Tag: united states

  • A Review of the Protege Financial Multi-Level Marketing Program

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    The company Protege Financial first registered their domain name in June 2006, although this is the first time I’ve heard of this company. They are based out of Valencia, CA. I’m very familiar with that area of Orange County being a Southern California native myself. The main reason this company exists is to provide their clients with investment vehicles that will not go away despite the bad economy.

    The partners that make up this company are Michelle Seward, Scott Foulk and Mark Francovich which claim to have 4 decades of investment and financial know how behind them. The owners also state they launched Protege Financial because they really care about their clients and set this company up with an MLM Compensation Plan to help spread the word across the United States. Apparently they officially just launched July 4th 2009.

    Apparently these 3 partners have already helped thousands of clients. When I visited their website they do have their actual office address, phone and fax number prominently visible on their website, so it appears they are not hiding. One of the main products they offer their clients are “Tax Free Income” vehicles that people can use to help hedge the low wages they could experience when they retire.

    When I visit the Protege Financial website, I don’t see any credential logos like CFP (Certified Financial Planner) or BBB (Better Business Bureau) or anything like that nor any Internet Trust Logos. I’m not a professional Website Designer and I could throw this website up within one night easy. The company that designed their site is based out of Idaho. Also I couldn’t find details on how much reps get paid for referrals or the MLM Compensation Structure.

    In addition, the website just had those generic type paid videos which appear to be a standard voiceover. I’ve heard the same voice on many other voiceovers used for other companies so they don’t sound original or sound like they come from the owners. And no pictures of the owners on the website, not even with their bio statements.

    This being the end of August 2009 and the fact that they launched launched July 4th 2009, I assume this site would have been completed by now. Add this to the fact that it is an investment company to be honest almost terrifies me. Money is hard to come by these days, and on the occasion when I am able to save a grand or so I like to put it in a Mutual Fund setup by my bank which is a major bank in the US.

    Protege Financial does offer a free consultation. When you get to the website, all you need to do is fill out a form and someone will end up calling you back. And if you live in or are visiting Southern California, they have Career Opportunity Meetings every Thursday evening from 7:00 to 9:00pm (as of the time of this writing) Pacific Time.

    I noticed a testimonials section on the Protege Financial website. It had 7 testimonials with just two initials under each name. Finally the company offers a free eBook just by filling out your Name, Email, City and State. This eBook is supposed to educate you on the basic types of Investment Vehicles that are out there.

    I’m not accusing this company of being a scam. They could very well be experienced financial planners with little experience on establishing credibility on the internet with trust logos, pictures of themselves, write-ups of successful reps in their company, etc.. But this is even more important in Network Marketing. I would be extremely cautious here. If anyone has had any experiences, good or bad with this company, we would like to hear about them and you can post your comments on our blog.

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    Source by Brian Garvin

    Views: 0

  • Using Reiki to Heal a Broken Heart

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    When dealing with heartbreak the widespread belief is that time will heal all wounds. Although this is most assuredly true, there is a way to accelerate the healing process to bring some much needed emotional relief. That way is Reiki! Reiki (pronounced Ray-Key) is a form of healing energy that was first discovered in Japan in the early part of the 20th century by Dr. Mikao Usui and was later brought to the United States in the 1950s. It is now beginning to become more main stream as an alternative treatment for healing and well-being and is an excellent way to speed up the healing of a broken heart.

    Reiki is gentle and non-invasive and has been shown to dissolve energetic blocks in the body which in turn allows the body to heal more rapidly. In his book, Reiki, the Healing Touch, William Lee Rand describes Reiki as being able to heal,”…by flowing through the affected parts of the energy field and charging them with positive energy. It raises the vibratory level of the energy field in and around the physical body where the negative thoughts and feelings are attached. This causes the negative energy to break apart and fall away. “

    Since Reiki works on both a physical and spiritual level, it offers extra support when one is going through a break-up. Reiki is administered by the Reiki practitioner placing his or her hands on the client and allowing the Reiki energy to flow through his or her palm chakras. The Reiki energy then enters the client’s body and dissolves blocks of energy it encounters thus harmonizing the body and spirit of the client. This in turn allows the client to more readily heal from emotional and spiritual trauma caused by the break-up.

    Many Reiki practitioners are also able to clear out and balance the chakras of their clients. Having a Reiki practitioner clear out and balance one’s heart chakra, specifically, during this delicate time will not only help one to become more loving and kind to oneself, but may also allow one to more quickly be able to trust and offer love in a future relationship.

    Reiki is a powerful yet simple holistic modality that everyone can benefit from and especially those dealing with a recent loss. If you feel that Reiki treatments are something you would like to pursue to assist in your healing process, you may find a local practitioner by doing an internet search of Reiki practitioners. However, not all practitioners are the same nor charge the same price and just because a practitioner charges a great deal for a treatment does not mean he or she is the best practitioner.

