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  • Benefits of Appointing a Doctor Through the Online Scheduling Services

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    The busy and fast life and the unbridled lifestyle have created numerous negative impacts on our body as well as on our health. As a consequence, medicines and doctors have become the regular necessities of our lives. Medical emergencies are needed to be handled immediately as negligence can provoke harmful results. The instant involvement of a medical practitioner can save the life of your loved ones. But to visit a doctor, we need to get an appointment first, which can be quite a time-taking process and chances is there to get the help late.

    Doctors do have a very busy schedule and it is quite doubtful to get them exactly at the time of your requirement. In such a condition, the online scheduling services can be proved pretty beneficiary for all those who have an urgency to consult a doctor. It is pretty fast and quick and the websites are easily accessible. But most of all, these sites provide a list of doctors and medical practitioners, from where you can simply pick up the right one for you. Below are some of the advantages you can get, if you book an appointment online from these scheduling services.

    Time-saving

    Time is a big factor at the moment of the crisis. A little wastage of time can create an unfulfilled loss forever. The appointment scheduling websites utilize the time in a tactful way. From cardiologists to the general physician, they provide a list of doctors who are specialists in various medical fields, which makes your pursuit quite easy and effortless.

    All-time availability

    A crisis can occur even at the midnight. You don’t know when you will need to consult a medical expert. These online sites offer you the freedom to schedule an appointment according to your convenience, without creating a disturbance to the doctors apparently.

    The contact details in handy

    Finding a doctor is not enough. You need the proper address of the medical specialist and need to acquire the contact information too. An online scheduling service puts all these details on the website beside the names, designation and the images of the doctors.

    Easy to assess

    These scheduling sites provide a detailed profile of the specialists, including their qualification and the previous works they have handled, by which you can compare their expertise. This helps you to pick up the suitable one for you.

    Reliable and convenient

    In case of a manual consultation, in spite of standing for a long time in the queue, chances are high of getting late due to the doctor’s delay or for the lack of time. But if you book an appointment online, these things don’t create any effect at all. You can easily get your work done in an expedient and hassle-free manner.

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    Source by Luther Martin

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  • Good Morning America Inbox Dollars – Scam?

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    Recently, Good Morning America featured an online company named “Inbox Dollars”. It wasn’t such a surprise that this company is completely internet based, but the surprising part of it, was that this company deals with online paid surveys. If you have ever looked into paid surveys, then you will know exactly why this is so surprising (so many of these companies scam people by making consumers pay to get access to their surveys).

    Now, on Good Morning America, Inbox Dollars explained that people can earn money in several different ways through their website:

    * Reading Email

    * Shopping Online

    * Trying Brand Name Products

    * Taking Surveys Online

    * Playing Games

    So this is not just an online survey site at all. There is much more to it. Now the way Inbox Dollars works is complicated, yet very simple to the end user. People may wonder how Inbox Dollars can just pay people for reading emails, playing games, or trying products. Well, to put it simply, on the email part, you will get about 2-3 emails per day to read. These emails will be advertisements and you get paid just for viewing the advertisement. You will also get paid if you take advantage of the advertisement, some may be free trials and others may be reduced prices. Either way, you get paid for reading the email. The rest is optional. But Inbox Dollars can pay you just for reading the email because they get paid by the advertiser for showing you the ad. So for the games and brand name products, it is presented to you in a very similar fashion.

    In regards to the online surveys, it works in the same way. If a company has a survey questionnaire that they need filled in, they look for survey companies, like inbox dollars to have these completed. The survey company pays inbox dollars and inbox dollars pays you a portion for you to complete the survey. The problem with other online survey companies is that they never pay you. But with Inbox Dollars, they have over 3.5 million members and have been in this business for years. They know the value of their members and in order to keep them, they must pay them.

