Military Spending, A Necessary Expense. In 2014 The United

Military spending, a necessary expense In 2014 the United States government approved a spending budget for fiscal year 2015. The proposed amount was $1.11 Trillion dollars or $1,110,000,000,000.00; this was the highest budget proposal in United States history. Out of the proposed budget $598.5 billion dollars were allocated to military spending. This consisted of over fifty-four percent of the total budget. To get an idea of just how much this is, the second highest allocation of funds was the cost to run the government. The total allocated to this task is $72.9 billion dollars or just six percent of the total budget. In a time where the National Debt is topping just over $18 trillion dollars as of September 2015, this is an astronomical†¦show more content†¦First, The National defense budget. During the start of the American revolutionary war in 1775, most of the budget for defense was procured from the French government in the form of loans. The total cost of the war left us over $2 million dollars in debt to F rance. This seems like a relatively low cost compared to the value of the dollar today, but accounting for inflation from 1775 to present, $2 million dollars is roughly $62.5 million dollars today. The highest military budget during World War I was $546 million in 1917, which would be just over $10.3 billion dollars today. And again during World War II the budget reached its height in 1944, totaling $74.67 billion or $1.02 trillion dollars today. The war on terror, 2001 to 2015 has run up a total of 1.7 trillion dollars according to an article written by Forbes magazine dated February 3rd 2015. Historically our military budget has far exceeded the rest of the world. Very few countries have even come close to spending 1/3 of our annual budget. There have been vast technological advancements made by the United States due to research and development that is funded by our Defense budget. We have come a long way from the muskets and cannons of the revolutionary war. Research and development projectsShow MoreRelatedCurrent National Health Care Spending1564 Words   |  7 Pages Health Care Spending Health care spending in the United States is the highest then in any other country. According to Kane (2012), the Organization for Economic Co-operation and Development (OECD) there are less physicians per person than in other OECD countries. For example there was 2.4 practicing physicians in the U.S. per 1,000 people. The average for OECD was 3.1, the U.S. fell well below. In 2012 $8,233 was spent on health care per year per person, this was â€Å"two and a half times more thanRead MoreNational Debt : The Hamilton Proposal1309 Words   |  6 PagesNicholas Kasper Professor Badri Jawad Economics 201 August 10, 2014 National Debt: the Hamilton Proposal. Ever since the 1970s, increased government spending has lead to a $17.6 trillion debt. The government can alter this debt by the use of fiscal policy. Politicians are given two ways to do this, either increase taxes or reduce government spending. The Hamilton project proposes 15 different ways to reduce the deficit, which are broken down into four sections; social safety nets, tax reform, newRead MoreDifferent Types Of Economic Systems1613 Words   |  7 Pageseconomies, money plays an important role, it enables those in the traditional economy to purchase better equipment to make their farming, hunting or fishing more profitable. The United States had many features of a traditional economy before the Great Depression. In the beginning of the 20th century, 60% of the United Stated lived in farming communities, whilst 41% of the workforce were employed by farms. Over-farming occurred in response to high demand from Europe after World War I. In additionRead MoreMedical Attention Of The Doctor s Office Essay1269 Words   |  6 Pagesbenefits toward universal healthcare. According to my survey that I took in this class on December 1st, 2016, 43% of the class is bothered that America does not have universal health care. Nonetheless, according to Huffington Post on February 13, 2014, â€Å"A U.S. Census Bureau report found that in 2012, more than 15 percent of the population -- 48 million people -- had no health insurance, which means they had limited access to medical care and were at risk of facing crippling debt if they got sickRead MoreIn Debt with Health Insurance1449 Words   |  6 PagesIn Debt with Health Insurance More than 60 percent of personal bankruptcies in the United States are caused by medical bills. Of those bankruptcies that were caused by medical bills, 75 percent of them involved individuals that have health insurance. When an individual gets sick in this country their first thought is usually ways they can avoiding going to the doctor so they do not have to try and pay for their visit regardless of if they are insured or not. Even now after the Affordable HealthRead MoreThe Arms Race and How it Changed the United States of America1415 Words   |  6 Pagesâ€Å"The Evil Empire† — that is what, at the height of the arms race, United States President Ronald Reagan called the Soviet Union (Rudolph 1). Unsurprisingly, the Soviet Union was similarly upset at the United States. This anger is what fueled the arms race. During the Cold War, due to fears of nuclear attack, the US and Soviet Union designed and deployed thousands of nuclear warheads, each hoping to deter the other from nuclear launch with threat of counter attack (O’Neal 1). This massive armsRead MoreThe Affordable Care Act Of The United States2341 Words   |  10 PagesThe Affordable Care Act Health Policy in the United States Abstract In 2010 during the term of President Barack Obama something needed to be done due to the rise of healthcare costs and the number of people who were uninsured and unable to pay their healthcare bills (ehealthinsurance 2014). United States spent more on healthcare than any other country but yet was only the 34th in life expectancy. These are some of the many reasons why The Affordable Care Act came about and was signedRead MoreTexas State House Bill 111979 Words   |  8 Pagesactivity within their jurisdiction to the TTIC. The creation of the TTIC will permit law enforcement agencies along the border area with Mexico identify patterns that could reveal large, organized criminal organizations and operations. The TTIC is necessary because some, but not all, agencies furnish information to the existing Joint Operations Intelligence Centers (JOICs) due to way the JOICs are structured. Thus, the TTIC will provide law enforcement agencies, the Texas legislature, and the publicRead MoreCase Analysis : Northrop Grumman Corporation6339 Words   |  26 Pagesthe business traits of the Northrop Grumman Corporation. Within the report analysis it will help management to define the organization?s plan for strategic decision making. The report includes a financial overview of the last five years from 2010 to 2014 and includes overviews of the organization?s total sales, net income, earning per share (EPS), and return on equity (ROE). Including a brief overview of the corporate governance, vision and mission statemen t and analyses of key strategies that theRead MoreEssay Strategic audit4372 Words   |  18 Pageswhat they are capable of doing would increase the interest of consumers having this product in their own homes. Spend more time and resources in RD In order for iRobot to stay competitive and to develop new and successful robots (either home or military robots) is very important to know what the customers need and provide them a product that were looking forward on having. 3. Strategies iRobot wants to be the leading company in the robotics industry even in the future, therefore having clear

