Global Digital Store – Ebooks and Softwares

Tag: Model

  • Book Summary: The Millionaire Messenger: Make a Difference and a Fortune Sharing by Brendon Burchard

    [ad_1]

    I read this book sitting in a Thai food restaurant on the Oregon coast. The food was outstanding and what was very interesting was the fact that at the cash register there was a book and DVD set talking about going to college for free. The author was a young guy who graduated from Harvard. The whole book series was designed to show college students and parents how to find money to pay for college. Come to find out the author was the restaurant owner’s son. This is a classic example of the Millionaire Messenger in action.

    Why is this important to me?

    I am not doing this summary to waste your time. It is my vision to provide concise action steps that you can adopt right now to enhance your life. The best way to financial freedom is through a business. Now most people cannot simply quit their jobs and to start a new business. Typically you need to work your job and your new business until you have enough sustainable revenue to take your business full time. The Expert Industry is a caring community of people who share their advice and knowledge with the world and get paid for it.

    You may be thinking I am not an expert in anything. This mindset has everything to do with Self-Esteem & Self-Confidence. Brendon addresses these concerns in the book. Think about this – every person has a unique finger print and unique life experiences. Those experiences with additional research can yield you an expert.

    I want to start with a potential example of being an expert in something. I have a good friend of mine that has been doing cement work for over 20 years. He does this with his four brothers. He does not think of himself as an expert. Have you ever considered how successful Home Depot is as business? They cater to the do it yourself community. My friend could simply film different cement jobs and sell them as a do it yourself venture. It would look like this:

    1. Create simple how to videos on the basics and give them away for free.

    2. Create a deeper video series on how to do a full patio, sidewalk or stairs and sell it with a checklist manual.

    3. Offer paid for consulting for job layouts with customers.

    4. Take high priced large concrete jobs that are above the do it yourself community and name your price.

    This is a simple example of releasing 100 years of combined cement expertise that could easily be parlayed into a seven figure business model.

    The Millionaire Messenger is packed with great how to advice. For the sake of time, I am going to chat about the 9 reasons you should consider unlocking your knowledge and passion in the expert business.

    1. Your work is based entirely on your passion and knowledge. This is really important because it no longer seems like work when you wake up each morning doing what you love.

    2. Relating and Creating – Your work activities center around gaining trust and relating to your audience as well as creating useful content that add real value to their lives.

    3. Anytime / Anywhere – Creating information how to products allows you the comfort of working on your schedule from anywhere. I can tell you from personal experience that setting up your business to do this one great step toward personal freedom.

    4. Work with who you want – This is a big deal because stress statistics show that stress related illness is interconnected with who you work with or bad working relationships in general.

    5. Promotions based on promos – The amount of money you make is directly related to the promotional efforts you put into marketing your content. This is all up to you and your work ethic.

    6. Pay equals value – This is the strongest and most relevant point in the book. If you deliver great value, people will pay you for it and you can decide what to charge. You are not trading hours of your life for dollars.

    7. Small Teams – You do not need a big team to do this. You can outsource several of these steps so that your payroll does not spiral out of control. There are information marketers that make millions of dollars a year with very little staff.

    8. Tools are cheap – Technology today really is cheap. There are so many excellent software packages that are free that you can craft your whole infrastructure for next to nothing.

    9. Financial Income can beat that of other industries. There are six ways to market your stuff and each has a different price point. The best business models are summed up in one phrase – “one to many”. Creating something once and selling it over and over is the true key to unlocking the wealth puzzle.

    The Millionaire Messenger is a good book that will give you the direction you need and the questions required to get you on the path to personal wealth and freedom.

    I hope you have found this short summary useful. The key to any new idea is to work it into your daily routine until it becomes habit. Habits form in as little as 21 days. One thing you can take away from this book is one to many. When crafting your business model or tweaking an existing model, remember to leverage the power of “one to many.” In our software business, we create a software module once and sell it many times. This is how Microsoft and Oracle generate billions of dollars each year.

    [ad_2]

    Source by Joe Mosed

    Views: 0

  • Top Network Marketing Company – Why Are the Products So Expensive?

    [ad_1]

    I’m sure you’ve heard this question before, Why are top network marketing company’s products so expensive?

    This is one of those ever-present questions that networkers and direct sales people will continue to encounter (probably) forever–and there’s always more to it than meets a simple answer.

    One key is not to side-step it. There are good and genuine reasons for legitimate, premium-priced products–and of course there are over-priced ones as well. Honesty is best, as always, and I’ll endeavor to give you the general truth with my answer to the question.

    Special Products at Special Prices

    First, the products available through top network marketing companies sales and distribution model are mostly what are called “specialty” items. They are higher priced products to begin with, having more costly ingredients and more complex designs or formulas; they are simply more expensive to make and package. Some well-known non-network marketed examples are Clinique makeup and fragrance products, Apple computers, iPods and iPhones, Armani clothing, Mercedes and Lexus automobiles.