    It is best to do a thorough investigation of all practitioners you find in the area and compare not only prices and services offered but to also call a few practitioners to ask questions about his or her practice. This way you will get a better feel for each practitioner as an individual and can decide on whom you intuitively feel best about booking time with for your first appointment.

    In most cases, after just your first session, you will begin to feel much better both physically and emotionally. The most common experience among Reiki clients is a feeling of deep relaxation and well-being during and after a Reiki treatment with the more profound healing results being noticed after a few sessions.

    Reiki is an excellent way to speed up your emotional healing and I highly recommend it to anyone experiencing any type of heartache.

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    Source by Nancy Fowler

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  • Drug Addiction in Senior Citizens

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    Drug addiction in senior citizens is a significant and growing problem in the United States that few people are aware of. In fact, addiction that occurs later in life can be difficult to detect, and sometimes the person suffering from this disease might not even know that they are physically and emotionally dependent on a particular substance. Therefore, a policy of education about the dangers of addiction in older people is essential in order for those who are close to them to recognize any problem and know what options are available to get help. This is especially important considering that recent increases in the amount of older people entering drug rehab programs indicate this problem is probably far worse than we might think.

    The primary way that seniors get addicted to drugs is as a result of chronic pain management. Even under strict medical supervision, addiction to pain medications can and does still occur. This is because these types of narcotics work the same for everyone: they initially manage pain well, then the body develops tolerance and more of the drug is required. With an increase in dosage and consistent use, tolerance increases and eventually leads to physical dependence. Physical dependence almost invariably leads to outright addiction at a mental and emotional level. Therefore, seniors who are taking pain medications regularly are at increased risk for addiction. And because these medications are prescribed by doctors, most people consider them harmless and don’t think that addiction will ever become an issue. However, once it sets in, addiction is a lifelong affliction that can cause serious health issues.

    Another primary reason that older people become addicted to drugs or alcohol is as a result of lifestyle changes. These changes include the celebration of a life of toil and work, but can lead to some very bad habits. For instance, frequent dinners that include wine or beer can quickly become problematic. Before a person knows it, they’re having cocktails with lunch and dinner, and eventually Mimosas or Bloody Mary’s with breakfast.

    As a result of inactivity after a lifetime of working, some seniors have difficulty sleeping. Medications designed to help people get to sleep are extremely addicting and can lead to significant problems with memory loss. Older people who are addicted to sleeping pills often engage in strange or erratic behavior while having no recollection of doing so. And because sleep aids can lead to a persistent state of confusion, it can be difficult for a person to understand that they have a problem.

    Grief and depression is often a significant problem for senior citizens. As people get older their friends, family and associates age as well, and the loss of these people becomes a common occurrence. This combined with decreased levels of activity can lead to a state of depression that some people might seek to self-medicate with drugs or alcohol. Boredom and lack of exercise serve to exacerbate these problems.

    If you have an older loved one with a drug or alcohol problem, their very life could depend on you. The following options are readily available:

    Individual Therapy/Counseling

    Intervention

    Outpatient Rehab

    Inpatient Rehab

    Group and Family Therapy

    Don’t wait a moment longer to take action; the earlier addiction or alcoholism is treated, the higher the likelihood of success.

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    Source by Jim Debbies

    Views: 0

  • Did the Power of Prayer or Pembrolizumab Cure Former President Jimmy Carter?

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    Former US president Jimmy Carter announced his brain cancer has disappeared, but is it due to a miracle or a medical miracle?

    In August 2015 former President Carter had elective surgery to remove a tumor on his liver. As a part of the process a scan discovered four spots on his brain. The diagnosis was stage IV melanoma. Stage IV melanoma is a kind of cancer that starts in the cells that produce the pigment that gives your skin its color, known as melanocytes. A stage IV diagnosis means it has spread via the bloodstream, or through the lymphatic system, to other areas of the body. The American Cancer Society (ACS) estimates that approximately 76,160 cases of melanoma (also referred to as malignant melanoma) were diagnosed in the United States in 2014. While melanoma accounts for only approximately 5% of skin cancer cases, it is estimated to be responsible for the vast majority of skin cancer deaths. The prognosis is generally not good for a person diagnosed with stage IV melanoma, especially one that has spread to the liver and the brain. The overall 5-year survival rate is about 15% to 20%, depending on the age and overall health of the person. The median survival is 6-10 months. The traditional course of treatment is surgery to remove tumors, radiation therapy, chemotherapy, and more recently, clinical trials, targeted therapy and immunotherapy. However, these numbers may be changing as the newer immunotherapy and targeted therapy have led to important improvements in patient outcomes. Recently an immunotherapy treatment made the news when it arrested acute lymphoblastic leukemia, saving the life of an infant in the UK.

    Pembrolizumab breakthrough treatment

    Former President Jimmy Carter was given a new breakthrough treatment Pembrolizumab. Pembrolizumab is sold under the brand name Keytruda and was developed by Merck & Co., Inc. in the United States. In September 2014 it was one of the first immunotherapy drugs approved by the Food and Drug Administration (FDA). Instead of killing cancer cells, immunotherapy drugs are designed to boost the body's immune system to fight cancer. Pembrolizumab is a monoclonal antibody. Recent studies involving Pembrolizumab have shown the drug has increased overall survival of melanoma patients. Although the long term outlook is still unknown, it is only thought to extend survival in patients and not necessarily be a cure.

