Adaptive Project Management Framework Assignment

Adaptive Project Management Framework - Assignment Example This framework is generally used for the projects whose objectives and goals are clearly stated. Basically the framework is an approach that restricted planning for things which are next to impossible. The adaptive project management framework is implemented in project management in order to bring quality business values (Highsmith, 2009, p.167). Moreover, this framework is intended to maximize the business value under specific time and estimated fixed budget. The adaptive project management framework is the structured decision making framework in the face of uncertainty. This framework helps to reduce the uncertainty level of project outcome through quick system monitoring and controlling. As it is based on learning process, it helps to improve the long-term project management outcomes. The study deals with the evaluation of implementing project framework approach in organization. Moreover the study will reveal the obstacles that are faced by organizations while adopting this framew ork. Finally the study ends with the solutions of the problems. Implementation of Adaptive Project Management Framework The project management methodology applied within organizations for the purpose of reconfigure the project management framework. Companies should change the current regulations and policies to successfully execute the adaptive project framework approach that administrate their internal processes.

Ethical Arguments Of Electronic Surveillance Information Technology Essay

Ethical Arguments Of Electronic Surveillance Information Technology Essay 1.1 Introduction In his dystopian masterpiece, 1984, George Orwell portrays a society in which government surveillance has become all too pervasive with nightmarish consequences. Even though Orwell never envisioned the advent of the internet and how it has become part of our daily lives, he understood the dangers of a culture of surveillance and much of what he wrote has become startlingly true. Indeed governments have moved on from traditional spying to electronic surveillance, thanks to the internet and other electronic forms of communication. Corporations too have jumped on the surveillance bandwagon, though for different purposes. This has led to ethical concerns, as illustrated in the case of the research firm Phorm. 1.2 Ethical Concerns that Could Arise Phorm is a company in the United Kingdom that developed software that allows it to monitor users online activities without their consent. This has legal ramifications as allowing such activities has caused the European Commission to investigate the UK for breaching rules pertaining to consent to interception of online transactions. However, the issue has an ethical dimension as well. Phorm has tried to justify its actions citing the benefits to customers and the companies involved. However, is it morally and ethically right for a corporation, no matter how innocent its purpose, to secretly monitor the activities of internet users without their consent? Do the advantages, both in financial and non- financial terms warrant this seeming violation of basic human rights? These are some of the ethical dilemmas posed by this case and they will be critically examined in this report. 1.3 Ethical Arguments in Support of Electronic Surveillance Corporate surveillance is a new form of surveillance by companies of people and groups. The aim is to collect data for marketing purpose which is used by the corporation itself or as in the case of Phorm, sold to third party corporations or the government (Brooks and Dunn, 2010). From the companys perspective, this is an excellent form of business intelligence as the data collected can be used to refine marketing strategies to reach the target audience. Direct marketing also employs online corporate surveillance as evidenced by Google and Yahoo (New York Times, 2007). Governments also make use of corporate surveillance data to monitor the activities of users and collect information to do profiling. The U.S. government has used this approach more often in recent years to track down terrorists, and this may be good in a sense. The ethical argument in support of this type of initiative is that it benefits various stakeholders. Electronic surveillance can improve marketing activities and this leads to more revenue which in turn benefit shareholders and the employees of the corporation that uses the services of electronic surveillance company data. Supposedly, when shareholder and employee wealth is maximized, it elevates the standard of living and thus, benefits society as a whole. True, customers are literally spied on but there is no physical damage done. Most customers are oblivious and what they do not know would not harm them. In fact, such improved marketing could even help them make better decisions when buying products and services since they will receive advertisements on things that interest them. These are some of the arguments that are used to support electronic surveillance by corporations. 