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Are regular drivers' insurance premiums subsidizing luxury cars? Published Friday, August 11, 2017 6:58PM PDT. Success? It seems that more modest vehicles are subsidizing the cost of insuring luxury cars in B.C.something the new NDP government is calling a priority to change as part of a review of the public auto insurer. Fender-benders on Lamborghinis or Ferraris can cost more than a typical middle-class car, but the premiums charged by and disadvantages of delegated legislation, ICBC can be comparatively less expensive, according to Essay Competitive figures provided to CTV News by advantages, ICBC. Thats despite a push to increase premiums for cars worth over $150,000 last year by the BC Liberals--and its one that will be scrutinized as the new government tries to get ICBC costs under control. Part of fairness means that if youre driving a luxury automobile, you should be paying the costs necessary to have to Essay on Competitive ensure were not having to pay more to replace it if its damaged in an accident than is coming in the rates, B.C.s Attorney-General David Eby said. Addressing this is a priority for skiing industry, us, he said. There are more high-end luxury cars per capita in Metro Vancouver than in any other North American city, according to ICBC. And the antics of luxury car owners turn heads in Vancouver, with police often prosecuting young motorists for reckless driving, like a Ferrari clocked doing 210 kilometers an hour across the Lions Gate Bridge in July. When these kinds of cars crashlike a Ferrari and a Lamborghini did in the Massey Tunnel in December, or a Lamborghini and a fire hydrant did in downtown Vancouver in May its ICBC that has to foot the bill for the whopping costs to on Success fix them. Those costs can be enormous. ICBC figures show that one McLaren 650S cost ICBC $93,000 to sandburg poetry repair and a 2011 Ferrari cost $88,481 to repair.

To fix one fender on one Ferrari was $6,000, compared to on a Toyota Corolla, which would cost just $160. In November, the former government claimed costs were so high, the skiing industry, Liberals were looking to privatize insurance for Competitive Success, these vehicles. But despite the press conference and the promises by then-Transportation Minister Todd Stone, that never happened, an ICBC spokesperson confirmed. Instead, ICBC doubled premiums of those drivers of cars worth more than $150,000 about 3,000 cars as of 2016. But ICBC couldnt tell CTV News whether that was enough to cover costs.

According to sandburg poetry an Ernst and Young report, the insurer is on track to lose some $1.1 billion by 2019, which would take a 30 per Essay on, cent spike in insurance to don't and drive fix. Success? CTV News asked how much it would cost to insure this reporter on skiing industry a variety of cars. Essay Competitive? A Honda Civic a typical middle-class car valued at $16,000would cost $1,751 to insure with a $300 deductible. Compare that to a 2015 Ferrari 458, with declared value $699,999. The premiums for that car are higher, at $7,003, and so is the deductible, at $7,000. The premiums for the Ferrari are four times higher, even though the car is worth about 40 times more. The insurer is in a bind on religion is true expensive cars because the cost of writing them off is so high and on, so its often cheaper to engage in costly repairs, said Bruce Cran of the Consumer Association of Canada. Thats why its so important to set premiums according to actuarial tables, and not according to what may be popular in the province, he said. If youve got a half-million dollar car you should be paying premiums that support the repairs for don't and drive, that vehicle, he said. ICBCs financial woes stem from higher crashes, higher payouts, and on Competitive Success, many crash victims turning to lawyers to don't drink secure payouts, which can increase settlement costs. On Competitive? Legal fees amounted to about 24 per cent of payout costs, according to the Ernst and Young report.

The NDP government says its struck a team of senior officials from the sandburg poetry, solicitor-generals ministry, the transportation ministry, as well as experts in road safety and insurance to advise it the best way forward. We have committed to British Columbains that we will not have a 30 per Competitive Success, cent rate increase as has projected and that means serious changes for the corporation and we are moving ahead with that, Eby said. Boy on sandburg poetry bicycle struck during car chase. Massive blaze tears through metal shop near Olympic Village. Dirty business: B.C. political drama over dog poop on desk. 'Bat in the head': B.C. Essay Competitive? man recalls Vegas shooting. Charges possible after large-scale puppy seizure. Vegas attack: Chilling new details on the shooter. 'She has her life ahead of her': Toddler thriving after dad's marrow transplant.

Aubrey Hirsch's parents are encouraging others to register to Case Study Business: Global Communication Problems Essay be marrow and stem cell donors. 1. 12-year-old on bike struck by Essay Competitive Success, SUV during civilian chase. Worker in cattle cruelty case given jail time, but able to work at other farm. NDP introduces bill that would give Greens party status. Surrey pastor facing 25 charges in advantages legislation, series of sexual assaults. 12-year-old on bike struck by SUV during civilian chase. Massive blaze damages Vancouver metal firm, prompts rescue of 11 dogs. 'He was fearless': Parents remember B.C. mechanic killed in mass shooting.

Seizure of 20 puppies highlights need for breeder laws: BC SPCA. Seizure of 40,000 fentanyl pills, 132 kg of cocaine leads to charges. CTV News at Six Vancouver for Tuesday, October 3, 2017. Young boy injured in serious crash in on Competitive, Langley. Vegas attack: Chilling new details on in Global Business: Global Communication Essay the shooter. Shocking results from distracted driving blitz. Massive blaze tears through metal shop. CTV director hits the on Competitive, stage with Nickelback.

Bill Clinton, Jean Chretien praise NAFTA during Montreal event. Probe into possible Trump-Russia collusion ongoing, senators say. Celine Dion to donate Vegas show proceeds to shooting victims' families. Gene therapy helps boys with 'Lorenzo's Oil' disease. And Disadvantages Legislation? Trudeau releases new mandate letters for shuffled ministers. Nobel Prize in Chemistry honours technique for seeing molecules' details.

Slide in average home price in Toronto ends but sales down 35% Vancouver resorting to Essay on Success pressure from family, friends to deter distracted drivers. NHL preview: Major storylines to follow as 2017-18 season begins. Toronto seniors celebrate 70th annual school reunion. Las Vegas survivors speak out: 'It just went all to merger waves hell' A look back at Tom Petty's life and career. Use of this Website assumes acceptance of Terms Conditions and Essay on Competitive Success, Privacy Policy.

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Pediatric Palliative Care and Pediatric Medical Ethics: Opportunities and Challenges. The fields of pediatric palliative care (PPC) and pediatric medical ethics (PME) overlap substantially, owing to Essay Competitive Success a variety of merger waves historical, cultural, and social factors. This entwined relationship provides opportunities for leveraging the strong communication skills of Success both sets of merger waves providers, as well as the potential for resource sharing and research collaboration. On Competitive? At the same time, the personal and religion is true professional relationships between PPC and PME present challenges, including potential conflict with colleagues, perceived or actual bias toward a palliative care perspective in resolving ethical problems, potential delay or underuse of PME services, and a potential undervaluing of the medical expertise required for PPC consultation. Essay On Success? We recommend that these challenges be managed by: (1) clearly defining and communicating clinical roles of sandburg poetry PPC and PME staff, (2) developing questions that may prompt PPC and Competitive PME teams to request consultation from the other service, (3) developing explicit recusal criteria for advantages of delegated PPC providers who also provide PME consultation, (4) ensuring that PPC and PME services remain organizationally distinct, and (5) developing well-defined and broad scopes of practice.

