American Enlightenment Essay Example | Topics and Well Written Essays - 1250 words

American Enlightenment - Essay Example The essay compares and analyses drug reform policy and the tools of American enlightenment within the framework of different aspects. Comparative Analysis According to the social contract, the policy reforms does not belief that citizens are the ones able to bring down the supply, distribution, marketing, and manufacture of harmful drug. Therefore, the policy reform does not give citizens the mandatory to decide about ways of reducing drug consumption; it only gives the solution to the problem without regards from its citizen. On the hand, one of the American enlightened group oppose the reforms and argue that it is the American citizens to decide their fate. They advocate that, drug addiction in the community should be addressed as the public health problem and not as criminal issue as the reform stipulates (Koch, 2009, p. 45). According to the reform policy it calls for decriminalization of citizens involved in supply, marketing distribution, and manufacturer. Contrary to the refor m, other groups in America strongly disagree with the move of decriminalization of citizen as a result of possessing illegal drugs. On the classical liberalism, it advocates for policies which allows or increase prosperity among citizens. The policy on drug reform does not allow free trade and world peace. According to the policy, it will decriminalize any citizen involved in illegal drugs either through supply, marketing, or manufacture of the drug. Although the policy intents to reduce penalties that it is currently imposed to those involved in drug trafficking, it does not allow free trade to occur (Koch, 2009, p. 45). Therefore, drug reform law does not empower the drug users or offer solution to the menace. In regards to the policy, the central purpose of drug decriminalization was to reduce harm to the society and not allow businesses of drug to continue; it is believed to be the cause of death, over use, and deaths. Contrary to the drug reform policy, the American enlightened group opposes the reform citing that it does not consider the large population that supplies drugs. According to Americans for safe access and high times freedom fighters, they strongly advocate the reform on drug policy, calling for the government to license those that are involved in the supply and marketing the drugs. According to the group, they support free trade and world peace; they believe that after licensing the business people, it will lead to the free trade hence reducing the gap between poor and rich. In relation with the group, they term that it is only those whom are rich that benefit from drug trafficking; they are able to corrupt officers of the government. Therefore, to lessen poverty among the community; drug suppliers, and distributers should be allowed to trade freely. For that reason, the groups concern is in relation to the classical liberalism On elitism, the reform policy allows legalization of some drugs that are currently prohibited by United States gover nment. The policy states that, some drugs need to be fully legalized some of the regulated drugs. The legalized drugs should remain under the government; it should control the flow of the drugs (Koch, 2009, p. 45). The government should ensure that these drugs are well labeled; on the label it should contain the dosage for an individual to consume and the medical

