Argumentative Essay In Favor of Euthanasia Essay

â€Å"Euthanasia is the administration of a lethal agent by another person to a patient for the purpose of relieving the patient’s intolerable and incurable suffering†. When we talk about euthanasia it is meant as a means to help someone to achieve a good death. The majority of those who seek euthanasia are terminally ill and do not have any other options. Either they stay alive and suffer from the severe pain, the symptoms, and the side effects like bedsores, or they decide to end their agony and choose the only other alternative. Unlike what some people think, euthanasia is used as a last resort and is only meant for people who face an imminent death. It is not meant â€Å"to kill†, but to help the dying die with dignity. Given that everyone has the right to die with dignity, as soon as the suffering comes to a decision to shorten his or her last days or weeks in order to end the unbearable pain, the society should accept it and do everything in their power to make it possible. Euthanasia is considered accepted among its supporters only if the following ethical guidelines are met. The person must be an adult in a rational state of mind, whose terminal suffering happens to be unbearable despite the best medical efforts. Secondly, the person must have clearly made a considered decision. As Timothy M. Quill illustrates in his essay â€Å"Death and Dignity† Diane, a woman diagnosed with terminal leukemia, her husband, and her son talked about her disease and the options including treatment extensively; however, â€Å"She remained very clear about her wish not to undergo chemotherapy and to live whatever time she had left outside the hospital†. An individual can express his or her preferences about healthcare at the end of life, for example by writing a living will, or even, in today’s more open and tolerant society, freely discuss the option of euthanasia with a health-care professional or a family member. Timothy M. Quill notes in the same essay Diane’s wish to die, once she â€Å"lost control of herself and her dignity†. She discussed this wish with her family and her doctor and asked them for their help and support. They were not happy about this, but they agreed to respect her choice, and that is what they did. Her doctor had regular meetings with her and talked to her about â€Å"the philosophy of comfort care†, but also about the â€Å"Hemlock Society†. As her condition worsened, she called up her closest friends including her doctor and said goodbye to them. Two days later she  asked her husband and her son to leave her alone for an hour after saying goodbye to them. After an hour, they found her dead â€Å"covered by her favorite shawl†. Euthanasia should not be carried out at the first knowledge of a life-threatening illness, and the individual must seek reasonable medical help to cure or at least slow down the progress of the terminal dise ase. Life is precious and is also worth a fight. Euthanasia is only an option when the fight is hopeless and the agony unbearable. However, once the decision is made, the treating physician must be informed and his or her response should be considered. It is always possible, that the diagnosis has been misheard or misunderstood; furthermore, the individual’s decision could have been triggered by major depression or any other curable mental illness. I think everyone would agree that each physician confronted with a patient seeking help to commit suicide should involve psychiatric consultation in order to rule out major depression before euthanasia should even be considered. After excluding any form of a treatable illness, it should be the physician’s choice whether or not to assist the patient to commit suicide. Under normal circumstances we do not have the right to kill or to let someone die, but there are some exceptions to this rule. A physician is permitted to withhold treatment and let the patient die, if it is so desired by the patient or a legal representative. However, if the same person under the same circumstances wishes to be helped directly in order to end his or her suffering, the physician is not allowed to assist this person put an end to his or her life. According to the American Medical Association â€Å"The physician who performs euthanasia assumes unique responsibility for the act of ending the patient’s life†. On the other hand the AMA also states â€Å"Physicians have an obligation to relieve pain and suffering and to promote the dignity and autonomy of dying patients in their care. This includes providing effective palliative treatment even though it may foreseeably hasten death.†The above statement shows us that AMA prohibits active euthanasia, â€Å"the administration of a lethal agent by another person to a patient for the purpose of relieving the patient’s intolerable and incurable suffering.†, yet allows passive euthanasia, â€Å"at least in some cases, to  withhold treatment and allow a patient to die†. James Rachels argues for why physicians should place passive euthanasia in the same category as active euthanasia. First, techniques of passive euthanasia extend the suffering of the patient, because it takes longer to passively allow the patient to die than it would if active measures were taken. Second, Rachels argues that passive euthanasia encourages the physician to make decisions on irrelevant grounds. For example, children born with Down’s syndrome often have correctable congenital defects, but sometimes the parents refuse the surgery, because they do not want a child with Down’s syndrome; therefore, they let the infant die. Rachels’ example might be a little extreme, but if we really want to be honest with ourselves, we should recognize that active euthanasia seems to be more humane in some cases than passive euthanasia. Advances in medical technology brought about a number of miracles to keep us healthy and to help us live longer; however, modern medicine has not entirely solved the problem of terminal illness and pain. It has even contributed to the complication of the decisions we might be confronted with towards the end of our life, or the life of a loved one. We are going to face life-and-death decisions, we should always choose life over death when life is truly possible, but tragic circumstances can make the afterlife a better life for some people. Euthanasia is an option not a destination. After all â€Å"No one wants to live to be one hundred, until you ask the man who is ninety-nine.† Reference pagehttp://www.starcourse.org/euthanasia.htmhttp://www.togopeacefully.com/http://www.missouri.edu/~philwb/Quill.HTMTimothy E. Quill, M.D. Death and DignityA Case of Individualized Decision MakingPrinted in The New England Journal of Medicine,March 7, 1991, Vol. 324, No. 10, pp 691-694. http://www.banned-books.com/truth-seeker/1994archive/121_5/ts215n.htmlDeath and Dignity: Making Choices and Taking Charge by Timothy E. Quill. W.W. Norton & Company, New York.  ©1993The American Medical Associationhttp://www.ama-assn.org/ama/pub/category/8458.htmlhttp://www.ama-assn.org/ama/pub/category/8457.htmlhttp://www.ama-assn.org/ama/pub/category/8459.htmlJames Rachels : Active and Passive

