Friday, March 20, 2020

Every Line Manager Is an Hr Manager Essays

Every Line Manager Is an Hr Manager Essays Every Line Manager Is an Hr Manager Essay Every Line Manager Is an Hr Manager Essay Discussion on: Every Line Manager is an HR Manager Introduction â€Å"Slowly but surely, line managers are taking over the HR front line. Gone are the days when the first port of call for any people management query was the HR department. † – Lucy McGee (Personnel Today) This is partly because HR as a function has transformed over the past decade. Administration is often outsourced, legislation has become more complex, European Union regulations have to be understood and adhered to, compensation is now many-sided, and selection and development have become more sophisticated. HR is both more specialist and more strategic than ever. At the same time, the managers role has evolved as leadership skills have been recognised as being important for a high-performing workforce. People management no longer means filling a form at the yearly appraisal and a few friendly chats in the staff canteen. Spotting talent, motivating, coaching, giving feedback, and developing staff, are all constant, day-to-day activities. With HR departments focused on the bigger picture issues, and line managers actually managing the line, its vital these two functions understand each other. Thus the purpose of this paper is to examine the changing role and responsibilities of line manager, as well as possible implications of greater line manager involvement in HRD. Source: www. personneltoday. com The role of front line managers Front line managers are managers who are responsible for an employee or work group to a higher level of management. They are normally in the lower layers of the management hierarchy and the employees who report to them do not themselves have any managerial or supervisory responsibility (Hutchinson Purcell 2003). The people and performance research carried out by a team at Bath University found that front line managers played a pivotal role in terms of implementing and enacting HR policies and practices. They found that where employees feels positive about their relationship with their front line managers they are more likely to have higher levels of job satisfaction, commitment and loyalty which are associated with higher levels of performance or discretionary behaviour. Discretionary behaviour is defined as that which goes beyond the requirements of the job to give that extra performance which can boost the bottom line. Line managers also play the strongest part in structuring people’s actual experience of doing a job (Hutchinson Purcell 2003). The areas where front line managers make a significant difference to people management practices include: performance appraisal training, coaching and guidance employee engagement (involvement and communication) openness – how easy is it for employees to discuss matters with their front line manager work-life balance recognition – the extent to which employees feel their contribution is recognised. These are all areas where, although the process may be designed by HR, it cannot be delivered by HR. The front line manager role is crucial in a number of respects: in enabling the HR policies and practices, or bringing them to life in acting upon advice or guidance from HR in controlling the work flow by directing and guiding the work of others. However, line managers often have conflicting priorities and role overload. All managers need time to carry out their people management activities. The Bath research found that front line managers exercise a strong influence over the level of discretion that an individual has over how they do their job. Some managers can permit and encourage people to be responsible for their own jobs whereas others can stifle initiative through controlling or autocratic behaviour. To encourage the kind of discretionary behaviour from employees associated with higher performance, front line managers need to: build a good working relationship with their staff. They need to lead, listen, ask, communicate, be fair, respond to suggestions and deal with problems help and support employees to take more responsibility for how they do their jobs by coaching and guidance build effective teams. Many of the qualities and skills which are associated with higher quality front line management are around the behaviours of front line managers. It is not enough to educate front line managers in the behaviours required; organisations must also ensure they are developing the environment and culture in which front line managers are actively encouraged and permitted to exhibit the behaviours above. The Bath research found that organisations which had a strong shared culture with guiding principles for behaviour which were embedded into practice over time were more successful. To be good ambassadors of people management, line managers need, above all, self-confidence and a strong sense of their own security in the organisation. This, in turn, requires strong support and the appropriate training and development for those newly appointed in a line management role. Source: Chartered Institute of Personnel and Development UK Implications of greater line manager involvement in HRD The perception prevails that a number of benefits exist in using line managers as developers of people (Gibbs, 2003). The following key arguments for devolution of HRD to line managers are provided by different scholars: allowing HRD decisions to be