The concept of 'home' in Henry James' The Ambassadors and Theodore Essay

The concept of 'home' in Henry James' The Ambassadors and Theodore Dreiser's Sister Carrie - Essay Example Being an effective ambassador also means retaining one's loyalty to the homeland, although occupying a difference space. In Henry James' "Ambassadors" (1903), the protagonist, Lewis Strether is an American chosen to act as Mrs. Newsome's proxy in some family business. For some reason, Chadwick loses the will to return to America and to his mother, Mrs. Newsome. He has to use his powers of persuasion to urge the American-born Chadwick Newsome vacationing in Europe to return home. The concept of home is key in The Ambassadors and Sister Carrie since each character espouses a different view on home. Home can either be one's place of nativity, a fixed abode, or a place of rest and comfort. Because of the process of maturity, love of travel, and the desire to settle with one's own family, people chose to migrate and eventually live in a new place than formerly. Home is a place in which one's feels at ease and happy. This view of home becomes more and more popular among characters who migr ate and settle in a new area. Strether himself, the appointed American ambassador to Europe affirms that he "feels more and more at home" (James 34). Happiness shared is also an integral component of what makes a home atmosphere. Chadwick was unhappy at his original home in America. As Strather observes Chadwick, he sees a man transformed by personal fulfillment and happiness, even happier than he. Soon, The Ambassador is desirous of partaking in the happiness of the American emigre. The American Dream is also a promised land of toil and hardship, yet hold out the hope of an improved lifestyle. The United States is the land of freedom and opportunity where all are in the pursuit of happiness. All Americans are the predecessors of immigrants, boasting a proud nation of ancestors which built a nation through their daring to explore another land. As an American, Chadwick exports the heritage of Americanness to Europe-the quest for happiness and love of adventure. Strether discovers soo n that America is not the only land founded on the pursuit of happiness since in Europe, Chadwick pursues and finds happiness in culture and in the woman, Madame Marie de Vionnet. The irony is that Americans rediscover happiness in another land, even The Ambassador, Strether. While in Paris, Strather and Ms. Gosfrey who are Americans, feel at home. James describes vividly that "the circle in which they stood together was warm with life, and every question between them would live as nowhere else (James 81). Home evokes images of a world of domestic bliss and even a utopia. Furbished with many comforts and amenities, homes can either be fashionably luxurious or spare - nevertheless the true essence of a home lies not with the fixtures or appearance but in the people who live with one another. Equally, Theodore Dreiser in his book, Sister Carrie, attests that "a lovely home atmosphere is one of the flowers of the world, than which there is nothing more tender, nothing more delicate" (D reiser 81). Carrie, the protagonist is in quest of a home since she cannot fine true happiness in the rural area where she was born. Here, Carries begins the realize the treasure of that place called home. Home is a place for family. The eternal difference between a house and a home is family. What gives a home identity is the people who li

Mid-term history exam Essay Example | Topics and Well Written Essays - 750 words - 3

Mid-term history exam - Essay Example In fact, fabrics made in the home with techniques that remained largely unchanged since the Middle Ages. The machines used within the home to make textile fabrics were small and either hand-powered or powered by hand. The Industrial Revolution, however, replaced these hand-powered machines with coal and put the manufacturing responsibilities in the hands of a centralized factory system (Backer). These coal-powered technologies, along with the steam engine, are the most commonly cited cause of the Industrial Revolution (Hudson). James Watt’s development of the steam engine allowed the transformation of fuel into mechanical work, which quickly became a staple instrument in a variety of different industries including powering locomotives, ships, textile machines, and automobiles. However, other explanations may aid in explaining why the Revolution occurred. One theory states that capitalism is responsible for the Revolution, insofar as capitalism incited merchants to take more co ntrol over their workers. When workers were paid a piecework rate in a factory, as opposed to the home, workers would produce more in order to have a better lifestyle. Centralization of material production into factories was the inevitable result of the capitalist system (Backer). Another theory looks at the differences in scientific knowledge between countries and tries to look at the Revolution in terms of what countries and cultures were able to think â€Å"mechanically† (Backer). In need, one of the first countries capable of such â€Å"mechanical† thinking was Great Britain, which is commonly believed to have been the first country to industrialize. In the case of England, science and dissemination of practical scientific knowledge played a large role. At that time, the new science of Newton was clearly associated with applied science. Those scientists disseminated their knowledge to an interested public for commercial and practical reasons through talks like the famous Boyle lectures and by various scientific societies like the Royal Society of London (Hudson). In many ways, the development of science in England and the development of industrialization in England were inextricably tied together. â€Å"By the end of the century it was simply assumed that the mechanization of manufacturing, and hence of labor, required a working knowledge of Newtonian science† (Jacob 167). Also, the concentration of knowledge into the limited land mass of the British isle may also have played a role in contributing to industrialization. Even though England was a source of new scientific knowledge, it would have been difficult to disseminate that knowledge if the country was less densely populated like continental Europe (Jacob 160-163). The Industrial Revolution left a number of social effects on England throughout the rest of the 19th and 20th centuries. For one, it led to the birth of the modern factory and, consequently, the modern city that develop ed around the factories. These factory towns brought in employees from all of the country looking for opportunities in the new industrialized world. A negative consequence of this was, of course, child labor. Child mortality rates increased throughout the industrialization period because parents would send their children off to dangerous employment in specialized tasks within the factories (Hudson). Although child labor existed prior to industrialization, it became a present phenomenon in society, in which children as young as four