    Unless you’re dealing with a scheme or a scam, these premium products outperform their cheaper, off-the-shelf counterparts, giving consumers more and better benefits. Since they have greater value, they cost more.

    If these products are being outsourced by the networking company (produced by a “third-party” vendor/supplier), they tend to be manufactured in smaller production runs that do not allow for all the optimal low-cost advantages of buying and making in the high volumes mass-marketers enjoy. The manufacturing processes are more complex and exclusive. The profit margins are higher. This results in a higher quality product with more attention to detail and quality control.

    The reason manufacturers and marketing companies select network marketing and direct sales is because these higher-priced products are of higher quality, and they therefore require special methods of distribution and sales.

    Simply put, they cannot compete with the lower-priced, lower quality “commodity” products, which are sold based mainly on discounted mass-market pricing and brand awareness alone. Think Wal-Mart and Costco.

    Specialty products are “education-intensive.” They need greater explanation; for example, what formula, ingredients and/or processes makes the product more expensive than those mass-market goods available through direct response marketing (such as the Internet and mail-order) or retail chain store sales. Many require demonstration.

    Mass-market products depend on advertising, promotion and merchandising at “point-of-purchase,” all of which are required to get consumers’ attention, let them know the product exists (to create “trial” especially if it’s “brand” new), and to give them enough compelling reasons to purchase and keep on purchasing.

    Going head-to-head with nationally advertised products, many to most of which are heavily discounted and sold at the lowest price possible, is a tough game for just about all smaller businesses to win. Imagine trying to sell vitamins or nutritional beverages or “prestige” cosmetics against a major manufacturer selling through Wal-Mart, or a natural toothpaste against a tube of Crest® through Kroger or Publix supermarkets.

    Specialty products are perfect for the person-to-person, information-rich education, demonstration and service oriented methods of network marketing.

    And that’s where the important second aspect of network marketing’s “higher price” comes in: the added value which you as a “distributor” add to the specialty products you sell.

    Added Value Added

    Network marketing and direct sales representatives add significant value to the product they sell and they are well paid when they do so successfully.

    We reach consumers with the awareness of new products and services that ads and merchandising–no matter how persuasive or promiscuous–would not be able to reach out and touch. And by virtue of our one-on-one, personal relationship with these buyers, we appeal to them with a level of trust and service no mass-market, retail product advertiser could hope to compete with.

    The extraordinary level of service Network Marketers provide is not available when buying through mail order or retail outlets. It is a real and tangible benefit, part of the product’s value–and its price.

    For example: Someone tries a network marketing anti-aging health product. It’s personally presented for them–either in person or via mail–with a host of educational material about the product: scientific studies, article reprints, even books or tapes explaining how the product was made, how to use it, its unique features and its benefits.

    Within one to two days, the network marketer again contacts the person to follow up, asking how they are doing, checking to see that their customer is following use directions properly, make recommendations, etceteras. These service calls continue daily, bi-weekly or weekly until the customer is satisfied and happy.

    The network marketer will also continue to send informative and educational material such as updates from scientific literature. He or she will also let the customer know about other products the company offers that this particular customer with his or her unique needs and wants might also enjoy.

    This is an extraordinary level of service that is a real and tangible benefit for the consumer. This kind of personal and knowledgeable attention is not available when buying through the Internet alone, or mail-order or most all retail outlets. It is one of the things network marketers are paid for and it is part of the product’s value–and its price.

    Are there cases where the above education and service are not offered? Of course.

    Are there products that do not have special ingredients or qualities that support a higher price? Sure.

    And are there times when a network marketed product is simply more expensive to pay for the multiple-level commission structure? Yes.

    Back in the early 1950s, a dog grooming service was opened in New York City to serve people living in the exclusive Park Avenue, 70th and 80th Streets area. They charged $25 to shampoo and clip a dog. They had no customers. Then they jacked-up their prices to $250 per visit–and were an instant success. The Cadillac Seville, when first introduced in test-market showrooms priced at under $10,000, bombed; at $14,000 the very same automobile became an instant best-seller.

    Value is a perception. The relationship between quality, benefit and price, i.e., value, is in the mind of the consumer-beholder. Businesses price goods and services according to what the market will bear. Successful marketers come up with just the right mix of value-benefit-price.

    The majority of network marketing direct sales products are of the genuine higher-quality variety, not available in stores, special in ingredients, design and making.

    Most offer the convenience of in-home or on-line ordering and to-the-door delivery. They are also special in terms of…

    Marketing and Customer Service

    The network marketing “sales person” adds value to the product through his or her education, service and sales to the customer.

    All of this has its price. And according to consumer trends and the explosive growth of network marketing direct sales companies and their products worldwide, more and more people every day think it’s worth it.

    What’s the truth about the price of products offered through network marketing? Are they too high? And if so, why?

    The full answer to this one is complicated. If you need a short one, mine is:

    High? Usually, yes.

    Too high? Sometimes… yes, but generally no.

    So, if they are high, why? Let’s start with looking at what kind of products we’re really talking about here.

