Tuesday, August 25, 2020

Essay on The monthly LME spot price for aluminium in USD per tonne

On The month to month LME spot cost for aluminum in USD per ton between June 2008 and June 2014 - Essay Example China’s financial development during the time of the variances in the costs of aluminum influenced the cost of the metal. Furthermore, there was a union of the steel business influencing the pattern of the costs in the metal over the globe. All the more along these lines, an Earth-wide temperature boost and carbon sequestration should likewise have taken part in the variances in the aluminum costs. At long last, the increasing expenses of creation and the loss of estimation of the US dollar must assumed a job in the adjustments in cost of a similar item. Verifiably, the costs of metals no matter how you look at it generally had a positive or an upward pattern though the dollar kept at a steady for extensive stretch of time. The length and adequacy of value variances for the situation being referred to more likely than not been because of various change in the financial quality of the metal market when all is said in done (ASWATHANARAYANA,2012). Contemplations in gracefully and request of aluminum and unforeseen occasions like catastrophic events and mishaps do impact the varieties in the cost of the aluminum during that given timeframe. The worldwide occasions being referred to resemble downturns, financial development and swelling do influence or impact the pattern in the costs of the aluminum. The interest for metal in China was a consequence of the infrastructural development in the nation. I think, in August 2008, the expansion in cost of aluminum was a consequence of the expanded interest in the aluminum metal because of the concentrated improvement in china ta that particular time. The expansion and downturn of 2008 that influenced most nations on the planet more likely than not been purposes behind the variances in aluminum costs. Minerals have a high propensity of losing with regards to changes in the financial atmosphere of the market and the general market. Expansion caused the interest for the aluminum to go down prompting the vacillation in cost during that time of June 2008 to June 2014 (

Saturday, August 22, 2020

IT Manager Perspective Research Paper Example | Topics and Well Written Essays - 500 words

IT Manager Perspective - Research Paper Example (b). The associations is an early adopter of HIT in light of the fact that from the earliest starting point, it had been chipping away at clinical processing. Further, significant IT move outs occurred between 1995-2007 and practically all IT improvements like EMR, CPOE and others had been actualized by 2007. This backings its initial appropriation of HIT (Bohmer et al. 2007). Ans. 2. BIDMC depends vigorously on uniquely created application since it feels there are sure deficiencies with seller created bundles. Such deficiencies emerge from trust factor, contrariness issue with home application and seller programming and in particular, accessibility of merchant to whenever overhaul or offer help to the framework. In the midst of such difficulties, BIDMC thinks of it as better to create in-house capacities than relying on an outside merchant. Seeing the degree of skill and certainty of clients in specially created applications in-house, this accentuation won't lessen or change. Truth be told, synchronization issues with the merchant and failure to deal with the work processes with seller oversaw programming empower the utilization of uniquely created clinical frameworks at BIDMC. Ans. 3 (a). The OMR established separate perspectives for clinicians and patients for security and protection purposes. Clinicians could follow any data of patients, extending from visits, test reports, alarms, lab results, subsequent meet-ups or alluding to some other doctor.

Sunday, July 26, 2020

Gaspee

Gaspee Gaspee gas ´pe? [key], British revenue cutter, burned (June 10, 1772) at Namquit (now Gaspee) Point in the present-day city of Warwick on the western shore of Narragansett Bay, R.I. The vessel arrived in Mar., 1772, to enforce the revenue laws in an area where virtually the whole citizenry was engaged in smuggling, and her presence was decidedly unwelcome. Her commander, Lieutenant Dudingston, provoked the navigators of the bay further by the manner in which he carried out his duties. On June 9, 1772, the Gaspee was lured aground c.7 mi (11 km) S of Providence while giving chase to a suspect. A group of prominent Providence men, including John Brown and Joseph Bucklin, decided to burn the ship, and Capt. Abraham Whipple led the raiders. They boarded the Gaspee, wounded the commander, captured the crew, and then burned the vessel at the water's edge. Gov. Joseph Wanton, in the difficult position of having to enforce British regulations without offending his constituents (Rhode Island elected its own governor), admirably solved the problem by issuing proclamations for the arrest of the officially unknown offenders and then doing virtually nothing about them. Despite a large reward offered by the British, the names of the men involved, though well known in Providence, were not revealed until after the outbreak of the American Revolution. The incident was one of the most famous colonial acts of defiance in the troubled years before independence. The Columbia Electronic Encyclopedia, 6th ed. Copyright © 2012, Columbia University Press. All rights reserved. See more Encyclopedia articles on: U.S. History

