Gender Related Issues Essay Example for Free

Gender Related Issues Essay Complete a search for journal articles (professional) that include gender related cognitive issues. Report back to the group through the discussion forum on an understanding of the gender related cognitive abilities. Look for flaws and strengths in specific examples and applications. Thinking is a normal process in everybody’s life. The activities of the neurons giving signals to the brains are helpful in giving the body commands to act on a certain activity or to feel and even to think. Men and women think in every part of their lives, except when they are under comatose by which patients remain unconscious for over a certain time. Studies often say that men and women think very differently. Many various tests in college and even in high schools show that men are far more different in abilities in math than of women; this is also the same reason why men are more selected on job opportunities, especially to those in depth analysis. Women are often regarded as underdogs in the fields where numbers exist. An article from â€Å"Think Again† says that the old belief of the big thinking difference among men and women is a bluff. It suggests a cultural shaping wherein minds of the people are programmed to expect less from women in terms of thinking. Evidences from the article say that the shaping mentioned above is a controlling factor to the performance of many. With the psychological mind – set that men are better than women, women tend to perform and feel insecure about them and in turn would result to grades that are really degrading. The article focuses on the factors that are apparent in the 18th to the 21st centuries by which the â€Å"shaping† is already present. It could have presented or showed us factors from the time before Christ or in the Middle Ages to greatly describe the so-called cultural reasons. It could have given a proof why girls are often regarded for household chores and not with jobs that they can participate with boys. On the other hand, the article may be a helpful guide to parents and teachers to mold the children without inculcating the notion of men being superior in analyzing and solving things. The statements that tell about performances after giving the biases may be true for people around the world and should be avoided to have optimum performance in different work places. 2. Complete a search for journal articles (professional) that include gender related communication issues. . Report back to the group through the discussion forum on an understanding of gender related communication. Look for flaws and strengths in specific examples and applications. Emotions are part of a well-being. It is also a measure if a person is healthy or not. Girls tend to have more emotions than boys, or have it something to do with the misinterpretation of the crowd? As girls or women are termed to be good in emotions, they are also termed as good communicators than men. Girls are very vocal with their ideas and feelings. An article of Cynthia Burggraf Torppa says that the idea of women having an edge with communicating with other people is a misnomer. It said that men and women just don’t understand each other with the lines that they say. Also, there are terms given such as â€Å"rapport talkers† which women are experts on. Women communicate with other people that trigger emotions and feelings while men are termed â€Å"report talkers† that focus on facts and details about a certain topic. Indeed, there are differences about men and women as also stated in Men are from Mars, women are from Venus. The article mentioned can help readers understand more others. That is to say, men and women should practice listening between the lines so that misunderstandings will be avoided. Since women are really emotional, they must be sensitive also with what their men are feeling. The differences matter mostly on marriages, so I recommend that the article could have started and stated on something that happens in childhood and teenage life so that readers will also be guided when and where to hit their punch lines. Men and women must be treated equally as they are all created with the same will and love of the Lord Almighty. References Cynthia Burggraf Torppa. Gender Issues: Communication Differences in Interpersonal Relationships. 2002. Retrieved 11 April 2008 from http://ohioline. osu. edu/flm02/FS04. html. American Psychological Association. Psychology Matters. Think Again: Men and Women Share Cognitive Skills. 2006. Retrieved 11 April 2008 from http://www. psychologymatters. org/thinkagain. html