1.4 Ethical Arguments Against this Type of Initiative To answer why corporate electronic surveillance is unethical and unjustifiable, we need to frame it in ethical terms. Let us look at it from the theory of consequentialism. Consequentialists are intent on maximizing the utility produced by a decision (Ermann et al, 1990). For them, the rightness of an act depends on its consequences. Consequentialism holds that an act is morally right if and only if that act maximizes the net good. In other words, an act and therefore a decision is ethical if its favourable consequences outweigh its negative consequences. Moreover, some believe that only the act that maximizes the net benefit of favourable minus the negative consequences is morally right or ethical. Philosophers also debate what consequences should be counted, how they should be counted and who deserves to be included in the set of affected stakeholders that should be considered (Brooks and Dunn, 2010). Therefore, corporate electronic surveillance is morally wrong because it does not maximize the net good. True, it may improve sales slightly if done in secret but if customers are aware that they are being spied on, they will feel violated and alienate the company altogether. Other potential customers may shy away from the company as well. In the end, such a move could seriously backfire and negatively impact shareholders. The net disadvantages dramatically outweigh the advantages. It is also illegal since such activities constitute a breach of international laws on internet privacy. Deontology is different from consequentialism in that deontologists focus on the obligations or duties motivating a decision or actions that on the consequences of the action (MacKinnon, 1998). Deontological ethics takes the position that rightness depends on the respect shown for duty, and the rights and fairness that those duties reflect. Consequently, a deontological approach raises issues relating to duties, rights and justice considerations and teaches students to use moral standards, principles and rules as a guide to making the best ethical decisions (Caroll, 1991). Deontological reasoning is largely based on the thinking of Immanuel Kant. He argued that a rational person making a decision about what would be good to do, would consider what action would be good for all members of society to do. Such an act would improve the well-being of the decision maker and the well-being of society as well. Kant began to search for an overriding principle that would guide all action an imperative that everybody should follow without exception, which could therefore be considered universal or categorical (Brooks and Dunn, 2010). His search led to what is known as Kants Categorical Imperative, which is a dominant principle or rule for deontologists. Kants principal indicates that there is a duty or imperative to always act in such a way that you can also will the maxim of your action should become a universal law (MacKinnon, 1998). This means that if you cannot will that everyone follow the same decision rule, your rule is not a moral one. As a universal principle, everyone should follow it. Moreover, the Golden Rule do unto others as you would have them do unto you would readily qualify as a universal principal (Forrester and Morrision, 1990). Using the same approach could yield a universal respect for human rights and for fair treatment of all. This can be best achieved by adopting the position that one must fulfil obligations or duties that respect moral or human rights and legal or contract rights (Flaherty, 1989). Furthermore, it can only he achieved if individuals act with enlightened self-interest rather than pure self-interest. Under enlightened self-interest, the interests of individuals are taken into account in decisions (Verschoor, 1988). They are not simply ignored or overridden. Individuals are considered ends rather than used as means to achieve an end or objective. Actions based on duty, rights and justice considerations are particularly important to professionals, directors and executives who are exp ected to fulfil the obligations of a fiduciary (Wartick and Cochran, 1985). In classical management, it has been repeatedly argued that the only fiduciary duty management owes is to the shareholders of a corporation. Thus, if activities are disadvantageous to customers, it does not matter. However, such thinking has gradually gone out of favour as corporations now realize the importance of embracing all their stakeholders (Freeman, 1984). Hence, electronic surveillance would be deemed enlightened self-interest in the old way of thinking but it is now regarded as pure self-interest. Companies that spy on customers are violating their privacy and show them no respect, which is a breach of duty of care . Electronic surveillance also goes against the Golden Rule so there is no deontological basis in support of electronic surveillance. From the above discussion, it is obvious that the arguments against electronic surveillance far outweigh those in support of it. For every argument in support, there are a few against it. Hence, corporations should stop it and use other methods that are more respectable, ethical and legal to gather marketing data. 1.5 Conclusion The ethical arguments in support of corporate electronic surveillance are scant and specious. At best, it leads to improved sales and happy shareholders but it severely undermines the basic principle of respecting the privacy of others. The right to privacy is a right to be free from certain intrusions. It is highly intrusive to have all of ones online activities monitored and used to create a database about the users likes and preferences, especially when the user is an unwilling party. From all ethical perspectives, whether utilitarian, deontological consequentialism, there is little or no basis in support of such activities. Task Two 2.1 Introduction To Phorm, its monitoring software may be a legitimate form of business. However, as a software developer, it must abide by the professional code of conduct regarding professional responsibility. The question here is whether there is a conflict of interest between its business activities and its professional responsibilities. 