Monday, January 27, 2020

The Curriculum of Montessori

The Curriculum of Montessori As educators our role is to teach children through curriculum. Through the years many different types of curriculum have been created. Curriculum is defined as the learning programs, activities, school subjects, materials, plans, and topics of study (Arce). The Montessori Method was established over 100 yrs. ago and is still used in some form in todays class rooms. It is commonly associated with its popular child-size furniture in the classroom, but there is much more to Montessori Method as I will discuss detail later. The Montessori Method was created in Rome, Italy by Dr. Montessori in 1907. During this time period in the early 1900s the common age of children to start attending school was 6 yrs old. This age was determined based on the childs ability to walk and understand, or therefore deemed intelligent enough to go to school (Montessori, The Periods of Growth) . However, in the 1930s physiologists recognized that children become receptive to adult influences between the ages of 3-6 (Montessori, The Periods of Growth) . Just as it is known today children have a sensitive period for development and during this time it is more beneficial (Montessori, Education For Life) . The Montessori Method changed the focus then from how to teach children to meet the needs of the world, and focus on the child from their birth (Montessori, Education For Life). Under the Montessori Method the teachers task which was to the first thing to be done, therefore is to discover the true nature of a child and then assist him in his normal development (Arce). This is achieved through the different areas of learning; Practical Rife3 Life, Sensorial, Mathematics, Language and Literacy, Cultural Subjects, and Creative Subjects (ICME ). In most Montessori Schools the children are in vertical age groups 2 Â ½ years to 6 years, 6 to 9 years, 12 to 15 years, and 15 to 18 years (ICME ). The exercises of practical life teach the children the importance of maintaining a clean environment, cooking and the practical skills of buttoning, sewing, and lacing (ICME ). Next is the Sensorial, the education of the senses. This is considered to be one of more import lessons and is focused on children with special needs as well as typical children. The materials used are didactic materials and give special needs children opportunities to learn through the senses and it provokes auto-education in typical children (Montessori, Education of the Senses ). Exercises within this method include children learning to recognize the differences in dimensions by assorting various shapes and sizes of blocks (Montessori, Education of the Senses ). When a child selects the wrong size they are forced to correct it themselves. Once the child has accomplished this exercise with this specific material they then have outgrown it (Montessori, Education of the Senses ). The third area is Mathematics. The materials children use in mathematics are similar materials to that of which are used in sorting. In mathematics the materials are color coded rods, pegs and virtually anything that can be sorted or counted (Montessori, Teaching of Numeration; Introduction to Arithmetic ). The fourth area is language and literacy. In the Montessori curriculum the writing is focused on learning to draw lines and shapes that eventually lead to the children writing Rife4 (Montessori, Methods for the Teaching of Reading and Writing ) . Another exercise to teach writing skills involves the children tracing the letters through materials. One lesson I found fascinating was created for children to correct themselves by using sandpaper on the outside of the letter (Montessori, Description of the Method and Didactic Material Used ). In teaching children literacy they start with vowels and then constanants to teach letter recognition. The focus is on the sounds they make and pictures of object similar to the phonics system today (Montessori, Methods for the Teaching of Reading and Writing ). The fifth area is Cultural subjects. If you notice most Montessori schools are in environments with nature surroundings. Children are able to connect with nature by taking an active role in its care. The last area is Creative subjects which include arts and craft, drama, music and movement. In art children are encouraged to draw anything that pops into their minds. Looking at other creative materials, children are given the freedom to explore with clay and coloring materials. Music was another way for a child to express themselves. With the Montessori Method the children create their own instruments as well as music (Montessori, Education of the Senses ). In order for the Montessori Method to be effective in a classroom that encourages self-teaching and the freedom to move around the class and centers freely discipline is required. Self-discipline is taught to children through exercise, these exercises teach children instead of verbally commanding them to be quiet and still. Children learn these different actions by Rife5 sitting and getting up quietly, tip toeing and the use of objects quietly, and other exercises (Montessori, General Review of Discipline ). Montessori curriculum has advantages and disadvantage in comparisons to traditional classrooms. In a Montessori classrooms children are allowed and encouraged to experiment uninterrupted in centers for up to 3 hours opposed to a traditional classroom where the child sits at their seat a majority of the day and the teacher facilitates the lesson or they are only allowed an allotted time in centers. The teachers are to mainly observe the children and let them teach themselves and not force the child to learn. However, the disadvantages of Montessori curriculum are they dont follow traditional grade scales, but conduct evaluations throughout the school year (ICME ) . Lastly, the name Montessori isnt legally protected, so schools and the training they provide can vary and may not reflect Montessori Methods (International Montessori Index) . Regardless of the curriculum teachers choose it is still necessary for them adjust the curriculum to the needs of their students. Rife6

