India’s Public Healthcare System

According to a recent report by Deloitte, India’s public health care system is patchy, with underfunded and overcrowded hospitals and clinics, and inadequate rural coverage.  Reduced funding by the Indian Government has been attributed to historic failures on the part of the Ministry of Health and Family Welfare (MHFW) to spend its allocated budget fully.  According to the World Health Organization (WHO), just 33 percent of Indian health care expenditures in 2012 came from government sources.  

And, today, challenges remain.  The vision for the plan period of 2012-2017 is to achieve acceptable standards of health care for the Indian populace.  However, India still doesn’t have a central regulatory authority for its health care sector.  Additionally, India’s health care sector is capital-intensive, with long gestation and payback periods of new projects.  Land and infrastructure costs account for 60-70 percent of capital expenditure for hospitals.  Further, the industry also requires capital for upgrade/maintenance/replacement of medical equipment and expansion.  Availability of capital at a reasonable cost remains a hurdle.

One way to increase India’s health care funding and access is through innovative public-private partnerships.  Among other suggestions to improve care, companies should leverage information technology (IT) to create patient-centric healthcare systems that can improve response times, reduce human error, save costs, and impact the quality of life.  At the same time, the government should focus on establishing more medical colleges and training institutes to provide the requisite doctors, dentists, nurses and paramedics.  The government should also invest in preventive and social medicine by promoting health education and preventive health-care concepts. 

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Cosmetic Procedures: Supply & Demand

According to the American Society of Plastic Surgeons, cosmetic plastic surgery includes surgical and nonsurgical procedures that reshape normal structures of the body in order to improve appearance and self-esteem. Healthy individuals with a positive outlook and realistic expectations are appropriate candidates for cosmetic procedures. Plastic surgery is a personal choice and should be done for yourself, not to fulfill someone else’s desires or to try to fit an ideal image. Because it is elective, cosmetic surgery is usually not covered by health insurance.

While any cosmetic surgery may seem vain, many people say these treatments have improved their lives.  For example, South Korea has the highest ratio of procedures per capita. Surgeons in the Asian country perform around 20 procedures per 1,000 people. It has been estimated that between one-fifth and one-third of women in Seoul have gone under the knife, and one poll reported by the BBC puts the figure at fifty percent or higher for women in their twenties.  The U.S. ranks second on a per capita basis, with 13 procedures per 1,000. Japan places third with 10 procedures per 1,000, according to numbers from the society.

Here are some of the top 8 cosmetic surgery procedures in high demand:

1. Breast augmentation surgery, also known as augmentation mammoplasty, is the surgical placement of breast implants to increase fullness and improve symmetry of the breasts, or to restore breast volume lost after weight reduction or pregnancy.  Breast augmentation surgery involves using breast implants or fat, referred to as fat transfer breast augmentation, to increase the size of your breasts or restore breast volume that has been lost after weight reduction or pregnancy.

2. Surgical body contouring following major weight loss removes excess sagging fat and skin while improving the shape of the underlying support tissue.  The result is a more normal appearance with smoother contours. Dramatic weight loss has many benefits. But after weight reduction surgery, or any substantial amount of weight loss, the skin and tissues often lack the elasticity to conform to the reduced body size. Body contouring procedures may include:

• Facelift: sagging of the mid-face, jowls, and neck, • Breast lift: sagging, flattened breasts; • Tummy tuck: apron of excess skin hanging over the abdomen, • Lower body lifts: sagging of the abdomen, buttocks, groin and outer thighs, • Medial thigh lift: sagging of the inner, outer and mid thigh, and • Arm lift: sagging of the upper arm

3. Rhinoplasty (“nose job”) can improve the appearance and proportion of your nose, or correct a breathing problem associated with the nose. Rhinoplasty surgery can change:

• Nose size in relation to facial balance, • Nose width at the bridge or in the size and position of the nostrils, • Nose profile with visible humps or depressions of the bridge, • Nasal tip that is enlarged or bulbous, drooping, upturned or hooked, • Nostrils that are large, wide, or upturned, • Nasal asymmetry

4. Dermal fillers: As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow’s feet become more apparent.  The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle. Injectable dermal fillers can plump thin lips, enhance shallow contours, soften facial creases, remove wrinkles and improve the appearance of recessed scars.  Dermal fillers can also help to diminish facial lines and restore volume and fullness in the face.

