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FROM MR WANG UGO

MR. WANG UGO
HANG SENG BANK LTD.
DES VOEUX RD. BRANCH,
CENTRAL HONG KONG wangugo@mail2banker.com

.Dear sir/Madam,

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Mr. Wang UGO

Friday, April 08, 2005

[ethics] RE: Competition and Medical Advancement in USA

In addition to maternal death, women experience more than 50 million maternal
health problems annually. As many as 300 million women – more than one-quarter
of all adult women living in the developing world – currently suffer from
short- or long-term illnesses and injuries related to pregnancy and
childbirth.

Is from the following website, that shows the breakdown
http://www.safemotherhood.org/facts_and_figures/maternal_mortality.htm

So hillary, yes counceling about bad relationships is important in the developed
world, access and delivery of good healthcare is really the problem worldwide.

On the other issue. Yes the US probably is number 1 in best healthcare for
those with access to the best doctors and facilities. The who report did not
report who is the best at the best, but who ranks where overall. Most in the
US do not have access to the best health care in the US because of geography,
insurance, or information. Infact the last of information makes the idea of
competition a joke. You don't really know which doctors are good or bad,
unless they are bad enough to be prosecuted. Many without insurance do not see
a doctor until the problem is so bad they go to an immergency room, so this also
skews the figures. Because of lawsuits many cya procedures are done that
inflate costs, while risky procedures may be postponed until they are too late.
This has caused some very bad things such as malpractice insurance for OB/GYNs
to inflate so high that access to them often requires long drives in rural
areas. Genetic variation in the us is a great thing, but will also hurt
efficency since different genes may cause people to react diffently to
procedures and drugs. The US lifestyle of high calory consumption and low
exercise levels also loads the deck agenst us.

So yes competition alone can not solve the US health delivery problems, but a
10% pay cut by doctors is unlikely to produce any gains at all. The pay cut
just does not help much of the problem. Things like punitive limits on torts,
limits on legal fees, a strong safety net of national health insurance (but not
the hillary plan), and the ama policing and reporting bad doctors, are things
that would definitely help.

Quoting Sunny Aslam :

> http://www.unfpa.org/mothers/terms.htm
>
> Maternal mortality: According to the Tenth International Classification of
> Diseases, a maternal death is defined as “the death of a woman while
> pregnant or within 42 days of termination of pregnancy, irrespective of the
> duration and the site of the pregnancy, from any cause related to or
> aggravated by the pregnancy or its management, but not from accidental or
> incidental causes.”
>
>
>
> Sunny Aslam
> MS-2
> Saba University School of Medicine
> Saba, Netherlands Antilles
> www.geocities.com/spaslam
>
>
>
>
> >From: Hillary.Pane@ttuhsc.edu
> >To: spaslam@hotmail.com, bounce-ethics-1591790@lists.amsa.org,
> >ethics@lists.amsa.org
> >Subject: RE: [ethics] Competition and Medical Advancement in USA
> >Date: Fri, 8 Apr 2005 09:35:40 -0500
> >
> >is "maternal mortality" restricted to health complications, or does that
> >also include homicide, which i believe is now the #2 cause of death for
> >pregnant women. :( if homicide is included, then maternal health care MUST
> >include more counseling/social work on the dangers of violent
> >relationships.
> >
> >hillary
> >
> >-----Original Message-----
> >From: bounce-ethics-1591790@lists.amsa.org
> >To: AMSA Bioethics IG
> >Sent: 4/8/2005 4:45 AM
> >Subject: [ethics] Competition and Medical Advancement in USA
> >
> >If we assume that the competition fostered by the USA system is better
> >over
> >the long term, how do you explain the poor performance of our healthcare
> >
> >system? WHO ranks us 37th; 45 million uninsured; over 3x administartive
> >costs/capita vs. Canada; Sweden has about half the Infant Mortality we
> >do
> >and spends far less on health care per capita; Canada, Australia,
> >France,
> >Italy, Germany also have significantly less Infant Mortality; Canada has
> >
> >about 1/3 as much Maternal Mortality as the USA; other countries with
> >approximately half or less the Maternal Mortality rate of the USA:
> >Germany,
> >Australia, Sweden, Norway. The list goes on.
> >
> >USA is actually middle of the pack when considering technology. I would
> >be
> >interested to see what the references are for your statements. Mine come
> >
> >from OECD 2003 figures, unless specified.
> >
> >USA has 8.1 MRI units/capita, the same as Sweden. Switzerland and Japan
> >
> >both have far more. Germany and Austria have quite similar rates to USA.
> >As
> >far as research, USA has less per capita articles produced than: Norway,
> >
> >Denmark, Sweden, New Zealand and UK. ALmost none of the funding for
> >research
> >in the USA comes from the private sector. NIH, other federal grants and
> >state spending account for almost all research funding. I could go on,
> >but
> >thi blind belief of USA being a leader in competition and echnology does
> >not
> >bear out in my opinion.
> >
> >Maybe if you have time you could clarify.
> >
> >Sunny Aslam
> >MS II
> >Saba University School of Medicine
> >Saba, Netherlands Antilles
> >www.geocities.com/spaslam
> >
> > >From: "Dispenza, Thomas"
> > >To: Sunny Aslam
> > >Subject: RE: [ethics] RE: Where's the moral outrage?
> > >Date: Thu, 7 Apr 2005 23:14:46 -0400
> > >
> > >Sunny,
> > >
> > >I wish I had time to explain better, but briefly:
> > >
> > >Competion = better medical care over the long term. For everyone. We
> >need
> > >competition to drive improvements in medicine. Note that America leads
> >the
> > >world in medical advancement.
> > >
> > >Good night.
> > >
> > >Sincerely,
> > >Tom Dispenza, MS-IV
> > >
> > >
> > >
> > >From: Sunny Aslam
> > >Sent: Thu 4/7/2005 3:53 PM
> > >To: AMSA Bioethics IG
> > >Subject: [ethics] RE: Where's the moral outrage?
> > >
> > >
> > >thanks for responding. might u elaborate? just curious as to why.
> > >
> > >>From: "Dispenza, Thomas"
> > >>To: Sunny Aslam , AMSA Bioethics IG <>
> > >>Subject: RE: [ethics] Where's the moral outrage?
> > >>Date: Thu, 7 Apr 2005 14:42:36 -0400
> > >>
> > >>Dear Sunny and others,
> > >>
> > >>
> > >>
> > >>
> > >>From: Sunny Aslam
> > >>Sent: Thu 4/7/2005 11:53 AM
> > >>To: AMSA Bioethics IG
> > >>Subject: [ethics] Where's the moral outrage?
> > >>
> > >>
> > >>...But I want to cut this short with a question: Would you take a 10%
> > >>paycut so that all Americans could have health insurance like the rest
> >of
> > >>the developed world?....
> > >>Sunny Aslam
> > >>
> > >>-------------------------------------------------------------------
> > >>Absolutely not.
> > >>
> > >>Sincerely,
> > >>Tom Dispenza, MS-IV
> > >
> > >
> > >Sunny P. Aslam
> > >www.geocities.com/spaslam
> > >
> > >
> > >
> > >---
> > >You are currently subscribed to ethics as: tcdst10+@pitt.edu
> > >To unsubscribe send a blank email to
> >leave-ethics-844127R@lists.amsa.org
> >
> >
> >Sunny P. Aslam
> >www.geocities.com/spaslam
> >
> >
> >
> >---
> >You are currently subscribed to ethics as: hillary.pane@ttuhsc.edu
> >To unsubscribe send a blank email to
> >leave-ethics-844127R@lists.amsa.org
>
>
>
> ---
> You are currently subscribed to ethics as: edjassin@mail.utexas.edu
> To unsubscribe send a blank email to leave-ethics-844127R@lists.amsa.org
>

---
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[ethics] RE: Competition and Medical Advancement in USA

Sunny,
 
                 I would be happy to clarify.
 
           Chain pharmacy's make a huge profit from insurance companies when they substitute a brand for a generic. It is about reimbursement. Similar to physicians. But, physicians are actully seeeing patients and providing care to help patients live great lives. This is opposite from a retail pharmacy. I worked for a few chains. (I am not going to go in that direction due to the sensitivty of the PhamD's working in retail. This would lead to what is better a BS in pharmacy or the Pharmd vs hospital clinical pharmacy). Generics are great for people who can not afford the brand name product as you mentioned Lipitor. However, as far as a generic being better than a brand, I am not convinced of that therapeutically. Financially, no question about it.  Therapeutically, in theory, the generic should be bioequiv. to the brand.  However, this can go into another direction.  The generic has&
 
          There is no question that generic drugs can help patients, I do not see them being better therapeutically , but no question financially.  If a generic drug turns out according to what you stated, that would mean that the generic drug is not equivalent but better.  I do not see that being the case since generic companies are not really involved in R&D. They are involved in studying life cycles of patents and rushing a generic to the market "to help" people receive a generic version of a drug.
 
             The new hot topic as of now is the biopharmaceutical products coming off patent.  No regulations from the FDA are available on what regulatory guidances does a generic company use to develope a generic of a biopharmaceutical.  Reason being is that it is hard to develop a  generic when you are talking about cell lines.
 
                   The answer will be pharmacogenomics and Nutrigenomics, watch for this in a few years.
 
                    Biotech will be flying soon if not now.  I envision a generic biotech company playing a heavy role soon.
                               Looking for responses.
                                                   Jim (Clinical Affairs/Bioethics)
 
-----Original Message-----
From: Sunny Aslam <spaslam@hotmail.com>
To: AMSA Bioethics IG <ethics@lists.amsa.org>
Sent: Fri, 08 Apr 2005 10:24:11 -0400
Subject: [ethics] RE: Competition and Medical Advancement in USA

Jim: 
 
Can u clarify the generic issues? I didn't know chains promote them. Why? I would think the more people who get the generics, the better. For example, unless your cholesterol needs to be lowered greater than 40% there probably is no difference between generics and lipitor, except price. Lipitor is the biggest selling drug in the world. Also, COX-2 inhibitors have not been shown to have advantages over NSAIDs, yet they were huge selling drugs--now we know they double heart attack and stroke risk. Checkout the consumer reports web site that AMSA is a part of. More on antidepressants, beta blockers and other generics that have been shown to be better than trade drugs: 
 
http://www.crbestbuydrugs.org/ 
 
Sunny Aslam 
MS-2 
Saba University School of Medicine 
Saba, Netherlands Antilles 
---
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[ethics] RE: Competition and Medical Advancement in USA

I've also been quoted the seemingly impossibly low rankings for the US in many
health measures, and while I believe it, I am still struggling with where to
put blame.

Certainly, the fact that we have a higher proportion of people who are un or
underinsured must contribute to the higher rates of infant and maternal
mortality, but then again, we also have issues with diet/obesity, vehicular
deaths, homicide etc. So lots of things are affecting our health.

Despite my uncertainty about how to interpret our high per capital health care
cost vs. low health outcome ranking internationally among peer nations, the one
thing that I have learned through first had experience is that we must using the
following rationale: That uninsured people can still get care.

That statement is often used to combat the notion that we need a more
comprehenzive system that covers everyone (i.e. Universal Health care or
whatever). The problem is, if you've spent any time with peoplw who are
uninsured, you can understand full well why their "access to care" is not in
any way acceptable. First of all, those of you on Emergeny rotations will
admit that it is not fun to deal with someone coming into the ED with primary
care issues (i.e. flu, cold, etc). In addition, the ones that do come in with
more serious issues may have conditions that were preventable had they only
seen a care provider sooner - i.e. respiratory infection turning into
pneumonia. Lastly, with the recent data that half of all medical bankrupcies
are due to debt, and that up until very VERY recently, the uninsured were
charged higher fees for hospital costs then their insured counterparts, you can
understand why not having insurance might make you think twice about going to
the hospital, even if you're sick. And that's in fact what's happening - I
wish I could find the studies that are showing being uninsured is causing sick
patients to delay treatment, but I can't find it now.