    The Truth is, Specialty Products Cost More

    Network marketing is predominantly a “specialty products” business: The products we sell most often tend not to be the type you’d find in supermarkets, drug stores or any other mass merchandiser. They are not the kind that combines the lowest possible price for the least acceptable level of quality. For a conventional retail parallel, look at the products in a natural or health food store, beauty salon, boutique or upscale department store.

    Specialty products cost more to make. The ingredients are unique and high quality and production is low quantity–the amounts manufactured usually are not great enough to take advantage of the economies of scale enjoyed by big-time, high-volume, mass-market producers. So these products more expensive–both to make and to buy.

    Also, specialty product makers usually cannot depend on major advertising to increase sales: they don’t have that kind of money. So they have to use more expensive forms of distribution, such as small, individual retail outlets whose profit margins are higher than mass-market stores and chains.

    Profit Margins and Markups

    Here’s an example: a discount chain drug store might be able to markup a bottle of vitamins that normally sells for $3.00 wholesale for less than the normal 33 percent retail profit margin. And, because they buy in large volumes, they’ll get the product for less than $3.00 to begin with.

    A natural or health food store might buy that same product at the full $3.00 wholesale price, and use a markup of 50 percent to get their full 33.3 percent retail profit margin.

    To the consumer, buying at retail, here’s the difference: $3.99 at the drug store and $4.50 at the health food store.

    And then there’s “what the traffic will bear.”

    There are sexy boxes of imported chocolate that go for $38.00 each, and poly-bags of 50 mini Reeses Peanut Butter Cups you can get for less than $3.80. If your taste tends towards expensive, you’ll generally pay more–in “margin” percentages to middle-people and in total dollars.

    Let’s look at a comparison of one single product offered through the conventional manufacturer-to-retailer distribution system and the exact same product sold through network marketing.

    $$$ From Conventional Manufacturer to Consumer

    We know specialty products cost more to make; again, the ingredients are unique and high quality, and the production is low quantity, so they are simply more expensive.

    Manufacturers speak of “Cost of Goods” (CoG): that’s the figure that a product costs the company to make, including overhead, ingredients, packaging and labeling, sales commissions (such as broker’s fees), etc.

    The very minimum a manufacturer needs to sell that product for is double, or a 50 percent margin. Considering that most competitive businesses operate on a six percent pre-tax profit, that leaves them 44 percent to pay for everything else. So, the $2.00 CoG product they make, they sell for $4.00.

    Now, some manufacturers sell direct to retailers–not many, but a few do, and when they do, they’ll take a higher profit margin to pay for the Cost of Sales (CoS).

    However, most manufacturing companies deal through distributors, who charge for warehousing, shipping and selling the products to retail stores. Normal wholesale is a 25 percent markup, which you get by multiplying the purchase price–plus freight if not included–by 1.33. So, our $4.00 item would be sold by a wholesale-distributor to the retailer for $5.32. (Again, plus or not freight costs which can run 10 to 15 percent additional.)

    To achieve a 33.3 percent profit margin, the retailer has a 50 percent mark-up–or higher. Our $5.32 product ends up on the shelf at $7.98.

    Now, this is the minimum scenario–not what normally happens except in the more strongly competitive markets. It’s not the least bit unusual to find the manufacturer selling that $2.00 CoG product for $5.00 or $6.00… the distributor working on 35 percent instead of 25 percent… and a retailer – especially from a specialty market segment–look for a 50 percent profit (i.e., a 100 percent markup), instead of “only” one third.

    And if all of that were true, the retail price of the product through that sales and distribution system would be more like $14.95.

    $$$ In Network Marketing Direct Sales

    Let’s work this one backwards (because that’s how most of the numbers are figured for your commissions).

    If the networking company’s product sells to consumers for $15.00 it will have an average retail commission to the networker of from 20 percent to 40 percent. So, using a 30 percent retail commission, the company’s “wholesale” price to the mlm distributor will be about $10.50.

    Let’s say that your company pays out a full 50 percent in “downline” or organizational commissions. That means that the company’s lowest from-the-warehouse price for the product would be half of wholesale, or $5.25.

    That’s right in the ballpark for specialty manufacturing, distribution and sales.

    It’s a Question of Value

    There is also a greater value, beyond the “specialty products” issues of ingredient quality, cost of manufacture and so forth and that’s the education, information and service delivered by the person-to-person distribution network.

    Learning the product’s proper use, additional uses, history, all about the ingredients, etceteras, is all part of its value. And products offered through word-of-mouth network marketing have more of this “added value” than any others.

    This last point begs the question:

    “Are products purchased through network marketing higher priced to make up for the compensation or commission payments to distributors and their networks?”

    Can they be? Yes.

    Are they… usually? No and Yes.

    In an authentic, intelligent, sincere and sensible network marketing direct sales company, one that’s well-managed and directed… a company that understands that the financial health and well-being of the men and women in the field MUST lead their mission, decisions, strategy, policies and procedures… no.

