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A majority of the data is in graphical form, forcing the user to interpolate from the plots to get numerical data. However, each material has numerical data listed for room temperature properties. Mechanical properties tend to be stated in english units. Sources of the data are cited.
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The compilation of essays begins with an introduction describing just how inefficient the governmentâs second largest entitlement program has become. According to government actuaries, Medicareâs ability to cover hospital funds will expire in 2015. This expiration has major implications considering that the program covers and estimated 39 million elderly and disabled persons, according to the book. Furthermore, as the baby boom generation ages into its retirement years the number receiving care will grow substantially and that is not taking into account the rising costs of health care. Judging by this information alone, it becomes apparent to the reader that something must be done. Yet what?
In the first essay, Joseph Antos and Linda Bilheimer outline the differing policy changes that could be possible solutions or at least the very least corrections to the program as it works presently. To correct the problem, they explain, either requires reducing the costs or improving efficiency. Efficiency is achieved when the marginal cost of producing an additional unit of care is equal to the additional unit of care that the patient receives. They then group the solution into three categories; ones that reduce costs without improving efficiency, ones that reduce costs and improve efficiency, and ones that simply restructure the way Medicare is financed. After describing all these policy changes the authors note a pathetic truth. None of the policy changes they outlined have even been looked at by congress â" even after, congress passed the Balanced Budget Act of 1997, which was intended to address this exact point. By the end of the second chapter it becomes frightening clear to the reader, if it had not already, how bad Medicare is functioning.
The remainder of the essays expand on the ideas put forth by Antos and Bilheimer, but also go further in asserting the idea of fairness. By fairness the authorsâ mean the disparities between the rates of return for high-income individuals compared to those with lower incomes. Due to their higher tax rates, the richer see a lesser return in health care from the government. Mark Pauly, a professor in health care systems, says this problem is due to the politics of Medicare. If a courageous politician took a stance and said that those who paid more should receive better benefits, then he or she is vilified as being indifferent to the plight of the needy. Conversely, if a politician declared that the wealthier members of society should pay more money for the care of others, then he or she loses support from those higher income earners.
Medicare in the Twenty-first Century: Seeking Fair and Efficient Reform takes a critical, unbiased look at the situation Medicare is faced with today. The authors seek innovative policy changes to the second largest government entitlement program. But after reading the collection of essays and the mountain of difficulties their policies would have to surpass to be implemented, it seems Medicare is not likely to escape from its current crisis situation.
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The one disappointment in Morneau's critique is his use of Jessica's poem "Leftovers," about the Multiplication of Loaves and Fishes, as an excuse to peddle the rationalistic pabulum of miracle-debunking. The twelve baskets are "merely symbols of God's extravagance and bounty." Or perhaps the miracle is that Jesus encouraged otherwise uncharitable people to turn over a new leaf and start sharing their goodies. Presumably, the Galilean crowd was "hiding fish sandwiches up their sleeves" (in Benedict Groeschel's tart phrase)!
But our disappointment in Bishop Morneau for his Jesus-as-Bob-Geldof take on the gospel is momentary; we soon redirect our attention to the charm of Jessica's poetry -- holy without being pietistic, formal without being stiff, lyrical without being sappy. It is fresh and alive. And to be fair to His Excellency the bishop, his love of poetry is contagious, and his comments for the most part apposite.
We cannot neglect to mention the splendid artistry in the collages and other pictures of Joseph Karlik, nicely enhancing the poetry of this book without overwhelming it. At times, Karlik's artistry is more inspiring than the bishop's exegesis.
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The infomation given is presentd well, especially for students (such as myself) studying McCarthy and the Red Scare. Neverthelss, you won't find yourself bogged down in a tide of historical phrases that leave you confused.
If there is one bad thing about this book, it would be that it is too easy to get into, and incredibly hard to put down again.
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I only wish it contained more words.
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To give Karl his due, he does allow as how "The Secret Sharer" is "one of Conrad's best." But his criterium misses the mark when it comes to the multi-demensionality of the narrative. He states that as far as its "suggestiveness, it is paradoxically, one of the most straightforward and obvious works. Its narrative is a model of clarity, like those uncomplicated narratives "Youth," and "The Shadow Line." In other words, if one accepts Karl's reading, "The Secret Sharer" is the kind of "traditional" text that Roland Barthes calls "sterile," since it becomes "wholly predictable and obviously intelligible" - a sophomoric tall tale easily digested and expunged in countless high school English classes from now 'till doomsday.
I could also expound from now 'till doomsday why this is justifiably not the case and that "The Secret Sharer," like its counterpart "Heart of Darkness," are in fact fraught with meaning and enigmatic depths. Both offer rich lodes of symbolism and psychological investigation, just as Conrad's other meaningful creations invite. To dismiss "The Secret Sharer" as a book for boys undermines and in fact almost torpedos an otherwise valuable treatise.
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As a child care specialist, I have been approached by people looking for help and information as they deal with relative care. Since I am not a therapist, this book provides a base of knowledge and has given me some insight on what referrals might be helpful for these individuals. Additionally, I will be recommending it to families interested in further in-depth information.
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