The concept of 'home' in Henry James' The Ambassadors and Theodore Essay

The concept of 'home' in Henry James' The Ambassadors and Theodore Dreiser's Sister Carrie - Essay Example Being an effective ambassador also means retaining one's loyalty to the homeland, although occupying a difference space. In Henry James' "Ambassadors" (1903), the protagonist, Lewis Strether is an American chosen to act as Mrs. Newsome's proxy in some family business. For some reason, Chadwick loses the will to return to America and to his mother, Mrs. Newsome. He has to use his powers of persuasion to urge the American-born Chadwick Newsome vacationing in Europe to return home. The concept of home is key in The Ambassadors and Sister Carrie since each character espouses a different view on home. Home can either be one's place of nativity, a fixed abode, or a place of rest and comfort. Because of the process of maturity, love of travel, and the desire to settle with one's own family, people chose to migrate and eventually live in a new place than formerly. Home is a place in which one's feels at ease and happy. This view of home becomes more and more popular among characters who migr ate and settle in a new area. Strether himself, the appointed American ambassador to Europe affirms that he "feels more and more at home" (James 34). Happiness shared is also an integral component of what makes a home atmosphere. Chadwick was unhappy at his original home in America. As Strather observes Chadwick, he sees a man transformed by personal fulfillment and happiness, even happier than he. Soon, The Ambassador is desirous of partaking in the happiness of the American emigre. The American Dream is also a promised land of toil and hardship, yet hold out the hope of an improved lifestyle. The United States is the land of freedom and opportunity where all are in the pursuit of happiness. All Americans are the predecessors of immigrants, boasting a proud nation of ancestors which built a nation through their daring to explore another land. As an American, Chadwick exports the heritage of Americanness to Europe-the quest for happiness and love of adventure. Strether discovers soo n that America is not the only land founded on the pursuit of happiness since in Europe, Chadwick pursues and finds happiness in culture and in the woman, Madame Marie de Vionnet. The irony is that Americans rediscover happiness in another land, even The Ambassador, Strether. While in Paris, Strather and Ms. Gosfrey who are Americans, feel at home. James describes vividly that "the circle in which they stood together was warm with life, and every question between them would live as nowhere else (James 81). Home evokes images of a world of domestic bliss and even a utopia. Furbished with many comforts and amenities, homes can either be fashionably luxurious or spare - nevertheless the true essence of a home lies not with the fixtures or appearance but in the people who live with one another. Equally, Theodore Dreiser in his book, Sister Carrie, attests that "a lovely home atmosphere is one of the flowers of the world, than which there is nothing more tender, nothing more delicate" (D reiser 81). Carrie, the protagonist is in quest of a home since she cannot fine true happiness in the rural area where she was born. Here, Carries begins the realize the treasure of that place called home. Home is a place for family. The eternal difference between a house and a home is family. What gives a home identity is the people who li