tailored to the real needs and circumstances at the operational level; improving employee relationships and the work environment; enabling more effective decision making because of the shorter lines of communication, and others. The main advantages presented in the scientific literature are summarized and discussed below. Firstly, a line manager’s role is critical in creating and stimulating the appropriate work environment supportive for learning (Macneil, 2001). It requires the promotion of positive attitudes towards continuous learning, since learning is not something that happens only during formal classroom training activities, but it is an integral facet of everyday working life. A line manager is expected to encourage the individual or team to take responsibility for how they will manage their own learning processes. It should happen through the provision of various opportunities for learning, for instance organizing meetings between employees with similar experience, creating mentor and job rotation systems, coaching, and others. Secondly, the research confirms that usually line managers lack knowledge and competence in human resource management (Macneil, 2001). Therefore, greater line managers’ involvement in HRD activities may lead to a development and transformation of the managers themselves and they would become more competent in managing people. This can also positively contribute to broader organizational change. Thirdly, line managers can help to improve the quality of HRD interventions by closing the gap between organizational performance and individual performance (Macneil, 2001). Line managers, rather than HRD specialists, are very familiar with the business context and both organizational and individual learning needs; therefore they should be able to address the most pressing learning needs. They are closer to the daily operations and customers. This gives line managers unique knowledge concerning organizational realities and needs, which can inform their understanding of the important issues and possible knowledge gaps. Without a systematic training needs analysis linked to the performance appraisal process it is unlikely that HRD will make a meaningful strategic contribution to enhancing organizational effectiveness. Identifying training needs arising from strategic goals, new technology and changes in the work process and linking it with performance appraisal process then becomes critical at the operational level for which a line manager is responsible. Despite the arguments provided above, recent research has shown that delegating HRD responsibility carries a number of challenges and risks and line management involvement in HRD work is not without complications (Reddington, Williamson and Withers 2005). It has been confirmed that workloads of line managers may marginalize their efforts in developing employees and they may not be able to pay sufficient attention to employee development. Performance criteria and reward systems are more likely to consider business results, than a longer term people development role. The responsibility for HRD is not very often included among line manager’s performance objectives. Also, it might be difficult for line managers to play two opposing roles of assessor and coach. Moreover, line managers are not specialists in HRD and may lack confidence, knowledge and organizational support to assume the responsibility for HRD. Senior managers must be highly supportive in HRD role of line managers and an incentive system should be developed to motivate them. Furthermore, acting as a HRD facilitator demands a coaching management style, as opposed to a directive management style. Lack of coaching skills and insufficient line management motivation for this role is reinforced by findings that the least popular HRD delivery mechanisms include coaching and mentoring. This may be due to the large commitment of time and resources needed, yet these methods have consistently been emphasized as critical contribution to SHRD (Garavan, 1995). It is important to emphasize here that the devolvement of HRD activities to the line does not mean that traditional HRD function should vanish or be abolished. It is about increasing the role of line managers in HRD, but not about taking over the HRD function from the specialists. There is little reason to believe that line managers can be better developers than specialists’ trained in HRD (Gibbs, 2003). The role of HRD specialists is also changing. HRD specialists are liberated from routine administration and can focus on strategic and change management issues. They should be recognized as HRD advisors instead of merely HRD providers. This calls for a partnership between line management and HRD specialists. HRD specialists should be able to offer regular support to line managers helping them to analyze performance problems, assess learning needs, develop individual learning plans and develop their own coaching skills (Garavan, 1999). Conclusion The consensus of the above discussion indicates that all line managers are indeed HR managers and it is critical that they hone there HR skills in order to be effective enough to get the best out of his or her subordinates. However it is also important to keep in mind that a balance should be maintained between these HRD responsibilities and the other day to day responsibilities of a line manager. References Personneltoday personneltoday. com/articles/2008/03/07/44780/hr-and-line-managers-speaking-line-managers-language. html