    Science Proves the Healing Power of Prayer

    It's no secret that former President Jimmy Carter is a devout man. Carter was born and raised in Plains, Georgia as a Southern Baptist. He continued his religious beliefs into adulthood. He attends church everywhere he travels, teaches Sunday school, performs missionary work and is known to pray every day. Prayer groups around the world have undoubtedly been praying for the healing of the former President, along with his family and friends. For the devout, there never has been been any question that prayer has the power to heal, but others are skeptical and want scientific proof. Current research from leading hospitals and universities across the US has shown conclusively a belief in God really is good for you, making you healthier and happier, and helping you live longer. Prayer is a practice that reaches across all religions, and even to those who do not believe in a deity. "Studies have shown prayer can prevent people from getting sick – and when they do get sick, prayer can help them get better faster," Duke University's Harold G. Koenig, MD, states. An extensive review of more than 1,500 reputable medical studies "indicates people who are more religious and pray more have better mental and physical health." And out of 125 studies that looked at the link between health and regular worship, 85 showed regular churchgoers live longer. A CNN poll arrived that 73% of Americans believe in the power of prayer. Research that primarily focused on the power of prayer in healing has almost doubled in the last decade.

    So is it possible that former President Jimmy Carter has been healed by God or by a new breakthrough drug? Maybe both.

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    Source by Lisa M Manley

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  • The Motionless Traveller by Author Aspi Doctor, a Spiritual Journey

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    The Motionless Traveller by Author Aspi Doctor

    I thought it fitting to play my Dalai Lama CD while contemplating the novel I have just finished; “The Motionless Traveller” by author Aspi Doctor. It assists in setting the tone while I attempt to articulate the many levels of knowledge woven in between the lines for the reader to catch or to just simply sit back and enjoy the ride. Yes, the Dalai OM’ing in the background of my concsious mind overseeing that this review is done with honour. I think he would approve.

    Aside from the fact that I am continually amazed at the phenomenal talent to be found off the beaten path of the big box book publishing houses and corporate monopoly distributors and retailers, who knew that this Northern Ontarian would be reviewing a such a ‘shining star’ from India.

    To have the gist of the novel, it is important to understand a bit of the man behind the words. Aspi was born in Bombay, India into a family of Zoroastrians and avid readers. He first demonstrated his gift for storytelling in primary school, to the delight of his classmates. Among the many other demands of a vocation within academia and in pursuit of his passion of the written word, Aspi studied English Literature obtaining a Masters Degree and Diploma in Journalism at the University of Bombay. Here Aspi was awarded the honourable prize of ‘First Standing’ in his subject group, and continued to explore many other dimensions of the wonderful world of literature in the Dramatic Arts and Theatre, Public Speaking and Radio Script Writing.

    In 1969, Aspi finally began putting pen to paper in earnest above and beyond his full duties as Principal and Academic of the Tolani College and the A.P. College of Commence, (affiliates of the University of Bombay). As a respected educator in his own right, he wrote and published a number of Text Books, such as; Business Communications-25 editions, Bank Correspondence-11 editions, Communications Skills in English-12 editions, Mass Communications-6 editions and more.

    In 1980, this calm, wise, insightful, mild mannered and ever smiling semi-retired professor began to put his wealth of knowledge into fiction format with “The Motionless Traveler”.

    A futuristic story that begins in Bombay India, in an era of post fossil fuel exhaustion and overpopulation with a bored government worker named Krish. Jolted out of his routine life when he rescues a young girl from a street gang, Krish inadvertently embarks on an adventure that spans the globe when he is gifted a ‘magical’ statue of the Buddha. Intertwined within the many levels of the story the reader gains glimpses into the Indian cultural mind with hints of Buddhism, Zoroastrianism, Spiritualism with some key Natural Law and Quantum Physics to ponder. Through the fine art of storytelling, we participate in Krish’s spiritual and metaphysical journey to a desert in Arabia, to Africa, to Mexico, to New Mexico, the United States, all to arrive at destination Canada. However, the true destination is to be continued long after the Buddha is handed over to a scientific research group, whose intent is to unravelling the statues mysteries amidst much intrigue as.

    Krish’s magical journey across oceans and continents brings thought provoking insights to the reader while he grows into new found power and understandings of the laws of nature and ultimately the evolution of mankind as a whole.

    As with all great teachings, the story is innately and humbly human while touching on the sacredness of the spiritual journey toward a collective and timeless God consciousness.

    Aspi continues to devote his so called spare time to his current writing endeavors which include another fiction novel entitled “Feet of Clay”. Several more text books are also in progress and pending publication.