Morality in war Essay Example for Free

Morality in war Essay Is war ever moral? I feel that War is a necessary part of life. Sometimes force is the only way to defend yourself or others. We are all equals, and It is immoral to take the life of anyone, but it is also immoral to let the life of anyone be taken. We have a responsibility to help each other because cooperation is the only way the human race can survive; we also have a right to defend ourselves. This means that if someone else is threatening you or anothers life, and you are capable of helping, you have an obligation to protect yourself or them. Lethal force will never be moral, but what if it’s the only way to protect someone? Let’s say that an attacker has broken into your house and is holding a gun to you and your family. You also have a gun pointed at the assailant. In this hypothetical situation we must assume that the only way to save your family is to kill the attacker. You must make a choice to kill the attacker or let the attacker kill you and your family. Both options are immoral, so one has to ask if its more immoral to kill the attacker, or to let the attacker kill your family? The obvious choice to me is to kill the assailant. I feel this is the right choice because of two reasons. One, our responsibility to protect ourselves and our family is larger than the responsibility to not do harm to another. The second reason has to do with the proportion of damage. The attacker would be doing more harm in killing my family and me then I would be doing in killing him. This example allows us to see, on a small scale, when lethal force is necessary. Things get more complicated when we look at entire countries rather than just one family, but my view point remains the same. Lethal force is only permitted when it is the only option to defend yourself or others. War is necessary because people sometimes make immoral decisions that put others in a position where there is no other option, but is war ever moral? Killing is always immoral, and killing is part of war, so parts of war are immoral, but does this mean war is inherently immoral? Sometimes it is the least immoral choice; this makes it the most moral choice, so it is sometime moral. I believe that many of the wars we have had have been immoral. I don’t think that the United States has been justified in it’s actions every time. â€Å"It is alarming that military intervention in internal conflicts in foreign countries has become commonplace for the United States. † Vladimir Putin. I feel that it is in part due to the classical â€Å"male† approach to ethics which focuses on â€Å"independence, autonomy, intellect, will, wariness, hierarchy, domination, culture, transcendence, product, asceticism, war, and death,† Jaggar, â€Å"Feminist Ethics,† 1992 One can see that these characteristics would allow for war to be more often morally acceptable. A â€Å"feminist† approach to ethics would focus more on â€Å"interdependence, community, connection, sharing, emotion, body, trust, absence of hierarchy, nature, immanence, process, joy, peace, and life. †Jaggar, â€Å"Feminist Ethics,† 1992 These characteristics allow for a more peaceful world. The Syrian regime was accused of using chemical weapons against it’s own people in september of 2013. The weapon of mass destruction â€Å"Sarin† may have been used, and this action is against international law. The United states felt obligated to step in and punish the Syrian Government for this because they felt it was in the worlds best interest to not let these atrocities go unpunished. It could be more dangerous to let them get away with it because international law could fall apart and the world could turn to anarchy if nothing is done to punish wrong behavior. This being said, what is the best course of action to punish the Syrian government if they did infact use this weapon? Military action was debated, and President Obama was willing to attack if necessary, but I feel this is very dangerous. If the United States were to attack the Syrian government without UN approval It could have the same effect as doing nothing. This is because the united states would also be breaking international law, and this could also cause the UN to fall apart. If strong countries like the US bypass UN approval on military actions then International law means nothing. â€Å"The world reacts by asking: if you cannot count on international law, then you must find other ways to ensure your security. Thus a growing number of countries seek to acquire weapons of mass destruction. This is logical: if you have the bomb, no one will touch you. † -Vladimir Putin. In addition, military action would not be morally acceptable in this situation because it would not be in self defense; it would be an act of aggression causing more harm than good. A diplomatic approach would be a step in the right direction for this particular situation. This real life situation allows us to see how we can judge the morality of an action on a larger scale. In conclusion, war can be moral, but it is only a strategy to attain peace and safety for a group. All other options should be explored before war can be considered; this is because war involves some of the most immoral actions possible; the killing of others. â€Å"Never think that war, no matter how necessary, nor how justified, is not a crime. †- Ernest Hemingway http://www. brainyquote. com/quotes/quotes/e/ernesthemi108407. html#zB7XwPTRbCpbv7my. 99 http://www. nytimes. com/2013/09/12/opinion/putin-plea-for-caution-from-russia-on-syria. html? _r=0.