Sunday, January 19, 2020

Negligence Paper

Negligence Paper Ann Fairvalley University of Phoenix HCS/ 478 Negligence Paper Imagine waking up in the recovery room from being sedated for a procedure in which one of your limbs has been amputated. While in recovery you are in and out of consciousness. Finally after being in recovery for 2 hours you are taken to a step down unit to recover and receive teaching and therapy. After getting settled into bed you gets the guts to throw back you sheets and take a look where there was once a left leg.To your horror your left leg is there and your right leg is not! â€Å"The Joint Commission considers wrong site surgery to be a sentinel events which is defined as â€Å"an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function† (Dillon. 2008. ). † This was an all too familiar of a situation for one Mr. Joseph Benson a 62-year-old diabetic with circulation problems tha t required a leg amputation.In this paper I plan to explore the legal implications in regards to the differences between negligence, gross negligence and malpractice. I will also explore some rational as to why union problems and/or nursing shortages could have been the cause of this disaster. Lastly I will describe the importance of documentation in regards to potential negligence as if I was the nurse involved with Mr. Benson’s care. I will briefly describe my ethical principles, which would guide this practice and how I would document the case to satisfy ethical and legal requirements. Negligence as defined by Black’s Law Dictionary (1979) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO, 2002) is the â€Å"failure to use such care as a reasonably prudent and careful person would use under similar circumstances. † It is the predominant theory of liability in medical malpractice litigation (King, 1986) (Weld. Garmon. Bibb. 2009. ). † During my experience as a surgical nurse working in Obstetrics we used checklists and timeouts to make sure that we followed hospital protocols during our procedures.The checklists were in place to make sure procedures and paperwork was completed in an orderly and prudent manner. We could not continue onto the next step in the checklists until it was crosschecked by another licensed nurse or physician. This was put in place to ensure the patient’s well being and safety was addressed at each step in the checklist. Each one of the JACHO accredited hospitals has a similar checklist in place to ensure the patient’s wellbeing and safety. By having timeouts and checklists this could possibly prevent negligence. Gross negligence means, â€Å"reckless indifference to or a deliberate disregard of the whole body of stockholders† or actions which are â€Å"without the bounds of Reason (Sharfman. 2006. ). † One example of gross negligence would be giving a pa tient a higher dose of a narcotic instead of wasting the unused portion in order to keep the patient quiet and sleeping during a hectic shift. This nurse would have made a conscious decision to heavily sedate her patient against doctor’s orders, which would constitute gross negligence on the part of this nurse in this situation. In the case of Mr.Benson I think the physician could have been found guilty of gross negligence. If the doctor in this case would have followed timeouts and checklists the wrong procedure could have been avoided. â€Å"Barron’s Law Dictionary (1991) defines malpractice as a professional’s improper or immoral conduct in the performance of duties, either intentionally, through carelessness, or through ignorance (Weld. Garmon. Bibb. 2009. ). † The physician in this case could also be found guilty of malpractice. His neglect of professional duty comes in question as to the welfare of Mr.Benson. Did the physician show a lapse of judgme nt in his conduct during the time prior to the actual surgery by not following the procedures and protocols? It was not documented in the article as to the physician’s demeanor or conduct during the actual procedure. I do not have a written account of the scrub nurses or other Operating Room staff testimony as to what actually happened in this Operating Room. It would be speculation on my part to assume the worst of the physician without having all the details before me. I choose to agree with the patient. Mr. Benson was orrified at the outcome of his procedure. I would not matter to me whether the Neighborhood Hospital had nursing shortages or problems with the unions all I would be concerned with is how could this happen and what is the hospital going to do about this mishap. I would contact an attorney who specializes in Malpractice litigation and see what my options were as far as litigation against the hospital and also the physician. I would research about sentinel even ts and JACHO regulations which could further my case against the hospital and physicians who were involved.It is very important to document each and every step and to narrate in written form what happens while the patients are under your care. In the day-to-day world of nursing we have a saying â€Å"If it wasn’t documented it never happened. † I have never forgotten these words. It made a resounding impression on my professional nursing practice. Good, bad or ugly I document what actually happens during my shift and my care of my patients. At times, this includes having to document physicians demeanors, actions or lack of.I have had to document that I made several attempts to reach a physician by phone and left messages on his answering service and voicemails in which he did not return phone calls in a timely manner. It can be very frustrating as a professional nurse when this situation occurs as you are put in a place in which you are against a rock and a hard place. Nonetheless, you have to document to protect yourself and your patients. In conclusion I have defined negligence, gross negligence and malpractice. I have given personal stories of how these terms applied to what I have seen in my professional nursing career.I agreed with Mr. Benson and his position and did not agree with the rationale of the Neighborhood Hospital for the injustice, which happened to Mr. Benson. Lastly I described the importance of documentation in the role of a nursing professional. I would hope that the next time I need a surgery or a minor procedure that I can trust my hospital and the staff to perform as they should, this would include following hospital procedure and protocols as well as follow there professional standards correctly.References Dillon, K. (2008). Time out: an analysis. AORN Journal, 88(3), 437. Retrieved from EBSCOhost. Sharfman, B. S. (2006). Being Informed Does Matter: Fine Tuning Gross Negligence Twenty Plus Years After Van Gorkom. Business Lawyer, 62(1), 135-160. Retrieved from EBSCOhost. Weld, K. , & Garmon Bibb, S. (2009). Concept analysis: malpractice and modern-day nursing practice. Nursing Forum, 44(1), 2-10. Retrieved from EBSCOhost.

