Physician Payment Reform Essay Example for Free

Physician Payment Reform Essay 1. The three goals of the Physician Payment Reform is to decrease medicare expenditures by promoting preventative care and preventing unnecessary hospital stays. The next goal is to Re-distribute physicians payments more equitably by ensuring that physicians receive a fair payment for services rendered. The last goal is to ensure quality health care at a reasonable rate. 2. Modifier -25 would be the appropriate choice, it is a separately indentifiable service that was provided by the same physician on the same day. 3. Medicare pays physicians for services based on three basic compnents called relative value units. The first is Physician work which is the time, skill, and training it takes to provide a particular service. The next is practice expense which is everything that goes into running a practice, like equipment, rent, supplies, etc. The last of these is malpractice, which covers the cost of professional liability expenses. 4. The three types of persons eligible for medicare are the elderly who are age 65 and older. The second are people who are disabled and drawing by social security disability The third are people who are in the stage of renal failure (ESRD). 5. The six basic location methods to find main terms in the index of CPT are; procedure/service, synonym, eponymous, anatomic site, condition of disease, and abbreviations. 6. 99253 is the appropriate E/M code of the initial impatient consultation. The consultation was with a detailed history, a detailed exam, and MDM of low complexity 7. The four elements of history are the chief complaint, the second is the history of present illness. The third is the review of systems, and the final is past, family, and/or social history. 8. The complexity of medical decision making is based off of the number of diagnoses, risk or morbidity (complication or death), and the amount of data (complexity). 9. The appropriate CPT code for this scenario is 99214. The re is a detailed history, a detailed exam, and a MDM of moderate complexity. 10. The three key components that are present in every patient case, (except counseling encounters or time-based codes) are  history, examination and medical decision making. 11. The correct CPT code for this clinic note is 99396. It is a 42-year-old female who is going for a routine physical exam, which is a preventative measure to ensure her health. 12. The appropriate CPT code would be 99341. This case is for a home visit with a problem focused history, a problem focused exam, as well as a straight forward MDM. 13. The four levels of history type are problem focused, expanded problem focused, detailed and comprehensive. 14. The appropriate CPT code is 99281, and the ICD-9 code is 918.1. 15. This scenario has a problem focused history, a problem focused exam and a straight forward MDM (or of low complexity.) Therefore the correct CPT code is 99231. 16. If a patient were discharged from the hospital with a diagnosis of probable myocardial infarction without a history of MI in the past, the coder would use the ICD-9 diagnosis code 410 for this stay. 17. The correct CPT code is 13160, and the correct ICD-9 code is 998.32. 18. The difference between outpatient and inpatient measures of time is that outpatient care is when a patient comes in and receives a medical procedure or treatment and goes home immediately. As where with inpatient care they will receive a medical procedure and stay at the hospital. 19. In this scenario the patient has a fracture of the distal radius, the appropriate CPT code for this is 25600. 20. Four of the five graft types in the musculoskeletal system are bone graft, tissue, fascia, and cartilage. 21. The procedure that was performed in this scenario is on the placement of a halo. The correct CPT code for this scenario is 20661. 22. Since the procedure in this scenario is a left heath catherterization with coronary angiography and left ventriculogra, the correct CPT code for this is 93452. 23. The correct CPT code for the placement only of a dual-chamber pacemaker is 33208. 24. In this scenario the proced ure is for the replacement of a pulse generator in an old pacemaker, the correct CPT code is 33228. 25. The correct CPT diagnosis code is 58558, and the correct ICD-9 code is 621.0. 26. This outpatient clinic scenario is for a bilateral screening mammogram, the correct CPT code is 77057. 27. The correct CPT code for this scenario, an MRI of the brain, is 70552. 28. This scenario is for a dialysis progress note, the correct CPT code is 90947. 29. The correct CPT code for a pulmonary walking stress test is 94620. 30. Physical status modifier P3 indicates a patient with severe systemic disease. 31. The correct CPT code  for a patient who receives anesthesia for revision of total hip arthroplasty is 01215. The physical status modifier would be P2, because the patient has mild systemic disease. 32. The main term in the diagnosis of fractured clavicle is fractured. 33. The main term in the diagnosis of globe adhesions is adhesions. 34. The main term in the diagnosis of urinary retention is retention. 35. The main term in the diagnosis of acute pneumonia is pneumonia. 36. The correct code for personal history of peptic ulcer is V12.71. 37. The correct code for family history of breast cancer (for a), female is V16.3. 38. The correct code for the preoperative evaluation is V72.83, the code for COPD is 496. 39. In this scenario it is for a simple repair of a superficial wound of the nose measuring 5.2cm, the correct CPT code for this is 12014. 40. To correctly code a lesion excision you must first know the size, location, and number of lesions. You must also know if it is malignant or benign to properly code. 41. The appropriate CPT code for an unlisted procedure of the neck or thorax is 21899.