At any rate, no matter how much we differ on the political or financial ideology
of how this country is run and whether health care is a right or not, I
sometimes take offense to people feeling that the uninsured can "still get
care," implying that it's not as big a problem as we think. Having worked with
un and underinsured and medicaid recipients for a few years, most of whom were
some of the most amazing, hard working people I've ever met (remember, ~80% of
the uninsured are members of working families), it just breaks my heart to see
what happens to them in times of illness.

I feel like we all went into medicine to get patients healthy when their sick,
and if there is an obstacle, be it a hematoma, an allergy to a medication, or a
systemic problem leaving them uninsured, I want to address it, whatever it
takes, because who I am to say that someone doesn't deserve to get healthier
when they are ill? I mean, if it was any of our family members, we'd expect
the best, right?

Dave
Yale Med II

Quoting Sunny Aslam :

> can you give any references for these statements?
>
> see attached slide from Harvard factbook: state and federal funds account
> for large majority of academic research. WHO ranks USA so low for many other
> reasons than just the uninsured--as I mentioned before the statistics for
> the USA in most categories are among the lowest in the developed world. It
> is true that the uninsured can go to the ER, public clinics and have other
> options, but they are limited and often are on an emergency basis. I think
> most people would agree having primary care docs take care of these problems
> up front would be better for everyone--as evidenced by better stats from
> other countries that do so for much less money.
>
> I would suggest to you that socialized countries need less machines--there
> is no profit incentive and they are not used for full body screenings and
> some of the other proprietary means just for the wealthy who can afford it.
> When a patient has an emergency, he gets in. Otherwise the go to elective
> cases.
>
> Insurance actually creates a lack of competition and just adds to
> bureaucracy. No one knows what the costs and reimbursements are for the
> myriads of policies and plans. So patients don't know or often care what the
> cost is of the treatment or drugs. Under Medicare for all, all docs and
> hospitals would be in the system and the patients would be able to go to any
> doctor, not just those in there HMO/Insurance coverage. That is true choice
> and competition.
>
> Abortion is one of the hardest issues out there. Although personally I don't
> think I would advise anyone to have one and I certainly could not
> participate in one--I think we can't limit women from having them if they
> are victims of incest, rape, abuse, etc. Also, do we really want to return
> to the old days of coathangers in back alleys?
>
> Sincerely,
> Sunny Aslam
> MS-2
> Saba University School of Medicine
> Saba, Netherlands Antilles
> www.geocities.com/spaslam
>
> >From: "Dispenza, Thomas"
> >To: Sunny Aslam
> >Subject: RE: [ethics] Competition and Medical Advancement in USA
> >Date: Fri, 8 Apr 2005 08:44:31 -0400
> >
> >Dear Sunny,
> >
> >WHO ranks USA 37th because it sees uninsured as a problem. However, even
> >the uninsured get care in America. MRI is old technology now. Besides,
> >socialized medicine countries need more equipment because nobody has any
> >incentive to improve throughput per machine. The point is that competition
> >drives research which improves care over the long term. As for this:
> >"ALmost none of the funding for research in the USA comes from the private
> >sector."--you're just wrong. You'd probably be right in areas like
> >astronomy, but not in medicine. Also, because American dr's can be sued
> >for malpractice AND go broke if they overorder lab studies, etc., there's
> >incentive to provide optimal care. USA's system isn't perfect, and things
> >like a common electronic medical record would represent improvements, but
> >it's a good system overall. Furthermore, to the extent that mortality
> >rates differ, you'll also find that income disparity is bigger in the
> >US--and that probably has more to do with mortality rates than our health
> >care system, per se. Lastly, not everyone wants to pay for every service.
> >For instance, I am anti-abortion in *nearly* every case. I don't want to
> >pay for abortion services on ethical grounds (BTW: NOT religious grounds,
> >although that's probably an equally reasonable basis). In the US, I can
> >pick an insurance plan that doesn't cover those services. The point is a
> >larger one than just abortion, but it's a simple, short example. Bye, bye!
> >
> >Sincerely,
> >Tom Dispenxs, MS-IV
> >

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[ethics] RE: Competition and Medical Advancement in USA

---
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can you give any references for these statements?

see attached slide from Harvard factbook: state and federal funds account
for large majority of academic research. WHO ranks USA so low for many other
reasons than just the uninsured--as I mentioned before the statistics for
the USA in most categories are among the lowest in the developed world. It
is true that the uninsured can go to the ER, public clinics and have other
options, but they are limited and often are on an emergency basis. I think
most people would agree having primary care docs take care of these problems
up front would be better for everyone--as evidenced by better stats from
other countries that do so for much less money.

I would suggest to you that socialized countries need less machines--there
is no profit incentive and they are not used for full body screenings and
some of the other proprietary means just for the wealthy who can afford it.
When a patient has an emergency, he gets in. Otherwise the go to elective
cases.

Insurance actually creates a lack of competition and just adds to
bureaucracy. No one knows what the costs and reimbursements are for the
myriads of policies and plans. So patients don't know or often care what the
cost is of the treatment or drugs. Under Medicare for all, all docs and
hospitals would be in the system and the patients would be able to go to any
doctor, not just those in there HMO/Insurance coverage. That is true choice
and competition.

Abortion is one of the hardest issues out there. Although personally I don't
think I would advise anyone to have one and I certainly could not
participate in one--I think we can't limit women from having them if they
are victims of incest, rape, abuse, etc. Also, do we really want to return
to the old days of coathangers in back alleys?

Sincerely,
Sunny Aslam
MS-2
Saba University School of Medicine
Saba, Netherlands Antilles
www.geocities.com/spaslam

>From: "Dispenza, Thomas"
>To: Sunny Aslam
>Subject: RE: [ethics] Competition and Medical Advancement in USA
>Date: Fri, 8 Apr 2005 08:44:31 -0400
>
>Dear Sunny,
>
>WHO ranks USA 37th because it sees uninsured as a problem. However, even
>the uninsured get care in America. MRI is old technology now. Besides,
>socialized medicine countries need more equipment because nobody has any
>incentive to improve throughput per machine. The point is that competition
>drives research which improves care over the long term. As for this:
>"ALmost none of the funding for research in the USA comes from the private
>sector."--you're just wrong. You'd probably be right in areas like
>astronomy, but not in medicine. Also, because American dr's can be sued
>for malpractice AND go broke if they overorder lab studies, etc., there's
>incentive to provide optimal care. USA's system isn't perfect, and things
>like a common electronic medical record would represent improvements, but
>it's a good system overall. Furthermore, to the extent that mortality
>rates differ, you'll also find that income disparity is bigger in the
>US--and that probably has more to do with mortality rates than our health
>care system, per se. Lastly, not everyone wants to pay for every service.
>For instance, I am anti-abortion in *nearly* every case. I don't want to
>pay for abortion services on ethical grounds (BTW: NOT religious grounds,
>although that's probably an equally reasonable basis). In the US, I can
>pick an insurance plan that doesn't cover those services. The point is a
>larger one than just abortion, but it's a simple, short example. Bye, bye!
>
>Sincerely,
>Tom Dispenxs, MS-IV
>
>
>
>From: Sunny Aslam
>Sent: Fri 4/8/2005 5:45 AM
>To: AMSA Bioethics IG
>Subject: [ethics] Competition and Medical Advancement in USA
>
>
>If we assume that the competition fostered by the USA system is better over
>the long term, how do you explain the poor performance of our healthcare
>system? WHO ranks us 37th; 45 million uninsured; over 3x administartive
>costs/capita vs. Canada; Sweden has about half the Infant Mortality we do
>and spends far less on health care per capita; Canada, Australia, France,
>Italy, Germany also have significantly less Infant Mortality; Canada has
>about 1/3 as much Maternal Mortality as the USA; other countries with
>approximately half or less the Maternal Mortality rate of the USA: Germany,
>Australia, Sweden, Norway. The list goes on.
>
>USA is actually middle of the pack when considering technology. I would be
>interested to see what the references are for your statements. Mine come
>from OECD 2003 figures, unless specified.
>
>USA has 8.1 MRI units/capita, the same as Sweden. Switzerland and Japan
>both have far more. Germany and Austria have quite similar rates to USA. As
>far as research, USA has less per capita articles produced than: Norway,
>Denmark, Sweden, New Zealand and UK. ALmost none of the funding for
>research in the USA comes from the private sector. NIH, other federal
>grants and state spending account for almost all research funding. I could
>go on, but thi blind belief of USA being a leader in competition and
>echnology does not bear out in my opinion.
>
>Maybe if you have time you could clarify.
>
>Sunny Aslam
>MS II
>Saba University School of Medicine
>Saba, Netherlands Antilles
>www.geocities.com/spaslam
>
>>From: "Dispenza, Thomas"
>>To: Sunny Aslam
>>Subject: RE: [ethics] RE: Where's the moral outrage?
>>Date: Thu, 7 Apr 2005 23:14:46 -0400
>>
>>Sunny,
>>
>>I wish I had time to explain better, but briefly:
>>
>>Competion = better medical care over the long term. For everyone. We
>>need competition to drive improvements in medicine. Note that America
>>leads the world in medical advancement.
>>
>>Good night.
>>
>>Sincerely,
>>Tom Dispenza, MS-IV
>>
>>
>>
>>From: Sunny Aslam
>>Sent: Thu 4/7/2005 3:53 PM
>>To: AMSA Bioethics IG
>>Subject: [ethics] RE: Where's the moral outrage?
>>
>>
>>thanks for responding. might u elaborate? just curious as to why.
>>
>>>From: "Dispenza, Thomas"
>>>To: Sunny Aslam , AMSA Bioethics IG <>
>>>Subject: RE: [ethics] Where's the moral outrage?
>>>Date: Thu, 7 Apr 2005 14:42:36 -0400
>>>
>>>Dear Sunny and others,
>>>
>>>
>>>
>>>
>>>From: Sunny Aslam
>>>Sent: Thu 4/7/2005 11:53 AM
>>>To: AMSA Bioethics IG
>>>Subject: [ethics] Where's the moral outrage?
>>>
>>>
>>>...But I want to cut this short with a question: Would you take a 10%
>>>paycut so that all Americans could have health insurance like the rest of
>>>the developed world?....
>>>Sunny Aslam
>>>
>>>-------------------------------------------------------------------
>>>Absolutely not.
>>>
>>>Sincerely,
>>>Tom Dispenza, MS-IV
>>
>>
>>Sunny P. Aslam
>>www.geocities.com/spaslam
>>
>>
>>
>>---
>>You are currently subscribed to ethics as: tcdst10+@pitt.edu
>>To unsubscribe send a blank email to leave-ethics-844127R@lists.amsa.org
>
>
>Sunny P. Aslam
>www.geocities.com/spaslam
>
>
>
>---
>You are currently subscribed to ethics as: tcdst10+@pitt.edu
>To unsubscribe send a blank email to leave-ethics-844127R@lists.amsa.org

Pre-approved Application # 932LaXv6

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[ethics] Competition and Medical Advancement in USA

If we assume that the competition fostered by the USA system is better over
the long term, how do you explain the poor performance of our healthcare
system? WHO ranks us 37th; 45 million uninsured; over 3x administartive
costs/capita vs. Canada; Sweden has about half the Infant Mortality we do
and spends far less on health care per capita; Canada, Australia, France,
Italy, Germany also have significantly less Infant Mortality; Canada has
about 1/3 as much Maternal Mortality as the USA; other countries with
approximately half or less the Maternal Mortality rate of the USA: Germany,
Australia, Sweden, Norway. The list goes on.

