3 Great Reasons To Get On Board A Party Bus

You are planning your partner’s 30th birthday party and you want to do something different, something unique. You want to plan something that he and your guests and family will remember for years to come.

Let’s take a look at 3 great reasons why you should host this 30th birthday party on a party bus:

More room for all your friends

You have the option to book a party bus to suit the number of guests you wish to accommodate; so if your party is a small group, get a small bus, but if you’re inviting everyone he’s ever known, there are party buses big enough to handle them all.

You can arrange for the bus to pick every one up at one designated place. Then when the party is over, the professional chauffeur will return everyone back to their pick up point, safe and sound with no need to worry about anyone drinking and driving. No matter the size of the group, there is a party bus available to suit any size party.

Move around and see the sights as you party

Let’s face it, no matter how hard you try, or how much effort you put into entertainment for your party guests at your home or at any other venue, it can get stale and then the party goes dead. All good parties have had this happen and you can avoid that problem by having that 30th birthday party on a party bus!

With a party bus, you, the birthday boy and his guests can party on while the professional chauffeur drives you all around town. Enjoy the bright lights and night life as you enjoy your own party on wheels cruising around. You can even arrange for the party bus to make a stop at the birthday guy’s favorite club or restaurant and treat everyone to dancing and dinner. When that’s done, it’s back on board the bus for more partying.

Delight and impress your friends

With a party bus, your friends and guests will enjoy a fabulous decked out venue with a night club atmosphere that includes surround sound stereo with your choice of music and strobe lights to give it a festive touch. A professional DJ would give it extra pizzazz! You would possibly have previously arranged for refreshments and appetizers just as if you were hosting this party at home and your guests will be delighted as they mingle together and enjoy each other’s company.

Yes, there is room for everyone to sit comfortably with plenty of leg room; space to get up and move around too and maybe even dance if they feel so inclined. Your guests will get so wrapped up in the party going on, they’ll forget they are on a bus!

It will be a smooth ride with a professional chauffeur taking them from point A to point B without having to worry about private cars and designated drivers.

Make his 30th birthday party bash a night to remember!

Creative Tips to Create Custom Design Jewelry

Designing your own version of jewelry is always fun and exciting. You get an overwhelming sense of happiness, when you take the time to design your own pendants, brooches, rings and bracelets.

Know four trendy tips on how you can re-invent your own styled custom design jewelry:

Give a thought to designs you plan coming up with

It is simply not easy to come up with your own designs especially when you are customizing jewelry for the very first time. When you watch documentary films or romantic movies, you will definitely get enough number of cues, on kind of necklaces, brooches or bracelets, the hero or the heroine are sporting, throughout the movie. You can also get inspiration from nature, literature or art. Then, you can start re-creating your own splendor sets.

Make a detailed list of the tools and plain jewel sets

You need to make a detailed list, on the number of tools you need to buy, in order to create customized pieces of jewelry. To make things a little easier, you can source loose diamonds, pearls, plain anklets or single stranded necklaces. You can order for your picks either from a reputed retail store or from a renowned online merchant.

You can then start adding beads, decorative balls, glitter hearts and other forms of trinkets, to give your jewelry vibrant hues.

Mix and match your ideas with the latest trends

You can refer a couple of jewelry stores online and have a fair idea on the latest designs, the merchants offer, on varied forms of jewel sets. Say for instance, you want to have an engagement ring customized in a contemporary style, you need to have a look at vintage styled rings or eternity rings, different stores offer you on the whole. You can then merge your own idea into the whole thing. You can add a different metallic frame or give the setting a brand new look using ideas of your own.

Creating custom design jewelry is truly an art. It can reveal your aesthetic sense in a fantastic way.

Consider your skin-type

If you have a cool skin tone, making an antique necklace from amethyst stones can be the ideal choice. For warm skin tones, yellow gold or turquoise shaded jewelry can be amazing picks. For a combination skin, a three-stranded diamond or pearl necklace can be a fascinating piece, indeed.

These are the 4 trendy tips which can help you create your own jewelry. Step into world of personalized jewelry to experience a charm and elegance of tantalizing designs.