    But that new ostentatious corporate headquarters in the prestige location… corporate jet… an army of “distributor service” personnel… rock concert “conventions”… $50,000 “big name” keynote speakers… resort vacations and incentive cruses to exotic locations paid for by the company… luxury car allowances… are all expenses that need to be paid for. Where does that money come from?

    Directly (in terms of potential commissions that will not be paid out to people) or indirectly (in over-priced products and/or inflated charges for marketing materials, self-replicating websites, business building tools and trainings), the money comes from only one place… the men and women in the field.

    “So… do network marketed products cost more?” Sometimes yes and other times no.

    Can they be more expensive than similar items of equal value offered in a conventional market such as a retail store? Yes, they can.

    In fact, you can find numerous examples of both conventionally retailed products and networking products of similar sizes, shapes and qualities at prices that vary by as much as 30 to 40 percent or more.

    The only sure rule in product pricing the world over is, “What the traffic will bear…” No matter what distribution and sales route the product travels. It’s not so much a game of “Let the Buyer Beware,” as it is and always will be…

    “Let the Buyer Be Aware.”

    Factor in the at-home shopping convenience… the customer service… the satisfaction guarantee… personal attention… education and information–and in today’s increasingly competitive global marketplace, the “aggressive pricing” posture being taken by more and more networking companies around the world–along with the generally superior quality of the products available through network marketing and direct sales…

    … and I believe a growing number quality-conscious consumers will agree with me, top network marketing company’s products represent outstanding value.

    [ad_2]

    Source by John Milton Fogg

    Views: 0

  • Tony Robbins – Personal Power II – Day 17 – Wealth Conditioning

    [ad_1]

    “Money is nothing but a means to measure the exchange of value between people.”

    ~ Tony Robbins

    Many of us have pain associated with wealth in an approach/avoidance dance. Because of events in our past, we can call these “wealth wounds”. There can be lots of sensitivity about financial issues and so if these wounds are not healed, it is impossible to gain a ton of financial resources.

    Generally speaking, poverty and lack brings out the worst in people and abundance brings out the best. People who are living in poverty tend to have the highest criminal records, the most drug use and the most unhappiness. Being one of the consistently broke group of people doesn’t help you or the group. You can do more good by becoming wealthy in order to be able to give back.

    There are seven reasons why most people never make it financially.

    1). They associate negative things to having or making money. Remember, the past does not equal the future.

    2). They do not set having an abundance of money as an absolute must. Unless we decide what is a necessity, not an option, how can there be any improvement?

    3). Having an effective strategy of building wealth is non-existent for them. To condition yourself for great wealth, strategies must be developed for

    • attracting money into your life
    • managing your dollars
    • sharing your money, which will give you much happiness

    4). They are unable to follow through consistently on their financial goals. Finding ways for your money to work for you, such as harnessing compound interest which can take a lot of pressure off if you have time to watch it grow.

    5). They depend too much on the “experts.” There is no one who cares more about your money than you do. Experts are valuable, but you need to take care of your money and taxes. If you make errors in these types of decisions and planning, you will be ultimately responsible, not your professional.

    6). They become financially complacent. Many people take their wealth for granted. Whatever you fail to use, you will lose. It is a good idea to note that if you do well with what you have, you’ll be able to get more and, if you don’t actively create welth, itwhat you have will be taken from us. Don’t hoard what you have.

    7). They allow financial challenges go from bad to worse into financial ruin. Most likely, the road to wealth is not a straight line. If and when problems arise, stay in the game and ask great questions to help get back on track.

    Be willing to transform crisis into opportunity. By having financial faith, you can learn from the situation and find even more opportunities.

    The assignment:

    Give yourself a financial checkup to find out your “wealth wounds” so you can heal yourself quickly:

    1). Ask yourself to list the beliefs that you have that hold you back.

    2). Is there a specific amount of money that is an absolute MUST? Is this number the “must” for your life, or is this number the ability to live comfortably by paying your current bills?

    3). “Never leave the site of setting a goal or making a decision without taking some action towards its fulfillment. Make sure you do some action to set you on the course for financial mastery.

    4). Find something in today’s session to start feeling like you’re making progress. Remember, tiny actions lead to a pattern of habits which ultimately can be used to create the financial freedom we all deserve.

    5). You can make a list of financial terms or aspects of financial management that are not fully understood. Find the people or resources who cn provide answers about these things.

    6). Remember we talked about complacency? Write a paragraph about the “why” you will follow through with your plan and avoid complacency. Recognize the excuses you used in the past. Mastery is the only option now.

    7). Ultimately, what frees us from fear, is the belief that we are much more than anything that could ever happen to us financially. Write down one or two situations that seemed very difficult that you pulled yourself through. Remind yourself that you have this capacity to turn challenges into success.

    Sometimes our “wealth wounds” are most tender to try and heal, but the good news is that there are ways to heal them. One way is to find someone who has successfully gotten where you’d like to be. You can “model” after their example if you find out exactly what they did and then follow that pattern.