Role Of A Nursing Faculty Member Essay Example for Free

Role Of A Nursing Faculty Member Essay Introduction The basic role of a nursing faculty member is to teach nursing skills to students effectively. The knowledge, skills and values acquired by the learners must be put into clinical practice. It is therefore the duty of the faculty member to impart practical skills to the students. There has been a debate on the most suitable method of teaching clinical medicine. Most arguments have shown that the effectiveness of the clinical teaching is determined by the end results. Teaching being a skill it requires specialized strategies for its positive desired end results. A faculty should be organized in hierarchy to enable proper allocation of duties; therefore the roles of the faculty member are very diverse and practical. ROLE OF A NURSING FACULTY MEMBER The aim of teaching is equip a student with knowledge and skills that are consumable. A good education program is deemed to be the one is able to satisfy both individual and societal needs. The changes in health care delivery systems, demographic trends, technological advances and developments in higher education influence the competencies needed for professional nursing practice. (Garberson Oermann 2007) The main developments in the teaching of nursing allude to the philosophical perspective in which the program goal and objectives based on the content are developed followed by the teaching evaluation process. The current strategies of teaching nursing focus much on the end results as such there is more focus given to an individual’s needs, learning activities, learning style, which has improved the quality of the end results. In a situation where teaching is based on the end result, the faculty member then should commence the teaching by identifying the end results rather than the intention of the teaching. Some of this en d results expected after the teaching process include knowledge, skills, professional attitudes behavior and values. Good clinical learning activity is achieved by enabling the students to be able to transfer acquired knowledge into real life situations. The knowledge (theory) acquired should be put into practice. Researches geared toward curriculum reforms are very important to a nursing faculty member in order to accommodate the fast changes in health are important. Nurse teachers should focus on giving students tangible skills based on facts. The ability to solve clinical is an important recipe to clinical teaching and learning. Most of the clinical problems require the student to be creative this necessitates the teacher to equip the student with necessary skills on how to solve practical new clinical problems according to the context. Therefore essentially critical and creative skills mind is in order to be abreast with the current challenges in health care that will help one work more effectively in the real life situations. The care services should spread evenly within a particular environment this is in the view that medical has grown to be a very vital service to be offered to people of all calibers in the world. PREPARATION NEED FOR THE ROLE The nursing faculty member and students in academic nursing must choose a healthy learning center to assist in acquisition of practical skills. The teacher therefore is expected to assign duties and responsibilities to the students within a given period of time. A faculty member should put in place different roles important in guiding the students in their learning activities. The major of the teacher is to empower the students with skills within and outside the clinical context that will enhance delivery of quality services to patients. Proper planning of the clinical activities requires a teacher to have more knowledge. A nursing faculty member should be able to organize the students into groups in order to improve the guiding of the cognitive skills that are crucial for problem solving. Typically students’ utilization of resources increases with the implementation of problem-based learning as students are challenged to research answers of learning issues. Resources for information include faculty experts, consultants, text, journal and a computerized data retrieval system as well as field and clinical experience. Lowestein and Bradshaw (2004). The subtler role of a nursing faculty member is to monitor the  Ã‚   learning atmosphere. The students acquire clinical skills positively this nurtures them towards working independently. Research has shown that when one works independently is likely to double the skills in the field specialized (DeYoung, 2003). The outcome of should be able to reflect need oriented especially the needs of the patients should be give priority. Evaluation is a very important criterion for establishing the knowledge and competence acquired by the student. Therefore suitable criteria for evaluation should be established and feedback given appropriately after each evaluation. Problem solving strategy has been found a very helpful learning strategy among students as it gives maximum outcomes. For a nurse to acquire necessary clinical expertise in understanding the multiplicity of factors that interplay in a give situation, the must impart research based techniques in a student. This can be done through giving the student  Ã‚   research tasks to be done especially those relating to patients. The implication here is that the student will have the opportunity to integrate the knowledge learnt with the past and present experiences and use it to solve anything new in future. A faculty member may be involved in clinic care activities in the process of ensuring quality assurance. In this event the teacher is acting as a role model to the students. There are diverse roles of a nursing faculty member among them include: administration, nursing education program course coordination conducting research and serving as a consultant among other functions (Gaberson, Oermann, 2007). Therefore the understanding of situation of clinical learning activities start with proper preparation in the part of the teacher, this is usually achieved by setting goals and objectives to be achieved. The goals and objectives determine the methods to be used in teaching process.   The teacher should be able to evaluate the extent to which a particular student is prepared before being assigned a duty to execute especially when they given a private client to attend to in the assigned clinical duties (Barnum, Karlene Kerfoot, 1995). Conclusion The nursing faculty member should equip the students with theoretical skills that can bring about positive learning process and the desired outcomes. The knowledge imparted on a student should have utilitarian value on an individual, the knowledge should enable them impact their patients positively. The roles that the nursing faculty member does are beneficial to the institution as well as the student. Positively the faculty member gives care services to the patients what might be called in-service function. It should be noted that nursing is a labour intensive activity, which requires commitment, it requires a 24-hour ongoing service and as such individual should be prepared to face this challenges appropriately. References: Arlene J. Lowestein, Martha J. Bradshaw. (2007) Fuszard’s innovative teaching strategies in  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   nursing. Jones Bartlett publishers. Barbara Stevens Barnum, Karlene M. Kerfoot (1995). The nurse as executive   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Aspen publishers. DeYoung, S. (2003). Teaching strategies for nursing educators. Upper Saddle River, N.J.: Prentice Hall Health. Kathleen B. Gaberson, Marilyn H. Oermann. (2007). Teaching strategies in nursing. Aspen publishers.