The Media And Its Effects On Society - 1736 Words

In today’s world, the large problem with the way the media advertises the human body is growing every day. From digitally editing magazine ads, to starved models, to plastic people, advertising paints an unrealistic and unhealthy body image to the public. Advertisements that display these plastic people as the epitome of beauty, cause otherwise normal, healthy people to invest in unhealthy diet plans which can lead to eating disorders, and even premature death. Women desperately trying to compete with plastic models are not the only casualty of this cruel psychological war; men are envious of the perfectly toned six packs on underwear models just as much. Eager to compete, steroids clog up the hearts of those who just want to meet the†¦show more content†¦Everyone is self-conscious of something, and these advertisements only encourage more insecurities; implanting a specific image of what a person should look like as time goes on. In reality, people who are complete ly healthy and active are sometimes labeled â€Å"overweight† because of their particular body type and genetic makeup. Yet, the term â€Å"overweight† has a whole different meaning these days, doesn’t it? Websites and magazines tell us what our weight should be for our exact height and age, yet they don’t take into consideration that every human being is different and often won’t live up to the specific number range expected of them. A number on a scale doesn’t define a person, just like long silky hair, trim waists, clear skin, a large bust and thin thighs don’t all define a perfect girl, and six packs, huge muscle build, and tall height don’t all define a perfect boy. . There are thousands of people who suffer with eating disorders every year. â€Å"The morality rate for eating disorders is 6 percent, probably the most deadly of all mental disorders in patients, incorporating starvation, cardiac arrest, and suicide.† (French Fashion Industry Agrees To Promote Healthy Body Images). If these unattainable body images weren’t flaunted where everyone could see and be influenced by it, the number of people with eating disorders would lessen significantly without the pressure of perfection all around them. I have found that these images are more popular in America than some

A Research on Obesity and Diabetes Plaguing...

