Professional Integration Essay Example for Free

Professional Integration Essay Professional integration is a process of making new ways of doing work in a hospital. It is a process of hospital management in which new partnerships between healthcare professionals who are specialized in various aspects occur. Each professional would be having individual skills, knowledge, and experience and hence would be able to provide better quality of care. Professional integration would better help to utilize medical and information systems. The introduction of professional integration or integrated care pathway (ICP) would involve a lot of changes. Managing an integrated care approach would involve consideration of factors put forth by the government, department of health, management and other stakeholders. It may be difficult for a physician to perform all the tasks, as there it is not only costly, but also would create a greater shortage of human resources. Hence, it would be ideal for the physician to assign certain responsibilities to other trained professionals in the healthcare system including nurses, physiotherapists, respiratory therapists, occupational therapists, technicians, specialists, etc. Recently, there has been growth of managed care, and in this system there has been a greater need for professional integration, considering the aim of providing cost-effective treatment to the patient in the form of health packages. Using the model of professional integration, physicians would not only play the role of clinician, but would also be performing administrative tasks (Crump, 2002, Goes, 1995 Briller, 1997). A study was conducted by the Wagner School of Public Service (1997) on the implementation of an integrated health organization policy (involving professional integration) in the HealthPartners of Southern Arizona hospital. The type of approach utilized was an expanded professional model (EPM). The findings of this model were studied so that integration can be utilized on a more extensive scale. The various aspects that were integrated included a hospital, a healthcare plan and two physicians. It was found that the integration process transformed the healthcare system and brought about positive changes in management and clinical work. Professional integration involves provision of healthcare by a team. Responsibilities are shared by different professionals who work in the team. Each of these professionals would be have their own sub-cultures, and in total, all these sub-cultures would be aligned. In the study, the benefits were clearly demonstrated, and also there were a few limitations existing which were solved using certain recommendations. Professional integration would produce certain innovative ideas which could be utilized in providing outpatient, inpatient and community healthcare services. Professional integration involves the physician taken the responsibility of leader, helping to provide and manage the treatment of the patient. Once the physician leads the patient care of team-based healthcare professionals, the quality of care would improve and the responsibilities can be shared in a more appropriate manner. The organization having greater amount of professional integration would gain a competitive edge over other organizations. The organization should look into the various ways in which various professionals can be integrated, and accordingly implement them. Once there is greater amount of professional integration, automatically clinical integration would occur, which can provide even greater number of advantages. Other organizations need to consider the expanded professional model (EPM) approach study conducted by the Wagner School of Public Service, and accordingly implement them after reflecting individual characteristics. One of the most important requirements for professional integration is a workstation for the users (healthcare professional) so that efficient and prompt transfer of patient health information occurs. The user should be able to access information of the patients assigned to them. The system should have user-friendly software programs which would enable entry, modification, processing, storage and transfer of patient health information. Each user should be able to view the tasks assigned to them. Such an electronic system would provide prompts, reminders and alerts for the user thus ensuring that better clinical decision-making can be enabled, and improvements in the quality of care are seen (Degoulet, 1995 Goes, 1995).