Behavioral Change WIthin an Organization Essay

1.What characterizes a hyperturbulent environment? †¢A hyperturbulent environment is characterized by rapidly changing product lines, an increasing and changing set of competitors, rapid and continual technological innovation, and rapid market growth. 2.On the Adaptive Cultures diagram, describe the difference between a â€Å"satisficing† environment and a â€Å"reactive† environment? †¢The difference between â€Å"satisficing† and â€Å"reactive environments† stems from their respective differences pertaining to their environmental stability and adaptive orientation. A â€Å"satisficing† style is the result of a stable environment and a high level of adaptive orientation. This style of managing emphasizes a centralized decision-making structure, more levels of management, and coordination by formalized committees. A â€Å"reactive† style is the result of a hyperturbulent environment and a low level of adaptive orientation. Management typically deals with problems on a crisis basis. This style implies waiting until serious problems can no longer be ignored and then correcting them with drastic measures. 3.Which is the â€Å"best† situation on the diagram and the â€Å"worst†? †¢The â€Å"best† situation on the diagram is renewing/transformational management. This style is proactive; identifying solutions to problems before they occur, and constantly changing through innovation to stay ahead of competitors. Conversely, the â€Å"worst† situation on the diagram is sluggish-thermostat management. This style has a tendency to value tradition, which is a road block to change, and emphasizes formal control systems, processes, and procedures. As a result, this style can lead to failure through current success (things are working well right now, so why change them). 4.Describe Open System. Give an example. †¢An open system is based on interdependency. It is in constant interaction with its environment; influencing and being influenced. Feedback is obtained throughout this interaction so that the system can adjust and achieve a constant state of dynamic equilibrium. An example of an open system is a family. Parents, children, siblings, etc. constantly act and react to one another based upon what each individual member puts forth (work, money, love, daily problems, school, friendship, etc.). 5.Describe Socio-technical system. Give an example. †¢A social-technical system views the organization as an open system of coordinated human and technical activities. Under this view, the organization’s activities consist of the goals and values, technical, structural, psychosocial, and managerial subsystems. Any changes that occur in any of the organization’s process can have effects throughout the organization since all processes are related. An example of this is a bank. If management decides to change the way it take in deposits, this has an effect on the backroom operations of the bank (clearing and settling the deposit transactions), the bank tellers (how to take and handle the deposits), customer service (what type of information to relay to the deposit customers), and marketing (the information used for advertising may have changed). This change also effect the lending function (deposits are the source of funding for the bank’s loans, therefore loan pricing may be effected). 6.Give me a situation where you might use a â€Å"contingency approach† at work? †¢The contingency approach says that there is no one â€Å"best way† to handle all situations that may occur. Rather, a person needs to adjust to the situation and handle it based upon the characteristics at hand. A situation where I use the contingency approach is in dealing with my coworkers. One group of people I work with can handle very direct and candid responses to issues and problems; therefore I speak with them in this manner. Conversely, another group of individuals is not as susceptible to candor. I must use finesse and a great deal of emotion in relaying solutions to problems they want to solve. 7.How are the concepts of future shock and hyperturbulent environment similar? †¢The concepts of future shock and a hyperturbulent environment are similar in that both deal with a rapid level of change. As a result, organizations must be more adaptable and flexible than ever before to deal with the ever changing landscapes in which they operate. 8.OD focuses on the _________, _______, and ____.____ †¢OD focuses on the individual, team, and organizational behavior. Read the article on the Airline Industry (Fear and Loathing)—Write two or three paragraphs describing the problem. How could this be fixed? †¢The problem with the airline industry, based upon the article Fear and Loathing (BusinessWeek, September 10, 2007) is that the overall industry lacks leadership. That is, it appears that no one is in charge. Various members of the entire industry (the airlines, unions, small plane owners, community groups, the government, and the FAA) have only their self-interests at heart. As such, no one is being held accountable for what is needed most—change. While the airline industry has developed into its current form, it has not accounted for economic, technological, and environmental changes. The preferred fix for this problem—a lack of accountability due to a lack of leadership—would be for an independent group to take long-term oversight of much needed changes in the airline industry. This group would act in the best interest of the system (i.e. the airline industry). In addition, this group could provide much needed oversight in changing the overall self-serving mindset of the individual groups. Unfortunately, likely many government (or in this case quasi-government) situations, the adage of â€Å"if it isn’t broke don’t fix it† is followed. And, like past situations, it typically takes a large-scale catastrophe to promote change (i.e. sluggish-thermostat management).