5. Laser hair removal: is a non-invasive technique that uses highly concentrated light to penetrate hair follicles and inhibit future hair growth. Laser hair removal is effective for most parts of the body.  But, because it only affects actively growing hair follicles, it may take several laser hair removal treatments to provide significant hair reduction. Additionally, while laser hair removal effectively slows hair growth, it doesn’t guarantee permanent hair removal. Periodic maintenance treatments may be needed.

6. Microdermabrasion treatments use a minimally abrasive instrument to gently sand your skin, removing the thicker, uneven outer layer. Collagen is a protein in your skin that’s abundant when you’re a child and makes skin appear taut and smooth. Collagen production declines as we age, resulting in looser, uneven skin.  Microdermabrasion helps to thicken your collagen, which results in a younger looking complexion.  This type of skin rejuvenation is used to:

• Improve age spots and blackheads, • Improve hyperpigmentation (patches of darkened skin, • Exfoliate your skin, Resulting in a refreshed appearance, • Lessen the appearance of stretch marks, • Reduce fine lines and wrinkles, • Reduce or eliminate enlarged pores, • Treat acne and the scars left by acne.

7. Surgical hair transplantation involves removing small pieces of hair-bearing scalp grafts from a donor site and relocating them to a bald or thinning area. Techniques include punch grafts, mini-grafts, micro-grafts, slit grafts and strip grafts for a more modest change in hair fullness. Flaps, tissue-expansion and scalp-reduction are procedures best for patients who desire a more dramatic change.Baldness is often blamed on poor circulation to the scalp, vitamin deficiencies, dandruff, and even excessive hat-wearing. All of these theories have been disproved. It’s also untrue that hair loss can be determined by looking at your maternal grandfather, or that 40-year-old men who haven’t lost their hair will never lose it.  But, here’s the truth about hair loss:  Hair loss is primarily caused by a combination of: • Age, • Change in hormones, • Family history of baldness.

If you and your doctor have determined that hair transplants are the best option for you, you can feel comfortable knowing that board-certified plastic surgeons have been successfully performing this type of procedure for more than thirty years.

8. Ear surgery – also known as otoplasty – can improve the shape, position or proportion of the ear. It can correct a defect in the ear structure that is present at birth, or it can treat misshapen ears caused by injury. Ear surgery creates a natural shape, while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound benefits to appearance and self-esteem.  Specifically, ear surgery can treat:

• Overly large ears– a rare condition called Macrotia,  • Protruding ears occurring on one or both sides in varying degrees- not associated with hearing loss, and • Adult dissatisfaction with previous ear surgery.

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Corporate Social Responsibility in Corporations

 Corporate Citizenship, Corporate Social Responsibility, Sustainability: three different names for what one could arguably call the central tension in contemporary society’s view of what corporations need to do to deserve a license to operate.

Unlike the corporations of the 19th and 20th centuries, which were set up to attract capital and to create manufacturing capability, present-day corporations do not need a manufacturing operation or a way to raise capital.  The 21st-century corporation, just as Drucker predicted, harnesses and focuses on human capital.  It is people with smart ideas, who know how to innovate and run things.

Corporate social responsibility (CSR) refers to a business practice that involves participating in initiatives that benefit society.  It has evolved from the actions of philanthropic foundations, other nonprofit organizations, and non-governmental organizations (NGOs).  These corporate citizenship initiatives reflect the beliefs and values of the enterprise, and those actions demonstrate them to the company’s business and local communities.

