The Rise Of Secularization In 19th Century

The Rise Of Secularization In 19th Century The secularization of 19th century England was multicausal. Various factors contributed to this process. Among them were post-effects of The Enlightenment namely humanistic philosophy that manifested itself with the spread of deism and Enlightenment aesthetics. Other factors included science and natural theology. Natural theology was the attempt of the church to stave off secularization, but in fact hastened the process. Clearly science was more responsible for the secularization of nineteenth century England than Enlightenment humanistic philosophy. This essay will explore the watershed of natural theology and its demise in nineteenth century England. Recognizing the intellectual context and environment that existed at the turn of the 19th century helps illuminate why humanistic causes contributed to Englands secularization. There was, as Thomas Kuhn states, a paradigm shift in society. The industrial revolution led to massive urbanization that often occupied previously religious building for commerce and industry. Cathedrals, abbeys, and churches gradually became merely additional spots in a city and no longer the city centres or primary places of gathering. There was a shift from superstitions and spiritual explanations for different phenomena to physical and reason-based explanations especially between the 17th century before 1660 and the Enlightenment of the 18th century. (155) For example, before this paradigm shift people dealt with the insane via exorcism because their insanity was attributed to Satan. (Brook 1993, 155) Afterwards, new medical elites deemed these practices madness and attributed insanity to non-spiritual ca uses. Among these events specific groups formed, which were led by this appeal of rationality over conventional religion such as the aesthetes and deists. The aesthetes, such as Irish author Oscar Wilde, deists and other groups resented bourgeois society particularly the rigid conservatism, oppressive hypocrisy and suppression of intellectualism of the church. Historians of Victorian intellectual life such as David J. DeLaura have recognized that numerous Victorian atheists and agnostics left the Christian church because they believed Christianity was becoming immoral. The loss of religious faith in such representative early Victorian agnostics as F. W. Newman (John Henry Newmans brother), and J. A. Froude was not due to the usually suggested reasons of the rise of evolutionary theory in geology and biology. The dominant factor was a growing repugnance toward the ethical implications of what each had been taught to believe as essential Christianity the doctrines: Original Sin, Reprobation, Baptismal Regeneration, Vicarious Atonement, and Eternal Punishment. (DeLaura 1969, 13). Murphys journal article The Ethical Revolt Against Christian Orthodoxy in Early Victorian England (1955) in The American Historical Review explains how it was predominantly ethical rejections of Christian Doctrine that led to the secularization of 19th century England. He presents case studies of three individuals F. W. Newman (1805-97), J. A. Froude (1818-94), and Mary Anne Evans (1819-1880). Murphy explains that contrary to the popular views, that once Darwin and Lyell demonstrated that neither the origin of the earth nor the origin of man according to Genesis was congruent with scientific discovery that the majority of thinking people became agnostic or atheist, secularization occurred during the Victorian age predominantly due to conflicts between orthodox dogma and meliorist ethical bias of the times. (Murphy 1955, 801) Murphy argues that science did provide important ammunition once the attack on orthodoxy had begun, but it did not produce the attack. The records of these three people leave no trace of having read Lyell and they all had left the church 10-20 years before Origin of Species was published. Newman grows up in a Christian home but later writes a book Phases of Faith where he describes that he is disturbed by the dominant Christian doctrines believing them to be unethical. Newman finds through critical reasoning that the sacrifice of Christ serving as atonement was not logical because attacking the infinite strength of Christ was evading not satisfying justice as Christ was not really harmed. (Murphy 1955, 803) Murphy explains that Froude did not waste time on fine points of science or Biblical scholarship, but came straight to the main point: the intolerable ethical primitiveness of the vicari-ous-atonement principle (808) Froude states the atonement principles claim that the guilt of a mans sin be transferred, even voluntarily, to an innocent Christ is a perversion of justice. Furthermore to then state that a mans sin is a loss that God suffe rs by which He would need satisfaction that needed to be paid, without it mattering by whom, is an insult to Gods persona. Finally, Evans deviates from the faith because she believes that it is unethical and untrue that religious faith is a necessary prerequisite to attaining moral excellence. In an article entitled Evangelical Teaching: Dr. Cumming (Westminster Review, October 1855) she writes about Dr. Cumming, a self-righteous admired London preacher to be teaching Christian doctrine found to be subversive of true moral development and therefore positively noxious. (Evans 1855, 1) Thus, these case studies demonstrate how the secularization of 19th century England occurred due to meliorist rejections of ethical issues found in church doctrine. However, what even more greatly contributed to the secularization of nineteenth century England was the development of science. Science was viewed as a vehicle of social and intellectual liberation. (Brooke 1993, 155) Natural Theology attempted to make theological claims about the existence of God by observing nature and drawing conclusions via the design argument instead of making claims based on Gods own self-revelation via scripture. The design argument is proposed by Paley in his work Natural Theology (1802) There cannot be design without a designer; contrivance without a contriver; order without choice; arrangement, without anything capable of arranging. (12) Paley believes nature is a mechanism, and hence was intelligently designed. He made this connection because he was writing while England was experiencing the Industrial Revolution. American Philosopher Alston in Perceiving God defines natural theology as the enterprise of providing support for religious beliefs by starting from premises that neither are nor presuppose any religious beliefs (Alston, 1991b, p.289) Natural theology as defence of Christian theology proves fatal. Swiss theologian Barth rejects Natural Theology. He states that this belief causes a bifurcation of knowledge of God into natural knowledge of God and revealed knowledge of the triune God, which is scientifically theologically intolerable. Barth argues that unless rational structure [is] bound up with the actual content of the knowledge of God it [becomes] a distorting abstraction.(Torrance, 1970, 128). American philosopher Platinga views Natural Theology as an attempt to prove or demonstrate the existence of God. This is a problem because it supposes that belief in God rests upon evidential basis. Hence belief in God is not a basic belief and self-evident. Belief in God necessitates being grounded on a more basic belief, but doing this gives the more basic belief greater epistemic status than belief in God. Platinga argues that belief in God is itself basic and does not need justification with references to other beliefs. Natural theology provided deists and atheists new ammunition to establish their own arguments. If God could be explained exclusively with empirical evidence, then His non-existence could also be explained exclusively with empirical evidence if that evidence could be attributed to another origin. Lyell in his Principles of Geology (1830) argues for uniformitarianism stating that the same physical and geological forces observed in the present have been active over a colossal span of time in the past. Darwin in On the Origin of Species (1859) poses a similar argument along with counter-teleological arguments of natural selection, presenting directionality within nature without implying progression or purpose. (McGrath 2010, 36) Biologist Thomas Huxley and Physicist John Tyndall make significant contributions in delegitimizing natural theology and using science to secularize England. Huxley debates and rebukes Oxford bishop Wilberforce when Wilberforce denounces Darwins evolution theory in their debate of 1860 at the British Association meeting at Oxford. This was but one of many events concerning the clergys lost domination of intellectual life in Britain. When the British Association for the Advancement of Science was founded in 1830 clerics composed 30% of its total members. During the period 1831-1865 forty-one clergy were in association. Then in the period 1866-1900 only three remained. (Brooke 1993, 50) Between 1660 and 1793 the scientific world established more than 70 official scientific societies (and almost as many private ones) in urban centres as far removed as St. Petersburg