    Last but not least, Inbox Dollars is 100% free to join. No fee for membership, EVER. Some survey sites will actually charge you to get access to their surveys or survey sites. Most, if not all of those sites are scamming you in one way or another. In most cases, the surveys they give you access to are just surveys from some other free site you could have found on your own. They are basically just charging you a fee to take your money and feeding you surveys they found for free on Google themselves. In addition, most of these sites are not the actual survey owners, so it is not their responsibility for paying people for the surveys, so you never know if you will actually get paid for the surveys they give you.

    I hope you have found this information useful and helpful in your search for legitimate online companies for making money. If you would like to see our top 3 online paid survey companies, please visit the website below.

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    Source by Samantha A Bennett

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

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    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.

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    Source by John Milton Fogg

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  • 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

    Views: 0

  • The American Wild West and the Silver Dollar

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    The idea for the American silver dollar came from a Spanish coin which was made of nearly one ounce of silver. The American colonists named it the Spanish dollar and the silver coin became quite popular.

    The first American silver dollars were minted in 1794, after the U.S. Congress voted to use the dollar as the main form of national currency. It was used along with the Spanish dollar even after the Revolutionary War. The U.S. Mint created silver dollars until the year 1803, and then ceased to make anymore until 1836 – the period of the Old American West.

    The people of the Old West preferred the silver dollar to paper bills as they felt the coins held more value being that they were made of silver. In fact, silver dollars were one of the main forms of currency in the mid to late 1800’s, second only to gold.

    The silver dollar was extremely important to the people of the American West. For those who liked to visit the saloons, it meant having a fair means of exchange for a drink rather than an unspecified pinch of gold by the bartender. It was appreciated by gamblers and river boat travelers, as well as by those purchasing goods from the local mercantile, for the same reason.

    Ordinary folk were not the only ones to carry the silver dollar. Many of the Old West’s most recognized names used them as well. Jesse James, Billy the Kid, Buffalo Bill Cody and Geronimo were all known to carry silver dollars.

    In the Old West the silver dollar was worth far more than a dollar is today. People were able to buy a pair of moccasins for $1.00. Compare that to what you pay for a pair of shoes today and those moccasins seem like quite a bargain! Your dollar would also buy you 50 pounds of flour, 10 quarts of milk, 60 pounds of potatoes, two pounds of sugar or five pounds of butter.

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    Source by David Slone

    Views: 0

  • Holistic Healing for Digestive Disorders

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    The digestive system is very crucial. It assists the body to absorb required nutrients and eliminate waste products. Any problems affecting it can lead to a lot of discomforts. The National Institute of Diabetes and Digestive and Kidney Diseases estimates that the number of Americans affected by digestive disorders to be 60 to 70 million. Luckily, there are natural, holistic healing remedies that can eliminate these diseases. Digestive disorders include the following.

    Heartburn (acid reflux) is a symptom of Gastroesophageal reflux disease (GERD). It occurs when contents from the stomach move back into the esophagus causing irritation.

    Gas is simply the air inside your digestive tract. It enters the gut when you swallow it and when undigested foods in your large intestine are broken down by bacteria to release it. Its symptoms include passing gas, burping, stomach pain and bloating.

    • Gastroesophageal reflux disease (GERD) occurs when the contents of your stomach return into the esophagus leading to heartburn. GERD is caused by unexpected relaxation of the lower esophageal sphincter.
    • Diarrhea is characterized by loose, watery stools. It leads to malabsorption and dehydration. Diarrhea can be caused by food allergies and intolerances, infections, problems in the digestive tract and medicine side effects.
    • Inflammatory bowel disease (IBD) is a term used to describe two disorders that lead to inflammation of the gastrointestinal tract. They are ulcerative colitis and Crohn’s disease. They both cause abdominal pain, severe diarrhea, stomach cramps, weight loss, and fatigue.
    • Constipation is characterized by fewer than normal bowel movements (less than three a week) or dry, hard and difficult bowel movements that are painful to pass. Other symptoms of constipation may include bloating and stomach pain.
    • Irritable bowel syndrome (IBS) is a condition that occurs in the large intestine (colon). It leads to bloating, abdominal pain, diarrhea, gas, and constipation. It is still not clear what causes IBS.