For example, Dawn, the dish washing liquid owned by multinational consumer goods company, Procter & Gamble (P&G) provides an exceptional case study of how the company successfully displayed its values and commitment to local communities during the 2010 BP oil spill disaster. After 40 years of partnering with the Marine Mammal Center and International Bird Rescue to save, rehabilitate, and release animals back into the wild, the company took the initiative to ship 2,000 bottles of Dawn dish soap to the Gulf region where the oil was expected to hit.  The detergent was used to clean ducks and other oil-covered marine life.  

Today, the company benefits tremendously from these CSR-focused strategies and efforts.  The company reports having heard from consumers that they make a point of buying this product to help animals because they love animals.  Not only are they supporting these animals, but these purchasing behaviors and habits also help increase sales and ROI.  Even as much as the packaging labels of Dawn detergent bottles has made a difference.   At the supermarket, Dawn detergent sticks out from competitors on the shelves.  The product label messaging reads, ‘Dawn Helps Save Wildlife’, combined with cute images of otters, ducks and other birds largely affected in the spill.  

By establishing a strong strategic framework, it becomes possible to embed corporate social responsibility into the everyday business activities of the corporation and to align incentive structures to reflect this.  An organization’s strategic function should be communicating its mission and values to all audience members and covering a wide range of things,  primarily making sure the company is able to shape its messaging rather than have some other entity shape it.   A well-run CSR effort that delivers what it promises is a powerful example of good brand stewardship.  

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Increased Demand for Cosmetic Rhinoplasty

Corporate Philanthropy and the Companies Giving

When most people think about philanthropy and giving they think of Bill Gates giving money to help Africa thrive or others pledging to give their wealth to charity before or shortly after they die. However, there is another important form of philanthropy that accounts for billions of dollars being given to charity every year.

Corporate philanthropy plays an important role in a democratic society. Charitable donations amount to an average of over $15 billion a year. Some common types of corporate philanthropy include programs that match donations made by employees or customers, volunteer grant programs, community grants and simple giving.

These are some of the best corporate givers:

Wells Fargo

Wells Fargo has the second largest corporate foundation in terms of giving. Wells Fargo aims to help the communities where they have branches saying:

“strive to strengthen financial knowledge and opportunities for our customers and communities “

They donate to non-profits, encourage employee volunteerism and help provide loans for community development.

Apple

When CEO Tim Cook took over for Steve Jobs in 2011 he had some enormous shoes to fill. Cook was not intimidated and had no problem making some quick changes. One of those was creating a donation matching program which matches up to $10,000 per year for their employees.

General Electric

General Electric was one of the first to engage in corporate philanthropy when they created the first corporate matching program in 1954. General Electric invest heavily in technology to help improve community access to education and health programs. They are one of the top five corporate givers.

Wal-Mart

Wal-Mart may receive a lot of negative attention for providing low wages and little health insurance to its employees, but it is one of the top three corporate givers. The Wal-Mart Foundation gave over $180 million to charity in 2013. Like Wells Fargo, Wal-Mart aims to aims to help build the communities they serve through donations and grants.

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Teaming Up To Bring Renewable Energy to India

India, under Prime Minister Narenda Modi, is making renewable energy a priority for the future. Modi’s latest investment in the renewable energy industry is part of a $20 billion joint venture between Foxconn Technology, Softbank and Bharti Enterprises to make renewable energy a reality in the impoverished country.

Before the proposal to increase output was accepted by India’s cabinet, the target for solar capacity by 2022 was 20 gigawatts. The new, more aggressive timeline, has pushed the target to 100 gigawatts by 2022. This means India will have have to add more solar energy capacity than the United States has in recent years.

However, many look at India with skepticism and don’t believe they will be able to meet their goals. Even with the the heightened enthusiasm in renewable energy, India installed only about a third of the annual capacity needed to hit their 2022 goal in the last year and a half. However, because of eased legal restrictions and increased financing many believe the ambitious timeline is feasible.