Antibiotics for Treatment of Acute Otitis Media

Antibiotics for Treatment of Acute Otitis Media The role of Antibiotics for Treatment of Acute Otitis Media in Prevention of Subsequent Development of Acute Mastoiditis in Children Introduction Acute otitis media (AOM) is considered to be one of the most common infections in children. Most of the time it is self-limiting disease without need for antibiotic therapy; however, some children have individual potential for serious complications such as mastoiditis. Acute mastoiditis is still the most common complication of acute Otitis media and is defined as an acute inflammation of the mastoid air cells which are contiguous with the middle ear cleft and arising as a result of spread of infection from acute otitis media beyond the middle ear. The incidence of acute mastoiditis was signià ¯Ã‚ ¬Ã‚ cantly reduced following the antibiotic era and the overall incidence of mastoiditis as a complication of acute otitis media dropped to less than 1%.1,3. But some recent literature indicated an increase of the disease incidence especially in countries with less antibiotic prescription [2], while others reported that no increased incidence despite the national restriction guidelines of antibiotics prescription [4]. Most recently published guidelines reported that acute otitis media should be treated initially with supportive therapy with discretionary clinical follow-up and antibiotic treatment is reserved for cases in children younger than 6 months, unresolving cases, or otherwise complicated cases. The aim of this study was to carry out a retrospective analysis of all children admitted with acute mastoiditis and to study the role of antibiotics prescribed for acute otitis media on development of acute mastoiditis. Patients and Methods The medical records of all children admitted, diagnosed and treated as acute mastoiditis in the Ear, Nose and Throat department in King Hussein Medical center, Amman- Jordan during the period 2002 to 2012 were studied retrospectively. Patients were divided into 2 groups: Group I: patients who received antibiotics for acute otitis media 2 weeks pre hospitalization. Group II: patients who did not receive antibiotics prior to hospitalization. The clinical criteria for the diagnosis of acute mastoiditis were based on the following: Clinical and Otomicroscopic evidence of acute otitis media on admission or recent episode of otitis media within 2 weeks before admission. Post-auricular inflammatory signs (swelling, erythema and tenderness). Anteroinferior displacement of the auricle. Exclusion criteria were: Patients with incomplete data or in which the diagnosis was not conclusive. Patients suspected to have cholesteatoma. Immune compromised patients. Patients with ventilation tubes in situ. Patients who had undergone prior ear surgeries. Data regarding the age, gender, and duration of pre hospitalization antibiotic therapy, the clinical and microbiological findings, treatment modality and the outcome of the disease were recorded. Results During the study period, a total number of 63 children were admitted with the diagnosis of acute mastoiditis (42 males and 21 females) aged from 7 months to 13 years with a mean age of 5.7 years. Out of 63 patients, 56 (88.9%) patients had post auricular inflammation only whereas the remainder 7 (11.1%) cases had a subperiosteal abscess. The preadmission history demonstrated that 52 (82.5%) patients had a history of antecedent acute otitis media within 2 weeks before admission. Before the development of acute mastoiditis, we recorded that 41(65.1%) children were taking oral antibiotics 2 weeks before admission prescribed for acute otitis media (Group I) with duration of therapy ranging between 1-13 days (mean duration 3.6 days). The most commonly prescribed antibiotic prior to hospitalization was amoxicillin–clavulanic acid (n=30) followed by amoxicillin (n = 6), and à ¯Ã‚ ¬Ã‚ rst or second-generation cephalosporin (n = 5). On other hand 11 patients did not use any type of antibiotics before admission which was confirmed by the Parents of patients (Group II). The duration of illness before admission of patient was ranging between 1-14 days (mean 3.5  ± 3.1 days). Acute otitis media in the left side was reported to be more common than the right side (25 cases vs. 20 cases, respectively), Whereas 7 children were reported to have bilateral acute otitis media. None of our patients reported to have bilateral mastoiditis. The Clinical features of children with acute mastoiditis on admission are shown in table I. Computerized tomography of the Temporal bone was performed on admission in all patients and cloudiness of the mastoid was demonstrated in all the patients. In 7 cases there was destruction of cortex with subperiosteal abscess. Data regarding microbiological culture findings was recorded in 48 