2.2 Conflicts with software developers professional responsibilities Software developing and engineering is a profession. As such, it has professional associations which like all other professional associations have their own code of conduct regarding professional responsibility. This is done to safeguard the reputation of the profession and to maintain the highest standards of ethics. Among the professional associations for software developers are AMC, IEEE, APEGBC and the Institute for Certification of Computing Professionals (ICCP). To be a member of these associations, one must abide by the respective code of ethics and professional responsibility. Failure to do so would result in suspension or revocation of license to practice the profession. The Software Engineering Code of Ethics and Professional Practice states that software developers should be committed to making the design, analysis, development, testing and maintenance of software a respected and beneficial profession and that all engineers should adhere to eight basic principles. Principle 6 relates to professional responsibility. This clearly stipulates that software developers shall advance the integrity and reputation of the profession that is consistent with the public interest. Among other things, a software developer should not promote their own interest at the expense of the profession, client or employer (6.05), obey all laws governing their work, unless in exceptional circumstances, compliance is inconsistent with the public interest (6.06) and avoid associations with businesses and organizations which are in conflict with this code (6.10). Based on this principle alone, Phorm has made many breaches of professional ethics. Monitoring software such as the one developed by Phorm goes against this professional responsibility code. In fact, this action goes against the interest of customers since it monitors their online activities without their knowledge. Similarly, such an action is inconsistent with public interest as it is morally, ethically and legally wrong for companies to do surveillance on the public without their knowledge (Flaherty, 1989). Phorm should know better than to conduct business that is in conflict with a professional code of conduct. Even though its software developers may not be members of this specific professional organization, they are sure to be members of other organizations which would have similar guidelines. Phorms actions also conflict with principle one of this code which concerns the public. It states that software engineers should act consistently with the public interest. According to paragraph 1.03, software developers should approve software only if they have a well-founded belief that it is safe, meets specifications, passes appropriate tests and does not diminish the quality of life, diminish privacy or harm the environment. Phorms monitoring software diminishes individual privacy. According to Warren and Brandies (1890), privacy can be defined as a right to be left alone. It is widely regarded that privacy is a basic human right. Phorms case is a good illustration of the problems concerning internet privacy. This is because while most agree that internet privacy must be protected, there is debate on the extent it should be protected. Should privacy protection be accorded to email usage or to websites visited as well? Privacy protection is a vital part of democracy but many countries in the world, most noticeably China, are not democracies and therefore have no qualms about seriously undermining internet privacy. Nevertheless, such arguments are mainly about the rights of governments to monitor the activities of citizens for the greater good, for instance protection against terrorism. However, in terms of corporate surveillance, laws and professional codes explicitly prohibit it. 2.3 Suitability of an established code of computer ethics or an ethical decision making model There are many professional codes of ethics such as the one mentioned in the previous section that helps professionals make ethical decisions. The problem is that they are general and not company specific. Also, some employees in a corporation are not members of a professional organization and therefore do not feel obliged to follow the guidelines stipulated by these organizations. For example, software developers may be against developing monitoring software, but if the CEO compels them to do so, they have little choice but to follow orders or leave the organization. To overcome this problem, each corporation should have its own code of ethics and ethical decision making model to make the right choice. A decision making model must be designed to enhance ethical reasoning by providing insights into the identification and analysis of key issues to be considered and questions or challenges to be raised and approaches to combining and applying decision relevant factors into practical action (Brook and Dunn, 2010). A decision or action is considered ethical or right if it conforms to certain standards. One standard alone is insufficient to ensure an ethical decision. Consequently, an ethical decision making framework should be designed so that decisions or actions are compared against four standards for a comprehensive assessment of ethical behaviour. The ethical decision making model assesses the ethicality of a decision or action by