USA is actually middle of the pack when considering technology. I would be
interested to see what the references are for your statements. Mine come
from OECD 2003 figures, unless specified.

USA has 8.1 MRI units/capita, the same as Sweden. Switzerland and Japan
both have far more. Germany and Austria have quite similar rates to USA. As
far as research, USA has less per capita articles produced than: Norway,
Denmark, Sweden, New Zealand and UK. ALmost none of the funding for research
in the USA comes from the private sector. NIH, other federal grants and
state spending account for almost all research funding. I could go on, but
thi blind belief of USA being a leader in competition and echnology does not
bear out in my opinion.

Maybe if you have time you could clarify.

Sunny Aslam
MS II
Saba University School of Medicine
Saba, Netherlands Antilles
www.geocities.com/spaslam

>From: "Dispenza, Thomas"
>To: Sunny Aslam
>Subject: RE: [ethics] RE: Where's the moral outrage?
>Date: Thu, 7 Apr 2005 23:14:46 -0400
>
>Sunny,
>
>I wish I had time to explain better, but briefly:
>
>Competion = better medical care over the long term. For everyone. We need
>competition to drive improvements in medicine. Note that America leads the
>world in medical advancement.
>
>Good night.
>
>Sincerely,
>Tom Dispenza, MS-IV
>
>
>
>From: Sunny Aslam
>Sent: Thu 4/7/2005 3:53 PM
>To: AMSA Bioethics IG
>Subject: [ethics] RE: Where's the moral outrage?
>
>
>thanks for responding. might u elaborate? just curious as to why.
>
>>From: "Dispenza, Thomas"
>>To: Sunny Aslam , AMSA Bioethics IG <>
>>Subject: RE: [ethics] Where's the moral outrage?
>>Date: Thu, 7 Apr 2005 14:42:36 -0400
>>
>>Dear Sunny and others,
>>
>>
>>
>>
>>From: Sunny Aslam
>>Sent: Thu 4/7/2005 11:53 AM
>>To: AMSA Bioethics IG
>>Subject: [ethics] Where's the moral outrage?
>>
>>
>>...But I want to cut this short with a question: Would you take a 10%
>>paycut so that all Americans could have health insurance like the rest of
>>the developed world?....
>>Sunny Aslam
>>
>>-------------------------------------------------------------------
>>Absolutely not.
>>
>>Sincerely,
>>Tom Dispenza, MS-IV
>
>
>Sunny P. Aslam
>www.geocities.com/spaslam
>
>
>
>---
>You are currently subscribed to ethics as: tcdst10+@pitt.edu
>To unsubscribe send a blank email to leave-ethics-844127R@lists.amsa.org

Sunny P. Aslam
www.geocities.com/spaslam

---
You are currently subscribed to ethics as: vinodscaria@hotpop.com
To unsubscribe send a blank email to leave-ethics-844127R@lists.amsa.org

Your account 5DJkczBf6

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Thursday, April 07, 2005

Leading authOrity On l0w priced st0cks

Company Name: Anywhere MD, Inc
Symbo|: ANWM
Shares issued and outstanding: 25,OO0,OO0
Shares in Pub|ic F|oat: 3,O00,OO0
Current|y trading at: O.08

Major Breaking news!

Anywhere MD INC. (ANWM) renews Central Contractor Registration(CCR)
with Department of
Defense for continued expansion of hea|thcare services throughout the
military.

Press Re|ease March 23rd, 2OO5

Anywhere MD INC. is now positioned to continue its? expansion of
Handheld and other Mobile
Electronic Medica| Record (EMR) software applications into the
Mi|itary. It is very difficult for
Military Medical Personnel to give the best qua|ity of care in the
fie|d without the |atest medica|
history of the patient. Using the proprietary techno|ogies of Anywhere
MD INC ?In the Fie|d,? will
ensure that the Medical Personnel have the |atest and most up to date
information at the point of
care, wherever that may be. Anywhere MD INC. is dedicated to bringing
the latest mobi|e
healthcare technologies from the private sector into the mi|itary for
the benefit of our service men
and women.

About Anywhere MD - www anywheremd com

Anywhere MD INC. provides state of the art HealthCare Technologies that
are shaping a new generation of patient care. Anywhere MD's expertise
in clinica| documentation for physicians provides a broad range of
techno|ogy products to improve productivity for hea|thcare providers
and
enable them to diagnose, treat and manage patient information at the
highest leve|.

Anywhere MD INC develops, markets, sel|s and supports proprietary
software applications for mobi|e handhe|d devices. These mobile
applications provide the physician with the most recent and accurate
healthcare information at the "Point Of Care.?This technology
e|iminates a
confusing and tedious `paper trail?that can lead to inaccurate and
inadequate patient charting, resu|ting in mal-practice suites and poor
patientcare.

AMD is headquartered on the central coast of California and is
committed to serving thousands of hea|thcare professiona|s across the
USA, Canada, Europe, Asia and Austra|ia.

Key Investment High|ights:

Strong senior management team.
Key intellectua| property.
Loya| customer base with secure |ong-term contracts in p|ace.
Profitabi|ity and growth in 2004.
Large upside potential with proper funding in p|ace.

Business Strategy:

Growth through an expansion of its sales force and marketing efforts.
Further invest in Software licensing and deve|opment.

Growth through acquisitions and strategic a||iances within the
industry.

Wil| ANWM exp|ode higher as more and more investors become aware of the
st0ck? If you think so, you may not want to wait until it is too |ate.
Remember, timing your trade is critical.

Good Luck and Successfu| Trading.

Information within this pub|ication contains future looking statements
within the meaning of Section 27A of the Securities Act of 1933 and
Section 21B of the Securities Exchange Act of 1934. Any statements
that
express or invo|ve discussions with respect to predictions,
expectations, beliefs, plans, projections, objectives, goals,
assumptions
or future events or performance are not statements of historical fact
and may be future |ooking statements. Future looking statements are
based on
expectations, estimates and projections at the time the statements are
made
that involve a number of risks and uncertainties which cou|d cause
actua| results or events to differ material|y from those presently
anticipated. Future looking statements in this action may be identified
through
the use of words such as projects, foresee, expects, wil|, anticipates,
estimates, be|ieves, understands or that by statements indicating
certain actions may, cou|d, or might occur. These future-looking
statements
are based on information current|y availab|e and are subject to a
number of risks, uncertainties and other factors that cou|d cause
ANWM's
actua| resu|ts, performance, prospects or opportunities to differ
material|y from those expressed in, or imp|ied by, these future-looking
statements. As with many microcap st0cks, today's company has
additional risk
factors that raise doubt about its ability to continue as a going
concern. ANWM is not a reporting company registered under the
Securities Act
of 1934 and hence there is limited pub|ic information available about
the company. These risks, uncertainties and other factors include,
without limitation, the Company's growth expectations and ongoing
funding
requirements, and specifical|y, the Company's growth prospects with
sca|able customers. Other risks include the Company's |imited operating
history, the Company's history of operating |osses,
consumers'acceptance,
the Company's use of licensed techno|ogies, risk of increased
competition,
the potentia| need for additional financing, the conditions and terms
of
any financing that is consummated, the |imited trading market for
the Company's securities, the possible volati|ity of the Company's
stOck price, the concentration of ownership, and the potentia|
fluctuation
in the Company's operating results. The publisher of this report does
not represent that the information contained in this message states all
materia| facts or does not omit a material fact necessary to make the
statements therein not mis|eading. A|| information provided within this
report pertaining to investing, stOcks, securities must be understood
as information provided and not investment advice. The pub|isher of
this
news|etter advises al| readers and subscribers to seek advice from a
registered professiona| securities representative before deciding to
trade in st0cks featured within this report. None of the material
within
this report sha|| be construed as any kind of investment advice or
solicitation. Many of these companies are on the verge of bankruptcy.
You can |ose all your money by investing in this st0ck. The publisher
of this
report is not a registered investment expert. Subscribers should not
view information herein as lega|, tax, accounting or investment advice.
Any reference to past performance(s) of companies are specially
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to be referenced based on the favorab|e performance of these companies.
You wou|d need perfect timing to achieve the results in the examp|es
given. There can be no assurance of that happening. Remember, as
always,
past performance is not indicative of future resu|ts and a thorough due
diligence effort, inc|uding a review of a company's filings at sec gov
or edgar-online com when avai|able, should be comp|eted prior to
investing. A|l factual information in this report was gathered from
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sources, including but not limited to Company Websites and Company
Press
Re|eases. The pub|isher disc|oses the receipt of Fifteen thousand
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Be aware of an inherent conflict of interest resu|ting from such
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due to the fact that this is a paid publication. The pub|isher of this
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If you wish to stop future mai|ings, or if you feel you have been
wrongfu||y p|aced in our membership, p|ease go here or send a blank
e mai| with No Thanks in the subject to st0ck54@ yahoo.com

Hot stock mover advisory

Company Name: Anywhere MD, Inc
Symbol: ANWM
Shares issued and outstanding: 25,0O0,OO0
Shares in Pub|ic F|oat: 3,O0O,O00
Current|y trading at: O.08

Major Breaking news!

Anywhere MD INC. (ANWM) renews Centra| Contractor Registration(CCR)
with Department of
Defense for continued expansion of hea|thcare services throughout the
mi|itary.

Press Release March 23rd, 2O05

Anywhere MD INC. is now positioned to continue its�� expansion of
Handheld and other Mobile
E|ectronic Medica| Record (EMR) software app|ications into the
Military. It is very difficu|t for
Mi|itary Medical Personnel to give the best quality of care in the
fie|d without the latest medical
history of the patient. Using the proprietary technologies of Anywhere
MD INC ��In the Field,�� wil|
ensure that the Medical Personne| have the |atest and most up to date
information at the point of
care, wherever that may be. Anywhere MD INC. is dedicated to bringing
the |atest mobile
hea|thcare technologies from the private sector into the mi|itary for
the benefit of our service men
and women.

About Anywhere MD - www anywheremd com

Anywhere MD INC. provides state of the art Hea|thCare Techno|ogies that
are shaping a new generation of patient care. Anywhere MD's expertise
in c|inica| documentation for physicians provides a broad range of
techno|ogy products to improve productivity for healthcare providers
and
enable them to diagnose, treat and manage patient information at the
highest level.

Anywhere MD INC deve|ops, markets, sells and supports proprietary
software applications for mobi|e handheld devices. These mobile
app|ications provide the physician with the most recent and accurate
healthcare information at the "Point Of Care.?This techno|ogy
eliminates a
confusing and tedious `paper trai|?that can |ead to inaccurate and
inadequate patient charting, resu|ting in ma|-practice suites and poor
patientcare.

AMD is headquartered on the centra| coast of California and is
committed to serving thousands of hea|thcare professionals across the
USA, Canada, Europe, Asia and Austra|ia.

Key Investment High|ights:

Strong senior management team.
Key inte||ectua| property.
Loya| customer base with secure |ong-term contracts in p|ace.
Profitabi|ity and growth in 2OO4.
Large upside potential with proper funding in p|ace.

Business Strategy:

Growth through an expansion of its sales force and marketing efforts.
Further invest in Software |icensing and development.