Tuesday, March 3, 2020

3 Sentences with Disguised Subordinate Clauses

3 Sentences with Disguised Subordinate Clauses 3 Sentences with Disguised Subordinate Clauses 3 Sentences with Disguised Subordinate Clauses By Mark Nichol In each of the sentences below, a phrase that supports the main clause of the statement but should be distinct from it lacks an essential element that identifies it as a subordinate clause: a comma separating it from the main clause, thus obscuring the subordinate clause’s function. A discussion, followed by a revision, explains the solution to each sentence. 1. A hillside above the highway gave way showering the roadway with rocks. â€Å"Showering the roadway with rocks† is a subordinate clause describing the consequence of the hillside giving way, so the phrase should be set off from the main clause with a comma: â€Å"A hillside above the highway gave way, showering the roadway with rocks.† 2. The only way you survive is you continuously transform into something else. The transition from is to you seems awkward because there’s no grammatical continuity; in proper speech or writing, one simply does not use those two words consecutively. The solution? Because â€Å"The only way you survive is† is a subordinate clause, set it off from the main clause with a comma: â€Å"The only way you survive is, you continuously transform into something else.† Alternatively, insert the transitional pronoun that between the words, converting the subordinate clause into an integral part of the main (and only) clause: â€Å"The only way you survive is that you continuously transform into something else.† (Or revise the sentence to â€Å"The only way to survive is to continuously transform into something else.†) 3. Product defects that create a public health hazard will eventually be exposed to the light of day in the public arena and, when they are, the company pays the price. At first glance, this sentence may seem correct: An apparent parenthetical, â€Å"when they are,† is introduced into the sentence after the conjunction, seemingly modifying the phrase â€Å"the company pays the price.† But that concluding phrase is an independent clause- a grammatically complete statement that could stand on its own as a separate sentence- and â€Å"and when they are† is not a parenthetical, but a subordinate clause associated with it. Therefore, a comma should precede, not follow, the conjunction and, separating the two independent clauses. However, the second comma remains where it is to separate the clause subordinate to the second main clause: â€Å"Product defects that create a public health hazard will eventually be exposed to the light of day in the public arena, and when they are, the company pays the price.† (â€Å"When they are† may appear to serve both as a subordinate clause and as a parenthesis, but it is essential to the sentence, pertaining to the catalyst for the company’s comeuppance, so it cannot function in the latter role.) Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Grammar category, check our popular posts, or choose a related post below:50 Synonyms for â€Å"Leader†Anyone vs. EveryonePeople vs. Persons

Sunday, February 16, 2020

You will be analyzing the lateral pass in rugby and the spike in Lab Report

You will be analyzing the lateral pass in rugby and the spike in volleyball - Lab Report Example The environment does not, therefore, affect the skills and movements are based on a set of patterns. In addition, the performer is conversant with what exactly he or she is doing and when. On the other hand, spiking in volleyball is based on an open skill classification. This is because when the environment changes constantly during the game, one has to continually adapt the movements. Skills such as a lateral pass in rugby are externally paced and predominantly perceptual. On the other hand, closed skills take place in a predictable as well as a stable environment (Payton 36). The overall performance objective is the ultimate goal that must be achieved with any kind of sports by the respective players. The Overall Performance objective for a lateral pass in Rugby is an accurate projection with speed, while that of spike in volleyball is a projection with accuracy (Ashby and Heegaard 289). a) To describe body segment motions in the rugby lateral pass, there is a lever action in the elbow and a wheel-axle movement on the shoulder. On the other hand, the spike in volleyball, there are 2 wheel-axle movements, in the shoulder and in the wrist, while a lever motion takes place on the elbow (Payton 76). b) In rugby lateral pass the sequence is transverse flexion at the shoulder, elbow extension, and wrist extension. The starting position is when the player is holding on to the ball and has squared his shoulders towards his ankles. On the other hand, the Volleyball spike-analysis of body segment movements is complex. These movements involve the take off phase as well as coordination aspects during flight phase. The most commonly preferred spike position is position four against diagonal spikes. The flight angle of the ball is also considered while the jump height is essential for the success in volleyball spikes. In addition, body segments contribute in a sequential manner from proximal towards distal in order to increase the