examining the consequences or well-offness created in terms of net benefits or costs, rights and duties affected, fairness involved and motivation or virtues expected (Paine, 1994). The first three of these considerations consequentialism, deontology and justice are examined by focusing on the impacts of a decision on shareholders and other affected stakeholders, an approach known as stakeholder impact analysis (Caroll, 1991). The fourth consideration, the motivation of the decision maker is known as virtue ethics (Pastin, 1986). It provides insights likely to be helpful when assessing current and future governance problems as part of a normal risk management exercise. All four considerations must be examined thoroughly and appropriate ethical values must be applied in the decision and its implementation if a decision or action is to be defensible ethically. There are three steps for making an ethical decision (Velasquez, 1992). Step one is identifying the facts and all stakeholder groups and interests likely to be affected. Step two is to rank the stakeholders and their interest, identifying the most important and weighing them more than other issues in the analysis. The final step is to assess the impact of the proposed action on each stakeholder group interests with regard to their well-being, fairness of treatment and other rights, including virtue expectations, using a comprehensive framework of questions and making sure that the common pitfalls do not enter into the analysis. These pitfalls include conforming to an unethical corporate culture, misinterpreting public expectations and focusing on short term profits and shareholder only impacts (Paine, 1994). It may be helpful to organize an ethical decision analysis using the seven steps outlined by the American Accounting Association (1993) (Cited in Brooke and Dunn, 2010). One, determine the facts such as what, who, when, where and how. Two, define the ethical issues. Three, identify major principles, rules and values. Four, specify the alternatives. Five, compare values and alternatives and see if a clear decision emerges. Six, asses the consequences and finally make the decision. 2.4 Conclusion The development and implementation of involuntary electronic monitoring, such as done by Phorm conflicts with software developers professional responsibilities. This is because no professional association of software developers would ever sanction the creation of software that violates the privacy of users and goes against the best interest of society. To overcome such a situation, each IT organization must have its own corporate code of ethics. This should compliment the professional code of ethics of software developers and serve to ensure the highest ethical standards. Yet it is not enough for a company to create a good ethics policy. Implementation is the hard part and high ethical conduct must flow from top to bottom and there must be zero tolerance for breach of professional ethics. It is only by instituting such strict policies that activities like monitoring users internet usage can be curbed.

Julius Caesar :: essays research papers

Julius Caesar was born on the thirteenth day of the month Quintilis in the year of 100 BC. His full name was Gaius Julius Caesar, the same as his father’s. Gaius was his given name and Julius was his surname. He was a strong political and military leader who changed the history of the Greco-Roman world. This paper will answer the following questions: What happened during his early political career? How did he become a strong dictator of the Roman Empire? What events led up to the making of the first triumvirate? What happened during his reign as dictator of Rome? What events led up to his assassination? Julius Caesar is probably the most famous leader in history. (Grant, table of dates p.1, and foreword p.xxi)When he was young, Caesar lived through one of the worst decades in the history of Rome. The city was assaulted and captured by Roman armies twice. First, in eighty-seven BC by the leaders of the populares. (Caesar’s aunt and uncle, Marius and Cinna.) Cinna was killed the year that Caesar married Cornelia. The second attack against the city happened in eighty-two BC. Marius’ enemy Sulla, leader of the optimates, carried out the attack. On each occasion the massacre of political opponents was followed by the confiscation of their property. (Fowler, p.24)Caesar knew that his public speaking needed improvement, he therefore announced that he was leaving to study on the island of Rhodes. His professor was the famous Greek rhetorician, Apollonius Molon. When he was off the coast of Anatolia pirates kidnapped him. They demanded a large ransom for his return. Caesar broke free from the pirates and captured a large number of them. He then returned to Rome to engage in a normal political career. (Grant, p.9-11)In the Roman political world Pompey and Crassus challenged the dominance of the optimates. Quintus Latatius Catulus and Lucius Licinius Lucullus led the optimates. Sulla was responsible for creating their careers. Caesar married Pompeia after Cornelia’s death. Then, in sixty-five BC he was appointed aedile. The aedile was in charge of the programs of the city such as games, spectacles, and shows. As aedile, Caesar gained claim to the leadership of the populares. (Grant, p.12)Before leaving Rome to govern Spain for a year, Caesar divorced his wife because of an allegation that she had been involved in the offense of Publis Clodius. Clodius was awaiting trial for breaking into Caesar’s home the previous December.