Friday, January 10, 2020

Western Colonialism and Capitalism

A lot of negative effects caused by Western colonialism and capitalism in the third world countries that have contributed to their current political and economic crises have been discussed; however, the main objective of this presentation is to discuss the progressive role played by Western colonialism and capitalism in the third world countries when contrasted with pre-colonial period and where they were left by their colonial masters to present date. Colonialism Colonialism refers to as a system whereby a state holds sovereignty over territory and people who are outside its own boundaries. It assumes the right of one people to impose their will to others. Between nineteenth and twentieth centuries, most rich and powerful states in the European countries such as Britain did own third world colonies. Up-to-date, the legitimacy of colonialism by European countries to these third world countries has elicited a heated debate in political arena and among the moral philosophers all over the world. Colonialism is not a new phenomenon. In the past society used to expand to immediate territories and settling it own natives on the newly conquered land. Such example includes the ancient Greeks, Romans and Ottomans to mention but a few. But it is evident that colonialism was not static but evolving due to technological advancements particularly in navigation that enabled connecting to the remotest parts of the world. Invention of the fast sailing ships facilitated reaching the distant ports in other side of the world while managing to maintain closer ties between the mother land of the master colonialism and their colonial territories. Therefore, the modern European colonialism materialized when it was possible to move large number of people across the ocean and maintain political sovereignty regardless of geographical scatteredness. Many political theorists have troubled themselves in attempt to reconcile ideas about the justice and law with the practice with which European ruled over the third world countries. In nineteenth century, conflict emerged that made tension to build up between the proponents of liberal thought and colonial practice. Many of political philosophers stood to defend the principles of attainments of universalism and equity while on the other hand they were antagonistic in bid to legitimize colonialism and imperialism. They reconciled this controversy with idea that, there was a need for ‘civilization mission’ which was to be for temporal period of what they called political dependence that was vital so that to make ‘uncivilized’ societies to advance in a state of achieving sustainable liberal institutions and self government. Capitalism Capitalism refers to European practices that not only include social practices that are easily practiced over geographical and historical distances but also encompass the ‘way of thinking’. The term capitalist has been widely used in the Marxist theory which refers to means of production that are on the hands of a few and operated for making profit and that the benefits realized from the production belong to the owners of the means of production. Mercantilism was the earliest form of capitalist in the olden days that originated in the Middle East, Rome and also existed during early Middle Age. It involved distribution of goods in the transactions in such way that there is profit making. In this situation, goods were bought from one place and move to another site to be sold at relatively higher prices. Beside Romans, Arabic cultures were also known of mercantilism. They had a long history on their trade routes in their major empires. Medieval Europeans learnt learned about this type of economy from their Islamic neighbors as it has been noticed in large number of economic terms found in European languages some which are derivatives from Arabic. Gradually, mercantilism in Europe evolved into economic practices that were eventually referred to as capitalism. Capitalism employs the same principle as mercantilism that involves large scale profit realization by acquisition of goods at lower price than selling them at a profit. Capitalism is characterized by several features. First, there is accumulation of means of the production such as materials, land and tools by minority of people. This property accumulation is referred to as capital and the owners of these means of production are known as capitalists. The second characteristic of capitalism is productive labor. Human work is of great importance because it facilitates the production of goods and their distribution. This happens in form of the wage labor. The striking aspects of wage labor here is that it is not invested in the product and it is considered to be efficient in terms of productivity. Capitalism boosts individual productivity by means of division of labor whereby productive labor is divided into smallest components possible. In capitalism, the means of production and labor is manipulated by the capitalist by use of rational circulation to gain profit. On the other hand, capitalism as a way of thinking is basically individualistic. This is true because it focuses on capitalist endeavor. This bring out the Enlightenment concepts of individuality in that all the individuals are not the same; the society is composed of individual in pursuit of their own interest and that they should be free to peruse their own interests, that is ,economic freedom. Also, this concept advocates for democratic sense in that individuals perusing their own interests can guarantee the interests of the whole society. Therefore, Enlightenment idea of progress is grounded on the fact that the large-scale social goal of unregulated capitalism can produce wealth and make the national economy wealthier and more affluent than it would otherwise have not been. So, essentially, capitalism as a way of thinking is built on the concept of economic growth (Friedman & Friedman, pp5). While this may be true, capitalism has been having a close link with adverse effects of human inequality and valorization that has characterized exploitation of one or more groups by others. It has been argued that capitalist relations evoke alienation