Sunday, February 2, 2020

Managed healthcare Research Paper Example | Topics and Well Written Essays - 750 words

Managed healthcare - Research Paper Example errors have been attributed to various factors including miscommunication, bad handwriting, and confusion in names, poor packaging, and other dosing unit errors. In most cases, the errors occur because of several complex factors throughout the health care system generated by both healthcare providers and patients. For example, we all have, at one time or another scratched our heads trying to figure out what a physician wrote on the prescription note. In this regards, the health information technological systems (HIT) have been introduced into the clinical setting to prevent and minimize medication errors occurrence but the menace â€Å"medication errors† still remains as a major problem and a danger to patient’s safety in the clinical care setting. One great milestone in the health care delivery and management system was the introduction of health information technology (HIT) to clinical care setting. An example of such solutions is the computerized physician order entry (CPOE) system, which has marked a great milestone in healthcare delivery. Despite such improvements, statistics still indicate a worrying trend in medication error incidents (Chaudhry et al., 2006). Looking at a report by CDC in 2010, it showed that more thanâ€Å"700,000 emergency department visits and 120,000 hospitalizations were due to adverse drug events (ADEs) annually†. In 2005, the report given by CDC on death and hospital mortality rates indicated medication errors as the sixth leading cause of patient mortality, eight years down the line in 2013, medication errors was identified as the third leading cause of patient mortality (CDC, 2005, 2013). This can be attributed to lack guidelines, measures and policies to enhance the utilization of the s ystems as well as lack of the relevant information of the associated benefits with HIT systems utilization. Medication errors is a current issue in healthcare delivery and management that needs to be addressed with great care and concern. The