    Aspi is currently the Vice President of the Association of College Principals in Bombay and an active member on the board of directors of two other educational institutions.

    I look forward to his next novel with anticipation of yet another spiritual journey filled with insights and the human condition. I am happy to recommend this work.

    Addendum: It is worth the time to peruse the http://www.ideaindia.com web site, a wealth of talented authors, good books, free e-books and articles covering many genres and topics.

    Reviewer:

    Jan Porter – http://www.inspiredsoulworks.com

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    Source by Jan I Porter

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  • How to Make Money As a Reflexologist

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    Being a reflexologist is one of the top five career choices in the field of holistic health. The trend shows that more and more people are turning toward holistic practices to enhance traditional medical therapies. Being a reflexologist also allows the practitioner to create a flexible schedule in many circumstances.

    If you have thought about a career in reflexology, it is time to start getting more information. The first thing you should do is contact the local reflexology association in your area. One such website is for the American Reflexology Certification Board. Although, certification is not required in the United States, for professional reasons, you should be certified if it is available.

    At the website, you will want to find answers to several things. You can look for schools certified to teach reflexology, licensing and certification requirements, and any other information you think would be helpful to you.

    Going to school to become a reflexologist is a requirement in most places, even if you don’t need to be licensed or certified after graduating. Classes range in duration from six months to one year or more. The class usually is at least 100 hours in classroom time and at least 300 hours practical time. Depending on your location, requirements may vary.

    You should look for a reflexologist program that focuses on more than the feet and hands. Look for a school that discusses health, nutrition, biology, chemistry, physiology, anatomy, ethics and professionalism. Finding a school that also explains the business side of being a reflexologist is a plus.

    You may want to consider a school that also offers a massage therapist program. Even if you don’t do it now, becoming a massage therapist can add to your income potential and increase your marketability. You may decide to wait to take these classes later, since they are more intense and licensing is a requirement in many areas.

    As a reflexologist, you will be working with a client’s feet and hands for 45 minutes to one hour in a normal session. You should be able to talk with the client before, during and after the session. It is your job as a reflexologist to calm and relax the client while being a good listener.

    Once you are in the final stages of the reflexologist program, you should start working on marketing your services. From your practical experience, you may have a small client base, but you need a large client base that will continue to grow. You should decide if you want to go to your clients or have them come to you. If they come to you, consider renting space or partnering with a chiropractor, doctor’s office, podiatrist, or holistic health center.

    You may also want to check local gyms and spas as well. They may allow you to offer your reflexologist services through the business or they may hire you full time. It is just a matter of going to these different places and selling yourself and your services.

    If you decide to go to your clients, you will want to partner with doctors, holistic practitioners, chiropractors, and gyms. They may refer clients to you to enhance the therapies their patients are currently receiving.

    Once you know how you are going to work, you need to decide on the cost of your reflexology services. Some places will dictate the fees you can charge, and others will not. You will need to contact local reflexologists, and ask them about the services they offer and fees associated with the services. This information will give you a basis to work from when developing your own pricing system.

    You should check reflexologist web sites routinely and subscribe to industry magazines. This will keep you up on new trends, tips, and techniques in reflexology. You may also look at continuing education class at your local community college.

    Since you may with working with clients in a medical setting, the client may think you are a medical doctor. If this should happened, just gently remind the patient that you are not a doctor, but a trained, certified (when applicable), professional reflexologist.

    The only other real problem you could face would be if you feel the client is unclean or the client’s feet and/or hands have sores, fungus or other diseases. Never feel that you have to accept everyone who contacts you as a client. You need to protect the clients you already have, and that may mean refusing service to others. Let them know they have a problem and should seek medical attention. Tell them to return to you when the problem has been corrected and then you will take them as a client.

    If you are still interested in becoming a reflexologist, contact the local reflexology association, get more information, and get started.

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    Source by Randy Wilson

    Views: 0

  • Life Lessons Learnt Post Drug Detox

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    Drug addiction is a chronic illness that brings misery not only to the life of the individual addicted, but also to his or her loved ones. In recent years, drug addiction has become a matter of serious concern for the United States as a large number of young adults in the country are getting addicted to prescriptions drugs and illegal substances at an alarming rate.

    The “drug culture” rampant in the American society takes a heavy toll on the people’s personal as well as professional lives. Sometimes, the influence of the drug can be so strong that it may lead to several other serious issues, such as increased risk for physical and mental ailments, suicidal thoughts, and even death.

    However, drug addiction is a preventable and curable disease that can be treated with medications and counseling. Medical detoxification is the first step toward quitting the vice of addiction and leading a productive life. Though the detox process is essentially aimed at removing toxins from the body after a long-term drug use, it teaches some incredible life lessons along the way.

    Listed below are some of the lessons that people learn during drug detox in a rehabilitation program, which can be carried out for many years to come:

    1. Addiction does not discriminate

    Drug addiction can affect anybody regardless of age, gender, ethnicity, race, or even socio-economic class. Often starting as an experiment, people gradually cross the illusive line of addiction, from where there is no turning back. However, the good news is that an effective detox program can help such people get rid of the devastating habit.