Overall, the rich relationship between PPC and PME offers substantial opportunities to better serve patients and families facing difficult decisions. pediatrics palliative care medical ethics hospital care Abbreviations: PME pediatric medical ethics PPC pediatric palliative care. Prologue A 14-year-old boy, who we will call John, lies in bed. His head and back are propped up by pillows, his breathing appears labored, and on Competitive Success his brow glistens with sweat. Next to his bed stands an IV pole with a patient controlled analgesia pump, a long thin clear plastic tube connected to advantages of delegated the central venous catheter that protrudes from underneath his shirt. The room is dark, the shades being drawn and all but the bathroom lights turned off.

Outside, in on Competitive, the hallway, with the door to his room closed, his parents are conversing in an animated manner with the attending physician. They do not want their son to sandburg poetry be told that the cancer has returned and is now widely spread. At the same time, they recognize how uncomfortable their son is and want all efforts to be made to on Competitive Success lessen his pain and ease his breathing. Skiing Industry? After a fairly lengthy discussion, the parents and the attending physician agree to requesting both a palliative care consultation, to Essay on Competitive Success help with pain and symptom management as well as further clarification of goals and limits of care, and an ethics consultation, to help think through the pros and cons of telling John the full truth or something less than the full truth. For the past several decades, in the realm of pediatric hospital practice, the fields of palliative care and medical ethics have to a large degree overlapped and entwined.

Indeed, this special supplement to Pediatrics , 1 of a series of supplements devoted to pediatric ethics, testifies to the particular relevance of pediatric palliative care (PPC) to pediatric medical ethics (PME), and vice versa. And Disadvantages Legislation? In this issue, the reader will find illuminating discussions of the ethical hot topics of autonomy, truth telling, futility, the on Competitive role of values in Communication Problems, decision-making, the extent of professional duties, and the line between the easement of suffering and euthanasia (all fitted out with compelling apt examples from PPC). Even if the relationship between PPC and ethics is evident, we should not consider the depths of the Success relationship to be self-evident, nor should we be blase about how to best manage aspects of this relationship. 1 , 2 In this essay, we will explore the reasons for the association (at times verging on an alliance) between PPC and pediatric ethics, consider the advantages and disadvantages of this tight relationship, and offer up some recommendations about how to manage and make the most of this set of connections (Fig 1). Reasons, opportunities, challenges, and recommendations for managing the relationship between pediatric palliative care and pediatric medical ethics. In writing this essay, one of us is fully aware that he (albeit as a flawed example) personifies this enmeshed relationship, being both a practicing PPC physician as well as a practicing pediatric ethics consultant at a large childrens hospital. The reader should also be aware of these facts, as the merger waves journey along this dual-path career may have provided not only certain insights but also some personal baggage that may have influenced what we write. The origins and causes of the association between PPC and Success ethics can be traced to historical and don't drink and drive cultural factors, as well as a combination of self and social selection.

In 1965, the concept of using intermittent positive pressure ventilation to treat immature infants was born into the world. 3 Although physicians had long provided care to infants who were born well before their due date, the Essay Competitive introduction of intubation and mechanical ventilation led to the creation not only Study Business: Communication Essay of neonatal intensive care units during the ensuing decade, but also to a host of pressing ethical dilemmas. Competitive Success? Doctors had to decide which premature infants should be treated with this level of sandburg poetry high-intensity care. The alternative to intubation, mechanical ventilation, and other invasive neonatal intensive care unit interventions was to provide comfort care measures, or what we would today call palliative care. 4.

During the 1970s and Essay on Competitive Success early 1980s, the practice of issuing do not attempt resuscitation orders both came into which religion, existence and became a focal point for ethical debates about the involvement of parents in the process of making decisions about the medical care that their children receive. 5 Here again, the dilemmas about the appropriate ways to care for dying children and children who have serious illnesses were the focus of both medical ethicists and of specialists in palliative care. In 1979, the paradigm-altering ethnographic study of the on Success private worlds of Study in Global Business: Global Problems Essay dying children revealed that children who had advanced cancer often fully understood the grim nature of their prognosis. 6 Even so, the children seldom talked about their thoughts, beliefs, or dreams about dying, death, or an afterlife, maintaining this lonely isolation by a sad dance of on Competitive Success mutual pretense. Both the children and Study in Global Business: their parents continued to behave with each other as though everything would be okay to provide support to the person they loved. Success? The ethical concern of truth telling was henceforth apiece with PPC.

In 1982, Baby Doe was born with Down syndrome and an esophageal atresia with a tracheal esophageal fistula. Study Business: Communication Problems Essay? After a decision to not operate to correct the Essay on Competitive Success atresia was made by his parents and physicians, the infant was treated with sedating and pain relieving medications until he died 6 days later. 7 The subsequent outcry and passage of which religion is true federal regulations underscored again the contentious dilemma of who to treat and how. More pointedly, the Baby Doe controversy brought to on Competitive the fore concerns about biases against disabled individuals, as well as concerns when family interests seem to outweigh the best interests of the child, with both sets of concerns potentially leading to and drive fundamental injustices. 8 , 9. These examples can be multiplied, illustrating how historically some of the most trenchant issues in pediatric medical ethics have arisen in on Success, the context of patients who have grave illness potentially confronting the end of life, with difficult decisions to make about how to best care for these individuals.

The observed historical association of PPC and PME is no coincidence, reflecting instead several aspects of and drive our cultural milieu that make this association likely. 10 Death is an oddly marginalized topic in American culture, being on the one hand the on Competitive centerpiece of and disadvantages of delegated legislation violent or frightening mainstream entertainment, yet on the other hand being an Competitive issue so painful and difficult to contemplate privately or discuss publicly that doing so in a sustained, thoughtful, considered manner is felt by many to be taboo. As a result, even though the death rate is ultimately 100%, we struggle as a society to envision the ideal care of dying individuals, to engage each other in formulating plans to assure such care, and to enact these care plans. These struggles are difficult when the patient is a competent adult, and exponentially more difficult when concerning children. PPC engages in this struggle, patient by patient.

Such efforts require not only grappling with death, but also with other difficult and marginalized issues that are central to PME, such as views regarding the value of life, the degree to which impairments do or do not diminish this value, the practical and spiritual implications of pediatric suffering, and the pursuit of a path of don't drink and drive care that is in the childs best interest while respecting the childs emerging capacity to Essay on Competitive make reasonable decisions that may be contrary to the decisions of the parents. People who engage in advantages and disadvantages of delegated, PPC and on Success PME also tend to exhibit similar personality characteristics: good collaborative communication skills, a manner of interpersonal interactions perceived by and disadvantages legislation, others as especially respectful and on Competitive kind, an often broadly ecumenical personal world view, and Case Study in Global Problems an openness to both joy and sadness. This is not to say that PPC and PME practitioners have a corner on the market of any of on Competitive Success these characteristics, or exhibit all of them to an exemplary degree, but these characteristics do seem to cluster in both of these sets of practitioners. This clustering may be driven by individual self-selection, based on ones sense of personal interests and strengths, or by the encouragement of others. The overlap of PPC and PME, in terms of both core content concerns and personnel with interest and aptitude, presents several advantageous opportunities. Shared Collaborative Communication Skills. A core set of sandburg poetry collaborative communication skills enables PPC and Competitive Success PME personnel to have productive and sometimes transformative encounters with patients, parents, and other health professionals. Collaborative communication can help to skiing industry clarify everyones (often differing) sense of the clinical situation, explore and support feelings of hope, fear, and frustration, examine the on Competitive rationale and goals of care, and formulate consensus treatment plans. Such collaborative communication, when empowered by emotional intelligence, can promote a common sense of purpose and respect, and drink and drive can create shared agendas out of apparent conflict.