    Taking the time to do these exercises will teach you more about yourself. Fine tuning the skills in this lesson will provide additional ways to condition yourself for success.

    Onward.

    [ad_2]

    Source by Deb Bauer

    Views: 0

  • Department Administrator Interference in the Doctor-Patient Relationship

    [ad_1]

    I contacted a resident doctor in Internal Medicine at a teaching hospital and asked if he would be interested in becoming my primary care physician (PCP). My note briefly described my background in health outcomes research and two of my prescription drugs. He wrote back that he would be honored to be my PCP, and came across as professional, humble, and sincere. A new doctor-patient relationship was formed, and I contacted my existing doctor’s office to arrange for my medical records to be transferred, which immediately informed that office that I must be dissatisfied and going to a new doctor. I also shared with the resident doctor confidential information from my medical records and a copy of one of my professional presentations at a health care conference.

    A department administrator then contacted me to say the resident doctors are not available every day of the week for clinic and are not even here when they do their ICU rotation. Also, the Internal Medicine department protocol would not allow the resident doctor to write me a drug prescription for off label use. Finally, she was concerned that in the past I have ordered and correctly interpreted my own blood tests. The administrator’s attitude reflects one of the chief complaints Americans have with the health care system: the system is coming at them and requiring them to get health services in some predefined structure to which the facility is accustomed but which eliminate any potential for individualized treatment according to individual patients’ needs.

    Apparently the administrator did not spend enough “careful consideration” to get her facts straight. I do not need to see my PCP daily or even monthly. My track record shows I saw my existing doctor once in a calendar year, and the prior doctor before him I saw once in a 15-month period. So the administrator based her decision on her own ignorance of the facts.

    She also misstated facts concerning off-label prescriptions for drugs by resident doctors. One of the drugs we are talking about is Clomiphene. Both a resident doctor and an attending faculty physician at the teaching hospital advised me that they would be willing to write me (off-label) prescriptions for this drug, and the attending physician did indeed phone in a prescription for one of the drugs at my request. Similarly, the Dept. of Obstetrics and Gynecology (OB-GYN) advised me that their doctors, both resident and attending, have prescribed Clomiphene to patients. Therefore, residents in Family Medicine and OB-GYN (both primary care departments) can write prescriptions for Clomiphene, but “protocol” prevents residents in Internal Medicine (also primary care) from writing off-label prescriptions. What kind of a cockamamie rule is that? What, the residents in Internal Medicine are too dumb or too naive to understand off-label benefits of medicines?

    Finally, I had planned for my resident PCP to order and interpret blood tests each time I visited him. The administrator could have learned that fact if she had bothered to call or write me before jumping to conclusions and interfering in my doctor-patient relationship. I strongly reject the Director’s paternalistic view of medicine in which she feels she has to protect resident doctors from patients who order or interpret their own blood tests. These resident doctors are young professionals who have completed their medical degrees; they don’t need paternalistic oversight from a department administrator telling them who they can and cannot invite to be patients.

    Apparently, an overwhelming number of patients who visit this teaching hospital’s doctors want to be told what to do and how to feel. I am the exact opposite; I take personal responsibility for and manage my own health, which is strongly advocated under health care reform. Having a more equal, collaborative relationship with my PCP works for me, and that seems to be the true reason for the administrator’s interference. Studies show that medical malpractice rates drop with a non-paternalistic model of health care services. That fact of reducing litigation risks is pushing more health care systems across the country to migrate to a non-paternalistic model.

    LEGAL ANALYSIS

    I. Formation of Doctor-Patient Relationship

    The first question to address is whether, based on this fact pattern, a doctor-patient relationship was formed. When I gave the Internal Medicine resident doctor confidential information on two off-label drugs that I take, that act would be analogous to a prospective client approaching a lawyer with facts about his case to see if the lawyer will assist him. Contacting a lawyer this way does not create an attorney-client relationship. However, the lawyer is under an ethical duty to protect the confidentiality of the information shared by the prospective client. Similarly, the resident doctor was under an ethical duty to keep the information I shared with him confidential.

    When a lawyer responds to a prospective client, “I agree to take your case,” or “I will be your lawyer,” or words to that effect, then an attorney-client relationship is created, and the protection afforded to the client’s information rises to the level of constitutionally protected attorney-client privilege. In this case, when the resident doctor responded that he would be honored to be my PCP, we have offer and acceptance forming a contract. The offer-acceptance could be construed as my offering to be his patient, which he accepted, or his offer to be my PCP, which I accepted.

    But offer and acceptance are only two of the three required elements to form a contract. The third essential element is exchange of consideration, expressed in Latin as the quid pro quo. In this case, there were several separate exchanges of consideration that complete the formation of a contract and thereby render it enforceable in a court of law. Consideration is defined as some act or some transfer of an item from one party to the other, for which the receiving party had no legal right to otherwise obtain that consideration. There is no requirement that the consideration have intrisinc value. For example, the transfer of a scrap piece of paper can constitute valid consideration that renders a contract binding and enforceable.

