Pate Memorial Hospital Essay Example

Pate Memorial Hospital Paper Pate Memorial Hospital is a 600-bed, independent, not-for-profit, self-supporting hospitals. PHC, an ambulatory health care facility, was opened by PMH. Sherri Worth, a new assistant administrator of Pate Memorial Hospital in charge of the PHC, was told that a firm plan establishes a clinic five blocks north of PHC. It is a big competitor for PHC. On the other hand, financial problems, Short service hours, long waiting time and lacking of gynecological services are all be the problem faced by Worth. Therefore, Sherri was requested to analyze the PHC’s performance and take Medcenter, a possible competitor, into consideration which either did or not opens a clinic in north. SWOT analysis Strengths| Weaknesses| * PMH is financially stronger than most of the metropolitan-based hospital. It is debt-free and has highest overall occupancy rate among the city’s six general hospitals strength the support to PHC. * 50% of office workers are willing to visit PHC if necessary. 44% of business-initiated visits. * Approximately 5% of visits in each month were repeat visits. * The referrals objective was met means it brought more patients to hospital. | * Because of hinting at crass commercialism, No adverting or other types of promotion are planned. * Bad debt of PHC needs to be decreased. * Patients still dissatisfy with service hours. * Waiting time is too long, particularly during the lunch hours (11:00 A. M-2:00 P. M. ) * Lack of gynecological services. | Opportunities| Threats| * Population in the area where PHC located was expected to grow 6% per year. We will write a custom essay sample on Pate Memorial Hospital specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Pate Memorial Hospital specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Pate Memorial Hospital specifically for you FOR ONLY $16.38 $13.9/page Hire Writer * Increasingly depend on inner-city residents who have a higher median age and higher incidence of Medicare coverage. * 20% more personal illness visits next year than last year. * Construction in the downtown area had stimulated worker’s compensation activity and then employment physicals would grow. | * Growth of population in the suburban * Potential competitors exist possibly. * Possibility of customers’ loss. | Critical issues The PHC has met some problems in different areas. That is why the PHC should  take steps to improve its financial standing and can be self-supporting in April 2001. The possible competitor may establish a new clinic five blocks of north of PHC. Estimation of potential impact to PHC by new clinic is very important. The alternatives should consider this point and see how PHC make promotion in market. Female account for 70% of total visits to PHC, they should maintain this portion of patients. It is a possible that a third of current personal illness/exam patients from the northern portion will switch to the new clinic because of location. Alternatives /Alternatives | Pros | Cons | Competition effect| ?Expand service hours| ? Decrease waiting time.? Reduce crowding during the lunch period.? Increase patients.? More convenient especially for employed patients who want to do physical examination. | ? A 33% increase in personnel cost as well as the cost of another physicians.? It cannot be break-even(see Exhibit 1 and 2)| After the new clinic build up, the visits in the north will switch to new clinic, the benefit of PHC will decrease. (see Exhibit 2)| ? Add gynecological service| ? increase more women patients; additional 2000 visits per year? increase profit, net profit is $62,400(See Exhibit 3)| ? Increase the cost of physicians. | ? No impact from competing clinic| ? Improve business-initiated visits| ? increase an additional 65 employment patients every month. | ? need expend service hours? Increase personnel cost and cost of another physician? the benefit cannot cover the cost. (see Exhibit 4)| ? Not be affected by competing clinic. Because most construction was being undertaken in the area of south, west, and east of PHC. | ? Advertise in the downtown weekly newspaper| ? improve people’s awareness of PHC? Attract more patients? compete with competitors(see Exhibit 5)| ? The weekly advertisementCost$10,400 per year| ? No effects of competing clinic. Just improve the competition| Recommendation We can see from alternatives of expand service hours and improve business-initiated visits that it will increase the cost of physicians and personnel. The benefit cannot cover the cost. The full capacity of PHC would be 32 visits a day, however, the performance of May 1999-March 2000, the  average patients is about 15 visits per day. It states that resources of PHC were not utilized completely. Therefore, they do not need to hire more physicians. These two alternatives should not be adopted. As to advertisement, in my mind, it could have a try in this alternative because the cost of advertisement can recover cost while increasing 196 patients. On the other hand, People could aware of the PHC via making advertisement. It is also a good way to attract more patients and compete with competitors. The gynecological service should be involved because of 3 reasons: Firstly, female patients account for 70% in the PHC. Secondly, the Exhibit 3 shows adding gynecological service can bring 2000 additional visits. Thirdly, the benefit can cover cost; net profit is $62,400 of gynecological service. Profit analysis for alternatives Exhibit 1 Service hour extension without competitor Exhibit 2 Service hour extension with competitor Exhibit 3 Gynecological service benefit| cost| additional 2000 visits $104 per visit104x2000=$208,000| ? Salary payment$70 per hourx8h/dx260d=$145,600| Total $208,000| Total $145,600| Net profit(loss) $62,400| Exhibit 4 Improving relationship with business community benefit| cost| ?65 additional physical visits per monthCharge per visit: $94x(1+8%)=$101. 5?Revenue: 65x12x101. 