Reducing Inflammation – The Less Inflammation You Have Is Better for Your Health

Inflammation is a process within our own bodies which it utilizes to protect us from disease and injury. Like all these things in life, a lot of even a fantastic thing can be bad for all of us. Any nutritionist or health coach will inform you that the typical American diet is filled up with foods which increase inflammation inside our own bodies. These include sugars, processed grains and bad fats which are all so typical in most junk foods. Only a couple of the issues connected with such a diet are muscle or joint pain, asthma or allergies, higher blood pressure and blood sugar issues. This type of diet also saps our energy that you need to make it through daily.

A Healthier Diet to Lower Inflammation

In case you’ve been eating a diet high in sugars, then you will soon sense a lot of benefits from the adoption of a diet consisting of foods that reduce inflammation. The following types of foods will help you in this regard:

• Fruits
• Nuts
• Leafy green vegetables
• Fatty fish
• Fresh herbs and spices

You may attain tremendous anti-inflammatory advantages from cutting out fried foods, sodas, processed carbohydrates and processed meats and incorporating these healthy foods into your daily diet. The fat in fish and nuts is a healthy form which also can help nourish your mind. Fruits and greens feature lots of essential minerals and vitamins that help keep you healthy in general while also fighting inflammation especially. When coupled with taking spices and herbs, which are full of antioxidants, you provide your body exactly what it requires to feel relief from the aches, aches, lack of energy and other indicators of a poor diet.

You’ll Thank Yourself

Adjusting your diet is among the most difficult prospects for many people. Most of us hear about creating New Year’s resolutions which are left a couple of weeks after and fitness center memberships of those trying to enhance their health through exercise heading unused after a couple of trips. You want to do anything is required to make this change occur on your own.

Educate yourself on nourishment on the internet and through publications and eBooks, and also combine forums on health-related sites and programs to get in touch with like-minded folks that will assist you to persevere. Should you will need a gym trainer to keep you on course, then that might be the wisest investment you ever make. The anti-inflammatory added benefits of a nutritious diet will provide you the energy and health to handle your daily life with a vigor which you might not have the ability to envision at the moment. When you’ve got this power to be living the life you always wanted, you will not ever need to return to the way you was.

Ethical Dilemmas Doctors Have to Confront

The ethics and professionalism in medicine are of core importance when it comes to the role of the physician in his code of conduct.

With the great prestige and nobility in this profession comes the great responsibility in doctor’s hand, as they have to go through quandary in situations when it comes to cases like euthanasia, abortion, making a decision of who even makes it onto a waiting list for organ transplant, quick and life-changing decisions, psychological pressure from the loved ones of the patient, the patients family blame the doctors if the patient is unable to make during surgery, they should understand that death is imminent and the doctors do, whatever they can to save a life.

The doctor must explain the procedure to the patient and give him full information about the benefits, risks, positive and negative effects, leaving up to the patient to make the choice about undergoing the surgical procedure. The doctor should not perform the surgical intervention, only taking into consideration his personal gains and benefits. His first priority always has to be the patients’ health and to act in the best interest to protect the patient from any kind of harm. The doctor should be impartial when it comes to the selection of deserving cases and their needs, and on the basis of their degree of sickness.

The one of the most important and foremost ethical concern is taking an informed consent. Informed Consent is taken in advance from the patient, it is an agreement or a gesture to permit the doctor to have his medical history, undergo examination procedure, diagnosis, treatment, and intervention. The patient should be competent, well aware; mentally and emotionally stable. In some cases, the patient in spite, of his serious condition, refuse to agree with the intervention or surgical procedure, where then doctors have to make a decision for the welfare of the patient.

The information of the patient can only be breached if:

  1. himself asks the physician.
  2. In the case of children, the information is conveyed to the parents; as they are very
    young to handle their condition.
  3. There is a need of the help of the healthcare team in solving the case. Whether, the disclosure is for the criminal investigation of crime or harm to others, assault case, protecting the vulnerable; such as in child abuse case.
  4. For research purposes but only as anonymous and after taking consent from the patient.
  5. When it comes to public interests it may be breached when a patient has a highly contagious disease such as tuberculosis; the doctor has to inform the patients family so that precautionary measures can be taken. If the patient has a sexually transmitted disease, let’s say HIV which is a communicable disease, the doctor may disclose his disease to his partner in order to protect from the risk of getting the disease.
  6. State registries where officials keep track of cases like diabetes, cancer, HIV/AIDS, Alzheimer disease, Amyotrophic lateral sclerosis, and many other diseases.