Repurposing as a Future Strategy for Pharmaceutical Research

Repurposing as a Future Strategy for Pharmaceutical Research With the urgent need for new treatments for serious diseases and concerns about other existing unmet patient needs as well as the cost of traditional drug discovery and other productivity issues on the constant increase, drug repurposing has become an attractive alternative. Drug repurposing is defined as the process of discovering new indications for existing drug compounds (Tari and Patel, 2014). Tari Patel (2014) further explain that the concept behind drug repurposing is â€Å"that novel drug indications can be identified based on the principle that a primary drug target can be associated with diseases other than its original drug indication.† Various systematic approaches have been proposed for finding new indications for drugs; some of this include discovering drugs hat share a significant number of side effects as they may have similar actions and those with similar chemical compounds. The most cited success for drug repositioning is sildenafil, a drug developed by Pfi zer and originally indicated for the treatment of angina but was discovered to show an improvement in patients suffering from erectile dysfunction as well (Pantziarka et al, 2014) [online] Drug repurposing is becoming the surest way to both provide treatment for both new and old diseases, as well as reducing greatly the cost of production of these treatments. Persidis (2011) [online] lists a couple of advantages crediting this, some of which include that pre-existing drugs or those which have been proven to be safe at late-stage trials greatly reduce development risk even when repurposed for potentially new indications. The article continues to add that there is a massive money saving advantage when comparing launching a repurposed drug into the market with launching a completely new formulation to pharmaceutical companies owning original use rights to the drug. On the other hand, NCBI suggests that as drugs are only approved for specific therapeutic indications within clear safety boundaries and after intense investigation, finding new drug-target interactions is most often hampered by safety issues regarding dosage and delivery capability as discovery of a repurposed drug working within the approved therapeutic window is a rare occurrence; suggesting also that even in a case where appropriate formulations and delivery devices were available to eliminate the problems associated with dosage and delivery within the narrow therapeutic window, the issue of lack of integration with pharmaceutical and toxicological sciences still persists. These go without including the problems associated with protection of intellectual property as various new drug-target-disease triplets are often disclosed by various online databases. Repositioned drugs have been a huge success in providing effective remedies for a large number of patients suffering from a wide range of diseases, have promised to deliver new treatments for even more diseases including some of the most perverse diseases the plague the central nervous system, cardio-vascular system, many metabolic disorders and cancer. Precisely, the scope of drug repurposing can be widened in future to cater for the development of drugs with multiple targets as in the area of oncology and those which target disease in various ways as in obesity. It can even more importantly create opportunities for the development of second-generation drugs (Sehkon, 2013) Therefore, despite any disadvantages that may arise in the process of repositioning drugs, the process remains the most effective of its kind in recent times and hence plays a very important role in pharmaceutical research concerning future drug discovery. It is important to note that though most repurposed drugs have desirable pharmacokinetic and pharmacodynamics properties especially those that have passed various clinical trial stages about 2000 of these drugs lie dormant of various companies’ shelves and Barratt and Frail (2012) suggest that this number grows at the rate of 150-200 drugs every year. Sequentially, this number creates more than adequate substrate on which a repurposing strategy can be developed and as discontinued compounds are a by-product of carrying out business in the pharmaceutical environment, there will never be a shortage of them. Hence, learning from these failures and applying the ever evolving science behind human biology and diseases will not only salvage efforts made in the research and development environment but also lead to the development of a very viable business model while significantly decreasing the risk of failure, cost of production and cycle time. Bibliography Sehkon, BS 2013, ‘Repositioning drugs and biologics: Retargeting old/existing drugs for potential new therapeutic applications’, Journal Of Pharmaceutical Education Research, 4, 1, pp. 1-15, Academic Search Index, EBSCOhost, viewed 18 November 2014. Tari, L. B. and Patel J. H. (2014) [online] ‘Systematic Drug Repurposing Through Text Mining’ Biomedical Literature Mining vol. 1159, pp. 253-267 Available at: http://www.springerprotocols.com/Abstract/doi/10.1007/978-1-4939-0709-0_14 [Accessed: 18th November, 2014] Barratt, M. J. and Frail, D. E. (2012) Drug repositioning: Bringing New Life to Shelved Assets and Existing Drugs John Wiley Sons, Inc. Pantziarka, P., Bouche, G., Meheus, L.., Sukhatme, V., Sukhatme, V. P. (2014) [online] ‘The Repurposing Drugs in Oncology (ReDO) Project’ ecancermedicalscience pp. 3 Available at: http://ecancer.org/journal/8/full/442-the-repurposing-drugs-in-oncology-redo-project.php [Accessed: 17th November, 2014] Persidis, A. (2011) [online] ‘The benefits of drug repositioning’ Drug Discovery World Available at: http://www.ddw-online.com/business/p142737-the-benefits-of-drug-repositioning-spring-11.html [Accessed: 17th November, 2014] Tudor I. Oprea, Julie E. Bauman,Cristian G. Bologa, Tione Buranda, Alexandre Chigaev, Bruce S. Edwards, Jonathan W. Jarvik, Hattie D. Gresham,Mark K. Haynes,Brian Hjelle,Robert Hromas,Laurie Hudson,Debra A. Mackenzie,Carolyn Y. Muller,John C. Reed,Peter C. Simons,Yelena Smagley,Juan Strouse, Zurab Surviladze,Todd Thompson,Oleg Ursu,Anna Waller,Angela Wandinger-Ness,Stuart S. Winter,Yang Wu,Susan M. Young,Richard S. Larson,Cheryl Willman,andLarry A. Sklar (2012) [online] ‘Drug repurposing from an academic perspective’