    The initial disclosure of confidential information from my health history amounts to sufficient consideration. Second, the fact that both I and the doctor each began pursuing scheduling an appointment for me to see him is also consideration: neither of us had a prior legal right entitling us to that action by the other person. Third, when we continued to correspond after offer and acceptance, with additional information being shared back and forth, further consideration was exchanged. My sending the resident doctor a copy of one of my professional presentations was a fourth example of consideration. Finally, my request that my medical records be transferred to the resident doctor’s clinic constituted an obvious legal detriment based on reliance rendering the contract enforceable.

    If a lawsuit were filed for enforcement of this contract, I am confident that the plaintiff would overcome any attempt to dismiss the lawsuit by the teaching hospital’s attorneys based on the absence of a contract. Defendant might attempt to argue that no contract could be formed, because the resident doctor is not licensed. According to the website http://medical-dictionary.thefreedictionary.com/resident+physician, a “resident physician is a graduate and licensed physician receiving training in a specialty, usually in a hospital.” The resident’s licensing status would not prevent the formation of an enforceable contract, as we have in this fact pattern, for treatment in the supervised residents’ clinic.

    In court, we would pose a series of questions: 1) Is the resident a graduate of a medical school? Yes! 2) Was our conversation focused on health care treatment? Yes! 3) Does the resident see other patients (whether supervised or unsupervised) in the resident clinic? Yes! 4) Are the resident’s services billed to the U.S. government and to private insurers as the services of a doctor (not a student or a doctor’s aide)? Yes! 5) Did we both use the term PCP in describing our relationship? Yes. 6) Did the resident undertake to assist me in obtaining a medical appointment to see him? Yes! With these answers, any court of law is going to recognize if it looks like a duck, swims like a duck, and quacks like a duck, then it is a duck. Therefore, the defendant’s argument on licensing will be viewed as a red herring and will fail. In a similar vein, courts have noted “it is axiomatic that a doctor-patient relationship may arise from, briefly exist, and be limited by the unique circumstances presented in a transfer situation.” Sterling v. Johns Hopkins Hosp., 145 Md. App. 161 (Md. Ct. Spec. App. 2002). It does not matter how long the doctor has been seeing patients or how brief the contact with any given patient, a doctor-patient relationship can be formed.

    Selection of a PCP and other medical decisions are “core” private decisions. A fundamental tenet of privacy jurisprudence, as it has been applied to other types of personal matters, is that the individual most directly concerned is entitled to make and implement the protected decision autonomously and free from paternalistic government intrusion. See, e.g., Zablocki v. Redhail, 434 U.S. 374, 54 L. Ed. 2d 618, 98 S. Ct. 673 (1978) (decision to marry); Moore v. East Cleveland, 431 U.S. 494, 52 L. Ed. 2d 531, 97 S. Ct. 1932 (1977) (decision to live with extended family members); Griswold v. Connecticut, 381 U.S. 479, 14 L. Ed. 2d 510, 85 S. Ct. 1678 (1965)(reproductive choice). I would argue that the constitutional right to privacy also protects autonomy in selecting a PCP among a wide choice of available doctors, selecting which medications I want prescribed, and choosing what lab tests I want to order myself to monitor my health.

    In 2005, the Supreme Court of Arkansas provided the best statement in American jurisprudence on the elevated status of the doctor-patient relationship. The court noted the relationship of doctor-patient is unique. “The loss of this relationship, even temporarily, causes irreparable damage to the doctor and the patient. There is no adequate remedy at law because the loss is a loss of a one-time opportunity.” Baptist Health v. Murphy, 362 Ark. 506 (Ark. 2005)

    The court noted that the hospital had violated the Arkansas Department of Health rules and regulations for hospitals by failing to enforce policies that protected the doctor’s selection of patients and the patient’s choice of a physician. “We interpret this to mean that an otherwise qualified doctor must be granted access to his patient for the purpose of treating his patient, if that is what both the doctor and the patient want. Or, stated another way, a hospital cannot deny the services of a physician of the patient’s choice if the patient is already being seen by physicians at the hospital. Baptist Health v. Murphy, 362 Ark. 510-511 (Ark. 2005)

    Based on reading Baptist Health, I will now forward a copy of this article to the state Department of Health to determine whether the teaching hospital violated any of my state’s regulations requiring Tennessee-licensed medical centers to have policies or bylaws that respect the patient’s right to select his own physician. If so, then the teaching hospital is violating those regulations.

    II. Tennessee’s Tortious Interference Statute

    Tenn. Code Ann. § 47-50-109 is captioned, “Procurement of breach of contracts unlawful – Damages.” The administrator tortiously interfered in my doctor-patient relationship and prevented the resident doctor from performing his services under our contract. She therefore procured a breach of that contract. The administrator will argue that she was merely performing her duties, but that is no excuse for interfering in an existing doctor-patient relationship.