    2. Increasing awareness about addiction is important

    Being aware about the ways in which a particular drug can affect an individual and knowing about the legal repercussions of its addiction can motivate a person and his or her loved ones to stay away from the drug. Also, being aware of the right detox program is important to ensure a speedy recovery for a person who is already in the clutches of destructive drug use.

    3. Addiction leaves one lonely

    Drug addiction is a chronic illness that makes an individual live in solitude. Those fighting substance abuse disconnect themselves from the external world and stay aloof from friends, relatives and other loved ones. Undergoing a detox program teaches a person to make friends, lead a social life and engage in healthy habits.

    4. Self-care is essential

    Taking care of own body and mind is important to keep oneself fit and healthy. This is also required to ensure that a vulnerable individual does not get trapped into drug addiction, and continues to lead an addiction-free life post detox.

    5. Running away from stress does not prevent drug addiction

    For many individuals, addiction generally develops when they feel low, sad or depressed. However, in a detox program, a person comes face-to-face with such negative emotions and makes efforts to develop “emotional sobriety” first, in order to lead a drug-free life.

    Leading a drug-free life is possible

    Abusing any form of drugs, including prescription drugs, is illegal and can deteriorate the life of any individual. A comprehensive detoxification is a must in every drug rehabilitation program as it prepares the patient for further treatment procedure. The complexity of detoxification depends on the nature and length of the abuse.

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    Source by Barbara Odozi

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  • How Smoking (Drug Abuse) and Drinking (Alcohol) Affects Your Academic Performance

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    One day, Barack’s mother, Ann Dunham marched into his room, wanting to know the details of Pablo’s arrest. “Don’t you think you are a little casual about your future?” she asked. “What do you mean? he responded. “Bar, you know exactly what I mean. Your friend Pablo was just arrested for drug possession, and your grades are slipping. You haven’t even started on your college application.”

    Barack Obama was a serious and brilliant student before he gained admission into Punahou School, Honolulu. In this school, he joined the “Choom gang”. It was a self-named gang that spent time together drinking alcohol, smoking marijuana and sniffing cocaine. Drugs made the choom gang popular in school. His relationship with the choom gang prospered, but his academics suffered. Drugs and alcohol made him lose focus. All he thought about was how to get high. He and his friends Ray, Pablo, Mark and others exhausted their time devising simply ways of doing drugs, which include total absorption (TA), the antithesis and the choomwagon. Reading was difficult because he was always high and confused. Indeed, he was heading towards becoming a junkie.

    His performance in school was a mess. Barack’s mother was right. His grades were going down every term. He was not even bothered about admission to college. All he thought was drugs because it was part of him. Truly, his friend Pablo was arrested by the police for drug possession.

    When pressure from his mum and his poor performance became unbearable, he thought about not going to college. Nevertheless, Barack’s mother kept encouraging him. She always told him that he could get into any school in the country if he just put in a little effort. Within him, he knew that the “effort” he needed was to quit drugs.

    He managed to graduate without mishap and was admitted into Occidental College in Los Angeles. Even without the choom gang around, Barack continued his drug escapade. To continue his education, Barack was transferred to Columbia University, New York.

    In New York, he decided to stop getting high. For the first time in years, Barack applied himself to his studies. He regained his love and strength for reading. Reading and understanding became easy because he was focused and at alert always. Barack began to trace out his future. It became clear that he had been wasting his precious time on drugs. He attended class regularly and soon graduated with good grades.

    “Using drugs and alcohol was a seriously misguided mistake. It was my greatest moral failure that could have destroyed my future. Maybe if I had not stopped doing drugs, I might have dropped out of school and wouldn’t have become the 44th President of the United States”, he once said.

    Lesson

    Drug and alcohol use on campus is universal. Students articulate many reasons why they do it, but most neglect to consider the academic and long-time consequences of their actions. Some are compelled to use drugs at social gatherings either because everyone else seems to be doing it or they believe it’s the cool thing to do. Others feel that drug and alcohol abuse offers an escape away from school or work-related stress, financial worries or relationship problems. Some feel that alcohol and drug abuse provide a way to compensate for feelings of shyness or low esteem.

    According to one study, 90% of teens said they have used alcohol; 50% have used marijuana; 17% have used cocaine, and 13% have used some form of hallucinogenic drugs. Drug use has been classified as a major problem of students as early as in primary 4. A recent report published by the Substance Abuse and Mental Health Services Administration suggests that adolescents who receive grades of D or below are more likely than those in good academic standing to have recently used cigarettes, alcohol and/or other illicit drugs.