The Story I Was Made To Tell :: Personal Narrative Depression Papers

The Story I Was Made To Tell This is the story that I am made to tell. I have written pages and pages of other tales, dancing legends and laughing mysteries, choking secrets that fell away from me the minute they dripped on to the page. But I have always, it seems, been working around this one core subject, the one that eludes me and presses in on me at the same time. You see, I think that in the end, we all have one true tale to tell, to tell well, to tell with all the truth and simplicity, honor and respect that it deserves. And that story will live inside of us forever, praying to be let out. But it isn’t easy to unravel the chapters of your one story. For me, it is still quite impossible, but it is time that I try. Nothing I will ever write can approach truth until this story is told. And perhaps it is my job to try. The story — it is my mother’s. And therefore, mine. It is built of nothing less than miracles and tragedy. It is nothing more than the story of one person. It is the only thing that makes me cry, in the deepest pocket of myself, because it is an untold, unfinished story of the highest importance. The story actually sings in me every time I breathe in, breathe out, every time my eyes lift to see the air and its tingly life, every time my hip aches or my hands sing, or my cheeks puff up in sickness or cold. But no matter its majestic significance, its indelible mark on my life, I still have never been able to tell it. That is the hole I am trying to fill. 1994, spring, a school day. My father, for some reason, drove me back from school one day. This was very unusual, since my father spent more than half his time in England during those years, and a great deal of time in other countries, as well, all as part of his job. He was rarely around, and when he was, he certainly wasn’t picking me up from school or anything else. Either way, he drove me home on this particular day, and as we approached the driveway, almost at our house, he told me an interesting piece of news. The Story I Was Made To Tell :: Personal Narrative Depression Papers The Story I Was Made To Tell This is the story that I am made to tell. I have written pages and pages of other tales, dancing legends and laughing mysteries, choking secrets that fell away from me the minute they dripped on to the page. But I have always, it seems, been working around this one core subject, the one that eludes me and presses in on me at the same time. You see, I think that in the end, we all have one true tale to tell, to tell well, to tell with all the truth and simplicity, honor and respect that it deserves. And that story will live inside of us forever, praying to be let out. But it isn’t easy to unravel the chapters of your one story. For me, it is still quite impossible, but it is time that I try. Nothing I will ever write can approach truth until this story is told. And perhaps it is my job to try. The story — it is my mother’s. And therefore, mine. It is built of nothing less than miracles and tragedy. It is nothing more than the story of one person. It is the only thing that makes me cry, in the deepest pocket of myself, because it is an untold, unfinished story of the highest importance. The story actually sings in me every time I breathe in, breathe out, every time my eyes lift to see the air and its tingly life, every time my hip aches or my hands sing, or my cheeks puff up in sickness or cold. But no matter its majestic significance, its indelible mark on my life, I still have never been able to tell it. That is the hole I am trying to fill. 1994, spring, a school day. My father, for some reason, drove me back from school one day. This was very unusual, since my father spent more than half his time in England during those years, and a great deal of time in other countries, as well, all as part of his job. He was rarely around, and when he was, he certainly wasn’t picking me up from school or anything else. Either way, he drove me home on this particular day, and as we approached the driveway, almost at our house, he told me an interesting piece of news.

My True Goal †The Study of Medicine :: Medicine College Admissions Essays

My True Goal – The Study of Medicine    I firmly believe in the powerful message of Ecclesiastes 3:1, which states that every endeavor man can undertake has its own time and meaning. Looking back on my own life, I see these different seasons as stages of growth that have helped me to understand my own potential and the path that I wish to take in life. I feel that I have lived deeply and fully, and now wish to apply the valuable life lessons I have gained to what I feel is my true calling. Now is the season to explore the fascinating world of medicine, and to finally make that dream a reality.    As a child, I never believed that I could succeed. Growing up in one foster home after another, I lacked the stability that a youth needs in order to excel in classes and build a proper foundation for the future. I was pregnant by the age of eighteen, and dropped out of school to try to forge a future for my children. Life was difficult but fulfilling, and I found much joy in being the mother of two lovely children. The day my second child was diagnosed with Krabbe's disease, however, all of my happiness seemed to vanish before my very eyes.    Krabbe's disease is both terminal and debilitating, and the doctors gave my daughter a life expectancy of eighteen months. Swallowing my shock and sorrow, I devoted myself to making the most of the precious time I had left with my child. I researched intensively on Krabbe's disease, learning as much as I could about its mechanisms and the course it would run. I applied these lessons to caring for my daughter, and provided her with the twenty-four hour a day care that she required. Because I was afraid she would die at any moment, I never left her side, even to go to work. In order to pay the bills, I took in outside sewing and odd jobs. But no sacrifice was too great for my daughter. She lived to the age of four, long past her expectancy, which the doctors attributed to my constant care.    Being such an intimate witness to the struggle of life and death left me with a deep sense of human fragility. I realized that the human body is so very intricate and beautiful in its complex delicacy.