Having personnel who are particularly adept at collaborative communication use this skill in Competitive, both the practice of PPC and PME is a sensible use of a valuable and sometimes limited resource. The fields of PPC and PME can provide cross-fertilization regarding skills and intellectual agendas. The specific collaborative communication challenges confronted by practitioners in either PPC clinical consultation or PME ethics consultation can promote the further growth and development of skiing industry these practice skills in ways that can benefit either realm of practice. Success? The 2 disciplines also have, as noted, many common areas of interest, presenting opportunities for scholarly or research collaboration. Some organizations combine palliative care and medical ethics programs, housing them underneath 1 administrative umbrella. Advantages Legislation? This arrangement, which seems sensible given the overlap of PPC and PME outlined here, permits the colocation of Essay Success like-minded colleagues and efficient use of support staff and joint program resources. The overlap of PPC and PME also presents certain challenges that need to be recognized and managed. Potential Conflict With Colleagues.

PPC sometimes involves conflict among health care colleagues, and merger waves PME consultation sometimes is Essay Competitive, sought to address and which is true resolve these conflicts. To the degree that members of the PPC team are also members of the Success PME consultation service, the handling of the case by the PME consultation service may appear to be influenced by a conflict of collegial interests. The potential for such conflicts exists regardless of which configuration of colleagues is involved. For example, overlap of the PME consultation service with members of the neonatal, pediatric, cardiac, or surgical ICU staffs would all raise similar concerns. Although these concerns motivate some to call for PME consultation services to be staffed by individuals outside of the hospital or organization, such staffing models raise other practical concerns, while still not necessarily dissolving all potentially influential interpersonal relationships. Potential Conflict of Commitments. At a deeper level, PPC represents a certain stance regarding the goals of medical care.

11 , 12 This stance can be best summed up as follows: to cure when possible, to merger waves comfort always. This philosophy of care is often accompanied by a deep sense of purpose and on Competitive Success personal mission, which can be good or bad. A powerful sense of mission motivates practitioners of both PPC and PME to plunge into difficult emotional situations. If ones commitment to drink this sense of personal mission is very strong, however, then the ability to take on the perspectives of others (which can be critical for on Competitive Success exploring and understanding the ethical dimensions of difficult clinical situations) may be compromised. Again, this challenge is not unique to religion is true those who practice PPC. Success? Neonatologists and sandburg poetry oncologists, intensivists and cardiologists, surgeons and general pediatricians all may have deep personal and philosophical commitments that need to be managed when engaging in ethics consultation. Similarly, health care personnel who perform PME consultation are often committed to on Success a deliberative process that may be at odds with the pace of decision-making required by a particular case, or to the attainment of consensus, which may not be possible in all cases. Potential Delay or Underuse of PME. Although PME clinical consultations sometimes identify unmet PPC needs, and thereby result in a PPC consultation, the opposite does not occur as frequently: PPC consultation rarely results in a subsequent PME consult.

While such a chain of events does occur from religion time to time, PPC staff, given their collaborative communication skills (and for some, their formal training in PME or involvement in Success, PME consultations), may be able to manage most of the ethically challenging cases (but not all of them) and thus run a risk of not drawing on the resources and potential benefits of skiing industry PME consultation in a timely manner. This may be especially true for cases in which PPC staff have forged a strong therapeutic relationship with the Essay on Competitive patient or family, yet other clinicians are nonetheless struggling with a sense of moral distress. And Drive? PME consultation in these situations can provide a forum for dialogue, enhanced team-wide understanding of the goals of care, and ultimately better therapeutic relationships across the entire health care team. Potential Undervaluation of on Competitive Success PPC Medical Expertise. To meet the needs of children living with life-threatening conditions and their families, PPC demands a thoroughgoing knowledge of advanced pain and Business: Global Communication Essay symptom management, as well as a firm understanding of the disease processes that cause serious pediatric illness. PPC practitioners also need to have high-functioning relationships with community-based hospice and home nursing agencies. On? Equating PPC only with communication and sandburg poetry decision-support (which is to Essay Competitive Success say, with the components of PPC that most overlap with PME) is to misunderstand the scope of medical expertise that PPC requires. Potential Limitation of the Scope of sandburg poetry Medical Ethics. Conversely, too much emphasis on the ethical issues that arise in the care of children who have serious life-threatening illness limits the scope of all the Competitive Success topics that PME should address. Many medical ethics issues are far afield from end-of-life dilemmas, ranging from the ethics of expanding newborn screening programs and other innovations emerging from genomic-based medical practice, to the quotidian challenges of access to high-quality care or the detrimental effects on long-term wellbeing of exposure of children to poverty or violence.

Ethicists worry about the regulation of research, about merger waves enhancement therapies, and Essay Competitive about the policy issues and looming challenges of intergenerational distributive justice. Furthermore, PME has not only an important role in performing clinical consultations, but also a vital role in the formulation or review of a wide variety of hospital policies that extend beyond the domain of PPC, as well as the legislation provision of ethics education to members of the health care staff across the on range of PME topics. With these thoughts regarding opportunities and challenges in mind, we offer the following set of recommendations about managing the sandburg poetry relationship between PPC and PME. Define Clear Roles and Promote Role Identification. Health care personnel involved in Essay Competitive Success, both PPC or PME, like all other health care personnel, need to be clear in their own minds regarding the clinical role that they are entrusted to fulfill in the care of patients and families, and be explicit when communicating the merger waves nature and expectations of this role to patients and parents. If, in on Success, the passage of time and turn of events, a health care professional moves from one role to another in the care of a patient, this role transition also has to sandburg poetry be recognized inwardly, and communicated clearly to patients, family members, and others. Identify Clear Consultation Trigger Questions.

Both PME and PPC clinical staff should, when going about their consultative duties, pose to themselves (and potentially other health care staff as well as patients and families) a few questions to prompt recognition or awareness that the Essay Competitive other consultative service might be beneficial. For PME staff, some useful questions are: Does this patient have unmet pain or symptom management needs? If the patient has serious illness, are the goals of care clear? Is the patient in a failing state of health with no single clinical service providing guidance, in don't drink, partnership with the patient and family, about how to proceed with care? For PPC staff, questions might include: Is there any debate about what is the right thing to do to help this patient? Is this debate at the level of dissension or discord?

Are the on patient or family feeling that they are not being heard? Are members of the clinical staff reporting feeling uncomfortable with the care that is being provided, or even a strong sense of moral distress? If now is not the right time to request a PME consultation, what events or discussions would indicate that the right time has indeed arrived? Weekly team meetings of PME staff, monthly ethics committee meetings, and skiing industry weekly interdisciplinary PPC team meetings are good occasions to pose or to revisit these questions. These meetings can essentially provide a level of clinical supervision to Essay on Competitive these realms of overlapping practice. Similarly, health care personnel involved in PME need to develop criteria that can provide prompts or guidance about legislation when to recuse oneself from a PME ethics consultation. Individual PME providers may find themselves involved in an ethics consultation on Essay on, a case in which they are intimately involved as a medical provider. Ideally, ethics consultants should bring an impartial perspective to skiing industry each consult, which can be more challenging if that individual is also providing clinical care to the patient.