    Nutritional Response testing is the perfect holistic healing remedy to deal with digestive disorders. This form of treatment is pegged on the concept that the body knows and is able to correct its problems. The technique first analyzes the body to identify the root cause of the disorders after which nutritional support and lifestyle changes are recommended to help the body heal itself. Unlike traditional forms of treatment, it does not attempt to mask the symptoms. Instead, it tackles the underlying cause of the problem.

    Holistic Healing

    The first instinct when we experience pain and physical discomfort is to visit a medical professional to address the disease. This is not wrong, and it’s sometimes the best way to deal with the situation. However, physical pain is usually a manifestation of an underlying greater imbalance. Holistic healing appreciates this fact. Instead of dealing with the physical aspect only, it addresses the mental, emotional and spiritual aspects, too. It is not a quick fix. It is a journey to a more balanced lifestyle.

    The body contains different types of chemicals including neurotransmitters, enzymes, and hormones. Chemical imbalances can lead to many disorders in the body. Some diets can inhibit or stimulate hormone production and neurotransmitters thus leading to chemical imbalances. What appears to work for one individual might not work for another. That is why Nutritional Response Testing is perfect for identifying chemical imbalances. It can be customized to fit each individual’s needs.

    Are you struggling with any disorders? Are you looking for a safe, less invasive and effective treatment to deal with your condition? Nutritional Response testing is one of the best holistic healing remedies. You don’t have to suffer any longer.

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    Source by Dr. Louis Granirer

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  • Jeffrey Archer’s "Old Love" Redefines Love Story

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    The “Old Love” of Jeffrey Archer is a unique amorous tale between two brilliant students of English literature from Oxford. Archer makes an exploration of the theme of love from a completely unusual standpoint. The rendition is fiercely honest while he portrays a chronic sense of envy and rivalry between two sworn arch-rivals in the Oxford University: William Hatchard and Philippa Jameson. Initially, their aggressive competition unsettles their tutor Simon Jakes. In their constant intellectual debates, Philippa confronted the deep, confident voice of William with her high-heeled boldness. The mutual hatred was absolute. Their sharply perceptive and analytical mind refused to be submissive to each other. Indeed, this fierce sense of competition enabled them to outshine everyone else in the field. Given the background of 1930’s she, to him, was “that silly woman” and he “that arrogant man”. Yet strange is the way of destiny that an unusual love story should blossom between the bitterest of academic rivals!

    This rivalry assumed an unpalatable intensity when both excelled as toppers in their final degree exam. The Charles Oldham Shakespeare’s essay writing competition fed fat to this fire of passionate jealousy and became a life and death question for each to defeat the other.There were liberal exchanges of scornful remarks between the two to play each other down. However, things took a dramatic turn when William unwittingly discovered about the death of Philippa’s father (who was a Vicar) from cancer, and also, his secret dream to let his daughter study in Oxford and win the Charles Oldham award. The sight of silent sobbing of his proud and powerful adversary stirred up a sudden feelings of empathy in his guts. He got over his tentative doubts and offered to accompany her to her village for the burial ceremony. They held hand for the first time and discovered the new bond of friendship as they started their journey to her village. They communicated with each other spontaneously while returning to Oxford which bounces Philippa back to her normal competitive spirit. She slowly discovers the growth of her new found intense attraction for William. The latter secretly enjoys this interesting conversion in the Vicar’s daughter.

    The transformation of hatred into love has always been a captivating subject in itself, and Archer makes the situation entertaining with the employment of sparkling wit in their conversation. They make a visit to Stratford and have meals together. But their first date was far from usual: it is a unique blend of warmth and intellectual antagonism! If this instinctive antagonism triggered a strong sense of hatred before, now it drew them closer. In fact, this killer instinct became a delirious source of entertainment for both. Archer makes the reader question if intense hatred could indeed be an expression of hidden attraction?