Friday, May 22, 2020

The Snows of Kilimanjaro by Ernest Hemingway - 848 Words

He was sick; he has on the brink of death as his life began to catch up with him. Harry, the main character in â€Å"The Snows of Kilimanjaro† by Ernest Hemingway, lays on a cot at the plains of Kilimanjaro dying from gangrene due to a self-inflected wound he never took care of. While on the edge of death, his true identity as a person begins to shine through. Is Harry a good man merely preparing for death in a terrible way? Or was his truly deceptive and abusive personality shining through at his last moments of life? While these questions are highly debated, there is evidence to prove that Harry was, indeed, a terrible man receiving his punishment for the life that he had lived. Harry was a con, a thief, an abuser, and a sluggard and was now†¦show more content†¦However, due to his lack of love for her, it can also be believed that this is how he typically treats her. Some examples of his abuse include comments such as â€Å"You’re such a bloody fool† (Page 827, Par. 9) and â€Å"No [I don’t love you]. I don’t think so. I never have† (Page 828, Par. 13). He continuously belittles her and plays mind games to hurt her even deeper. An example of this is close to the beginning of the story. The conversation starts and she asks him to stop pestering her. He apologizes and says he doesn’t want to hurt her. She responds, â€Å"It’s a little bit late for that now.† He then retorts, â€Å"All right then. I’ll go on hurting you. It’s more amusing. The only thing I ever really liked to do with you I can’t do now.† Because he is hurt, he can no longer have sex with her. His reference to only enjoying having sex with her is not only sexist but completely degrading. After telling her he enjoys hurting her, he says: Harry: Listen, do you think that it is fun to do this? I don’t now why I’m doing it. It’s trying to kill to keep yourself alive, I imagine. I was all right when we started talking. I didn’t mean to start this, and now I’m crazy as a coot and being as cruel to you as I can be. Don’t pay attention, darling, to what I say. I love you, really. You know I love you. I’ve never loved any one else the way I love you. Helen: You’re sweet to me. Harry: You bitch. You rich bitch. That’s poetry. I’m full of poetry now. Rot andShow MoreRelatedSnows Of Kilimanjaro By Ernest Hemingway1229 Words   |  5 PagesSnows of Kilimanjaro by Ernest Hemingway gives different viewpoints about Hemingway’s life and marriage. Hemingway gives the character Harry, who gets an infection in his leg and is suffering from great pain, a different outlook on his life when death gets involved. When describing such themes as death, infection and the small and unimportant values of life, we see a different kind of Harry come out of the story. A bashful, unkind, and shameful Harry is brought into our imagination with such imageryRead MoreEssay on An Analysis of The Snows of Kilimanjaro by Ernest Hemingway1676 Words   |  7 PagesAnalysis of The Snows of Kilimanjaro by Ernest Hemingway During his life, Ernest Hemingway has used his talent as a writer in many novels, nonfiction, and short stories, and today he is recognized to be maybe the best-known American writer of the twentieth century (Stories for Students 243). In his short stories Hemingway reveals his deepest and most enduring themes-death, writing, machismo, bravery, and the alienation of men in the modern world (Stories for Students 244). The Snows of KilimanjaroRead More Infectious Death Through Lack of Living in The Snows of Kilimanjaro by Ernest Hemingway1157 Words   |  5 PagesInfectious Death Through Lack of Living in The Snows of Kilimanjaro by Ernest Hemingway The short story â€Å"The Snows of Kilimanjaro† by Ernest Hemingway gives a look into the life of a man facing death in the African savannah as a result of an infection. Exotic locales and predominate dialogue are common in Hemingway’s writings and are evident in â€Å"The Snows of Kilimanjaro† as well. â€Å"The Snows of Kilimanjaro† by Ernest Hemingway portrays the theme of death by