of workers from the products they make. This makes both commodities and the workers circulating commodities that circulate in the expanding market. When the laborers are considered to be interchangeable, it becomes the interest of the capitalist to give workers low wage or no wage at all. By doing this, capitalists are able to create surplus of money from their capital invested meanwhile their commodities circulate in the market. Because human beings were one of the vital commodities for success in early capitalism, enslaved workers could be shipped between the colonial territories to the help in monocropping on the large plantations. Presently, capitalist is usually understood to be a mean of system whereby the allocation of resources is by dictates of mechanism of the markets that are driven by profit motive. The advantages of the capitalism are that the government does not interfere with the business because there is limited control over it and that people have choice on what they want to do and where. Also, people are at liberty to do what they want with their money. However, this mode of economy has negative outcomes. Because the government is required to liberalize the market it has limited control over it and this can make few businesses to take monopoly which may lead to inefficiencies. In addition to this, capitalism only reward those who are fortunate to have natural scare abilities and not necessarily as result of hard work and this lead to huge inequities in income and wealth. The Progressive role of Western colonialism and capitalism in Third world Even though colonialism and capitalism had its own shortcomings, nevertheless, there is also a positive effect on balance we can talk about. Before colonialism, Africa only knew of socialism which was widely practiced among different communities. Socialism is a system that advocates for collective ownership and management of the means of production and distribution of goods. It is the opposite of capitalism which is a system hereby economy is based on private ownership of the means of production and personal profit can be realized through capital investment and employment of labor. Colonialism brought a new idea to Africa that the material progress and prosperity were possible for the masses of people. Africans in pre-colonial period did not imagine that could ever happen. They assumed that the material possessions they had were fixed. They believed in such things like plenty of the harvest could result to increase of food in the basket but the idea that living conditions could be changed was strange to them. They did not have a clue of the prospect that instead of trekking for miles in search of water it was possible to have piped water homes. Colonialism brought idea of progress in humanity. They enabled them to realize that people have capability to improve their condition of existence and that tomorrow could be much better that today (Ondeng, pp 26). Development of Infrastructure When colonialism stepped into sub-Saharan Africa three main objectives were the driving force. First objective was to meet the increasing demand of the raw materials for their industries. Second objective was to be able to secure areas and their territories that could form the market for their industrial goods produced by the capitalisms as it was are of industrial evolution. The last objective was that, they wanted to identify and dominate certain strategic areas that would be their future potential region for their investments. Therefore, as it can be seen, the main aim of capitalism expansion through colonialism was purely economic. But it was first necessary through political process of colonialism to create colonial territories to be able to achieve economic goals. Establishment of colonial territories was immediately followed by setting out diversified changes that included both social and economic among subdued societies in order to fulfill economic targets. This called for breaking down the already existed social and political system which resulted in replacement of traditional chiefdoms and kingdoms by Western European political system and consolidation of colonial state. Greater portions of fertile lands were given to settler farmers who produced non-agricultural raw materials for western industries. In order to make this kind of economy efficient, there was a dire need to establish communication infrastructure such roads, railway lines and ports so that there can be a linkage between hinterland and coastal to facilitate securing resources and human labor. In such regions only footpaths did exist that were used by human porters and animal. Most of the roads and railway network seen today in many parts of African countries speaks of a positive legacy from Western colonialism and capitalist in Africa and other third world countries. A good example of such country is Nigeria. In pre-colonial period, transport systems were limited to porterage over the land that was only utilized by animal and humans and small boats in waterways that are in southern and central Nigeria. In states of Nigeria, there were extensive trade routes in its territories which also facilitated movement of goods across the deserts to trade with North Africa and extended to the coast that involved trade with European. The roads were maintained by local leaders using hired labor or conscripted locals on the basis of the age. During this period the basic means of transport were pack animals and human porters. When British claimed Nigeria to be its colony, is started building transport network that would make efficient its ruling over this territory and make easier utilization of the resources in the region. It started with construction of the roads which was later followed by railway lines construction. This facilitated movement of good and people from one place to another as the need demanded which was critical as it helped to maintain strong economic and political ties within its territory. Since Nigeria gained independence there has been little in building new infrastructure network apart from what was established by their colonial master. This has been so because the Civilian governments had experiencing budgetary deficit and their priorities