Request for Proposal Essays

Request for Proposal Essays Request for Proposal Essay Request for Proposal Essay Request for Proposal Name: Course: Date: Request for Proposal The purpose of this Request for proposals (RFP) is to engage a client to supply the following services to Google Inc. Google Inc, by means of this RFP, invites all qualified companies to submit proposals that comply with all the regulations delineated in this RFP. Google Inc predicts that, based on its appraisal and assessment of the proposals obtained in accordance with this RFP, it will pick a supplier and sign a contract whereby the supplier will deliver the services to Google Inc, in line with the terms and conditions agreed upon in the contract. Company Information Google Inc. is an American international company that makes available Internet-based products and services, including research, cloud storage, software and advertising innovations. Advertising revenues from Ad Words contributes a large chunk of the company’s profits. The company was established by Larry Page while he was studying in Stanford University. Google was first registered as a private company in 1998 and in 2004; it floated its initial public offering. The company’s mission statement was to organize the world’s information and make it universally accessible and useful. Company’s right to reject Google Inc., in its sole judgment, reserves the right to reject any proposals including, without constraint, any material that is brought for their consumption by the different suppliers. Schedule of events Google Inc. will try to comply with the following proposed timeline that is used for assessing, bargaining and issuing a contract. Events Date Public notification of the purpose to propose to potential proposersJan 2013Issuance of Request for Proposal04/ 02/ 2013Checking deadline for receipt of RFP11/ 02/ 2013Availing comments and queries through website15/ 02/ 2013Verbal presentations for chosen proposers21/ 02/ 2013Issuing recommendations to the board of directors26/ 02/ 2013 Needs Assessment The results reported in the survey analysis were based on the participation of the colleagues and classmates. The results of the survey were very compelling and were not as previously expected. The survey was performed to collect information on people’s experiences in identifying JIT solutions found in various technological platforms. The initial question asked was what types of technologies were regularly used and the results of the survey indicated that personal computers and cell phones were the most popular. About 75% of the respondents regularly used laptops and just over 50% used Tablets in their social and economic activities. The results for iPad users were very dismal and stood at approximately 25% of the total respondents. With the prominence of the gadget, it was surprising that very few people preferred iPads as they opted for the other sources of work and interaction. The usage of the JIT solution and databases to accessing information was accessible to everyone t hat participated in the study. When questioned about the definite learning method, most respondents stated that they preferred online lectures and knowledge base as their preferred learning tool with only a few indicating that they preferred traditional forms of learning. The respondents replied that they each spent anywhere from 20 minutes to four or more hours of training for this activity. In conclusion, based on this analysis, the JIT solution using Microsoft Office Power point offered the best solution to the training. Power-point slides are easily to generate and administer as they are precise and learners have an easy time grasping ideas using the graphics. They are also lightweight applications that are easily transferable across various technological platforms. Statement of Work Purpose The rationale for this Request for Proposal (RFP) is to attract prospective vendors to present a proposal for the exclusive rights to produce and supply communication equipment such as computers and tablets to Google Inc. This proposal also addresses the effectiveness of this process and its potential to improve the current systems of communication. The RFP issues vendors with the pertinent application, performance and operational necessities of the system (Porter-Roth, 2002). RFP Requirements Right to modify, rescind or revoke RFP Google Inc. sets aside the rights to alter, withdraw, or revoke this RFP, completely or partially, at any time before the date on which the certified representative of the Company signs up a contract with the chosen proposer. Compliance with RFPR requirements Through submitting a proposal, a proposer agrees to be attached by the requirements outlined in the RFP. Google Inc, at its sole judgment, may exclude a proposal from consideration, if they establish a proposal was not compliant in whole or partly, with the requirements prescribed in this RFP. Binding Effect of Proposal Unless otherwise agreed in writing and ratified by the Vice President for Business Affairs, each Proposer will assent to and shall be bound by the details and credentials provided with the proposal, including prices cited for services rendered. Signature and Certification of Proposer The proposal must be cleared and confirmed by an agent of the proposer who is approved to bind the proposer to the terms and conditions contained in this RFP and to conform to the information presented in the proposal. Each proposer presenting a proposal verifies to the wholeness, actuality, and correctness of the information provided in the proposal as well as the authority of the person whose signature appears on the proposal to bind the proposer to the regulations outlined in this RFP. Proposals presented without the mandatory signature shall be deemed ineligible (Pallans, 2005). Requirements for submission The proposers shall ensure that they shall present their proposals in the following way. One original copy that is clearly marked, processed using Microsoft Word (spacing 10 point, Times New Roman font) and clearly comprehensible. The original copy should be in a three-ring binder and should bear the name of the proposer as well as the subject matter. Deadline for proposals The latest proposals should reach the Google Inc. company headquarters or on before 31 February 2013 and no later than 4: 00 pm. The company will not accept any proposal that is presented after this date as ample time has been provided to all potential proposers to make then necessary submissions. Budget Estimated Pricing The survey report entailed discovering technologies that could support the choice of JIT solutions. Six potential solutions were available that could effectively access databases to view the information online. This report analyzed the performance of these six innovations and contrasted their suitability. In the various categories available, much care was taken to analyze the solutions objectively and without bias, as the potential effectiveness of the solutions was crucial to the development of the technology. The Cost Analysis report below illustrates the various innovations proposed and their evaluations. JIT SolutionURL Location Estimated Cost BenefitsDisadvantagesComputersdell.com/us/p/desktops From $449They are relatively faster and may contain higher resolutions and memory capacities, which make them efficientThey are relatively expensive and may require additional accessories such as modems to access the internet. They cannot be carried from one place to another (Ward, 2011). Due to the ever-developing software, they easily become redundant, as they cannot handle the necessary capacities.Cell phonescellphoneshop.net/cellphone1.htm From $19.99They are relatively easy to carry from one place to another. They are cheap and simple to use.They are small and have low screen resolutions. They are relatively slow in accessing the internet. The content they offer is limited to the type of software that the manufacturer develops them with.Laptopsdell.com/us/p/laptops From $349Depending on the memory and size, they have a high screen resolution and are relatively faster. They can easily be carried from one place to another.They a re expensive and delicate. They require to be handled with care. According to my survey, up to 25% of people do not have access to laptops. Their life span is also limited with new products replacing old ones constantly. Tabletsdell.com/content/topics/segtopic.aspx/tablets From $499They have relatively more features and applications. They are more comfortable to carry (Reeds, 2002).They are more delicate than laptops and computers. They have features that are more complex. As such, the target of this feature is limited to those who are conversant with this technology.Ipadsapple.com/uk/ipad/compare From $ 269They are cheaper than laptops and computers. They contain most of the features you can find in laptops and computers. They are also relatively easier to carry (Tellijohn, 2010).They may lack some essential applications such as the flash viewer used for browsing. The limitations in software compatibility also hinder individuals not conversant with this technology from adopting it on a wide scale.