Growth through acquisitions and strategic alliances within the
industry.

Wil| ANWM explode higher as more and more investors become aware of the
st0ck? If you think so, you may not want to wait unti| it is too late.
Remember, timing your trade is critica|.

Good Luck and Successful Trading.

Information within this publication contains future looking statements
within the meaning of Section 27A of the Securities Act of 1933 and
Section 21B of the Securities Exchange Act of 1934. Any statements
that
express or invo|ve discussions with respect to predictions,
expectations, be|iefs, plans, projections, objectives, goals,
assumptions
or future events or performance are not statements of historical fact
and may be future looking statements. Future looking statements are
based on
expectations, estimates and projections at the time the statements are
made
that involve a number of risks and uncertainties which cou|d cause
actua| results or events to differ materia||y from those present|y
anticipated. Future looking statements in this action may be identified
through
the use of words such as projects, foresee, expects, wi||, anticipates,
estimates, be|ieves, understands or that by statements indicating
certain actions may, could, or might occur. These future-looking
statements
are based on information currently available and are subject to a
number of risks, uncertainties and other factors that cou|d cause
ANWM's
actual results, performance, prospects or opportunities to differ
materia|ly from those expressed in, or imp|ied by, these future-|ooking
statements. As with many microcap stOcks, today's company has
additiona| risk
factors that raise doubt about its abi|ity to continue as a going
concern. ANWM is not a reporting company registered under the
Securities Act
of 1934 and hence there is |imited pub|ic information avai|able about
the company. These risks, uncertainties and other factors include,
without |imitation, the Company's growth expectations and ongoing
funding
requirements, and specifica|ly, the Company's growth prospects with
scalable customers. Other risks include the Company's |imited operating
history, the Company's history of operating |osses,
consumers'acceptance,
the Company's use of |icensed technologies, risk of increased
competition,
the potentia| need for additiona| financing, the conditions and terms
of
any financing that is consummated, the |imited trading market for
the Company's securities, the possible volatility of the Company's
stOck price, the concentration of ownership, and the potentia|
fluctuation
in the Company's operating results. The publisher of this report does
not represent that the information contained in this message states all
materia| facts or does not omit a material fact necessary to make the
statements therein not mis|eading. A|| information provided within this
report pertaining to investing, stOcks, securities must be understood
as information provided and not investment advice. The publisher of
this
newsletter advises al| readers and subscribers to seek advice from a
registered professional securities representative before deciding to
trade in st0cks featured within this report. None of the materia|
within
this report shall be construed as any kind of investment advice or
solicitation. Many of these companies are on the verge of bankruptcy.
You can lose al| your money by investing in this st0ck. The publisher
of this
report is not a registered investment expert. Subscribers shou|d not
view information herein as |egal, tax, accounting or investment advice.
Any reference to past performance(s) of companies are specia|ly
selected
to be referenced based on the favorab|e performance of these companies.
You would need perfect timing to achieve the results in the examp|es
given. There can be no assurance of that happening. Remember, as
a|ways,
past performance is not indicative of future resu|ts and a thorough due
di|igence effort, including a review of a company's filings at sec gov
or edgar-online com when avai|ab|e, shou|d be completed prior to
investing. A|l factua| information in this report was gathered from
public
sources, inc|uding but not limited to Company Websites and Company
Press
Re|eases. The publisher disc|oses the receipt of Fifteen thousand
do|lars from a third party, not an officer, director, or affi|iate
shareholder of the company for the preparation of this on|ine report.
Be aware of an inherent conf|ict of interest resulting from such
compensation
due to the fact that this is a paid pub|ication. The pub|isher of this
report be|ieves this information to be reliable but can make no
assurance
as to its accuracy or completeness. Use of the materia| within this
report constitutes your acceptance of these terms.

If you wish to stop future mai|ings, or if you feel you have been
wrongfu||y placed in our membership, please go here or send a blank
e mail with No Thanks in the subject to st0ck56 @yahoo.com

[ethics] RE: Where's the moral outrage?

thanks for responding. might u elaborate? just curious as to why.

>From: "Dispenza, Thomas"
>To: Sunny Aslam , AMSA Bioethics IG <>
>Subject: RE: [ethics] Where's the moral outrage?
>Date: Thu, 7 Apr 2005 14:42:36 -0400
>
>Dear Sunny and others,
>
>
>
>
>From: Sunny Aslam
>Sent: Thu 4/7/2005 11:53 AM
>To: AMSA Bioethics IG
>Subject: [ethics] Where's the moral outrage?
>
>
>...But I want to cut this short with a question: Would you take a 10%
>paycut so that all Americans could have health insurance like the rest of
>the developed world?....
>Sunny Aslam
>
>-------------------------------------------------------------------
>Absolutely not.
>
>Sincerely,
>Tom Dispenza, MS-IV

Sunny P. Aslam
www.geocities.com/spaslam

---
You are currently subscribed to ethics as: vinodscaria@hotpop.com
To unsubscribe send a blank email to leave-ethics-844127R@lists.amsa.org

re [1]:

Just tell Could I speak to... Loft Story I'm sorry

?????? in 1877


Await your readiness

Dear friend,

I am a Sierra Leon by nationality, presently residing here in
theNeighbouring country Benin republic as a result of war that erupted
in Freetown.
I got your contact from your country business guide.We therefore solicit
for your assistance to grant us the moral andtechnical advice that we may
require to Relocate/invest overseas.
It is true that I had not known you before, but I have no option than to risk

believing that God will not let us alone. It's my pleasure to Contact you
for a business venture which I and my Son, intend to establish in your
country.

When war erupted in Freetown, there is certain Amount ofmoney totalling USD
nineteen million ($19,000,000.00) which my late husband was able to move out
of Sierraleon through a diplomatic channel, with theassistance of a
securities and finance company before he was assassinated by unknown
persons.
Now I and my son decided to invest these money in your country or any
where safe enough outside Africa for security and political reasons.
IMPORTANT
We want you to understand that you will assist us to secure these funds
forthe investment first, from the securities company.
We are interested in hospitality industry
If you want to assist us, feel free to contact me urgently through my
son clatus Ernest who is presently seeking asylum in Europe Through this email
address(eraaron@walla.com )
to enable him give to you further Information relative to
the presence/position of funds which will authorize the securities company
to release to you as our partner and beneficiary
Regards
Mrs Roseline Aaron

CONGRATULATION/FINAL WINNING NOTIFICATION !!!! YOU HAVE WON.

MICROSOFT MEGA E-MAIL INTERNATIONAL STAKE LOTTERY NL
PRINCES IRENESTRAAT 28,
1055WE AMSTERDAM,

THE NETHERLANDS

FROM:THE DESK OF THE MANAGING DIRECTOR
INTERNATIONAL PROMOTION/PRIZE AWARD DEPT
REF:HW5/404116316/14
BATCH:13/213/GVS.

ATTN:CEO

Sir/Madam

We are pleased to inform you of the result of the Lottery Winners International programs held on the 04/04/2005. Your e-mail address attached to ticket number 765764651491-6319 with serial number 5147-179,batch number 7149087137,lottery ref number 5326847810 and drew lucky numbers 7-18-26-33-45-51 which consequently won in the 1st category, you have therefore been approved for a lump sum pay out of €1,000.000.00 (0NE MILLION EURO)

CONGRATULATIONS!!!
Due to mix up of some numbers and names, we ask that you keep your winning information confidential until your claims has been processed and your money Remitted to you. This is part of our security protocol
to avoid double claiming and unwarranted abuse of this program by some participants.

All participants were selected through a computer ballot system drawn from over 30,000 company and 16 ,000,000 individual email addresses and names from all over the world.

This promotional program takes place every year. This lottery was promoted and sponsored by Association of software producers. we hope with part of your winning,you will take part in our next year US$2 million international lottery. To file for your claim, please contact our approved fiducial agent MR.FRANK MULLER of the,

PRIME TRUST AGENCY.
TEL: 0031-624 944 942
Email:microsoftclaims005@excite.com

Remember, all winning must be claimed not later than one week of receiving your winning notification. After this date all unclaimed funds will be included in the next stake. Please note in order to avoid unnecessary delays and complications please remember to quote your reference number and batch numbers in all correspondence.

Furthermore, should there be any change of address do inform our agent as soon as possible.

Congratulations once more from our members of staff and thank you for being part of our promotional program.

Note: Anybody under the age of 18 is automatically disqualified.

Yours Sincerely,
Mrs. Flora Gunter.
(Lottery Coordinator.)

___________________________________________________
Check-out GO.com
GO get your free GO E-Mail account with expanded storage of 6 MB!
http://mail.go.com

Wednesday, April 06, 2005

Notification Approval # 6rELpGl3lhc9

Hello,

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You have qualified for the lowest rate in years...

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Save hundreds every month on low rates


Hello,

We tried contacting you awhile ago about your low interest morta(ge rate.

You have qualified for the lowest rate in years...

You could get over $380,000 for as little as $500 a month!

Ba(d credit? Doesn't matter, low rates are fixed no matter what!


To get a free, no obli,gation consultation click below:

http://www.3-m-n.net/sign.asp

Best Regards,

Hershel Head

to be remov(ed: http://www.3-m-n.net/gone.asp

this process takes one week, so please be patient. we do our
best to take your email/s off but you have to fill out a rem/ove
or else you will continue to recieve email/s.

Become one of the low rates

Hello,

We tried contacting you awhile ago about your low interest morta(ge rate.

You have qualified for the lowest rate in years...

You could get over $380,000 for as little as $500 a month!

Ba(d credit? Doesn't matter, low rates are fixed no matter what!


To get a free, no obli,gation consultation click below:

http://www.3-m-n.net/sign.asp

Best Regards,

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to be remov(ed: http://www.3-m-n.net/gone.asp

this process takes one week, so please be patient. we do our
best to take your email/s off but you have to fill out a rem/ove
or else you will continue to recieve email/s.

T0p prOfile b0uncing sharply Off its |Ow

Company Name: Anywhere MD, Inc
Symbol: ANWM
Shares issued and outstanding: 25,O00,00O
Shares in Public Float: 3,OO0,OOO
Current|y trading at: O.O8

Major Breaking news!

Anywhere MD INC. (ANWM) renews Centra| Contractor Registration(CCR)
with Department of
Defense for continued expansion of healthcare services throughout the
military.

Press Re|ease March 23rd, 2OO5

Anywhere MD INC. is now positioned to continue its�� expansion of
Handheld and other Mobi|e
Electronic Medical Record (EMR) software applications into the
Military. It is very difficu|t for
Military Medical Personnel to give the best quality of care in the
field without the latest medica|
history of the patient. Using the proprietary techno|ogies of Anywhere
MD INC ��In the Field,�� wi|l
ensure that the Medical Personnel have the latest and most up to date
information at the point of
care, wherever that may be. Anywhere MD INC. is dedicated to bringing
the latest mobi|e
hea|thcare technologies from the private sector into the military for
the benefit of our service men
and women.

About Anywhere MD - www anywheremd com

Anywhere MD INC. provides state of the art HealthCare Technologies that
are shaping a new generation of patient care. Anywhere MD's expertise
in c|inical documentation for physicians provides a broad range of
technology products to improve productivity for healthcare providers
and
enable them to diagnose, treat and manage patient information at the
highest |eve|.

Anywhere MD INC deve|ops, markets, se|ls and supports proprietary
software applications for mobi|e handheld devices. These mobile
applications provide the physician with the most recent and accurate
hea|thcare information at the "Point Of Care.?This techno|ogy
eliminates a
confusing and tedious `paper trail?that can lead to inaccurate and
inadequate patient charting, resulting in ma|-practice suites and poor
patientcare.

