Bridge To Nowhere Cost-benefit Analysis

Humanities

Some Rough Cost-Benefit Numbers for a “Bridge to Nowhere” A widely publicized federal earmark in the 2006 transportation appropriation bill was $223 million for a bridge intended to provide access to Ketchikan, Alaska’s airport on lightly populated Gravina Island. The project had the misfortune to become labeled the “Bridge to Nowhere” when the earmark came to light in the 2008 presidential campaign. It is possible to do some rough cost-benefit analysis on the project. Gravina Island has a population of around 50, so most of the bridge traffic would likely be those using the airport. The island was not inaccessible without the bridge. A ferry serves the island, with ferries leaving every half hour. The primary impact from the bridge would be to reduce travel time on the trips. It has been estimated that the drive to the airport from Ketchikan would take 13 minutes, compared to 27 minutes by ferry. Therefore, the time saving is around 15 minutes per passenger. Ketchikan is a port for cruise ships, which dock on the mainland, so some of the bridge traffic would be ship passengers either joining or leaving the cruise ships. Airline enplanements/deplanements (total passengers coming and going through the airport) are on the order of 400,000, so that traffic would create 800,000 crossings of the bridge. But let’s be generous and round up to 1,000,000 crossings, each saving around one quarter hour by taking the bridge. How much is the time saving worth? Let’s assume that each visitor earns $125,000 in income per year. If the visitor works 50 weeks per year and 40 hours per week, then the work year is 2,000 work hours. Some visitors are children and some are retired—and the earning level assumed here is much higher than the national average—but let’s not worry about that. Work it out with different estimates on your own, if you wish. With these numbers, the value of work time equals $62.50 per hour. But this is leisure time for most of the traffic, not work time, so let’s adjust the value downward by 50 percent (probably an underadjustment) to get an estimate of the value of leisure time—$31.25. Each passenger saves 15 minutes with the bridge (compared with travel by ferry), so the saving per passenger equals $7.81. Multiply that by 1 million passengers to get $7,810,000. We will assume that the bridge will last forever and will have no maintenance cost and that 3 percent is a reasonable discount rate (that’s lower than the OMB rate of 7 percent, but probably higher than current market interest rates). Divide $7,810,000 by 0.03 (because benefits are perpetual—the value is lower if we use a finite life for the bridge) to get the present value of the services from the bridge of $260.4 million, a large number and, as it turns out, larger than the amount of the appropriation. (If you are uncomfortable with perpetual life, use 100 years and the annuity formula to get a present value of services: (7.81/0.03)[1 − (1/1.03)100] 5 $246.8 million.) But that is not the end of the story. In order to make the bridge functional, the state of Alaska has to spend $165 million in addition to the federal government’s $233 million. Summing up, the present value of the benefits of the bridge is at most $260.4 million, but its total cost is $398 million. Consider These Questions 1. Would you consider the bridge to be a worthwhile use of federal resources? Why or why not? 2. Why might the state of Alaska be interested in getting the bridge built, even though the total cost of the bridge exceeds the present value of the benefits from the bridge? From the standpoint of Alaska, what are the relevant costs and benefits? 3. How do the benefit-cost analysis results change if the discount rate is 7 percent? What about 2 percent? 4. The analysis is made with several assumptions about use of the bridge, value of traveler time, and number of visitors. How would the analysis change with alternate assumptions that you believe to be potentially reasonable?

Interprofessional Collaboration And Teamwork

Write a 3–4-page article that addresses the topic of interprofessional collaboration and teamwork in health care organizations.

The majority of health care leaders today state that  interprofessional collaboration is essential for effective and efficient  health care delivery. But this type of collaboration rarely occurs  (Bankston & Glazer, 2013). In this assessment you will consider what  it takes to develop truly effective interprofessional collaborative  teams.

When six Navy pilots step into their F/A-18 fighter jets, they become  the Blue Angels, and the world sees a synchronized display of precision  flight formation. During their aerial acrobatics, the 28-ton jets form a  diamond shape with a mere 18 inches between the wing of one jet and the  canopy of another, travelling at more than 300 miles per hour. How do  the pilots achieve such precision? In addition to hours of practice,  intense focus, clear communication, and mutual trust, “at the door, each  [pilot] checks his or her ego, exchanging it for a soul-deep commitment  to ‘The Team’” (Scott, 2005, para.1).

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Teams and collaborative groups are at the heart of many great  achievements and are common in health care and familiar to nurses. But  what defines a team, and how do teams achieve great outcomes? There are a  number of elements that must come together in order to build effective  teams. Many teams are in a state of constant flux as they build and  dissolve, based on the needs of the organization. Nurses are often  involved in several teams at the same time, and many of these teams are  multidisciplinary in nature.

So, what factors determine the effectiveness of a  multidisciplinary team? Do the same factors affect different teams  working within different areas of health care?