LITERATURE SEARCH 0 Literature search: Research on African-American women, obesity and diabetes Setse, R., Grogan, R., Cooper, L., Strobino, D., Powe, N., Nicholson, W. (2008). Weight loss programs for urban-based, postpartum African-American women: perceived barriers and preferred components. Maternal Child Health Journal, 12(1), 119-127. Abstract (from CINHAL) There are currently 1.85 million reproductive-aged women in the United States with diabetes or glucose intolerance. While it is known that postpartum weight retention can lead to obesity and diabetes, particularly among African-American women, little is known about African-American womens preferences for postpartum weight loss programs. Our objective was to explore urban-based African-American womens attitudes toward weight gain, perceived barriers to postpartum weight loss, and preferences for weight intervention strategies. METHODS: Focus groups of pregnant African-American women (n = 22) were conducted by a race-concordant moderator. Open-ended questions were posed to stimulate discussions which were audio taped and transcribed verbatim. Transcriptions were independently reviewed by two investigators who extracted quotations and coded each statement to identify major themes. Results: The median age of participants was 26 years. Median pre-pregnancy or first trimester body-mass ind ex was 31 kg/m (2). Fifty-seven percent of the women were multiparous and 68% were Medicaid recipients. We identified 16Show MoreRelatedA Study On Obesity And Obesity3724 Words   |  15 PagesDISTRICT ABUJA. +2348037726861 gentledazy@gmail.com COMMUNITY HEALTH WORKERS KNOWLEDGE OF CAUSES, HEALTH IMPLICATIONS AND PREVENTION OF OVERWEIGHT AND OBESITY: A GUIDE TO PUBLIC HEALTH INTERVENTION. ABSTRACT Overweight and obesity are increasing globally even in developing nations. Nigeria currently does not have national figures on overweight and obesity in adults and adolescents. This shows that it is not yet seen as a priority despite the associated risks. Public health interventions need to be onRead MoreAttitudes And Perceptions Of Immigrants2334 Words   |  10 Pagesto discuss, especially when women, and some men, are at the center of attention. Many individuals feel self conscious of themselves when the discussion of weight is surfaced. Society, in particular the American society, has placed emphasis on being a certain weight, and at the same time viewing a person who is over a specific size as overweight and undesirable, as well as having a low socioeconomic status (SES). In comparison to the American society, in the African society, an individual’s weightRead MoreRural Health : The Great Melting Pot1793 Words   |  8 Pagesthe research conducted within the United States suggests that rural populations endure greater health disparities than their urban counter parts. â€Å"The term health disparities refer to distinct patterns of differences in health status and well-being across population groups.† (Huff, Klin e, Peterson, 2015, p. 102) The struggles rural Americans face is not defined as much by race as they are by a person’s culture and ethnicity. In this paper, minorities are defined as Black/African Americans, AmericanRead MoreThe Extensive Effects of Alzheimer’s Disease 2480 Words   |  10 Pagesupon the people who give support to the affected. The expenses of Alzheimer’s are so high that the disease has caused a financial epidemic through out the nation. Through research, it has been concluded that Alzheimer’s is the most expensive disease to be effected by, beating cardiac diseases and many others that are currently plaguing the nation. Scope of the Problem Among the top causes of death in America, Alzheimer’s ranks at number six in the United States. In 2013, this disease afflicted 5.2Read MoreRacism And Its Effects On Mental Health Status2068 Words   |  9 Pagesrelated to elevated levels of blood pressure in blacks although this association has not always been found. Another significant psychological effect of racism is its attack on the ego identity of its victims. Negative images of blacks are pervasive in American culture. The age-old proverb that sticks and stones may break my bones but words can never hurt me does not ring true for the effect that believing hurtful words and negative cultural images can have on an individual s health. This idea of

Troubling Issues of Child Labor in Between Shades of Grey...

The novel Between Shades of Grey by Ruta Sepetys does an excellent job illustrating the troubling issue of child labor. The extent of child labor in a country is directly linked by the nature and extent of poverty within it. Child labor deprives children of their childhood, their potential and their dignity. It is detrimental to physical and mental development. Today, there are an estimated 246 million child laborers around the globe. This irritating social issue is not only violates a nation’s minimum age laws , it also involves intolerable abuse, such as child slavery, child trafficking, debt bondage, forced labor, and illicit activities. In Between Shades of Grey , Lina and her ten year old brother are unrightfully charged 25 years of†¦show more content†¦Ã¢â‚¬Å" Worldwide, there are an estimated 246 million children engaged in child labour. Some 180 million children aged 5–17 (or 73 percent of all child labourers) are believed to be engaged in the w orst forms of child labour, including working in hazardous conditions such as in mines and with dangerous machinery. Of these children, 5.7 million are forced into debt bondage or other forms of slavery, 1.8 million are forced into prostitution or pornography and 600,000 are engaged in other illicit activities.† -(Karen Dukess, UNICEF Media) Poverty struck parents who are out of options are often tricked into selling their children to middlemen for a few dollars. They are fooled into thinking that their child will receive care, a free education, and their wages will be sent back to the family. The harsh reality is seen when the child is denied an education and becomes a frequent victim of maltreatment, physical and psychological abuse by supervisors; a major will never see their family again. However, there is still a small beacon of hope. In Nepal, some children, like Maya Lama, are rescued. Maya was only ten when she was initially forced to work grueling 16-hour shifts in a carpet factory in Nepals capital, Kathmandu. Though child labor is illegal in Nepal, Maya became one of the estimated 1.6 million working children. Established in 2000, the minimum age for most work is 14 years old for work, with the exception of plantations and