Multinational corporations

Multinational corporations Multinational corporations are businesses that extend outside of their own country, whether they are located throughout the world or only in a couple other countries, they are considered multinational. The value adding activities which are owned by these companies are used to produce tangible goods or intangible services or the combination of both. There are many reasons as to why firms become multinational and there are various strategies for a firm to become multinational. The immediate motives of the Firms can be to expand business, to seek new market, or for additional profits and revenues. It may also be to concentrate on the economics of scale that a larger international demand can bring. The motive behind market seeking activities is strong among firms who have some advantage related to technology or brand which gives them a competitive advantage over domestic rival. Another reason for firms to become multinationals is to secure key supplies. A secure and privileged access to inputs and/or distribution outlets and market access afford many firms especially those in manufacturing, to have a competitive advantage over their less favoured rivals. A firm might also become multinational to have access to low cost factors of production. Factors of production like labour is a major cost factor in Europe and US and gives a competitive disadvantage compared to imports. So firms can offshore production to the host countries and become competitive. Low cost capital through government subsidies is also a strong force to become a MNC. The discussed factors have been well captured in product cycle theory developed by Professor Raymond Vernon. The theory suggests that the first phase starts with product development and innovation in home country as to maintain close linkage between research and production as well as the assumption that similar demand will be created in other similar market. The second stage assumes the product to be matured and production standardized as well as good demand from other market and an important form of revenues from the new business. Also, Competitors will observe the growing demand and try to establish themselves in the markets by setting up production in the importing country and becoming a MNC rather than an exporter. Finally in the last stage many competitors enter the market and focus is more on cost and resource seeking activities. The above discussed factors are traditional motives and the theory lost its power in 80s itself as the business environment became more complex. In the emerging motives the above forces that originally triggered firm to become a MNC became secondary. Increasing Scale of economies, RD investments and shortening product life cycles were not the choices for a firm to become MNC but rather a prerequisite for companies to survive in the business environment. Now the major motive for a firm to become a MNC is to capitalize on competitive positioning in multiple markets and leverage global information access. The above motives are purely reactive and opportunistic to the proactive business decision which sees international markets as major strategic opportunity. The decisions to become a MNC can be purely defensive, for example as a reaction to pressures in domestic markets. Overseas demand can help to offset seasonal or cyclical downturns in domestic demand. It can also be that the domestic market has become saturated or the product is coming to the end of its domestic life cycle. The above discussed motives are rational, logical and there are strategies used to become a MNC but on other hand the motive of firm to expand might be personal ego of managers and also for personal monetary benefit of business managers who want to expand at any cost as the salary might be attached to the volume of the business. These irrational motives create principal agent problem in the future.    Having explored why the firms become MNCs we now look at how firms become MNC. The prerequisites for being an MNC might be to have a distinctive competency to overcome the liability of foreignness and the firm must also have some organizational capability to operate in the global market. Moreover, the host country should also provide some location specific advantages so that the firm have strong reasons to invest there. These prerequisites are very important as they help to define the strategic options available to compete worldwide. The process of firm becoming a MNC starts with a combination of developing strategies, rational analysis and opportunism. Some firms may follow an internationalization model which was developed by Swedish academics from Uppsala. The model describes how a firm enters a foreign market and gains market knowledge by means of commitment of resources and how it gradually develops local capability and market knowledge to become an effective competitor in foreign market through several investment cycles. The firms may use the eclectic paradigm and transaction cost analysis approach which explains the extent, form and pattern of international production and how it is founded on juxtaposition   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   of the ownership specific advantages of firms contemplating foreign production, the propensity to internalise the cross border markets for these and the attractions of the foreign market for production (Dunning, 1988).   