and Philadelphia. (Brooke 1993, 152) Huxley and his colleagues use the conflict thesis of science vs. religion to attack t he Anglican and Roman Catholic churches. Drapers History of the Conflict Between Religion and Science (1874) and Whites History of the Warfare of Science and Theology in Christendom (1896) made the Conflict thesis well know arguing that it is the nature of science religion to be in opposition. Draper in his work states, The history of Science is not a mere record of isolated discoveries; it is a narrative of the conflict of two contending powers, the expansive force of the human intellect on one side, and the compression arising from [traditional] faith and human interests on the other. (Draper 1874, vi) Northwestern University History Professor Heyck argues that Victorian scientists wanted nothing less than to move science from the periphery to the centre of English life (Heyck 1982, 87) Tyndall in 1874 gave a speech in Belfast, a very religious city, before the annual meeting of the British Association for the Advancement of Science. He argues that science holds greater authority than religion or non-rationalist explanations. In his attack on religion Tyndall upholds rationalism, consistency and scepticism. Thus, at the close of the 19th century, the concept was cemented into the English psyche that science and religion were in grave conflict and that, as such, science needed to be divorced from religion or non-rationality. Natural theology had been warped into a new breed of naturalistic science where the observations of nature provided evidence for an evolutionary origin not needing a religious explanation. Although post-effects of the enlightenment clearly did contribute to the secularization of 19th century England, they were not as significant as the contributions of science. Secularization in England had to do with changing society so that it was no longer under the control or influence of religion. The argument that meliorist objections to the ethical components of Christian Doctrine were the driving force that disempowered the church does not hold. Issues regarding ethics did decrease the membership of churches, but it did not disempower the church like science did. Science through the rise and fall of natural theology gave birth to a whole new generation of figures such as Huxley and Darwin who undermined the role of the church in society. Ethical grievances marginalized specific groups of people such as the aesthetes from the church but it did not remove the churchs influence over society to the same degree that scientific development did. The demise of natural theology led to a series of publications and conferences that took away the churchs predominant role in the field of science and society. Post enlightenment effects such as questions on ethics acted as a catalyst for secularization, but it did not lead to significantly greater removal of church influence. The enlightenment and science are inextricably linked but the effects science and natural theology had on removing church influence and supremacy in Victorian England caused greater paradigm shifts in society than ethical conflicts as evinced by the sources. Thus, it is clear that science to a far greater extent led to the secularization of nineteenth century England. The evidence demonstrates that Natural Theology did not strengthen but instead weakened the church. By attempting to demonstrate Gods existence and presence by empirical analysis exclusively theologians provided a platform for a new emergence of deism and atheism. Lyell, Darwin, Huxley, and Tyndall acted as catalysts to this process as they used the premises of Natural Theology to draw new conclusions about the origins the earth and living organisms. Draper and White towards the end of the nineteenth century concluded that science and religion had become enemies in their conflict thesis undermining religious activity as non-rational. Post effects of the enlightenment, such as the meliorist objections to the ethics of church doctrine and the emergence of new anti-religious groups such as the aesthetes did contribute to Englands secularization but to a lesser extent. Hence, s cience was the predominant factor in the secularization of England in the 19th century. Word Count: 2054 The above essay is all my own work: the source of all material used in its compilation has been duly cited and all help received is acknowledged. The essay does not substantially duplicate material previously or simultaneously submitted to academic staff at any academic institution. Jesse Alvarez

Rheumatoid Arthritis Case Study Essay

Skeeter Buck has had 4 years of joint pain with some very severe occasions. He complains of stiffness in his wrists, hands, knees, and feet. The stiffness seems to last anywhere from 30 minutes to 2 hours in the morning. When his joints are sore he is very unstable and feels as though he has no balance. The joint pain does not occur on a regular basis but when it does, he tends to lose his appetite. Medication: Cortisone shot (every 3 months), Aleve, Tylenol Medical History: 4 years of joint pain. Recently symptoms worsened. Family History: Grandmother and mother have rheumatoid arthritis and have had surgery. Grandma had a hip replacement and his mother had a knee replacement. Most of his family is overweight but there is no history of diabetes or heart disease. Social Lifestyle: Married with 2 children and wife is pregnant with their third. Lives in North Bay where he is the manager at a bank. He walks with a cane when his ‘flare ups’ are bad. Lifestyle History: Enjoys playing with the kids. He is as active as he can be without being in pain. He helps coach the hockey team his oldest son plays on. Wife is a dietician and so he eats healthy meals on a regular basis. Risk Factors: He is a non-smoker, regular cholesterol levels, and normal blood glucose levels. Physical Examination General Appearance: Looks healthy, comfortable and has great colour in face. Vital Signs: Blood Pressure = 123/82 mmHg in both arms, Pulse = 72 beats per minute, Respiration= 17 breaths per minute, Mass= 82 kg, Height = 70 in. (175 cm), BMI= 27, Waist Circumference = 34in. Cardiovascular: No carotid bruits, no jugular venous distension, clear lungs, normal point of impulse, regular rate and rhythm, no extra heart sounds, no edema, normal peripheral vascular exam. Skin: no rashes, a bit red, swollen and warm around knuckles on hands and feet. Musculoskeletal: walks slow due to pain, joints on the hands and feet are a bit swollen, does not have a full range of motion in his joints. Neurologic: Normal cranial nerves, loss of fine motor skills in hand, normal sensory exam. Resting Electrocardiogram before Exercise Test: Sinus rhythm, rate= 72 beats per minute, no Q waves, ST or T wave abnormalities. Computer interpretation is normal electrocardiogram. Diagnosis: Rheumatoid arthritis in wrists, hands, knees, and feet causing stiffness in the morning and pain throughout the day especially after more than normal use of the joints. This causes exercise intolerance and fatigue. Plan Complete a standard cycle ergometer test and initiate a training program focussing on increasing exercise tolerance, muscle strength, and range of motion. ** Please refer to following pages for pre-screen and informed consent forms! ** PATHOPHYSIOLOGY Rheumatoid Arthritis Rheumatoid arthritis is a type of inflammatory arthritis and an autoimmune disease. An autoimmune disease is one where the body’s immune system becomes confused and begins to attack its own body. In rheumatoid arthritis the target of the immune attack is the lining of the joints (synovial) and sometimes other internal organs. This causes swelling, pain, inflammation, and joint destruction. Inflammatory cells release enzymes that can digest bone and cartilage causing limited bone motion. This inflammation of joints usually occurs in a symmetrical and bilateral pattern (what happens on one side of the body, happens on the other). Rheumatoid arthritis is also characterized by aggravations and remissions (periods of time with intensified symptoms followed by period of time with reduced symptoms). Rheumatoid arthritis usually begins slowly, starting with only a few joints and spreading to others over a period of a few weeks to a few months. People with rheumatoid arthritis have impaired exercise tolerance. The disease affects flexibility, biomechanical efficiency, muscle strength, endurance, and speed, which contributes to functional limitations. There are three levels of classifying rheumatoid arthritis disease stages: 1. Acute: reversible signs and symptoms in the joint related to synovitis 2. Chronic: stable but irreversible structural damage brought on by the disease process 3. Chronic with acute exacerbation of joint symptoms: increased pain and decreased range of motion and function often related to overuse or superimposed injury. (3) Figure:(12) Signs and Symptoms of Concern (13)You should see your doctor if you experience any of the following symptoms for more than two weeks: Feel unusual pain and stiffness in your joints Pain and stiffness in the morning lasting more than 30-60 minutes before you feel any relief Feel more fatigued than