Endocrine Function

 

C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.

Case Study Questions
1. In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
2. If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer.
3. What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?

Sample Solution

The author’s argument that tariffs lead to inflation, job losses, and a decline in consumer purchasing power is a complex one, with historical examples and economic theories offering support but also nuances. Let’s analyze the economic consequences of trade wars using these tools and assess whether tariffs ultimately protect or harm the American economy.

Economic Consequences of Trade Wars:

  • Inflation: Tariffs, essentially taxes on imports, can directly increase the prices of those goods. If these goods are essential or widely used in production, the cost increase can ripple through the economy, leading to broader inflation. For example, if tariffs are placed on imported steel, the cost of cars, appliances, and construction materials could rise.  
  • Job Losses: While tariffs aim to protect domestic industries, they can also lead to job losses in other sectors. If Country A imposes tariffs on goods from Country B, Country B may retaliate with its own tariffs. This can reduce exports for Country A, hurting businesses and leading to job losses in export-oriented industries. Additionally, higher prices due to tariffs can reduce consumer spending, further impacting businesses and employment.  
  • Decline in Consumer Purchasing Power: When prices rise due to tariffs, consumers’ dollars don’t go as far. This reduces their purchasing power, meaning they can buy less with the same amount of money. This can lead to decreased consumer spending, which is a major driver of economic growth.  

Historical Examples and Economic Theories:

  • The Smoot-Hawley Tariff Act of 1930: This act, which raised tariffs on thousands of goods, is often cited as a major contributor to the Great Depression. It led to retaliatory tariffs from other countries, drastically reducing international trade and exacerbating the economic downturn.  
  • The US-China Trade War: In recent years, the US and China engaged in a trade war involving tariffs on billions of dollars worth of goods. Studies have shown that this trade war led to increased costs for American consumers, job losses in some sectors, and disruptions to supply chains.  
  • Comparative Advantage: This economic theory suggests that countries should specialize in producing goods and services where they have a comparative advantage (i.e., they can produce them more efficiently). Tariffs can distort this natural specialization, leading to inefficiencies and reduced overall economic output.  

Do Tariffs Ultimately Protect or Harm the American Economy?

The evidence suggests that tariffs, particularly in the context of trade wars, ultimately tend to harm the American economy. While they may offer temporary protection to specific domestic industries, the negative consequences, such as inflation, job losses, and reduced consumer purchasing power, often outweigh the benefits.  

However, it’s important to note that the impact of tariffs can depend on various factors, including the size and scope of the tariffs, the countries involved, and the overall state of the global economy. In some limited cases, tariffs might be used strategically to address specific trade imbalances or unfair trade practices. But as a general rule, open and free trade tends to promote greater economic growth and prosperity.  

Conclusion:

While tariffs may seem like a simple solution to protect domestic industries, their economic consequences are complex and often detrimental. Historical examples and economic theories suggest that trade wars lead to inflation, job losses, and a decline in consumer purchasing power. While there may be specific instances where tariffs can be used strategically, a broad reliance on tariffs ultimately harms the American economy

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