Saturday, January 25, 2020

Eleven Minutes Written By Paul Coelho Summary English Literature Essay

Eleven Minutes Written By Paul Coelho Summary English Literature Essay Once upon a time there was a prostitute called Maria. The novel Eleven Minutes is about a young adult named Maria who finds herself through travelling around Europe in order to achieve her dreams to become famous. Although this was not what she achieved she found love even after she was certain she will never find true love. Maria experiences what she thinks love is at a very young age. From the age eleven she fell in love with her neighbour and hated him when he didnt love her back, she then had many boyfriends and experienced the depths of relationships until she decided she didnt need a boy and promised to never fall in love again. At the age nineteen she decided she wanted to pursue her dream and persuaded her boss for a week holiday. After travelling to Rio de Janeiro she met a Swiss man who offers her work as a Samba dancer in a nightclub in Geneva. Realising dancing was not her passion, she quit the job and searched for work as a model but found herself being offered money for one night with an Arab man. This night led her to the brothel, Copacabana in Rue de Berne where she began work as a prostitute as she enjoyed the easy money and the way she got it. Here she worked many nights but only befriended one colleague, Nyah, as many other women saw her as a threat to their profession. The dehumanizing profession caused her to shut out her body and mind to any connection with love and her life now revolved around something that took eleven minutes which was the time Maria found that was actually spent having sex. As Maria only worked at night, she spent her days at the library, befriending the librarian and taking out books on many different subjects such as how to learn French, books about sex and farm management. She also explored the city which led her to the Road to Santiago where she meets a Swiss painter, Ralf Hart. Hart as a painter, loved her light that she gave off and asked if he could draw a portrait of her. This encounter caused Marias body and soul to become reintegrated because of the love and passion she shared with him although they first argue and he disrespects her profession. One particular client however, enabled her to experience pain yet reach a sense of pleasure from sex known as sadomasochism. This brought her to realise that pain and pleasure can relate. Although she experienced this, she didnt tell Ralf Hart and one day he introduced her to a different sense of pain that helped her to travel beyond any other pleasures. After several meetings with Ralf Hart, often at his house they shared something she didnt share with any other clients. She fell hopelessly in love with him as he brought her to rekindle her soul as it was only destroyed from her profession. Maria then felt she needed to leave Rue de Berne because of her feelings and travel home to her family regardless of the fact that if she worked for just six months longer, she could have given her family everything they desire. She then buys a ticket to Brazil, disappointed that she hadnt filled her suitcases with souvenirs as she has wished. Before travelling back home she wanders around the ci ty grasping the concepts, saying goodbye to those she had grown close to. During this time, the reader begins to learn about the librarian as Maria listens to what she has to say after she has read many books about sex after ordering them for the library. The librarian explains her life to Maria and although Maria does not know what to say, she simply listens and allows the librarian to express herself. However, Maria does ask if she had ever had an affair and although she did, she never told this to Maria. In the evening saw Ralf for the last time, or at least what she thought would be the last time as the love they experienced with each other brings them closer than past relationships. Ralf Hart becomes the hopeless romantic and meets Maria in the airport and the words The End appear on the cinema screen. Narrative Style This novel is written in third person singular with an omniscient style but however shifts to first person singular when Maria writes in her diary; She grew prettier and prettier, and her sad, mysterious ways brought her many suitors. and Everything tells me that I am about to make a wrong decision, but making mistakes is just a part of life. What does the world want of me? This therefore indicates that there is an epistdary style to the novel as Marias thoughts are shared through diary entries. The pronouns he and she are frequently used and characters are continuously addressed by their names. The novel is also written with an intrusive style; But if, one day, someone should decide to tell her story, she would ask them to begin it with just as all the fairy tales begin: Once upon a time. Character Analysis Maria: is an independent, selfless young lady who dreams of success which she will go out of her way to achieve. This is shown through her determination and even during her self-destroying profession she longs to achieve her dream she had since she was a little girl even though this is achieved through an adventure which causes her to change from being the innocent young girl she was. Maria is caring woman, this characteristic is portrayed through her nights with many clients as she not only gives them sexual pleasure but she also relieves them of their problems by discussing their life problems and situations. She is also a friendly lady as although Ralf Hart first offends her profession she still continues to talk and resolve the tension which then leads to a friendship and then a relationship. Her friendliness is also shown through her relationship between the librarian and her work colleagues although they see her as a threat. Maria is also devoting as she spends the money she pe rsonally earned on her family in order for her family to succeed in life by buying a farm for her family. Language Diction Eleven Minutes is a descriptive novel that uses informal language often including language commonly used amongst many people. There are many conversations in the novel between the characters, especially dialect between Maria and her sexual clients as well as between herself and Ralf