PME consultants who also provide direct patient care need to be able to recognize the limitations to on Success their objectivity in Study in Global Communication, these circumstances and Essay on appreciate the value of calling in an outside consultant in such cases. Maintain Organizational Distinction. Clarity of roles extends beyond the context of direct patient care: PPC teams and PME consultative services should have different names for these distinct organizational roles, along with separate budget lines and reporting structures. As noted, locating PPC and PME services under one administrative umbrella can increase efficiency through resource sharing. At the same time, clear separation needs to be maintained between the two, as they serve different roles within the organization, and if the distinctions are blurred organizationally they are more likely to be blurred at the bedside. Additionally, for some of the most ethically challenging cases, distinct PPC and PME services may need to be an organization double-check (or potentially a check-and-balance) for which is true each other.

Indeed, for Essay on such cases, PPC and PME staff can potentially role model how to address differences of and disadvantages of delegated legislation opinion among health care staff regarding the best course of action, engaging in discussion that is respectful and on Success vigorous, listening and challenging, sensitive and searching. Build and Maintain a Broad Scope of Work. At the national level, the fields of both PPC and PME are promulgating practice guidance and standards, such as have been articulated by Study Business: Essay, the American Academy of Pediatrics regarding PPC and PME consultation and Essay Competitive hospital ethics committee work, 13 , 14 and as are set forth in an increasing number of textbooks and skiing industry professional society guidelines. 15 19 At the Essay on Competitive Success local level, within hospitals and health care systems, PPC and PME programs should identify their own practice standards, including their scope of practice, and advantages of delegated legislation monitor whether their performance drifts over time to unduly focus on one area of their intended scope of practice while neglecting others. The relationship between PPC and PME, arising from historical, cultural, and social underpinnings, is too important to Essay Competitive leave to chance.

On balance, we believe that the relationship offers substantial opportunities for the better care of the patients we serve and their families. To achieve that lofty goal, professionals in both fields must be mindful of the skiing industry challenges that need to Essay Competitive Success be managed in terms of skiing industry organizational structure, role expectations, and reflective practice. Accepted November 12, 2013. On Success? Address correspondence to Chris Feudtner, MD, PhD, MPH, The Children's Hospital of Philadelphia, 3535 Market St, Rm 1523, Philadelphia, PA 19104. E-mail: feudtner email.chop.edu. Dr Feudtner conceptualized and drafted the initial manuscript; Ms Nathanson critically reviewed and added content to don't drink the draft manuscript and edited the manuscript; and both authors approved the final manuscript as submitted. FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to Essay on Success disclose. FUNDING: No external funding. POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.

Morrison W , Derrington SF . Stories and the longitudinal patient relationship: what can clinical ethics consultants learn from drink and drive palliative care? J Clin Ethics . 2012 ; 23 ( 3 ): 224 230 pmid: 23256402. Carter BS , Wocial LD . Ethics and Competitive Success palliative care: which consultant and when? Am J Hosp Palliat Care . 2012 ; 29 ( 2 ): 146 150 pmid: 21665855. Delivoria-Papadopoulos M , Levison H , Swyer PR . Intermittent positive pressure respiration as a treatment in severe respiratory distress syndrome.

Arch Dis Child . 1965 ; 40 ( 213 ): 474 479 pmid: 5318721. Lantos JD , Meadow W . Neonatal Bioethics: The Moral Challenges of Medical Innovation . Baltimore : Johns Hopkins University Press ; 2006. Burns JP , Edwards J , Johnson J , Cassem NH , Truog RD . Do-not-resuscitate order after 25 years. Crit Care Med . Sandburg Poetry? 2003 ; 31 ( 5 ): 1543 1550 pmid: 12771631. Bluebond-Langner M . The Private Worlds of Dying Children . Princeton, NJ : Princeton University Press ; 1978. Pless JE . Essay Success? The story of Baby Doe. Skiing Industry? N Engl J Med . 1983 ; 309 ( 11 ): 664 pmid: 6225020. Angell M . Essay On Competitive? Handicapped children: Baby Doe and Uncle Sam. N Engl J Med . 1983 ; 309 ( 11 ): 659 661 pmid: 6225018. Lantos J . Don't? Baby Doe five years later. Implications for on Success child health.

N Engl J Med . 1987 ; 317 ( 7 ): 444 447 pmid: 2956518. Callahan D . The Troubled Dream of merger waves Life . In: Search of a Peaceful Death . New York : Touchstone ; 1993. Cassell EJ . The Nature of Suffering and the Goals of Medicine . 2nd ed. Essay On Competitive Success? New York : Oxford University Press ; 2004. Byock I . The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life . New York : Avery ; 2012. American Academy of Pediatrics. Committee on Bioethics . Institutional ethics committees. Pediatrics . 2001 ; 107 ( 1 ): 205 209 pmid: 11134464.

American Academy of is true Pediatrics . Section on Hospice and Palliative Medicine and Committee on Hospital Care, Feudtner C, Friebert S, and Jewell J. Pediatric palliative care and hospice care: commitments, guidelines, and recommendations. Pediatrics . 2013 ; 132 ( 5 ) : doi: 10.1542/peds.2013-2731. Wolfe J , Hinds PS , Sourkes BM . Competitive? Textbook of Interdisciplinary Pediatric Palliative Care . Philadelphia : Elsevier/Saunders ; 2011. Goldman A , Hain R , Liben S . Oxford Textbook of Palliative Care for and disadvantages Children . 2nd ed. Oxford, New York : Oxford University Press ; 2012. Carter BS , Levetown M , Friebert SE . Palliative Care for Infants, Children, and Essay Success Adolescents: A Practical Handbook . 2nd ed. Baltimore : Johns Hopkins University Press ; 2011. Hester DM . And Disadvantages Of Delegated? Ethics by Essay on Competitive, Committee: A Textbook on Consultation, Organization, and skiing industry Education for Hospital Ethics Committees . Lanham, MD : Rowman Littlefield Publishing ; 2008. American Society for Bioethics and on Competitive Success Humanities' Core Competencies Update Task Force . Merger Waves? Core Competencies for Healthcare Ethics Consultation: The Report of the American Society for Bioethics and Humanities . Glenview, IL : American Society for Bioethics and Humanities ; 2011.

Copyright 2014 by the American Academy of Essay on Pediatrics. Copyright (c) 2017 by American Academy of Pediatrics.

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2014-15 - Report on Plans and Priorities. Name of Horizontal Initiative: AgriInsurance. Name of lead department: Agriculture and Agri-Food Canada (AAFC) Lead department Program: Business Risk Management (BRM) Start date of the Essay Competitive Success, Horizontal Initiative: April 1, 2013. End date of the skiing industry, Horizontal Initiative: March 31, 2018 (AgriInsurance is statutory and ongoing; however, the current policy and on Competitive Success program authorities expire on this date.) Total federal funding allocation (Start to End Date): $3,227.0 million (2013-14 to 2017-18) Description of the Horizontal Initiative (including funding agreement): AgriInsurance is skiing industry part of the BRM suite of programs. AgriInsurance provides insurance against production losses for specified perils. The federal government contributes to AgriInsurance contracts offered to producers by provinces or territories. The commodities covered vary by province or territory and continue to expand to cover additional commodities. Authorities for Essay on the program include Section 4 of the Farm Income Protection Act , as well as the Growing Forward 2 (GF2): A Federal-Provincial-Territorial (FPT) Framework Agreement on Agriculture, Agri-Food and Agri-Based Products Policy, including Annex B which is specific to the AgriInsurance program. Skiing Industry! The program links to the departmental strategic outcome of a competitive and Essay Success market-oriented agriculture, agri-food and agri-based products sector that proactively manages risk and the Government of Canada's outcome of Strong Economic Growth.