    Anyway, the situation takes a quirky turn while returning from Stratford. On their way back to Oxford, Phillipa and William had to spend the night in a car as the petrol gauge showed empty. The former obviously did not miss the chance of expressing her doubt about the cerebral power of a person who couldn’t even read a petrol gauge! The day next William gave her the reason why he let the car run out of petrol: He said with a rare sense of humor: “My father told me if I spent the night with a barmaid then I should simply order an extra pint of beer, but if I spent the night with the vicar’s daughter, I would have to marry her.” He came down on his knees and said,” Will you marry me if I win the Charles Oldham?” Philippa answered that “as there is absolutely no fear of that happening I can safely say, yes… ” When William declared his love for her she told him not to show his face in Somerville again if he failed to win Charles Oldham. The readers wonder if the writer reveals Philippa’s secret wish that she could marry himeven at the cost of losing Charles Oldham! Otherwise why would tears come to Philippa’s eyes when a girl informed her that she had won? It was a moment of crisis for her because between the conflicting emotion of ambition and love in her heart, the latter had won and for once the proud girl confessed, “I do love nothing in the world so well as you; is that not strange?”

    However, when she discovered that William was a joint winner, her puckish spirit returned as she said ” I take thee for pity” to which William replied ” I yield upon great persuasion… ” They were locked in a passionate embrace, and after that, they were never apart for more than a few hours. Strangely, their honeymoon in Athens ended up in a heated argument over the relative significance of Doric and Ionic architecture!

    Later in life, this constant battle of wit prevented their romance from dwindling into boredom and banality. Their serious research works and creative activities, though on different fields, kept them deeply connected. After three years, “with well-received D. Phils”, they moved on, in tandem, to college teaching. But their fierce encounters continued and their sharp wit at each other’s expense would flash across the dinner tables at Oxford. However, those who understood their love felt envious of their unique relationship! They were childless yet their life was not tasteless.

    Returning home after the celebration dinner (being declared the Joint Professor), their heated argument over Proust’s monumental work took such an intimidating turn, that a policeman, nearby, asked Philippa “Is everything all right madam?” “No, it is not”, William declared “this woman has been attacking me for over 30 years, and to date the police have done deplorably little to protect me”. Yet, beneath this apparent antagonism, their bond continued to grow stronger with each passing year. Interestingly, their intense love was inseparable from their zealous intellectual antagonism which lent a peculiar aura to their relationship. When Philippa was made the Dame of the British Empire, William referred to her as an “Old Dame” he had to live with now. It is this bitter-sweet flavor of their love which defines their marriage.

    The most irritable habit of Philippa to William was her determination each morning to complete “The Times” crossword before he arrived at the breakfast table. One fine morning in June, William, studying the clue, filled in the eight boxes left incomplete by Philippa. Philippa’s instantly retorted that there was no such word. To the delight of Philippa the word “Whym Wham” could not be found in the shorter Oxford Dictionary. William assured her that the word could be found in OED on his desk, made for scholars like him. William left the breakfast table with sharp comments on Philippa’s limited command of English language and that she will have to eat a humble pie at Somerville’s Gaudy Feast as she reads the collected works of John Skelton…

    William left with a sigh, kissing his wife on her cheek, wishing he had lost Charles Oldham. Philippa replied that he did indeed because it was highly inappropriate during those days to declare a woman as the sole winner! Having closed the front door, as she entered the kitchen, Dame Philippa suddenly suffered her lone heart attack. She called out to William hoarsely but in vain. The news of her death was conveyed and the story ends with a note of dark humor in the suicidal note of Sir William (who shot himself with his pistol): “Forgive me, but I had to let her know”. There was the volume of the work of John Skelton held open in one of his hand with the word “Whym Wham” underlined neatly, his fingers stiff and cold around it. Such weird ending, subtly hints at the essence of special relationship this couple shared so that they rise above the great marriage vow “TILL DEATH DO US PART.” Archer’s love story excels because death could not part Sir William and Dame Philippa! Even while following his wife to her grave, William felt the need to camouflage the inseparable bond they shared, and the insufferable loneliness he would feel without her… he does it with a wry sense of humor!

