Trying To Find The Best Diet Pill?
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The effects listed on the product label are there because these are the effects that the product has had on 'some' of the test group. Some of the diet pill testers may be fine taking the product, while others may have adverse effects. The diet pill companies print this information to educate the buyer as well as to protect themselves from lawsuits. The consumer needs to read the label and educate themselves before taking the product. Many people who are sensitive to caffeine are surprised when the diet pill makes them feel nervous or nauseous, but this information is likely printed on the product, so with a little research these affects can be avoided.
If you read the fine print on product claims for diet pills and other weight loss supplements, you will see 'results not typical' printed very small somewhere where you are not expected to look. The diet pills advertised on television are responsible for some of the most outlandish claims. The results claimed in these advertisements are often unattainable within the given amount of time outlined in the ad. Don't expect to see results in two weeks like a lot of ads claim.
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Why are Americans so worked up about health care reform? Statements such as "don't touch my Medicare" or "everyone should have access to state of the art health care irrespective of cost" are in my opinion uninformed and visceral responses that indicate a poor understanding of our health care system's history, its current and future resources and the funding challenges that America faces going forward. While we all wonder how the health care system has reached what some refer to as a crisis stage. Let's try to take some of the emotion out of the debate by briefly examining how health care in this country emerged and how that has formed our thinking and culture about health care. With that as a foundation let's look at the pros and cons of the Obama administration health care reform proposals and let's look at the concepts put forth by the Republicans?
Access to state of the art health care services is something we can all agree would be a good thing for this country. Experiencing a serious illness is one of life's major challenges and to face it without the means to pay for it is positively frightening. But as we shall see, once we know the facts, we will find that achieving this goal will not be easy without our individual contribution.
These are the themes I will touch on to try to make some sense out of what is happening to American health care and the steps we can personally take to make things better.
A recent history of American health care - what has driven the costs so high?
Key elements of the Obama health care plan
The Republican view of health care - free market competition
Universal access to state of the art health care - a worthy goal but not easy to achieve
what can we do?
First, let's get a little historical perspective on American health care. This is not intended to be an exhausted look into that history but it will give us an appreciation of how the health care system and our expectations for it developed. What drove costs higher and higher?
To begin, let's turn to the American civil war. In that war, dated tactics and the carnage inflicted by modern weapons of the era combined to cause ghastly results. Not generally known is that most of the deaths on both sides of that war were not the result of actual combat but to what happened after a battlefield wound was inflicted. To begin with, evacuation of the wounded moved at a snail's pace and this caused severe delays in treating the wounded. Secondly, many wounds were subjected to wound care, related surgeries and/or amputations of the affected limbs and this often resulted in the onset of massive infection. So you might survive a battle wound only to die at the hands of medical care providers who although well-intentioned, their interventions were often quite lethal. High death tolls can also be ascribed to everyday sicknesses and diseases in a time when no antibiotics existed. In total something like 600,000 deaths occurred from all causes, over 2% of the U.S. population at the time!
Let's skip to the first half of the 20th century for some additional perspective and to bring us up to more modern times. After the civil war there were steady improvements in American medicine in both the understanding and treatment of certain diseases, new surgical techniques and in physician education and training. But for the most part the best that doctors could offer their patients was a "wait and see" approach. Medicine could handle bone fractures and increasingly attempt risky surgeries (now largely performed in sterile surgical environments) but medicines were not yet available to handle serious illnesses. The majority of deaths remained the result of untreatable conditions such as tuberculosis, pneumonia, scarlet fever and measles and/or related complications. Doctors were increasingly aware of heart and vascular conditions, and cancer but they had almost nothing with which to treat these conditions.
This very basic review of American medical history helps us to understand that until quite recently (around the 1950's) we had virtually no technologies with which to treat serious or even minor ailments. Here is a critical point we need to understand; "nothing to treat you with means that visits to the doctor if at all were relegated to emergencies so in such a scenario costs are curtailed. The simple fact is that there was little for doctors to offer and therefore virtually nothing to drive health care spending. A second factor holding down costs was that medical treatments that were provided were paid for out-of-pocket, meaning by way of an individuals personal resources. There was no such thing as health insurance and certainly not health insurance paid by an employer. Except for the very destitute who were lucky to find their way into a charity hospital, health care costs were the responsibility of the individual.