Human Impact on Environment Essay

From the moment we wake up to the time we sleep, most of the products used are hazardous to the environment directly or indirectly. A person voluntarily and non-voluntarily spends his day on the expense of atmosphere. Being aware of the dangerous effects of many products that we use, we continue using these products. From pencil that we use in school from the paper used in office and different furniture decorating our house are all made on the expense of surroundings. Most of the luxurious items like fridge, air condition and car all affect our ozone layer. Book Book is something that everyone uses regardless of age. Be it reading, writing, coloring or for references. No one grows up without being around a book. Before the advent of internet books were only available on papers. There was no concept of electronic books. There are a lot of verities available in books. People make their own customized books for any event or refer to them on any subject. Children use it for reading purpose, drawing, coloring and writing. Components of a Book: Any basic book has the following components: †¢ Laminate sheet. †¢ Binder boards †¢ Paper †¢ Ink †¢ Dye (For colored papers) †¢ Thread †¢ Adhesive Paper Paper like we all are aware of is made from trees. These trees are cut in log form and sent to paper production factories. A machine then removes impurities and cut them into small equal sizes of wood chips through a chipper. These chips are then transformed into pulp through chemical pulping (wood chips are cooked in sodium hydroxide and sodium sulfide) or mechanical pulping (logs are beforehand chemically treated and then passed through a metal disk). This process tree oil and eradicate splits cellulose and hemi cellulose from the lignin. The remaining fiber is used to produce paper. Read more:  Effects of Festivals on Environment The cooked pulp is the washed to and processed through a bleaching tower to add brightness. Pulp is the modified and further refined. This pulp is then pressed against a wide screen drains out all the water cut in equal sizes. Fibers are shaped into mats and pressed through heavy rollers and then moved through hot dryers to evaporate excess water. In the end starch is added to fill gaps in the sheet surface. These sheets are then pressed between a roller and cut into smaller sizes for further usage (Essortment, n. d. ). At times clay and dye are mixed with these papers to add shine and color to them. Ink Without printing inks there would be no books, papers or magazines. Knowledge would have had no proper way to being materialized and stored. Ink has four basic components. Pigments are used to color the ink, make it glossy and resistance from being affected by heat and light. It makes t he ink opaque. Some of the pigments used to make ink are extenders, opacifiers, inorganic black, organic yellow, organic orange etc. Resins is another ingredient that combines the ink together into a film and attaches it to the printed surface. It adds to the characteristics of ink being glossy and resistance to heat, chemical and water. They are mainly produced at New Zealand. Few of the commonly resins used ate acrylics, alkyds, rubber resins, phenolics, hydrocarbons, polyamides, shellac etc. Solvent is the third most important element that which keeps ink in a fluid form where it is stored till its being shifted to the background where its being printed. Solvent has to disconnect from its storage body containing ink to be embossed on the surface being allowed to dry and form into proper image. Additives are used to modify the physical attribute of the ink to go with different conditions. Varnish production is the first step in formation of ink. This is obtained through assimilation of resins, solvents and additives to structure a consistent fusion. The longer these components are allowed to react into a bigger molecule, varnish turns out to be more glutinous. Pigments are later added to the varnish which results into cluster of pigment particles. Different machines are used to break these clumps and spread them equally through the ink (Sengenuity, n. d. ). Adhesives Many different types of adhesives are used in bookbinding. Starch, animal glue, emulsion and hot-melt are its few examples. All have chemicals involved in them. Water based emulsion adhesive for instance is made from emulsification and polymerization of acetic vinyl, ethylene vinyl acetate (EVA) and acrylic resin in