Ap Euro Review Packet

Ap Packet page 6 D. English Civil War 1. Political- One of the causes was Charles’s I unsuccessful attempt to arrest five members of Parliament, known as the Grand Remonstrance, on January 4, 1642. Another cause was who should have the power in the country and inflation forced up prices in all parts of Europe. An effect would be that England became a Commonwealth and a Protectorate. Parliamentary supremacy was another effect. 2. Religious-One of the causes was that the Puritans, sought to do away with bishops and revise the Prayer book; Charles fought against them. The main cause was over religion in which the puritans accused Charles and Laud of leaning towards Roman Catholicism. Effects are the protestant church established and religious toleration. E. Glorious Revolution 1. Social- The Glorious Revolution changed England socially because Mary and William allow the people to have a say in politics and religious toleration with the Toleration Act. 2. Political- It changed England by having William and Mary sign the Bill of Rights. This made England a Constitutional Monarchy. A constitutional monarchy acknowledges the monarch as the official head of state but the real power is in the hands of the parliament. F. 1. Stuarts The House of Stuart is a European royal house. It was founded by Robert II of Scotland, and the Stewarts first became monarchs of the Kingdom of Scotland during the late 14th century, and subsequently held the position of the Kings of Great Britain and Ireland. Their patrilineal ancestors had held the title High Steward of Scotland since the 12th century, after arriving by way of Norman England. The dynasty inherited further territory by the 17th century which covered the entire British Isles, including the Kingdom of England and Kingdom of Ireland, also upholding a claim to the Kingdom of France. The significance of the Stuarts is that they were the first kings of the United Kingdom and that they brought disaster to England. 2. Whigs The Whigs were a party in the Parliament of England, Parliament of Great Britain, and Parliament of the United Kingdom, who contested power with the rival Tories from the 1680s to the 1850s. The Whigs' origin lay in constitutional monarchism and opposition to absolute rule. Both parties began as loose groupings or tendencies, but became quite formal by 1784, with the ascension of Charles James Fox as the leader of a reconstituted â€Å"Whig† party ranged against the governing party of the new â€Å"Tories† under William Pitt the Younger. Both parties were founded on rich politicians, more than on popular votes; there were elections to the House of Commons, but a small number of men controlled most of the voters. The significance of the Whigs is that the Whigs political program came to encompass not only the supremacy of parliament over the monarch and support for free trade, but Catholic emancipation, the abolition of slavery and expansion of the franchise. 3. Tories In the 17th century it had become a term applied to monarchists in the House of Commons. By the 18th century the Tories were politicians who favored royal authority, the established church and who sought to preserve the traditional political structure and opposed parliamentary reform. After 1834 this political group in the House of Commons preferred to use the term Conservative. The significance of the Tories was that they emerged to uphold the legitimist rights of James, Duke of York to succeed his brother Charles II to the British throne. G. 1. Politique is a term that was used during the sixteenth and seventeenth century Wars of Religion, to describe moderates of both religious faiths (Huguenots and Catholics) who held that only the restoration of a strong monarchy could save France from total collapse. It frequently included a pejorative connotation of moral or religious indifference. The term gained great currency after 1568 with the appearance of radical Catholic Leagues calling for the eradication of Protestantism in France, and by 1588 the politique were seen by detractors as an organized group, and treated as worse than heretics. 2. Henry IV was King of France from 1589 to 1610 and King of Navarre from 1572 to 1610. He was the first monarch of the Bourbon branch of the Capetian dynasty in France. As a Huguenot, Henry was involved in the Wars of Religion before ascending the throne in 1589. Before his coronation as King of France at Chartres, he changed his faith from Calvinism to Catholicism and, in 1598, he enacted the Edict of Nantes, which guaranteed religious liberties to the Protestants, thereby effectively ending the civil war. One of the most popular French kings, both during and after his reign, Henry showed great care for the welfare of his subjects and displayed an unusual religious tolerance for the time. By him granting religious liberties to the Protestants he was helping establishing a modern state in France. 