writing research report and note cards
Holguin 1
Holguin 2
Lucia Holguin
Deva
1302-51008
29/10/2018
Notecards: 20 Quotes
1. “Since Medicaid pays for only about two-thirds of the usual fees that health providers expect, it is likely that services are not as readily available to Medicaid recipients as they might be” (Kenny 109).
2. “These gaps are likely to continue into the future, given the trade-offs that many states have had to make to exchange state dollars for maternity services with state dollars for Medicaid expansions” (Strobino 288).
3. “The demand for prenatal care at their clinics, the administrators say, stems in part from the growing tendency of physicians to close their obstetrics practices because of high malpractice insurance rates and to refuse to accept Medicaid patients because of low reimbursement rates” (Donovan, 128).
4. “Several administrators note that a pre- natal program can enhance the public image of a clinic and, if the clinic also offers abortion services, help deflate charges leveled by right-to-life groups that the clinic encourages pregnant women to have abortions” (Donovan, 127).
5. “All clinics have made arrangements with a private obstetrician or with staff physicians at a local hospital for them to see each prenatal care patient at least once-and usually twice-during her pregnancy” (Donovan, 128).
6. “Poor rates of participation in prenatal care reveal that the American maternity care system is fundamentally flawed, fragmented and overly complex, particularly for low-income women, women who are uninsured or underinsured, teenagers, inner-city and rural residents and newly arrived immigrants” (Brown, 79).
7. “First, there are not always enough health department clinics, community health centers or similar facilities in every community to provide prenatal care to those unable or unwilling to use the private health care system, and the waiting time for appointments in facilities that do exist is often long” (Brown, 75).
8. “It could be argued that the stresses and constraints of living in poverty and the inner city not only affect some fetuses adversely (via variables not available for analysis, such as consumption of an inadequate diet, smoking, drinking, drug abuse, and other mechanisms as yet unexplored), but also affect maternal motivation to seek prenatal care” (Gortmaker 656).
9. “There appears to be a U-shaped association between recommended visits received and low-birthweight rates; both women with Inadequate ratings and those with Adequate Plus ratings had increased low-birthweight rates” (Kotelchuck, 1487).
10. “Their high proportion of low-birthweight births should make us somewhat sanguine about proposals to improve US infant mortality rates that simply recommend more prenatal care visits generally or for high-risk women only” (Kotelchuck, 1488).
11. “Prenatal care is one of the most widely used preventive health care services in the United States” (Alexander, 307).
12. “The most recent study of trends in health insurance among American women showed an increasing rate of uninsurance, growing from 11.7% in 1980 to 18.2% in 2005 among women ages 25 to 64” (Kozhimannil, 136).
13. “Income eligibility levels for pregnant women are determined by states and have generally remained steady or increased slightly over the past decade. Eligible women are required to enroll in Medicaid to receive benefits, and some states have recently created policies to simplify enrollment procedures for pregnant women” (Kozhimannil, 139).
14. “However, the number of states that have increased outreach efforts and/or offered enhanced maternal benefits packages has declined slightly since the 1990s” (Kozhimannil, 139).
15. “Only 56 percent of the respondents said they received all of the recommended procedures in the first two visits, and only 32 percent of the respondents said they received advice in all of the areas” (Kogan, 637).
16. “There is scant literature on the relation between ethnicity of the practitioner and patient satisfaction, although it is sometimes suggested that obtaining care from practitioners of one’s own ethnic back- ground may be desirable because these caregivers may be better able to deliver culturally competent care” (Handler, 692).
17. “Another way to improve prenatal care is to identify practices, the benefits of which seem suspect or uncertain, and to try to answer these questions by doing research” (Hemminki, 209).
18. “The costs of the care may be an important factor in determining which source of care is sought, and perhaps when and how often visits are made. Thus, maternity benefits beyond basic health insurance may be necessary” (Hemminki, 344).