normal Lack of hunger leading to weight loss Importance of Exercise for Rheumatoid Arthritis Patients Although people with rheumatoid arthritis may be hesitant to exercise due to pain they experience within their joints, current evidence suggests that a significant amount of disability related to the condition occurs from lack of fitness. By not exercising, muscle strength and endurance begins to deteriorate. This weakens the joint and contributes to accelerating the speed or arthritis. By not exercising you are also putting yourself at risk for other chronic diseases such as coronary heart disease, diabetes mellitus, and osteoporosis. The American College of Sport Medicine outlines three goals for exercise and arthritis. The goals are: 1) preserve or restore range of motion and flexibility around the affected joints; 2) increase muscle strength and endurance to build joint stability; 3) increase aerobic capacity in order to enhance psychological state and decrease the risk of cardiovascular disease. (8) Although long term effects of dynamic weight bearing exercise on those with rheumatoid arthritis remains unclear, current data suggests that vigorous exercise may be used to improve joint mobility, muscle strength, and aerobic capacity without causing joint damage (except when there is an acute joint inflammation or uncontrolled systemic disease)(8). Those with rheumatoid arthritis should remember that post exercise discomfort should be expected, but activities causing increased joint pain enduring for greater than two hours post-exercise should be discontinued. As previously mentioned, people with rheumatoid arthritis often have little aerobic capacity due to inactivity, but it has been shown to be a safe and beneficial form of treatment for those who are not experiencing acute symptoms. The American College of Sports Medicine suggests that people with rheumatoid arthritis should participate in large muscle activities such as walking, cycling, rowing, swimming, and dance at 60-80% of their peak heart rate or 40-60% VO2max, a rate of perceived exertion (RPE) rating of 11-16, 3-5 days per week for five minute sessions building up to thirty minutes. When working with people with rheumatoid arthritis, it is important to emphasis duration is more important than intensity with goals of increasing VO2max, peak work, and endurance within 4-6 months. It is also important to have at least fifteen minutes of warm-up and cool-down. (8) MEDICATION Although there is no specific cure for rheumatoid arthritis at the present, there are a range of medications available to manage the symptoms to improve the condition. Rheumatoid medications can be classified into different classes such as NSAIDs, Corticosteroids, DMARDs, Biological Agents, Salicylates, and Pain Relief Medications. Your doctor will most likely use a combination of these drugs to alleviate pain and prevent further damage to the joints. NSAIDs NSAIDs or Non-steroidal Anti-inflammatory Drugs are effective in pain relief and inflammation reduction, but do not serve to protect the joints from further damage. NSAIDs prevent your body from producing a substance called prostaglandins, which is primarily responsible for inflammation and pain. When taken in extreme dosages for a long time, these drugs can produce severe side effects, such as stomach bleeding, gastric ulcers, as well as potential damage to the kidneys and liver. Corticosteroids Corticosteroids suppress the immune system, thus managing inflammation. Although these may be very effective in treating rheumatoid arthritis, they have been said to trigger adverse side effects if used in prolonged periods. Examples of these side effects include easy bruising, glaucoma, cataracts, diabetes, excessive weight gain, and thinning of the bones. DMARDs DMARDS or Disease Modifying Anti-Rheumatic Drugs are groups of medications that serve to inhibit the immune system from damaging the joints, thus slowing further joint damage. Rheumatoid arthritis causes permanent joint damage in the early stages and so it is very important to start these medications right away. The risks for severe side effects are high with these medications. Taking DMARDs for a long time may result in bone marrow and liver toxicity, vulnerability to infections, skin allergies, and autoimmunity. Biological Agents Biological agents or biological drugs function to alleviate inflammation via various methods. An example of how they work is by inhibiting tumour necrosis factors. They also can treat inflammation through eradicating Beta cells. Salicylates Salicylates reduce the body’s production of prostaglandins. The use of salicylates has been replaced with NSAIDs, mainly due to the fact that they caused adverse side effects. Pain Relief Medications While anti-pain drugs neither decrease inflammation nor suppress further joint damage, these medications allow the individual become more comfortable and eventually function better. (2) PHYSICAL ASSESSMENT PROTOCOL To determine baseline levels and the areas exercise is in need of improvement, exercise testing can be used to evaluate the different exercise parameters. Those with rheumatoid arthritis tolerate sub-maximal and subjective symptom-limited treadmill tests that require less than 3 miles per hour walking speed. Early-onset muscle fatigue may limit receiving accurate information. Since people with rheumatoid arthritis may have troubles performing maximal treadmill test, sub-maximal bicycle tests may provide more accurate information without over-stressing joints.

The Lost Secret of Argumentative Essay Topics about the Civil Rights Movement

The Lost Secret of Argumentative Essay Topics about the Civil Rights Movement The New Angle On Argumentative Essay Topics about the Civil Rights Movement Just Released In this kind of situation, it's more convenient to discover ready-made essays and use them as an example. An argumentative essays aim is to convince your reader to back up your side of the argument. You're able to observe that one is considerably more focused and specific in the points that it is going to prove in your essay. The essay topics within this lesson give your students different approaches to think through the source of the Civil Rights Movement. Keep in mind that whatever happens, a superior paper is always like the arguments which you make, and how well you can support precisely the same arguments with facts. I have the sources to finish the latter undertaking. These kinds of points are overly general, not really relevant, nor help to show your total thesis. You will discover a variety of argumentative essay topics but picking the perfect one might be the basic and the very first step to compose an influential essay. The absolute most relevant and important information you will utilize to show your argument. This 2-step process will make certain you get going on the perfect foot, but don't forget the essentials of sound writing. Before starting, you should collect all the required evidence to back up your arguments. Historical information and examples. Rumors, Lies and Argumentative Essay Topics about the Civil Rights Movement The House was expected to produce changes that would produce the bill even weaker. Essentially though, this wasn't true. Kennard died that exact same calendar year. The NAACP formed as an immediate solution to this situation. The results of the case ruled that public schools cannot be segregated. This event is just one of the most crucial trials in US history. The school authorities took three years to finish the integration program. An essay on women rights needs to be written dependent on facts since it is something which has, is and will nonetheless influence the world in 1 way or another. In addition, you can warn your audience about certain consequences that could occur if the problem under discussion isn't addressed properly. Non violence means had failed to get any meaningful effect on the Uruguayan government. In most instances, there are plenty of civil rights regimes and agreements that it is possible to decide to address whenever you're handling this specific paper, and it is indeed something which you want to take seriously. The Black Panthers were a good case of this kind of organization. This showed they wanted to vote and participate in politics, not simply let white folks do it for them. In the calendar year 1950 white men and women obviously had a social advantage instead of African-American individuals who were oppressed. At the moment, only white folks could participate in the Mississippi Democratic Party. The best thing about the civil war is it is fought for a fantastic cause like the abolishment of slavery. The 1940s saw considerably more effective efforts to lead to equality. World over, violence was used as a strategy to resist oppression. South America would have the richest economy on the earth in the event the Civil war doesn't bring a stop to slavery. Their aim was to obtain equal rights for African-American individuals. The movement's goal was supposed to decrease poverty for individuals of all races. The target of this case was supposed to bring about equality in education. The target of this outfit was supposed to empower the black individuals.