For more information, visit the skiing industry, following websites: Production losses are mitigated by providing effective insurance protection. AgriInsurance is part of the GF2 agricultural policy framework agreed to by FPT Ministers of Agriculture and introduced for the 2013 program year as the successor of Growing Forward (GF). AgriInsurance is a provincially administered program to which the federal government contributes financially. The Federal-Provincial governments share a portion of the premium costs together with program participants (generally 36% federal, 24% provincial and 40% producer).

Governments also fully cost-share the administrative costs of the Essay Competitive, program (60:40 federal-provincial). Like the other BRM programs, the governance structure for the AgriInsurance program consists of working groups and committees, including the FPT BRM Policy Working Group and FPT AgriInsurance Working Group, as well as the National Program Advisory Committee (NPAC), which includes FPT and industry representatives. These groups examine BRM policy and program issues and, as requested, develop options to be brought forward to senior management, including FPT Assistant Deputy Ministers (ADMs), Deputy Ministers and Ministers. NPAC provides advice through FPT ADMs . In developing GF2 , both industry and governments recognized the importance of the AgriInsurance program as a risk management tool. Merger Waves! No program adjustments were made to AgriInsurance under the new policy framework. However, in 2014-15, governments will continue to Essay on Success, look at possibilities for making improvements to insurance products to help meet the risk management needs of the sector. For instance, the Federal Government will continue to work with the provinces as they review the Case in Global Global Essay, potential to Essay Competitive, implement recommendations from a Government/Industry Forage Task Team that considered ways to improve forage insurance across the country.

The Department will also continue to implement recommendations from an internal evaluation from 2012-13, as well as an internal audit expected to be completed in 2014. Sandburg Poetry! Recommendations will be implemented to Essay on, best serve clients and don't and drive maximize results. AAFC will further refine administrative processes to meet service standards set for assessing new provincial plan submissions or enhancements, and for processing payments to Essay, provinces. Results to skiing industry, be achieved by non-federal partners: Planning and development activities are done jointly with the Essay on Competitive, provinces.

Therefore, the expected results are the skiing industry, same, but the on, achieved results will vary by province. Business Risk Management Programs Directorate. And Disadvantages Of Delegated! Room 241, Floor 3, Tower 7. 1341 Baseline Road. Planned spending amounts include the federal cost-share of each province's direct administration costs of its respective programming. This program is statutory and Essay Competitive Success demand-driven; therefore, actual spending could vary. See also the related horizontal initiatives on AgriInvest, AgriRecovery and AgriStability.

Planned spending reflects funds already brought into the Department's reference levels as well as amounts to be authorized through the Estimates process as presented in the Department's Annual Reference Level Update. It also includes amounts for programming for which approval was received by February 2014. Planned spending has not been adjusted to include new information contained in Budget 2014. Skiing Industry! More information will be provided in the 2014-15 Supplementary Estimates, as applicable. Total allocation and planned spending amounts are net of indirect costs. Due to rounding the figures presented may not add up to the totals shown, and figures that cannot be listed in millions of dollars are shown as 0.0. Competitive! Name of Horizontal Initiative: AgriInvest. Name of lead department: Agriculture and Agri-Food Canada (AAFC) Lead department PAA Program: Business Risk Management (BRM) Start date of the Horizontal Initiative: April 1, 2013. Don't! End date of the on Success, Horizontal Initiative: March 31, 2018 (AgriInvest is merger waves statutory and ongoing; however, the current policy and program authorities expire on Essay Success this date.) Total federal funding allocation (Start to End Date): $781.4 million (2013-14 to 2017-18) Description of the Horizontal Initiative (including funding agreement): AgriInvest is part of the BRM suite of programs.

AgriInvest helps producers manage small income declines, and provides support for investments to mitigate risks or improve market income. Producers' AgriInvest accounts build as they make annual deposits based on a percentage of skiing industry, their Allowable Net Sales (ANS) and Essay on Competitive Success receive matching contributions from federal and provincial/territorial governments. AgriInvest is cost-shared 60:40 by federal and provincial/territorial governments. Both the AgriInsurance and AgriStability programs support AgriInvest in assisting producers in managing income risk. Authorities for and disadvantages the program include Section 4 of the Farm Income Protection Act , as well as the Growing Forward 2 (GF2): A Federal-Provincial-Territorial (FPT) Framework Agreement on Agriculture, Agri-Food and Essay Success Agri-Based Products Policy, including Annex A which is specific to the AgriStability and AgriInvest programs. The program links to merger waves, the departmental strategic outcome of a competitive and market-oriented agriculture, agri-food and Competitive agri-based products sector that proactively manages risk and the Government of Canada's outcome of don't, Strong Economic Growth. For more information, visit the following websites: Producers have flexibility in managing small financial risks.

AgriInvest is part of the GF2 agricultural policy framework agreed to by FPT Ministers of Competitive Success, Agriculture and introduced for the 2013 program year as the successor of Growing Forward (GF). The federal government and the provinces/territory share the program costs, including program payments and administrative costs, on a 60:40 basis. The AgriInvest program is skiing industry delivered by the federal government in all provinces except Quebec, where it is delivered by La Financiere agricole du Quebec. On Competitive! Like the and disadvantages of delegated legislation, other BRM programs, the governance structure for the AgriInvest program consists of working groups and committees, including the FPT BRM Policy Working Group and FPT Administrators Working Group, as well as the National Program Advisory Committee (NPAC), which includes FPT and industry representatives. These groups examine BRM policy and on Competitive Success program issues and, as requested, develop options to be brought forward to senior management, including FPT Assistant Deputy Ministers (ADMs), Deputy Ministers and Ministers. NPAC provides advice through FPT ADMs . Under the GF2 policy framework, FPT governments agreed to continue providing assistance under AgriInvest. Starting with the 2013 program year, program changes to AgriInvest were introduced, consistent with the direction of GF2 where producers assume more responsibility for smaller losses while government assistance is focussed on disasters. The adjustments include: Producers can now deposit up to merger waves, 100% of their annual ANS and receive matching government contributions on the first 1%. Under GF , producers were able to deposit up to 1.5% of their annual ANS , and were not able to make unmatched deposits.

Limiting the maximum matching government contributions to $15,000 for each year, down from the $22,500 in Essay on Success the previous framework. The maximum account balance increased from 25% of a producer's average ANS to 400% of their average ANS . Although these adjustments were made starting with the 2013 program year, most of the processing of AgriInvest applications will begin in Study Business: Global Communication 2014-15. FPT governments will continue to communicate these adjustments to producers and throughout 2014-15 will monitor the implementation of these adjustments under the AgriInvest program. Essay On Success! The Department will also conduct analysis on trends in account balances and withdrawals by don't drink and drive, those also receiving other program payments in order to ensure that producers continue to rely on AgriInvest as a mechanism to manage risk. Results to on, be achieved by non-federal partners: Coordination of program oversight and delivery with the federal government will ensure that the advantages and disadvantages legislation, program is consistent and Essay on Success that program objectives and reporting requirements are met. Business Risk Management Programs Directorate. Room 241, Floor 3, Tower 7. 1341 Baseline Road. Drink And Drive! This program is statutory and demand-driven; therefore, actual spending could vary. See also the related horizontal initiatives on Essay Competitive Success AgriInsurance, AgriRecovery and AgriStability. Planned spending reflects funds already brought into skiing industry the Department's reference levels as well as amounts to be authorized through the Estimates process as presented in the Department's Annual Reference Level Update.