19. “The report also notes that Medicaid eligibility expansion does not guarantee that providers are available, able and willing to offer the medical and psychosocial services that pregnant women need, in ways that are convenient and acceptable to them” (Witwer, 35).
20. “The Maternity and Infant Care Projects, initiated by the federal government in 1963, often involved opening clinics where none existed or expanding existing facilities, so they could accept more indigent patients” (Brown,179).
LUGO 1
LUGO 3
Diana Lugo
Profesor Deva
ENGL-1302
10/22/18
Research Report
The topic I chose to do my research paper on is a subject that is not freely spoken about in the states. It’s on whether or not the United States is truly democratic. With this being said, I am planning to use current and unconventional ideas to convey my position. Such as, researching Russian meddling, totalitarian elements within the government, and comparing U.S laws to dictatorships around the world. I’ve concluded that our nation is not the as perfect and heavenly as we describe it to be. The reality is the United States, ironically, has contributed towards many of the actions they’ve condemned in the past. Like, putting in place legislation for personal gain, the act of getting rid of multiple ethnicities in the name of “peace”, and finally the discreet collaboration with Russia. In all, the more we dive deeper within the walls of the government, we are awoken to the truth. Which is the United States in theory is democratic however, there are elements of totalitarianism within our society that should be brought to light.
To begin, my research topic is centered around the idea of whether or not the United States is truly democratic or are we seeing a gradual change in characteristics that will end up being catastrophic. When researching I found various articles that believed the U.S is not the nation we make it out to be due to the Electoral College. To clarify, the Electoral College is subgroup of representatives that vote on a President or Vice-President. The catch is that this group of representatives can overrule popular vote. To put this in perspective, in 2016 Hillary Clinton won the U.S popular vote but, Donald Trump won the electoral college. Thus, he is now president. Ultimately, we know that this is unfair towards the masses. Therefore, I decided not to go with the mainstream answer towards this prompt. I wanted to push the boundaries of what is acceptable to say about the government. As a result, I was able to find elements of totalitarianism within the nation. In my research I’ll demonstrate the similarities between Nazi Germany and various actions taken by President Roosevelt, Clinton, and Trump. Along with the horrible conditions Latin America and the middle east was left with due to America’s involvement, which they did in a effort to spread democracy.
As with everything controversial, this topic has two sides of the story. In particular, there is a strong urge to terminate anything that is not related to western traditions. Especially, if the subject matter is closely related to the 1930’s and 40’s Nazi Germany. Keeping this in mind, one of the biggest reasons for denouncing this form of government is because totalitarianism has been proven not to work. For example, we’ve seen USSR, Mao Zedong, and Hitler all fail miserably in there efforts to construct a totalitarian government. To make matters worse, after the democratization of these countries corruption was wide spread within the land therefore, democracy failed. To this day we’ve not seen the complete transformation of Russia whose government is claiming they are following democratic rules but, this is the same country whose president has been serving in office for 10 years and has government owned television along with censorship of the media.
With all this being said, some people say that switching over towards a dictatorship would be beneficial to the country. In all honesty, there were not many arguments favoring this type of transition. Nevertheless, the articles I did find and read argued that the U.S democratic system will ultimately come to an end due to its constant racism, uneven wealth distribution, and over arching patriotism. Hence, the idea that totalitarianism could be savior the United States since it does not have classism which would “theoretically” solve racism therefore, ending the unfair distribution of money. Furthermore, another explanation for switching political systems is that the birth of democracy was totalitarianism. It’s for this reason many Americans are rooting for their return to its original government. In all, the arguments for totalitarianism is based on a hypothetical ending of racism, social classes, and a closing of the wealth gap.
To conclude, my research report is consisting of various examples of current and past events. My goal is to unveil a new way of perceiving the United States. Personally, I’ve come to the conclusion that the U.S is a democracy, on the surface level. However, when diving deeper into the semantics of the government’s whereabouts we can see Americas true colors unfold before our eyes. Due to the facts given to me by the databases. In the end, it is up to the audience to decide what to believe about the nation.