Demand for Audiology Services: 30-Yr Projections and Impact on Academic Programs

2013 ◽  
Vol 24 (05) ◽  
pp. 407-416 ◽  
Author(s):  
Ian M. Windmill ◽  
Barry A. Freeman
Keyword(s):  
Growth Rate ◽  
Insurance Coverage ◽  
The United States ◽  
Attrition Rate ◽  
Physician Supply ◽  
Care Services ◽  
The Future ◽  
Supply Model ◽  
The Difference ◽  
The U.S

Background: Significant growth in the U.S. population over the next 30 yr will likely increase the demand for hearing-care services. In addition, increased accessibility to hearing-care services may be realized due to increased insurance coverage associated with health-care reform efforts. In order to meet this demand, the supply of audiologists will have to keep pace. The U.S. Department of Health and Human Services has developed a Physician Supply Model to predict the necessary number of physicians needed in the future to meet demand. This model is adopted for predicting whether the supply of audiologists will be adequate over the next 30 yr. Purpose: To apply the Physician Supply Model to the audiology profession and then determine if the predicted supply of audiologists will meet the demand for audiologists over the next 30 yr. Data Collection and Analysis: The Physician Supply Model was modified to account for variables unique to the profession of audiology, and the future supply of audiologists is predicted. The predicted demand for audiology was developed based on changes in population demographics over the next 30 yr. The results of the demand calculations and the supply calculations were compared. Results: The current growth rate for audiologists was determined by examining the difference between the number of graduates entering the field and the number leaving. One of the unexpected variables is that the past attrition of graduates, that is, the number of persons who voluntarily leave audiology at some point after graduation, is approximately 40%. The attrition rate combined with the retirement rate results in more persons exiting the profession than entering. Lowering the attrition rate to 20% will result in a positive growth rate. However, even with an attrition rate of 0%, the supply of audiologists will not meet demand. Conclusions: To meet demand, the number of persons entering the field will have to increase by 50% beginning immediately. In addition, the attrition rate will have to be lowered to 20%. Any combination of increased graduation rate and lowered attrition will improve the opportunities to meet demand. Additional strategies could include increasing the capacity of current practitioners or allowing internationally trained audiologists to practice in the United States.

Equal Opportunity in a Pluralistic Society

1987 ◽  
Vol 5 (1) ◽  
pp. 104-119 ◽  
Author(s):  
James W. Nickel
Keyword(s):  
United States ◽  
Religious Pluralism ◽  
Equal Opportunity ◽  
Religious Diversity ◽  
The United States ◽  
Pluralistic Society ◽  
Self Image ◽  
The Difference ◽  
The U.S

The United States has never been culturally or religiously homogeneous, but its diversity has greatly increased over the last century. Although the U.S. was first a multicultural nation through conquest and enslavement, its present diversity is due equally to immigration. In this paper I try to explain the difference it makes for one area of thought and policy – equal opportunity – if we incorporate cultural and religious pluralism into our national self-image. Formulating and implementing a policy of equal opportunity is more difficult in diverse, pluralistic countries than it is in homogeneous ones. My focus is cultural and religious diversity in the United States, but my conclusions will apply to many other countries – including ones whose pluralism is found more in religion than in culture.

scholarly journals Is China Trying to Push the U.S. out of East Asia?

2015 ◽  
Vol 01 (01) ◽  
pp. 59-84 ◽  
Author(s):  
Dong Wang
Keyword(s):  
United States ◽  
East Asia ◽  
International System ◽  
The United States ◽  
Willingness To Participate ◽  
Monroe Doctrine ◽  
Western Discourse ◽  
The Future ◽  
Regional Order ◽  
The U.S