Unit 9 Health and Social Care Essay - 4631 Words

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Non-communicable diseases A non-communicable disease (NCD) is defined as a disease which is not infectious. Such diseases may result from genetic or lifestyle factors. Such diseases may result from genetic or lifestyle factors. Current evidence indicates that four types of NCDs (i.e. cardiovascular diseases, cancers, diabetes and chronic respiratory diseases) account for almost two third of all deaths globally, with 80 per cent of these deaths occurring in low-income and middle-income countries. NCDs are a leading threat to health and development. Yet, these diseases are preventable. By eliminating shared risk factors such as tobacco use, unhealthy diet, physical inactivity and the harmful use of alcohol, almost 80 per cent of heart disease, stroke and type 2 diabetes and over a third of all cancers could be prevented. In addition, improved disease management can reduce morbidity, disability and death and contribute to better health outcomes. 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Gay Marriage Should Be Legal - 2280 Words

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However, what do you think if you cannot get married to him or her because it is socially unacceptable? 100 years ago different colored peopleRead MoreShould Gay Marriage Be Legal?778 Words   |  3 PagesShould Gay Marriage Be Legal? â€Å"†¦I now pronounce you husband and wife†¦Ã¢â‚¬  One would normally hear this when attending a wedding. In tradition marriage has been between one male and one female who love each other. But how would one feel if they heard â€Å"I now pronounce you groom and groom† or how about â€Å"†¦bride and bride...†? In the last 50 years the number of same-sex couples has increased. The on-going argument between the government and the people is â€Å"Should gay marriage be legal?† Although some sayRead MoreGay Marriage Should Be Legal1126 Words   |  5 PagesJune 26, 2015 for gay marriage to be legal in all fifty states, thirty seven out of the fifty and Washington D.C already legalized gay marriage. Many support gay marriage and many do not, with widespread values and reasons for and against it. Due to religion and rights people across the nation have differing views and opinions of it.In a five to four vote in the Supreme Court gay marriage becam e legalized in all fifty states. Shortly after that a few marriage officiators and marriage licenses peopleRead MoreGay Marriage Should Be Legal1179 Words   |  5 PagesGAY MARRIAGES Some states such as Iowa legalized gay marriage through the action of judicial interpretation based on the state’s constitutional stipulations while other states such as Vermont legalized gay marriage through legislation initiatives. These cases demonstrate the government is the sole body that can dictate the validity of whatever is to be regarded as a marriage, and in this case gay marriage. The power to validate marriage is still observed among the private citizens, religious institutionsRead MoreThe Gay Marriage Should Be Legal947 Words   |  4 PagesDefending Gay Marriage During the last few years, homosexuality has become an important issue for debate. Moreover, homosexuals have taken their case further by claiming their right to marry. Same-sex marriage, usually known as â€Å"gay marriage†, is the marriage between two people from the same biological sex (Doskow1). Since 2000, eleven countries have approved the legalization of gay marriage worldwide: Netherlands, Belgium, Spain, Canada, South Africa, Norway, Sweden, Portugal, Iceland, ArgentinaRead MoreGay Marriage Should Be Legal1480 Words   |  6 PagesNew World Dictionary defines the word married as being husband and wife, yet there are millions of gay activists who are fighting for a new meaning. They believe marriage is more than a piece of paper and a set of rings. The hope is that marriage could be defined as a â€Å"public recognition of a private commitment† or â€Å"emotional, financial, and psychological bond† between two people (Sullivan 53). Gay activists belie ve that taking away the ability to have a publicly recognized relationship or an acceptedRead MoreGay Marriage Should Be Legal1351 Words   |  6 Pageshappened for United States, gay marriage became legal in all 50 states. In most states it already was but the remaining 13 became legal this year. There are many concerns regarding gay marriage, and the effects of them involve many legislative, cultural, religious and family issues. Gay marriage is controversial because a lot of people do not approve of it, they think it is immoral, unnatural, and not what the traditional concept of â€Å"marriage† really means. Opponents of gay marriage say it is only meant

Improving Eye Care Rural India Free Essays

How private entrepreneurship is taking quality oculus attention to the rural multitudes Introduction CATARACT refers to the clouding of the lens in the human oculus, impacting vision.[ 1 ]In the underdeveloped universe, cataract is the cause for sightlessness in about half the unsighted population i.e. We will write a custom essay sample on Improving Eye Care Rural India or any similar topic only for you Order Now 50 % of the recorded figure of blindness instances.[ 2 ]While jobs of unavailability continue to blight many parts of the developing universe – about two-thirds of the population in many developing states are unable to entree quality medical resources A ; substructure chiefly because quality medical attention or oculus attention in this instance is still urban-centric[ 3 ]– all hope is non lost yet. In India excessively, where 90 % of the instances are treatable, most Indians lack entree to quality oculus attention.[ 4 ]In the early 1990s, the state was home to a 3rd of the universe ‘s unsighted people and here excessively cataract sightlessness was the major cause in most instances. The World Bank decided to step in and assist the Indian authorities trade with the job, passing $ 144.8 million between 1994 and 2002 on the Cataract Blindness Control Project under which 15.3 million oculus surgeries were performed.[ 5 ]The World Bank-funded undertaking was mostly implemented in northern India and it helped cut down the incidence of cataract, in the provinces that were covered under this undertaking, by half. But India is a really large state and it decidedly needs a more sustainable attack to covering with cataract sightlessness given that it has a ample ageing population. One such attack is the Aravind Eye Care System, a three-decade old run that has been contending catarac t sightlessness preponderantly in the southern Indian province of Tamil Nadu. Working in the same way is the L V Prasdad Eye Institue, runing from the neighboring province of Andhra Pradesh. Both Aravind and LVPEI, apparatus in the mid 1970s and the mid 1980s severally, have been focused on taking quality oculus attention to the rural multitudes from the really first, most of it free of cost. In the larger context, this paper discusses how private entrepreneurship is taking quality Eye Care to the rural multitudes in India. This paper will discourse the Eye Care bringing theoretical account aimed at contending Cataract Blindness in the context of the Culture-Centered Approach ( CCA ) . The Culture-Centered Approach advoates greater engagment with the local civilization, â€Å" through duologues with community members † , to guarantee â€Å" just † and â€Å" accessible † health care across communities ( Dutta-Bergman, 2004a, 2004b ; Dutta and Basu 2007 as quoted in Dutta, 2008 ) . Furthermore, this paper will utilize the Drawn-out Technology-Community-Management ( TCM ) theoretical account ( Chib A ; Komathi, 2008 ) to explicate the intersections between engineering, community and the direction of information communicating engineerings ( ICT ) in the context of the CCA and the Eye Care bringing theoretical account adopted by the private health care p articipants i.e. the non-governmental administrations ( NGOs ) . Harmonizing to the TCM theoretical account ( Lee A ; Chib, 2008 ) , the intersection of ICT features of engineering, along with the dimensions of package and hardware, undertaking direction dimensions of fiscal demands, the regulative environment, and stakeholder engagement, along with local community engagement â€Å" will finally take to sustainable ICTD