5=$79,170| ? Additional 33% personnel cost and the cost of another physician? Personnel cost 33%x168376=$55,564? Physician cost $137,280| Total $79,170| Total $137,280| Net profit (loss) ($58,110)| Exhibit 5 Break-even analysis of advertisement Contribution margin $185,224/3490 = $ 53| Patient visits increase$10,400/$53 = 196| Pate Memorial Hospital Essay Example Pate Memorial Hospital Paper In mid-April 2000, Pate Memorial Hospital (PMH) uncovered a concerning piece of news. This news was discovered by Sherri Worth, assistant administrator at Pate Memorial Hospital in charge of the hospital’s Pate Health Clinic (PHC). Worth discovered that a firm had been conducting a study to determine whether there was sufficient demand to establish a clinic five blocks north of the Pate Health Clinic, the opening date for this potential clinic was May 2001. Worth believed that the firm responsible for these tests were Medcenter. Medcenter, a privately owned suburban ambulatory facility, appeared to be successful in its suburban location. The objectives were detailed to Worth by the Pate Memorial Hospital Administrator, Dr. Roger Mahon. These objectives are: ?To draft a concise analysis of Pate Health Clinic’s position ?Specify and evaluate the alternatives assuming Medcenter does open up a clinic five blocks north of PHC ?Specify and evaluate the alternatives assuming Medcenter does NOT open up a clinic five blocks north of PHC ?To have the Pate Health Clinic be self-supporting by April 2001 The Pate Memorial Hospital is financially stronger than most of the metropolitan-based hospitals in the United States. We will write a custom essay sample on Pate Memorial Hospital specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Pate Memorial Hospital specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Pate Memorial Hospital specifically for you FOR ONLY $16.38 $13.9/page Hire Writer It has the highest overall occupancy rate among the city’s six general hospitals and is debt free. Despite PMH’s success the board of trustees had serious concerns about its patient mix. Without a stronger stable inflow of short-stay, privately insured patients, the financial health of the hospital would be jeopardized. This situation called for an ambulatory facility to be opened downtown 10 blocks north of the hospital, thus the Pate Health Clinic was built. The Pate Health Clinic is a non-profit firm that opened in May 1999. Each month since the opening the PHC has been closer to the goal of self-supporting. Starting out in May 1999 with a net loss of $53,028 and ending in March of 2000 with a Net loss of $11,940. PHC faces both opportunity and issues with the growing area in which the clinic is located. Long wait times and limited hours hamper the clinic’s success. Now, with the threat of a new clinic opening just 5 blocks north of the PHC it is time to make improvements. PHC must not only focus on profitability, but also awareness in the community. Dr. Roger Mahon said it himself: â€Å"We have a lot riding on the PHC. Making it work involves not only dollars and cents, but our image in thecommunity as well. Problem Definition The primary problem in this case is concerning the threat of competition. Specifically, ? How should Sherri Worth maintain the majority of the PHC’s patients with the threat of Medcenter opening a clinic 5 blocks north, while balancing financial problems, short service hours, long waiting times, and lack of gynecological services. Alternative Identification 1 Do nothing ?With a growing population in the area the Pate Health Clinic is increasing the amount of patients and revenue each month. At this rate the PHC should be close to self-supporting in the future. Also, the threat of Medcenter opening a clinic 5 blocks north of the PHC is merely just a speculation. If Medcenter decides against opening a clinic then there is less of a reason for the PHC to change operation tactics. 2 Modify clinic operations 2A. Expand clinic availability hours, the clinic currently is open 8am-5pm oTo do this the PHC must find out what hours would be most efficient to expand upon oDetermine whether a second physician will be needed 2B. Offer gynecologic services at the PHC oDetermine the amount of patients that would make use of this service oEstablish the profitability of a gynecologist physician 2C. Improve waiting times, specifically during lunch hours (11am-2pm) oDetermine the most efficient and effective method of achieving this goal oConsider the benefit of hiring a second doctor Relevant Information Environmental Factors Size Growth of Market During the planning process of the Pate Health Clinic, Worth held discussions with the city planners. In these discussions it was uncovered that during 9am-5pm the service area contained 11,663 office workers during the Monday-Friday work week. The population area was expected  to grow 6 percent per year, given new building and renovation activity. The service area is a 5 block radius around the PHC. Table 1 Service Area Population Year Total Population Male (40%) Female (60%) 1999 11663 4665 6998 2000 12363 4945 7418 2001 13105 5242 7863 2002 138901 5556 8334 2003 14724 5900 8835. *INFORMATION GATHERED FROM EXHIBIT 3 IN THE CASE, GROWTH ASSUMED CONSTANT AT 6% The specific services offered by the PHC include (1) preventive health care (for example, physical examinations and immunizations), (2) minor-emergency care, (3) referral for acute and  chronic health problems, (4) specialized employer services (for example, pre-employment examinations and treatment of worker’s compensation injuries) (5) primary health care services (for example, treatment of common illnesses), (6) basic X-ray and laboratory tests. The PHC would be open 260 days a year (Monday-Friday) from 8am-9pm. Table 2 – Would you use or try PHC if necessary? Gender Yes No Total Male 88 168 256 Female 72 72 144 Total 160 240 400 Table 3 – Would you use or try PHC if necessary? Gender Yes No Total Male 1604 3061 4665 Female 3499 3499 6998 Total 5103 6560 116663.