Symptoms And Treatment Of Ptsd - 1262 Words

have different symptoms such as depression, anxiety, substance abuse, and other issues. This trauma history will align with the diagnosis to make it clearer. A soldier has will be cycling through emotions due to lack of sleep, stress, depression, and not being able to be stable. It is important to have a non-structured interview because it will help the social worker be able to make a connection with the client. The results for this case will be important because the worst traumatic The evidence has shown by PTSD has grown into one of the fastest growing compensated conditions in the Veteran Affairs and Social Security. This disability program covers over 3 million veterans between 1999 and 2004 (Speroff, T,2012). When the diagnosis†¦show more content†¦The not standardized test findings was not accuracy either for it. When literature was involved in the clinical setting, it became accurate and within guidelines. The biggest way to meet criteria for PTSD, an individual mus t report the distress of social, occupation, and other functions. Most clinicians try to have non standardized groups before they decide on the disorder. It is to help the soldier be able to give their opinion without being tested for each symptom. The assessment can still provide a clear understanding on which ones are not within PTSD. There was utilization of testing but it was low and conducting the interview only lasted less than 30 minutes. Another issue was the veterans undergoing independent assessments that would alter their results. When the evidence of PTSD has been shown, this intervention evaluation helps to provide statistic information for the growing issue. Most veterans need this information so they can know that they are not alone. The standardize testing is shown to give a guide to the social worker but it can not gather all of the information for the case. The non-standardize testing helps with gathering information but does not have a guide to go by to diagnosis the client. It would be hard to meet the criteria depending on which test is given to the client. As a social worker, gathering as much information would help benefit the case. There is a growing number of veterans that are not counted in these statistics due