Reference

Scott, W. (2005). Blue angels. Aviation Week & Space Technology, 162(12), 50–57.

Preparation

Search the Capella library and Internet to locate scholarly and  professional journal articles on the elements of an effective  interprofessional health care team to use as support in this assessment.

Requirements

You have been asked to submit an article to be published in your  organization’s newsletter. After careful deliberation, you have decided  to address the topic of interprofessional collaboration and teamwork in  health care organizations, and how teams can be successful. Your article  should be 3–4 pages in length, not including the title page and  references page. Format this assessment following APA guidelines.

Complete the following in your article:

  • Explain what is meant by the term interprofessional collaboration from a nursing perspective. (Do not simply copy a definition from a dictionary or other resource!)
  • Describe the characteristics and qualities of effective interprofessional teams in terms of patient care and safety.
  • Describe the benefits and limitations of interprofessional teams for health care organizations, members of a team, and patients.
  • Explain the challenges of working in an interprofessional team.
  • Describe strategies to help people come together to function effectively as a collaborative team.
  • Explain how interprofessional teams define success. Consider how  the definition might change based on the types of situations the team  was formed to handle.

Additional Requirements

  • Include a separate title page and references page.
  • Reference at least three current scholarly or professional resources.
  • Use APA format.
  • Use Times New Roman font, 12 point.
  • Double space.

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Threats to the Global Environment

Humanities

Assignment 3a: Threats to the Global Environment

Congratulations! The United Nations has hired you as a consultant on global issues.

Many of the UN members are not satisfied with the progress of the Millennium Development Goals. They feel that the goals focus on the wrong issues. There is a disconnect between what issues the UN developed countries believe are priorities and what many developing countries feel the prioritized issues should be. For example, the country of Burundi has asked that one of the goals be focused on food security. Austria, however, is adamant that the major current global issue is to mediate ceasefires in countries in the midst of a civil war.

You have been asked to provide an unbiased perspective and identify the four issues you feel most impact the global environment. You will present your findings at the next UN General Assembly. Your goal is to provide a history of each issue, the number of countries affected, and the effects of this threat to the world population.

Of the eight major threats listed below, choose the four that you consider the most critical.

Energy sources

Civil war

Globalization

Poor health of entire populations

Lack of educational opportunities

Cultural taboos

Inappropriate uses of technology

Climate change

For your presentation to the United Nations:

  1. Develop a minimum of four slides per issue for a minimum total of 16 slides.
  2. Provide at least a paragraph on each slide (in the notes section) to explain the reason this information is relevant to the UN’s assessment.
    1. To review how to do any of the required assignment deliverables in PowerPoint, please refer to your Lynda.com account or reach out to your instructor ahead of time.
  3. For each issue, create a graph or chart to analyze the data you have collected.
  4. Cite at least five credible sources excluding Wikipedia, dictionaries, and encyclopedias.

This course requires use of Strayer Writing Standards (SWS). The format is different compared to other Strayer University courses. Please take a moment to review the SWS documentation for details. (Note: You’ll be prompted to enter your Blackboard login credentials to view these standards.)

The specific course learning outcomes associated with this assignment are:

  • Examine the factors that account for why the growth in the world’s population can negatively affect global society.

Assignment 3b: Threats to the Global Environment Counterargument

The members of the United Nations are impressed by your presentation. The information you provided has led to productive debates. There are now questions about prioritizing the issues at hand. Some of the countries are challenging your recommendations and questioning your reasons for not including certain other issues they believe are priorities.

There are four remaining threats in the list of major global issues. Review the topics and reflect on two that you did not use in Assignment 3a. Defend your reasons for considering these topics to be less important than the issues you assessed in Assignment 3a.

Energy sources

Civil war

Globalization

Poor health of entire populations

Lack of educational opportunities

Cultural taboos

Inappropriate uses of technology

Climate change

  • Choose two of these four threats and write one paragraph on each threat stating why each is less a priority to the health of the global environment than the four you assessed in Assignment 3a.
  • Support your argument with at least three scholarly sources for each threat chosen (a total of at least 6 sources) that can be used to support your position that these two threats are less a priority than the four threats which you chose to assess in assignment 3a.
  • Each counterargument should include:
  • An opening statement describing the threat; Three (3) points that offer evidence which supports your position that these threats are less a priority than the four threats that you assessed in Assignment 3a.
  • Please cite at least three scholarly sources in your argument.
  • For a brief list of resources for this assignment, please see the end of the course guide.

This course requires use of new Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details. (Note: You will be prompted to enter your Blackboard login credentials to view these standards.)

The specific course learning outcomes associated with this assignment are:

  • Examine the factors that account for why the growth in the world’s population can negatively affect global society.

Identify and mark several situations in the case

• Identify and mark several situations in the case, several aspects in leadership (qualities, skills, style, and the way doing); […]