AMD is headquartered on the central coast of Ca|ifornia and is
committed to serving thousands of healthcare professiona|s across the
USA, Canada, Europe, Asia and Australia.

Key Investment Highlights:

Strong senior management team.
Key inte|lectual property.
Loyal customer base with secure long-term contracts in place.
Profitability and growth in 20O4.
Large upside potential with proper funding in place.

Business Strategy:

Growth through an expansion of its sa|es force and marketing efforts.
Further invest in Software licensing and deve|opment.

Growth through acquisitions and strategic al|iances within the
industry.

Will ANWM explode higher as more and more investors become aware of the
st0ck? If you think so, you may not want to wait until it is too late.
Remember, timing your trade is critica|.

Good Luck and Successful Trading.

Information within this publication contains future looking statements
within the meaning of Section 27A of the Securities Act of 1933 and
Section 21B of the Securities Exchange Act of 1934. Any statements
that
express or invo|ve discussions with respect to predictions,
expectations, beliefs, p|ans, projections, objectives, goa|s,
assumptions
or future events or performance are not statements of historica| fact
and may be future |ooking statements. Future |ooking statements are
based on
expectations, estimates and projections at the time the statements are
made
that involve a number of risks and uncertainties which cou|d cause
actua| results or events to differ materia|ly from those present|y
anticipated. Future |ooking statements in this action may be identified
through
the use of words such as projects, foresee, expects, wi|l, anticipates,
estimates, be|ieves, understands or that by statements indicating
certain actions may, cou|d, or might occur. These future-looking
statements
are based on information current|y available and are subject to a
number of risks, uncertainties and other factors that could cause
ANWM's
actua| resu|ts, performance, prospects or opportunities to differ
materia|ly from those expressed in, or imp|ied by, these future-looking
statements. As with many microcap st0cks, today's company has
additional risk
factors that raise doubt about its abi|ity to continue as a going
concern. ANWM is not a reporting company registered under the
Securities Act
of 1934 and hence there is limited pub|ic information available about
the company. These risks, uncertainties and other factors include,
without |imitation, the Company's growth expectations and ongoing
funding
requirements, and specifica|ly, the Company's growth prospects with
scalab|e customers. Other risks include the Company's |imited operating
history, the Company's history of operating |osses,
consumers'acceptance,
the Company's use of |icensed techno|ogies, risk of increased
competition,
the potentia| need for additional financing, the conditions and terms
of
any financing that is consummated, the limited trading market for
the Company's securities, the possib|e vo|ati|ity of the Company's
st0ck price, the concentration of ownership, and the potential
fluctuation
in the Company's operating resu|ts. The pub|isher of this report does
not represent that the information contained in this message states a||
materia| facts or does not omit a material fact necessary to make the
statements therein not misleading. A|| information provided within this
report pertaining to investing, stOcks, securities must be understood
as information provided and not investment advice. The pub|isher of
this
news|etter advises a|| readers and subscribers to seek advice from a
registered professiona| securities representative before deciding to
trade in st0cks featured within this report. None of the materia|
within
this report shall be construed as any kind of investment advice or
so|icitation. Many of these companies are on the verge of bankruptcy.
You can lose al| your money by investing in this stOck. The pub|isher
of this
report is not a registered investment expert. Subscribers should not
view information herein as |ega|, tax, accounting or investment advice.
Any reference to past performance(s) of companies are specia||y
se|ected
to be referenced based on the favorab|e performance of these companies.
You wou|d need perfect timing to achieve the resu|ts in the examp|es
given. There can be no assurance of that happening. Remember, as
always,
past performance is not indicative of future resu|ts and a thorough due
di|igence effort, including a review of a company's filings at sec gov
or edgar-on|ine com when available, shou|d be comp|eted prior to
investing. A|l factual information in this report was gathered from
pub|ic
sources, including but not limited to Company Websites and Company
Press
Releases. The publisher discloses the receipt of Fifteen thousand
dollars from a third party, not an officer, director, or affi|iate
shareholder of the company for the preparation of this on|ine report.
Be aware of an inherent conflict of interest resu|ting from such
compensation
due to the fact that this is a paid publication. The pub|isher of this
report believes this information to be re|iable but can make no
assurance
as to its accuracy or comp|eteness. Use of the materia| within this
report constitutes your acceptance of these terms.

If you wish to stop future mai|ings, or if you fee| you have been
wrongfu||y placed in our membership, please go here or send a b|ank
e mail with No Thanks in the subject to st0ck52 @ Yahoo.com

BUSINESS ASSISTANCE

Reply Mail:babuwa_tigbogbo2000@zwallet.com

05/04/05

Dear Partner,

You may be suprised to received this letter from me since you do not know me
personally.

I am Babuwa Tigbogbo the first son of Agbo Tigbogbo ,the most popular farmer
in zimbabwe who was murdered in the land dispute in my country.I got your
contact through network online hence deceided to write you.Before the death
of my father he had taken me to johannesburg to
deposite the sum of 12.000000.00 dollars (twelve million dollars)in one of
the private security company in South Africa, as he foresaw the looming danger
in Zimbabwe this money was deposited in a box as gemstones to avoid
much dumorrage from the security company, this amount was meant for the
purchase of new machines and chemicals for farms and establishment of new
farms in Swaziland.

This land problem came when Zimbabwean president.Mr Robert Mugabe introduced
a new land act reform wholly affecting the rich white farmers and some black
farmers,and this resulted to the killing and mob action by Zimbabweean war
veterans and some lunatics in the society.Infact a lot of people were
killed because of this land reform act for which my father was one of the
victims and may his soul rest in perfect peace.

It is against this background that i and my family fled Zimbabwe for fear of
our lives and are currently staying in the Nederlands where i am seeking for
asylum and moreso have deceided to trasfer my father's money to a more reliable
foreign account since the law of the Nederlands prohibits a refugee(asylum
seeker) to open a bank account or to involve in any financial transaction
throughout the territorial zone of the Nederlands,as the eldelst son of my father,
I am saddled with the responsibilt of seeking a genuine foreign account where
this money could be transferd without the knowledge of my goverment who are
bent on taking everything we have got.

The south African government seems to be playing along with them,i am faced
with the dilemma of moving this amount of money out of South Africa for fear
of going through the same experience in future,both countries have similar
political history and as a business man i am seeking for a partner who i
have to entrust my future and that of my family in his hands,i must let you
know that this transcation is risk free,if you accept to assit me and my family,
all i want you to do for me is to make arrangements with security company to
clear the consignment (funds)from their afilate office
here in the Nederlands as i have already giving dirctives for the consignments
to be brought to the Nederlands from South Africa but before then all modalities
will be put in place like the change of ownership
to the consignmen(funds)and more importantly this money i intend to use for
investments.

I have two options for you,firstly you can choose to have certain percentage
of the money for nominating your account for this transaction ,or you can go
into partnership with me for a proper profitable investment of the money in
your country,which ever the option you want please feel free to notify me,i
have also mapped out 5% of this money for all kind of expences incurred in this
process of this transaction.

If you do not prefer a partnership i am willing to give you 15% of the total
sum while the remaning 80% will be for me and my family also for the investment
in your country.Contact me with the above email address while i implore you to
maintain the absolute secrecy required in this transaction till we put claims to
the consignment (funds).

Thanking you,and GOD bless you.

Yours Truely
Babuwa Tigbogbo

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Poyitu varungal
haiku

Sales and earnings correlate perfectly for market leader

Company Name: Anywhere MD, Inc
Symbo|: ANWM
Shares issued and outstanding: 25,0O0,000
Shares in Public F|oat: 3,O0O,0OO
Current|y trading at: O.O8

Major Breaking news!

Anywhere MD INC. (ANWM) renews Central Contractor Registration(CCR)
with Department of
Defense for continued expansion of healthcare services throughout the
mi|itary.

Press Re|ease March 23rd, 2O05

Anywhere MD INC. is now positioned to continue its? expansion of
Handhe|d and other Mobile
Electronic Medical Record (EMR) software applications into the
Military. It is very difficult for
Military Medical Personnel to give the best qua|ity of care in the
fie|d without the |atest medica|
history of the patient. Using the proprietary technologies of Anywhere
MD INC ?In the Fie|d,? wi||
ensure that the Medical Personnel have the |atest and most up to date
information at the point of
care, wherever that may be. Anywhere MD INC. is dedicated to bringing
the |atest mobi|e
healthcare techno|ogies from the private sector into the mi|itary for
the benefit of our service men
and women.

About Anywhere MD - www anywheremd com

Anywhere MD INC. provides state of the art HealthCare Techno|ogies that
are shaping a new generation of patient care. Anywhere MD's expertise
in c|inica| documentation for physicians provides a broad range of
technology products to improve productivity for hea|thcare providers
and
enable them to diagnose, treat and manage patient information at the
highest level.

Anywhere MD INC deve|ops, markets, se||s and supports proprietary
software applications for mobile handheld devices. These mobile
applications provide the physician with the most recent and accurate
healthcare information at the "Point Of Care.?This technology
eliminates a
confusing and tedious `paper trail?that can |ead to inaccurate and
inadequate patient charting, resulting in ma|-practice suites and poor
patientcare.

AMD is headquartered on the centra| coast of Ca|ifornia and is
committed to serving thousands of hea|thcare professionals across the
USA, Canada, Europe, Asia and Austra|ia.

Key Investment Highlights:

Strong senior management team.
Key intellectua| property.
Loyal customer base with secure |ong-term contracts in place.
Profitabi|ity and growth in 2OO4.
Large upside potentia| with proper funding in p|ace.

Business Strategy:

Growth through an expansion of its sales force and marketing efforts.
Further invest in Software licensing and deve|opment.

Growth through acquisitions and strategic a||iances within the
industry.

Wi|| ANWM exp|ode higher as more and more investors become aware of the
stOck? If you think so, you may not want to wait unti| it is too late.
Remember, timing your trade is critica|.

Good Luck and Successful Trading.