Application of American Accounting Association- Free-Samples

Questions: 1.Using the American Accounting Association (AAA) ethical decision model explain the ethical issues involved here and recommend a course of action for Jacqui. 2.With reference to relevant case law, prepare a report for the managing partners of MYH on the strength of any negligence case that Oasis might bring against MYH. Answers: Introduction American Accounting Association (AAA) incorporated in 1916, is seen to be having a reputable and rich history for holding premier community of the accountants in academia. The diversity among the membership has been able to create an environment with appropriate innovation and collaboration. The study is intended to address the legal and the ethical issues which need to be considered by the audit division at Miller Yates Howarth (MYH). The main consideration of the study will consist of application of American Accounting Association (AAA) based on the ethical issues and the decision models. The recommendations of the study have shown an effective use of the model. The final section of the study has been seen with the relevant application of the case laws which has been prepared as per the recommendations made by the managing partners at MYH. 1.AAA Model Determination of Facts The given case is considered as per the consideration made by the MYH accounting firm. This is seen to mainly operate in NSW and Queensland. Morgan Fertilisers Pty has been further considered to be long standing client with the operations located in Tamworth and Toowoomba. Morgan Fertilisers has gone through recent changes as the contractors for the waste management has been changed to Dumparound Ltd. Jacqui Leaks one of the senior auditor has been seen to be having the knowledge about the community activities and she has been seen to be having the knowledge about the local council investigating norms in the toxic waste in one of the sites (Azahari, 2013). Identification of ethical issues The considerations of the ethical issues have been considered as per the activities of Morgan Fertilisers Pty, who has changed its contractor to the Dumparound Ltd. for management of waste. The ethical concern has been considered as per the investigation made by Dumparound Ltd. for waste management at one of the sites. The contract made between Dumparound and Morgan Fertilisers is seen to be investigated by the local council norms and the toxic level in one of the sites. The contract between Morgan Fertiliser and Dumparound has not been able to specify for any damages and has not been signed by Dumparound Ltd. The main aspect of the contract is held substantially for last 3 years and has concerning issues for Jacqui. Identification of major principals and rules, values The existing ethical and the legal concern have been considered as per AASB 102 on valuation of inventories. The cost of valuation needs to be recognized as per the asset and this needs to be carried forward for recognition of the revenue. The main applicable code has been seen to be APES 110 Code of Ethics for Professional Accountants is applicable as per Section 310 conflicts of interest. The application of the rule has shown that MYH members are expected to extend the support for ethical and legitimate objectives and apply relevant procedure in the organization (BIRD OROZCO, 2014). Specification of the alternatives The alternative specification has been evaluated as per the adjustment of the inventories and this has been adjusted in the inventories as per the years end and the dates of physical count. Furthermore, the auditor is required to analyze the inward and the outward movement of stocks with the cutoff date and established the validity date as per the closing year date (Nelson, Proell, Randel, 2016). Comparison of values and alternatives The values have been compared based on the APES 110 Code of Ethics for Professional Accountants vs. AASB 102 on valuation of inventories. The application of the APES rules of the membership has been seen with the responsibility of the employing the organization as per the professional obligations and comply with the various types of the fundamental principles. The member in the business needs to support the procedures and the rules appropriate to the organization. The important consideration for the AASB 102 rulings has been based in terms of measuring the net realizable value and the cost of asset and these needs to be carried forward with the recognition of the revenue. The inventory cost has been based on the evaluations and the reliable factors of the cost in making the assets ready for use. Identification of the alternatives access the consequences The inventory value is seen to be overvalued and the various types of the income needs are overstated in the gross profit of the company. The overvaluation has been further seen to be take place in the retained earnings. The various types of the consideration for the equity and the total assets may be seen to be overvalued as per the retained earnings. Recommended Decision The recommendation for Oasis Ltd has brought forward the negligence which has been charged during the conduction of audit at MYH. It needs to further base on the sole consideration to deal with the way MYH may or may not held for the issue of negligence. 2.Report for the managing partners of MYH The various types of the considerations as per AASB 102 on valuation of inventories has been identified as main issue and the error in the inventory valuation is based on the cost of the asset recognized or the total value whichever is lower. The inventory cost needs to be based on the cost of purchase, conversion cost and the cost incurred in making of an asset which is ready with a specified purpose. The inventory cost may or may not recovered as per the inventories which are seen to be obsolete or damaged. It has been further observed that the inventory cost has not been recovered based on the evaluated expenses and assessed the expenses based on the sales policy expansion. The important consideration for recording of the inventory is below the cost of the net realizable amount which is seen to be reliable in nature. This should not be carried with the excess amount of the expected realization of the sales amount. The inventory is seen to be overvalued with the net income and the gross profit needs to be overstated. The important consideration has been further seen to be considered as per the overvaluing of the equity of stockholder, retained earnings and amount of net profit. The overvaluation of the inventory has been further seen to be considered as per the starting period of the accounting year and the same has been seen to be considered as per the accompaniment of the time frame. The cost of goods needs to be considered as per the COGS will be high and the period of the net income and gross profit is considered to be too low. As per the Morgan Fertilisers case, the carrying value of the inventory has been considered to be particularly high based on the inventory value which has been depicted in the balance sheet of the company. 50% of the inventory has been further considered to be obsolete and this has been not supposed to include the valuation of the inventory. The different types of the considerations made for the inventory has been further seen to base on the actual value. MYH stock valuation needs to be taken into consideration by the management. The case of Morgan Fertilisers is considered as per the high inventory value and the values which have been taken into the consideration in the balance sheet of Oasis Ltd. Despite of the varying nature of the considerations, after two months the inventory value of the company has been seen to be overstated. More than 50% of the inventory has been also considered as obsolete in nature and this has been further seen to be obsolete and not included in the valuation of the inventory. The physical confirmation of the inventories has been considered as the responsibility of the management. The duty of the management has been further seen to be considered as per the checking of the inventories once in every year and this has been seen to be conducive in the establishment of the financial statement. The auditor needs to consider the evaluation with the complete review of the technique and get acquainted to the adequate and suitable audit confirmation, which is comparable with the physical inventory. The auditor needs to be present physically with the inspection and the investigation of the inventory to check the systems around the management to record the changes based on the dependability of the procedures. The auditor cannot opt for the inventory count which is seen to be available as per the alternative measures for the inventory adjustments in terms of the date of count and accurate recording of the same. The auditor needs to review the management information and the internal control with the various considerations of the tagging, identification of the obsolete and non moving items. The auditor needs to consider the various types of the cut off procedures for the valuation of the WIP and the movement in the inventory. The various types of the third party considerations are depicted below as follows: The financial statement is not seen to be true in nature The auditor has been recklessly ignoring the fact and considering the same to be untrue The errors has been committed while preparation of the final accounts There has been certain amount of negligence on part of the auditor employe The main applicable case has been seen to be done based on Esanda Finance Corporation Ltd v Peat Marwick Hungerfords (1997). The main observation has shown that the corporation has lent money as per the audit report. The default in the payment has been observed with Esanda claiming to the auditors to provide the loans as per the audit report and the breaches made in the accounting standard (Wang Cuthbertson, 2015). Conclusion The given case has been able to show that MYH has verified the stock appropriately. It has been also seen that they have been able to approve the valuation and did not consider the obsolescence for stock. The different types of the evidence has been further able to depict that Oasis Ltd. has been included for significant pressure which has been considered by the client based on the completion of the audit process with the limited nature of the time. The completion of the audit process has been further seen to be considered from the balance sheet of the company. The various considerations of the report has been also able to depict that Oasis Ltd should bring forward the significant negligence with the audit of MYH. Reference List Azahari, F. (2013). Shariah Audit in a Legal Process: Future Growth in Specialised Skills. Malayan Law Journal, 6(xciii), 118. BIRD, R. C., OROZCO, D. (2014). Finding the Right Corporate Legal Strategy. MIT Sloan Management Review, 56(1), 8189. Retrieved from https://www.redi-bw.de/db/ebsco.php/search.ebscohost.com/login.aspx?direct=truedb=bthAN=98547057site=ehost-live Nelson, M. W., Proell, C. A., Randel, A. E. (2016). Team-oriented leadership and auditors willingness to raise audit issues. Accounting Review. https://doi.org/10.2308/accr-51399 Wang, T., Cuthbertson, R. (2015). Eight Issues on Audit Data Analytics We Would Like Researched. Journal of Information Systems, 29(1), 155162. https://doi.org/10.2308/isys-50955