patients, of whom 25 (52%) cultures were taken from middle ear aspirate during myringotomy; culture of pus from the external auditory canal was obtained in 11 patients (23%), from subperiosteal abscess in 7 patients (14.6%) and from the mastoid cavity during mastoidectomy in 5 patients (10.4%). The most commonly isolated organisms were Streptococcus pneumonia, Streptococcus pyogenes, Staphylococcus aureus, Pseudomonas aeroginosa, Proteus mirabilis and Haemophilus inà ¯Ã‚ ¬Ã¢â‚¬Å¡uenzae. On admission, all of the patients were treated with intravenous antibiotics and the most commonly used antibiotics were ceftriaxone, cefuroxime, Ceftazidime and Metronidazole. In addition to Intravenous antibiotics, some patients were underwent tympanostomy tube insertion, abscess drainage and cortical mastoidectomy. All patients in our study were recovered uneventfully with these treatment modalities and none of them developed recurrences of mastoiditis within a period of at least one year of clinical follow up. Discussion Although, in the literature the incidence of acute mastoiditis decreased in the last decades, there is some evidence that in recent years, this entity is rising, as Papournas and Kudo [6,9] have reported. However, our series includes 63 cases of acute mastoiditis in 10 years period. The demographic data collected in this study with regard to gender and age was consistent with other series [3, 7, 1 2]. Acute mastoiditis has been reported to be more predominant in boys as has been noted previously [11—14]. The use of broad spectrum antibiotics as initial treatment for acute otitis media, a rather common practice in our country, might play a role in selecting resistant microorganisms. In our study, in which 65.1% children were taking oral antibiotics for otitis media before admission provides evidence for the assumption that widespread use of antimicrobials in treatment of acute otitis media does not provide complete protection against acute mastoiditis. Furthermore, the symptoms of acute mastoiditis may be abated, in consequence of the treatment, requiring a high degree of awareness by contemporary clinicians to watch for manifestations. Therefore, antimicrobials should be used judiciously in treatment of acute otitis media, avoiding the employment of broad-spectrum drugs as an initial regimen. Yet, complete abstention from use of antibiotics in treatment of suppurative otitis media is not advisable, as this seems to increase the risk of complications in general and of acute mastoiditi s in particular [15,16]. Recently, some authors observed that the number of children admitted to some hospitals with acute mastoiditis has risen [12-14]. However, Luntz et al [15] reported that the use of antibiotics is not a safe guard against acute mastoiditis and it may lead to a latent (masked) mastoiditis. Also, Kvaerner et al [4] In their registry based study on 399 Norwegian children proved that the incidence of acute mastoiditis has not been increased in Norway despite the national restricted use of antibiotics in primary care. Findings in children with acute mastoiditis are well described in clinical studies. In agreement with our à ¯Ã‚ ¬Ã‚ ndings the children are young, and present with retroauricular oedema, protrusion of the ear and abnormal tympanic membranes in addition to various degrees of general discomfort [1,5 – 9]. The most frequent symptom in our study was abnormal tympanic membrane with retroauricular erythema. During the last decade several reports show a decreasing rate of cortical mastoidectomy as the treatment of choice for acute mastoiditis. The rate of surgery varies greatly from 12 – 98% in different studies [1,4 – 8]. This may be due to different criteria for the diagnosis and may also reà ¯Ã‚ ¬Ã¢â‚¬Å¡ect the fact that an increasing portion of children are treated in pediatric wards. The increasing tendency for conservative treatment during the recent years may also reà ¯Ã‚ ¬Ã¢â‚¬Å¡ect an increasing availability of CT or MR scans to exclude complications. Microbiological culture findings were recorded in 48 patients in this study and Streptococcus pneumonia was the most commonly isolated organism. Similar results have been reported by other authors [2,6,12,15,16]. Other identià ¯Ã‚ ¬Ã‚ ed organisms were Streptococcus pyogenes, Staphylococcus aureus, Pseudomonas aeroginosa, Proteus mirabilis and Haemophilus inà ¯Ã‚ ¬Ã¢â‚¬Å¡uenzae. Our data do not support that general use of antibiotics in acute otitis media will prevent the subsequent development of acute mastoiditis. Neurological complications was reported in 5 – 20% in the literature [2,3,15], although recent publications show a lower rate of complications [6,12]. In our material none of the patients developed neurological complications. Conclusion References Table I Clinical features on admission of 63 children with Acute Mastoiditis