It also includes amounts for programming for which approval was received by February 2014. Planned spending has not been adjusted to include new information contained in Budget 2014. More information will be provided in the 2014-15 Supplementary Estimates, as applicable. Total allocation and planned spending amounts are net of on, indirect costs. Due to rounding the figures presented may not add up to the totals shown, and figures that cannot be listed in millions of dollars are shown as 0.0. Name of Horizontal Initiative: Agricultural Disaster Relief Program (ADRP) / AgriRecovery. Name of lead department: Agriculture and Agri-Food Canada (AAFC) Lead department PAA Program: Business Risk Management (BRM) Start date of the Horizontal Initiative: April 1, 2013.

End date of the Horizontal Initiative: March 31, 2018. Total federal funding allocation (Start to End Date): $613.8 million (2013-14 to 2017-18) Description of the Horizontal Initiative (including funding agreement): AgriRecovery is part of the BRM suite of programs. AgriRecovery is a disaster-relief framework that allows federal, provincial and territorial governments to work together on a case-by-case basis to assess disasters (e.g. , extreme weather, disease, pests, etc. Don't! ) affecting Canadian farmers and respond with targeted, disaster-specific programming when assistance is needed beyond existing programming (AgriStability, AgriInvest, AgriInsurance, Canadian Food Inspection Agency compensation, etc. ). The aim of AgriRecovery is to provide affected producers with assistance to on, help them take action to mitigate the impacts of the disaster and/or resume business operations as quickly as possible following a disaster event. Authorities for the program include sub-section 12(5) of the Farm Income Protection Act ; ongoing Treasury Board authority for generic terms and conditions intended to guide the development of initiatives; and various FPT agreements for individual initiatives developed under the Framework. Authorities are also part of the Growing Forward 2 (GF2): A Federal-Provincial-Territorial (FPT) Framework Agreement on Agriculture, Agri-Food and Agri-Based Products Policy, including Annex C which is specific to the AgriRecovery Framework. The program links to the departmental strategic outcome of don't and drive, a competitive and market-oriented agriculture, agri-food and agri-based products sector that proactively manages risk and the Government of Canada's outcome of on, Strong Economic Growth. Farm business operations resume operations following a natural disaster. AgriRecovery is part of the GF2 agricultural policy framework agreed to by FPT Ministers of Agriculture and introduced for the 2013 program year as the successor of don't and drive, Growing Forward (GF). The AgriRecovery Framework, including the ADRP , is Essay Competitive Success part of the comprehensive GF2 policy framework developed by FPT Ministers of advantages and disadvantages legislation, Agriculture, and falls under the BRM priority.

Under the on Success, ADRP , the costs of initiatives, including producer payments and direct delivery costs, are expected to be cost-shared by the federal government and is true participating provinces and territories on a 60:40 basis respectively. For AgriRecovery programming outside the ADRP , funding options are negotiated with the provinces and territories on Essay on Success a case-by-case basis. Like the other BRM programs, the governance structure for the program consists of working groups and committees, including the sandburg poetry, FPT BRM Working Group and on Competitive Success FPT Administrators Working Group, as well as the National Program Advisory Committee (NPAC), which includes FPT and industry representatives. These groups examine BRM policy and sandburg poetry program issues and, as requested, develop options to be brought forward to senior management, including FPT Assistant Deputy Ministers (ADMs), Deputy Ministers and on Competitive Ministers. NPAC provides advice through FPT ADMs . Don't! Specific to AgriRecovery and the ADRP are FPT Task Teams, which are initiated on a case-by-case basis when requested to assess and analyze a disaster and its impacts and, if needed, develop options for Competitive Success a targeted disaster assistance initiative to be brought forward to merger waves, participating FPT Ministers. As part of GF2 , FPT governments agreed to adjust the AgriRecovery Guidelines to address industry's request for on Success greater clarity on when an AgriRecovery initiative is triggered. For 2014-15, the Department will engage producer organizations on the changes made, as well as the overall objectives and operations to promote a greater understanding of the Framework. The Department will continue to don't drink and drive, implement the recommendations out of the on, November 2013 audit from the which religion, Office of the Auditor General. Specifically, the Department will: work with provinces and central agencies to analyze impediments to Essay on Competitive Success, the AgriRecovery process; update timeliness targets, as required; and, make process adjustments to ensure these targets can be met; track and report on timeliness on a real-time basis and address those initiatives requiring corrective action; formally assess risks for each initiative and consult with provinces and central agencies with a view to streamlining administrative processes based on risk; and report against timeliness targets in merger waves the Departmental Performance Report, starting with the 2013-14 fiscal year. Beyond the administrative improvements, the Department, in collaboration with provinces and territories, will continue to monitor natural disasters when they occur and examine the impacts and needs of on, producers with respect to recovery.

Results to be achieved by non-federal partners: Joint planning and execution (federally and merger waves provincially) will be undertaken so that results are consistent. Business Risk Management Programs Directorate. Room 241, Floor 3, Tower 7. Essay On Success! 1341 Baseline Road. This program is drink and drive statutory and demand-driven; therefore, actual spending could vary. See also the related horizontal initiatives on AgriInsurance, AgriInvest and AgriStability. Planned spending reflects funds already brought into the Department's reference levels as well as amounts to Essay Competitive, be authorized through the Estimates process as presented in the Department's Annual Reference Level Update. It also includes amounts for skiing industry programming for which approval was received by February 2014.

Planned spending has not been adjusted to include new information contained in Budget 2014. More information will be provided in the 2014-15 Supplementary Estimates, as applicable. Total allocation and planned spending amounts are net of indirect costs. On Success! Due to merger waves, rounding the figures presented may not add up to Essay Competitive, the totals shown, and figures that cannot be listed in millions of dollars are shown as 0.0. Religion Is True! Name of Horizontal Initiative: AgriRisk. Name of lead department: Agriculture and Agri-Food Canada (AAFC) Lead department PAA Program: Business Risk Management (BRM) Start date of the Horizontal Initiative: April 1, 2013. End date of the Horizontal Initiative: March 31, 2018. Total federal funding allocation (Start to Essay on, End Date): $59.8 million (2013-14 to 2017-18) Description of the and disadvantages, Horizontal Initiative (including funding agreement): The AgriRisk Initiatives (ARI) program provides financial and technical assistance to private-sector or industry-led projects to research, develop, implement and deliver new risk management tools including insurance-based tools. The objective of the program is to increase producers' ability to Success, address the risks they face by facilitating the advantages and disadvantages of delegated legislation, development and adoption of agricultural risk management tools.

ARI will be delivered through time-limited financial and Essay technical assistance for projects undertaking the research and development of potential risk management tools, and support the administrative capacity building projects for the delivery of these tools. Research and development projects are federal-only funding whereas implementation and delivery projects are cost-shared with provinces or territories. Authorities for the program include section 4 of the Department of Agriculture and Agri-food Act , as well as the Growing Forward 2 (GF2): A Federal-Provincial-Territorial (FPT) Framework Agreement on Agriculture, Agri-Food and Agri-Based Products Policy. Merger Waves! The program links to the departmental strategic outcome of acompetitive and market-oriented agriculture, agri-food and on Competitive Success agri-based products sector that proactively manages risk and to the Government of Canada`s outcome of Strong Economic Growth. Skiing Industry! For more information, visit: Industry has increased awareness of current agricultural risk management tools and mitigation strategies and has access to new or expanded business risk management tools.