Hart and Maria and the librarian. Techniques of creative writing are used such as personification; Geneva would just be the face of a man she loved and whom had loved her. There are also quite a few rhetorical questions which emphasize the situation and allow the reader to become involved with the situation in the novel. Several long sentences are used to describe feelings or objects; She was beginning to realise that after long months of self-control, the pressure, the earthquake, the volcano of her soul was showing signs that it was about to erupt, and the moment that this happened, she would have no way of controlling her feelings. Short sentences are also used to make an impact and emphasize the meani ng, for instance; She was terrified. Imagery The imagery is evident throughout the novel because all stimuli are aroused. Tactile imagery is evident when Maria sleeps with many different men because of her profession. The novel is very descriptive when Maria and Ralf Hart discuss their sexual relationships and when he seeks her as a customer; Maria felt Ralfs hand on her waist, his cheek pressed to hers and the music Thank God was too loud for them to talk. This description of Ralf and Marias encounter therefore links to auditory imagery as one can imagine the sound of the music around them. There is a sense of smell when Ralf caresses Marias face with his fingers; she can smell just a hint of ink on them, a smell that will stay there forever, even if he washes his handsà ¢Ã¢â€š ¬Ã‚ ¦ Visual imagery is foreseen throughout the novel when Maria enters the church before leaving back to Brazil. The novel explains traditions of a church; splendid stained-glass windows and empty cross; she was confronted not by an instrument of to rture, by the bloodied body of a dying man, but by a symbol of resurrectionà ¢Ã¢â€š ¬Ã‚ ¦ Taste imagery is evident when Maria has experience with a variety of foods, in Brazil she can only afford sandwiches and occasionally restaurants however, in Switzerland she eats more extravagantly and dines at more expensive restaurants after she is employed at The Copacabana. Themes The theme of discovery, pain and loneliness is evident throughout the novel as Maria had to experience pain throughout her life in order to discover her true self. Loneliness is shown through the novel as Maria was lonely and her soul and mind was lost in order for her to continue with her difficult career choice. Discovery also relates to this as she discovered herself from having made love with Ralf Hart and she began to feel much happier and realise that she had found love and that her soul was rejuvenated. The theme of sexual relations is represented deeply throughout the novel as Maria is a prostitute and has many sexual relationships throughout the novel because of this. Sex in the novel is a very dominant theme especially when Ralf Hart helps Maria to discover that sex is sacred and goes beyond ones soul. This theme may link to love and romance as Maria falls in love with Ralf Hart and they begin a relationship together after she flies home from Switzerland to Brazil. Setting This novel has various different settings which all motivate the novel in various ways. Whilst Maria is a young girl, the novel is set in Brazil in a secluded town. At nineteen she travels to Rio de Janeiro, a famous city for its carnival celebrations and many dances. These two scenes encourage the novel because as a young girl her parents are poor and as she begins to travel she wants to earn a decent salary to be able to support her family. As a young girl Maria also dreams to have the typical lifestyle and a glittery life and by moving from a secluded area to a populated town, Marias dream is truly reflected. The novel then takes the reader to Geneva in Switzerland then to Rue de Berne, down town from Geneva where sadly she becomes a prostitute but meets Ralf Hart. Genre The genre of Eleven Minutes is romance because of the relationships between Maria and her clients. Although Maria didnt fall in love with her many clients, she fell in love with a man who had occasionally entered The Copacabana and then paid for a night with her. The two endured sex and love and experienced what is called sacred sex in the novel. The genre could also be true life drama as the story line is based on a persons life but is altered in ways so that it isnt simply a biography. I say this because Maria experiences prostitution that is portrayed through everyday life although it is often not spoken about. Aspects I liked I enjoyed the fact that Maria finally realised that prostitution was not the way she should live her life and that although after another year she would have earned enough money to pursue her lifelong dreams and give her parents the life they had dreamed of, she left Geneva in order to live her life a better way. The novel also helped me to gain insight that there is a different side of earning a living and that prostitution is a settlement that young women make. I also enjoyed the fact that Ralf Hart went through effort in order to please Maria at the airport. It was the typical tender moment that every hopeless romantic will love. Despite this, I didnt enjoy that the novel ending in this way as I felt that the ending was a clichà © in comparison to the novel. I feel that the reader is able to imagine the ending before actually reading it which spoils the novel as it involves deep discussion about prostitution but then changes to a typical romance. Recommendations I would recommend this novel to any high school child that is sophisticated and mature to read about sexual relationships and prostitution. The novel is very open regarding the subjects sex and love and defines that sex without love is of no use. Saying this, I would specifically recommend this novel to teenage girls over the age of 17 because the theme, prostitution can be offensive to those who do not have an open mind. The novel discusses prostitution which is not an everyday topic although it can be a part of everyday life for certain people and it involves deep descriptions about sex and the discovery of sex in different ways. I would also recommend this novel to a woman who feels that they were once just a sexual object for men as the novel suggests female sexuality although it is explained through prostitution.