The joint venture in Indian solar power requires a lot of foreign investment and the plan and timeline are not yet complete. U.S. and Chinese companies alike are committing to investments in renewables for the country.

In an effort to achieve their goals, India has allowed for investments to be made entirely by companies outside of India specifically for renewable energy. Regardless, most companies prefer partnering with Indian companies to help navigate the country’s political and legal landscape.

This endeavor will make India into one of the top countries for renewable energy. And it is coming at an important time. People are coming out of poverty and India’s economy is growing quickly and demand for energy is growing with it. With foreign investment and Modi’s commitment, an India on renewable energy is becoming a reality.

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Organizations Helping the Nepalese

On April 25th , 2015 Nepal experienced a massive 7.8 magnitude earthquake in Gorkha. The capital city of Kathmandu is nearby and was completely devastated. Slowly the numbers came in on the extent of the damage. 8,000 people died and many more were injured.

There has been a flow of support from aid agencies, the federal government and a number of high profile philanthropists. Many have said that volunteer support is welcome but money is needed in the impoverished nation.

Nepal sits on the just northeast of India and has never been a wealthy country. It is a small country and the epicenter of the earthquake was in the center, so the entire country is hurting from the quake.

Communication was down in the country for weeks, but organizations across the world have been stepping in to help aid the Nepalese. The American Red Cross is working with The Red Cross in Nepal to organize efforts to make sure every dollar is maximized.

Save the Children is another organization that is getting involved in a big way. They have had a presence in Nepal for almost 40 years and was able to make an immediate impact because of how well they know the country. Save the Children immediately sent a medical team and a crew whose first priority was ensuring safe drinking water for everyone. They are also saving money prepare for future earthquakes.

Online social networks and crowdsourcing are helping out as well. Crowdrise had more than ten fundraisers running almost immediately after the earthquake happened. Global Giving has raised over a million dollars for Nepal.

Oxfam is helping by sending a team of tech experts from around the world to help with rebuilding and helping to avoid another catastrophe like this. If you are in any of the biggest cities in India there are offices for Goonj, a relief agency, that are accepting donations to help our Nepalese neighbors.

 

 

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Diet Vs. Exercise For Healthy Weight Loss

Everyday there is a new fad diet that is being touted to eliminate the need for diet and/or exercise, but losing weight and being healthy can still only be done through some combination of the two. And to be effective the two must be done in conjunction.

Working out without watching your diet is often ineffective because you aren’t getting the nutrients your body needs to build muscle which fights fat and you may be eating more calories than you are burning in your work outs.

Lowering your calorie intake and not working out will likely lower your weight but this is not sustainable and most people regain the weight they lose shortly thereafter this way.

So one without the other can work but to truly manage one’s weight at a healthy level takes both diet and exercise.

The diet in the United States is nowhere near the recommended guidelines from the US Department of Agriculture. According to their studies the average American eats 14 times more sugary foods than they should. Sugar like this has no nutritional value and contributes to fat on your body.

So, it’s a matter of what calories you are taking in and not how many. This is an important distinction that is not understood by many. When one hears diet in America they assume they have to cut the amount of food they eat.

Exercise ties it all together by burning the calories. Those that are able to consistently keep weight off and not have their weight fluctuate are patient and workout everyday.

The key is to get to a point where your lifestyle becomes a virtuous cycle of working out because it feels good and feeding your body the nutrients it needs so you feel good. After a while you won’t want to counteract your workout with unhealthy calories.

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Some Important Leaders Taking The Giving Pledge

Bill Gates and Warren Buffet started The Giving Pledge in 2010 in an effort to bring visibility to important issues and to get high profile billionaires to pledge money to help improve the world. The number of people that have signed the pledge to give over half of their money to charity is now over 125. Many of them are household names and arguably their biggest contribution is putting their names on the list.