Shortage of Physicians In Canada Essay -- Canadian Health Care System

In the past decade, Canada’s population has grown from 5,301,000 in 1900 to over 34,030,589 in 2011, driven mainly by immigration (Central Intelligence Agency, 2011). By 2056 it is expected, one in four Canadians will be 65 years or older, compared to 13 per cent currently. This will put a huge strain on the country’s health care system (Macleans, 2008 p.2). The future of Canada’s health care system is at great risk due to its escalating and aging population. This is triggering a shortage of physicians, particularly anesthesiologists, in some provinces of Canada (Canadian Medicine Journal, 2007). Anesthesiologists are specialist physicians who provide critical care to patients in a number of health programs: operative anesthesia for patients in all surgical subspecialties, acute pain management, procedural anesthesia, obstetrical care, and high-risk medical management, chronic pain management, resuscitation, advanced airway management, and critical care (Intermou ntain Healthcare, 2011). The current shortage of anesthesiologists is highly impacting access to care in each of these areas. Due to the lack of foresight in government policies, the shortage of anesthesiologists in Canada is increasing and becoming more critical. The Canadian government has failed to train, hire, and retain enough anesthesiologists/assistants for the needs of Canada’s rising population. The Canadian Medical Association (CMA) estimates it would take 26,000 more physicians, presently, in order to bring Canada up to the Organization for Economic Co-operation and Development (OECD) average (Macleans, 2008 p.2). The Canadian health care system promises universality, portability, and accessibility; unfortunately, it faces political challenges of meeting pub... ...ortant role in this shortage because if they reconstruct and formulate policies to accept and graduate more students specializing in anesthesiology, it will significantly reduce the shortfall of anesthesiologists. Lastly, the Canadian government needs to recruit more and retain enough anesthesiologists to meet the needs of its population. Instead of the government ignoring the issue, it should see this as an opportunity to dedicate its efforts to construct a good health care system which will result in healthier Canadians. This will not take only the efforts of the government but also the efforts of hospitals, maternity care providers, healthcare and professional liability insurers, consumers, and policymakers. With the use of future-planning in government policies it will mitigate this short-fall of anesthesiologists and prevent it from occurring in the long-run.