    Although Tennessee jurisprudence does not have a case on point, courts across the country have taken a dim view and expressed disapproval of employer interference in the doctor-patient relationship. For example, the U.S. Supreme Court stated, “The ethical objection has been that intervention by employer… makes a tripartite matter of the doctor-patient relation. Since the contract doctor owes his employment and looks for his pay to the employer… rather than to the patient, he serves two masters with conflicting interests.” United States v. Oregon State Medical Soc., 343 U.S. 326, 329 (U.S. 1952).

    [ad_2]

    Source by Michael Guth

    Views: 0

  • Where to Invest 300 Dollars and How to Double It

    [ad_1]

    There are many good reasons why doubling your money is a good idea, but by far, the best reason is that if you can sustain such a feat, you can make a large fortune very fast and compounding is the key and the answer to rapid wealth accumulation.

    One example is starting with just $300; you could literally have over $1 million dollars in 14 events or compoundings. If you took out a calculator now to prove it to yourself you will see how quickly $300 dollars turns into a million dollars if you double the result every time.

    The question and the whole point is however, how long will it take you to double your money the first time and how will you do it. Furthermore, the question is whether the process you came up with is scalable. It is relatively easy to double $300 dollars quickly but how will you double $500,000 dollars.

    The answers to these questions are detailed and convoluted but not difficult. Look at it this way, if you can add just 20% to your $300 dollars in one week, you can double it after four weeks. So if you can sustain that for 13 months you could indeed have your first million in just over a year.

    We are talking theory and this by far, would not be as simple as it sounds, but in actual fact it is specifiably possible. The math shows it. Putting together the circumstances that would create this situation would not be hard in the beginning. Lets consider a quick model.

    Buy a $700 dollar mountain bike you found cheap selling for $300, sell it by the end of the week for $600

    $600 buys a very very cheap little car. You clean the hub caps and vacuum the interior. You get $1250 for it in a week and a half.

    Your $1200 buys you another car worth $3000 you pick it up cheap and give it some attention and sell it for $2800 in under 2 weeks.

    Your $2800 makes a great down payment for a lot of land. A corner block that you have subdivided. You paid $30,000 now the two lots are worth $25,000 each. After sale you have $50,000 minus a loan of $27,000 leaves you with $23,000

    Repeat the above block subdivision a few times, until you get to $100,000 then possibly begin building on the lots. In a few more translations, you will be done.

    [ad_2]

    Source by Terry Hart

    Views: 0

  • Improving Healthcare Delivery by Setting Up an Integrative Family Medicine Practice

    [ad_1]

    There are several definitions of the Integrative Medicine model which include:

    a) A healthcare model that combines treatments from Conventional healthcare and Alternative / Traditional Medicine for which there is some high-quality evidence of safety and effectiveness

    b) Focuses on person-centred (holistic care) and uses all appropriate therapeutic approaches

    c) Focuses on preventative maintenance of health by paying attention to all relative components of lifestyle

    Every person desires good health. Health, according to WHO is not merely the absence of any disease or infirmity but a state of complete physical, mental and social well-being. There is no single medical system that is perfect and each has its own merits and weaknesses; It is wrong to assume that any specific medical system, be it conventional or complementary therapies such as, Ayurveda, Yoga, Naturopathy, Traditional Chinese Medicine is correct with the exception of conventional emergency medicine. Integrative medicine is based on this concept and it incorporates evidenced-based alternative medicine alongside conventional methods for treatment and diagnosis.

    The use of complementary and alternative medicine has gained popularity in the last few years. An integrative healthcare service combines the strength of conventional and complementary medicine therapies in a way that provides the maximum benefits for the consumer. As each individual is different, the best way to provide holistic treatment would be to offer patient-centered evidence-based healthcare services combining the benefits of alternative and complementary medicine.

    If you want to set up a successful Integrative Medicine practice, then you should consider the following:

    1. Targeted Therapy

    A revolution is underway in healthcare, where the importance of lifestyle, diet, emotional and physical factors are important complementary medicine components in formulating effective therapeutic protocols.

    The key to any effective Integrative Medicine treatment is 'targeted therapy' using a biological rationale and a predefined mechanism of action from Conventional and Alternative Medicine systems. This treatment protocol involves the strategic integration of therapies, pharmaceuticals, and supplements.

    2. Establish a unique brand identity that defines your business culture or values

    Your brand name and the values ​​are potent tools that build credibility with patients. You should create a unique or modern brand identity that defines the culture or values ​​of your medical practice. People prefer to connect with established brand or reputed organizations that deliver quality healthcare services at a competitive price.

    3. Increase patient volume and business

    The Complementary Medicine industry continues to flourish which is indicative of current dissatisfaction with the conventional healthcare models. The anticipated growth is $ 4.6 billion in 2017-18 from the $ 3.5 billion in 2014. Therefore, it follows that Integrative Medicine practice will flourish with the correct marketing and the inclusion of a supporting delivery framework which underpins best clinical practice.

    4. Use highly effective marketing strategies

    With the increasing popularity of digital marketing, your center should have a website with detailed information and appropriate marketing content that will enable people to make well-informed decisions. The leveraging expertise of experienced digital marketers will streamline promotion of your brand and build credibility among patients. It is essential that you know what you are delivering, why you are delivering the product and have systems to measure the results.