Sample Gmat Essay Topics

Sample Gmat Essay TopicsAs an employer, you will want to hire for the position you want to fill, but of course, you also want to give yourself the best possible chance to do so. You might have been thinking about sampling different sample Gmat essay topics, but it is very important that you make a well-informed decision, especially if you are going to apply for more than one position.The job market for Gmat analysts is very competitive. There are some companies that are always on the lookout for a new graduate, or a fresh graduate to keep their training in place. To that end, you need to find out what job opportunity you would be interested in, and then start researching the top Gmat essay topics, as well as the employers in the field who you would be working with.When it comes to finding sample Gmat essay topics, you will want to make sure that you start with some writing samples that have been approved by a variety of different Gmat employers. From there, you can start looking for some sample Gmat essays to practice your own work and hopefully have some of your own writing samples to read over.When you are choosing the sample topics, you will want to pick a topic that is going to relate to your own particular company, as well as the position you want to fill. You will want to be able to create a good profile for yourself, and be able to tell the hiring company how they can better help you with your writing skills.As you are looking through some sample Gmat essay topics, you will want to look at the various topics that are related to your own particular career goals. As an example, let's say that you have a particular career goal that you are really excited about. That is certainly something that will come up while you are looking through the sample Gmat essay topics.In fact, you may find that there are many specific topics related to the career you are interested in, and those will definitely be the topics that you will be paying close attention to. You will want to choose topics that are both meaningful and interesting. You will want to think about writing to impress the employer and to persuade them that you are an intelligent and capable person.At the same time, you will want to think about whether or not the topic is something that you are interested in, and if it is, then you will want to be sure that it is something that you can write about in a way that will produce some of the best writing possible. Once you have found some of the best sample Gmat essay topics, you will want to make sure that you consider sending a cover letter along with it. This will show the company that you are serious about making an application and are willing to do whatever it takes to get the job.