One of the key questions for understanding the future trajectory of regional order is whether or not China is trying to push the United States out of East Asia and build a China-dominated regional order. Some Western analysts accuse China of pursuing the Monroe Doctrine and excluding the United States from the region. This article argues that the Western discourse of China practicing the Monroe Doctrine is a misplaced characterization of China's behavior. Rather than having intention of pushing the United States out of East Asia and build a China-dominated regional order, China is pursuing a hedging strategy that aims at minimizing strategic risks, increasing freedom of action, diversifying strategic options, and shaping the U.S.' preferences and choices. This can be exemplified in five issue areas: China's ties with the Association of Southeast Asian Nations (ASEAN), the Shanghai Cooperation Organization (SCO) and China's foreign policy activism, China-Russia relations, the Conference on Interactions and Confidence-Building Measures in Asia (CICA) and the New Asian Security Concept, as well as China-U.S. relations. Beijing has explicitly acknowledged the U.S. predominance in the international system and reiterated its willingness to participate in and reform the existing system. It concludes by suggesting that, for a more peaceful future to emerge in East Asia, the United States and China, as an incumbent power and a rising power, will have to accommodate each other, and negotiate and renegotiate the boundaries of their relative power, as well as their respective roles in the future regional order where Beijing and Washington would learn to share responsibilities and leadership.

Caring for an Aging Population in a Post-Pandemic World: Emerging Trends in the U.S. Older Adult Care Industry

2021 ◽  
Author(s):  
Lu Kong ◽  
Kejia Hu ◽  
Matthew Walsman
Keyword(s):  
Older Adult ◽  
Digital Communication ◽  
The United States ◽  
Adult Care ◽  
Communication Tools ◽  
Care Industry ◽  
Care Services ◽  
Global Pandemic ◽  
Emerging Trends ◽  
The U.S

This paper examines older adult care services during the outbreak of the COVID-19 global pandemic. Specifically, it investigates emerging developments initiated or augmented by the pandemic and discusses their permanency in a postpandemic world. Primary survey data are collected from both older adult care-providing organizations (supply) and individuals receiving or considering care (demand) in the United States. Qualitative support from various sources supplements the surveys. The results indicate a movement toward deinstitutional care options, which began prepandemic but intensified during the outbreak. Care organizations confirm this development, reporting more occupancy-related concerns. Findings also suggest that telehealth and digital communication tools have substantially expanded. Benefits, issues, and future projections of these trends are discussed, and some suggestions for industry reform are proposed. These results illuminate many actionable ideas for various stakeholders, including older adults, industry practitioners, and policymakers.

The North Caucasus in Contemporary U.S.-Russia Relations: Key Problems and Implications for the Future

2014 ◽  
Vol 18 (2) ◽  
pp. 153-166
Author(s):  
Maxim A. Suchkov
Keyword(s):  
United States ◽  
Present Article ◽  
The United States ◽  
North Caucasus ◽  
The Caucasus ◽  
Security Issues ◽  
The North ◽  
The Future ◽  
Boston Marathon ◽  
The U.S

The North Caucasus is a most significant but a least understood problem in contemporary U.S.-Russia relations. The United States as one of the prime pace-setters in the region shaped its own attitude towards Russia’s most volatile region. Over more than twenty years, Washington experienced at least three major stages in its “Caucasus strategy”, and each stage had its impact on the North Caucasus. Since the beginning, the two states stuck to conflicting narratives of developments in the region. With time, some of the assessments were re-evaluated, but some continue to impede cooperation on key security issues. The present article explores these phenomena and examines what implications major events like the 9/11 attacks, the Caucasus Emirate enlistment among top terrorist organisations, the Boston marathon bombings, etc. had for the U.S.-Russia joint efforts in fighting terrorism. It also assesses areas of potential disagreement in the North Caucasus between the two countries.

… And Health Care for All: Immigrants in the Shadow of the Promise of Universal Health Care

2009 ◽  
Vol 35 (1) ◽  
pp. 185-204 ◽  
Author(s):  
Adrianne Ortega
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Services ◽  
Insurance Coverage ◽  
The United States ◽  
Care Plan ◽  
Universal Health Care ◽  
Care Services ◽  
Eligibility Requirements ◽  
Universal Health

President Obama’s ambitious universal health care plan aims to provide affordable and accessible health care for all. The plan to cover the estimated 46.5 million uninsured, however, ignores the over thirty million non-citizens living in the United States. If the United States passes universal health care coverage, Congress should repeal the prohibitions of the Welfare Reform Act, extend Medicaid coverage to non-citizens, and allow non-citizens to purchase employer-based insurance coverage.President Obama’s plan follows the lead of state universal health care legislation by retaining private, employer-sponsored insurance coverage and expanding the eligibility requirements of the Medicaid program. This strategy will not aid uninsured immigrants or overburdened states and hospitals, though, because current law excludes most non-citizens from nonemergency health care services.