    5. Build a sustainable service delivery model

    Three key factors are important in creating a thriving Integrative Medicine center. These are:

    A) An Effective Service Delivery Model

    B) A Framework of Delivery that underpins best practice and is cost effective for the consumer

    C) A Management strategy for successful implementation of the model

    [ad_2]

    Source by Luke Harper

    Views: 0

  • Why Multilevel Marketing Recruiters Will Not Tell You What Business It is

    [ad_1]

    Have you ever noticed that a Multi level marketing recruiter will not tell you what type of business they are in but rather talking generalities? Why do they do this? Well it is simple if they don't do it this way they will not be able to recruit anybody because if you knew it was a multi level marketing pyramid scheme you would sign up and you would not listen to all of their BS.

    The elusive tactics of the level marketing recruiter are insanely obvious and it is fun to watch them dance around the issue and play games and watch them try to manipulate people in these meetings. Have you ever sat in a coffee shop and listen to the multi-level marketing recruiter pull some kind of scam business on another person sitting and listening to their light of BS. I have and I have heard these recruitments meetings at coffee shops and coffee shop bookstores throughout the nation in my travels.

    Why I have become apalled at the rhetoric and BS and complete disregard for reality that I have contacted the Federal Trade Commission and wrote a 156 page letter in the FTC rulemaking session to see that multi level marketers are stopped from these fraudulent pyramid schemes, fraud and misrepresentations and promises they make to those they try to recruit. I hope that someday the government will actually enforce their laws on the people who are breaking them rather than going after larger companies and trying to extort millions of dollars from them.

    We must stop multilevel marketing recruiters from lying. I have nothing against multi level marketing business and I understand how it works and the business model makes sense for so many reasons however the larger attrition levels and other things that go on in multi level marketing through the sponsors and the down line are often so very wrong. This must be stopped because it is a lie. Consider this 2006.

    [ad_2]

    Source by Lance Winslow

    Views: 0

  • 7 Step Sales Process of High Income Auto and RV Sales Professionals

    [ad_1]

    High income car and RV salespeople follow a 7 step sales process.

    They follow the sales process on each and every contact. No exceptions.

    There is no deviation. No skipping steps. It just doesn’t happen.

    Automobile Sales an Art AND a Skill

    Rembrandt was considered one of the greatest painters in European history. Do you know who Pieter Lastman or Jacob van Swanenburgh were? Rembrandt apprenticed under each of them.

    What does that have to do with car and RV sales people? Nothing. And everything.

    Everything, that is, if you want to be a top income earner.

    To be a Rembrandt you need coaching. You need sales training. You need practice to develop your style, your talent, your selling techniques.

    The art is the finesse.

    For prospective buyers, it is bringing to reality what works for them without manipulation, without shady tactics or tricks.

    Professional selling technique is the ability to listen intently, ask relevant value adding questions, and package it all in a vehicle that meets the prospect’s needs and budget.

    7 Step Automobile and RV Sales Process – Work It!

    Walk into McDonald’s anywhere in the world and you will find the same friendly smiles, although the faces may be different. You will see a similar menu, although reading it may be difficult. You will find the same production process.

    The recipe, like a sales process, works.

    It works for McDonald’s. It works for Wendy’s. It works for Tim Hortons. It works for the Colonel along with a whole regiment of other franchises. And the 7 Step Sales Process of top automobile and RV sales income earners will work for you.

    Exceptions Yes Life Happens

    Will there be exceptions? You bet.

    Even in the most well oiled system, glitches surface from time-to-time. There is occasional franchisee – franchisor incompatibility. There are occasional let downs in traffic expectations compared to market analysis. There are occasional language challenges.

    Reality is, in all things, there will be occasional surprises.

    So what. Move on.

    Like the franchise system, the following 7 Step Automobile and RV Sales Process works.

    And, yes, there will be exceptions. There will be the cash buyer who insists on a large discount. There will be the prospect whom you just cannot settle on a vehicle. There will be… There will be… There will be…

    There will be exceptions, the occasional incompatibility for whatever reason. Move on. The sales model works consistently, with an occasional exception.

    7 Step Sales Model

    The 7 Step Sales Model of high income automobile salespeople and RV sales people is:

    1. Introduction

    2. Qualification

    3. Selection / Presentation

    4. Demonstration

    5. Negotiation

    6. Application

    7. Preparation / Delivery

    That’s it.

    To close more deals, follow these steps each and every opportunity. No exceptions.

    By the way, career automobile salespeople and RV sales professionals have an 8th step – Progression, moving the new Customer to a walking, talking referral machine.

    Wanna be car sales guys and gals just cannot seem to grasp this.

    Write me for more detail about Progression. It is where the big dollars are!

    Remember: Nothing happens until someone sells something.

    Sales Champions – People Like You – Make It Happen!

    [ad_2]

    Source by Jeffrey Doucet

    Views: 0