use of specific narration, the protagonist’sRead MoreComparison Between Pale Horse, Pale Rider By Katherine Ann Porter And The Snows of Kilimanjaro By Ernest Hemingway679 Words   |  3 PagesComparison Between Pale Horse, Pale Rider By Katherine Ann Porter And The Snows of Kilimanjaro By Ernest Hemingway This paper is going to discuss and analyze fully two short American fiction stories which are Pale horse, Pale Rider by Katherine Ann Porter and The Snows of Kilimanjaro by Ernest Hemingway. By reading the bibliographies of both these authors, one finds that Porter and Hemingway have met in a certain period of their life, where they could have shared lotsRead MoreSymbolism In Ernest Hemingways The Snows Of Kiilimanjaro1222 Words   |  5 PagesMount Kilimanjaro is known as the house of God. Standing at 5,895 meters above sea level, it is the highest mountain in Africa. For centuries, people from across the globe travel to Tanzania in order to experience the majesty associated with the three dormant volcanoes. Ernest Hemingway, one of the great American 20th century novelists, visit the house of God through his short story â€Å"The Snows of Kilimanjaro†. Hemingway uses strong symbolic imagery to connect his readers with the life changing realizationsRead MoreThe Snows Of Kilimanjaro Analysis1234 Words   |  5 PagesOsifowode Professor Linda Daigle English 2328 July 19, 2017 Hemingway – The Snows of Kilimanjaro Among the key elements in any play, character development and themes remain crucial since they help in understanding the setting and the play in general. In most cases, these elements are hidden so that a deeper meaning can be obtained from a scene when trying to pass the message across. In the play, â€Å"The Snows of Kilimanjaro† by Ernest Hemingway, we can observe several features that are distinct as explainedRead More Snow of Kilimanjaro Essay3386 Words   |  14 Pages In this story â€Å"The Snows of Kilimanjaro†, the author Ernest Hemingway has basically two main characters, Harry and his wife, Helen. Throughout the story Harry has an infected leg, which seems to be seriously bothering him, it is actually rotting away. The author writes about Harry’s time on the mountain with his wife just waiting for his death. In his story, Ernest Hemingway shows a great deal reality and emotion through his main character Harry, in the books themes, and its symbols. The author’sRead MoreErnest Hemingway: A Brief Biography 1210 Words   |  5 PagesErnest Hemingway was born in Oak Park, Illinois in 1899. He was a writer who started his career with a newspaper office in Kansas City when he was seventeen. When the United States got involved in the First World War, Hemingway joined with a volunteer ambulance unit in the Italian army. During his service, he was wounded, and was decorated by the Italian Government. Upon his return to the United States, he was employed by Canadian and American newspapers as a reporter, and sent back to EuropeRead MoreEssay on Short stories1134 Words   |  5 Pages Essay nbsp;nbsp;nbsp;nbsp;nbsp;The short stories â€Å"The Snows of Kilimanjaro† and â€Å"The Short Happy Life of Francis Mocomber† were both written by world renowned author Ernest Hemingway. The two stories are written completely unrelated to each other; however, both stories have vast similarities in the time and place in which they take place. Hemingway is a writer that is very methodical in his word choices. When reading these two stories a second time the reader finds considerable differencesRead MoreErnest Hemingway s A Old Man And The Sea1588 Words   |  7 PagesErnest Hemingway, an Intense Macho Bullfighting Woodsman of an author, If you met him in person you would not beleive him when he told you he s an author. However Ernest Hemingway is a very accomplished author, well known as the Chronicler of the lost generation, and for his Pulitzer Prize winning Old Man and the Sea. Hemingway also was known for his collection of short stories, like In Another Country and The Snows of Kilimanjaro, as with many of his stories these two are set in 2 places he has