were to maintain regional divisions rather than improving transportation network and building better one in accordance modern world technology. However, while some few military governments were interested in development of better transport system, this turned to be a day dream. Therefore, post-colonial transport systems currently existing are just minimal maintenance of the infrastructure which their colonial master had set. This is a clear indication of the progressive role the Western colonialism and capitalism did play in Nigeria before they had left (Husher, para. 4-9). Suppression of barbaric practices Colonialism brought enlightenment in Africa. During pre-colonial period some African countries cannibalism and pagan worship was common practices. Practices such as cannibalism were usually restricted to specific regions particularly in West Africa. Such practices were not necessarily driven by craves for human flesh but were basically for rituals and sacrifices. The belief behind these practices of man eating were to receive imbibe magic strength that was considered to be transferred by through soul material. This soul material was particularly identified by certain body part of the victim particularly the head. In the community that practiced such behavior they had a belief that if a young man ate the elder, such individual could get wisdom or if it was an elder who ate a young victim this could have added vigor. African had a strong attachment with the dead. In fact, cannibalism in Africa was part of religious act that consisted of complex rules that actually prescribed who should partake of the human flesh and who is supposed to be eaten and also clearly spelt out which part were to be eaten. It also described what parts of the victim’s body were to be kept as part of relics. There were other instances where medicines were made out of the human flesh. For instance, in Leopard societies in Sierra Leone, they used human entails to make certain kind of medicines. When the Sierra Leone became a British colony, the first thing they did was to bring to an end this practice. First, the British investigated what was happening in the jungle. When it had a breakthrough in its investigations to address this extraordinary killing of human beings, it passed a bill which was called ‘The Leopard Ordonance’. This outlawed any possession of a leopard skin that were usually worn by these people who practiced these rituals, a three- pronged knife and a special native medicine called Borfina that constituted a concoction of human flesh such as fat and blood. It was potent in the hand of its owner as it was believed to help one to be powerful and rich . Through use of law and assimilation of European culture Africans experienced a transformation that played a great role in liberating them from such practices. This helped to uphold human dignity and universal human rights particularly right to life (Karoline, para. 7-14). Modern medicine As many of colonial powers embarked on a political project to control much of the world, diseases were the major obstacles for their expansion particularly in African continent. Tropical diseases such as malaria among others posed great challenge because there was no efficient form of medical treatment that existed in African land before except traditional medicine. Many African had a belief that disease was as result of witchcraft or evil spirits as opposed to empirical approach in treatment and management of the disease by European countries . This necessitated them to have attachment of medical personnel to commercial marines and putting up of rudimentary hospital facilities at their colonial territories. A good example is development of medical care in Tanzania. Christian missionaries were the first to introduce allopathic medicine in the territory. Eventually the colonial master in Tanzania assumed the responsibility of providing the health care to serve the army garrison that was stationed in the region partly to counter indigenous resistance and also to provide health care to European settlers. In British colonies they promoted establishment of the London and Liverpool schools of medicine where the study of tropical disease such as those found in the region was given the first priority. After World War 1, Tanzania became a British colony and it assumed the control of colonial medical care where it provided medical care at provincial and district administration levels, voluntary services that involved missions and employer-based that catered for the medical needs at plantations, mines and factories. They also implemented preventative measures that were in form of public health programs. This greatly helped to address the health needs of African that never existed before. It is on the basis of these colonial efforts to address tropical diseases which were a threat to their lives helped to see African countries with improved health care and reduced mortality rate from fatal tropical diseases (Baer, Singer and Susser, pp 18-22). Conclusion Colonialism by the Europe countries was considered to be a mission of civilization to the ‘uncivilized societies’ to be able to advance in state of achieving sustainable liberalized institutions and self government. However the legitimacy of colonialism by these European nations has always staged unsettled debate both in political sphere and with moral philosophers all over the world. Colonialism proved to be the only way through which West Europe could peruse their capitalism motives in the third world countries. Even though there have been shortcomings associated with colonial rule there has been an overall positive effect for Africa. Colonial rule brought enlightenment where ignorance did thrive. It helped to suppress barbaric practices such as pagan worship and cannibalism among others. It laid the seeds of the intellectual and material development as seen through infrastructure development, formal education and modern medicine that saved many Africans lives from deadly tropical diseases that were considered to be caused by witchcraft. Also it helped to reduce the economic gap whereby integration of colonies into international capitalist economy ushered in initial stages of globalization.