sex slavery in Thailand essays

sex slavery in Thailand essays The desire to be wealthy in the glittering growth of the Thai economy not only lures Many girls into prostitution, but also keeps them there. Although it has not been legal to sell children and women in Thailand since 1905, it is now common for impoverished families in the north to indenture their daughters into sex slavery in "closed" brothels, from which they are not allowed to leave. It is estimated that 20 per cent of prostitutes were deceived and forced into the profession. When parents failed to repay debts they were asked to sign a promissory note allowing one daughter to be taken to work in Bangkok. The nature of the work was generally specified as housework or factory work, but as soon as the daughter arrived in Bangkok she was forced to receive clients. Slavery, which has been defined as the permanent, violent domination of natally alienated and generally dishonored persons by Orlando Patterson, a Sociologist at Harvard University has aptly been able to openly recognize that such a tradition exists must be a positive albeit painful, first step. The young girl will thrive upon this degrading form of earning her livelihood, for the rest of her life. This profession robs an individual of her honor, self With the rise of capitalism and the popularity of the consumer products Industry The trend towards child prostitution is increasing and has spread to many rural Communities, many peasant families, particularly in the North of Thailand, the selling of daughters into prostitution has become a strategy for economic survival and access to consumer goods. Prostituion in the Asia Pacific is also increasing due to the rural- urban migration, high unemployment and underemployment among young people and the growth of the tourist Industry. Another major factor is the prevalence of the ideology ...

Why We Need Paragraphs

Why We Need Paragraphs Why We Need Paragraphs Why We Need Paragraphs By Sharon Reading a blog post or a web article should be easy. Some web pages have large blocks of text with very few breaks between them. When I see those, my brain does the TMI (too much information) dance and my eyes move on until they find something easier to look at. When you try to process an unbroken block of text, its like trying to eat a whole apple pie in one gulp. You may be able to do it, but youll probably get indigestion or choke in the attempt. Thats why paragraphs are important. Getting Attention Web readers have a short attention span. Thats why you need to make it easy. As you write, remember that you are taking your readers on a journey from point A to point B to point C. Paragraphs are just one of the ways that you do this. Web Usability When I worked as an editor, I spent a lot of time making long paragraphs shorter and making sure that each paragraph had a point. This also works for web content writing. All the advice I read on web usability suggests that you make one main point or cover one key idea in each paragraph. Then you expand on it a bit, then move on to the next one. That makes it easy for the eyes and the brain to process – and makes it more likely that people will read your blog posts. Using Subheadings Theres one more way to improve the experience for web content readers. Subheadings serve as navigational markers to tell readers whats coming in each paragraph. They can skip to the part that interests them, or get an idea whether they need to read the article or blog post at all. Use subheadings and small paragraphs and your readers will thank you and come back for more. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Writing Basics category, check our popular posts, or choose a related post below:How to Punctuate References to Dates and TimesHow to Punctuate with â€Å"However†45 Idioms About the Number One

The Glory of Living Essay Example | Topics and Well Written Essays - 750 words

The Glory of Living - Essay Example The play questions the models of a family that are held up as the standard in society. Despite having a mother, Lisa is unable to have a normal childhood. The disintegration of the family is complete in the family of Lisa and Clint as the couple seeks to seduce young girls into a lurid kind of death. The sterility of this kind of an existence is repeatedly held up by the author as symbolic of the fact that such forms of life are unsustainable. The playwright, Rebecca Gilman, makes it clear that such instances of sterility do not represent the modes of sterility that were characteristic of ancient civilizations where it was a phase that would be followed by a regeneration. The two children that Clint and Lisa have only serve to heighten the disturbing mood of the play as the presence of a pedophile in the family makes the situation of the children complicated. They are moreover, placed not in the care The play’s pessimism regarding the state of affairs that modern life presents is a very postmodernist one, where it has become impossible for human beings to peel away the layers of life to reveal its true essence. Here, people wander through life; performing functions that they are aware do not possess any meaning. In this sense, the play also addresses existential issues that the modern man faces and has to deal with. The importance of the existential problems that the play poses is demonstrated by the absolute lack of meaning that Lisa, the anti-heroine of the play, puts into her actions. The main aspect of the play, however, remains the fact of the development of children. The life of children whereby they are at the complete mercy of their parent’s actions is demonstrated skillfully by Gilman’s play. The play, right from the scene where Lisa is charmed by Clint into a marriage that would lead her into a much more dissipated life than her mother, to the one where she discloses her dark secrets to the authorities, is a long series of events that displays the problems of a traumatic childhood. This childhood of hers is affected by the fact that her mother was a prostitute. The fact that Clint is a person who comes with a person, who may or may not have been a client of his future mother-in-law, is one of the most disturbing aspects of the play (Gilman). The guilt that Lisa feels at the end of the play is something that stems from the fact that she has not matured emotionally. The actions that she takes at various points in the play have no rational explanation. This fact is also the result of her dissociation from the real world where events follow a more or less rational course. The union of the grotesque and the real in the life of Lisa is another aspect of the play that is interesting and significant, dramatically. The grotesque events that are related in the play are a part of the life of Lisa. They are an everyday reality for her and this results in a disturbing atmosphere in the play. The grotesque becomes the nor m for Lisa when she arranges prey for her husband. The grotesque becoming the norm points to the development of the person. The abnormal childhood that was led by Lisa, where she was deprived of attention on the part of her mother. The negative influences of her husband too, become a reason as to why Lisa becomes what she becomes. The play offers no reason as to why Clint is the way he is, portraying