    The new research is part of a large-scale study of health and development conducted in New Zealand. Researchers administered IQ tests to over 1,000 individuals at age 13 (born in 1972 and 1973) and assessed their patterns of cannabis use at several points as they aged. Participants were again tested for IQ at age 38, and their two scores were compared as a function of their marijuana use. The results were striking: Participants who used cannabis heavily in their teens and continued through adulthood showed a significant drop in IQ between the ages of 13 and 38-an average of 8 points for those who met criteria for cannabis dependence. (For context, a loss of 8 IQ points could drop a person of average intelligence into the lowest third of the intelligence range.) Those who started using marijuana regularly or heavily after age 18 showed minor declines. By comparison, those who never used marijuana showed no declines in IQ.

    Researchers studying the effects of alcohol use on the brain are aided by advanced technology such as magnetic resonance imaging (MRI), diffusion tensor imaging (DTI), position emission tomography (PET) and electrophysiological brain mapping (EBM) showed that long-term heavy drinking lead to shrinking of the brain which impairs learning, memory formation and retrieval. That is why most times we read and forget within a short period.

    The process of generating new brain cells (i.e., neurons) is called neurogenesis. High level of alcohol leads to a disruption in the growth of brain cells. The decline of the number of brain cells leads to problems in learning and behaviour. The number of brain cell a student possesses determines his level of understanding. A student who has a higher amount of brain cells will do better academically.

    Thiamine, also known as vitamin B1, is an essential nutrient required by the brain. Up to 80% of alcoholics have a deficiency in thiamine, which may lead to memory loss and mental confusion. It might also affect your attention and concentration. Substance abusers easily get distracted; misplace things, forgetting to keep appointments and so on. As the brain continues to adapt to the presence of the drug, regions outside of the reward pathway are also affected. Brain regions responsible for judgment, learning, and memory begin to physically change or become “hardwired.” Learning, reading, and comprehension becomes difficult because the brain had been wired to focus on alcohol.

    Alcohol can produce detectable impairment in memory after only a few drinks and as the amount of alcohol increases so does the degree of impairment. Large quantity of alcohol can produce a blackout or an interval of time for which the intoxicated person cannot recall key details of events or even an entire event. Think about how much study time you have lost because you were too hung-over the next day to go to class. Drug abusers oversleep and are always tired.

    Severe Hallucination is another problem faced by drug users. Most times they lose touch with realities during lectures or examination. Physically they are in class but mentally they are somewhere else. Academics requires both physical and mental alertness. Therefore, a “high” students can attend lecture but will derive nothing because he was busy building castles in the air. Hallucination leads to academic failure.

    Everyone who became a drug or alcohol addict started with “let me taste or try it.” Smoking cigarette or Indian hemp or drinking alcohol is not a sign of “big boy or big girl”. It is not a sign of maturity but immaturity. You should not please your company by abusing drugs or alcohol. Drugs and alcohol are slow poisons. It solves no problem, if you get high because of financial stress, relationship problems, shyness or peer pressure, after some minute, you will get low and the problem will still be there.

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    Source by Anyaehie George Kelechi

    Views: 0

  • Department Administrator Interference in the Doctor-Patient Relationship

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    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).

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    Source by Michael Guth

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  • Social Entrepreneurship – Now is the Time

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    Social entrepreneurship is a major area of interest in many social and civic organizations and has a significant impact on many areas of society. During the past decade economic resources have become more difficult to acquire and society has continued to exhibit economic and cultural decline. Concurrently, communities are in need of initiatives that will enhance their financial viability and programs that will enhance the overall viability of the population.

    Social entrepreneurship initiatives are ventures that can serve as a method of increasing the social value of a community, organization or cause while enhancing the financial viability of a not-for-profit organization. With this being stated, social entrepreneurship has been defined in different ways by many different theorists. Gary McPherson, Executive Administrator of the Canada Centre for Social Entrepreneurship, states that social entrepreneurship involves various individuals working toward meeting social and economic goals simultaneously; while Bill Drayton, CEO of Ashoka, defines social entrepreneurship as a term coined to describe “individuals who combine the pragmatic and results oriented methods of a business entrepreneur with the goals of social reform.”

    A more basic definition of social entrepreneurship states that it is “the process of using entrepreneurial and business skills to create innovative approaches to social problems.” Therefore, it is a methodology that is presently being used to resolve community and societal concerns globally. Social entrepreneurship as an area of specialized entrepreneurship is not defined by the same titling in every culture. For example, in Latin America countries social entrepreneurship initiatives are referred to as “Micro Enterprise.” In India the same program would be identified as a “Social Mission.” Though termed differently in various regions, social entrepreneurship initiatives are being implemented to solve specific societal and community concerns by focusing on the needs and resource availability within specific geographic regions.

    Social Entrepreneurship in Education Throughout the United States, many top tertiary level academic institutions are enhancing their business programs by including a curriculum that caters to the study of social entrepreneurship. In 2003, the Center for Responsible Business was launched on the University of California Berkley Campus. This subsidiary of the Haas School of Business was implemented with the intent of training students to be more principled and socially responsible members of society through attending “the preeminent educational institution in area of Corporate Social Responsibility.” Stanford University also has established a Center for Social Innovation as a part of its graduate school of business. This center was founded with the mission to “build and strengthen the capacity of individuals and organizations to develop innovative solutions to social problems for a more just, sustainable and healthy world.”