Thursday, January 2, 2020

The Affordable Care Act for society - Free Essay Example

Sample details Pages: 2 Words: 554 Downloads: 7 Date added: 2019/08/08 Category Health Essay Level High school Tags: Affordable Care Act Essay Did you like this example? The Affordable Care Act is not perfect. It was not when Congress passed it in 2010 and like most laws, ACA will never be perfect. I am quite versed in the Affordable Care Act due to my health issues including cancer. There is more than two pros and two cons but I will notate the ones I feel are important to me. The first pro is the Affordable Care Act protects people with pre-existing conditions from being denied health insurance. The ACA gives everyone a lifelong guarantee that health insurers cannot, under any circumstances, discriminate against them based on pre-existing health conditions. This includes cancer, diabetes, and high blood pressure. The second pro is all new plans are required to provide free preventative care. The ACA requires that most health plans cover preventive care—like cancer screenings, vaccines, birth control, blood pressure tests and more—at no additional cost. Under the ACA, women have saved hundreds on oral contraceptives. These normally have low deductibles or co-pays, which is very handy to those who are proactive in their healthcare. Don’t waste time! Our writers will create an original "The Affordable Care Act for society" essay for you Create order The cons are that anyone without insurance will pay a fee. The aim of Obamacare is to ensure people are insured all year round. Therefore, if one is uninsured or does not have an exemption, one is fined since it is considered that not having insurance means you are passing your costs onto others. The fine is/was expected to rise over time. The second con is the employer mandate states that all companies with more than 50 employees must provide their workers with health coverage. The downside of this is that some businesses may have to cut employee hours to avoid paying for their healthcare. Therefore, these employees not only will have a penalty if they cannot acquire healthcare but their income is cut. My personal thoughts come from working in a physician’s office and listening to patients. Providers need available information on quality and cost for every patient. As we all know, you cannot improve what you do not know. Healthcare systems need to focus patients on getting the right care in the right location. This means care delivery across separate facilities and excellent services across geography. The person I interviewed voiced concerns that she was not familiar with the general concept of insurance and she had serious reservations about spending hundreds or even thousands of dollars on a policy she may not end up using. Considering most lower-tier plans under Obamacare do not offer any out-of-network coverage, she feared going to a doctor who is not on her list, and end up being on the hook for the full cost of the visit. I could see from interviewing her that she cares very deeply about health care reform. We both agreed that the fight for America’s health could only be won with bipartisan support from both congressional leaders and the health care community at large. The interviewee said that the current healthcare really helped her in regards to having a pre-existing health condition; insurers can no longer drop her or refuse to cover her. She has Type 1 Diabetes, so she does not know where she would be without the Affordable Care Act. The hindrance comes with the cost of the premium for the healthcare plan that she needs to cover all healthcare needs.