Friday, May 8, 2020

Thomas Hobbes And John Locke - 1137 Words

Thomas Hobbes and John Locke are widely considered to be the most influential political philosophers of the classical liberal viewpoint, as they both believed that a government should exist, but that it should exist only for the purpose of preventing members of society from harming each other, not from harming themselves, therefore maximizing liberty in society. Although they agreed on the general purpose of government, which would today be considered to be a libertarian viewpoint, one critical issue on which they disagreed was on the nature of rights. In Hobbes’ view, people have no natural or inherent rights, and that in a state of nature, people would have no obligation to respect the rights of others. As a result, Hobbes argues that†¦show more content†¦The key component of Hobbes’ theory of government is social contract theory: that people give up some of their freedom to a government that protects their safety; as a result, rights are granted by the gover nment, as this social contract is the only protection that people have over their rights. Hobbes’ social contract theory stems from his view of the state of nature, or what would occur if no government existed. In Hobbes’ view, the state of nature is extremely chaotic, or as he writes, â€Å"solitary, poor, nasty, brutish, and short.† This chaotic state occurs because people have no incentive not to harm each other, since â€Å"if any two men desire the same thing, which nevertheless they cannot both enjoy, they become enemies; and in the way to their end endeavour to destroy or subdue one another.† In addition, Hobbes argues that there is no morality or rights in the state of nature, saying â€Å"The notions of right and wrong, justice and injustice, have there no place. Where there is no common power, there is no law; where no law, no injustice.† Since Hobbes believes that people have no inherent rights in a state of nature, and that no one has any incentive to respect the rights of others, he believes that a government is necessary in order toShow MoreRelatedJohn Locke And Thomas Hobbes886 Words   |  4 Pagesdiscuss the differences in political theories expressed by both John Locke and Thomas Hobbes. In, Leviathan, by Thomas Hobbes, and in, The Second Treatise of Government, by John Locke different theories of political legitimacy and definitions of the state of nature are described. The following paragraphs analyze multiple different points that are imperative to understanding these political theories. In the reading, Leviathan, Thomas Hobbes discusses what human existence is in the state of nature andRead MoreThomas Hobbes And John Locke911 Words   |  4 Pagessocial contract theory, Thomas Hobbes and John Locke established many of the founding ideals that contemporary Liberalism is based on. While the shared many similar positions, there are some key distinctions to be made between the arguments Hobbes and Locke make in Leviathan and Second Treatise of Civil Government, respectively. In this paper I will argue the differences between how each of them viewed the right of the subjects to revolt from the sovereign. Thomas Hobbes published his most famousRead MoreThomas Hobbes And John Locke Essay1441 Words   |  6 PagesEifling-Question 4 Hobbes and Locke During and after the English Revolution, a few philosophers expressed different views on their philosophical outlook and life experiences. Some of the most outstanding thinkers include Thomas Hobbes and John Locke. They had opposing views on governance matters, but the two, also, had striking similarities. In addition, the two represented an increasingly modernized European population that despised absolute kingship. Both Hobbes and Locke proposed a conceptionRead MoreJohn Locke And Thomas Hobbes1287 Words   |  6 Pagesknow how to balance and consider the nature of humankind and their rights. John Locke and Thomas Hobbes were both political philosophers who developed theories about how the government should work. They set up their theories around The Natural Law and the Social Contract Theory. Although John Locke and Thomas Hobbes had a similar goal, their beliefs and opinions were definitely not the same. John Locke and Thomas Hobbes both believed in the Natural Law and the Social Contract Theory. They both developedRead MoreThomas Hobbes And John Locke1346 Words   |  6 PagesContracts Thomas Hobbes and John Locke were two English political philosophers, who have had a lasting impact on modern political science. Thomas Hobbes and John Locke both spent much of their lives attempting to identify the best form of government. Locke and Hobbes were among the most prominent of theorists when it came to social contract and human rights. A Social Contract is an agreement among the members of a society to cooperate for social benefits. Thomas Hobbes and John Locke, are the twoRead MoreThomas Hobbes And John Locke928 Words   |  4 Pagesthere is no formed society, government, laws, safety, etc. both Thomas Hobbes and John Locke take this into perspective while introducing a political view. As illustrated by Thomas Hobbes, John Locke, Karl Marx, and Friedrich Engels, they proposed political views on how human nature can prosper. Initially, Thomas Hobbes introduces a concept on the state of nature and its effects as well as how peace can be achieved. In Leviathan, Hobbes defines what living in a state of nature would be like and theRead MoreThomas Hobbes And John Locke1494 Words   |  6 Pages1) Thomas Hobbes and John Locke share the basic assumption that a theory based off of abstract individualism, consent, sovereignty and reason will produce a peaceful and productive society. This theory is the liberal political theory, which is the philosophy of individual rights and a limited government. Both Hobbes and Locke both center the majority of their ideas off of how people’s lives should be based off of nature rights instead of natural law. This being said, people are also subject to theRead MoreThomas Hobbes And John Locke888 Words   |  4 Pagesare very similar but diverge in the moments that solidify their stance on their opinion. Thomas Hobbes and John Locke is both political scientist who have made strides in the area of social contracts and share being natural law theorist also. Locke and all other natural law theorists assumed that man was by nature a social animal and there fore struck contracts with each other to secure safety among them. Hobbes assumed diff erently, thus his verdicts are very different from other natural law theoristsRead MoreThomas Hobbes And John Locke1426 Words   |  6 PagesBy the second half of the 17th Century, England would experience one of the bloodiest conflicts in its history, ultimately serving to influence some of the most phenomenal political philosophers in Europe --Thomas Hobbes, and John Locke. England was in constant unrest, choosing new forms of government almost on a whim in desperate attempts to restore order in the Country. The English Civil War in 1642 etched a legacy of dread in the people of England, and the war only appeared more disastrous andRead MoreThomas Hobbes And John Locke1659 Words   |  7 Pagesmajority. The following pages show how modern social contract theory especially that of Thomas Hobbes and John Locke, grew into the divisive issue it is in contemporary political philosophy. Modern social contract theory can trace its roots to prominent thinkers Thomas Hobbes and John Lock e. It is their thoughts on social contracts that lie at the center of the many spheres we are a part of. For Hobbes and Locke, social contract theory sought to analyze the relationship between rulers and the ruled