intercessions. † Culture-Centered Approach Globalization has led to an increasing realization that the Biomedical[ 6 ]theoretical account of health care is limited in range when prosecuting in issues of planetary wellness ( Dutta, 2008 ) . Furthermore, Dutta ( 2008 ) says that many societies now feel the demand to â€Å" open up the infinites of wellness communicating to the voices of cultural communities † i.e. there is now greater awarness of the demand for better battle with marginalised communities. Culture is dynamic. That civilization has an of import function to play in wellness communicating is better understood today. But this construct began pulling widespread attending merely in the early 1980s, particularly in the U.S. when health care practicians felt a demand to follow multiple schemes to turn to the health-related issues of a multicultural population ( Dutta, 208 ) . â€Å" This helped oppugn the universalist premises of assorted wellness communicating plans † aimed at the developing states and the so called third-world states ( Dutta, 2008 ) . The Culture-Centered Approach was born out of the demand to oppose the dominant attack of wellness communicating, located within the Biomedical theoretical account, where wellness is treated as a â€Å" cosmopolitan construct based on Eurocentric[ 7 ]apprehensions of health-related issues, disease and the intervention of diseases † ( Dutta, 2008 ) . Harmonizing to Dutta ( 2008 ) , the CCA is a better alternate to understanding wellness communicating because it is a â€Å" value-centered † attack. The CCA is built on the impression that the â€Å" significances of wellness † can non be cosmopolitan because they are ingrained within cultural contextsm, he argues. The CCA has its roots in three cardinal constructs i.e. ‘structure ‘ , ‘agency ‘ and ‘culture ‘ . The term ‘culture ‘ refers to the local context within which so called wellness significances are created and dealt with. ‘Structure ‘ encompasses nutrient, shelter, medical services and transportational services that are all critical to the overall health care of assorted members of a community. ‘Agency ‘ points to the â€Å" capacity of cultural members † to negociate the constructions within which they live. It must be noted that ‘structure ‘ , ‘agency ‘ and ‘culture ‘ and entwined and they do non run in isolation. Dutta ( 2008 ) , in his book Communicating Health, farther elaborates that the CCA throws visible radiation on how the dominant health care political orientation serves the demands of those in power. Powerful members of society create conditions of marginalistaion. Therefore the focal point of the CCA lies in the survey of the intersections between ‘structure, ‘agency ‘ and ‘culture in the context of marginalised communities. To understand better the jobs faced by the marginalised, the CCA advocates the health care practicians engage in duologues with members of the concerned community. Each community has its ain set of narratives to portion and this is critical to understanding the local civilization. The CCA besides aims to document opposition, of any sort, to dominant political orientations as this helps beef up the instance of the CCA against the dominant health care theoretical account. The CCA, harmonizing to Dutta ( 2008 ) , provides sufficient range to analyze physician-patient relationships, in a command to finally better the health care bringing theoretical account. Adopting the CCA is merely half your job solved ; the integrating of the CCA with the Extended TCM theoretical account completes the image. The Extended TCM Model The TCM theoretical account ( Lee A ; Chib, 2008 ) argues that the larger inquiry of societal sustainability depends on both local relevancy and institutional support. The TCM Model proposes that the intersection of ICT features of engineering, along with the dimensions of package and hardware, undertaking direction dimensions of fiscal demands, the regulative environment, and stakeholder engagement, along with local community engagement, will finally take to sustainable ICTD intercessions ( See Figure 1.1 ) . Figure 1.1: The TCM Model. The TCM theoretical account was further revised. Community was subdivided to include: manners of ownership of ICT investings and net incomes ; preparation of community users both in the usage and in engineering direction ; and the basic demands of the community. Furthermore, Sustainability was besides subdivided into fiscal and societal ( see Figure 1.2 ) . RTCM.jpg Figure 1.2: The Revised TCM Model Chib A ; Komathi ( 2009 ) found that the TCM Model was unequal as it could non analyze the critical issue of exposure. Therefore, their survey improved on this insufficiency by adding important factors and variables associating to exposure. They extended the TCM theoretical account, and called it the Extended Technology-Community-Management ( Extended TCM ) theoretical account ( see Figure1.3 ) . Figure 1.3: The Extended TCM Model This new model on ICT planning histories for community engagement, the direction constituents, the overall design of engineerings such as telemedicine or tele-consultation, and rating of bing exposures in the community where these engineerings are implemented. It identifies four dimensions of exposures act uponing engineering execution among the rural hapless: economic exposure, informational exposure, physiological/psychological exposure, and socio-cultural exposure. Chib A ; Komathi ( 2009 ) farther explain each dimension of exposure: Physiological and psychological exposures refer to the physical and mental wellbeing of an affected individual, or a specific community. Informational exposure trades with the entree to and handiness of information within affected communities. Informational resources include personal paperss, books and critical informations, sentiment leaders and professional experts, . The deficiency of such resources affects the capablenesss of people who are dependent on them. In a rural scene, informational exposure is farther augmented by the low literacy degrees and deficiency of pertinent â€Å" technological accomplishments necessary to enable the acquisition and processing of information. † The economic exposure is sparked off by the loss of support i.e. a loss of activities that otherwise financially back up families and prolong economic growing in a rural scene. The socio-cultural exposure of communities is deter mined by â€Å" the construction and values of a given society that define human relationships in communities. † Hierarchies in any society ( gender, race, faith, caste, age and category equalitarianism within communities ) or a community frequently dictate entree to resources and assets, and the decision-making power of people. Cataract Blindness in India At the beginning, one has to understand the agonies of the blind in India, in a rural scene – sightlessness, irrespective of the cause, consequences in a loss of support for an person. In rural India, like elsewhere, this would interpret into one less gaining member in the household, doing the unsighted individual a load to his/her household. This leads to a loss of self-respect and position in the household. In consequence, blind people in rural India, like in many other societies, are marginalized. Enter Aravind and LVPEI, who continue to endeavor to assist blind people in rural India and authorise them by giving them back their sight. There are many causes of sightlessness, like Diabetes for case. But Cataract is one of the prima causes of sightlessness in the underdeveloped universe. Records in India show that Cataract is the most important cause of sightlessness in the state ( Nirmalan et al. 2002 A ; Murthy et Al. 2001 ) . Cataract, studies say, is responsible for 50 to 80 per cent of the bilaterally blind ( Thulsiraj et al. 2003 A ; Thulsiraj et Al. 2002 ) .The aged are more at hazard of developing Cataract. India aims to extinguish gratuitous sightlessness by 2020 in line with ‘Vision 2020: the right to spy enterprise ‘ , launched jointly by the World Health Organisation ( WHO ) and the International Agency for Prevention of Blindness ( IAPB ) . Many administrations worldwide are besides working in the way of extinguishing gratuitous sightlessness ( Foster, 2001 ) . The authorities in India and the World Bank launched the Cataract Blindness Control Project in seven provinces across India in 1994.A