Death And Corruption In Hamlet Essay -- Corruption in Hamlet

Harold Blume said it best when he said, â€Å"Hamlet is deaths ambassador to us.† Throughout Hamlet, we have the images of death, decay, rottenness, and corruption pressed upon us. The imagery corresponds with the plot of the play perfectly, all culminating with the gravedigger scene. The corruption images illuminate the actions of the people in Claudius’ court, beginning with Claudius’ own actions. The beginning of the play lets us know that it is winter with Fransisco’s statement that it is â€Å"bitter cold† (1.1.6) This may be an allusion to death in itself – things are dead in winter. The guards speak of the ghost and we know right away that we have a supernatural theme, as well as a theme of death. In act 1 scene 2 we get the impression that King Hamlet has been gone for a while. Gertrude is already re-married and is happily out of mourning clothes. Gertrude even tells Hamlet, who is in full black mourning clothes, to cheer up. Good Hamlet, cast thy nightly colour off, And let thine eye look like a friend on Denmark. Do not for ever with thy vailed lids Seek for thy noble father in the dust: Thou know'st 'tis common; all that lives must die, Passing through nature to eternity.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  (1.2.68-73) Hamlet does not feel that it is time for him to shed his wretchedness just yet. The impression given is that it has been a long time scince the death of the old king and only Hamlet still clings to his memories and grief. After everyone leaves, however, we find out all the sordid details about the new King and Hamlet’s mother. Hamlet begins the rottenness imagery right away when he compares the world to â€Å"an unweeded garden that grows to seed; things rank and gross in nature posses it merely.† (1.2.135-6) He is utterly despondent and blames his mother and uncle for not feeling the way he does. He is the one who points out that the old King, his father, has not been dead long at all – only a month in fact. He rails over the fact that his mother could be so fickle, marrying again so soon. The affront is ground even more sharply into his frail sensibilities when she marries his father’s brother, his uncle. The fact that the two of them could be so jolly s o soon after the death of his father just staggers him. He predicts t... ...ferences to death are true references and not just imagery.   Ã‚  Ã‚  Ã‚  Ã‚  Alexander died, Alexander was buried, Alexander returneth into dust; the dust is earth; of earth we make loam; and why of that loam, whereto he was converted, might they not stop a beer-barrel? Imperious Caesar, dead and turn'd to clay, Might stop a hole to keep the wind away:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  (5.1.192-7) Hamlet is coming to terms with his own mortality and realizing the true physical destiny. He finds irony in the fact that a king could become a meal for a peasant, a seal for a beer-barrel, or a patch to keep wind out of a dwelling. Hamlet shows us that life is to be viewed without prejudice. It does no good to go about life with only your own interests in mind. He saw the rottenness and corruption that comes of that and it broke him. He loved his father and to see him so maligned was heartbreaking, especially coming from those who should have loved him most. That revelation shattered Hamlets ideal view of the world.