One symbolic pledger is Ray Dalio. Dalio started the biggest hedge fund in the world, Bridgewater Associates. Dalio is worth an estimated $15 billion. Dalio signed the pledge in 2011. Dalio is a completely self-made success and sits at one of the most visible positions in the finance industry. Dalio is important because hedge funds were often vilified after the crash of 2008. But many hedge fund managers have philanthropic foundations with billions of dollars, Dalio has started to give more and more money to his foundation.

Tim Cook recently joined the ranks of pledgers. What differentiates Cook is not only that he took over for the most important tech entrepreneur of all-time after his tragic passing but his relatively low net worth. At just $800 his net worth is nothing compared to the likes of other pledgers Bill Gates, Warren Buffet and Larry Ellison whose assets sum to more than $150 billion. But Cook is the CEO of Apple and along with entrepreneurs like Ellison and Gates this pledge is an endorsement for philanthropy.

Mark Zuckerberg, the founder of Facebook has also taken The Giving Pledge. Zuckerberg is just 30 years old and is worth more than $37 billion dollars. As Facebook continues to add value to users and expand to other countries Zuckerberg stands to be the richest on this list in the future, helping to make the Giving Pledge last across generations. The millennial generation are already staring to show they would rather work for and buy from mission driven companies that seek to do good. The future looks promising!

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Getting Medicine in India

India has one of the largest pharmaceutical industries in the world and supplies low-cost medicine to countries around the world, but it works much differently than in the United States. In 1970, the Indian government stopped honoring patents for food and drugs. With such a large poor population many see this as a necessity to be able to provide inexpensive drugs to those that need them.

After this law was enacted, large companies didn’t see India as a great investment and pulled out, while the Indians mastered the art of reverse-engineering medicines. There is still some innovation in creating new pharmaceuticals but the market for these inexpensive drugs continues to grow quickly.

President Obama recently paid a visit to India and has urged the Indian government to adopt patent intellectual property laws that mirror those of the United States but this may have far-reaching consequences. This would price millions of people in India out of being able to purchase these drugs. Tuberculosis, for example, is a huge problem in developing countries like India and these drugs help combat it. India also sells affordable pharmaceuticals around the world so millions of these people would not be able to afford the drugs they need either.

Medicine Without Borders (MSF) has got involved as well after reading a draft of new intellectual property regulations. The United States has been pressuring the government to adopt more stringent patent protections to spur innovation but MSF contends that more stringent patent protections actually hurt innovation and pointed to numerous studies supporting this.

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Amazing, Full Lips With Makeup

If you are thinking about getting plastic surgery but aren’t sure how you might look or how people may react, try making some changes first in your morning makeup routine too see the advantages. With the advent of Youtube, blogs, and social media we have seen some very innovative techniques to improve your look.

One good example that has been shared across the web is Kylie Jenner and her lips. Speculation abounds as to whether or not cosmetic surgery was involved in creating her very natural look. Whether you are a fan or not of the Kardashian clan, one thing for sure is that they are good at looking their best.

Kylie and her older sister, Kim Kardashian West have both said publicly that her lips are simply enhanced by makeup, so whats the trick? An exaggerated lip line if Kim is to be believed, but it may be a little more complicated than that. The truth is there are a number of ways to exaggerate those lips.

First, you need to make sure you are working with smooth lips so you can color them in without flakes. To this you need to exfoliate. Lip scrubs have exfoliants but a popular option is also making a homemade lip scrub. There are plenty of recipes for this across the web.

Next, make your lips look bigger with conditioning lip balm. Look for lip balms with cocoa and shea butter. You can also get a lip treatment to help bring the moisture-look to your lips, this makes them appear fuller.

The next tip is what Kardashian says is the trick those famous selfies of her sister. Grab some lip liner that is a little deeper than your natural color and line outside of your lips. Then, just fill in in the rest of your lips.

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