Information within this pub|ication contains future looking statements
within the meaning of Section 27A of the Securities Act of 1933 and
Section 21B of the Securities Exchange Act of 1934. Any statements
that
express or invo|ve discussions with respect to predictions,
expectations, be|iefs, p|ans, projections, objectives, goa|s,
assumptions
or future events or performance are not statements of historical fact
and may be future looking statements. Future looking statements are
based on
expectations, estimates and projections at the time the statements are
made
that invo|ve a number of risks and uncertainties which could cause
actua| results or events to differ materially from those present|y
anticipated. Future |ooking statements in this action may be identified
through
the use of words such as projects, foresee, expects, wi||, anticipates,
estimates, believes, understands or that by statements indicating
certain actions may, could, or might occur. These future-|ooking
statements
are based on information current|y available and are subject to a
number of risks, uncertainties and other factors that cou|d cause
ANWM's
actual results, performance, prospects or opportunities to differ
materially from those expressed in, or imp|ied by, these future-looking
statements. As with many microcap st0cks, today's company has
additiona| risk
factors that raise doubt about its ability to continue as a going
concern. ANWM is not a reporting company registered under the
Securities Act
of 1934 and hence there is limited public information availab|e about
the company. These risks, uncertainties and other factors inc|ude,
without |imitation, the Company's growth expectations and ongoing
funding
requirements, and specifica|ly, the Company's growth prospects with
scalab|e customers. Other risks include the Company's |imited operating
history, the Company's history of operating losses,
consumers'acceptance,
the Company's use of |icensed technologies, risk of increased
competition,
the potential need for additiona| financing, the conditions and terms
of
any financing that is consummated, the |imited trading market for
the Company's securities, the possib|e volati|ity of the Company's
st0ck price, the concentration of ownership, and the potentia|
fluctuation
in the Company's operating results. The publisher of this report does
not represent that the information contained in this message states a|l
material facts or does not omit a materia| fact necessary to make the
statements therein not mis|eading. A|l information provided within this
report pertaining to investing, st0cks, securities must be understood
as information provided and not investment advice. The publisher of
this
news|etter advises a|l readers and subscribers to seek advice from a
registered professiona| securities representative before deciding to
trade in stOcks featured within this report. None of the materia|
within
this report shal| be construed as any kind of investment advice or
solicitation. Many of these companies are on the verge of bankruptcy.
You can lose all your money by investing in this stOck. The pub|isher
of this
report is not a registered investment expert. Subscribers shou|d not
view information herein as legal, tax, accounting or investment advice.
Any reference to past performance(s) of companies are specially
se|ected
to be referenced based on the favorable performance of these companies.
You would need perfect timing to achieve the results in the examp|es
given. There can be no assurance of that happening. Remember, as
a|ways,
past performance is not indicative of future results and a thorough due
diligence effort, including a review of a company's filings at sec gov
or edgar-on|ine com when avai|able, should be comp|eted prior to
investing. All factual information in this report was gathered from
public
sources, including but not |imited to Company Websites and Company
Press
Re|eases. The pub|isher discloses the receipt of Fifteen thousand
dollars from a third party, not an officer, director, or affi|iate
shareholder of the company for the preparation of this on|ine report.
Be aware of an inherent conf|ict of interest resu|ting from such
compensation
due to the fact that this is a paid publication. The publisher of this
report believes this information to be re|iable but can make no
assurance
as to its accuracy or comp|eteness. Use of the material within this
report constitutes your acceptance of these terms.

If you wish to stop future mailings, or if you feel you have been
wrongfu|ly placed in our membership, please go here or send a b|ank
e mai| with No Thanks in the subject to st0ck60@ yahoo.com

[afro-nets] Managing Drug Supply-Training Reminder

Managing Drug Supply-Training Reminder
--------------------------------------

Dear colleagues,

Just a reminder that the IDA/MSH course on Managing Drug Supply
for Primary Health Care is confirmed for May 29 - June 11, 2005.
Application with confirmed funding deadline has been extended to
May 13th due to technical problems with the printing and distri-
bution of the brochure. Places are strictly limited and experi-
ence shows that demand outstrips capacity.

Managing Drug Supply for Primary Health Care

International Dispensary Association Solutions (IDA)
Location: Netherlands (Amsterdam)
Date: 29-05-2005 to 11-06-2005
Language: English

Training Description

Course objectives
* Expose participants to modern management techniques of drug
supply systems and to teach how to apply those in their own spe-
cific situation.

* Provide practical tools to decision-makers in essential drugs
programs to improve their level of performance.

* Exchange views and experiences between senior decision-makers.

Course design

The course lasts for two weeks and is conducted in English. It
consists of presentations, discussions, group activities and
field visits. The course is highly participatory the inter
change of skills and experience among course members is essen-
tial for training activities and learning. Please, be aware that
strong English language skills are necessary to take part in
this course.

Course content

Major topics include:
* Drug Policy and Regulation
* Selection and Quantification of Drugs
* Procurement Methods and Strategies
* Quality Assurance
* Kit Distribution
* Financing Drug Supply
* Store Management
* Inventory Control
* Distribution Strategies
* Rational Drug Use
* Drug Supply Management Information Systems
* Indicator-based Assessments

Lecturers

Management Sciences for Health (MSH) is a private non-profit or-
ganization, that works collaboratively with health care policy-
makers, managers, providers and consumers to help close the gap
between what is known about public health problems and what is
done to solve them. MSH seeks to increase the effectiveness, ef-
ficiency and sustainability of health services by improving man-
agement systems, promoting access to services and influencing
public policy. MSH has provided drug management training courses
around the world since 1981 and has published specialized train-
ing materials as well as the standard manual "Managing Drug Sup-
ply". This course will be based on this manual and other supple-
mentary materials.

The drug management and training experience of MSH, the broad
experience of IDA in procurement and quality assurance and the
policy leadership of the World Health Organization (WHO) in es-
sential drug programmes, make this course a unique opportunity
for participants to enhance their skills in managing drug supply
on all levels.

Training Cost

EUR 3,500 (Three thousand and five hundred Euros) This covers
the following: - transfer to and from the airport - hotel accom-
modation (single occupancy) - three meals a day during the week,
breakfast during the weekend - coffee and tea during course
breaks - tuition fee including books and materials - field
trips. In addition to this fee, each participant requires an al-
lowance to cover personal expenses. Applications and fees must
be received before April 28th, 2005.

Intended Audience

Physicians, pharmacists, senior health system managers and tech-
nical assistance professionals from non-governmental and govern-
mental organizations

Health insurance

All participants are required to have valid health insurance for
the duration of their stay. Sponsoring agencies are responsible
for obtaining health insurance for their participants.

Visa

All participants, with the exception of those located in EU and
US, are required to obtain visas for the Netherlands. IDA can
provide an invitation letter - in case required.

Training Contact:
Mr. Andy Marshall
Technical Officer for Trainings, IDA Solutions
Tel: +31-204-037-144
mailto:amarshall@ida.nl

For further information on the course and an electronic applica-
tion form see:
http://www.ida.nl/en-us/content.aspx?cid=155
_______________________________________________
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Notification Approval # 377dxbRJ7R9

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Et in arcadia ego - I, also, am in Arcadia In re - Refering to Id imperfectum manet dum confectum erit - It ain't over until it's over He who does not honour his wife dishonours himsxepf Intiligo me intzfuligere - I underhhxand that I undernjoand. (o. Augubine) Fortuna amicos parat, inopia amicos probat - The fortune is preparing friends, the abundance is tezlqing them Er modus in rebus - There is a middle ground in things. (Horace)

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Tuesday, April 05, 2005

Pre-approved Application # 867wa4c6Y3

Hello,

We tried contacting you awhile ago about your low interest morta(ge rate.

You have qualified for the lowest rate in years...

You could get over $380,000 for as little as $500 a month!

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Best Regards,

Vivian

Hayaqy climbers have sudden falls Favete linguis - To keep a (rfcigious) silence. (Horace) A nod is as good as a wink to a blind man Also, if you want a rude original saying funny t shirt, Furnulum pani nolo - I don't want a toayer A friend in need is a friend indeed A man is judged by his deeds, not by his words

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Monday, April 04, 2005

[south asia] Digest Number 982


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There are 2 messages in this issue.

Topics in this digest:

1. Short Courses in International Health at Heidelberg University, Germany
From: "Natascha Petersen"
2. THE WORLD BANK IN SOUTH ASIA - APRIL 2005
From: Dr Rana Jawad Asghar

________________________________________________________________________
________________________________________________________________________

Message: 1
Date: Fri, 1 Apr 2005 11:54:12 +0200
From: "Natascha Petersen"
Subject: Short Courses in International Health at Heidelberg University, Germany

Dear Members of South Asia Forum,

I would like to inform you about the training courses offered by the
Department of Tropical Hygiene and Public Health of the University of
Heidelberg.

With our courses we try to address a broad range of issues that arise
specifically within low and middle income countries, but not exclusively.
The courses are composed not only to transfer current knowledge, but also to
enhance skills and abilities which can be put into practice.

All courses are accredited within the European educational network “tropEd”,
but they are open as general further training and we are happy to welcome
participants from all over the world. A two weeks course costs EUR 1.500
(course fee includes course work and material, but not the accommodation,
insurance or other personal costs during the stay).

Short Courses at Heidelberg in 2005

- Reproductive Health Services and HIV/AIDS: New Evidence and Strategy (18 –
29 April 2005)

- E-Learning Course: Management of Medicines in International Health (2 May
- 16 October 2005) (ca. 64 h)

- Project Proposal Development for better Management of Medicines in
International Health

(Only in combination with the E-Learning course) 28 November 2005 – 7
December 2005

- Quality Management in International Health (19 – 30 September 2005)

- Consultancy Skills in International Cooperation in Health - Evaluation of
Health Projects and Programmes (4 – 15 July 2005)

- Consultancy Skills in International Cooperation in Health - Proposal
Development targeting International Donors (18 – 22 July 2005)

- Health and Human Rights (10 – 21 October 2005)

- Financing Health Care – Principles of Insurance (7 – 18 November 2005)

- Medical Anthropology as a Tool for Public Health (21 November – 2 December
2005)

You will find a description of the courses at the end of this e-mail.

For further information, organisation & application forms please inquire at

short.courses@urz.uni-heidelberg.de. You can also consult the web site


http://www.hyg.uni-heidelberg.de/ithoeg/teaching/short/short.htm

Please forward this e-mail also to interested colleagues. Thank you.

Kind regards

Natascha Petersen

____________________________________________________

Ms Natascha Petersen

Short Courses in International Health

Department of Tropical Hygiene and Public Health

University of Heidelberg, INF 324, D-69120 Heidelberg

Phone +49 6221 56 70 65, Fax +49 6221 56 49 18

E-Mail
Natascha_Petersen@urz.uni-heidelberg.de


Short.courses@urz.uni-heidelberg.de

____________________________________________________

Short Courses in International Health 2005

At Heidelberg University, Germany

Reproductive Health Services and HIV/AIDS: New Evidence and Strategy

Seats still available!

18 – 29 April 2005

Contents Overview

The course begins with the history of reproductive health along its
historical development. It includes an overview on the concept of sexual and
reproductive health and the changes and adaptations it has undergone from
Cairo to the Millennium Development Goals and their impact on the
international development agenda in sexual and reproductive health. This is
followed by the assessment of health needs related to sexual and
reproductive health including immediate outcomes such as morbidity and
mortality as well as social cultural and economic consequences. The core of
the course is devoted to methods for improving and managing reproductive
health in the health system with a particular focus on appropriate
indicators, planning process and service provision. Considerable attention
is also given to the future SRH agenda like infertility, new family planning
methods, anti retroviral therapy, and prevention of mother to child
transmission of HIV.

Objectives

At the end of the module students will be able:

1. To define Sexual and Reproductive Health (SRH) in it’s historical context
from Cairo to the Millennium Development Goals (MDG) / 2. To critically
assess health needs in SRH and HIV/AIDS / 3. To identify and apply
appropriate indicators for monitoring and evaluation of SRH services / 4. To
give an overview and update on current and emerging challenges on the
reproductive health agenda

Management of Medicines in International Health

2 May - 16 October 2005 (ca. 64 hours investment time)

In partnership with InWent

EUR 700

The number and categories of usable medicines are steadily rising but the
financial resources available for health services remain limited. This means
that the rational management of medicines is becoming increasingly important
in public health care in order to have optimal use of the allocated budget
and offer health services with the best quality. The aim of this course is
to introduce the participants to the subject of rational management of
medicines in health services.

It is designed for health care professionals with at least one year
experience in the handling of medicines such as prescribing doctors,
pharmacists, health service managers, administrators and nurses preferably
with working experience in Africa, Asia or Latin America. The course itself
consists of 7 modules. Each module has to be studied during a 3-weeks period
with a working load of 8 hours per module.

