Wednesday, March 18, 2020
Community General Hospital Essays Community General Hospital Essay Community General Hospital Essay Essay Topic: General Dr Noland Wright, newly appointed manager of Community General Hospital, sighed as he reviewed the hospitalÃ¢â¬â¢s financial records. He had been given the responsibility of leading the hospitalÃ¢â¬â¢s next steps, but was perplexed by the financial condition highlighted in the financial statements before him. His training was in medicine, not business, and he had recently taken early retirement. He had been talked into taking CommunityÃ¢â¬â¢s reins by some old friends who live a few miles away from the facility. Community General Hospital had initially begun in 1914 as Whittaker Memorial hospital, a community-run hospital serving the black population of Newport News, Virginia. To meet the needs of an economic expansion of the community largely due to increased commercial activity during World War II, the hospital expanded facilities and scope through federal funding. In the 1940Ã¢â¬â¢s the hospital increased its census and gained accreditation by the America College of Surgeons. In the 1950Ã¢â¬â¢s and 60Ã¢â¬â¢s the hospital enjoyed a bustling business in the segregated health care industry. With the advent of the desegregation movement in the 1960Ã¢â¬â¢s, the hospital experienced several threats as black physicians gained the ability to admit patients to the large and better equipped traditionally Ã¢â¬ËwhiteÃ¢â¬â¢ hospitals in the area. The civic organization that governed the hospital began to be concerned for the hospitalÃ¢â¬â¢s survival. It was experiencing a falling census, a deteriorating reputation concerning the quality of its health care, and picked up the reputation of being Ã¢â¬ËpublicÃ¢â¬â¢ hospital (which it was not). While the City of Newport News was willing to help, it was unwilling to acquire full responsibility for the costs of a public hospital. During the 1970Ã¢â¬â¢s, the hospital drew on an emergency fund set up by the city. Throughout the 1970Ã¢â¬â¢s, the hospital suffered from losses and bad debts. By 1982 the civic board that guided the hospital became inactive. The following year, the last of the segregation practices ended by court order at the large surrounding hospitals. Few patients desired to be admitted to the small, modestly equipped hospital, preferring the larger, modern hospitals they now had access to. The hospitals ended 1983 with a $402,000 budget deficit. Suppliers began demanding cash payment for purchases. Employee layoffs, tightening of admission criteria, and refusal of non-paying patients were some of the steps taken to alleviate the dire financial situation. It was hoped that a new facility, new location and a future change of name toÃ Community General Hospital would help the hospital to survive. A $15 million bond issue and $1. 5 million in the community pledges the hospital to continue to operate. At the end of 1984 the fund deficit was $749,000. Private healthcare management firms were solicited for help, but these efforts were short-lived. In july 1985, Community General Hospital was dedicated, with a new facility and equipment, and a higher occupancy rate. Between 1979 and 1985, seven different administrators had been in charge of the hospital. Continued losses after 1985, and continued difficulty in retaining continuous management, convinced the hospitalÃ¢â¬â¢s supporters to seek some solution to the ongoing problems. Political avenues were tried with some success, but did not last. The sale of the hospital to a doctorsÃ¢â¬â¢ investment group was considered, but the hospitalÃ¢â¬â¢s supporters ultimately rejected the deal. By 1990 the debt was in excess of $20 million. The Ã¢â¬ËboardÃ¢â¬â¢ of supporters agreed to file for bankruptcy. The Guarantor of the mortgage, the hospital continued to operate as the board sough affiliations with other area hospital. The quality ratings for the hospital continued to suffer. In 1993 the hospital was granted its bankruptcy petition. HUD settled for $4 million, and other creditors were held at bay. Political solutions for Community GeneralÃ¢â¬â¢s future were sought, but ultimately, did not help the hospitalÃ¢â¬â¢s condition. Administrators were hired, but their tenures were short-lived. By mid 1996 the hospital was again running a large fund deficit and was seeking direction in what appeared to be a rather hopeless situation.
Monday, March 2, 2020
History of the African Slave Trade Although slavery has been practiced for almost the whole of recorded history, the vast numbers involved in the African slave trade has left a legacy which cannot be ignored. Slavery in Africa Whether slavery existed within sub-Saharan African Iron Age kingdoms before the arrival of Europeans is hotly contested among African studies scholars. What is certain is that Africans were subjected to several forms of slavery over the centuries, including chattel slavery under both the imperial Muslims with the trans-Saharan slave trade and imperial Christian Europeans through the trans-Atlantic slave trade. Between 1400 and 1900, close to 20 million individuals were taken from the African continent during four sizable and mostly simultaneous slave trading operations: Trans-Saharan, Red Sea (Arab), Indian Ocean, and Trans-Atlantic. According to Canadian economic historian Nathan Nunn, by 1800 AfricaÃ¢â¬â¢s population was half of what it would have been, had the slave trades not occurred. Nunn suggests his estimates based on shipping and census data probably represent about 80% of the total number of people stolen from their homes by the various slave operations. Four Great Slave Trading Operations in Africa Name Dates Number Countries Most Impacted Destination Trans-Saharan early 7thÃ¢â¬â1960s 3 million 13 countries: Ethiopia, Mali, Nigeria, Sudan, Chad North Africa Trans-Atlantic 1500Ã¢â¬â1850 12 million 34 countries: Angola, Ghana, Nigeria, the Congo European colonies in the Americas Indian Ocean 1650Ã¢â¬â1700 1 million 15 countries: Tanzania, Mozambique, Madagascar Middle East, India, Indian Ocean Islands Red Sea 1820Ã¢â¬â1880 1.5 million 7 countries: Ethiopia, Sudan, Chad Egypt and Arabian peninsula Religion and African Slavery Many of the countries who actively enslaved Africans came from states with strong religious underpinnings such as Islam and Christianity. The Quran prescribes the following approach to slavery: free men could not be enslaved, and those faithful to foreign religions could live as protected persons. However, the spread of the Islamic Empire through Africa resulted in a much harsher interpretation of the law, and people from outside the borders of the Islamic Empire were considered an acceptable source of slaves. Before the Civil War, Christianity was used to justify the institution of slavery in the American south, with most clergy in the south believing and preaching that slavery was a progressive institution designed by God to affect the Christianization of Africans.