3. Cardinal Richelieu was consecrated as a bishop in 1608, he later entered politics, becoming a Secretary of State in 1616. Richelieu soon rose in both the Catholic Church and the French government, becoming a Cardinal in 1622, and King Louis XIII's chief minister in 1624. The Cardinal de Richelieu was often known by the title of the King's â€Å"Chief Minister† or â€Å"First Minister†. As a result, he is considered to be the world's first Prime Minister, in the modern sense of the term. He sought to consolidate royal power and crush domestic factions. By restraining the power of the nobility, he transformed France into a strong, centralized state. His chief foreign policy objective was to check the power of the Austro-Spanish Habsburg dynasty, and to ensure French dominance in the Thirty Years' War that engulfed Europe. Although he was a cardinal, he did not hesitate to make alliances with Protestant rulers in attempting to achieve his goals. By doing all of this he was helping establish a modern state. 4. Cardinal Mazarin was a French-Italian cardinal, diplomat, and politician, who served as the chief minister of France from 1642 until his death. Mazarin succeeded his mentor, Cardinal Richelieu. He was a noted collector of art and jewels, particularly diamonds, and he bequeathed the â€Å"Mazarin diamonds† to Louis XIV in 1661, some of which remain in the collection of the Louvre museum in Paris. His personal library was the origin of the Bibliotheque Mazarine in Paris. He helps establish the basis for a modern state in France by following in Richelieu policies. . The Fronde was a civil war in France, occurring in the midst of the Franco-Spanish War, which had begun in 1635. The Fronde was divided into two campaigns, the Fronde of the parliaments and the Fronde of the nobles. The timing of the outbreak of the Fronde des parliaments, directly after the Peace of Westphalia (1648) that ended the Thirty Years War, was significant. The nuclei of armed bands under aristocratic leader s that terrorized parts of France had been hardened in a generation of war in Germany where troops still tended to operate autonomously. Louis XIV, impressed as a young ruler with the experience of the Fronde, came to reorganize French fighting forces under a stricter hierarchy whose leaders ultimately could be made or unmade by the King. Thus the Fronde finally resulted in the disempowerment of the territorial aristocracy and the emergence of absolute monarchy. They help establish the basis for a modern state in France by strength the crown since it made people realized that it was better to be ruled by a strong king then to be dominated by competing and contentious noblemen. . Louis XIV was a Bourbon monarch who ruled as King of France and Navarre. He ruled France as an absolute monarch by declaring that â€Å"I am the state†. The experience of the Fronde taught him to distrust the nobles. He believed in the divine right of king provided the justification for absolute monarchy. He was smart enough to create Versailles in order to keep a track of the nobles. He help establish the basis for a modern state by pr oviding a method on how to keep the nobles content and thus make them not revolt against the king. 7. Jean-Baptiste Colbert was a French politician who served as the Minister of Finances of France from 1665 to 1683 under the rule of King Louis XIV. His relentless hard work and thrift made him an esteemed minister. He achieved a reputation for his work of improving the state of French manufacturing and bringing the economy back from the brink of bankruptcy. Historians note that, despite Colbert's efforts, France actually became increasingly impoverished because of the King's excessive spending on wars. Colbert worked to create a favorable balance of trade and increase France's colonial holdings. Colbert's plan was to build a general academy. Colbert's market reforms included the foundation of the Manufacture royale de glaces de miroirs in 1665 to supplant the importation of Venetian glass and to encourage the technical expertise of Flemish cloth manufacturing in France. He also founded royal tapestry works at Gobelins and supported those at Beauvais. Colbert worked to develop the domestic economy by raising tariffs and by encouraging major public works projects. Colbert also worked to ensure that the French East India Company had access to foreign markets, so that they could always obtain coffee, cotton, dyewoods, fur, pepper, and sugar. In addition, Colbert founded the French merchant marine. Colbert issued more than 150 edicts to regulate the guilds. One such law had the intention of improving the quality of cloth. The edict declared that if the authorities found a merchant's cloth unsatisfactory on three separate occasions, they were to tie him to a post with the cloth attached to him. He establishes the basis for a way to improve economy so that the people can get jobs thus helping reducing the unemployment rate in France.