scholarly journals Hispanic Older Adult Health & Longevity in the United States: Current Patterns & Concerns for the Future

Daedalus ◽  
2015 ◽  
Vol 144 (2) ◽  
pp. 20-30 ◽  
Author(s):  
Robert A. Hummer ◽  
Mark D. Hayward
Keyword(s):  
Legal Status ◽  
Insurance Coverage ◽  
Well Being ◽  
Risk Groups ◽  
The United States ◽  
Vulnerable Groups ◽  
Adult Health ◽  
Hispanic Population ◽  
Policy Makers ◽  
The Future

The Hispanic population aged sixty-five and over – the most socioeconomically disadvantaged subset of America's elderly – is projected to quintuple between 2012 and 2050. While current longevity patterns for Hispanics relative to whites are favorable, old-age functioning and disability patterns for Hispanics are unfavorable and have serious implications for caregivers; families; and local, state, and federal governments. Troubling signs for the future Hispanic population (which are shared to varying degrees with other vulnerable groups) include the unresolved legal status of unauthorized immigrants, continued low levels of insurance coverage even after health care reform, some unfavorable trends in health behaviors, and continued disadvantages in educational attainment and income relative to whites. We urge policy-makers to deal with these potentially problematic health and well-being issues. Not doing so could have detrimental consequences for the future of the Hispanic population as well as other at-risk groups and, by extension, the U.S. elderly population as a whole.

scholarly journals The Revival of Nuclear Competition in an Altered Geopolitical Context: A Chinese Perspective

Daedalus ◽  
2020 ◽  
Vol 149 (2) ◽  
pp. 56-68
Author(s):  
Li Bin
Keyword(s):  
United States ◽  
International Cooperation ◽  
Nuclear Weapons ◽  
Nuclear Weapon ◽  
The United States ◽  
Strategic Objectives ◽  
Chinese Perspective ◽  
The Future ◽  
Near Future ◽  
The U.S

The U.S. government considers “power competition” to be the nature of the relations among big powers, and that it will have an impact on the evolving nuclear order in the near future. When big powers worry about power challenges from their rivals, they may use the influence of nuclear weapons to defend their own power and therefore intensify the danger of nuclear confrontation. We need to manage the nuclear relations among nuclear-weapon states and nuclear-armed states to avoid the risk of nuclear escalation. The fact is that big powers including the United States have neither the interest nor the capability to expand their power, and understanding this might cause big powers to lose their interest in power competition. If we promote dialogue among nuclear-weapon states and nuclear-armed states on their strategic objectives, it is possible to reduce the power competition that results from misperceptions and overreactions. Some other factors, for example, non- nuclear technologies and multinuclear players, could complicate the future nuclear order. We therefore need to manage these factors as well and develop international cooperation to mitigate nuclear competition.

scholarly journals Policy: Watch Challenges for Terrorism Risk Insurance in the United States

2004 ◽  
Vol 18 (4) ◽  
pp. 201-214 ◽  
Author(s):  
Howard Kunreuther ◽  
Erwann Michel-Kerjan
Keyword(s):  
Federal Government ◽  
Risk Sharing ◽  
Insurance Coverage ◽  
The United States ◽  
Terrorism Risk ◽  
Insurance Program ◽  
Before And After ◽  
Risk Insurance ◽  
Unites States ◽  
The U.S

This paper examines the role that insurance has played in dealing with terrorism before and after September 11, 2001, by focusing on the distinctive challenges associated with terrorism as a catastrophic risk. The Terrorism Risk Insurance Act of 2002 (TRIA) was passed by the U.S. Congress in November 2002, establishing a national terrorism insurance program that provides up to $100 billion commercial coverage with a specific but temporary risk-sharing arrangement between the federal government and insurers. TRIA's three-year term ends December 31, 2005, so Congress soon has to determine whether it should be renewed, whether an alternative terrorism insurance program should be substituted for it, or whether insurance coverage is left solely in the hands of the private sector. As input into this process, the paper examines several alternatives and scenarios, and discusses their potential to create a sustainable terrorism insurance program in the Unites States.

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