A From stopping point to 1.2 million cataract surgeries a twelvemonth in the 1980s ( Minassian A ; Mehra 1990 ) , Cataract surgical end product tripled to 3.9 million per twelvemonth by 2003 ( Jose, 2003 ) . In 2004, World Health Organization ( WHO ) information showed that there was a 25 per cent lessening in blindness prevalence in India ( Resnikoff et al. 2004 ) — the ground ( s ) could be the addition in Cataract surgeries countrywide. But there is a larger job here, that of population growing. The elderly population in India ( those aged over 60 old ages ) population which stood at 56 million people in the twelvemonth 1991 is expected to duplicate by the twelvemonth 2016 ( Kumar, 1997 ) . This ‘greying ‘ of India ‘s population merely suggests that the figure of people ‘at-risk ‘ of developing Cataract is invariably on the rises. In the larger sense, this paper aims to demo how private entrepreneurship in India is taking quality oculus attention to the rural multitudes in that state. This paper aimed to discourse the same through two instance surveies, that of the Aravind Eye Care system every bit good as the L V Prasad Eye Institute ( LVPEI ) . Unfortunately, email correspondence with LVPEI failed to arouse responses from this organisation. Given the restrictions of this survey, including clip restraints, this paper will explicate the Aravind Eye Care system in the context of rural Eye Care in India and the battle against Cataract Blindness – all this within the model of the CCA. Furthermore, this paper will review the concern theoretical account of NGOs like Aravind in the context of the Extended TCM theoretical account, including whether for-profit administrations are utilizing the rural multitudes to back up their concern theoretical account. In peculiar, what is the function of the health care supplier in this instance – disseminate cognition to the grass-roots or live-off their health care bringing theoretical account? Aravind Eye Care Dr. G. Venkataswamy had a really simple vision when he foremost setup Aravind Eye Care in 1976: â€Å" Eradicate gratuitous sightlessness at least in Tamil Nadu, his place province, if non in the full state of India. † Aravind began as an 11-bed private clinic in the laminitis ‘s brother ‘s house in the southern Indian metropolis of Madurai. Today, the Aravind Eye Hospital ( AEH ) at Madurai is a 1,500 bed infirmary. In add-on to Madurai, there are four more AEHs in Tamil Nadu ( Aravind.org ) with a combined sum of over 3,500 beds. By 2003 the Aravind Eye Care System as we know it today was up and running. The System continues to run under the auspices of a non-profit-making trust named the Govel Trust – it comprises of a fabrication installation ( for fabricating man-made lenses, suturas, and pharmaceuticals related to oculus attention ) ; oculus infirmaries ; instruction and preparation ( graduate institute of ophthalmology ) ; research installations ( complete with an oculus bank ) ; ) and a centre for community outreach plans ( Prahlad, 2004 ) . A typical twenty-four hours at Aravind now has physicians executing about 1,000 surgeries including free surgeries ; 5-6 outreach cantonments in rural countries where about 1,500 people are examined and near to 300 people are brought to an AEH for oculus surgery ( TED, 2009 ) . How does Aravind make it? The administration has setup ‘vision centres ‘ or clinics in distant small towns, fitted with basic oculus attention equipment. Each clinic is manned by an ophthalmic helper and â€Å" these clinics perform basic scrutinies ; order disciplinary lenses and handle minor complaints. † If an oculus complaint can be cured by the application of oculus beads, these clinics are equipped to make so. For more complicated instances, such as Cataract Blindness, the patient consults an eye doctor based at an AEH in a nearby metropolis via the videoconferencing path. If the patient needs disciplinary surgery, he/she is asked to skip onto a coach waiting outside the ‘vision Centre ‘ that takes them to the nearest Aravind basal infirmary. The patients are operated upon the undermentioned twenty-four hours ; they spend a twenty-four hours in post-operative attention and so take a coach back to their small towns — all free of cost ( Laks, 2009 ) .[ 8 ] But it was n’t all gung-ho in the beginning ; more difficult work than anything else. There was no specific Outreach squad. A Everyone in the pool was asked to take part in Outreach programme. A † In the beginning ( in 1976-77 ) Dr. V and a little squad would see small towns and behavior oculus testing cantonments. Those who required Cataract surgery would so be advised to see the base infirmary for surgery. But Dr.V found that a bulk of those advised to undergo surgery would dropout, owing to socio-economic factors like fright of surgery ; deficiency of trust on Restoration of sight ; no money to pass for conveyance, nutrient and station operative medical attention and ( their ) opposition to western medical specialty, † harmonizing to the caput of Outreach activities at Aravind, R. Meenakshi Sundaram in his electronic mail response to my questions. These barriers were bit by bit addressed through assorted schemes. â€Å" We decided to affect small town heads and local organisations to take ownership of the Outreach programmes, in footings of placing the right location for the Eye Camp and supplying the needed support installations. Their aid was cardinal to community mobilisation. We organized a squad to standardise the quality in Eye Care service bringing. Furthermore, Dr. V focussed his attending on edifice infirmaries like one ‘s place where we usually expect basic civilization and values, † said Mr. Sundaram. â€Å" Fear of surgery was a common barrier in add-on to other factors. Possibly the credence for surgery was low in the beginning. But it was invariably explained at the community degree whenever cantonments were organized as the programme aims to function people at big. Particularly, in the twelvemonth 1992 the Intra Ocular Lens ( IOL ) was introduced and the rural community did non believe in holding a ‘foreign atom ‘ in their eyes. We came across a batch of myths. Those issues were addressed thru guidance, † added Mr. Sundaram. Recognizing the impact of guidance, a cell was developed within the System in 1992 and seven counselors were trained in the first batch of counselors ‘ preparation. They were given a basic orientation about common oculus jobs with a particular focal point on IEC. ‘Patient counselors ‘ i.e. patients who had undergone oculus surgery were asked to assist the Outreach squad. â€Å" They played their function in explicating oculus jobs in the local linguistic communication and tried to assist others recognize the effects of neglecting to accept surgery. Sing the myths, a existent IOL was used as instruction stuff to assist the rural common people understand the construct of the IOL, † Mr Sundaram said. The figure of counselors has steadily risen of all time since and stands at 179 at nowadays. How is the Aravind Eye Care System possible? Fiscal self-sustainability was the primary focal point from twenty-four hours one at Aravind. Initially, the organisation was given a grant by the authorities to assist subsidise the intervention costs for oculus cantonment patients ( Prahlad, 2004 ) and the Govel Trust besides pledged belongingss to raise money from Bankss in the early yearss. Prahlad ( 2004 ) states that the Madurai AEH, the first, was ever self-supporting every bit far as repeating outgos were concerned. Within the first five old ages of operation, the Madurai AEH had accumulated excess grosss for farther development and for the building of four other infirmaries in the Tamil Nadu province. He adds that over the old ages, the patient grosss generated from its five infirmaries located in five metropoliss finance the Aravind Eye Care System to a great extent. Furthermore, Aravind has besides taken to the management-contract path and it manages two infirmaries outside of its home-state. While metropolis common people are charged market rates for each consultancy and for surgery, patients in distant small towns pay merely Rs. 20 for three consultancies or SGD 0.60. ( TED, 2009 ) . Those who can afford to pay, the urban common people who visit Aravind ‘s infirmaries in urban locations on their ain, do non acquire discounted rates. Such