Consider the social, economic, ethical, legal, and political forces that have shaped the policy and delivery of services.

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Write a 3850- to 6650-word paper, on the Affordable Care Act. The body of the paper must be approximately 3850 to 6650 words not counting the title page, abstract and references. Research Question: (What effect did the ACA have on the government budget?) Include: An abstract, introduction and background, Literature Review, Analysis section and Conclusion. Include the following in this section (Introduction) of your paper: • Title page • Introduction and background • Purpose statement • Research questions • Definition of terms Literature review that includes the articles from the Annotated Bibliography assignment and connects those articles to your problem, purpose, and research questions. Articles: Blumenthal, D., Abrams, M., & Nuzum, R. (2015). The affordable care act at 5 years. In: Mass Medical Soc. Cannan, J. (2013). A legislative history of the Affordable Care Act: How legislative procedure shapes legislative history. Law Libr. J., 105, 131. Jacobs, L., & Skocpol, T. (2015). Health care reform and American politics: What everyone needs to know: Oxford University Press. McDonough, J. E. (2011). Inside national health reform (Vol. 22): Univ of California Press. Sommers, B. D., Buchmueller, T., Decker, S. L., Carey, C., & Kronick, R. (2012). The Affordable Care Act has led to significant gains in health insurance and access to care for young adults. Health affairs, 32(1), 165-174. Young, K. M. (2006). Health care USA: Understanding its organization and delivery: Jones & Bartlett Learning.
Analysis section for the Final Integrative Paper. Include the following elements in the Analysis section: • Synthesize findings from the literature review with the policy topic for the project. • Explore the effect the policy has had on the segment of the health care delivery area. • Consider the social, economic, ethical, legal, and political forces that have shaped the policy and delivery of services.

Discuss in details the pros and cons of the following models.

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Corrections is becoming one of the most critical issues that we as a society must face and deal with sooner more so than later.
Corrections an important aspect of the criminal justice system. If not handled correctly, it will cause major problems in our society such as: Prison overcrowding, economic deprivation, more crime, generations of criminals, and generations of poverty.
This assignment is worth 75% of your final exam.
Discuss in details the pros and cons of the following models. Please support all of your work with research and references.
1. The Treatment or Medical Model
2. The Rehabilitation Model
3. The Just-Desert Model
4. The Community Model
Now that you have a great understanding of each of these models, which one would you suggest we focus on first in order to make our corrections system more efficient? Why?

What is sex according to the Christina reading?

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• What are the five main types of control discussed in lecture? How do they work to regulate sex?
• Why isn’t there a free market in sexual activity?
• In what ways does/has the law protected and punished sexualities?
• What are some examples of how the legal regulations around sex and sexuality have changed in recent years?
• What type of professionals dominated the topic of sex prior to Kinsey’s research?
• What is sex according to the Christina reading?
• What does it mean to be intersex?
• Explain the differences between sex, sexuality and gender. (Provide examples)
• Are straight men who hook up with guys closeted homosexuals?
• What is the concept of fluidity in sexuality?
o Sexual preferences are not set in stone and can change over time, often depending on the immediate situation the individual is in. This has been described as sexual fluidity. For example, if someone identifies as heterosexual but then finds themselves in an environment with only people of the same gender, they might feel increased sexual or romantic attraction to those same-gender partners. Like any other social trait, sexual preferences, attitudes, behaviours and identity can be flexible to some degree.
• What are the building blocks of sexual identity? Provide examples
• What are the three main theories of the origins of sexuality? Explain them
• What is the gender double standard?
• What are the ways that political context constrains and enables sexual activities/identities?
• What does Nagel mean when she says that women throughout history have been drafted into military service?
• What are the purposes of sex?
o Give examples of how these purposes will differ across contexts.
• What are the relationship social containers for sex? What is different between them?
• What is the difference between sex in a marriage and sex in a hookup?
• Are US or Dutch parents more accepting of teenage sleepovers? Provide a reason why.
• How have the social places for sex changed over time?
• How does one’s location on the life course change what is acceptable sexually for them?
• What are the different forms of social controls and how do they regulate sexuality?
o How do they operate? How are they different or the same?
• Windsor: Is there a difference between a man who sleeps in his girlfriends panties versus a woman who sleeps in her boyfriend’s underwear?
• Describe how a sexual identity or activity that can be labeled both normatively wrong and medically sick.
• Provide reasons of why sex between adults and children is illegal in most places.
• Explain how the law can have both positive and negative roles on sexuality.
• Give examples of ways that laws are relevant to sex and sexuality.
• Who goes into sex work, and why?
o Many different kinds of people go into sex work. There are some people who are forced into it. For example: sex slaves or people who just need the extra money. And there are also people who find pleasure in it so they get into it.
• Who pays for the services of sex workers?
• What kinds of sexual activities are the most expensive in the sexual marketplace?

Living Will Template: Create a living will that can serve as a template to the patients. This should cover the basic treatment issues such as resuscitation, feeding tubes, ventilation, organ and tissue donations, etc. Provide instructions in the template that can be easily altered, depending on each patient’s wishes.

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Analyze ethical and legal dilemmas that healthcare workers may encounter in the medical field.
Instructions
You have recently been promoted to Health Services Manager at Three Mountains Regional Hospital, a small hospital located in a mid-size city in the Midwest. Three Mountains is a general medical and surgical facility with 400 beds. Last year there were approximately 62,000 emergency visits and 15,000 admissions. More than 6,000 outpatient and 10,000 inpatient surgeries were performed.
An important aspect of the provider/patient relationship pertains to open communication and trust. Patients want to know that their doctors and the support staff associated with their care understand their wishes and will abide by them. Ideally, these conversations happen well before an emergency or procedure takes place; however, often times this information is missing from a patient’s file. As part of Three Mountains’ initiative to build trust with their patients, an increased emphasis has been placed on obtaining living wills from the patient as part of the intake process to ensure that the healthcare team has written directives of the patient’s wishes in case of incapacitation. You will be creating a living will for a patient and provide educational information as to why the patient should fill it out during the admission process before a procedure.

  1. Introduction: Explain the definition of a living will and its key components. This section will provide an educational overview of the document for the patient.
  2. Living Will Template: Create a living will that can serve as a template to the patients. This should cover the basic treatment issues such as resuscitation, feeding tubes, ventilation, organ and tissue donations, etc. Provide instructions in the template that can be easily altered, depending on each patient’s wishes.
  3. Summary: In this section, you will discuss the importance of this document and encourage patients to complete it. Address how this document ensures that a patient’s wishes are known and followed by the healthcare team.