    In 1993, Harvard Business School started its social enterprise program with its mission of “generating and sharing knowledge to help individuals and organizations to create social value in the not-for-profit, private and public sectors,” and the University of Miami has refocused its business school curriculum to include coursework in the areas of ethical-decision making, social entrepreneurship and community engagement with the primary focus being to expose students to various areas of civic engagement while concurrently teaching them leadership and team building skills.

    Tertiary level institutions, including Duke, which has established a Center for the Advancement of Social Entrepreneurship as part of its Fuqua School of Business, and Columbia University where the research initiative on social entrepreneurship is embedded in its school of business, have also made strides to enhance the study and education of those seeking to venture into areas of social entrepreneurship and social venture implementation. The Association to Advance Collegiate Schools of Business-International (AACSB – International) has identified over twenty-four tertiary level institutions that have included social entrepreneurship as a part of their business college and or business curriculums.

    With social entrepreneurship being perceived by many as a new way of stimulating social change, Idee Winfield believes that the implementation of community-focused service learning projects is the first step in exposing youth to the various attributes associated with social entrepreneurship. Through community involvement, youth will begin to visualize and experience the various social issues within their community and envision ways to solve these problems. Winfield states that social entrepreneurship should be promoted in primary and secondary education, and coursework should be adjusted to allow students to “see how abstract socially focused concepts can have real world applicability.” Jeffrey Soderborg, a member of the Kauffman Center for Entrepreneurial Leadership Clearinghouse on Entrepreneurship Education, is also an ardent proponent of social venture education who believes that social entrepreneurship would be more readily accepted if youth were exposed to information expounding the laurels of these initiatives during their primary and secondary academic years.

    As youth expand their horizons through the establishment of entrepreneurial efforts, knowledge and exposure to information about the process involved in the establishment of entrepreneurial business effectively plays a major role in the rate at which business entities are established. A study focusing on entrepreneurial interests among black youth ages 14 to 19 identified that 75% of the youth surveyed had interest in becoming entrepreneur. The study also found that these minority youth believed that more information about entrepreneurship should be presented through their schools. They also believed that entrepreneurs have a responsibility to reinvest in their community.

    Corporate Social Responsibility

    Personal values often serve as the justification for entrepreneurs to focus organizational efforts on socially focused ventures. The organizational decision to forgo pursuing financial gain with the intent of using the corporations’ profit resources to enhance a community is often referred to corporate social entrepreneurship. Corporate Social Entrepreneur (CSE) is a term used to describe corporate initiatives whose primary focus is to enhance a social concern and whose secondary focus is financial gain. The corporate social entrepreneur differs from the financial profit seeking entrepreneur in the area of decisions made that affect the community and environment in which their organization functions. Research identified that in corporate social entrepreneurship business acumen serves as a factor in the success or failure of social venture initiative implementation. Research identifies that success factors associated with the implementation of social responsibility initiatives were linked to whether the entrepreneur exhibits behavior that is moral, amoral or immoral.

    The amoral entrepreneur would pursue initiatives only if they were deemed acceptable by the organization as a whole. The immoral entrepreneur implements initiatives based on what can be potentially gained for self as well as for the stakeholders, while the moral entrepreneur would pursue social responsibility initiatives based on what was in the best interest of the organization. Individuals identified as corporate social entrepreneurs are individuals who are more active in community activities and are actively involved in social responsibility efforts. Corporate social entrepreneurs also are more likely to implement social responsibility initiatives based on an organization’s long term objectives.

    While many corporations are looking for ways to increase their social responsibility efforts, in some regions corporate responsibility efforts are not progressing. A policy paper, “Corporate Social Responsibility in Latin America and the Caribbean,” documented that corporate social responsibility activity in this region has “stalled.” The reason for stagnation in this region is “minimal government involvement” and the lack of “private sector involvement.” It was also identified that initiatives to implement programs focusing on social responsibility are often initiated outside of the market, and then subsequently not embraced by stakeholders who reside within this geographic region.

    Corporations are continually looking for ways to increase corporate advantage through their social responsibility efforts. While proponents of corporate social responsibility believe that corporations are obligated morally to engage in efforts to enhance social, community and environmental concerns, many stakeholders believe that social involvement should only be initiated if the efforts are going to strengthen the organization’s image, brand, moral or stock value. With this in mind, corporations have separated social issues into specific categories.

    These categories are social concerns that are general, social concerns that are value chain based and concerns that focus on social dimensions of competitive contrast. Generic social issues are identified as social concerns that do not directly affect the company’s operation and do not have an effect on a company’s competitive advantage. Corporations are least likely to get involved or invest in projects that focus in these areas because they will not receive a high value of return on their involvement. Value Chain Social Impact issues can significantly affect a company’s operation and can have an impact on the way a company conducts business. Corporations are more likely to be involved in value chain concerns, but only after conducting due diligence studies to ensure that a return on investment will be achieved over time.