Wednesday, May 6, 2020

Cultural Anthropology Free Essays

Holding Amok can bring the host close to financial devastation however, the political and communal gains room Increased status can outweigh the cons. Reciprocity Is a mutual/cooperative non-market exchange of favors. Merchandise, or rights where a return is generally expected. We will write a custom essay sample on Cultural Anthropology or any similar topic only for you Order Now Examples of the things exchanged are goods or services between two or more individual groups or the exchange of rights or privileges of trade between individuals or groups. Through the process of natural selection, over time humans have formed emotional connections to others and involve In long-term interactions in which reciprocity aids everyone Involved. The highlanders of Papa New Guiana otherwise known as the Cakewalk believe In arraign not for the love but for pig tending. Usually Cakewalk marry to have the woman tend for the pigs while the man is away. Among is an example of this, he has many wives take care of his pigs and if the wife’s do not tend to his pigs they are seen as not being responsible. It is the wife’s duty in that culture to tend to the husband’s pig. The Handyman from the Amazon originate from Brazil. The Handyman men marry to Increase their status and grow stronger. The men find It appropriate to marry women with many brothers so that the man who may have only had two brothers, married into a family with four. The newly wed Handyman man will now have more brothers to fight along his side if the situation ever called. Cousins also make the situation for the man very good. Both of these tribes see marriage for its functional uses rather than for the uses we think about in America such as love and happiness. Marriage in these tribes come first as something used to increase ones wealth or power. The primary economic tender for the Cakewalk was pigs. Pigs have been In the tradition of Amok for centuries. Only recently have modern consumer items such as cars been added to the Amok as a result of globalization. We also saw the Cakewalk exchange pounds, and discussed how powerful it is to put ones face on money. Personally I saw your perspective on that concept fascinating because you were right in every way. The Cakewalk and the Handyman are both fascinating tribes to study. This assignment on reciprocity really has me thinking. How to cite Cultural Anthropology, Papers Cultural Anthropology Free Essays Culture is a well organized unity divided into two fundamental aspects – a body of artifacts and a system of customs – Mammalians. â€Å"Humans cannot eat, breathe, defecate, mate, reproduce, sit, move about, sleep or Ill down without following or expressing some aspect of their society culture. Our cultures grow, expand, and evolve. We will write a custom essay sample on Cultural Anthropology or any similar topic only for you Order Now It is their nature. † – Marvin Harris. The culture of a people is an ensemble of texts, themselves ensembles, which the anthropologist strains to read over the shoulders of those to whom they properly belong. † Geezer, Balinese Cockfight (p. 2). â€Å"Man is an animal suspended in webs of significance he himself has spun. I take culture to be those webs, and the analysis of it to be therefore not an experimental science in search of law but an interpretative one in search of meaning. † Greet, Interpretation of Cultures (p. 5). â€Å"People do not realize how greatly culture Influences their behavior until they come across other ways of doing things. † â€Å"Culture is learned behavior. † A person is not born with a culture. Culture is universal. Every human being possesses it by virtue of their biological state. Cultural Anthropology) Is Inherently pluralistic, seeking a framework In which the distinctive perspectives of each culture world can be appreciated. † â€Å"[Cultural practices are meaningful actions that occur routinely in everyday life, are widely shared by members of the group, and carry with them normative expectations about how things should be done† (Gooding, Miller and Sessile, 1995). â€Å"A collective name for all behavior patterns socially acquired and socially transmitted groups. † Dictionary of Sociology and Related Sciences. Culture is a civilization†¦ s that complex whole which includes knowledge, belief, art, morals, custom, and any other capabilities and habits acquired by man (sic. ) as a member of society. † – Edward Taylor â€Å"Culture embraces all the manifestations of social habits of a community, the reactions of the individual as affected by the habits of the group in which he lives, and the product of human activities as determined by these habits. † -Franz