So the entry decision is taken in a rational manner based on the costs of transactions. The firms may also choose to enter the international market by low commitment and low control mode such as by exporting or subcontracting. Exporting is selling goods and services from one country to another. Exporting can be direct and indirect. Direct exporting can be done through agents and distributors. Direct exporting helps to proactively enter the foreign market. Indirect exporting can be done by export houses and confirming houses who are just the intermediaries. There are many contractual forms for international business like management contracts, Turnkey operations, manufacturing contracts, etc. Licensing and franchising can also be an option for a firm to become a MNC. Licensing means there is an agreement that one party can utilise or sell intellectual property in return for compensation. The problem with licensing is that there is a risk of â€Å"leak† of knowledge and intellectual property and after the licensing agreement is over the partner can become a powerful competitor. Franchising which is also a form of licensing, gives certain rights to do business in a prescribed manner to other party in return for royalties or fees. Franchising can take form of manufacture- retailer franchise or wholesaler-retailer franchise and have similar risks that of licensing. There has been a tremendous growth in franchising especially in US AND UK. If the firm wants to penetrate deep in the market and wants fuller involvement and control, the firm can go for a joint venture or foreign direct investment (FDI). Joint venture which is a collaboration of two or more parties can be contractual or equity based. It has the means to overcome restrictions on foreign investments or imports. Firms have to share costs and/or technology and the shared approach permits economies of scale and a potential to enter market. Some joint ventures are formed but the true reason behind it is FDI. FDI might also face problems of disagreements over strategic direction, managerial functions or use of appropriate profits. Cultural difference can also be a major barrier in the joint venture. FDI which is a very high risk strategy can be explained as the establishment or acquisition of income generating assets in the host country over which the investing firm has control. It involves either taking control over established business in overseas market or developing a tailor made business operation. FDI can be broadly classified into two types, outward FDIs and inward FDIs. This classification is based on the types of restrictions imposed, and the various prerequisites required for these investments. The reasons for considering FDI are tariff quotas, tax breaks,grants, subsidies, and the removal of restrictions and limitations. Before opting for FDI a firm might also consider countertrade which is described as the most important trend in international business of emerging economies. It involves an agreement between two parties to pay in goods and services. There are many types of countertrade like barter, clearing agreement, compensation, etc. countertrade can open up trade where there are strict exchange controls or where the countries faces shortage of currency. In conclusion companies can become MNC by gradually moving up the scale from exporting and licensing to high commitment foreign direct investment. Some firms can directly adopt the high commitment strategy due to the maturity of market. In short, none of the approaches are necessarily right or wrong but should be consistent with the overall strategic intentions and motivations of the firm. The firms can start with one option and then by experience move towards another in light of degree of commitment and risk involved, set against the level of control and closeness to market.   Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Dunning, J.H. 1989. Multinational Enterprises and the Growth of Services. The Service Industries Journal,9. Bartlett, C.A. et al. 2006. Transactional Management. United States: McGraw- Hill. Whitelock. J. 2002. Theories on internationalization and their impact on market entry. International marketing review,19 Bellak.C. 1994. How Domestic And Foreign Firms Differ And Why Does It Matter?. Journal of Economic Surveys. 18. D. Laughton. 1995.   How firms internationalize their operations in B. Dawes, International Business: A European Perspective. Godiwalla,Y.H. 1986. Multinational Planning- Developing A Global Approach. Long Range Planning, 19.