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    Source by Mandira Mazumder

    Views: 0

  • Internal Medicine: Characteristics You Want in This Type of Doctor

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    Having a chronic issue that just won’t resolve itself on its own is extremely frustrating. And while you may have gone to doctor after doctor, it may be time to see someone in internal medicine.

    A physician in internal medicine has more specialized education as opposed to a general practitioner. In addition, this doctor does not focus on things like pediatrics or obstetrics. The main role of this doctor is to diagnose, treat and prevent issues associated with all areas of the adult human body. So when trying to find one to fit your needs, be sure to keep a few things in mind.

    Expertise

    The whole reason for seeing a doctor in internal medicine is to get an answer to some of your most troubling health conditions. When you’ve exhausted all other options, such as family doctors or general practitioners, an internist is the next logical step. These doctors have made careers out of solving complex medical problems in adults. So be sure to explain the issues you’re having as well as make sure your internist has all your past medical history. This way, he or she can have a leg up in trying to figure out the root of your problem. In addition, a doctor in internal medicine has gone to school for at least seven or eight years, has passed a board exam as well as focused on a particular area of study, so he or she is well prepared to handle your problem, depending on what it is. For instance, if your issue deals with the heart, then you’d want to see a cardiologist. On the other hand, if you have reproductive issues, a reproductive specialist is best.

    Good Communication

    In addition to expertise, it’s essential that you have great communication with your doctor, especially when it comes to internal medicine. That’s because this doctor has the knowledge and experience to help you figure out what’s causing your issue. Yet, you want him or her to be patient and really listen to your issues. These doctors see numerous patients each day, but that doesn’t mean you should feel rushed through your visit. So when deciding on a good internist, pay attention to how he or she talks with you as well as listens. If you feel like your doctor has not given you the time you need, then you need to keep looking, because communication is key when trying to find a doctor in internal medicine.

    Timeliness

    When you’ve been referred to an internist, this means your general practitioner hasn’t had any luck figuring out what’s causing your problem. Or if he or she knows the problem, maybe they don’t know how to treat it; yet an internist will. Unfortunately, if your internist cannot see you until two months from now, then that’s a problem. Depending on your issue, you could possibly wait, but for most people, this is not acceptable. Instead, you should keep searching until you can find a specialist that can see you in a decent amount of time. Also, whenever you do find a good doctor in internal medicine and schedule an appointment, you want him or her to honor your appointment time. If you’re always waiting over an hour to see your physician, you may need to start a search for a new doctor.

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    Source by Anna Woodward

    Views: 0

  • Affiliate Programs For Beginners

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    Starting out, you need only two affiliate programs, one to recommend physical products, the other for information products.

    The clear winner for physical products is Amazon. For information products, the best one used to be ClickBank, but JVZoo has overtaken it this year.

    Here’s why Amazon and ClickBank are the two best options.

    Amazon Associates

    The Amazon Associates program is very well known. You use their links to promote certain products and you get a cut for every item bought through your links. Commission varies between 2% and 8%, depending on the product.

    But every time someone lands on Amazon trough your affiliate link, you get a cut of everything they buy during that visit, not just the product you recommended.

    This makes using the Amazon Affiliates program really powerful.

    The way to leverage the program is to write product reviews on your blog. It is the simplest way to make money online, especially for beginners.

    Once you’ve started making some money through your first few sales through the program, you can start to scale by reinvesting that money, and up your income.

    JVZoo

    There are loads of information products online. You could even consider the internet an information product. People, simply, use the internet to find information.