Medication Management Review Questions Essay Example | Topics and Well Written Essays - 1000 words

Medication Management Review Questions - Essay Example Schedule 7 drugs have high to extremely high toxicity require special precautions in their manufacture, handling, or use they also require special regulations restricting their availability, possession or use. Also known as, a central line or CVC is long, soft, thin, hollow tube that is placed into a large vein. A central line is much like an intravenous catheter that is placed in a small vein in an arm, except that a central line is longer and is placed in a large vein leading to the heart in the neck, upper chest, leg, or arm. Bonnie Fahy, RN, MN, Marianna Sockrider, MD, DrPH "Defining Addiction, Physical And Psychological Dependence To Drugs, Alcohol And Other Related Addictions." Drug Rehabilitation .The National Center on Addiction and Substance Abuse at Columbia University:"Wasting the Best and the Brightest: Substance Abuse at America’s Colleges and Universities", March 2007. Myers, David G. Psychology. 9th Ed. Beilin Y, Arnold I, Telfeyan C, Bernstein HH, Hossain S (2000). "Quality of Analgesia When Air versus Saline Is Used For Identification of the Epidural Space in the Parturient". Reg Anesth Pain Med 25

Environmental Ethics And Social Responsibility

Environmental Ethics And Social Responsibility Environmental ethics has become a hot topic of the modern era. Gone are the days of our natural surroundings being an afterthought. We, as a society, are now fully aware of the natural habitat in which we are a part of, what it does for us, and what we do and can do for it. This is significant as this recognition was, for the most part, absent until just a few decades ago. The following paper will illustrate how although we have come a long way in realizing natures true essence and our negligence of this respect, we still have a lot of work to do in honing these moralistic views, because the Earth is not just for human beings and if we dont continue to acknowledge this, it may just fight back. In centuries past, society paid little attention to nature and its non-human inhabitants other than how it can benefit mankind. Whether it was for food, work, or pleasure, nature only was recognized for human gain. We were very much an anthropocentric civilization, meaning, we only assigned intrinsic value to human beings only or there was a greater intrinsic value placed on humans above all non-human life forms (Brennan Lo, 2008). It was even a strong religious belief that everything on Earth was put here by God for human consumption. Everything was assumed to be at our disposal. From trees to animals, if we had a need for it, it was used. Add to this that our population throughout history has grown exponentially and this means even more people contributing to this carelessness. Over time, individuals were not the only ones disregarding nature, entities such as businesses were too. As industries were discovered and grew they not only used our natural resources but contaminated them as well through pollution and waste. Though noted historical figures such as naturalist Aldo Leopold (1949), biologist Rachel Carson (1963) and historian Lynn White Jr. (1967) helped to pioneer environmental awareness, it wasnt until April 22, 1970 that reform really began to take place. That particular day was labeled Earth Day in the United States and it was a day used to bring consciousness to the endangerment and value of our environment (Earth Day still is recognized annually every April to this day). In addition to this event, NASA produced a shocking and enlightening image of the Earth taken from space at Christmas 1968 and featured in the Scientific American in September 1970 that really propelled public interest. Here, plain to see, was a living, shining planet voyaging through space and shared by all humanity, a precious vessel vulnerable to pollution and to the overuse of its limited capacities (Brennan Lo, 2008), concern became evident. All of the use and subsequent ab use combined with a constant booming population produced a need for a change, hence environmental ethics was born. Environmental ethics, defined, is a branch of philosophy that considers the moral relations between human beings and their natural environment; as a field of study, it assumes that humans have certain responsibilities to the natural world, and it seeks to help people and their leaders become aware of them and to act responsibly when they do things that impact the natural world (ScienceClarified, 2010). Not only do environmental ethics highlight the human mistreatment of the environment and the effects of this mistreatment, but it emphasizes nature and all living organisms as having just as much right to live/exist on this Earth as humans do. Two schools of thought, though various forms exist, are consistent with environmental ethics: deep ecology and shallow ecology. Deep ecology is a philosophical belief that all forms of life- plant, animal, human- have