A PESTEL Analysis of the Republic of China

A PESTEL Analysis of the Republic of China China, also called Republic of China. Political framework for China is dual leadership system which exercised through the communist party of China and the central peoples government. In china, peoples Congress members at the county level are elected by voters. For every five year term, China president and vice president will be elected by peoples congress. Meanwhile, for the state council will be appointed by peoples congress as well. To obtain nationality of china is difficult according the nationality law. As a China citizens who are not allow to hold a multiple citizenship. In the aspect of motivation by government, China maintains a well diplomatic relationship with other foreign country. It participate many international organization participation such as World Trade Organization (WTO), Group of 77 (G-77) and many so on. Inter-country attitude was stable and no war occurs between other. This will leads to encourages many other foreign country invest to China. Currently, China faced some territorial disputes before. Taiwan is one of the examples which successful obtain by China. Taiwan people desire to build up the linkage such as direct transportation system with mainland China for extends their Taiwanese business. As overall for political factor, China government leadership and structures are well being currently. The political trends of China became better as before revolution. Economic factor Economic factor is the most crucial factor part determines the overall environment. For chinas economic growth, it economic keep growing rapidly due to their open for outside world which are welcome other foreign country to investment (large scale capital investment such as opening its banking sectors) and productivity growth. Besides that, Chinas governments are investing into developing the education and technology aspect. This enhances the sector of technology changes. Last but not least, China tend toward urbanization which became an important driver among the globalization market demand and produced a low cost market for other foreign country tend toward invest in China. China is the bigger population in the world which around 1.3 billion people (Wikipedia, 2010). This population factor influence the spending levels. Compare with other country, China government are invest a huge capital in technology factor and at the same times, people purchasing power are strong as well. China average annual growth about 6 percents and next of the 20 years will allow China revolution became high income nation (Lou, 2010). In the taxation part, China implements those basic taxes such as business tax and income tax. For the international taxation, China is corporate with 46 countries which sign up the double taxation agreement. Chinas trade pattern continues to grow dramatically, the size of the export and imports keep increasing. China is one of the ASEAN members so that for the tarries and barriers within the country will reduce. The top trading partners for China are European, United State, Japan, and Hong Kong. Nowadays, China GDP slows to 9.6% in the third quarter of the year 2010. The unemployment rate in China was last reported at 4.20 percent in March of 2010 and the inflation rate increase to 3.60 percent in September of 2010 (Trading economics, 2010). Social factor China demographics Overpopulation problem causes many economic crises like lack of food, water and other basic amenities. As a result of its aging population, Chinas government introduces the one child campaign due to the ever growing population of China. Government is trying to control the population by allowing just one child per family. It controls family size and the overpopulation problem. As estimated, population will shift in future which decline from 9 in 2006 to 2.5 by year 2050 according to the Washington. For the healthcare, recently Chinas healthcare system has improvement slowed. For example, China spends 5.8 percent of its GDP as compare other developing country such as South Africa (8.7 percent), Brazil (7.9 percent) and India (6.1 percent). Yet, healthcare expenditures as a percentage of GDP have been increasing in China. By iimproving the healthcare system is important to raise living standards, therefore the lifestyle changes and the living standard increase in China. This is because that China toward the urbanization. Furthermore, Chinas economic growth rapidly recently years. Besides that, governments invest to the education industry boost up the individual became knowledgeable. This will increase the opportunity of working for an individual. On the other hand, many foreign direct investments in China provide more opportunity of occupation for Chinas citizen. From this, the high income nation will achieve in future, so that individual purchasing power will increase to enjoy a more quality lifestyle. Technology factor Technology changes rapid throughout the world. Innovation with technology compliance will increase the China own productivity and reduce the exports of growth. By implement advance technology, more information can be gain by the country and will discoveries more new advantages like manufacturing advances, new research, and transportation infrastructure can be more convenience by using high technology implement. Science aspect like energy fuels usages, bio-tech, genetics, agri-tech all can be benefit through this factor. Many country advocate save the world by recycling. By using advance technology, goods can be done by using those used product and process a new product to the society. At the same time, recycling can be done. Most of the company will choose China as the production plant, so that, advance technology will be imports in China and at the same time, new technology able help to save much cost. Environment factor There many external factor been catogories in enviromental factor such as change of weather, and climate changes, which might impact many industries such as tourism, farming, and insurance. Furthermore, increasing awareness of these potential impacts of climate changes are changing how a company operates. The enviromental factor are can not be amendment by China itself. It depend other external enviroment like the enviromental regulation swhich is the rules or regulation that set by other country like tariff and quota. However, there are some country will do protection onward their own product. The  Environmental Performance Index  (EPI) is a way in quantifying benchmarking the  environmental performance of a countrys policies.  According to 2010 environmental performance index, China score 49.8% of EPI and 58.7% of environmental health. Among the Asia country, China get the 18th places of its. One of the major reasons due to many industry factories builds at their effect the environment health. The air pollution of environmental health in China is at the 40.07% (Environmental Performance Index  ranking among Asia and pacific, 2010) Legal factor Legal factor include regulatory of the country. Company which analysis by this PESTEL analysis is to determine the strategy should be implementing on that. As china, employment rate fluctuant small. Employer will choose to have a factory at China that might due to low cost labor if compare with other country. Major Law in employment law is the labor law which is to protect labor benefits. According that, included all penalty, the standard working hours and the overtime minimum payment for ensure employee able get the benefits that should obtain. Furthermore, many companies decided invest their business in China and built up their industry and factory.Therefore the industry specific regulation to protect Chinas industry. Competitive regulation such as implement the taxes on foreign good to protect own good comparison. There are some functions and Powers of Organizations existence with Consumer Protection Responsibilities such as Consumers Association of China (CAC), State Administration for Industry and Commerce (SAIC) and State Bureau of Quality Technical Supervision (SBQTS).

Evidence Based Practice Impact Of Nurses Nursing Essay

Evidence Based Practice Impact Of Nurses Nursing Essay Evidence-based practice (EBP) is widely recognised within the role of nursing. Its implementation and purpose in the delivery of care is seen as an important driver for nursing practice and clinical outcomes (Cullen Adams 2010). It has been defined as the: conscientious integration of best research evidence with clinical expertise and patients values and needs in the delivery of high-quality, cost effective health care (Burns Grove. 2007, p.4). EBP provides opportunity for nurses to ensure that clinical interventions and decisions making processes are safe and suitable for every patient group and enabling effectiveness in patient advocacy (Parahoo, 2006). An important part of practice and nursing culture, EBP should not be seen as an extra aspect to daily workload. Knowledge-base gained from pre-registration educational programmes and clinical experience should be the basis for the development of EBP (Cleary-Holdforth Leufer 2008). Nurses critically reflect daily in clinical practice with the implementation and evaluation of care and it is important to understand that this forms the foundation in research for evidence. Quick reference for guidance does not necessarily need to be a lengthy process with accessibility to intranet and local policies, protocols and best practice statements. However, the self-recognition of base knowledge and skill should be continually developed (Parahoo, 2006). Nurses require time to strive fo r answers to clinical questions, expanding clinical expertise in locating research evidence. Using critique frameworks as suggested in Burns Grove (2007), articles should be critically appraised with time spent deciding how they might apply to clinical practice. By taking a rigorous approach to appraisal, making an informed decision about the reliability and validity of sources of evidence, nurses can really look the effects in clinical practice and how the evidence can be delivered (Cleary-Holdforth Leufer 2008). Nurses working in clinical settings should really think about dilemmas or problems that come up frequently in their clinical practice that they would like to know further research and evidence for. It is expected that registered nurses should be comfortable and competent with the components of EBP such as forming clinical questions, literature searching skills, including accessing appropriate literature and showing enthusiasm in its development. Nurses need to have good resources and support from employers through providing access to library facilities containing major on-line databases such as EBSCO; Cochrane library database; Cumulative Index to Nursing and Allied Health Literature (CINAHL) and the British Nursing Index (BNI). Through the use of databases, a comprehensive literature review should be conducted to generate understanding of what is known and not known about the particular clinical problem (Cleary-Holdforth Leufer 2008). The review can allow the nurse to decide whether adequate knowledge exists allowing for change in clinical practice or whether further research is required. From this initial thought may follow development of clinical question creating ethical consideration and understanding of beliefs and values of patients and colleagues. Nurses should being with searching highest level of evidence such as systematic reviews involving the compilation and ranking of evidence according to its methodological origin (Whiting. 