The ARI program is part of the GF2 agricultural policy framework agreed to by FPT Ministers of Agriculture and Essay Success introduced for the 2013 program year as the successor of Case Communication Essay, Growing Forward (GF). On! Like the other BRM programs, the governance structure for the program consists of the FPT BRM Policy Working Group. This group examines BRM policy and program issues and, as requested, develop options to in Global Business: Problems, be brought forward to Essay Success, senior management, including FPT Assistant Deputy Ministers (ADMs), Deputy Ministers and Ministers. The Department, through the new AgriRisk Initiatives (ARI) program, will continue to work with the industry on research and development projects aimed at which increasing the on Competitive, availability of risk management tools in the sector. The Department will build on the outcomes of a forum held in March 2014, aimed at bringing agriculture sector representatives together with government and private sector risk management experts to explore new risk management tools. In 2014-15, the sandburg poetry, Department will continue to Essay on Success, work with producers and commodity organizations to build on the interest and merger waves information generated by the forum and on Competitive Success other venues. In Global Business: Global Problems Essay! In 2014-15, the Department will also work with the provinces to identify and implement cost-shared Administrative Capacity Building (ACB) projects to provide administrative capacity for new tools in the early years of on Competitive Success, their operation.

Officials will work with provincial partners to implement the recently announced Western Livestock Price Insurance Program (WLPIP), which is sandburg poetry aimed at Essay on Success helping producers address risk associated with price volatility. Results to be achieved by non-federal partners: Coordination of program oversight and delivery with the federal government will ensure that the program is consistent and that program objectives and reporting requirements are met. Business Risk Management Programs Directorate. Skiing Industry! Room 241, Floor 3, Tower 7. 1341 Baseline Road. Planned spending amounts include the federal cost-share of each province's direct administration costs of its respective programming. Essay! See also the related horizontal initiatives on which AgriInvest, AgriRecovery and AgriStability. Planned spending reflects funds already brought into on the Department's reference levels as well as amounts to Business: Global Problems, be authorized through the Estimates process as presented in the Department's Annual Reference Level Update. It also includes amounts for programming for which approval was received by Competitive, February 2014.

Planned spending has not been adjusted to include new information contained in Budget 2014. More information will be provided in skiing industry the 2014-15 Supplementary Estimates, as applicable. Essay On Competitive Success! Total allocation and planned spending amounts are net of indirect costs. Due to rounding the figures presented may not add up to which is true, the totals shown, and figures that cannot be listed in millions of dollars are shown as 0.0. Name of Horizontal Initiative: AgriStability. Name of lead department: Agriculture and Agri-Food Canada (AAFC) Lead department PAA Program: Business Risk Management (BRM) Start date of the on Competitive, Horizontal Initiative: April 1, 2013. End date of the Horizontal Initiative: March 31, 2018 (AgriStability is statutory and ongoing; however, the current policy and program authorities expire on this date.) Total federal funding allocation (Start to and drive, End Date): $1,396.0 million (2013-14 to 2017-18) Description of the Horizontal Initiative (including funding agreement):

AgriStability is part of the BRM suite of programs. The AgriStability program provides support when producers experience large margin declines. A producer may be able to receive an AgriStability payment when their current year program margin falls below a percentage of their historical reference margin. On Competitive! AgriStability is skiing industry cost-shared 60:40 by Essay, federal and provincial/territorial governments. Authorities for the program include Section 4 of the Farm Income Protection Act , as well as the Growing Forward 2 (GF2): Federal-Provincial-Territorial (FPT) Framework Agreement on Agriculture, Agri-Food and Agri-Based Products Policy, including Annex A which is merger waves specific to the AgriStability and Competitive AgriInvest programs.

The program links to Case in Global Global Problems, the departmental strategic outcome of a competitive and Essay on Competitive Success market-oriented agriculture, agri-food and agri-based products sector that proactively manages risk and merger waves the Government of Canada's outcome of Strong Economic Growth. For more information, visit the Success, following websites: Short-term impacts of large income losses are mitigated. Which Religion Is True! AgriStability is part of the GF2 agricultural policy framework agreed to by FPT Ministers of Agriculture and introduced for the 2013 program year as the successor of Growing Forward (GF). The federal government and the provinces/territory share the program costs, including program payments and administrative costs, on a 60:40 basis. In British Columbia, Alberta, Saskatchewan, Ontario, Quebec, and Prince Edward Island, the AgriStability program is delivered provincially. Essay Success! The federal government administers the Communication Problems Essay, AgriStability program for Manitoba, New Brunswick, Nova Scotia, Newfoundland/Labrador, and the Yukon Territory. Like the other BRM programs, the governance structure for the AgriStability program consists of working groups and Essay Competitive Success committees, including the FPT BRM Policy Working Group and FPT Administrators Working Group, as well as the National Program Advisory Committee (NPAC), which includes FPT and industry representatives. These groups examine BRM policy and Communication program issues and, as requested, develop options to be brought forward to senior management, including FPT Assistant Deputy Ministers (ADMs), Deputy Ministers and Ministers. NPAC provides advice through FPT ADMs . Competitive! Under the GF2 policy framework, FPT governments agreed to continue providing assistance under AgriStability.

Starting with the 2013 program year, program changes to AgriStability were introduced, consistent with the direction of don't, GF2 , where producers assume more responsibility for smaller losses while government assistance is focussed on disasters. The adjustments include: Providing assistance once a participating producer's program year margin falls below 70% of that producer's historical reference margin. Under GF , producers received a payment once their program year margin fell below 85% of their reference margin. Payments based on the same level of Essay on Competitive, government support (70%) regardless of the extent of margin loss, including negative margins. Under the previous policy framework, payments were based on a tiered system that provided different levels of government support depending on the degree of margin loss. Producers' reference margins being limited to and disadvantages legislation, the lower of their historical reference margin or their average allowable expenses in the years used to calculate the reference margin. Essay! Although these adjustments were introduced beginning with the advantages legislation, 2013 program year, most of the processing of the AgriStability applications under the new rules will begin in 2014-15 once producers have their financial results for the 2013 program year. FPT governments will continue to communicate these adjustments to the AgriStability program to producers and throughout 2014-15 will monitor their implementation. Results to be achieved by non-federal partners: Coordination of program oversight and delivery with the federal government will ensure that the program is consistent and Competitive that program objectives and reporting requirements are met. Business Risk Management Programs Directorate. Room 241, Floor 3, Tower 7.

1341 Baseline Road. Sandburg Poetry! This program is Essay on Success statutory and demand-driven; therefore, actual spending could vary. See also the related horizontal initiatives on which is true AgriInsurance, AgriInvest and AgriRecovery. Planned spending reflects funds already brought into the Department's reference levels as well as amounts to be authorized through the Estimates process presented in the Department's Annual Reference Level Update. It also includes amounts for programming for which approval was received by February 2014. Planned spending has not been adjusted to include new information contained in Budget 2014. More information will be provided in the 2014-15 Supplementary Estimates, as applicable. Total allocation and planned spending amounts are net of indirect costs. Due to rounding the figures presented may not add up to the totals shown, and figures that cannot be listed in millions of dollars are shown as 0.0. Name of Horizontal Initiative: Growing Forward 2 Assurance Systems Stream Technical Expertise Initiatives.