It is the duty of the doctor to act in his best interest while dealing with a case, abide by the principles in common clinical situations, and work in the beneficence of the patient and do no harm in the treatment procedure.
The common ethical conundrums that doctors’ have to face in their course of profession:-

1- Euthanasia:

Euthanasia or physician-assisted suicide is considered as one of the supreme problems when it comes to ethics of patients treatment. The decision of euthanasia by the patient or his family is made in order to reduce the suffering of the patient in his terminal sickness. It can be voluntary or involuntary. When the patient makes a decision, it is voluntary. When the physician makes a decision it is involuntary. However, may it be voluntary or involuntary, it is unethical.

The World Medical Association issued the following declaration on euthanasia:-

“Euthanasia, that is the act of deliberately ending the life of a patient, even at his own request or at the request of his close relatives, is unethical. This does not prevent the physician from respecting the will of a patient to allow the natural process of death to follow its course in the terminal phase of sickness.”

2- Staying within their boundaries:

Doctors have to work long hours, off work, and even operate in odd hours in hospital settings and have to treat patients irrespective of their age, gender, and other attributes. They have to work in coordination with other staff members, the nurses, anesthesiologist, interns, assistants and many related members. Personal relationship or intimate relationship between the doctor and any other member like, his fellow, intern, other staff member is unethical and is prohibited. Patients often offer gifts to the doctors when their treatment intervention has been successful, or when the surgery goes well. It is quite fine, to accept those gifts as long as they are in the form of sweets or bouquet. The patient who brings gifts during the intervention may cause trouble, it may be the sign the patient needs more of the doctors’ attention. The physician should simply show reluctance to such presents and should not accept them by justifying that its’ against the ethics of their respective field.

3- Organ transplant:

Unfortunately, the availability of the transplant organs is far less, than their demand. Doctors have to make a tough decision here, that who will receive the next available organ and who will not, keeping in view the whole scenario, and what criteria is used for determining the donor. The surgeon should opt to give the transplant organ to the deserving patient on the list, on the basis of his health condition.

The physician should be approachable, equitable, able to communicate effectively and compassionately respecting the dignity of the patient regardless of his race, ethnicity, cast, choice of lifestyle. He should be dedicated to his profession, attenuate the pain of the patient by all means, preserving the health and enhancing the quality of life.

Being a Professional Fashion Stylist Is an Excellent Career Choice

Are you looking for a new career or considering a change of direction? One career you could consider is as a personal stylist. By joining a professional stylist course & degree in fashion styling you can learn all the skills and techniques you will need to provide a professional service for your customers when you start trading as a professional stylist.

Increasing numbers of people are looking for professionals to help them restyle their wardrobes and restyle their outfits. It is easy to get into a rut with fashions and one way to resolve this is by consulting an expert who will help with advice and guidance on the best fashion choices.

And personal style is more important today than it has ever been. Not so long ago, the job of a stylist was one reserved only for those from the fashion industry who were advising the rich and famous. That is not the case any more. People of all ages and from all walks of life are looking for help to improve how they look.

Many men and women seek the help of a professional stylist for business reasons. Success in the business world is important and many people want to make sure their style represents who they are as professionals too. Many people seek the help of a stylist after a major life change like a divorce or weight loss. There are many reasons why someone might want to work with a professional to help them redevelop their style and wardrobe. There is no doubt that there is a huge and growing market for this career and that those who stake the step now to train and gain their qualifications will be ahead of the competition and in a position to enjoy a successful career.

On a stylist course, you will learn about engaging with clients, and talking them to establish their needs and fashion aspirations. You will learn all about color analysis and how choice of colors is as important as the style of clothing chosen. You will also develop an in-depth knowledge of all fashion styles, designs and trends. Being a good fashion stylist is not about knowing what is trendy, it is about understanding fashion, color and personal style to help each client develop their own unique style which suits their budget and their lifestyle.