water. Due to the absence of organic solvent this adhesive is inflammable and not toxic. After compiling papers in a proper sequence, adhesive is spread on the spine or binder board (could either be of a thick paper sheet or cloth) that serves as a support for bookbinding It then permanently joints papers and the thick sheet carrying adhesive together. Adverse Effects on Environment Paper Paper that we use for almost everything is manufactured on the expense of trees. Trees absorb carbon dioxide through their pores existing in leaves and accumulate it in there soil, wood, bark and leaves. They turn carbon dioxide into oxygen that we breathe. It controls erosion and cleans underground water system. It stabilizes dust entrapping air polluting gases and cools the air turning water into vapors. Thus cutting trees are one of the major causes of global warming. Paper companies should spread the message of growing plants and tree in the environment. They should have public service messages on television, radio and behind all the printed books. Tress cut for the process of pulp production should also be replaced with new ones. Paper production consumes a lot of water and energy. Ink should be washed off from the paper before decomposing it. Wasting papers should be discouraged everywhere. They should be recycled. Usage of recycled paper should be encouraged. Many tree free papers are also being used in different parts of the world. They are made from sugarcane fiber, cereal straw, banana stalk etc. Ink Chemicals used in making ink like petroleum hydrocarbon. They discharge volatile organic compounds (VOC) while drying that creates waste, air pollution and is a source of many health diseases. Pigment has perilous metals like cadmium, mercury, chromium. Minerals oil used to clean printing machine also releases VOC in air. In many countries news papers and pages from books are used to wrap food items. Ink is transferred into human bodies when they eat from that paper. Also at the time of paper recycling, ink does not wash off entirely. A sensible alternative of this dangerous ink would be switching to vegetable based ink made from soy or linseed oil. They have many advantages. They decrease the amount of VOC released in the atmosphere. It does not contain hazardous heavy metal. They contain non-toxic soybean oil used in cooking, dressing and beverage. They are easily recycled and emanate less amount of toxic residue. It also increases American agriculture economy by providing them with a market. Ink made by soy ink is more rick and bright and creates less waste on press (Proia, Jennifer, n. d. ). Adhesives Adhesive has its own inauspicious impact on environment. Ethylene vinyl acetate emulsion is known for explosive gas that pollutes air and water. At the time of production it may cause skin and eye irritation. Adhesives should be washed off before decomposing paper. Adhesive should have less amount of inflammable chlorinated hydrocarbon. Solvents should be put back in the production cycle without damaging the environment. Many companies use white emulsion which is pollution free, nonflammable, non-toxic and harmless. It has been certified from China Environmental Labeling Products and ISO 14001 International Management System for bein ‘Double Green’ environmental friendly product. Conclusion More or less every thing that we use has unpleasant effect on the environment. Consumption of these products and their consequences are inevitable. In such case it is highly imperative to use alternative techniques that diminish precarious results. They may include growing more trees and plants, recycling, using more recycled products, spreading information about products that are harmful to the environment and their less dodgy alternatives. Negligence to these important facts has already stared to destroy our nature. As individuals, one should make a habit to study about the products and its components that we use regularly in our lives and educate others about its side-effects too. References Essortment. How is paper made from trees? Accessed on April 2, 2009. http://www. essortment. com/all/paperhowismad_rrfn. htm Proia, Jennifer. Going green with your marketing materials. Accessed on April 3, 2009. http://www. graphic-design. com/DTG/Business/greenprint. html Sengenuity. Printing ink technology and manufacture. Accessed on April 2, 2009. http://www. sengenuity. com/tech_ref/Process%20Control%20for%20Printing%20Ink%20Applications. pdf