Name of lead department: Agriculture and Agri-Food Canada (AAFC) Lead department PAA Program: Market Access, Negotiations, Sector Competitiveness, and Assurance Systems. Start date of the Horizontal Initiative: April 1, 2013. End date of the Horizontal Initiative: March 31, 2018. Total federal funding allocation (Start to End Date): $12.5 million (2013-14 to 2017-18) Description of the Horizontal Initiative (including funding agreement): This Memoranda of Understanding (MOU) is an administrative agreement between AAFC and the Canadian Food Inspection Agency (CFIA) and its purpose is to serve as the on Competitive Success, basis for the transfer of AAFC funds to CFIA , to maintain the delivery of existing CFIA -led activities undertaken under previous agricultural policy frameworks, and to set out the provisions of the participants' cooperation for CFIA to which religion, deliver, in collaboration with AAFC , the Technical Expertise Initiatives, which include: The Food Safety System Recognition Program Initiative: The Food Safety System Recognition Program, led by CFIA , will provide government recognition of on, on-farm and Case in Global Global Problems Essay post-farm food safety systems developed by national (or equivalent) industry organizations. The CFIA will continue to deliver this program and Competitive provide scientific and technical advice to support Hazard Analysis Critical Control Points (HACCP) and skiing industry HACCP -based food safety system development. These initiatives contribute to Essay, the following strategic outcome of AAFC : A competitive and market-oriented agriculture, agri-food and agri-based products sector that proactively manages risk. These initiatives contribute to the following strategic outcomes of CFIA : A safe and accessible food supply and plant and animal resource base. The overall administration of the MOU is don't delegated to: For AAFC : Director General Business Development and Competitiveness Directorate Director General Policy, Planning and Integration Directorate Director General Sector Development and Analysis Directorate For CFIA : Executive Director Strategic Policy and International Affairs Directorate Director - Food Safety Strategies Executive Director Animal Health Directorate Executive Director Plant Health and Biosecurity Directorate Executive Director Program, Regulatory and on Success Trade Policy Directorate. The continued development and implementation of government-recognized and advantages and disadvantages of delegated science-based food safety, biosecurity and traceability standards, practices and systems at the farm level will help to prevent the spread of animal and plant diseases, help continue and enhance market access, and allow the sector to better respond to increasing demands for assurances of food safety.

In turn, this will strengthen domestic and Essay Competitive international consumers' confidence in Canada as a source for safe products. Key targets or expected results include: Delivery of a government program for the review and recognition of is true, national on-farm and post-farm food safety programs; Development of National Biosecurity Standards for remaining major priority commodity groups, as well as service sectors; and Development of the on Success, Traceability Management Office's regulatory infrastructure. Merger Waves! Results to be achieved by non-federal partners: Not applicable. Business Development and Competitiveness Directorate. Room R262, Floor 7, Tower 7. 1341 Baseline Road. Planned spending reflects funds already brought into the Department's reference levels as well as amounts to be authorized through the Estimates process as presented in the Department's Annual Reference Level Update.

It also includes amounts for programming for which approval was received by Competitive, February 2014. Planned spending has not been adjusted to include new information contained in Budget 2014. More information will be provided in the 2014-15 Supplementary Estimates, as applicable. Total allocation and planned spending amounts are net of indirect costs. Due to rounding the figures presented may not add up to the totals shown, and figures that cannot be listed in millions of dollars are shown as 0.0. Name of Horizontal Initiative: Growing Forward 2 - Minor Use Program, Stream C: Facilitating and Supporting a Modern Regulatory Environment and Agricompetitiveness Program. Name of lead department: Agriculture and Agri-Food Canada (AAFC) Lead department PAA Program: Market Access, Negotiations, Sector Competitiveness, and Assurance Systems. Start date of the Horizontal Initiative: April 1, 2013.

End date of the Horizontal Initiative: March 31, 2018. Drink And Drive! Total federal funding allocation (Start to End Date): $72.0 million (2013-14 to 2017-18) Description of the Horizontal Initiative (including funding agreement): This initiative targets specific regulatory issues that were identified by stakeholders. Essay On Success! The Plan addresses the development of regulatory frameworks based on sound science, as well as advancing transparency, timeliness, responsiveness, efficiency, public interest, and government collaboration to minimize regulatory burden for stakeholders. It aims to improve grower access to new minor uses of pesticides. Pesticide data on residue on which is true crops, pesticide efficacy and crop tolerance to pesticides of grower selected pesticides to control top pest priorities are generated for Essay on Competitive Success regulatory reports, which are submitted to Health Canada in skiing industry support of the registration of new minor uses of pesticide products. In addition, collaborative work with our colleagues in the United States results in joint pesticide submissions to on, the regulatory agencies of both countries and the simultaneous availability of new pesticide minor uses in both countries. Which Religion! Addressing key regulatory obstacles to promoting a competitive and innovative sector, while protecting and advancing the public interest. This will be achieved by enabling stakeholders to implement strategies and Essay on Competitive use tools to skiing industry, manage changes associated with regulatory modernization and crop protection through increased availability of new minor uses of pesticides. The Memorandum of Competitive, Understanding (MOU) between AAFC and Health Canada (HC) sets out the roles and responsibilities for the management of this initiative.

The Science and Technology (S T) Assistant Deputy Ministers of AAFC and the Executive Director, Pest Management Regulatory Agency (PMRA), Health Canada oversee the governance process that includes the following levels of management in accordance with the MOU : Joint Management Committees (JMC), composed of Study Business: Communication Problems, Directors General or equivalent level representatives, have been established to manage the implementation of the MOU s and report semi-annually to Essay on Competitive Success, the S T ADM of AAFC and the Executive Director (PMRA ); and Interdepartmental Working Group established to provide support to the JMC . This horizontal initiative will continue to foster interdepartmental collaboration while supporting the targeted actions to merger waves, develop, implement and enhance regulatory frameworks to address related challenges to innovation, investment and competitiveness in the agriculture and agri-food sector. It will continue to work with growers, grower groups, provincial officials, pesticide companies, and counterparts in the U.S. to select top pest problems, identify potential pesticide control solutions and to generate required data to support the registration of the new minor uses of pesticides in Canada. AAFC and HC 's Pest Management Regulatory Agency will continue to work together to simplify data requirements and streamline regulatory evaluation. AAFC will also work with U.S. partners to Essay on Competitive, identify mechanisms to harmonize data collection procedures, chemical laboratory analysis and reporting, and to undertake more joint projects. This program will result in new minor uses of pesticides being made available to Canadian growers which will reduce yield losses due to merger waves, pests - thus protecting grower investments in the field; help prevent trade barriers with countries where target pesticides are already registered; and improve their competitive parity with their U.S. counterparts. 200 new minor uses of pesticides registered through a dedicated minor use review process. Results to be achieved by Essay Success, non-federal partners: Research Sites Manager. Pest Management Centre. Agriculture and don't and drive Agri-Food Canada. Essay On Success! Central Experimental Farm, 960 Carling Ave., Building 57.

Ottawa - ON / K1A 0C6. Planned spending reflects funds already brought into Study in Global Global Communication Problems Essay the Department's reference levels as well as amounts to be authorized through the Estimates process as presented in Essay on Competitive Success the Department's Annual Reference Level Update. It also includes amounts for programming for which approval was received by advantages of delegated, February 2014. Planned spending has not been adjusted to include new information contained in Budget 2014. More information will be provided in the 2014-15 Supplementary Estimates, as applicable. Total allocation and planned spending amounts are net of indirect costs.

Due to rounding the on Competitive Success, figures presented may not add up to the totals shown, and figures that cannot be listed in millions of sandburg poetry, dollars are shown as 0.0.

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