How to Build Sentences With Appositives

How to Build Sentences With Appositives An appositive is a word or group of words that identifies or renames another word in a sentence. As weve seen (in the article What Is an Appositive?), appositive constructions offer concise ways of describing or defining a person, place, or thing. In this article, you will learn how to construct sentences with appositives. From Adjective Clauses to Appositives Like an adjective clause, an appositive provides more information about a noun. In fact, we may think of an appositive as a simplified adjective clause. Consider, for example, how the following two sentences can be combined: Jim Gold is a professional magician.Jim Gold performed at my sisters birthday party. One way to combine these sentences is to turn the first sentence into an adjective clause: Jim Gold, who is a professional magician, performed at my sisters birthday party. We also have the option of reducing the adjective clause in this sentence to an appositive. All that we need to do is omit the pronoun who and the verb is: Jim Gold, a professional magician, performed at my sisters birthday party. The appositive a professional magician serves to identify the subject, Jimbo Gold. Reducing an adjective clause to an appositive is one way to cut the clutter in our writing. However, not all adjective clauses can be shortened to appositives in this fashiononly those that contain a form of the verb to be (is, are, was, were). Arranging Appositives An appositive most often appears directly after the noun it identifies or renames: Arizona Bill, The Great Benefactor of Mankind, toured Oklahoma with herbal cures and a powerful liniment. Note that this appositive, like most, could be omitted without changing the basic meaning of the sentence. In other words, its nonrestrictive and needs to be set off with a pair of commas. Occasionally, an appositive may appear in front of a word that it identifies: A dark wedge, the eagle hurtled earthward at nearly 200 miles per hour. An appositive at the beginning of a sentence is usually followed by a comma. In each of the examples seen so far, the appositive has referred to the subject of the sentence. However, an appositive may appear before or after any noun in a sentence. In the following example, the appositive refers to roles, the object of a preposition: People are summed up largely by the roles they fill in society wife or husband, soldier or salesperson, student or scientistand by the qualities that others ascribe to them. This sentence demonstrates a different way of punctuating appositiveswith dashes. When the appositive itself contains commas, setting off the construction with dashes helps to prevent confusion. Using dashes instead of commas also serves to emphasize the appositive. Placing an appositive at the very end of a sentence is another way to give it special emphasis. Compare these two sentences: At the far end of the pasture, the most magnificent animal I had ever seen- a white-tailed deer- was cautiously edging toward a salt-lick block.At the far end of the pasture, the most magnificent animal I had ever seen was cautiously edging toward a salt-lick block- a white-tailed deer. Whereas the appositive merely interrupts the first sentence, it marks the climax of sentence two. Punctuating Nonrestrictive and Restrictive Appositives As weve seen, most appositives are nonrestrictivethat is, the information that they add to a sentence is not essential for the sentence to make sense. Nonrestrictive appositives are set off by commas or dashes. A restrictive appositive (like a restrictive adjective clause) is one that cannot be omitted from a sentence without affecting the basic meaning of the sentence. A restrictive appositive should not be set off by commas: John-Boys sister Mary Ellen became a nurse after their brother Ben took a job at a lumber mill. Because John-Boy has multiple sisters and brothers, the two restrictive appositives make clear which sister and which brother the writer is talking about. In other words, the two appositives are restrictive, and so they are not set off by commas. Four Variations 1. Appositives that Repeat a NounAlthough an appositive usually renames a noun in a sentence, it may instead repeat a noun for the sake of clarity and emphasis: In America, as in anywhere else in the world, we must find a focus in our lives at an early age, a focus that is beyond the mechanics of earning a living or coping with a household. - Santha Rama Rau, An invitation to Serenity Notice that the appositive in this sentence is modified by an adjective clause. Adjectives, prepositional phrases, and adjective clauses (in other words, all of the structures that can modify a noun) are often used to add details to an appositive. 2. Negative AppositivesMost appositives identify what someone or something is, but there are also negative appositives that identify what someone or something is not: Line managers and production employees, rather than staff specialists, are primarily responsible for quality assurance. Negative appositives begin with a word such as not, never, or rather than. 3. Multiple AppositivesTwo, three, or even more appositives may appear alongside the same noun: Saint Petersburg, a city of almost five-million people, Russias second-largest and northernmost metropolis, was designed three centuries ago by Peter the Great. As long as we dont overwhelm the reader with too much information at one time, a double or triple appositive can be an effective way of adding supplementary details to a sentence. 4. List Appositives with PronounsA final variation is the list appositive that precedes a pronoun such as all or these or everyone: Streets of yellow row houses, the ochre plaster walls of old churches, the crumbling sea-green mansions now occupied by government offices all seem in sharper focus, with their defects hidden by the snow. - Leona P. Schecter, Moscow The word all is not essential to the meaning of the sentence: the opening list could serve by itself as the subject. However, the pronoun helps to clarify the subject by drawing the items together before the sentence goes on to make a point about them.

Performance art Essay Example | Topics and Well Written Essays - 250 words

Performance art - Essay Example It makes the audience visualize, mentally and self-consciously, the performances that they connect to in their everyday lives. Performance artists present their ideas to the audience by performing roles that we play in our real lives, like political roles, social relationships, economic functions, and cultural customs and rituals. Performance art makes these roles and relationships unequivocal and more overt, so that the audience can relate to them and reflect upon them using their own minds and perspectives. However, performance art also needs expertise in singing, dancing, and acting, like other forms of art, to be expressive enough. These skills make the performance really compelling, making the minds of the audience sway away to places they have not been before. To name a few performance artists, the mainstream press considers Lady Gaga and Mitt Romney two of the most profound performance artists of