Vehicles modification workshop (VMW) Jasim Essay

Vehicles modification workshop (VMW) Jasim - Essay Example This modification included; increasing the sound of their exhaust pipes. The initiative targeted motorists who illegally modified their cars and motorcycles in order to increase their speed (gulfnews.com, 2012). The police fear that if these modifications are done incorrectly, there may be an increase in the rate of accidents (gulfnews.com, 2012). This means that the UAE needs to have Vehicle Modification Workshop s that would comply with the traffic rules and safety. The scope of this study will be on developing a business plan that considers the best way of starting a Vehicle Modification Workshop (VMW) and on strategies that would make sure that the VMW will comply with the traffic rules and safety. very good. In the year 2012, motorists who had modified their vehicles in Sharjah faced the risk of losing their cars. This modification included; increasing the sound of their exhaust pipes. The initiative targeted drivers who illegally modified their cars and motorcycles in order to increase their speed (gulfnews.com, 2012). The police fear that if these modifications are done incorrectly, there may be an increase in the rate of accidents (gulfnews.com, 2012). There has been a 20% increase in death rate as a result of over speeding (emirates247, 2014). Does gulf news have a number of accidents increased due to this problem? please comment This means that the UAE needs to have Vehicle Modification Workshop s that would comply with the traffic rules and safety. very good The scope of this study will be on developing a business plan that considers the best way of starting a Vehicle Modification Workshop and on strategies that would make sure that the VMW will comply with the traffic rules and safety. In this chapter, the name of the business is Vehicle Modification Workshop. The business will be located in Dubai. Form of ownership will be a single proprietorship business and name of the sponsor is Jasim Al Ali. The

Answer the 5 questions Essay Example | Topics and Well Written Essays - 1000 words

Answer the 5 questions - Essay Example During wars, it is not uncommon to hear that efforts are being made to ensure that children, for example, are protected; yet it is on record that these same people they claim to be protecting lose their lives, at worst, or get injured at the least. The second premise provided is that wars destroy property. This seems to be one of the most conspicuously evident of all the premises given. To know if indeed war has ravaged a place, one has to check if there is a dearth in the property owned by those devastated by war. During wars, properties that have been gathered over many years turn into ashes within a couple of minutes, leaving a permanent and horrific dent in the lives of people. environment that was formerly good to behold becomes a ghost of itself. Of course, closely-knitted to environmental issues is the wellbeing of the people that dwell within such an environment. In any place that has been ravaged by war, preventable illnesses are what usually send people to their early graves. The effects of wars on the environment are particularly felt after the wars have been spent. The amenities which make life easy to live are also destroyed. It is not even enough to say that social amenities are destroyed, it is also important to say that they have upsetting effects on the environment. Thus, they consequently, inhibit people from living a life of high social standing because anywhere there is threat of starvation, one’s social standing doesn’t come to mind. The fourth premise is that wars often lead to rise to power of authoritarians, who more often than not are warlords or anarchists. In any society where there is a total breakdown in order, law and harmony, loopholes are created for people who are undeserving of power to occupy opposition they do not deserve. It is a common parlance that power corrupts and absolute power corrupts absolutely. As a result of the foregoing, whenever those who are undeserving of

An overcome approach to the Melting Pot Essay Example | Topics and Well Written Essays - 750 words

An overcome approach to the Melting Pot - Essay Example Enlistment was next used after the United States entered World War I in 1917. The first peacetime call up came with the Selective Training and Service Act of 1940. Active conscription ("the draft") ended in 1973. Currently, male U.S. citizens, if aged eighteen through twenty five, are required to register with the Selective Service System, whose mission is "to provide manpower to the armed forces in an emergency" including a "Health Care Personnel Delivery System"2 and "to run an Alternative Service Program for men classified as conscientious objectors during a draft." No one has been prosecuted for violating the conscription law in the USA since 1986.3 Conscription should be considered as a hypothetical panacea to cut down, for example, crime, teenage pregnancy and substance abuse rates decline; or to foster a more hard-working, respectful, disciplined, honorable and prepared for life youth4. Enlistment could surely help all of those immigrants in the States to get more, deeper and better integrated within the American society by helping their adoptive country to reinstate peace and freedom where needed by the time they give to the society something in reward for all they have already received. Mandatory military service is one of the oldest forms of national service and is common to both democratic and non-democratic countries. Such democratic countries as Austria, Brazil, Denmark, Finland, Germany, Israel, Mexico, Norway, Russia, South Korea, Sweden, Switzerland and Turkey require male and occasionally female citizens to participate in military service when they become 18 years old. These countries prove that conscription, when handled properly, can be an asset to the military, the society and the conscript. Furthermore,... An overcome approach to the â€Å"Melting Pot† After the introduction of a bill to reinstate the military draft by Representative Charles Rangel (D-NY) on January 7, 2003, rumours went out on the real reach of this measure. A little over a year after, another bill, this time by Representative Tim Johnson, announced on October 5, 2004, that the House defeated a bill that would have reinstated the military draft. H.R. 163 was introduced by and would have required every U.S. citizen, and every other person residing in the United States, between the ages of 18 and 26 to perform a two-year period of national service, unless exempted, either as a member of an active or reserve component of the armed forces or in a civilian capacity that promotes national defence . Detractors of H.R. 163 argued that too many have already lost their lives at the battle field and the Vietnam issue became a recurrent double edged argument. However, it has to be understood and taken into account that the USA are involved in several campaigns all over the world to guarantee freedom and Human Rights where otherwise would be rotten to the core. In addition to this, the military draft should be assumed not as a punishment or backward movement, more proper of a reactionary society than of a leading and modern one, but as a different solution for daily concerns. Besides, military draft is another way to interpret the path to the achievement of the American Dream, overcoming the well worn â€Å"Melting Pot† topic: recruits and conscripts can enter the military branch of their liking, request to be trained in a specific field, and serve in the state of their choice.

Public Policy and Education Essay Example | Topics and Well Written Essays - 1500 words

Public Policy and Education - Essay Example In the United States, education has been the responsibility of state governments, and local politics have a great deal to do with determining public policy. Even so, the federal government has recently intervened, and the state government bodies in some cases resent this intervention. The No Child Left Behind (NCLB) legislature of 2001 initiated by President George W. Bush has created controversy in every area of educational public policy. Special interest groups and organizations are focusing on areas such as special education, literacy, teacher certification, religion, scientific research, and lack of funds, which means that those most influential in the field of education are presently acting as political lobbyists. With the growing intervention of the federal government in education, politics rises to the forefront, even more than it has in past years. In an effort to show how various factions of education influence public policy, this paper will cover the areas noted above, noting specific controversies. Two areas in which state education policies are quite different are in New York State and in California. Because of this, different methods of applying federal policies have been necessary. In New York State, the Education Department is under the control of the University of the State of New York (USNY). USNY is the most complete interconnected system of educational services in the United States. It is not the same as the State University of New York (SUNY), which is the State's system of public colleges and universities. The Board of Regents heads USNY and sets overall educational policy for the State. The Board appoints a Commissioner of Education who heads the State Education Department and also serves as the president of USNY (Mills, 2007). This system revolves around education as a separate entity, and this allows for more political freedom to make decisions. In California, the State Board of Education (SBE) is the governing and policy making body of the California Department of Education. Unlike the New York State system in which the Board of Regents appoints a Commissioner of Education, the Governor appoints the members of the SBE (California, 2007). In this process, politics determine changes in public policy. No Child Left Behind According to Christopher T. Cross (2004), the "evolution of the federal role in education is a study in American politics" (Chapter 1, p. 1). Special interest groups in the last part of the twentieth century have covered a broad range of interests-bilingual education, women's studies, African American studies, and prayer in the classroom, to name a few. At present, recognition of these issues has been incorporated into the NCLB law, which has been in effect since 2002. Cross believes that federal policy in education will have an increasing impact in the coming decades and calls for policymakers and practitioners to gain a better understanding of the history of U.S. education and the future role of a federal Department of Education. He covers 50 years of federal education policy in his book and discusses the most recent effort in this field-the No Child Left Behind law of 2001, which he considers the catalyst for change brought about in this country by "consistent