2009). Systematic reviews summarise the results of high quality studies, often reviews of randomised controlled trials (RCTs). Described and the gold standard to research, they identify which interventions work, those which are not as effective and where further research should be carried out. In this way, bias is reduced and the effects of treatments studied are not overestimated. By using such evidence, time will be reduced in the need for critical appraisal (Whiting. 2009). It is important to note that as nurses move forward having more autonomy in decision making and its emphasis of patient centred care there still remains lack of appreciation in best evidence for patient response in emotional, psychological and holistic understanding and focus lies within scientific interventionism. Cleary-Holdforth Leufer (2008) criticise that the described highest level of evidence fails to acknowledge research based on patient experience and perception and aspect fundamental to nursing practice. This can be viewed in clinical guidelines developed by Scottish Intercollegiate Guidelines Network (SIGN), derived from systematic reviews of scientific literature all guidelines have levels of evidence statements with the highest level of evidence being meta-analyses, systematic reviews or RCTs (SIGN 2010). 640 words To apply evidence into practice it is vital for nurses to have role models that respect EBP, rather than relying on clinical expertise alone (Cleary-Holdforth Leufer 2008). They must value ideas and effectively support the process if clinical questions arise. Role models need to be enthusiastic about EBP and having positive vision about the opportunities EBP can provide when integrated into day-to-day practice. Nurses need be able to view the benefits of applying best current evidence to their practice and therefore creating a positive motivation for EBP. At all levels, nurses need to be interested in using the EBP and adopt certain practices and attitudes. These include devotion, professional pride, positiveness, courage and willingness to carry out change and commitment to continuous learning (Cleary-Holdforth Leufer 2008). The nurse will not only see maturity in professional self but also development of personal achievement and identity. Decision makers and new found knowledge needs to not only be distributed but fully utilised and the nurse must ensure that colleagues receive, read, understand and appreciate the value of and actually utilise it in their own decision-making processes and, where appropriate, alter their behaviour. As with any clinical intervention, evaluation of its effectiveness is essential and nurses must discuss with colleagues and participants Further to this assignment will be appraisal and evaluation of two papers providing critique and discussion. Each will be assessed for the appropriateness for evidence-based practice. Gethin, G. Cowman, S. (2008) Manuka honey vs. hydrogel a prospective, open label, multicentre, randomised controlled trial to compare desloughing efficacy and healing outcomes in venous ulcers. Journal of Clinical Nursing. 18 (3) p.466-474. Gethin and Cowman (2008) clearly seek to measure the effective comparison of two healing agents on venous ulcers and use a quantitative paradigm with two views to methods of debridement, and indicate that an RCT was undertaken. In a quantitative research study there is focus measurement of the relationship between variables (Burns Grove, 2007). Being the area of interest in the study, the variables that change over time are subject to statistical analysis. A prospective design has been decided on and to the reader indicates a collection of variable data with one or more points in the future. Macnee (2008) adds that time is a defining factor in the design of a quantitative study. In this case the time points were at week 4 and week 12 from initial baseline. A reasonable amount of information has been provided in the design title and allows the reader to be aware of the approach used. It seems that the research hypothesis is best addressed by quantifiable approach being the appropriat e design methodology for investigation. Gethin and Cowman (2008), aimed to select adults presenting with venous leg ulcers having over 50 percent of the wound area covered in slough. Further to this, they followed substantial inclusion and exclusion criteria which was clearly stated and indicated in the research including tables that could be easily understood by the reader. There could however be potential problem with this as a more tightly controlled or restricted sample could lead to limitations to clinical meaningfulness (Parahoo, 2006). The researchers goal is to avoid bias which could potentially distort findings and making it difficult or impossible to interpret results (). There is inconsistency in the description of the members in the study that could indicate bias. The researchers use both the term subject, participant and patient and to the reader, this could be questioned as to how removed the researchers were from those in the sample (Macnee, 2008). Had sample been used consistently then the reader could inte rpret this as being a distance and impersonal approach. Reassuringly the researchers state that they removed themselves from selection process and used blinded randomisation by two persons independent of the study to eliminate personal bias. Blinding refers to the group allocation and the concealment from one or more individuals involved in the research process (Karanicolas, Farrokhyar Bhandari 2010). The larger the sample size in a quantitative study, the more likely the study will apply to clinical situations and aiming to make generalisations about the larger population based on findings (Parahoo, 2006). The study uses a sample size of 108 which seems small and perhaps is unlikely to produce results of statistical significance failing to disclose the actual effectiveness of the agent used. It may have been that Gethin and Cowman (2008) failed to get enough funding to support their study or an increase in sample size would have been too time consuming. Non-probability sampling was used with recruitment of subjects attending a clinic. This type of sampling limits the extent of generalisation of the results to the population outside the research (Burns Grove, 2007). Failure to enrol the predetermined number of subjects creates limitation and restricting what a reader may learn about the study. Further to this, Gethin and Cowman (2008) did not discuss During the data collection stage of the process, there are two important considerations: the potential impact on the reliability and validity of the study. Reliability refers to how reliable the data collection methods are, this is the extent to which the selected methods will collect the same data on repeated occasions. The more consistent this is, the more reliable the methods are (Macnee, 2008). Gethin and Cowman (2008) used local clinical investigators who took part in a pretrial inter-rater reliability (IRR) study determining the level of agreement between the three raters when assessing slough as a percentage within wound bed. As the assessment was split between three data collectors, the reader could query potential differences in subjective opinion in deciding the percentage of slough within the wound bed. Thus influencing the accuracy and consistency in measurement making the measure less reliable. Validity refers to the extent to which the methods used to collect and analyse the data accurately measures what the researchers intended it would measure (Macnee, 2008). They selected to use Visitrak Digital Planimetry a tool for wound measurement. Sugama et al. (2007) explores and concludes that this type for wound measurement device was a efficient reliable system applicable for use in clinical practice improving validity of the research. It must be noted however, that this is only valid if the users are fully competent in its use. An important methodology feature of RCTs is to minimise bias and maximise the validity of the results (Whiting 2009). Gethin and Cowman (2008) failed to blind participants and data collectors due to the obvious orange staining from the Manuka honey. For a reader this is a immense flaw in the research introducing bias. The data collected in quantitative research must either be numerical or converted to numerical data and entered into a database (Macnee, 2008). Gethin and Cowman (2008) selected to use a Statistical Package for the Social Sciences (SPSS) and further a statistician who was completely disconnected from the research in terms of collection and interaction with the subjects. This is a very positive aspect of the research and Gethin and Cowman (2008) failed to elaborate why participants pulled out from the study and a reader should be highly concerned as to what exactly happened to these subjects and question averse reactions to the chosen product. A nurse having found this during a literature review would suggest there are too many weaknesses in the research to apply this to clinical practice and decision making. A main concern is the safety of patients and I would decline to use this product until further research was carried out considering all the available evidence potentially utilising a systematic review approach. Until then, it would not influence decision making in relation to methods of debridement. This intervention applied in everyday clinical practice could potentially have adverse consequences that outweigh the potential benefits. The cost was not reported and it may be that the Manuka honey treatment is very expensive providing only small health benefits and failing to make good use of reso urces. It may have been beneficial for the researchers to provide a rough idea of the cost of producing one unit of benefit. An aspect fundamental to nursing practice is to incorporate understanding of the participants perspective about their experiences (Leufer Cleary-Holdforth 2009). This is not something that was not explored, had funding been available qualitative research, which will be explored in the next paper could have been incorporating using two design methods. 1305 words Hancock, H. C. Easen, P. R. (2006) The decision-making processes of nurses when extubating patients following cardiac surgery: An ethnographic study. International Journal of Nursing Studies. [Online] 43 (6) p.693-705.

Spring in the Kokinshū Essays -- Poetry, The Seasons

Seasons can convey a multitude of meanings. Though the KokinshÃ… « consists of numerous sections, the seasonal sections are the best at conveying the power of human creativity. The seasons in poetry are used to show everything from the passage of time as well as evoke feelings such as loneliness and love. As shown in the spring sections of the KokinshÃ… «, seasons are treated in poetry through their progression from one part of the season to another, seasonal imagery in describing the season, related emotional expressions, and the linking of human emotion to the natural surroundings. For each seasonal section, there is a progression from beginning to end within the season. Each season is compiled in a progressive nature with poetry describing the beginning of a season coming before poetry for the end of the season. This is clear for spring, which starts with, â€Å"fallen snow [that] lingers on† and concludes with a poet lamenting that â€Å"spring should take its leave† (McCullough 14, 39). The imagery progresses from the end of winter, with snow still lingering around to when the signs of spring are disappearing. Although each poem alone does not show much in terms of the time of the year, when put into the context of other poems a timeline emerges from one season to the next. Each poem is linked to another poem when it comes to the entire anthology. By having each poem put into the context of another, a sense of organization emerges within each section. Every poem contributes to the meaning of a group of poems. The images used are meant to evoke a specific point in each season from the snow to the blossoms to the falling of the blossoms. Since each poem stands alone and has no true plot they lack the significance than if they were put into th... ...nging feeling. The longing feeling is not exclusive to the cherry blossoms, but can be subtly directed towards a person also. Spring brings beauty in the form of the cherry blossoms, but ends with a desire to see it again. Furthermore, life, whether human or natural, is not eternal. It will only go on for so long before it reaches an end. Each season only comes once a year, and everything associated with it will not return till the next year. As a result, the relatively short-lived life is regarded as a reason to appreciate every last bit of beauty in the season however minor or seemingly insignificant. Everything is taken into account and admired. Once it is gone, the only choice is to wait for it to return in a year. Throughout the seasonal sections of the KokinshÃ… «, this connection between natural beauty and the human condition can be seen through the poetry.

A Long Way Gone by Ishmael Beah Essay -- chasing hope, happiness

Hope enables people to move on by providing the thought that maybe tomorrow’s events will be better than today’s. Hope is a theme that remains constant in every part of A Long Way Gone by Ishmael Beah. Ishmael begins the novel optimistic, believing he will find his family again. This optimism is later lost when Ishmael is recruited by the army to fight against the rebels, causing him to become addicted to drugs and the thrill of killing. Three years after his recruitment, Ishmael is rescued by UNICEF-a group dedicated to rehabilitating child soldiers. During his rehabilitation, Ishmael discovers hope once more by relearning how to trust, love, and have the will to survive. The presence of hope throughout A Long Way Gone enables Ishmael to have an ability to move on and a will to survive that he lacks when he loses hope. Ishmael starts his journey with a will to escape and survive the civil war of Sierra Leone in order to reunite with his mom, dad, and younger siblings, who fled their home when his village was attacked by rebels. Having only his older brother, who he escaped with, and a few friends by his side Ishmael is scared, but hopeful. When the brothers are captured by rebels, Ishmael’s belief in survival is small, as indicated by his fallible survival tactics when he â€Å"could hear the gunshots coming closer†¦[and] began to crawl farther into the bushes† (Beah 35). Ishmael wants to survive, but has little faith that he can. He is attempting to survive by hiding wherever he can- even where the rebels can easily find him. After escaping, Ishmael runs into a villager from his home tells him news on the whereabouts of his family. His optimism is high when the villager, Gasemu, tells Ishmael, â€Å"Your parents and brothers wil... ...ploys children rather than men. He is subjected to the violence of the war for more than three years before he is finally rescued by an organization dedicated to rehabilitating child soldiers. Once Ishmael discovers happiness, affection, and a will to survive, he regains what hope he had lost. No matter the circumstances concerning it, hope has always been the trigger for events in Ishmael’s life, thus making hope a theme present throughout the entirety of A Long Way Gone. Hope allows Ishmael to bounce back from the tragic events that marked his teenage years and discover a will to survive. Works Cited Beah, Ishmael. A Long Way Gone: Memoirs of a Boy Soldier. New York: Farrar, Straus and Giroux, 2007. Print. HaÃŒ £nh, NhaÌ‚Ì t, and Arnold Kotler. Peace Is Every Step: The Path of Mindfulness in Everyday Life. New York, NY: Bantam, 1991. Print.