The Theory of Intelligent Design (ID) Research Paper

The Theory of Intelligent Design (ID) - Research Paper Example Scientists seek to find objects which have the same types of informational properties portraying the work of one creator, the intelligent designer. Intelligent design relies on these scientific methods to detect design in irreducibly complex biological structures by examining the complex and specified information contained in DNA. The theory of Intelligent Design argues that life and everything of nature in the universe was designed by an anonymous intelligent mind (House 17). However, proponents of this theory have been unable to disclose or prove the existence of the purported intelligent mind, leaving the burden of proof to scientists and theologians. According to House (17), evidence that the proponents of ID theory display is derived from their understanding of cosmology and Molecular Biology. As part of the argument, ID theorists used kidney as an example by claiming that the organ was intelligently designed to perform its functions and that it exhibits irreducible complexity. The proponents of the theory further direct their arguments to the bacterium flagellum, which they purport to have been intelligently designed to an extent that any detachment can lead to entire mechanical failure. House (58) demonstrates that the oddly shaped stone discovered by archeologists was an intelligent design that should have been used as a tool for digging. In order to strengthen the ID theory, Behe, a proponent of the theory employed the use of a mousetrap as an example of irreducible complexity, which he proved dysfunctional when any part would be removed. Furthermore, Rael (6) a news editor then a messenger provides a much stable debating ground for the proponents of the ID theory. According to Rael (6), there are some supernatural unique beings believed to have created life on earth. However, every step of creation was a correlative product of science and religion. Rael (7) points out that the creators of the world were capable of communicating to the human beings thr ough telepathy. The designers of life on the earth were scientists who emanated from a far planet with a keen interested in creating a cloned human being (Rael 11). It is claimed that the government of the imagined planet disliked the idea of cloned human beings for fear that the creatures might exhibit superior mental capacities and powers, which can cause troubles to the pre-existing beings (Rael 15). This compelled the scientist to conduct reconnaissance on the earth to establish its viability for human cloning. Rael (11) confirms that at the time of reconnaissance the earth was completely covered with water and dense mist. When on the earth’s atmosphere, the designers investigated the sun’s cosmic rays and realized that they were harmless to life. The scientists then trenched soil from the seabed and pilled to form a dry land. Thereafter, plants and vegetables were created from chemicals and designed to survive particular climatic conditions of different regions (R ael 13). The scientists worked for hand in hand with artists who decorated every creature with various colors. According to Rael (13), the initial creation of fish was in the form of plankton then small fish and finally large fish. Rael (14) exemplifies that the process of creation involved stiff competition from different creation groups, an act that led to the formation of frightful animals and monsters.  

First Gov Analysis :: essays research papers

FIRSTGOV.COM VERSUS CANADA.COM I compared the United States FirstGov.Com portal page with our neighbor Canada’s government portal page. I first looked at firstgov.com to get a feel for the United States government page. When you first open http://www.firstgov.gov/ you immediately notice that there is an abundance of information. There are four main tabs set up as the main crux of the web page and those are: For Citizens, For Businesses and Non Profit, For Federal Employees, and Government to Government. Right off the bat renewing a drivers license and passport application is what jumped out to me personally. These were under the, â€Å"Citizens Get It Done† heading. Also, under this heading were links that direct you to e-filing taxes, checking immigration status, governmental benefits, government job application procedures, changing your address, and even shopping at government auctions. At mid page on the For Citizens tab was a section entitled, information by topics. There are 14 main topics and when you click on one of them it sends you to another link that has numerous other topics that a user can click on for almost any kind of information you can imagine. For example: I clicked on Education and Jobs topic. Under the topic is brief information on what you can find such as employment, training, careers, labor, wages, workplace, online learning, schools, student and teacher resources...This led me to a page that has well over 70 links to other topics. A few examples here are : US Dept of Labor, US Dept of Education, College Search, Disability Information, Career Choices, Labor Relations, and many more subjects to look up. Each of these links takes you to other pages full of related information with more links to follow.   Ã‚  Ã‚  Ã‚  Ã‚  What I found interesting also was you can read this web site in almost any language. I clicked on Spanish and the entire web page converted to Spanish. Also on the left hand side of the home page is a small index with links entitled: A-Z agency index, Federal Executive, Federal Legislature, Federal Judicial, Cross agency portals, state government, local government, and tribunal government. I chose to look at Federal Legislature and that takes to a page where you can find out information on the US Senate, US House of Representative, and agencies that support Congress. An abundance of information in all areas in the index.   Ã‚  Ã‚  Ã‚  Ã‚   When you go to Canada’s web site, http://www.