Midwifery Australian Nursing

Question: Discuss about theMidwiferyfor Australian Nursing. Answer: Introduction The Australian Nursing and Midwifery council regulates the nursing and midwifery practice at the national level. It includes members from all the states and territories. The essay deals with an emerging issue within the profession of midwifery. The essay highlights the evidence related to the topic and provides link to the relevant research and policies. The midwifery practices face challenges as midwifes in public sector are unable to meet their role as primary caregivers particularly in the materiality services in Australia (Kingwell et al., 2016). In the public sector the obstetricians are continuing to be the main caregivers. Even in the situation where there are low risk obstetrics patient physician are involved as primary caregiver and sometime playing the role of midwifes. In maternity services physicians were involved in intrapartum, antenatal as well as postnatal care. Therefore, it is a matter to wonder as to what exactly is the role of midwifes. The study executed by Kingwell (2013) showed that midwifes in Australia perceive that fulfilling their role is not possible in relation to the international definition of midwife. This data is supported with the study of Eadie and Sheridan (2017) which mentioned that midwifes experience less autonomy. They do not receive the opportunity to practice their knowledge and skills acquir ed in the training. The care delivered by midwifes is affected as they lack confidence to deliver high quality care. They do not practice to their full potential. Sandall et al., (2016) highlighted that obstetrician in public sector demand the midwifes to call them to be present even in the low risk deliveries. There are instances where the low risk woman prefers the physician to review or take their delivery. It is due to perception created that only the physician can ensure safe delivery. Such assumptions are trivialising the place of the midwifes. Eadie and Sheridan (2017) suggested that there is a need of the modification of the implemented roles and require restructuring of jobs. There is a need of modification of the deeply-entrenched hierarchiesand replace with more modern work models of management. Hospitals need to enhance the role of midwifes. In conclusion it can be said that the midwifes need to ensure consistent standards of training and practice. They must get the trust and respect they deserve. There is a need of role modification or restructuring of jobs so that midwives get more opportunities to practice to their full potential, make informed choices and play more advocacy role. It will ensure developing skills and confidence to uptake more responsibility towards the care of pregnant women. References Eadie, I. J., Sheridan, N. F. (2017). Midwives experiences of working in an obstetric high dependency unit: A qualitative study.Midwifery,47, 1-7. Kingwell, E. L. (2013). Do midwives possess the knowledge, skills and confidence to care for acutely ill women within the tertiary maternity hospital setting?. Kingwell, E. L., Butt, J., Leslie, G. (2016). Maternity high-dependency care and the Australian midwife: A review of the literature.Women and Birth. Sandall, J., Soltani, H., Gates, S., Shennan, A., Devane, D. (2016). Midwife?led continuity models versus other models of care for childbearing women.The Cochrane Library.