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Wir möchten uns auf diesem Weg nochmal ganz herzlich bei dir bedanken. Du warst bei der Planung immer für uns da, ob Tag oder Nacht, und hast jeden unserer Wünsche berücksichtigt und so unsere Venezuela-Reise zu einem ganz besonderen Erlebnis gemacht. Vielen Dank auch für den herzlichen Empfang und Betreuung bei dir zu Hause. Ihr ward immer für uns da und die entspannten Cuba-Libre Abende in dieser tollen Umgebung werden wir nie vergessen. Wir können deine Agentur uneingeschränkt empfehlen, denn du hast wirklich die besten Guides und Unterkünfte. Wir können nur hoffen, dass wir uns vielleicht irgendwann nochmal über den Weg laufen, um weitere Geschichten auszutauschen :) Viele liebe Grüße auch an deine liebe Frau und den kleinen Basti:) Vergessen wollen wir natürlich auch nicht die drei Vierbeiner ...:)
Voller Sehnsucht senden wir euch liebe Grüße in die Anden aus dem kalten Norddeutschland :) Wir wünschen euch nur das Beste und denken an euch!
Christoph & Britta
Nochmals vielen Dank fuer die guten Vorschlaege zur Routenplanung und die doch recht komplizierte Organisation.
Die Unterkuenfte, Transfers und Treks waren sehr gut, alles hat gut geklappt. Uns hat es sehr gut gefallen und
wir empfehlen Mariposa auf jeden Fall weiter.
Viele Gruesse aus Grenoble,
Steffi und Wim
wir sind wieder gut in Deutschland gelandet. Toll wars in Venezuela.
Alles war super organisiert, alle Leute haben sich super um uns gekümmert, wenn mal ein Flug ausfiel oder es beim Checkpoint Schwierigkeiten gab, die Touren waren top, die Unterkünfte und das Essen toll, alle Transfers haben wunderbar funktioniert und El Yaque mit Kiten bei Otto war ein super Vorschlag.
Also, vielen Dank noch einmal für alles.
Wir würden jederzeit wieder bei Dir buchen und werden Mariposa Tours empfehlen!
Beste Grüße aus Leipzig
Marcus und Andy
Grüß Ditsch Ronny,
Mal auf diesem Wege einen recht herzlichen Dank, das Du und Dein Team uns diesen Trip ermöglicht hast. Man kann und sollte getrost bei Mariposa Tours buchen und sich eine individuelle, nach seinem Geschmack, Reise zusammen stellen lassen. Wenn man sich einmal überlegt, daß wir während unseres 16 tägigen Trips allein 9 Flüge hatten, so kann man man sich vorstellen was für eine Leistung dahinter steckt. Alles einfach alles von Anfang bis Ende hat super geklappt Flüge, Transfers, Canaima, Orinoco Delta ,Isla Margarita !!!Also habt keine Bedenken und bucht bei Ronny von Mariposa. Macht weiter so und für die Zukunft alles Gute. Freundliche Grüße von Petra und Mike
danke danke danke. du warst eine riesen Hilfe.
wir reisen schon über 10 Monate in der Welt umher. So gelangten wir mit viel Reiseerfahrung nach Venezuela.
Schon nach wenigen Stunden haben wir bemerkt, dass es momentan nicht so einfach ist in diesem Land idividuell
Zum Guten Glück sind wir auf dieser Homepage gelandet und Ronny erfüllte uns unsere perfekte Venezuelareise!! Ein email
genügte und Ronny ist voll und Ganz auf unsere Wünsche eingegangen.
So konnten wir ein besonderes Venezuela erleben. Wie gesagt ist Venezuela momentan relativ mühsam zu bereisen
oder eingestürtze Brücken) aber mit Mariposa Tours hat alles wunderbar geklappt.
Im Nachhinein müssen wir sagen wenn Venezuela dann mit einer Tour und am Besten mit Mariposa Tours, Ronny war uns stets
sehr behilflich und las uns jeden Wunsch vom Email..
Liebe Grüsse aus Kolumbien
Markus y Claudia