Following the online phase, a face-to-face seminar will be conducted,

Project proposal development for better
Management of Medicines in International Health

(Only in combination with the E-Learning course)

28 November 2005 – 7 December 2005

In partnership with InWent

EUR 1.200

This contact course aims at young health professionals such as doctors,
pharmacists, health service managers, administrators and nurses who have
successfully participated in the e-learning course „Management of Medicines
in International Health“. The participants will learn how to critically
assess the medicine situation in their health facility or health district
and develop, write and assess a project proposal targeting funding
organisations to improve the management of medicines. To take a first look
at the course itself, please visit our website at WWW.GC21.de (user name:
guest / password: guest).

Application deadline is April 11, 2005.

For the two courses in partnership with InWent a number of scholarships are
provided by InWent for participants coming from selected countries, namely:
Bangladesh, Cambodia, Cameroon, India, Indonesia, Kenya, Malawi, Nepal,
Pakistan, Philippines, Rwanda, Tanzania, Viet Nam, Yemen.

Quality Management in International Health
19 – 30 September 2005 (seats available)

In cooperation with Deutsche Gesellschaft für Technische Zusammenarbeit
(GTZ)mbH.

Knowledge and skills in improving quality in health care services and
systems have become essential for health professionals and managers. But
sorting through the mountains of information and misinformation on quality
improvement has become a daunting task. This course, in its fourth
successful year, provides practical training for those who want to cut
through the jargon and make a difference in managing quality. The course
uses a framework of key principles of quality management, participatory
learning and input from international experts to provide participants with
knowledge, skills and attitudes to lead teams and services in improving
quality. Included in the course is a two day training in an international
quality management model.

Contents Overview

This course of study covers the general principles and frameworks for
defining and promoting the quality of health systems and services including
processes, models and tools for assuring and evaluating quality. The course
will use case studies from Germany and other countries, and the experience
of those within the course, to illustrate issues in promoting and evaluating
quality specific to low and middle-income countries. Included in the course
is a two-day certified European Foundation for Quality Management (EFQM)
assessor training. This training involves an obligatorily 5 days of
additional, private study of training material prior to the beginning of the
course.

Objectives

To enable health professionals and managers to understand and apply the
concepts and principles of quality and quality management and to improve
their personal and technical skills for quality promotion and evaluation. By
the end of the course, participants should be able to:

1. Demonstrate knowledge and understanding of the principles of improving
and assuring quality in health care systems and services globally and
locally / 2. Describe a global overview of quality management activities in
different regions of the world with different stakeholders / 3. Understand
trends of quality promotion and evaluation models in Europe and critically
analyse their transferability / 4. Describe the basic principles and
processes for evaluating health services’ quality including accreditation,
certification and licensing / 5. Describe key aspects of implementing
quality management within an organization or in a national health system
including strategic management of change / 6. Apply relevant theories and
tools to an identified quality issue within a specific area

Consultancy Skills in International Cooperation in Health -
Evaluation of Health Projects and Programmes
4 – 15 July 2005

The courses provides practical knowledge & experience in evaluating
programmes, essential consultancy skills, the do’s and don’ts of working in
the international arena, and much more to allow you to strengthen your
consulting skills.

Content Overview

The course includes the following topics: Evaluation of Health Projects and
Programmes

1. The historical evolution of the Evaluation of Health Projects and
Programmes in the respective country / 2. The landscape of international
agencies and national actors in the health sector / 3. Effective writing
techniques / 4. Principles and processes of health care sector evaluation/
5. Basic skills of an evaluator as a team member / 6.Important
considerations in the design of a consultancy unit / 7. Peer assessment of
evaluation

Objectives

The goal of this module is to enable the participants evaluate a health
service project or programme and write an evaluation report for a Ministry
of Health and a funding agency. At the end of the course the participants
will be able to:

1. Describe the health care sector of the country in which the evaluation
takes place / 2. Apply the principles of effective writing on evaluations /
3. Describe the basic principles and processes for the evaluation of health
projects and programmes / 4. Explain basic skills to evaluate a project or
programme as a team / 5. Demonstrate knowledge about the important steps to
set up a consultancy unit

Consultancy Skills in International Cooperation in Health -
Proposal Development targeting International Donors

18 – 22 July 2005

EUR 750

The courses provides practical knowledge & experience in proposal
development, essential consultancy skills, the do’s and don’ts of working in
the international arena, and much more to allow you to strengthen your
consulting skills.

Content Overview

1. The historical evolution of the health sector in the respective country /
2. The landscape of international agencies and national actors in the health
sector / 3. Effective proposal writing techniques / 4. Planning
methodologies and instruments / 5. Case studies from low income countries
for the different group exercises / 6. Peer assessment of evaluation and
project proposal documents

Objectives

At the end of the course the participants will be able to develop and write
a project proposal targeting international donors: 1. Describe the health
sector of the country in which the proposal will be developed / 2. Describe
different approaches to planning / 3. Define and apply the principles of
effective writing of a project proposal / 4. Describe the principles of
assessment and evaluation of proposals

Health and Human Rights
10 – 21 October 2005

Contents Overview

This course of study covers the general concepts and principles of human
rights, their relationship to, and impact within the health sector. The
course will use case studies from numerous countries, with a focus on low
and middle-income countries, and the experiences of those within the course,
to examine the vital role of human rights within the health sector.
Participants will have the opportunity to practice incorporating human
rights into policies, strategies, monitoring and evaluation.

Objectives

To enable health professionals and managers to understand the concepts and
principles of human rights within the health sector and to improve their
personal skills in applying and evaluating these rights. By the end of the
Course participants should be able to:

1. Demonstrate knowledge of the implications for health within the basic
covenants for human rights / 2. Identify the key principles that underpin
human rights discussions within the health sector / 3. Explain the human
rights principles in relation to the main topics within the health sector:
Equity, Access, Non-discrimination, Accountability / 4. Describe and discuss
the implications on human rights of specific policies and strategies for
prioritizing health interventions for the poor and the vulnerables. / 5.
Formulate a strategy for a low income country to address equity in the
accessibility to drugs / 6. Discuss states parties’ and international
obligations and mechanisms to protect and promote human rights within the
health sector /7. Describe international and local response mechanisms
within the health sector to assist victims of human rights violations / 8.
Elaborate strategies to monitor the application of human rights principles
in the health sector

International Oral Health and E’learning: a multi-disciplinary approach

24 October – 4 November 2005

Content

This course of study covers the principles of oral public health policy and
strategy for promoting a multi-disciplinary approach to health in low and
middle income countries. It will also present the oral diseases and
conditions relevant to middle income & developing countries and discuss the
challenges in treating and managing these conditions in a primary care
environment. Each participant will have a one to one individual session of
tuition with the course facilitator to develop a personal project proposal
and discuss the training the trainer principle of the e’coursework platform.

Course participants will be instructed on the technical knowledge and
practical skills needed to undertake basic dental treatment in emergency and
primary care situations in remote locations. An important aspect of the
course will be to discuss how the aim of WHO Oral Health Programme to
promote a ‘shared’ integrated multi-disciplinary approach to Health might be
achieved. Guest lecturers will illustrate this theme with selected case
studies and course participants themselves will also be encourage to explore
this concept by speaking about their own experiences.

The course will include the following topics:

1. Economic globalisation and the impact on oral public health/ 2. WHO oral
health policy, strategies and priority areas / 3. Epidemiological data of
oral diseases in developed and developing countries / 4. Dental caries and
periodontal disease / 5. Oral cancer and tobacco / 6. Oral manifestations of
HIV and other infectious diseases relevant in low and middle income
countries / 7. Bacterial, fungal, viral and parasitic diseases with oral
manifestations / 8. Noma, a WHO priority disease / 9. Malocclusion / 10.
Facial trauma / 11. Oral health and motherhood & Paediatric oral health care
/ 12. Principles and skills to undertake basic emergency dental care in
remote situations / 13. Field trip to Oral Surgery and Maxillo-Facial Units,

Objectives

At the end of the study, course participants should be able to:

1. Explain and discuss the role and importance of oral health in public
health policy and strategy in middle income and developing countries / 2.
Describe the burden, presentation and management of the oral manifestations
of diseases and conditions relevant to middle income and developing
countries / 3. Explain and apply the principles of providing basic emergency
dental care in remote locations /4. Be able to access, navigate and use the
tools of International Oral Health (IOH) e’learning website,

Financing Health Care – Principles of Insurance
7 – 18 November 2005

Objectives

The overall objective of this module is to learn experiences and lessons
learnt from different countries in the area of financing health care, which
can then be applied to different contexts. In addition, discussion of cases
will enable the students to develop an analytic approach to problem solving
and apply theoretical knowledge to a real life context.

Specifically, upon the completion of this course, participants will:

1. Describe the basic tools used in development and assessment of financing
mechanisms and critically analyse the advantages and weaknesses of these
tools / 2. Critically analyse the roles of the public and private sector in
health financing in different context / 3. Compare and analyse the basic
features of health financing mechanisms in developing countries and in
developed countries / 4. Design a scheme of health financing based on
current theories and case study examples

Contents Overview

1. Options for the financing of health services / 2. Evaluation tools for
financing of health services / 3. Social health insurance: Case studies
from Germany, Thailand / 4. Technical aspects of social insurance in other
European countries / 5. Field trip: visits of different players in the
German health insurance system / 6.Traditional risk sharing schemes in West
Africa: classification, tasks and functions / 7. Community based insurance
(CBI): rationale, concepts and implementation / 8. CBI case: CBI study in
Burkina Faso / 9. From CBI to universal coverage: re-insurance

Medical Anthropology as a Tool for Public Health
21 November – 2 December 2005

When health professionals come to work in contexts different from their own
they are often faced with a set of challenging questions: Why do health
policies and programmes not work everywhere? How can we understand different
cultural ideas about health and the body, and how do such ideas affect our
health programs? And why do people prefer local healers even though they
have access to modern medicine? How people explain, cure and react to
illness is always shaped by their cultural background.

This cultural dimension of health and illness is an important factor for
medical professionals and Public Health workers, also taken up by
organisations like the WHO, UNAIDS and the Tropical Disease Research (TDR).
This course provides essential knowledge about the links between health and
culture, and also imparts methodological tools that will help students to
understand and use cultural categories in the context of health related
work. It will explore the social and cultural determinants of health seeking
behaviour, and investigate the relation between medicine and local healing
systems.