Partnerships :: Business and Management Studies

Partnerships Deed of partnership A written document that sets out the business relationship between members of a partnership. Limited Partner A member of a partnership who has unlimited liability. Such partners invest money and have a share of the profit, but play no part in running the firm. Partnership Where two or more people own a business together with a view to making a profit. Sleeping partner A member of a partnership who invests money in the firm but plays no part in its running. What is a partnership? A partnership exists when two or more people own a business together with a view to making a profit. Most partners have unlimited liability, therefore if the business fails they can lose all their personal wealth. A maximum of 20 partners is allowed in general partnership. Each partner is a part owner in the business and has the right to take part in running it. Sleeping partners of limited partners may invest in the business but take no part in its running. Why form a partnership? To finance expansion of a sole trader’s business. A sole trader’s own resources will be limited. To obtain capital for a business To get someone to share the work and responsibility of running a business To add new skills to the business. Deed of Partnership This is a very important document and is the contract that sets out the terms of the relationship between the partners. Benefits of working as partners More start up capital Shared costs Shared decision making Wider range of skills More ideas. Drawbacks of working as partners Unlimited liability Have to share profits Limited capital One partners actions can ruin the business No continuity / stability Hard to get money back Activities 1. Unlimited liability is more of a risk to partners than it is to sole traders because if the business fails, the partners could lose all of their personal wealth, not just the money invested in the business, even if the problem was not to do with them. If someone was owed money by the business, the partnership can be sued or just one partner could be sued. If that partners had to pay the debt, he or she would have to get the other partner to pay their share of the money owed. 2. The reason that there is a legal limit on the number of partners in a partnership is because if there are to many partners it gets out of hand, and it becomes hard to keep track. 3. See separate sheet 4. We don’t believe this statement to be very true at all because, we

The It Girl - Clara Bow :: essays research papers

The It Girl – Clara Bow   Ã‚  Ã‚  Ã‚  Ã‚  Imagine it – all the rules you were raised to follow, all the beliefs and norms, everything conventional, shattered. Now imagine It – Clara Bow, the It Girl. The epitome of the avant-garde woman, the archetype of the flapper, was America’s new, young movie actress of the 1920’s. Modern women of the day took heed to Bow’s fresh style and, in turn, yielded danger to the conventional America. Yet Bow’s contagious and popular attitude came with its weaknesses - dealing with fame and the motion picture industry in the 1920’s. Despite this ultimate downfall, Clara’s flair reformed the youth and motion pictures of her time.   Ã‚  Ã‚  Ã‚  Ã‚  Dubbed by Fitzgerald as â€Å"the quintessence of what the term ‘flapper’ signifies,† Clara Bow served as the model for all flappers. A flapper was the new woman; attractive, sassy, â€Å"worldly-wise, and briefly clad.† The flapper took on an impish and tomboyish, at lead for their time, attitude. They danced on tables, rendering the recklessness of the new youth. But modern women proved to be a danger for the conventionalism of America. They influenced the change on women’s rights, what was considered moral, and what was considered appropriate for women. These issues had previously been for making a timid woman; upon the coming of the modern woman, these issues made for a modernist female.   Ã‚  Ã‚  Ã‚  Ã‚  Clara Bow’s fame did not leave her nature tainted, in a sense. She did not become spoiled or uppity. She remained rather self-less and ignorant to fame and those in its power. Her impudent attitude never faltered; she continued to live as the â€Å"chewing-gum-smacking eight-grade drop-out kid,† unaware of convention. Hey psychological welfare, though, was greatly affected. She was institutionalized, slit her wrists and throat, and eventually became the embodiment of an actress-gone-bad; booze, men, gambling, drugs, and insomnia.   Ã‚  Ã‚  Ã‚  Ã‚  Clara’s experience with the motion picture industry gives us a picture of what it was like in the 1920’s. It was new and intriguing, enticing and corrupt. The motion picture industry underpaid Bow, which is almost inconceivable today. The environment of Hollywood now pays actors and actresses corpulent amounts of money...but that may be the only change. The â€Å"star-maker† environment is still as enticing and corrupt as yesterday’s.