Steroid Usage Essays -- Sports Athletes Steroids Essays

Steroid Usage Why do so many people use steroids when there are so many health risks and side effects? Do people take steroids because they are not aware of all the risks? Not likely, steroids have been around since the 1930’s when Nazi scientists tried to invent drugs that would make German armies more powerful (Banks, Substance Abuse in Sport: The Realities, pg. 13-21). Though steroids were considered harmful and made illegal in 1991 (Berlow, Sports Ethics). Some side affects of steroids are baldness, high blood pressure, lowered sex drive, acne, nosebleeds, liver disease, kidney disease, and many more (Williams, Drugs and Athletic Performance, pg. 88-90). It may sound ridiculous and idiotic, to those who use steroids, with all the risks involved, but the temptation and pressures in using them are sometimes unbearable. In today’s society there are many pressures to be the best athlete and to look a certain way. Nobody wants to take second place, or look scrawny and wimpy. People w ant to be the winner and want others to turn their heads to look at them when they walk into a room. The fastest and easiest way to do that is to take steroids. People take steroids to be bigger and better at sports and also improve physical appearance.   Ã‚  Ã‚  Ã‚  Ã‚  In today’s athletics, athletes are getting bigger, stronger, and faster. Whether an athlete plays high school or professional sports, it is getting harder for athletes to compete at a high level with all the competition. When an athlete is not good enough to make the team or is on a team and does not play much the athlete will do just about anything to improve themselves. Many athletes spend numerous hours practicing and lifting weights trying to get better at their sport, and still they lack what it takes to make the team or be the best. Steroids are the solution to their problems and a way to make their dreams come true. If you were offered the opportunity to lose body fat, get stronger, add more muscle within six weeks and have more motivation to work out more consistently then you do now, would not you try it? Sure it is illegal and it is unfair for all the other athletes who do it the hard way, but most do not care. Many young men are taking steroids a t a young age. Reports from the Arizona Criminal Justice Commission issued a report that steroid use increased 2.6 percent from 1997 to 1999. Also, a report from th... ...unless they take steroids. Should the athlete take steroids and be a starter, or do not take steroids and never play?   Ã‚  Ã‚  Ã‚  Ã‚  In today’s athletics, nobody wants to watch a losing team. Whether the person plays on a team, or an individual sport. People want to see their team or favorite athlete succeed. Everyone is getting bigger and better at the sports they play. Some of the pressure that athletes receive is from the fans.  Ã‚  Ã‚  Ã‚  Ã‚   There are many pressures in society today. Some people take steroids so they will make the team or do better in the sport they play, and others just want to look good. The rest are pressured into taking steroids from there coaches, media, and even fans. Are taking steroids worth all of the risks involved? Well, for the people who take steroids they are worth all the risks. In athletics there is no second place; either you are a winner or you are a loser, and nobody likes to be a loser. There are many reasons people use steroids. Although steroids are not safe, people continue to use them. It is not right for people to use steroids, but as long as there are pressures to win, look good, and to get bigger and stronger there will be people using steroids.

Post-War Germany Comparison and Problems

Post-war Germany comparison and problems of economic development Through the previous essay describes, we knew Germany from baifeidaixing status after the war to later return to the powerful countries of the world. Need a lot of qualified support, in which the Government plays a crucial role. This is why defeated Germany to rise again, and the victory of the United Kingdom had lost its dominance. The fate of two kinds of economic One of the most significant features in the history of Western Europe after the war in West Germany and the United Kingdom of great contrasts on economic development.Germany a generation in their own fate had experienced twice in the life of the vanquished: the cities were destroyed and currency failure, male labour force is either killed or being held in prisoner of war camps, transport and service infrastructure had been completely destroyed. While the United Kingdom was only a clear victory in the second world war in Europe. Aside from being subjected to bombing and personnel injury, a United Kingdom structures throughout the country such as roads, railways, docks, industrial and mining enterprises have survived in the war in its entirety.However, by the early 1960 ‘s, the Federal Germany began to flourish, as Europe's economic power, and the United Kingdom have delayed development of economic growth is lagging far behind other countries in Western Europe. According to the 1960 ‘s economic growth statistics, Germany's economic growth rate was 9%, and United Kingdom for 2. 6%, with the exception of Ireland outside the United Kingdom became the slow development of the developed countries. In 1958, the West German economy is more than the United Kingdom.In the eyes of many observers, United Kingdom is becoming Europe's patients. The fate of the two distinct and with ironic, today it seems very educative. 1950 ‘s Germany an â€Å"economic miracle† the background lies in its 1930 revival plan. The Nazis had inves ted a large amount of financial and material resources in communication, arms, vehicles, optics, chemical industry and non-ferrous metals and light engines were originally part of a war economy, but 20 years later took effect. Economist Ludwig Wilhelm Erhard's â€Å"social market economy† theory as Germany as provided strong support, in fact, political and business young talent of the post-war West Germany emerged initially were Nazi officials. Germany business critical infrastructure is not damaged in the war. The early 1950, manufacturing companies, banks, insurance companies, wholesalers and recovery operations, providing products and services to foreign markets. Even Germany mark rising failed to hinder Germany economic development that he reduce the import cost of raw materials, but there is no limit on foreign Germany product demand, Germany is a high value, technologically advanced goods.They win depends on quality, rather than price. What's more, in the first decades after World War I, they had little competition: Sweden, and French and the Netherlands who wants to buy some engines product or tool who, in addition to from Germany purchases, had no choice. Power of suppliers higher than buyers' power. By introducing an industry can learn about circumstances. In 1960, the Germany automobile manufacturing because of quality and reliable engine has won international prestige.Stuttgart's Mercedes-Benz and BMW in Munich near-monopoly on the premium-car market, first at home, then continuously overseas. The Bonn Government to openly support the industry, providing early support preferential loans to them, and to encourage cooperation between banks and enterprises, to Germany companies provide cash investments . Volkswagen as early as 1945 completes the infrastructure. And like many other industries in West Germany after the war, Volkswagen benefited from a free market economy, it has not suffered a loss of competition. Volkswagen in 1939 before access to a steady stream of resources.It worked for the Nazi, war and military occupation service, because when the coalition Government from relocating a public company, its production capacity has been established before the war, so no further investments can be put into production after the war. United Kingdom also has the national lead industries, Morris, Austin independent car makers, such as a merger of the British Motor Corporation, British Motor Corporation and subsequently integrated into the Leyland Motor Corporation, specializing in United Kingdom Leyland cars. By the year 1980, Leyland Motor Company franchised United Kingdom featured automobile products.And Germany manufacturer, United Kingdom auto makers are increasingly concerned with overseas markets. However the outcome is completely different. After the second world war, successive United Kingdom Government have urged car companies try to sell vehicles overseas in order to attract foreign exchange earnings to offset the h uge war debt owed by the State. (Tony Judt writes in the Postwar:A History of Europe Since 1945, the Government's export target is at the end of the 1940 ‘s, United Kingdom production of automobile exports to 75% per cent of the total production).Some companies in order to quickly increase production and even wilful neglect of quality management. Initially, United Kingdom cars of poor quality and did not have a negative impact. United Kingdom company has monopolized the market: United Kingdom orders in domestic and European markets far exceeds the supply. Manufacturers on the production of the European continent is not United Kingdom rivals: 1949 United Kingdom production total production for the bus than in other European countries (Robert ,1995) However, with the passage of time, United Kingdom car industry the low quality and reputation for poor service.Other States car lot listing types to choose from, European people do not buy United Kingdom cars any more . When the Brit ish decided to upgrade the auto industry, and production lines to improve modernized equipment, United Kingdom, car companies could not like Germany companies as cash investments and loans from the banks. They cannot look to get help from the Government for assistance. However, in London, under political pressure, in order to obey the decision of the local government and to reassure the local politicians and trade union organizations, they have to build in undeveloped rural areas distribution centre .In 1968, the United Kingdom of the Leyland Motor Corporation was under 60 different plants. United Kingdom Government policy make manufacturers very negative. After the war, Government in accordance with the manufacturer's market share before the war to them very small amount of iron and steel, the past mode of economic development in many industries to be frozen. Security of supply is not in place, a false high demand and political pressure. Eventually led to the United Kingdom car ind ustry go bankrupt.By the year 1970, Europe and Japan automotive manufacturers began occupation of the British market, and on the quality and price beat the United Kingdom. The 70 ‘s oil crisis, United Kingdom joined the European Community, and the United Kingdom finally protected market disappeared because of a reversal of colonial, which eventually destroyed the United Kingdom independent of the automotive industry. United Kingdom independent auto industry decline and ultimate demise, largely on behalf of United Kingdom general course of economic development.United Kingdom economy aren't so bad at the outset: Roger in The British economy since 1945:engaging with in the debate pointed out that the 1951 United Kingdom is Europe's major manufacturing centers, total production was Germany and France and twice times. United Kingdom achieving full employment, and economic development has been slower than other countries, but also in the growth phase. United Kingdom's payments crisi s, mainly from 6 years to fight Germany and Japan accumulate huge debts owed by, in addition, to support effective defense system after the war and the substantial expenditure.In 1955 defense spending as a share of national income of 8. 2%, Germany spending less than United Kingdom half. (Roger,2000) . In the 1950 sterling was overvalued, United Kingdom it would be difficult to sell enough overseas products, to make up for Sterling against the dollar's long-term deficit. As an island nation, United Kingdom is totally dependent on imported food and plenty of raw materials, in the history of United Kingdom relies entirely on the Commonwealth took over control of privileged markets to make up for this disadvantage.Two forces of conflict Through the comparison of the above we can see that in the special period of government intervention in the economy, Germany has achieved a successful social market economy path, but the process was not smooth sailing. Basic Law of the Federal Republic of Germany came into effect on May 24, 1949, section 2,3,9,12,14 provides:Must have its boundaries the State in managing the economy. Thus, negating the centralized economic management system.Mission mainly in the framework of the provisions of the country's economic order and checks and balances and manage conflict that is raised at the community level. States should not intervene directly in labour conflicts, but must develop a legal framework for labour relations into a certain amount of redistribution through the tax and social policy implementation. (Overy,2003). Due to the inclusion of social and market two elements, that is, the balance between economic and social development, therefore, inevitable in the process of economic development, there were two rival of heterogeneous elements.When this counter is functioning as a complementary relationship, economic takeoff, and when excessive when there is a confrontation between the two complementary, economy will enter a period of struggling in the doldrums. Politically, the two forces dominated by the Christian Democratic Union (CDU) and the Social Democratic Party (SPD), the two major political parties reflect. Therefore, the actual relationship between these two heterogeneous elements to a large extent associated with the Government party structure.Back to post-war Germany economic course, followed before and after can be divided into three stages: the CDU's ruling period of economic development;The social construction of social democratic party in power;Competing with each other in economic downturn. I. Construction of market-oriented economy Postwar Germany, devastated. Economic reconstruction is a priority. Before the advent of the first Government, as the supreme body management â€Å"Frankfurt Economist† (Frankfurter Wirtschaftsrat) made it clear that the direction of economic development is: sharp weakening of government intervention, strongly stimulating market vitality.The 1949 election, in favour of market mechanism and economic regulation of the CDU was pushed on the first stage of the Government, Ludwig Erhard became Economics Minister. Thus, Germany within the framework of the social market economy has embarked on a road of economic rehabilitation of maximize the free market energy. General policy: cancel rationing imposed by the occupation authorities after the war, reducing economic regulation, the maximum possible to liberalize markets. Management of absolute respect for the law of Economics, strongly resisted non-economic factors adverse intervention in the economy.Initially, by currency reform cleared after all economic ties with the Nazi era, liberalize prices lead to higher prices are the direct problems. The Government has not taken any administrative intervention, but by economic means, namely by monetary tightening and reducing tax rates to stimulate investment and productivity, such as keeping enterprises ‘ working capital, worker overtime zero inc ome tax. As soon as production increases, increased incomes for the people. With the formation of the market mechanism, the emergence of competition, companies are more and more rational, unemployed workers in large numbers there.Faced with this situation, the Government did not change its policies, mandatory intervention, but the use of economic instruments. While in May 1949, by State help to enable Bank discount rate from 5% to 4% per cent,to further stimulate domestic investment;The other hand for the international market (mainly the United Kingdom and France) price increases, on September 19 active devaluation of the Deutsche 20% in order to boost exports. (James, 1998). Soon, production should rise further, unemployment pressure has been effectively alleviated.As the June 1950 the Korean peninsula crisis occurs, a hoard purchase occurred in West Germany, prices rose, also accompanied by an increase in imports. At the same time, unemployment rates begin to rise. In this case, t he forces of planned economies began requiring synchronization in response to price increases to pay. This was at the request of demagoguery, but economy Minister Ludwig Wilhelm Erhard did not waver but continued to adhere to the principles of a market economy. In his view, the market economy can be achieved through improved productivity and wages.Corresponding to this, he immediately withdraw liquidity, raise the minimum reserve amount, limit the discount, the discount rate from 4% per cent to 6%, and mortgage rate from 5% per cent to 7%per cent. Soon, in 1951, the second quarter, a turnaround occurs, exports began to outpace imports. Improvement in the relationship between supply and demand rise in prices has been contained. The unemployment rate began to decrease again. (James, 1998). Economic and political success of CDU and easily won the general election of 1953. Since then, Federal Germany economy enters a period of rapid development, and lasted until 1958.In the meantime, an other force of society could only be achieved with the acoustic echo. Economic policies so widely recognized, on the one hand due to the economic imperative of the age of;Also while stimulating the economy, because the Government did not take the British and American models or free economy model of the Weimar period, but consider the social adjustment and social construction in a timely manner, and effectively and this regulation into economic construction construction operation auxiliary rather than obstacles.According to Hans-Joachim Braun , in his book â€Å"The German economy in the twentieth century†, between 1949-1957 and West Germany issued a series of community-building law, such as 1949 ‘s â€Å"Social Security Balance Act† and â€Å"Emergency Assistance Act†, in 1952, introduced a â€Å"War Loss Balance Act† and â€Å"minimum working conditions found that law† in 1957 and introduced a social security law to the pensions. It can be s aid that, at this time, no country on Earth like the Federal Germany enacted so many of the social balance and regulation laws.These laws balance social conflicts, peace including internal labour conflicts, thus, for the protective effect of sustained economic development. Erhard was not random came to the practice of the social market economy, but has a clear rationale, is economist Walfer Eucken thought. Eucken advocated the establishment of a free competition and pointing to balanced economic policy. Thus, countries ‘ task is to establish an effective market-based. In his view, economic and social issues do not come from between socialism and capitalism, but only from the analysis of the economic order.Therefore, and contrary to Adam Smith, he does not â€Å"competition† as unchanging natural laws, but simply believes that â€Å"competition† must be protected as a human freedom. He was also against collective power against private power. It is based on the â⠂¬Å"neo-liberal† economic thought, in 1957 the West German Government had established antitrust laws, except transport, mining and metallurgy, banking, insurance, agriculture, and limit the emergence of private monopolies.Because of market mechanisms has been effectively activated, balanced also played a supporting role, and post-war reconstruction full release of enthusiasm. 1959-1966, the West German economy enters a period of high growth, even economic overheating. At this point, the voices of the community there have been improvements in social policy, asking the Government to increase social equilibrium. Erhard also did not yield, because he believes that it is not necessary, not only exceeded the means of, but would also drag down the entire economy.He knew that when West German society has differentiated into the various interest groups, and these groups have set out their respective positions to get more benefits from the society or the State, national politics if sati sfied by these different interest groups, it would be caught in some kind of multivariate dependence mechanisms. In this way, States would lose their capacity for action and fall prey to interest groups. Moreover, he knew, on community-building measures cannot be reversed, once the excessive leave the State the economy is in crisis. So, he does not meet another force in the community of the greater ocial redistribution requirements but to build â€Å"an ordered society†:A community ceased to be contrary to the purpose of class and organizations with each other, but put aside all differences of opinion on the country-cooperation community at root, that is, a building based on community organizations and interests working together. In such a society are included in the social market economy, his cooperative did not have a strong compulsion, but from their own forces, from their will, from each other is inseparable from each other is becoming increasingly clearer awareness and u nderstanding. James, 1998) Due to his perseverance and the neo-liberal economic protection at that time, West German economic growth in a continuously high growth in a few years. However, high growth comes immediately after the overheating of imbalance, in late 1966 eventually led to the economic downturn, there is a West German economic recession for the first time in the history of 1966-1967 economic growth rate was-0. 2%. In the 1965 election, SDP vote up votes than the CDU of growth rates.At this point, Erhard with the most total votes remained in coalition with the Liberal Democratic Party largely the outcome of economic policy disagreements have emerged, resulting in rupture of the ruling coalition, Erhard to step down. 1966 Kurt Georg Kiesinger CDU Prime Minister after the failure of coalition talks with the Liberal Democratic Party, and the social democratic party form a new Government, but also by the social democratic party who served as economy Minister. Since then, the W est German economic progressive efforts to increase social construction of the beginning of a new era.II . Regulation-led period of social construction The new Government soon introduced the so-called economic stabilization policies, main content is strengthening national regulation, such as the accumulation of reserves in order to overcome the cyclical economic growth;Establishment of mechanisms for consultations between employers, to exert influence on wage;Establishment of economic forecasting and planning system;Enhanced global perspective of macroeconomic regulation and control, and so on.At the same time also raised the slogan of full employment. This desire for criticism's goal just when almost no one objected, but also enjoy the support of a number of authoritative economic theorists,a market economy is not a purely economic order, but a social, moral and ethical element to set up the system. Prior to economic reconstruction, strengthen the market economy, and now, well, it makes perfect sense to take into account social policy construction.Economic growth Advisory Council was established by the Government, and at the same time established federal and State mechanisms, both employers and employees sharing information. However, due to the overestimation of the capacity of economic forecast, while the lack of an effective means of control, and while it is difficult to agree on consultations among the parties, the original targets not only to achieve, and increased government spending.In 1967 although the recession be overcome by two government economic stimulus program, and genuine economic improvement since then, in 1969, economic growth rate even reached 8. 2%. But these are not the result of the Government's economic policies, and people thought it was a result of increased government regulation, which enable the country to gain the role to maintain social welfare, many up to the question on the State of the market;In one hand, and the social democrat ic party in the people's advancement.The 1969 elections, when all major parties decline in almost all of the votes, only the social democratic party's tally has improved significantly. Apparently, there was an increasing number of voters tend to national social equilibrium. The Social Democratic Party and the Liberal Democratic Party form a new Government, the social democratic party who Willv Brandt as Prime Minister, by the social democratic party who served as Economics Minister also, Karl Schiller, followed by Helmut Schmidt.After the formation of the new Government was fully pursued a policy of State, whereby the State stepped in to control the national economy and social life: on the one hand, in stimulating the economy and to overcome the unemployment rate started to ignore market means on the issue, will mainly focus on the national finance;The other hand, are pushing relies primarily on community-building process of State financial benefits. End of 1972, the West German soc ial policy had reached unprecedented heights.This makes the State finances a huge deficit for the first time. Lucky is that started in the late 1960 ‘s, West Germany enterprise, productivity has been increased significantly, making statistical figures show overall growth of the national economy. Thus, the community generally have a feeling, the Social Democratic Party Government's national policies focus on people's living standards and welfare, concerned about the growth of the national economy through hard intervention, that there is nothing wrong.Such results on the one hand allows to continue the ruling social democratic party along with the established policy of the Government to move on;We will also respect economic laws, market-oriented mechanisms of voice is not up, many acute economic problems do not have enough attention, such as productivity while improving the overall economic growth, presents promote consumption issues, and led to the production of consumption in a new situation.At that time the Government was not trying to deal with, but, as always, will focus on the macro-control and promoting the welfare of the process. 1973 oil crisis inflation have gotten even up to 7%, to the collapse of the Bretton Woods international monetary system of fixed exchange rates for content, followed by the worldwide economic crisis has also affected the West Germany. In 1975, the West German economy fell to its lowest point: all sectors of the economy crisis, an unprecedented slowdown in economic growth, the unemployment rate reached a record high, the 1974-1975 recession.Even under such adverse economic circumstances, the Government is also trying to implement macro-economic control and community-building, only between 1970-1975, West Germany State welfare spending has doubled . Which makes the budget deficit rising at an alarming rate. So the poor economic situation and irrational acts of States when the community was aware of the error of excessive val ue State regulation and welfare. The 1976 election results made it clear that former excessive importance to macro-control and social policy has begun on the construction of public discontent.Thus, the Government began to change economic policy, no macro-economic control, but to enable the market mechanism to make an adjustment, Germany Mark's fixed exchange rate with the US dollar has been cancelled opportunities, linked with productivity growth and stable price level over the medium term the currency merchant policies In this way, by controlling the money supply causes lack of marks on the market, and thus marks compared to the appreciation of the dollar more than 1 time, then rapid import growth.Strong marks and imports accelerated first oil crisis impact on West Germany obviously failed to other Western countries, especially inflation significantly smaller than other countries, which makes rapid upgrading of West Germany's position in the world. Facing export difficulties arisin g therefrom, the State did not conduct a mandatory intervention, but to use market mechanisms to bring West German industrial structure transformation themselves, enhance the market competitiveness of products, such as those of traditional labour-intensive industries such as coal, textile, shipbuilding, iron and steel industry gradually atrophy.This structural transformation will allow the industry to release a lot of unemployed persons of the community, but the Government in view of the inherent law of economic development, or stick to the policies. Therefore, West Germany began in 1976 and continued economic growth. Although in 1979 and there is a second world-wide oil crisis, but the stronger mark makes the impact on Western Germany is significantly less than other Western countries, which increases the international status of West Germany continued to improve, the European financial system, Germany's Federal Bank in a leadership position.Precisely because of the success of this session of the Government's economic policy, the 1980 election, LDP votes most improved significantly compared with the other political parties, SPD is only slightly elevated. This clearly shows that new economic policies to save the fate of the Liberal Democratic party coalition Government, as long as the economy is not affected, people wanted the national focus for community-building. In fact, late 60 ‘s benefits to the construction of the second half of the 70 and never stopped, just slowed.The late 70 and early 80 ‘s, as economic growth and trade union involvement in the enterprise for a rise in a row, both corporate and personal income growth. However, due to the appreciation of the mark and the national framework for intervention persists, investments did not appear accordingly, some enterprises take advantage of the strong mark and cheap labor in foreign countries this should be invested in domestic market began to be moved abroad.This directly lead to the economi c recession that began in 1980, inflation and unemployment rate rising rapidly. At that time, the West German economy has experienced continuous recession that began in 1980, and recessions than 1974-1975 that bad. At the 1983 general election, notable decline in number of votes of the Social Democratic Party and the Liberal Democratic Party, Social Democratic Party Government to step down, West German economic history on the social welfare of the end of the construction period. (James, 1998)III. Difficult period. When headed by Helmut Kohl's CDU in power, immediately offered to go back to era of Erhard's road to a social market economy, but also admits this is not entirely dependent on market mechanisms. Clear specific policies to reduce government spending and to stimulate investment as a core. On October 1, 1983 starts austerity plans, such as reducing the amount of childcare support, was in hospital and nursing homes are no longer exclusively by the State a full payment, individ uals must be part of the burden.These initiatives reduced national social expenditure only reduces new issuance of government bonds, but not to have total accumulated national debt reduction, because the national welfare systems have been set up, it has been used and tasted States contemplated social welfare benefits. Therefore, reducing State spending, refers only to reduce the amount of newly issued Government bonds, rather than simply to reduce the national debt as a whole.In order to improve the financial situation of the country, Kohl Government also initiated the privatization of State-owned enterprises, such as postal services, telecommunications, energy, and later raised the sales tax. These harmonize national fiscal revenue has significantly improved. But after building up huge social welfare, financial situation did not show substantial improvement. Thus, in stimulating investment in the Kohl Government would attempt to relieve pressure on enterprises through tax reform, b ut, under pressure from bad financial situation in the country could not take too much action.Fortunate is that international economic situation improved after the Kohl Government came into power, in particular the United States and Japan, which makes the already high level of internationalization of West Germany economy through foreign trade rises pick up right away. With the devaluation of the dollar, beginning in 1985, the rapid growth in imports, prices began to drop, growth in domestic demand. From 1983 to 1990, West Germany's overall economic growth rate from five began to grow to the end of the 80 ‘s 2% and per cent in 1990.However, the improved little from the internal market, because profits faster than investment growth during this period. Second half of the 80, investment has also accelerated growth, but unemployment does not appear synchronized better. It is clear that the growth largely from domestic enterprises to invest overseas. Kohl on the economic policy of t he Government is in a difficult phase, and for high unemployment and no growth in domestic investment economic growth when frustrated, East German voluntary dissolution, and federal Germany merged.The German reunification is undoubtedly a great blessing for the German nation, but temporary prosperity to Flash briefly. To achieve the transformation, reconstruction of infrastructure and social safety nets in the eastern part, including common revitalization project in the East, and the consolidated fund, all levels of Government transfer payments between the 1990 and the medium-term to the East has over trillion-mark, weighed on Western economies.To raise funds and curb inflation, the Germany Government had to be more than more than 10 times in a row to raise key interest rates. Trouble has been brewing for quite some time. Germany economic weakening, mainly because of the welfare system and a series of structural reasons. Excessive protection of the social welfare system has pushed u p the cost of production, and formed a â€Å"higher welfare – higher taxes under the low growth – high liability – high cost – low growth – low investment,† a vicious cycle. From the early 1970 ‘s to the late 1990 ‘s, Germany 5. times more than double the increase in welfare expenditure per capita, down to become a drag on economic growth;1970, 1980, too protect sunset industries in the industrial structure and the information technology industry research and development keep lagging, its lack of wealth growth force leading leading industry;The lack of flexibility of the system of corporate governance and incentive mechanism, led by profits, the lack of micro-economic vitality;Excessive fire protection and high unemployment security benefits labour market rigidities and unemployment reduction.Faced with rising unemployment, helpless Government of Helmut Kohl in 1998, replaced by a Government of the Social Democratic Party was Ger hard Fritz Kurt Schroder, Schroder economic policy compatible with the two party ideas: on the one hand through tax breaks to stimulate investment and consumer demand, dynamic economy.The other hand, in the field of social security, and former advocate of personal responsibility at the same time, try to keep the original treatment, does not increase social security contributions in favour of eco-taxes to fill the gap and promote environmental protection. Now Germany as the third largest economy in the world today, the second-largest exporter, its per capita GDP of more than 27,000 euros.Germany agriculture production value less than 1%, share services near two-thirds, is a highly developed industrial structure to serve the community, its industrial machinery manufacturing, automotive, electronics and chemical industry led;Its national economy by relying heavily on exports, and export share of world total exports of nearly 10%, 70% about trade is concentrated in Europe and the United States, Japan and other developed countries, long-term surplus in balance of payments, inflation rate, unemployment rate at around 9%.Looking at the Germany of economic development after the war, at some point, despite the many problems, but judging from the overall economic and social development, was ranked the highest in the world, experience and lessons have left us a valuable asset. Reference [1] Braun, Hans-J. The German economy in the twentieth century. London : Routledge 1990 [2] Berghahn, V. Modern Germany: society, economy and politics in the twentieth century. Cambridge : Cambridge University Press 1982. 3] Brian,H . Seeking a role: the United Kingdom, 1951-1970 . Oxford : Clarendon 2009 [4] Overy, R; Ogilvie, S. Germany: a new social and economic history, Vol. 3, Since 1800. London : Arnold 2003 [5] Roger ,M. The British economy since 1945: engaging with the debate . Basingstoke : Macmillan 2000 [6] Robert,J;Bennett,G;Horst,Z. Local economic development in Britain and G ermany. London : Anglo-German Foundation 1990. [7] Tony ,J. Postwar: A History of Europe Since 1945 . London : Pimlico 2007 .