Friday, January 17, 2020

Changing Landscape of Health Care Essay

Unless you have been living on another planet somewhere, the changes in health care taking place in this country have become hard to ignore. With all the debate over recent health care reform, it is sometimes difficult to know who is right, and who is wrong. How can there be such a wide gap in opinion on â€Å"Obama care†? How are these reforms changing the landscape in health care, and how are we to survive these changes? To begin, let’s look at how all these changes began. The Patient Protection and Affordable Care Act The Patient Protection and Affordable Care Act was passed in the senate on December 24, 2009. It passed in the house on March 21, 2010, and was signed into law by President Obama on March 23rd, 2010. It was then upheld in the Supreme Court on June 28, 2012, and the landscape of health care has been changing ever since. Few would argue that health care reform was needed, as the cost of health care had been out of control for some time in this country. However, many in the health industry feel that although the intent may have been honorable, the repercussions of reform-compliance is wreaking havoc in the health care industry and may lead to even further problems. The Trickledown Effect Most of the issues surrounding the changing landscape of health care are a direct result of health care reform. Changes in legislation have produced a trickledown effect, beginning with the small rural hospitals. For example, one such opinion is expressed by Dr. Scott Litten in a blog on the website Physicians Practice, where he states: While the intent of the ACA was good, the aftershocks [of the passage of The Affordable Care Act] are changing the very way we practice medicine. Small  hospitals in rural areas will be the first ones to enact changes. Reimbursements are not increasing and the new penalties that hospitals across the nation face for readmissions within 30 days, the decreasing numbers of actual admissions, and the increasing numbers of outpatient observation admissions are forcing all facilities to lay off personnel and decrease services provided. Coupling this with the fact that fewer patients are coming to doctor’s offices for services produces a very steep decline in revenue. (Litten, 2013). According to Dr. Litten, this decline in revenue is just the tip of the iceberg. Businesses are facing a similar problem. Insurance premiums are rising, forcing employers to pass this cost on to the employee, making it more expensive each time they receive health services. This in turn discourages trips to the doctor’s office, and the cycle is repeated. Contributing to this decline, Medicaid also has been slow to increases coverage, forcing many practices to no longer accept Medicaid patients. Dr. Litten believes the changes practices are facing have produced a perfect storm for our healthcare industry. And to top it all off, the sluggish economy is causing everyone to cut back on regular spending, which has a trickledown effect on medical practices and hospitals alike. He further sees no change in these effects in the near future, and believes physicians will continue to struggle with how to provide quality health care with less resources. The Wide Gap in Opinion Prior to the passage of the Affordable Care Act, most Americans would have agreed health care reform was needed in this country. However, the wide gap in opinion on whether â€Å"Obama care† is a good or bad thing seems to center on how this legislation may lead to an even greater problem: government controlled health care. One anonymous physician blogger put it this way: â€Å"The Affordable Care Act was nothing more than a huge power grab by the government, the Executive branch in particular. All of the resulting chaos is planned, which will ultimately force out private insurance and thereby establish a single payer system (government) with physicians becoming part of the public service union. When that comes to pass, I’ll retire or maybe set up a â€Å"boutique† practice working 2-3 hours/day; 2-3 days/week for the  patients who can afford it. My selfish concern is: who will be there to take care of me when I need it? Fortunately, I will be in a position to pay for a concierge doctor. Welcome to British style medicine. (Anonymous, 2013). Even advocates of â€Å"Obama care† express concern that nothing in it addressed malpractice costs and tort reform, economic price feedback loops, or increased responsibility on behalf of the consumer. Another blogger states â€Å"It, [The Affordable Care Act] means more people are eligible for subsidized coverage which will add to the long term deficit issues and healthcare costs unless other changes are made.† (Litten, 2013). These issues, along with others that may arise before full implementation of The Affordable Care Act are realized, will need to be addressed if we are indeed to be successful in attaining affordable health care for all Americans. Adapting to Change How are we as an industry and a people to survive these changes? Mark Twain once said â€Å"It’s not progress that I mind, it’s the change I don’t like,† and the same can be said of the health care industry. People in general are opposed to change, especially when they do not have a good understanding of the issues. But â€Å"Obama care† is here to stay, and understanding the intent, specific benefits, and potential for positive reform is the first step in adapting to these changes. We have the ability to research and investigate the many options available to us as both consumers and providers of health care. Knowing what health care reform means on a personal level as well as a business level will not only help us understand and adapt to health care reform, but we may also find that there are many way this reform may indeed work to our benefit in the long run. References Litten, S. J. (2013, May 24). Health Care Reform is Changing the Landscape in Medicine. Retrieved from Physician Practice Web site: