NCAA money machine keeps humming along
The American Association of Nurse Practitioners has designated Nov. 12-18, National Nurse Practitioner week. Dr. Loretta Ford and Dr. Henry Silver launched the first NP program at the University of Colorado more than 50 years ago. Since then, the guidelines outlined by the American Association of College of Nursing have raised the bar on the educational requirements of nurse practitioners.
Placing more stringent guidelines the triad of preacceptance, core curriculum and actual clinical practice. Nurse practitioners, otherwise known as NPs, are registered nurses with direct, clinical experience and who have advanced training to evaluate, diagnose, treat and manage many common health conditions. NPs provide a full range of services, such as ordering, performing and interpreting diagnostic tests, diagnosing and treating acute and chronic conditions, prescribing medications and treatments, and managing overall patient care.
According to the American Academy of Nurse Practitioners more than 1 billion visits were made to a nurse practitioner last year. With two of three patients supporting legislation for nurse practi- tioners to gain full access nationwide. In Maryland, nurse practitioners have independent practice, meaning they can practice to the highest of their education and training without oversight.
NPs are licensed, expert clinicians with extensive clinical education, most with master’s degrees and many with doctoral degrees, who provide care to persons across the lifespan. With the fast-paced dynamic of health care and its associated systems including technology, information systems, insurance and advancing research NPs like myself, have obtained doctoral degrees to practice to the extent of their education and training to keep up with such changes. With the turbulent nature of healthcare changes, NPs can treat patients at lower cost, efficiently, all while providing high-quality care.
Specialties of nurse practitioners include family, acute care, gerontology, womens health, and pediatrics, to name a few. NPs practice across all settings from traditional primary care offices to emergency rooms across the country.
Creating an environment in healthcare where the focus is on wellness and prevention; nurse practitioners are not only trained and educated on wholism, but best suited in today’s health care system to provide valuable and quality care. This will not only prevent gaps in health care to be narrowed, but reduce expenditures.
Dr. Amber Manning is a board certified family nurse practitioner who currently practices in palliative care at Union Hospital.
WASHINGTON — With America’s elite college football teams closing in on the playoffs to determine a national champion and a new race to basketball’s March Madness about to begin, the burning question might be (actually is) who is in charge of the keeping the huge fortune the two events produce out of the hands of cheaters?
For more than three quarters of a century, the National Collegiate Athletic Association has ruled major college sports with an iron fist, clamping down on any hint of scandal that might taint the association and its member schools... and damage the money flow.
At times, the NCAA’s legendary gum shoe committee has seemed to have taken its duty to preserve purity to the point of absurdity, penalizing its members for trivial infractions of its Byzantine book of rules — so large now, it has become a lawyer’s dream or nightmare whichever side you’re on. You can’t give that recruit a baseball cap, T-shirt, etc., or your best player is suspended for appearing fully clothed on a calendar that was being sold for charity by a sorority, which actually occurred.
Often it seemed to observers that there was an unholy selectivity to the association’s punishments. In other words, schools that were the most successful in pursuit of records and the revenue they produce were somehow less likely to be sanctioned. It has taken a long time for the University of Louisville and its famous basketball coach, Rick Pitino, to fall, although his program’s not to mention personal indiscretions were common knowledge for years.
The shadow of scandal and prosecution now hovers over the new basketball season.
The late UNLV coach Jerry Tarkanian, once said only half in jest, “that the NCAA is so mad at Kentucky it probably will tack another two years (sanctions) on Cleveland State.”
While there has been no solid proof to back up these allegations of favoritism, there obviously is plenty of circumstantial evidence. And the NCAA’s decision not to pursue a horrendous breach of academic propriety by the University of North Carolina, almost puts a rubber stamp of authenticity to the claims.
By not doing so, any credibility the governing body has left may have been lost forever. If you have been unaware, UNC had given academic credit to favored groups for what it at one time admitted was a phony course. While some of those who took the nonexistent course or courses weren’t athletes, at least 50 percent to 60 percent were — including football and basketball stars. The excuse the NCAA gave with a straight face was that since there were nonathletes also benefiting, discipline was not an alternative (or some such inane jibber jabber) and that since the school told the NCAA that it was an accredited course telling a national accreditation committee that it wasn’t, the NCAA had no jurisdiction. Meanwhile the accreditation folks reportedly have reopened their investigation.
By the way, UNC is again listed in preseason basketball polls as expected to be one of the nation’s top 10 programs with a head start on another March triumph...Ca-ching!
Is Walter Byers –the Torquemada who built the NCAA and often used a sledgehammer to slap a wrist – whirring in his grave? Probably. Byers was the unforgiving crusader and self-appointed arbiter of all things legitimate and ethical in the world of bigtime college athletics. Back in the 1950s he was the most feared name in sports. Well, whirl away, Walter. Your beloved institution, which you even came to see was out of hand, has gone from bad to “badder” as money considerations increasingly drive the college sports engine. UNC’s reputation as the oldest public university in the nation and certainly one of its best academically has been severely tarnished thanks to the relentless, Pulitzer Prize-deserving reporting of the Raleigh News and Observer.