Participation is the essence of democracy Discuss Essay

Discuss For many years and even centuries one of the main discussions that have been very dominant is the ‘right to vote.’ The right to vote is a phrase that has been in headlines for many centuries to give countries more of a democracy. The United States, Women across the world and many minorities had to fight and millions died in the process to fight for their right to vote. However, is voting the essence of democracy or is voting an overrated task? Is participation of the people needed to make a democracy? Democracy means the right to vote, it doesn’t mean that you have to vote, if no one votes then it’s a democracy because it shows that no one are interest on how the country is ran so the previous government that was voted by the people, will carry on making the decision. In the United Kingdom, if you are over the age of 18 and you do not have a criminal record, you are allowed to vote. If you are ill and you want someone else to vote on your behalf, that vote will be rejected. The term democracy does not have a specific definition but there are elements that create a democracy. A simple way to phrase democracy is a rule of the people or power to the people. â€Å"Government of the people, by the people, for the people† this is a famous quote that former President of the United States Abraham Lincoln defined democracy. There are four main types of democracies: Direct, Liberal, Representative and Pluralist. Direct Democracy is when policies are directly decided on by the vote of the people. The term direct democracy originated in Athens of the 40,000 free slaves in the 5th Century. The women and current slaves were excluded. Switzerland has adopted Participatory democracy which is a type of direct democracy. The citizens have more participation in referendums and are able to be more involved in politics. However, there are certain referendums and policies that are quite complex and many people will just vote without research or consideration on how it might affect them. Also, it is not a representative of the whole country if only a few people vote just because they understand the policy and the other high percentage don’t. This will discourage people to go and put in their vote. Representative Democracy- for this type of democracy to take place, people who are eligible to vote will vote for someone who is running to become a member of parliament (E.g. Member of Parliament) to represent their views in government. The United Kingdom is an example of a representative democracy because we have to vote on who we want to represent us in Parliament. Liberal Democracy incorporates free, fair and competitive elections with the importance of specific key rights and key responsibilities. In liberal democracies they extend the right to vote amongst citizens. This also means that the freedom of free speech is granted. Many Liberal democracies are incorporated with other democracies such as the UK is seen to be as a liberal democracy and a representative democracy. Pluralist Democracy promotes participation that allows free and fair competition in interest. In pluralist democracies there will be a very high range of competing interest such as economy and environment. Political participation is a process where citizens of a country get involved in political activities. Milbrath and Goel(1977) discovered that there are three types of political participants; the gladiators who are the small percentage of keen participants, the spectators who vote and may be interested in specific issues but may limit their participation and the ampathetic are those who do not particularly care and do not participate at all. They also claimed that most people voted sporadically. There are many types of participations such as; becoming a member of a political party, protests, petitions, boycotting, being an MP, debates and joining a pressure groups. Edmund Burke a famous Irish political philosopher argued that participation is the key. He used a metaphor saying said â€Å"The only thing necessary for the triumph of evil is for good men to do nothing.