    Much of that is free, but people are willing to pay for information that will make their lives better.

    The commission you get by recommending these products can go up to 75% – a huge increase on what you get for physical goods.

    It is much harder, however, to sell information products. Commissions are higher, but coversions are lower.

    I would have recommended ClickBank before this year, but JVZoo has taken over for one reason.

    There are more product launches on JVZoo.

    Easy Way to Sell Information Products:

    Product launches make it much easier to sell information products.

    You do essentially the same thing as for physical goods, you write reviews and include an affiliate link people can use to buy the product.

    Product launches are specific days when a new one goes on sale. You choose a product to review, you can see upcoming launches through MunchEye, write your review, include your link and use the hype of the first day to generate traffic and sales.

    Since there are a lot more product launches on JVZoo this makes it much easier for someone starting out to make their first bit of money and attract traffic.

    People searching for a review are nearly ready to buy something. That makes it easier to sell to them. And a good review helps them. It helps them not waste money on products not fit for them or time having to research all the details themselves. You’re also not competing with the people who put out the product, in fact you are helping them.

    Those things make reviews great for affiliate marketing.

    You will have to work hard, but your reviews could be passively earning you money months or years down the road.

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    Source by James Pierce

    Views: 0

  • What Marketing Strategy Is the Best for You?

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    If you pick the right marketing strategy, you’ll be like that little guy in the middle of my diagram above. Yes! Winning! Fist pumps!

    The problem with marketing today is that there are way too many options and it’s much too confusing. It makes me dizzy just thinking about this stuff and I’ve been immersed in it for 35 years.

    Well, I lay down on my bed last week with a notepad and started to map out my “Unified Theory of Marketing Strategies” with an emphasis on online marketing.

    And I actually came up with something that’s not totally confusing, and might even be helpful to a few people.

    Here goes…

    It’s yet another four-quadrant grid where the vertical axis is a scale from easy to hard and the horizontal axis is a scale from passive to proactive.

    I emerged with these four snappy quadrants:

    Hard and Passive = Multimedia

    Easy and Passive = Publishing

    Hard and Proactive = Presentations

    Easy and Proactive = Email

    Now, all of these strategies can be effective. But, yes some are easier than others. And the passive ones tend to take a lot longer than the proactive ones.

    Hard and Passive = Multimedia (Videos)

    Everyone is crazy about video these days. It’s a challenging, yet passive strategy. You put a lot work into creating a video and then post it on YouTube hoping people see it.

    It’s difficult to do well. It’s time-consuming and it can be expensive. And most videos are pure crap. If you want to do it well, it takes a chunk of change and a lot of time.

    Throwing up a lot of little videos on your website can be a nice touch, but they usually don’t get people to call you in droves.

    So, as you can see, I’m not crazy about a video strategy for self-employed professionals. I’m not saying they can’t work, but it’s a whole lot of work to do right.

    Best example: A non-duality teacher named Rupert Spira (non-duality.rupertspira.com/home). He does live workshops and films everything. Then his staff chops them up into questions and answer segments and posts them on YouTube. They’re five to fifteen minutes long. And what you see is what you get. No pitch, no hype. It’s his teaching unadulterated.

    He has hundreds of videos on YouTube with hundreds of thousands of views. Does it work? Well, his workshops are always full and all he does is a low-key email announcement to his list every month or two.

    I like this approach a lot. Got a lot of good content? Look good on video (unlike yours truly)? Then you may want to emulate Rupert.

    Easy and Passive = Publishing

    I happen to like this strategy a lot as it, ahem, built my “Empire.” It’s relatively easy: Write a how-to article on your subject matter once a week, send it out to those on your e-list and publish on your blog. Fame ensues.

    But online publishing can be a lot more than that. You can take those same articles and publish them on Medium, LinkedIn, and Ezine Articles. And then you can announce them on Facebook, Twitter, Instagram, and Pinterest. Sometimes you can get big exposure when writing an article for a major online publication. Web traffic multiplies.