Summary of the “Bigger Piece of the Pie”

The number of all hospitals in the country is declining.   Since 1975, there was a 1/6 less on the total number of hospitals.   Investor owned facilities is currently on the rise.From the year 1993 it started to spring high until 1997 and then there was an incremental decrease afterwards but it continues to rise up to the year 2003.   By the end of 2003, investor-owned hospital comprised 16% of the nation’s community hospitals.   Public hospitals are also diminishing in numbers as well as the not- for profits which decline more than 10 %.It is a continued long term decline that was neutralized by the 2002 figure wherein there was a slight increment.   According to observers it will likely to remain stable in the next coning years or will decline slightly.   This can be explained by the infeasibility of small hospitals commented by the professor and director of the health policy and administrative division for the School of Public Health at the University of Illinoi s Chicago.   More patients prefer to go to large hospitals which were of their driving distance.   Conversion of not-for profit hospitals to for-profit hospital is also outpacing.The biggest factors remains a access to capital-investor-owned chains have it, while access is much more varied for not for profit systems.   Many of the broad measures of credit quality, such as annual median figures for profitability and debt coverage but the prosperity is not uniform throughout the sector even if many are performing better.  Ã‚   Investor owned hospitals are squeezed with bad debt expense but they were able to attract equity and debt capital.   Private firms were attracted in order to recapitalize the companies.   Hospitals are also in mess regarding reimbursement of high commercial insurance companies.Due to the high rates of the hospitals, the insurers were prompted to push for a double digit percentage increase premiums for employers.   Facing a fourth year of double-dig it premium hikes, companies have been getting tough this year, pushing a lot more of those costs back onto their employees in the form of higher co-payments and other cost-sharing arrangements.Recognizing the limitations of those tactics, the survey found employers looking to longer-term solutions and possible government intervention to head off the unrelenting increases.   If this continues, employers may drop coverage and push more of their costs to employees, thus making an even more bad debt for the hospitals.However, if they decide to lower the premium increase, they would not be able to boost the reimbursements the way the hospitals are used to.   Meanwhile, the pressure is now building up for not for profit hospitals regarding charity care.   It is an emerging issue whether or not the not-for-profit hospitals exert pressure on for-profit hospitals to provide charity care and whether for-profit hospitals react differently than not-for-profit hospitals to managed care pre ssures and hospital competition in providing charity care.Nowadays, a mixed ownership markets, for-profit hospitals provide significantly less charity care as not-for-profit hospitals in the market provide more. Unexpectedly, for-profit hospitals were not more influenced by price competition than other hospitals with respect to charity care. Having a unique role in providing charity care may justify continuing tax exemption for not-for-profit hospitals and enhance interest in payment and other policies with regard to conversions to ensure that not-for-profit hospitals continue to be represented in market areas.I think the effect of these increases reflected our today economic climate.   As for the charity care of the not-for-profit hospitals, I wonder if it’s their way of breaking tax and being exempted in paying a large amount.   A report by the Internal Revenue Service in July found that not-for-profit hospitals nationwide vary widely in how they report and define their community services.   I believe that the lack of consistency and uniformity makes it difficult to assess the hospitals compliance with the current law.   I think, the changes brought by the IRS would make it easier to compare hospitals and also would help ensure greater accountability.ReferencesCrenshaw, A. (2004).   Health Insurance Costs Keep Rising.   Retrieved on February 29, 2008 from http://www.washingtonpost.com/wp-dyn/articles/A8287-2004Sep9.html