† the government represent evils and the good men represent the citizens who are allowed to vote. To interpret what Burke was saying, is that if citizens leave their trust into the governments’ hand, then evil will prevail. What he is trying to promote is a fairer world but with the input of the people. Burke’s main influences in life were religion as both of his parents were strong believers. Burke wanted to widen out the political participation as he wanted to defend the independence of the House of Commons as he opposed the King George III attempts to regain some of the prerogatives that the monarchy had lost in the Glorious Revolution of 1689. (UK Political, General Election Turnout 1945-2010) As you can see from this graph, the turnout has dropped down significantly. The main reason is disenchantment. Many voters lose faith and trust in those who are in government. As you can analyse in 1950 it was the highest turnout. The Second World War finished 5 years before and the people wanted to be in a society where they were confortable and safe. Though there has been a few upwards growth for example in 1979 when the first female was running to be Prime Minister and Margarat Thatcher won the peoples vote. The biggest dip was between 1997 and 2007. The Electoral Voter Commission stated that the reason why the turnout was a lot of 18-24 year olds did not vote. However, when Tony Blair was in power, he was seen as ‘one of the best Prime Minister’ in history. Though people questioned the credibility of this election due to the amount votes and it was said that it didn’t represent the whole population, it was still a democracy because a democracy is the right to vote. You do not need to vote because it is your choice. We can see that from 2001 to 2010 there has been an upward trend in the amount of votes. The main reason for this is because of the Iraq war and a large amount of the population had an opinion on it. Also in 2010 it was the middle of the world recession, people were getting into financial troubles and wanted a change of government to help them through the recession, and this is why the Conservatives got in. The Conservatives were telling the public what they wanted to hear and by the participants of them, they were able to be in office. Participation was definitely important for democracy to take place. In Zimbabwe, the right to vote is important but the right to vote is not an option. In Zimbabwe, many people are killed and many fight for survival. Mugabe has been in power for 32 years as President and Prime Minister. For many years, Zimbabweans are risking their lives to get a better life in South Africa because many people died due to the ruling of Mugabe. Democracy is definitely not practised in the country and the citizens do not vote for what they believe in and participation is not a virtue. Psephology has said voters vote to achieve their goals, however, it is not a choice in Zimbabwe. Britain is a great example of a democracy. If Britain was not a democracy then it may become a dictatorship and lead by the monarchy. Protests, freedom of speech and petitions are the essence of democracy. If no one voted, if only one voted or if no one had an interest then it would still be against the law to be a homophobic, if no one gave an interest then the government wouldn’t fight to bring soldiers back home because it what the people what. 40:30:30 Society. This is a term that Hutton described our society.it means that 40% are in secure work, 30% are in insecure work and 30% are in economic crisis and socially marginalised, jobless or working on poverty wages. If 60% are economically insecure and they are not getting better, there is no point to vote because getting out of the red and into the black is the highest priority on the peoples mind. If there is no change then, it can be seen as a wait vote. Party participation is the absolute importance for a democracy to be in affect because many people have voted for changes that if they didn’t do, could have affected their life and even their family’s life in a bad way. There are many theories that has been studied over the past 60 years to suggest why people vote; party identification (the process of picking the party due to socialisation), sociologist theory (Pulzer’s report in 1967 shows that one votes due to social class and peoples characteristics. The middle class votes Conservatives and working class votes Labour), another is the rational choice theory (Himmelweit at al 1981 said that citizens vote due to the performance of the previous administration and how it’ll effect their or their families goals, the last and final theory is the Dominant Ideology Theory (Dunleavy and Husbands 1985 argues that people vote due to the mass media and the misrepresentation). These theories suggest that we as the people have created competition, security and democracy. The UK leads by example because if people do not participate as citizens of a country, the citizens would be more of a dictatorship. John Prescott wanted devolution for the South East; however they voted against it by a milestone. This is the essence for democracy. In my opinion I believe that if someone doesn’t want to vote or participate because of the lack of trust or because of financial issues then they shouldn’t, why should someone vote for a party or become a member of a party if they are not fulfilling their promises? However, I do believe that if a high proportion of the population do not vote then democracy will not take place because it is not a representative of the whole country.