Boas. Coloratura Anthropology focuses on how language, customs, and culture in general develop. Cultural Anthropologists compare and contrast the vast range of cultures with the popes of better understanding â€Å"the diversity of human behavior, and ultimately to develop a science of human behavior. † – Fried,J. Cultural Anthropology. What is traditional (or folk) culture? â€Å"Traditional culture is the habitual behaviors or thoughts of any given social group, and there is not only the chance of customary behaviors occurring; customary behaviors are expected and generally required by members of the society (Smith- Seymour, 1986). Folk culture is a model of the peasant community characterized by economic self- efficiency, intimate social ties, the strong role of ritual and tradition, and the relative isolation from urban centers. The concept of folk culture is that it represents an attempt to characterize the values and social structure of traditional, rural communities existing within complex societies. What methods do they use to study culture? Fieldwork: visiting and living among a particular people. Mapping, inventories, census, behavior protocols, questionnaires, projective tests, collecting genealogies, kinship terminologies, oral traditions, recording cases, and racing networks† (Hunter and Whiten, 1976). In order to study these cultures, ethnographers had to become part of them. Live with the people for extended periods of time. To study different groups of people, the scientists had to become immersed in their study. One important qualification that anthropologists should possess is a strong awareness of their won culture. Although it is necessary for Anthropologists to be as culture tendencies in order to comprehend another’s culture. Therefore, absolute objectivity, which would require that the Anthropologist have biases, and in research exult no culture at all, should be given up in favor of a relative objectivity based on the characteristics of one’s own culture. The Anthropologist is forced to include himself and his own way of life in his subject matter. In order to study others, and to study culture in general, the Anthropologist uses his own culture. What is material culture? Culture involves much more than behavioral traits; it includes all produced artifacts – tools, art, books and texts, etc. â€Å"Probably no other country in the world has such high regard for material culture as the United States. â€Å"Cultural materialism is a type of analysis that looks at ecology and economics for explanation of cultural beliefs and practices. It tries to explain cultural habits in terms of basic needs. ‘A cultural materialist view of history looks for relationships between the use of new technologies, population booms, the material improvement of life, and the collapse of civilization† (fisher, 1986). What is cultural diffusion? â€Å"The worldwide tendency of human populations to share and pool creative efforts which are in origin locally known and used. † -David Hunter. How to cite Cultural Anthropology, Papers

Tuesday, April 28, 2020

Payment Methods free essay sample

So in saying this the patient may have to pay some fee’s before they leave the doctor’s office because of some sort of procedure they had done. So the way the relationship goes for the fees for service is like this. The patient makes their usual monthly payments to their health plan or it’s set up to be automatically withdrawn from their paycheck. If they make their payments on time then they can have medical services done by a physician. The patient then pays for any fee’s or co-pays for the medical services that were provided on that day and then the Medical Biller will then bill the health plan. The patient may be reimbursed for the some money they had to pay out of pocket. Capitation payment cycle is way different. Capitation means that there is a fixed prepayment that is paid to the medical provider for members of their plan for only necessary services provided to them. We will write a custom essay sample on Payment Methods or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page By using the capitation payment cycle the doctor may be taking risks for receiving fewer patients. Some doctor’s offices prefer this though because they are a small doctor’s office and only want to deal with people that have certain medical insurances so their biller and coder doesn’t have to learn everything else. The only thing with this though is that they medical insurance is going to pay the doctor’s office the same amount of money each month no matter what. This may cause problems for the patient because if they don’t go see their doctor that month then they are still getting charged.