Go online and find an excellent fashion stylist course that will help you learn the skills you need. With the right qualification you will be able to enjoy a varied and successful career, helping many different people to make the very best of their own style.

What better way to create a health business, and do something you love? The courses will help you add to your own fashion knowledge and sense of style. Wouldn’t you like to enjoy a successful career, rather than just have a job? Being a fashion stylist could help you to have a career more exciting, successful and amazing than you ever imagined. If you have been dreaming of a new career, consider being a fashion stylist.

Learning English Online Can Be Fun But Yet Effective

In today’s competitive world it is a virtual requirement to be able to speak fluent English to get the best jobs in any business. While it is a difficult process to learn any new language, English is considered by many to be very difficult because there are so many exceptions to the rules. Fortunately there are proven ways to successfully learn to read, write and speak the English language fluently. Perhaps the best way is learning English online. The online format has many advantages that traditional self-study and even classroom learning simply cannot offer. Online learning has the ability to combine every different proven learning strategy together in one comprehensive class.

Learning English online is far easier than any other method of study because of the wide range of materials and the flexibility of being able to log on and study at any time of the day or night. There are no rigid class schedules which you have to attend every week so there is little risk of falling behind on your studies. Online classes are also easy to adjust based on your work and personal life which is a big advantage for many busy individuals. Many people’s schedules change week by week with kid’s events, work changes and other unavoidable reasons. Due to these changes it is impossible for many people to attend class at the same time each and every week.

One huge area where learning English online excels is the audio and video media that is available to the students. In many normal English classes there is a very limited number of options to choose from when looking to listen to English spoken aloud or watch a video in English. Online there are literally millions of different options available. When you want to learn a specific part of the English language it is not difficult to find examples of it with a quick search or by being guided along with an online course instructor. Many exceptional online English courses offer a library of different audio, video and written items which can be viewed and studied at any time. These items are very beneficial to help learn how native English speakers sound and also for learning the language in general.

Learning English online is not only extremely convenient, it is also very effective. It is common knowledge that in order to quickly learn English you need to work at it every single day, especially for the first few months. Online instructions allow you to do just that by providing vast amounts of information which is available at any time. There is no need to wait around for an instructor to show up at a class room in order to get the next assignment or to ask a question. You can access all the information you need at any time and if you ever have a question for the instructor he is just an email away.

While it’s true that when learning English online an instructor is typically available to reply to any questions right away, there is yet another advantage. The other students who are studying to learn the language are also often available to ask for assistance. This creates a community of learning which is far superior than just relying on one individual instructor. Allowing students to interact online lets one student who is struggling in one particular area get help from another who happens to excel. Each student can help others with their strength and gain valuable insight on areas in which they are weak. Everyone benefits from this collaborative learning strategy and it takes advantage of the fact that people retain information when they are also teaching it.

It is a well known fact that when people hear, read, speak and teach something they are very likely to retain that information for a long time. Using this strategy, learning English online allows you to perform each of these items every day to help ensure you learn English as effectively, and quickly as possible. In addition to helping students learn faster and retain the information better, this method of learning also keeps it far more entertaining than more traditional methods. Allowing students to participate in every aspect of the class provides additional variety so they do not get bored. Learning by constantly reading or hearing someone talk about the same concepts will quickly get boring but when students are allowed to choose what type of learning they desire on a given day the learning will stay fresh and exciting!

Students will often find themselves creating small groups when they are learning English online because they often interact with the same people on a regular basis. These small groups will let each student contribute what they know and understand best to the others while receiving instructions from others in areas in which they may struggle. The sharing of information also provides opportunities for students to network with each other and potentially learn about additional opportunities in different areas of their lives. These small groups may meet only virtually through online meeting services or even just by replying to email chains to each other. It is all informally set up by the students to compliment the education they find while studying to learn English online as individuals.

