The affordable care act (ACA) is the comprehensive healthcare reform signed into law by President Barack Obama in March 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system`s most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965. Key provisions of the ACA that intend to address rising health costs include providing more oversight of health insurance premiums and practices; emphasizing prevention, primary care and effective treatments; reducing health care fraud and abuse; reducing uncompensated care to prevent a shift onto insurance premium costs; fostering comparison shopping in insurance exchanges to increase competition and price transparency; and testing new delivery and payment system models in Medicaid and Medicare. To attract and retain enough providers to care for the increased numbers of patients who use healthcare services, nurses have the responsibility to take advantage of ACA provisions that provide for nursing education.
informational or ‘infotaining’ narratives that become available in seconds. The growth of social media as a source of not only personal news narratives, but also as a vessel for learning, sharing and commenting on public news stories within seconds of their occurrence, is an especially modern example of non-fiction narratives engaging and fulfilling in the ways that Delistraty describes fictional ones doing.
Social media and news narratives have another modern advantage: they are often short, concise, and explicit, and so don’t require very much time commitment on the reader’s part to fully understand them. Facebook, for example, provides an onscreen tab of headlines that users can hover over for a 10 word summary of a story as it takes place, and Twitter only allows its users to communicate in 140 characters or fewer. This means that individuals can consume narratives at a higher, faster rate than ever before, and in conveniently few words. From this point of view a novel can’t compete. A preference for quick, thumbnail narratives can be attributed to the amount of time that readers have available to them (are working hours longer now? Women have less time to read? Population less ~feudalistic~ so more people working/ fewer have time to read?)
In a similar way, the novel is decreasingly competitive versus film and television. For example, the final Harry Potter book sold 8.3 million copies in the US on the day of its release, a ‘record’ figure according to the New York Times (Rich, 2007). This pales in comparison with the estimated 45.5 million tickets sold in the US for the release day of the final Harry Potter film, and similar case studies can be observed in TV viewing figures compared to book sales. A successful modern novel like ‘The Girl on the Train’ …
The new purpose of the novel: solely to entertain/ crippling emphasis on profit, popular success. Talk about publishing figures; need articles, interviews, insights into the direction of the market/ popular consumption and the pressure on publishers to deliver what will sell. Talk particularly about the role of the media in deciding what will and won’t sell and how we are trained to view books before buying them (i.e. reviews in magazines, other things like feminist sentiment in v recent media that have driven sales of erotic fiction for women, for example). As a result, what genres are popular that weren’t/ weren’t around before? What do people look at before purchasing a novel? When do they read them? For what purpose? Consider TGoTT chapter length thing.
It is also worth exploring how shifts in education and the curriculum can p