an intrinsic right to exist in the natural environment and that humans have a direct responsibility to maintain the environment fo r all life forms; whereas shallow ecology holds that humans have a responsibility to protect the environment so it can support human life both in the present and in the future (ScienceClarified, 2010). While deep ecology is more so the ultimate goal, both philosophies are a major change in thought when compared to our anthropocentric past. Do other species have an intrinsic right to exist? Does the Earth exist just for the benefit of humanity? Are humans responsible for being the guardians over the Earth? Do trees have any legal rights? Are we obligated to have concern for future generations? Questions such as these, among many others, are what drive environmental ethics. Now that we know what environmental ethics is and a little of its history we can take a look at where we stand today on environmental ethics. Unfortunately, today we still face an enormous amount of environmental issues which include: air and water pollution, erosion of soil, deforestation, diminishing natural resources, biodiversity destruction (plant and animal extinction), and ozone layer depletion, among others. Most of these matters were becoming a problem when we were first introduced to environmental ethics and have actually increased tenfold since. This doesnt make sense, why would these problems still exist, let alone be worse now when the human race has shown concern regarding them? The answer is not easy but it mostly has to do with human nature and overpopulation. The increase in human population increases the demands for the water resources; more land is required for housing; there is an increased demand for food for which agricultural land is needed; more fuel is requir ed; more automobiles and manufacturers cause more pollution etc.(Pillai, 2009). Compound this with the mere fact that humans always want more and something better, thus continually increasing ones lifestyle, whether it is through breakthroughs in technology or industrial progresses (among many others), takes it toll on the environment as well. Even though the realm of environmental ethics has enabled many agencies to exist, such as the EPA (Environmental Protection Agency), to help monitor and regulate the people and their treatment of the environment, as well as educating them, more must be done. Looking towards the future, the function of environmental ethics will become even more substantial. As the planet is under enormous geological stresses, which are continually increasing, it will in the future no longer be able to support its population (Haan, 2009). Effort from nations, organizations, and groups are most certainly needed to improve, but our future may just depend on a better individual effort. Most people are under the impression that their individual effort is so minute in the grand scheme of things that they actually assume very little responsibility towards the environment. Another problem is that the majority of humankind doesnt understand just how their actions of today can greatly affect the future generation. Just because something that is done today doesnt have an immediate effect it is often overlooked. It is important to understand that everyone plays a role in the overall process of life; each persons decision can ultimately affect the future (Haan, 2009). Some individual efforts that can make a difference concerning our environmental future are: reducing usage of plastic since it is not biodegradable, recycling garbage, promoting the development and use of environment friendly technologies, and utilizing more organic agriculture. Another big change that may be needed, though it can be controversial, is to implement aggressing family planning to limit human population; there is only so much land available and no matter how many alterations we make in our lifestyles and mentality, too many people is too many peopleà ¢Ã¢â€š ¬Ã‚ ¦but that is topic for another day. Nevertheless, our insights and actions towards the environment are critical for the future of our survival, environmental ethics are imperative. In short, if we want to see a future it is imperative that we make more of an effort to curb our indulgences as we make progress. Yes, advancement in technology, big business and the like has benefited mankind greatly but we all must keep in mind that with greater success comes greater responsibility. The study of environmental ethics has opened our eyes but we must continue to respect nature in its own right and therefore it will in turn thrive again as it once did enabling us to live as we should. Yes, it shouldnt be a give and take scenario but being the humans that we are, this is inevitable. However, just as we have taken from nature for so many years, nature can and just may take something back, it may take us, the existence of the human race, if we dont take more responsibility as individuals and as a whole and continue to push the movement.