As with anything new in life, learning English online will come with it’s own set of challenges. Learning a new language is a very difficult yet extremely rewarding experience for anyone willing to take on the challenge. The rewards come in many ways from meeting new friends to increasing your employment opportunities for your future. Learning English is one of the best things you can do to help open new doors for your career since English is the most commonly spoken language in the business world today. It is important to remember that you need to learn English today in preparation for potential career advancement in the future as when a job opens up, you won’t even be considered if you don’t already have the language skills firmly in place.

F1 Visa Advisor Ideas

Lawyers are able to help you fulfill your fantasy of living and working in the States. Immigration law in U.S. is complicated, dependent on your special situation, the lawyer will able to provide you with the ideal solution. In the last few decades, immigration to Australia has been among the most well-known destinations for Indians and South Asians. Should you go for another citizenship, it is strongly wise to consider Dominica first. Obtaining Israeli citizenship can be accomplished in a variety of ways.

The H-1B visa is valid for 3 years and perhaps extended for another 3 years. Also, as mentioned before, H-1B visas aren’t available year-round for most applicants. The H-1B visa does not need individuals to have a visa stamped every month or two.” If you’re still in the USA on an H-1B visa and would like to stay in the united states for at least six decades, you may apply for permanent residency in the united states to obtain a Green Card.

You may call it visas, you’re able to call it work permits, you may call it anything you desire. This visa is issued depending on the sort of work which you do. This visa is not right for permanent residence, however. With over 140 Australian visas to apply for, it’s important to be aware of the ideal one to choose and the proper way to achieve that. A brief stay visa will make it possible for a visitor to stay in the nation for as many as three months.

Lies You’ve Been Told About F1 Visa Advisor

There are many measures in the visa application approach. Fill an application if you are prepared to start. In the event the application or interview isn’t completed, this could cause a denial of the classification. No matter your reason is, you can require the suitable documentation to enter Canada. Should you not have the right documents to make an application for the visa, the CAS won’t be issued.

F1 Visa Advisor Tips

Obtaining adequate medical insurance for your time in America is critically important remaining uninsured isn’t a valid alternative. Cash payments aren’t accepted. Visa fees connected with obtaining the H-1B visa change from nation to nation. There are various fees based on the kind of H-1B petition you’re submitting.

Now you have taken a wholesome step to validate the requirements, process and interview questions to procure an H-1B visa, it’s the ideal time to begin preparing! There are requirements you have to have as a way to get this visa. There’s a limit on several visas available per fiscal calendar year.

If you could not meet these requirements also, there are chances that you still receive a green card. Visa requirements differ from nation to nation and in addition, it is dependent on your nationality. In addition, there are additional requirements that the visa applicant must establish, such as expertise within the field.

An applicant hoping to procure an H1-B temporary work visa needs to have a petition accepted by the USCIS. Your employer will be able to help you submit an application for a vital Skills work visa. If you prefer to modify employers as soon as you reach the U.S., that employer should be the one to submit an I-129 form. The employers are extremely cooperative when it comes to hiring Indians. It enables the employee to get a visa stamp and work in the USA for that business alone. The employee is subsequently regarded as out of status. Furthermore, you can transfer your employment when your petition was improved.

Posted in |

How Does Automatic Transmission Change Gears

As drivers, we know how the transmission works: we push the clutch in, change the gear and then continue driving normally. Manual transmission also teaches us how to perform clutch control without stalling or rolling on an incline. So how does an automatic car change gears?

There are more parts in this system that makes it a more complicated system. An automatic car has something called a torque converter. For the car to move forward, whether manual or automatic, torque is needed for the initial momentum.

The torque converter is a fluid link where its job is to connect the engine to the transmission and the transmission to the driven wheels (Front Wheel Drive or Rear Wheel Drive).

The engine is connected to the transmission in a bell housing. This is where the torque converter is. The transmission also contains something called planetary gear sets which provide different gear ratios.

The engine’s flex plate is also connected to this torque converter. So the torque converter basically takes the place of a clutch in an automatic car. When the crankshaft rotates it also rotates the converter. This is how the torque converter will disconnect and connect the engine’s power to the load being driven.

The torque converter has main components that make automatic transmission successful. These include:

  • The impeller – connected to the engine which is responsible for driving the turbine using viscous forces on the transmission fluid.
  • The turbine – connected to the transmission input shaft that sends the torque force to the transmission.
  • The stator – which sits between the impeller and the turbine. It lessens churning losses.
    The lock up clutch.