a system of cross-subsidies ensures that merely 45 percent wage while the remainder are non charged at all i.e. about five out of every 10 patients examined at Aravind can be provided free oculus attention, including oculus surgery ( TED, 2009 ) . A cross-subsidising fiscal theoretical account is non the lone mantra[ 9 ]to Aravind ‘s success. Having been in the concern of presenting quality Eye Care for over three decennaries now, the System is well-positioned to leverage on the Aravind brand-name to pull contributions. Over the old ages, the organisation has received international acknowledgment for its work and this includ es the 2008 Gates Award for Global Health, and this twelvemonth ‘s Conrad N. Hilton Humanitarian Prize that carries a US $ 1.5 million hard currency award. Last but non the least is the money that flows into Aravind in the signifier of specific project-funding. One such patron is the London-based ‘Seeing Is Believing ‘ ( SiB ) Trust, a coaction between Standard Chartered Bank and the International Agency for Prevention of Blindness ( IAPB ) . Since 2003, ‘Seeing is Believing ‘ has grown from a staff enterprise to raise adequate money to fund a cataract operation for each member of the Bank to a US $ 40 million planetary community enterprise. I wrote to Standard Chartered Bank ( SCB ) inquiring them why they decided to spouse with Aravind and LVPEI. â€Å" LV Prasad Eye Institute, Hyderabad, every bit good as Aravind Eye Hospital are premier oculus attention institutes in the state. India has a huge geographic spread and both these establishments work in different geographic zones of the state. LVPEI is outstanding in the south-eastern provinces of the state while Aravind is outstanding in the southern provinces of India, † said Pratima Harite, Manager ( Sustainability ) , Corporate Affairs- India in her electronic mail response to my questions. The principle behind the India Consortium Project is the ‘vision Centre ‘ concept – that a important proportion of oculus jobs corrected or detected at the primary attention degree has significant nest eggs to the person and to the communities. â€Å" Based on the success of LVPEI ‘s Vision Centre theoretical account, the India Consortium Project p roposed scaling up the development of Vision Centres in a coordinated affair in six provinces across the state. For this, LVPEI sought support from four key implementing spouses – Prime Minister oculus attention establishments themselves across the state, † added Ms. Harite. Singapore ‘s Temasek Foundation ( TF ) part-funds SiB activities in India, peculiarly in capacity edifice i.e. in heightening the preparation constituent of the SiB programme. Is this a feasible concern theoretical account? Aravind has perfected the theoretical account over the last three decennaries. They have the engineering, behind the picture audience, in topographic point – â€Å" a low-priced radio long-distance web ( WiLDNet ) † put together by the Technology and Infrastructure for Emerging Regions ( TIER ) research group at the University of California, Berkeley, California, USA.[ 10 ]This was done to get the better of the issue of zero internet connectivity or decelerate connexions that do non back up picture audiences in distant small towns ( Laks, 2009 ) . In 2004, a nomadic new wave with satellite connectivity was introduced to ease Tele-Consultations. The Indian Space Research Organisation ‘s ( ISRO )[ 11 ]aid was sought to this extent. The ‘vision Centres ‘ can easy pass on with the base infirmary ( some 30 to 40 kilometers. ) via orbiter. These ‘vision Centres ‘ efficaciously address the issue of handiness, affordability and handiness of quality Eye Care. â€Å" A series of Centres were started across the Tamil Nadu province. Each base infirmary is connected with a group of vision Centres. At present, we have 10 ‘vision Centres ‘ that operate on WiFi. The remainder tally on BSNL[ 12 ]broadband connexions, † Mr Sundaram said. Aravind has the bringing system in topographic point. A sound apprehension of the local civilization that in many instances is antipathetic to western medical specialty and where contemporary medical specialty is non the first and lone option to handle any disease or complaint. Why would a villager trust a physician who drives down one all right forenoon and says he would wish to run upon them? Aravind Begins by naming a voluntary group for each community ; some of these voluntaries are farther trained to function as ophthalmic helpers and even as nurses in Aravind ‘s infirmaries. In a rural scene, rural common people trust their friends, neighbours, and their ain people foremost. It is about making ownership to the job, like Mr. Sundaram said, and so partnering with the community to work out the job. Aravind ‘s fiscal consequences for the twelvemonth 2008-09 were healthy. It raked in ( income ) US $ 22 million and spent ( outgo and depreciation ) US $ 13 million.[ 13 ] Discussion That Aravind and other NGOs working in a similar way, like LVPEI for case, utilize the Culture-Centered Approach, as elaborated by Dutta ( 2008 ) , in presenting quality oculus attention to rural India is rather clear. Aravind, in peculiar, has successfully integrated the CCA with the Technology-Communication-Management ( TCM ) theoretical account, as elaborated by Lee A ; Chib ( 2008 ) to make a sustainable theoretical account for Eye Care bringing. ‘Accessibility ‘ and ‘affordability ‘ are the cardinal factors in such health care theoretical accounts. In taking this path, one has to guarantee that the engineerings chosen for the occupation are cost-efficient and easy to implement because capital outgo and operational outgo do play a critical function in finding the cost of health care services. Aravind has been able to maintain the cost of Eye Care bringing considerable low systematically for many old ages now. Critics argue that organisations like Aravind are feeding-off their theoretical account. At this point, it is of import to understand the ground-realities. In India, the divide between the urban ‘haves ‘ , and the rural ‘have-nots ‘ is merely acquiring wider with each go throughing twelvemonth. Harmonizing to UN projections released 2008, â€Å" India would urbanise at a much slower rate than China and have, by 2050, 45 % of its population still populating in rural countries † ( Lederer, 2008 ) . The Government in India is non making plenty to turn to the overplus of wellness issues that plague [ the assorted parts and communities in ] the state. The flagship strategy to better health care services in rural India, the National Rural Health Mission — launched in 2005 as a seven-year programme — has many of its ends yet to be achieved, and the authorities is now sing widening it to 2015, harmonizing to recent media studies. Despite many a au thorities claims and many a authorities schemes several small towns in provinces across India continue to depend on the private sector for quality health care or in this instance Eye Care. Give this state of affairs, Aravind and LVPEI ‘s work in the way of supplying low-cost Eye Care and free oculus surgeries to five out of every 10 patients they examine is a applaudable effort. A 2nd inquiry raised in this survey is, what is the function of the health care supplier in this instance – disseminate cognition to the grass-roots or live-off their health care bringing theoretical account? Aravind is making its portion in circulating cognition to the grass-roots. Most ophthalmic helpers who adult male the ‘vision centres ‘ are community members trained by Aravind. But one has to understand that the act of cognition airing in a distant rural scene has its challenges i.e. undertaking illiteracy, basic consciousness among others and these challenges can non be addres sed in merely a few old ages. The India Consortium Project, sponsored by SCB and Temasek Foundation, set a mark to put up 40 ‘vision Centres ‘ by 2010. So far, 32 ‘vision Centres ‘ are operational and the staying will be operational this twelvemonth, harmonizing to Ms. Harite. On the impudent side, a survey by Murthy et Al. ( 2008 ) argues that the ends of the ‘Vision 2020: the right to spy ‘ inaugural to extinguish Cataract sightlessness in India by the twelvemonth 2020 may non be achieved. But this should non discourage those working in this way. Both the populace and the private sector must go on to contend Cataract Blindness because that is the lone manner to undertake the job at manus. Last but non the least, this survey recommends that NGOs runing in the health care infinite expression at both the CCA and the TCM theoretical account to guarantee better service bringing. How to cite Improving Eye Care Rural India, Essay examples