    The cost is zero; an article takes from two to five hours to write (unless it takes you several days). And your ideas are online for eternity to be discovered by those looking for practical ideas. Some will opt-in to your e-list and perpetuate this virtuous marketing circle.

    The downside, of course, is that, according to my extensive research, (a 10 second Google search), there are 2 million articles published online every day. The mind reels. So your stuff will be out there, but somewhat lost in a very big haystack.

    I’m still a big advocate of online publishing, but the mountain is getting steeper and steeper. Just writing an article or two here and there won’t help you much.

    Best Example: Well, other than mine, of course, check out Henneke of Enchanted Marketing. She has a wonderful, readable, fun blog on business writing and blogging. And she walks her talk. It’s all about well-written, relevant content. If you don’t have that as a foundation, it’s a total waste of time.

    Hard and Proactive = Presentations

    I built my business on presentations in front of live audiences at professional associations and chambers of commerce. It got me attention, added people to my mailing list and generated warm leads for marketing coaching.

    And I still do presentations today in the form of webinars. I just filled my recent group program with the help of a couple webinars (also called video conferences). They most certainly do work.

    But I put presentations in the hard category, not because they are all that hard to give, but can take a long time to prepare. The last one I did took me two full days. There were about 200 slides (whew).

    Yes, that’s not the only way to do a webinar. You can just go live on Zoom Video, and that can work as well. You ultimately have to find your style and test what works.

    Presentations are proactive in that at the end you can ask for the business. And, of course, you can turn the recording of the webinar into a video in a snap and send it out to those on your list. Watch it here.

    So presentations will always play a big part in my marketing toolkit.

    One other thing though – If you don’t have a LOT of people on your email list, good luck in getting much of an attendance. Yes, you can do guest presentations hosted by others, but you don’t have the same control and ability to pitch your professional services.

    Best example: John Nemo of LinkedIn Riches (linkedinriches.com). His webinar is a blast. There are a lot of them out there in the online marketing world. And many, Like John, have set them up as evergreen webinars that are scheduled to play automatically several times a day. These are kind of a hybrid between publishing and presentations.

    Easy and Proactive = Email

    In my opinion, email is the most powerful overall marketing tool. And it gets the least respect. But I can’t imagine even being in business without email marketing.

    Social media gets all the PR and all the attention, but email gets the business. A recent study showed that email generated 40 times the business results of Facebook and Twitter combined.

    Email is the online tool that’s been around the longest, and I think it’s taken for granted. Promotional emails have expanded exponentially over the years, but most of it isn’t very good.

    We wade through our email boxes like we sort our mail over the trashcan. Delete, delete, delete. Why? Because it’s either not relevant or it’s boring. Usually both.

    I feel that email has the greatest potential of all the online marketing strategies because it’s both relatively easy and the most proactive marketing medium of all. Your message goes right into the mailbox of your potential client. Nothing else can do that.

    Marketing email holds great opportunities for improvement in several areas:

    1. How to incorporate humor as the most powerful attention-getting device in existence (that almost nobody is using).

    2. How to telegraph your value proposition straight to the minds and hearts of your prospect.

    3. How to make your emails clear, focused, and easy-to-read.

    4. How to craft a compelling call-to-action that is hard to resist.

    5. How to get emails to thousands of your prospects without looking like spam.

    If you’re not working on ALL of these, your emails will not get the attention and response you want.

    Best Example: Therapy Practice Accelerator. Visit this site and get on the list just to see the brilliance of the email marketing. It’s all about demonstrating results.

    What marketing strategies will you choose?

    Take the four marketing quadrants into consideration. The easier a marketing activity, the more likely you’ll actually do it. And the more proactive a marketing activity, the faster the response you’ll get.

    Cheers, Robert

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    Source by Robert Middleton

    Views: 0