Ã The use of religious justifications for slavery is not confined to Africa by any means. The Dutch East India Company Africa wasnt the only continent from which slaves were captured: but its countries suffered the most devastation. In many cases, slavery appears to have been a direct outgrowth of expansionism. The great maritime explorations driven by companies such as the Dutch East India Company (VOC) were financed for the specific purpose of adding land to European empires. That land required a labor force far beyond the men sent on exploratory ships. People were enslaved by empires to act as servants; as agricultural, mining, and infrastructure labor; as sex slaves; and as cannon fodder for various armies. The Start of the Trans-Atlantic Slave Trade When the Portuguese first sailed down the Atlantic African coast in the 1430s, they were interested in one thing: gold. However, by 1500 they had already traded 81,000 Africans to Europe, nearby Atlantic islands, and to Muslim merchants in Africa. So TomÃ ©Ã is considered to be a principal port in the export of slaves across the Atlantic, this is, however, only part of the story. The Triangular Trade in Slaves For two hundred years, 1440Ã¢â¬â1640, Portugal had a monopoly on the export of slaves from Africa. It is notable that they were also the last European country to abolish the institution- although, like France, it still continued to work former slaves as contract laborers, which they called libertos or engagÃ ©s temps. It is estimated that during the 4 1/2 centuries of the trans-Atlantic slave trade, Portugal was responsible for transporting over 4.5 million Africans (roughly 40% of the total). During the eighteenth century, however, when the slave trade accounted for the transport of a staggering 6 million Africans, Britain was the worst transgressor- responsible for almost 2.5 million. (This is a fact that is often forgotten by those who regularly cite Britains prime role in the abolition of the slave trade.) Information on how many slaves were shipped from Africa across the Atlantic to the Americas during the sixteenth century can only be estimated as very few records exist for this period. But from the seventeenth century onwards, increasingly accurate records, such as ship manifests, are available. Slaves for the Trans-Atlantic slave trade were initially sourced in Senegambia and the Windward Coast. Around 1650 the trade moved to west-central Africa (the Kingdom of the Kongo and neighboring Angola). South Africa It is a popular misconception that slavery in South Africa was mild compared to that in America and the European colonies in the Far East. This is not so, and punishments meted out could be very harsh. From 1680 to 1795 an average of one slave was executed in Cape Town each month and the decaying corpses would be re-hung around town to act as a deterrent to other slaves.Ã Even after the abolition of the slave trade in Africa, colonial powers used forced labor- such as in King Leopolds Congo Free State (which was operated as a massive labor camp) or as libertos on the Portuguese plantations of Cape Verde or So TomÃ ©. As recently as the 1910s, about half of the two million Africans who supported the various powers in World War I were forcibly coerced to do so. Impact of the Slave Trade Historian Nathan Nunn has conducted extensive research on the economic impacts of the massive loss of population during the slave trade. Prior to 1400, there were several Iron Age kingdoms in Africa that were established and growing. As the slave trade ramped up, people in those communities needed to protect themselves and began procuring weapons (iron knives, swords, and firearms) from Europeans by trading slaves. People were kidnapped first from other villages and then from their own communities. In many regions, the internal conflict caused by that led to the disintegration of kingdoms and their replacement by warlords who could not or would not establish stable states. The impacts continue to this day, and despite great indigenous strides in resistance and economic innovation, Nunn believes the scars still hinder the economic growth of countries who lost large numbers of populations to the slave trade compared to those which did not.Ã Selected Sources and Further Reading Campbell, Gwyn. Madagascar and the Slave Trade, 1810Ã¢â¬â1895. The Journal of African History 22.2 (1981): 203Ã¢â¬â27. Print.Du Bois, W.E.B., Henry Louis Gates, Jr., and Saidiya Hartman.Ã The Suppression of the African Slave-Trade to the United States of America, 1638Ã¢â¬â1870. Oxford, UK: Oxford University Press, 2007.Gakunzi, David. The Arab-Muslim Slave Trade: Lifting the Taboo. Jewish Political Studies Review 29.3/4 (2018): 40Ã¢â¬â42. Print.Kehinde, Michael. Trans-Saharan Slave Trade. Encyclopedia of Migration. Eds. Bean, Frank D. and Susan K. Brown. Dordrecht: Springer Netherlands, 2014. 1Ã¢â¬â4. Print.Nunn, Nathan. The Long-Term Effects of Africas Slave Trades. The Quarterly Journal of Economics 123.1 (2008): 139Ã¢â¬â76. Print.Nunn, Nathan, and Leonard Wantchekon. The Slave Trade and the Origins of Mistrust in Africa. The American Economic Review 101.7 (2011): 3221Ã¢â¬â52. Print.Peach, Lucinda Joy. Human Rights, Religion, and (Sexual) Slavery. The Annual of the Society of Christian Ethics 20 (2000): 65Ã¢â¬â87. Print. Vink, Markus. The Worlds Oldest Trade: Dutch Slavery and Slave Trade in the Indian Ocean in the Seventeenth Century. Journal of World History 14.2 (2003): 131Ã¢â¬â77. Print.