Ameican live today with drugs :: essays research papers

There are few problems as persistent in American life today as drugs. Despite the solutions put forth by our countries leaders by seizing ships and imposing hasher jail sentences. The government policies have failed to reduce drug abuse and crimes resulting form the use of drugs. The amount of money budgeted to combat the illegal drug problems in our society have increased greatly to the point where jails are filled or overflowing with drug related criminals. In 1988, the nations anti-drug crusade under President Ronald Reagan cost $4.8 billion a year; by 1995 the anti-drug budget had almost quadrupled, to $13.2 billion, under President Bill Clinton. The nations war on drugs has placed top priority on enforcement of criminal laws, followed by treatment, education, and interdictions of illegal drugs at our borders. However, it doesn’t seem to be enough. The war on drugs should be prosecuted more vigorously. One way to have a more vigorous approach on the war on drugs is to get the military involved in the war. The massive illicit drug traffickers can be slowed down or hopefully stopped by direct involvement of our arm forces. The General Accounting office reported that federal agencies seize only 16 percent of the marijuana and less than 10 percent of the heroin and cocaine that comes into the country each year. The customs service says it intercepts only one out of every 100 plans flying cocaine and heroin into the county, however there were 180,000 such fights in that same year. There is a strong need for involvement of the military so they can help tougher on strengthen the efforts to fight the war. Military involvement will help strengthen our borders. Also, to help attack the war on drugs more vigously is for the United States to increase economic assistance to help other countries to eliminate drugs form their country. The majority of drugs are produced outside the United States in countries , such as: Cuba, Brazil Panama and other poorly developed third world countries. Nearly 70 percent of the cocaine sold in America strictly comes form drug cartels in Columbia (pg 6). Drug traffickers generate billions of dollars a year and in under developed countries were the value of there dollar is worth pennies this is a great opportunity for them to be rich. In May 1996, when the police had arrested 156 people and had seized six tons of cocaine and 17 million in drug profits it didn’t really put a dent in the drug trade business.