    Social issues that affect a company’s financial profitability or serve to enhance or increase a company’s competitive edge are likely to be areas that a company will invest in because of the direct impact that these initiatives will have on the company’s overall viability and stability. An example of a social dimension projects is General Electric’s investment in under-performing high schools throughout the country. General Electric believes that through investing financial and professional resources in under-performing high schools in areas where they have substantial financial investment, they are investing in enhancing a community, as well as directly increasing their future employment prospects.

    Whole Foods Market is an organization that has taken control of its social value position through purchasing products from local farmers. Also, Whole Foods maintains strict controls over all of the products produced and sold in all of its locations. They even have extended their social and ecological efforts through offsetting the use of in-store electricity with the installation of wind conversion generators, converting their trucks to operate on bio-fuel and trucking spoiled produce to regionally located compost sites. Though the investments in these technologies may be costly at the onset, the long term financial, civic and market exposure benefits far exceed any initial costs incurred.

    In the area of corporate philanthropy many corporations are at a loss. They continue to be involved in the conflict between philanthropic giving and investor requests for increased profits. For this reason many corporations engage in context-giving programs. Context-giving programs are programs that are defined as allotting resources to specific projects that will enhance the community while simultaneously enhancing the corporation.

    Examples of context-giving initiatives include the Cisco System Networking Academy, which trains computer network administrators and provides job opportunities to those who complete the program; the DreamWorks SKG film production program that trains low-income individuals in occupations that are needed in the film and entertainment industry; and American Express Travel and Tourism Academy which trains high school youth for careers in the hospitality and tourism industry. Corporations that invest in corporate-giving social venture programs are concurrently gaining positive return on their social investment, improving the economic climate of the communities where they are located and gaining positive exposure for their organizations.

    At times social ventures do not have the intended impact on the community. A study focusing on the impact of community focused business ventures found that businesses started with the intent of enhancing a community often lose focus by becoming focused on profitability and competition. Competition and self-focused motivators were identified to be factors that played an additional role in the impact and economic role that entrepreneurial ventures have in community settings.

    While many foundations, trusts and philanthropic organizations, accumulate and distribute resources with the intent of providing services to enhance specific community or social causes, many of these organizations are looking for ways to gain public exposure for their efforts. Organizations also attempt to leverage their gifting efforts through seeking not-for-profit organizations that are willing match the funding received. The success of funded programs is evaluated through performance outcomes and indicators, and through promoting the organization’s work through success stories provided by program clients. These methods are viable ways for funding agencies to acquire value and exposure through their philanthropic efforts and simultaneously continue their efforts to enhance the communities in which they invest.

    With the social philanthropic efforts of Warren Buffet and Bill Gates gaining a high degree of attention, and many leaders engaging in activities to promote social advocacy, corporations are seeking ways to also gain exposure with social entrepreneurship. Social entrepreneurship from the corporate perspective can be defined as corporate social initiatives used by a corporate entity as vehicle to show support for social causes. In recent years, many Fortune 500 companies have implemented social ventures with the intent of enhancing their corporate image through providing funding for various social causes.

    McDonald’s is one such company that has funded social causes for many years. McDonald’s primary social venture is the Ronald McDonald House Charities. The Ronald McDonald House provides lodging for the families of adolescents, ranging in age from birth to 18, who are receiving critical care for illness in communities that are away from their community of residence. The Ronald McDonald House allows families to reside in these temporary living facilities throughout the child’s period of treatment at no charge.

    The Federal Express Corporation also funds programs focused on the implementation of socially responsible programs. FedEx is a supporter of St. Jude’s Children’s Hospital and has been acknowledged by Reader’s Digest as one of “Americas Best Charity Minded Corporation.” Federal Express has also been recognized for providing funding for numerous community and civic organizations, including March of Dimes, Heart to Heart organization, an organization that focuses on delivering food and health resources globally, the United Way and the National Civil Rights Museum. These are just a few of the charitable initiatives that allow Federal Express to present itself as a socially conscious organization.

    Virgin Mobile has partnered with Youth Noise, a not-for-profit organization that brings youth together for networking and brainstorming opportunities, and Stand Up for Kids, the largest all volunteer not-for-profit organizations in the United States, to implement an initiative to expand its corporate social responsibility activities. The project involves recording artists donating ring tones to Virgin Mobile and through partnership agreements, 5% of the proceeds received through ring tone sales are donated to various “Virgin Mobile Charity Partners.” This initiative, established in June 2006, is being positioned to raise over $250,000 annually.

    For social ventures to gain global acceptance, corporations need to become involved in ventures that allow employees and consumers to see the social, community and external benefit of these ventures. This process is identified in countries south of the United States, where the concept of social responsibility is one that has been embraced by many but implemented by few. Many government organizations expect non-government, or private organizations to take responsibility for ensuring the stability and longevity of the resources throughout this region while the private sector is looking toward government agencies for intervention.

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    Source by Paul Van Putten

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