris receives casual wages as a freelance journalist. On 4 July 2016 Chris was seriously injured when he fell down seven flights of stairs whilst jogging one morning. He received $50,000 during the year from his sickness and accident insurance policy for loss of income. (h) Chris also received $8,000 from his health insurance policy towards various operations and rehabilitation that he required. (i) Chris received a $70,000 lump sum under a trauma insurance policy for his right foot, which eventually required amputation. (j) Chris received a cheque for $5,400, which represented long service leave that he had accrued from several years as a part-time copywriter. This amount is net of $1,600 PAYG tax withheld. 2 (k) Quentin conducts business as a general medical practitioner. During the year, he received $79,000 in fees direct from patients, and $154,000 in receipts from Medicare. (l) Warren derives business income as a removalist. During the year, due to an error by his mechanic, Warren’s truck was off the road for 4 weeks and eventually written off as irreparable. All figures are exclusive of GST where applicable. He received the following amounts from his insurance company: Reimbursement of deductible truck repairs $ 14,000 Demurrage (compensation for loss of income) 16,000 Proceeds for disposal of Truck (equal to book value) 75,000 (m) Sandy operates a general food store. During the year, his store was subject to two armed robberies. He received the following amounts from his insurance company (exclusive of GST): Loss of cash sales from robberies $ 21,000 Loss of Trading Stock 7,800 Reimbursement of deductible shop repairs 3,200 Reimbursement of Medical Expenses 2,000 (n) Troy operates an advertising agency. During the year, he has a “contra” transaction with his solicitor to the value of $25,000. (o) Harrison derives business income as a barrister. He instructs one of his clients to pay his fee of $19,000 direct to Commonwealth Bank with whom his wife has a mortgage. (p) Karl conducts business as a contract plumber. He completes a subcontract job for a large construction company in return for airfares and accommodation to the value of $8,000 rather than a cash fee. (q) Rob conducts business as a lawyer. He drafts some changes to a Will for one of his clients and does not charge a fee but receives a $250 pair of cufflinks. (r) Petros conducts business as a property developer. As a result of extensive travel throughout the year, Petros receives 178,000 frequent flyer points which he is able to redeem in the form of air tickets to the value of $3,280. (s) Len trades as a carpet retailer. During the year, he receives cash subsidies and incentives from a supplier for selling over 2 kilometres of their carpet. This amounted to $36,000. (t) Shelley operates a coffee shop. Fiasca, a coffee supplier gives her an espresso machine as an incentive to use their coffee. The machine is worth $12,000. They also provide her with some outdoor umbrellas and furniture with the name of their coffee. These are valued at $8,000 but must be returned to Fiasca if she ceases to buy their coffee.

Discuss the effects of consumer demand on medical care services or products versus the economic variables of cost, access, and supply.

The United States has a great consumer demand for health care services. The supply of these services or products, such as new medications or medical equipment, is affected by many factors.
Select a service or product that may be in demand by the health care consumer now or in the future.
Write a 1,050- to 1,400-word paper on your selected service or product. Include the following:
• Discuss the effects of consumer demand on medical care services or products versus the economic variables of cost, access, and supply.
• Support your perspective and rationale for the continued provision of a current service, or for the implementation of a new service or product, based on economic principles or supply chain models.