I was instantly reminded of an incident a number of years ago when I found myself at a white tie Washington function with several other people who had discovered a place where a TV was showing a regional final of the basketball tournament that included UNC. We were all strangers, but I said to no one of the others in particular that I would feel better about the whole thing when the NCAA sanctions UNC, even then just a little too good every year to be on the right side of legitimacy.
“I certainly hope that doesn’t happen,” the man standing next to me said. “I’m the governor of North Carolina.” Well, rest easy, sir. It hasn’t. Dan Thomasson is an op-ed columnist for Tribune News Service and a former vice president of Scripps Howard Newspapers. Readers may send him email at: firstname.lastname@example.org.
WASHINGTON — The Republicans’ tax bill would somewhat improve the existing revenue system that once caused Mitch Daniels (former head of the Office of Management and Budget, former Indiana governor) to say: Wouldn’t it be nice to have a tax code that looked as though it had been designed on purpose? Today’s bill, which is 429 pages and is apt to grow, is an implausible instrument of simplification. And it would worsen the tax code’s already substantial contribution to “moral hazard.”
Economists use that phrase to denote circumstances in which incentives are for perverse behavior. Today’s tax code is such a circumstance, and the Republican bill would exacerbate this by expanding the $1,000 child credit to $1,600 with an additional $300 “family credit” for each parent and non-child dependent, and by doubling the standard deduction to $12,000 for individuals and $24,000 for married couples. These measures would increase the number of persons not paying income taxes and would further decrease the percentage of income tax revenues paid by low-income earners.
Already 62 percent of American households pay more in payroll taxes than in income taxes. The bottom 50 percent of earners supply less than 3 percent of income tax revenues. Forty-five percent of American households pay no income tax, either because they earn too little or because they qualify for enough exemptions and credits to erase their liability. Sixty percent pay nothing or less than 5 percent of their income. Forty percent of earners are net recipients from the income tax because they qualify for refundable tax credits. All this means that an already large — and, if the Republican bill passes, soon to be larger — American majority has a vanishingly small incentive to restrain the growth of a government that they are not paying for through its largest revenue source.
These facts might be the results of defensible tax and social policies. They should, however, be discomfiting to those remaining conservatives — they are on the endangered species list — who dispute Dick Cheney’s notion that “Reagan proved deficits don’t matter.” Deficits matter for their political as well as — actually, even more than — their economic effects: Deficits make big government cheap, enabling the political class to charge taxpayers rather less than $1 for every $1 of government benefits dispensed. When the Bush-Cheney administration managed the last large tax cut, the publicly held national debt was 33 percent of GDP. Today it is 75 percent.
Today’s Republican bill, drafted in the aftermath of the failure to repeal and replace Obamacare, is supposed to demonstrate to the party’s Trumpian base that congressional majorities matter and must be extended. Rep. Mark Meadows, R-N.C., chairman of the conservative House Freedom Caucus, has said (to USA Today): “If we had a whole bunch of wins on major items up to this point, would we perhaps be a little bit more deliberate in our negotiations? I think the answer is yes.” But the facts about participation in the income tax mean that the bill is unlikely to assuage the injured feelings of core Trump supporters, understood as downscale white working- class voters who supposedly are seething because they are not benefiting enough from burdensome government. They might have valid grievances, but not ones that can be addressed by income tax rate reductions for individuals. Payroll tax reductions would be another matter.
And all individual earners will benefit to some extent from cutting the corporate rate from 35 percent to 20 percent. The incidence of corporate taxation — who actually pays it — is fiercely debated by economists, a remarkably cocksure cohort with strikingly divergent views about the degree to which corporate taxation depresses the wages of the corporations’ workers, curtails shareholders’ dividends, and is passed on to consumers in the costs of corporations’ products. Suffice it to say that corporations do not pay taxes, they collect taxes. Uncertainty about the incidence of corporate taxation is one reason the Republican bill’s corporate tax rate is 20 points too high.
This year’s best tax bill, which Rep. Bob Goodlatte, R-Va., has introduced six times since 2006, is four pages long and contains fewer words (411) than the new Republican bill has pages. It could be titled “The ‘What You Wished For, Mitch Daniels’ Act.” It is titled, with almost unprecedented accuracy, the “Tax Code Termination Act.” It would nullify the existing 4 million-word code as of Dec. 31, 2021, and require that by July 4 of that year it must be replaced by a new one, which would necessarily be one designed on purpose.
George Will is a syndicated columnist. Contact him at email@example.com.
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