During the compression of the fluid it returns from the turbine that works against the impeller and its rotating movement that also acts on the engine.

The stator redirects the fluid so that the majority of the velocity gets driven towards the impeller which then adds to the torque produced by the motor. It can only rotate in one direction if the impeller and turbine are moving at the same speed. Stators do not apply torque when on a highway, only when coming to a stop or accelerating.

A planetary gear set consists of a sun gear and planet gears which rotate around the central sun gear, like our solar system. A planet carrier gear connects the planet gears with a ring gear that meshes them. The planetary gear set prevents certain components from moving when using clutches and brakes. This alters the input and the output of the system that changes the overall gear ratio.

Depending on which component is fixed it will determine the final gear ratio. If a ring gear is stationery or fixed, the ratio will be shorter than if the sun gear is fixed or stationery.

Can You Mix Inalienable Rights With the Business of Medicine?

Actually, we think our work is done, simply by asking the question. Thomas Jefferson tossed the wrench into the process by suggesting in the Declaration of Independence that Americans should have inalienable rights including life, liberty and the pursuit of happiness.

Setting liberty and the pursuit of happiness aside, for now, generally, we divide rights into those which are natural versus legal. Clearly, we have some rights simply because they are allowed and supported by our highly malleable laws and legal system. Other rights are considered essentially independent of law, current acceptable social manner, contemporary political correctness, and leanings of the present government. These rights are seen as expected or natural. And, that which is natural or universal comes to be seen as inalienable.

Rights define our senses of behavioral freedom and sense of entitlement. They circumscribe our expectations of our behavior, that of others, and that expected of corporate entities which are often referred to as if sentient. In our civilization, a body of people of shared civil manners and rights are the bricks and mortar forming the infrastructure of morality, law, and governance we share.

From this point, you work backward. Considering government to be the arbiter, the issues pertinent to unalienable rights are then based upon the society’s decisions defining our morality. Morality is an essential element because inalienable rights generally address the “good,” by necessity defining the bad, right, wrong, and so on. Of course, different religious/spiritual groups, Atheists, legalists and the undecided regarding a source of ultimate moral authority never all agree on the “good”. Even inalienable rights are always a socially dynamic issue, including the definitions and rights pertaining to “life”.

If in the U.S. there is such an entity as an inalienable right to life, then such encompasses the inalienable right to that which keeps you alive. That is, you cannot live without attending to the needs for food, water and all that which protects you from, or is applied in response to the adverse effects of living in our world (AAOL). We do not all have access to ideal food and water, but we shall also be put that aside for now. However, what is society’s responsibility to address the AAOL on people’s well-being? If the effects of AAOL are physical and mental illness, injury, disease, and disability, then it would appear that comprehensive medical care for our citizens is the appropriate response to addressing this inalienable right.

Presume that everyone both empowered and relevant to considering the above arguments drew comparable conclusions. In that case, they would agree that every citizen should have access to comparable medical care. The challenges then become 1) access as primarily defined by the distribution of care facilities, appropriate service providers, and products, and 2) management of quality and cost of products/services delivery.

The cost of all contemporary medical products, services, and related insurance rises much faster, year over year than personal incomes and net revenue growth of the average business. So, most Americans and their employers are not prepared to handle the costs of medical care purchase directly or via insurance. Issues of access and distribution aside, government intervention to address medical care as an inalienable right then means either 1) marked cost capping and controlling consumer fees, 2) subsidizing patient payments, or 3) a combination. Capping and controlling costs would cause an evolution in the business of medicine. All participants (pharmaceutical companies, medical instruments and soft goods manufacturers, sales/distribution organizations, clinicians, insurers, IT services and others) in the industry would need to reconsider their margins, as well as their ability and willingness to remain in the medical industry. However, our government needs to control the sometimes markedly excessive and inflationary medical billing practices. Capping and controlling costs should ideally be tackled first, addressing runaway fees associated with hospital services, pharmaceutical products, surgical procedures, medical hardware, other medical technologies and insurance coverage. All components of the medical system will resist capping and controlling fee schedules.