Policy-making in the Federal System Essay

The U.S. government’s expansive role in public policy is caught in a swirl of conflicting cross-currents. On the one hand, popular expectations about government’s responsibility to solve problems often exceed the capacity of state and local authorities to respond effectively. On the other hand, policies developed at the national level may not sufficiently reflect the great diversity of interests across the U.S. to be effective at the local level. Moreover, the search for effective policy is further complicated by theoretical debates about the constitutional framework of federalism, e.g., what limits on national power can be derived from the Tenth Amendment? A policy area in the middle of these cross-currents is elementary and secondary education – a subject traditionally under local control, with some oversight by the states. However, during the last four decades – especially since 2001 – the national government’s role in education has grown significantly as a result of initiatives by Republican and Democratic administrations. Use the assigned resources to inform yourself about this role and the arguments of its supporters and critics. In your initial post of at least 200-250 words, briefly summarize the national government’s education policies. Explain the main pros and cons in the debate about these policies. Evaluate them from two perspectives: The policies’ effectiveness in improving the quality of U.S. elementary and secondary education. (Justify your assessment by clearly explaining your definition of â€Å"effectiveness† and how it should be measured or determined.) Their consistency with the constitutional framework of federalism. (Justify your assessment by clearly explaining your interpretation of American federalism’s constitutional framework and why federal education policies are or are not consistent with it.) Fully respond to all parts of the question. Write in your own words. Support your position with APA citations to two or more different resources required for this discussion. By Day 7, respond to at least two of your classmates’ initial posts. Your peer responses each must be at least 75 words. They must demonstrate  critical thinking (e.g., ask a relevant question about your peer’s post while explaining why your question is significant, or state a perspective that contrasts with your peer’s while explaining or justifying your position). In the Federal government’s role in education, I think it can be seen in the â€Å"No Child Left Behind Act† that the Federal Government has set down certain educational guidelines for the states to follow. These guidelines have to provide the Federal government from the states with information such as student achievements, performance by school districts; test performed by students in grades 3 through 8, and ensures that teachers meet minimum qualifications for teaching, in order to get federal funding from the Federal government. I think that in one way, it could be construed as within the federalism’s constitutional framework, in that the Federal government is making sure that in order for the states to receive federal help that they must be in compliance with certain guidelines to best give a proper education to the children of today. Yet according to K. Hettleman, the U.S. Government has not gone far enough, as seen in his article, Expand â€Å"No Child† through Federal Standards, Funding, that the Federal Government holds states accountable for the low performance of poor and minority students, but is undermined by political compromises, that allow state and local officials to continue to devise their own academic standards and tests. I think there ought to be stricter regulations by the federal government of making the states do more for the students in education practices that would make all students equal in performance no matter of race, color or statue in order for that state to receive federal assistance. As seen by educational statistics, â€Å"Illiteracy in the U.S. Compared to the rest of the world, the U.S. is doing well. According to the latest International Adult Literacy Survey (IALS), between 19% and 23% of American adults performed at the top levels for each of the three literacy scales: document literacy, prose literacy and quantitative (number) literacy. Sweden is the only country that scored higher. Yet many Americans are being left behind. The same survey found that between 21% and 24% of U.S. adults performed at the lowest level  for all three scales, a figure echoed by the National Adult Literacy Survey (NALS). I think that the State and Federal Government ought to work closer together to ensure a better education for all Americans. Reference: Wong, K. K. (2008, December). Federalism revised: The promise and challenge of the No Child Left Behind Act, Retrieved from: Public Administration Review: Special Issue on The Winter Commission Report Revisited, S175-S185. Document ID, ProQuest Social Science Journals database in the Ashford Online Library Gabriel, T. (2011, October 9). G.O.P. anti-federalism aims at education [News analysis]. Retrieved from: New York Times (Late Edition (east coast)), A28. Document ID: 2480540871. Retrieved from ProQuest Newspapers database, in the Ashford Online Library Levin- Waldon, O.M. (2012). American Government. San Diego, Ca: Bridgepoint Education, Inc. Http://www