The Link Between Population Growth And World Health

The Link between Population Growth and World Health Raphael R. Arriola Argosy University, Orange County The Global Environment and Public Health | SOC260 BLW Module 2, Assignment 2 Dr. Douglas Roberts Wednesday, October 14, 2015 The Link between Population Growth and World Health It is estimated that between the year 2014 and 2060, the U.S. population is going to increase from 319 million to 417 million, reaching 400 million in 2051. The population in the U.S. is projected to grow slower in the future decades, than in the recent past; assuming that fertility rates will continue to decline and that there will be a modest decline in the overall rate of net international migration. One in five Americans is projected to be 65 years of†¦show more content†¦The misuse of antibiotics is to blame, especially Beta-lactam antibiotics, vitamin supplementation, is also to blame including folic acid; vitamin D especially. Also to blame are novel vectors for sharing pathogens including blood donation, and lastly the widespread adoption of compulsory mass vaccinations. During the beginning of the twentieth century, infectious diseases were the leading cause of death worldwide. Three dis eases in particular in the United States caused 30% of deaths; tuberculosis, pneumonia, and diarrhoeal diseases. However, by the end of the twentieth century, in most of the developed world, the mortality from infectious diseases had been replaced by mortality from chronic illnesses such as heart disease, cancer, and stroke. In 2000, approximately 125 million Americans, or 45% of the population, had chronic conditions and 61 million, or 21% of the population, had multiple chronic conditions. According to a report in 2004, almost half of all Americans, or 133 million people, live with a chronic condition. People with chronic conditions account for 83 percent of health care spending and those with five or more chronic conditions have an average of almost fifteen physician visits and fill over 50 prescriptions in a year according to Partnership for Solutions National Program Office, Robert Wood Johnson Foundation. The lives of many people in the world are being blighted and cut short b y