Indian Health Service: Creating a Climate for Change Essay

IHS is a very complex organization that serves the American Indian and Alaskan Native population. Effective health services for American Indians and Alaskan Natives had to integrate the philosophies of the tribes with those of the medical community. Because not all tribes signed treaties with the United States some people with Indian heritage were not eligible to participate with the federal government programs. Eligible people with Indian heritage were provided various services throughout the IHS programs; however, some IHS locations did not have the necessary equipment or facilities to provide comprehensive services. With the changing external environment and new demands, increasing need for services and shifting political picture, IHS must change internally to increase efficiency, effectiveness and accountability. IHS is very dedicated to respecting the local traditions and beliefs of tribes. IHS has not developed an adequate third-party payor system, has difficulty recruiting and retaining healthcare professionals and the population IHS serves has health status below the rest of the US. IHS must focus on implementing the Indian self-determination in order to increase the health status of the population to gain continued congressional funding and support. IHS wants to put healthcare back into the hands of the tribes. This is difficult because each tribe has different concepts of health and it is difficult to accommodate such a wide variety. Because of the scarce resources it will be difficult to determine which decisions and services should be centralized rather than decentralized. In order to implement the change, IHS should provide honest and open communication about the changes and how they will affect each tribe individually. IHS should also be responsive to criticisms and the individual traditions of each tribe. IHS should evaluate tribal satisfaction and health status outcomes to monitor the progress of the change. Key Issues 1. Why is the balancing of centralization and decentralization a major challenge faced by Dr. Trujillo? 2. What factors could impede changes to the Indian Health System? 3. How can Dr. Trujillo overcome some of the resistance to change? Situational Analysis Strengths Improved health status and decreased mortality in tribes 62% of healthcare workers were of American Indian or Alaska Native heritage Expansion of services provided to tribes Established scholarship and loan payback programs to increase the number of Indian healthcare professionals Weaknesses No third party payor billing system Recruitment and retention of professional staff Population’s health status is below the rest of the US Complicated organizational structure Limited equipment or facilities in certain areas Not collecting co-payments or deductibles Opportunities Increase the health status of the IHS population to gain continued congressional funding Indian self-determination Integrating the philosophies of the tribes with those of the medical community Federal recognition of tribes Strategic business plan to focus of revenue, cost control internal business improvements Threats No after-inflation increase in budget allocation Providing additional health services with little resources Tribes asking for more control over healthcare services Increasing funding for tribal contracts and compacts Stakeholders calling for major changes Organizational Strategy/Implementation Strategy 1. Why is the balancing of centralization and decentralization a major challenge faced by Dr. Trujillo? Stakeholders in IHS are calling for major changes while there is an evident need for new and innovative ways for funding. Balancing the centralization and decentralization will be a major challenge for Dr. Trujillo. A major challenge will be to determine how to shift the responsibility and accountability to the tribes. Dr. Trujillo will have to determine who will be responsible for supervision of these responsibilities and if adequate resources are available for the shift. It  is Dr. Trujillo’s hopes that this will increase tribal participation in IHS programs. It is often difficult to monitor and gather information in decentralized healthcare. It is also difficult to compare centralized and decentralized data. With the very different interpretations of healthcare in each tribe, it will also be a challenge to determine which services to centralize and decentralize. Financi al resources will have to be considered in the evaluation of centralized and decentralized services. It is important that tribes be able to fund their specific health programs but must also be able to stay within the allotted budget determined by IHS. This will also place an administrative burden on the tribes. It is important that the IHS determine the decisions and services most beneficial to the tribe to be decentralized in order to be efficient and effective in those communities. 2. What factors could impede changes to the Indian Health System? Lack of resources in certain areas and different tribal concepts of health could impede changes to the IHS. Without the resources necessary to transfer responsibility of health services over to tribes, the acceptance of tribal healthcare will be difficult. If resources are not available, tribes will not be responsive to the services offered. Determining the differing concepts in tribes could become conflicting with resources at times. The IHS has already tremendously improved the health status of its current population therefore, if tribal concept of health could be individually identified, IHS could reallocate resources and continue to provide primary care and education programs to those areas that would be most responsive. No increase in funding is another factor that could impede changes to the IHS. As tribes are continuing to sign treaties to be recognized by the federal government the service population is increas ing. Without sufficient funding it will be difficult to transfer the responsibility of services into the tribes. The shift in disease patterns and increase in elderly populations will only contribute to the increasing financial costs. Funding of IHS services also makes it difficult to recruit healthcare personnel. IHS could generate more revenue if the concerns about billing and collections were addressed properly. Proper training and controls would have to be implemented to adequately establish these services. The complicated organizational structure of IHS could also impede changes. The responsibilities of the IHS are interrelated and spread over  several organizations. It may become difficult to determine responsibilities in formal and less formal relationships especially if these responsibilities will expand into the tribes. 3. How can Dr. Trujillo overcome some of the resistance to change? A strategic business plan is already in process of being developed by a workgroup of tribal leaders, IHS personnel and private sector consultants. In order to overcome the resistance to change Dr. Trujillo must provide open communication between all stakeholders. Opening communication between all stakeholders will enable all concerns to be brought forward and addressed in the business plan. The goals of the new business plan should be communicated to each tribe efficiently with an explanation of how the plan will affect each tribe in meeting their individual goals. Regular meetings should be held to discuss the impact the business plan is having on the individual tribes and what concern or progresses the tribes are making. Opening communication can help reorganizing the current structure. IHS will be able to learn what concerns tribes have, how to train employees and the best way to implement the new changes. IHS shou ld be very observant during the change and respond to the tribe’s complaints while also praising their accomplishments. Starting out with pilot groups for certain services or ideas can be a great way to demonstrate how new services can be effective. This will influence other tribes to actually observe how a change may be able to work for them while also giving them a model to follow. Select individuals in each tribe should be identified and invited as a key member to participate in meetings to help lead the implementation of key strategies and health improvements. These individuals will be able to connect with members of their own tribes and communicate change in a way that honors the traditions and values of their tribe. Benchmarks for Success IHS will want to determine if their plans for change are successful. Below are multiple milestones that IHS should evaluate to monitor and determine if the implemented changes are successful: Are tribal culture, values, religion and traditions are respected when delivering health services Are proper resources being utilized to meet the individual tribe’s needs Are healthcare services being delivered more efficiently Are the changes meeting the health needs of the individual tribe Are billings and collections being captured accurately.  Is health status improving in different areas in different tribes Is health status improving in comparison to the rest of the US.