Health Care Reform Essay

Healthcare reform or as it’s formally known, the Affordable Care Act, is a volatile and polarizing issue among healthcare insurers. When President Barack Obama’s Affordable Care Act passed in 2010 it sent ripples throughout the healthcare insurance industry. No other single issue has caused so much controversy in recent years among insurers and politicians alike. It is a multibillion dollar enforcement that will affect nearly every American at some point in their lifetimes. Opinions vary from enthrallment to treasonous. There are a multitude of websites that portray all types of bias, pseudo-authoritative dictation and questionable authenticity. I will present a comparison of two well known but differing websites for this study: Whitehouse.org and Wikipedia.com. Authenticity, authority and objectivity will be discussed and presented in this research paper. The first website in this discussion is Whitehouse.org. Since this is the federal government’s official presidential website, the authority is without question. It is important to note that while that authority is challenged by member of opposing political party, the implied authority has been established by the constitution of the United States. Whitehouse.org provides a comprehensive â€Å"myths and facts† page regarding the Affordable Care Act. The site’s authority is undoubtedly written and constructed by technical analysts rather than the President himself. This is more of implied reason instead of stated fact as no one named author is listed for the site. The federal government has defined authority over all United States citizens and as such the President’s authority and respect is implied through the site. In regards to its authority, Whitehouse.org clearly obtains the highest level. In reviewing Whitehouse.org accuracy is highly debated by all United States political parties. Plenty of facts are presented yet without access to confidential information that accuracy can not be verified. It is certainly current and relevant concerning documentation and data. When evaluating comprehensiveness, the site provides a balanced and comprehensive view. Statistics and valuable metrics along with links to pertinent news articles  are posted on the website validating the comprehensiveness of the data. The intended audience of the site is the United States adult citizen, therefore the audience must be interested in the information regardless of the expertise of the reader. Grammar, punctuation and structure is professionally constructed with a plethora of documentation and properly cited credible sources such as IRS statistics and government data. The documentation and information provided on the site is very credible with the only negative reviews coming from extreme funda mentalists with opposing views. In reviewing objectivity, I have to conclude that Whitehouse.org has a distinct almost palpable bias. The presidential staff maintain the site and censor any and all information that is posted on the site. That alone has a tendency to neutralize objectivity since nearly all metrics point to the success of the Affordable Care Act. The site is reasonable though in that while only positive data is presented there are no extreme views or attempts to discredit opposing views with slanderous text. It most certainly poses a classic sociopolitical slant towards the president’s successes while carefully avoiding any negative issues such as missed deadlines and a faulty user portal for the Affordable Care Act enrollment. While the actual authors of the site are almost certainly staff of the White House, it is implied that President gives his approval for it. In conclusion, Whitehouse.org presents a balanced yet biased view of the positive aspects of the Affordable Care Act. Well known and highly publicized failures such as the faulty user portal are conveniently omitted. It presents the data and facts in an implied authoritative manner while maintaining an atmosphere of accuracy with its supporting metrics. The site is by no means exhaustive yet provides enough criteria to merit its use for graduate research. The second website I have chosen to review for its qualification of graduate research information is the Wikipedia page titled Patient Protection and Affordable Care Act. Wikipedia is the sixth most popular website in the world and considered to be one of the most popular internet reference sites.  The English version of the site contains over 4 million individual articles. I chose to contrast this site to Whitehouse.org in regards to the Affordable Care Act. The first criteria that any site should be evaluated for is the concept of authority. As mentioned earlier, Whitehouse.org has both direct and implied authority as the implication is that the President of the United States approved the information on the site. The authority of the Wikipedia is questionable as virtually anyone with suspect credentials can post as a subject matter expert. One does not have to be vetted to edit an article and as a result there are factual portions of the article written by laypeople. While sources are often cited, they are not required and could easily passed off as fact when in reality it is strictly unprofessional opinion. Since the Affordable Care Act is a highly polarizing topic that spans every political party, there is every reason to question the authority of the Wikipedia article. The accuracy of Wikipedia is a bit more complex of a criteria to evaluate. It is current as regular edits are added to the page on a frequent basis. Wikipedia frequently includes the date of the most current edit or if an extended time has passed without an edit the site includes a warning about the questionable currency. The Affordable Care Act article on Wikipedia is comprehensive and includes a wide range of data and metrics, both positive and negative. Sources can be cited but are not required and are only self vetted. All articles include bibliographies however since they are not vetted either it is strongly suggested to review all bibliography entries for accuracy. While is considered to be a useful reference it is inferred to be questionable at times. When evaluating Wikipedia’s Affordable Care Act article concerning objectivity I found that this is one criteria that Wikipedia shines. While it has a proclivity towards bias it stays more in the moderate area. Both opposing and approving views and ideas are written in the article. This unchecked balance of multiple authors actually blends quite unexpectedly into an objective article. Views of accolades are written in the same  article with prominent failures. While there certainly is a palpable bias it is kept in an uneasy balance. The Affordable Care Act article on Wikipedia lists more than individual sources. This fact alone suggests an amount of complexity and variation in evaluating objectivity. Wikipedia’s article is in sharp contrast to Whitehouse.org in many research criteria. I believe that while Wikipedia can be used for graduate research it should be used in moderation and only after other publication searches have been exhausted. The information contained within is suspect at times and would require additional research to properly independently authenticate sources. Comparing these two websites from a high level, I would use Whitehouse.org as a credible graduate level information source while Wikipedia would be ore suspect in terms of validity for graduate research.