Providing patient fee subsidies will always be fraught with inflationary excesses, deductibles and patient portions of bills would need to be eliminated. Even nominal point of service charges could always be a challenge unless the net annual out of pocket personal expenditures do not exceed the price of a visit to a fast food venue eliminate them. Otherwise, the middle and lower economic strata and their [potential] employers would continue to be obliged to choose between eating, acquisition of other necessities, employment and offering benefits. Additionally, service providers should not be allowed to bill in excess of fee schedules, writing off the excesses as tax deductions.

There are many products and services people should not expect to purchase if they have not financially successful in life to the extent of their more affluent neighbors. As such, nobody would suggest that all have the inalienable right to own a brand new luxury automobile, yacht or personal jet. However, if as a society we state that life, including full, high-quality medical care is an inalienable right of American citizens, then we should deliver it, without burdening others. But, there is “no free lunch” even regarding medical care. So what does “full, high-quality medical care for all citizens, without burdening others” actually mean? It may need to be defined in two ways: 1) products and services price caps, and 2) society attitude adjustment.

Regarding society attitude adjustment, as an example, we already provide military services to protect the entire nation without attempting to provide some stratified, sliding scale, itemized bill to each citizen. Medical services could be addressed in a similar manner. If medical businesses were all conscripted, essentially indefinitely subcontracted, to deliver care in a uniform manner (e.g., blend of active military care and preferred provider organization models), with a central payer and QA provider, maybe we could do it.

However, unlike changes in health measures, per capita, government spending on healthcare is a poor indicator of the effectiveness of U.S. medical care. Neither is ACA enrollment a measure of care delivery or effective care (e.g., see if holding a season ticket is a measure of NFL game attendance this year). Throwing taxpayer money at a series of poorly cobbled strategies is not an effective national medical care solution. Inalienable right or not, we cannot deliver broad-based high-quality medical care to all citizens via current medical business models.

The Role of Recreational Therapy in Mental Health Treatment

Recreational Therapy has become a popular component of treatment for many health fields, including mental health. The American Therapeutic Recreation Association defines it as “a treatment service designed to restore, re-mediate and rehabilitate a person’s level of functioning and independence in life activities, to promote health and wellness as well as reduce or eliminate the activity limitations and restrictions to participation in life situations caused by an illness or disabling condition.” (American Therapeutic Recreation Association, July 2009) Recreational Therapy services are provided in a variety of mental health treatment settings, including inpatient, outpatient, and residential care. Certified therapists have earned at least a bachelor’s degree in the field and have passed national certification exam.

Recreational Therapists use a variety of techniques to help alleviate symptoms of mental illness and improve the quality of a consumer’s life. Leisure education is often provided, which can help consumers identify what types of leisure they are interested in and find community resources for participation. Many people who are experiencing symptoms of a mental illness have lost touch with their leisure lifestyles or have become socially isolated. Leisure education can also improve social skills to enhance enjoyment and enable consumers to build better relationships. Many Recreational Therapists also use recreation participation as a treatment modality. Therapists will engage in leisure activities with the consumer to improve leisure skills and practice social skills in the moment. In a group setting, therapists will use leisure based activity to explore patterns of behavior and teach healthy coping skills.

In treating mental health, Recreational Therapy can be a versatile treatment addressing various issues. Leisure activity can provide improved daily structure when participating in activities such as volunteer work, classes, or social groups. Certain leisure activities also provide opportunities for social interaction and support. Physical activities and exercise can help improve your mood. Exercise and other leisure activities also can provide a sense of accomplishment. Many of the concepts reinforced in Recreational Therapy align with cutting edge treatments like Dialectical Behavior Therapy (DBT). The skills of mindfulness, regular participation in pleasant events, and building mastery are all core components in both DBT and Recreational Therapy. Finally, leisure involvement can provide a sense of purpose and meaning in one’s life, as well as strengthening individual identity or one’s sense of who they are. A Recreational Therapist can motivate and guide someone experiencing mental health difficulties to leisure that provides the specific benefits suited to their needs. Recreational Therapy services are included in most high quality mental health programs.