Describe a clinical situation where you were concerned (e.g., a higher incidence of falls, infections, errors, etc.) and where decisions were made to improve the situation. What sources of evidence were utilized to make the decision (e.g., personal experience, expert advice, etc.)? Looking forward to our first discussion together!
In our discussions this week we will be identifying clinical situations that made us stop and wonder: Why did that happen? How do we fix it? Where do we start? In those situations we see the immediate action taken to address the concern. Ask yourself this: How did this system of response or decision made to improve the situation come to be?
This paper will examine the federal government shutdown of 2013 it’s causes and effects, the perpetrators, and the lasting ramifications present today. With another government shutdown always on the rise in American politics, it’s important to analyze the ramifications and foundations for a shutdown. The drafting of the Patient Protection and Affordable Care Act (Obamacare) created a toxic political environment resulting in Tea Party members insisting on a government shutdown to “work out” the kinks of Obamacare and democratic congressman being defiant in protecting the signature Obama era legislation. More than Democrats, Republicans were negatively affected by the shutdown including most of the United States putting blame on solely Republicans or a combination of both parties. The shutdown directly and indirectly affected many Americans for more than weeks and costed the U.S. billions of dollars. It is hoped that this will help America learn from its mistakes and not opt into another government shutdown yet again. Keywords: Republicans, Democrats, Obamacare, insistent, shutdown From October 1 through the 16th of 2013 the United States federal government shutdown as neither legislature appropriated funds for the following fiscal year of 2014. Regular working government resumed October 17 due to an interim appropriations bill being signed into law. During the shutdown, roughly 800,000 federal employees were furloughed for an undetermined period of time. Plus, an addition 1.3 million employees were required to report to work without knowing when they were to be paid. The shutdown lasted 16 days and was the third longest government shutdown in U.S. history, behind the 1978 18-day shutdown and the 1995-1996 21-day shutdown. The financial backup was created when the two chambers of congress were not successful in agreeing to appropriate funds for the government. Congress failed to come to an agreement on a budget after Republican lawmakers in the House of Representatives began pushing to defund the Patient Protection and Affordable Care Act also known as Obamacare. Unsurprisingly, the senate led by the Democrats, and the Obama administration rejected the propositions and the dead lock led to the government shutdown. Congress has a key duty enamored in the Constitution, to pass spending bills that fund the government. If it doesn’t, most functions of the government halt; services like Social Security, air traffic control and active military pay will be funded. Let’s not forget that Congress gets p>GET ANSWER