Element of constructivist theory of justice - MyAssignmenthelp.com

Question: Discuss about the Element of the constructivist theory of justice. Answer: The given media report is about the unethical practices prevailing in the insurance arm of the Commonwealth Banks of Australia (CBA). The issues that are faced due to the unethical practices of the bank are:- Forged and deleted documents. Sacked whistle-blowers. Human misery. Small print gotchas. Defensive management. Profit maximization by any necessary means. Lack of effective and efficient corporate regulator. The word ethics means the principles that govern the behaviour of an individual, group or organization in conducting any activity. Every activity is guided by various moral principles like do good and avoid evil, do unto others as you would have them unto you, the end does not justify the means and follow what nature intends (Sturgeon Sayre-McCord, 2012). When a person or organisation is involved in activities based on these basic moral principles, it is said to be an ethical practice. When activities of a person or organization lack these moral principles, like the abovementioned practices of the CBA, it is said to be an unethical practice (Ioannou Serafeim, 2012). Hence, the issues discussed in the media rort are ethical issues as they have due to lack of ethics in the CBA practises. In understanding ethics there are two approaches. They are the descriptive approach and normative approach. Descriptive approach basically means the study of how people behave and how they think they should behave. It is way of looking at the people the way they are, rather than what they should be (Giorgi, 2012). On the other hand, normative approach refers to the study of how people are ought to behave. It is an argumentative approach that aims at sorting out the best behaviour (Noddings, 2013). To understand ethics by using these two approaches, it requires determining of certain questions in each approach:- Descriptive approach There are the reasons behind the unethical practices that cause trouble. There are companies, which have a code of ethics. Normative approach The employees should report about the unethical practices in his or her workplace. It depends on certain conditions whether business pay the accountants to reduce taxes The given report on CBA reflects both these approaches for understanding ethics. As for understanding the ethics in this case, various questions on the reasons for unethical practices in CBA, code of ethics in CBA, prevailing policies CBA, etc, the descriptive approach is required. For determination and questions on the way employees should react and the directors should act, the normative approach is required for proper understanding of ethics (Burgess Plunkett, 2013). Being a director of the Board of the CBA, I would prefer putting an end to the unethical practices by adopting the utilitarian approach. Utilitarianism states that the action that maximizes utility is the best action. It is a version of consequentialism that states that the consequences of any action can only decide what is wrong and what is right. The utilitarian approach takes into consideration, the net benefits and costs to the stakeholders and all others likely to be affected (Svara, 2014). In the case of the unethical practices of the CBA, insurance arm, I would use the utilitarian approach to first set a code of ethics for the CBA. Secondly, for the benefit of the investors, would make new policies that would provide them security and fair returns of their capital. For the benefit of the employees I would conduct surveys and use new job satisfaction strategies so that the employees are satisfied with the job conditions and do not indulge in unethical practices. Thirdly, I woul d appoint an able, efficient and proper corporate regulator, who can regulate the CBA functions and prevent unethical practices and will try to maintain good relations with the political parties, which are also stakeholders of the bank. I would use the utilitarian approach and make policies and takes all such actions that will benefit all my stakeholders. As a shareholder of the CBA and where there is a dilemma whether the organizational culture of CBA is rotten and if so, whether there is any prospect of such culture to change, my continuation of being a shareholder will depend on the aspects of moral principles in the organisational context, prevailing in the CBA (Mc Kee Eraut, 2012). I would first see the organisational norm that is prevailing in the CBA that is whether the employees work by taking into consideration the individual moral values of the shareholders or they just work with a motive to meet their work objectives without giving importance to individual morality. Secondly, my continuation as a shareholder would depend on the fact whether the CBA, having a large structure, lacks individual moral responsibility or not. Being an advisor of CBA for the insurance policies, I would defend these policies in the following ways At Stage 2 of Kohlbergs Levels of Cognitive Moral Development I would defend the CBA insurance policies in this stage by stating that people recognize the needs of others and they may try to meet them only when their needs are also fulfilled. They usually decide the wrong and right based on the consequences to themselves (Gibbs, 2013). At this stage, I, being an advisor of the CBA would sell the insurance policies keeping in mind the benefits I am getting from it. Stage 4 of Kohlbergs Levels of Cognitive Moral Development Being in this stage I would defend the insurances polices by stating that everyone recognizes certain guidelines for right and wrong, which is required for the smooth running of the society. But people think that these rules are inflexible, whereas with time the society changes and these rules should also be changed (Vine, 2012). Therefore, I will only act according to the law and order of the society, unless there is conflict with the social duties. When there is conflict with the social duties, I will not act in accordance with the law and order set by the society. A scholarship for low income and social disadvantage According to the Rawls theory of justice, a scholarship for low income and social disadvantage is a justification. According to Rawl`s theory, justice is the first virtue of social institution and he aims to solve the problem of distributive justice by using various devices of social contract (Forst, 2012). This theory is also known as Justice as fairness, from which Rawls derives the two principles of justice. According this theory of justice, liberty must be given to all members of the society and liberty of one member shall not collide with the liberty of another. Secondly, this theory states that inequalities, either economic or social, shall only be allowed if the worst of it will result in better than that of equal distribution. Furthermore, this theory also states that if there is such a beneficial inequality, it should not make it hard for the ones without resources to occupy positions of power. It can be said that Rawls in his theory of justice makes it clear that whether th ere is economic or social equality or inequality, it shall not create difficulties for those having limited resources and justice must be provided to them (Corlett, 2016). Hence, a scholarship for low income and social disadvantage is a just action according to Rawls theory of distributive justice, as it is a just action that provides justice to those having limited resources. Bibliography Burgess, A., Plunkett, D. (2013). Conceptual ethics I.Philosophy Compass,8(12), 1091-1101. Corlett, J. A. (Ed.). (2016).Equality and liberty: analyzing Rawls and Nozick. Springer. Forst, R. (2012).The right to justification: Elements of a constructivist theory of justice. Columbia University Press. Gibbs, J. C. (2013).Moral development and reality: Beyond the theories of Kohlberg, Hoffman, and Haidt. Oxford University Press. Giorgi, A. (2012). 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