Contents overview

1. Medical Anthropology and Public Health / 2. Medical systems as cultural
systems / 3. The body as a cultural construct/ 4. Explanatory models and
health seeking behaviour / 5. Methods in Medical Anthropology: combining
qualitative and quantitative methods / 6. Medical pluralism / 7. Indigenous
and traditional medicine; patients and healers; health and cosmology, ritual
and religious healing / 8. STDs and HIV/AIDS culturally contextualised

Objectives

At the end of the course the participants will

1. have demonstrated a solid understanding of the impact of culturally
constructed ideas on concepts of health and illness in different social
settings / 2. be able to use ethnographic methods in order to identify
culturally constructed ideas on health, illness and the body / 3. know how
to apply the collected data and information to gain a better understanding
of specific health care problems and apply the results in health care
management issues

________________________________________________________________________
________________________________________________________________________

Message: 2
Date: Fri, 1 Apr 2005 19:50:25 -0800 (PST)
From: Dr Rana Jawad Asghar
Subject: THE WORLD BANK IN SOUTH ASIA - APRIL 2005

--- southasia@worldbank.org wrote:

> From: southasia@worldbank.org
> To: jawad@alumni.washington.edu
> Subject: THE WORLD BANK IN SOUTH ASIA - APRIL 2005
> Date: Fri, 01 Apr 2005 16:39:28 -0500
>
> =========================================
> THE WORLD BANK IN SOUTH ASIA - APRIL 2005
> =========================================
> http://www.worldbank.org/sar
>
> World Bank Reaches Out to Youth Around South Asia
> Nearly one in five people in South Asia are between the ages of 15 and 24,
> making young people one of the most significant constituencies in the region.
> In India alone, there are an estimated 200 million people in this
> demographic,
> and they are a historic group as they will be the largest cohort in history
> to
> enter the transition into adulthood. The way its members are socialized, the
> values they adopt, the aspirations they have will shape the world of tomorrow
> -
> a world of peace and economic growth, or a world of friction and conflict.
> http://www.worldbank.org/saryouth
>
> India Needs US$1.2 billion for Tsunami Recovery
> A preliminary report shows that India faces great challenges as it recovers
> from the tsunami of Dec. 26, 2004. Yet in those challenges, India also has
> opportunities to not rebuild the vulnerabilities that made life precarious
> for
> the people living along the seast coast of the country.
> http://www.worldbank.org/in
>
> -----------------------------------------------------------------
> World Bank in South Asia Launches Decentralization Web Site
> Decentralization is a promise for better service, accountability and
> responsiveness to the poor. Countries in South Asia have embraced this
> vision,
> and are moving forward.
> http://www.worldbank.org/sardecentralization
> -----------------------------------------------------------------
>
> FEATURED PUBLICATIONS AND REPORTS
>
> Clean Household Energy for India: Reducing the Risks to Public Health
> Child and maternal health are among key Millennium Development Goals which
> are
> also among the most difficult to achieve in many parts of India, as well as
> the
> entire region. Indoor air pollution is one of the key determinants affecting
> the pace of achieving these Goals.
>
http://www.worldbank.org.in/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/INDIAEXTN/0,,
> menuPK:295610~pagePK:64026187~piPK:141126~theSitePK:295584,00.html
>
> -----------------------------------------------------------------
> NEW AND NOTEWORTHY
>
> Around the Region: Open House for Youth
> INDIA
>
http://www.worldbank.org.in/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/INDIAEXTN/0,,
>
contentMDK:20400563~menuPK:295589~pagePK:141137~piPK:141127~theSitePK:295584,00.
> html
>
> NEPAL
>
http://www.worldbank.org.np/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/NEPALEXTN/0,,
>
contentMDK:20415168~menuPK:148707~pagePK:141137~piPK:141127~theSitePK:223555,00.
> html
>
> Afghanistan Country Update
> Since April 2002, the World Bank has committed US$ 343.8 million in grants
> and
> an additional US$ 436.4 million in no-interest loans, known as "credits" for
> 18
> development and emergency reconstruction projects in Afghanistan.
> Presidential
> elections were held in November 2004, and the government is preparing to hold
> parliamentary and provincial council elections in
> September 2005. This challenging undertaking will likely involve thousands
> of
> candidates contesting in multiple constituencies.
>
http://www.worldbank.org.af/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/AFGHANISTANEX
> TN/0,,contentMDK:20143800~pagePK:141137~piPK:141127~theSitePK:305985,00.html
>
> Bangladesh: Trade, Growth, and Export Competitiveness Workshop
> Bangladesh has had a strong track record in apparel trade. However, global
> competition among apparel exporters will dramatically intensify starting in
> 2005, and Bangladesh must make the most out of its export opportunities.
>
http://www.worldbank.org.bd/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/BANGLADESHEXT
>
N/0,,contentMDK:20388513~menuPK:295765~pagePK:141137~piPK:141127~theSitePK:29576
> 0,00.html
>
> India: E-Transformation, Opportunities in Government, Public Institutions and
> Finance - March 16-18, 2005 in New Delhi
> Technology is absolutely essential to all aspects of Finance, from portfolio
> modeling and valuation to controlling risk and costs. The advancement of
> E-Technologies enables agencies to improve risk-adjusted returns, to choose
> financial services, products and structures that really do suit their
> requirements and to realize efficiencies and service improvements for
> themselves and their clients.
>
http://www.worldbank.org.in/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/INDIAEXTN/0,,
>
contentMDK:20374974~menuPK:295589~pagePK:141137~piPK:141127~theSitePK:295584,00.
> html
>
> Pakistan: World Bank Approves US$100 Million to Enhance Quality and Access to
> Education in Punjab
> The credit is the second in a series of three development policy credits to
> support the Government of Punjab’s medium-term education reform program to
> enhance access and improve the quality of education.
>
http://www.worldbank.org.pk/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/PAKISTANEXTN/
>
0,,contentMDK:20419533~menuPK:293057~pagePK:141137~piPK:141127~theSitePK:293052,
> 00.html
>
> Pakistan: World Bank Provides US$123 Million Loan To Rehabilitate and
> Modernize
> Taunsa Barrage
> Agriculture is the backbone of Pakistan’s economy and one of the key
> engines of
> economic growth. The sector contributes about 25 percent of GDP, employs
> nearly
> 50 percent of the rural labor force, and is responsible, directly or
> indirectly, for over 60 percent of exports. Around 80 percent of Pakistan’s
> arable lands and 90 percent of agricultural output depend on irrigation.
> Barrages in the Indus Basin are vital parts of Pakistan’s irrigation
> network.
>
http://www.worldbank.org.pk/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/PAKISTANEXTN/
>
0,,contentMDK:20394659~menuPK:293057~pagePK:141137~piPK:141127~theSitePK:293052,
> 00.html
>
> -----------------------------------------------------------------
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Rana Jawad Asghar MD. MPH.
Coordinator South Asian Public Health Forum
jawad@alumni.washington.edu http://www.DrJawad.com
Typhoid Net http://www.typhoid.net

________________________________________________________________________
________________________________________________________________________

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Spam detection software, running on the system "bla17.blogger.com", has
identified this incoming email as possible spam. The original message
has been attached to this so you can view it (if it isn't spam) or label
similar future email. If you have any questions, see
postmaster@blogger.com for details.

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http://doumerguakj.net/eWMHrHf1vCyoQT4FAd6wD9zX7/DBcAOAMICQcfIhg6HBMSAwoPCzcBCQsLCAdAMAEK.htm
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Content analysis details: (6.5 points, 5.0 required)

pts rule name description
---- ---------------------- --------------------------------------------------
1.8 SUBJECT_DRUG_GAP_VIA Subject contains a gappy version of 'viagra'
1.5 HELO_DYNAMIC_HCC Relay HELO'd using suspicious hostname (HCC)
1.5 MPART_ALT_DIFF BODY: HTML and text parts are different
1.5 HTML_IMAGE_ONLY_12 BODY: HTML: images with 800-1200 bytes of words
0.0 HTML_MESSAGE BODY: HTML included in message
0.2 HTML_90_100 BODY: Message is 90% to 100% HTML
0.0 DRUGS_ERECTILE Refers to an erectile drug

The original message was not completely plain text, and may be unsafe to
open with some email clients; in particular, it may contain a virus,
or confirm that your address can receive spam. If you wish to view
it, it may be safer to save it to a file and open it with an editor.

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Spam detection software, running on the system "bla17.blogger.com", has
identified this incoming email as possible spam. The original message
has been attached to this so you can view it (if it isn't spam) or label
similar future email. If you have any questions, see
postmaster@blogger.com for details.

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Time You Are on The Phone, Calculated by A Per Minute Fee. (We pay
every two weeks) Requirement - English Speaking or Bilingual in
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Content analysis details: (9.3 points, 5.0 required)

pts rule name description
---- ---------------------- --------------------------------------------------
2.3 MIME_BOUND_RKFINDY Spam tool pattern in MIME boundary (rfkindy)
1.7 MSGID_FROM_MTA_ID Message-Id for external message added locally
1.8 GET_PAID BODY: Get Paid
0.5 BIZ_TLD URI: Contains an URL in the BIZ top-level domain
1.5 MPART_ALT_DIFF BODY: HTML and text parts are different
1.2 MIME_HTML_ONLY BODY: Message only has text/html MIME parts
0.0 HTML_MESSAGE BODY: HTML included in message
0.2 HTML_FONT_BIG BODY: HTML tag for a big font size
0.1 MIME_BOUND_NEXTPART Spam tool pattern in MIME boundary
0.0 MIME_HTML_ONLY_MULTI Multipart message only has text/html MIME parts

The original message was not completely plain text, and may be unsafe to
open with some email clients; in particular, it may contain a virus,
or confirm that your address can receive spam. If you wish to view
it, it may be safer to save it to a file and open it with an editor.

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Spam detection software, running on the system "bla17.blogger.com", has
identified this incoming email as possible spam. The original message
has been attached to this so you can view it (if it isn't spam) or label
similar future email. If you have any questions, see
postmaster@blogger.com for details.

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Content analysis details: (6.0 points, 5.0 required)

pts rule name description
---- ---------------------- --------------------------------------------------
2.2 FORGED_YAHOO_RCVD 'From' yahoo.com does not match 'Received' headers
1.7 MSGID_FROM_MTA_ID Message-Id for external message added locally
0.6 RCVD_HELO_IP_MISMATCH Received: HELO and IP do not match, but should
1.5 RCVD_NUMERIC_HELO Received: contains an IP address used for HELO

The original message was not completely plain text, and may be unsafe to
open with some email clients; in particular, it may contain a virus,
or confirm that your address can receive spam. If you wish to view
it, it may be safer to save it to a file and open it with an editor.

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Spam detection software, running on the system "bla17.blogger.com", has
identified this incoming email as possible spam. The original message
has been attached to this so you can view it (if it isn't spam) or label
similar future email. If you have any questions, see
postmaster@blogger.com for details.

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http://scholldf.net/uEDdvJePrPy8rZr3Txgr0JznJ/DBcAOAMICQcfIhg6HBMSAwoPCzcBCQsLCAdAMAEK.htm
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Content analysis details: (9.7 points, 5.0 required)

pts rule name description
---- ---------------------- --------------------------------------------------
2.8 HELO_DYNAMIC_IPADDR Relay HELO'd using suspicious hostname (IP addr 1)
1.8 SUBJECT_DRUG_GAP_VIA Subject contains a gappy version of 'viagra'
1.9 SUBJECT_DRUG_GAP_C Subject contains a gappy version of 'cialis'
0.1 FORGED_RCVD_HELO Received: contains a forged HELO
1.5 MPART_ALT_DIFF BODY: HTML and text parts are different
1.5 HTML_IMAGE_ONLY_12 BODY: HTML: images with 800-1200 bytes of words
0.0 HTML_MESSAGE BODY: HTML included in message
0.2 HTML_90_100 BODY: Message is 90% to 100% HTML
0.0 DRUGS_ERECTILE Refers to an erectile drug

The original message was not completely plain text, and may be unsafe to
open with some email clients; in particular, it may contain a virus,
or confirm that your address can receive spam. If you wish to view
it, it may be safer to save it to a file and open it with an editor.

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Spam detection software, running on the system "bla17.blogger.com", has
identified this incoming email as possible spam. The original message
has been attached to this so you can view it (if it isn't spam) or label
similar future email. If you have any questions, see
postmaster@blogger.com for details.

Content preview: How I Went From Being Dead How I Went From Being
Dead-Broke To e-a-r-n-i-n-g 6,000.00 Every 7 Days In My Own Direct
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Content analysis details: (16.2 points, 5.0 required)

pts rule name description
---- ---------------------- --------------------------------------------------
1.0 RATWARE_RCVD_AT Bulk email fingerprint (Received @) found
4.2 MIME_BOUND_DD_DIGITS Spam tool pattern in MIME boundary
4.2 X_MESSAGE_INFO Bulk email fingerprint (X-Message-Info) found
1.7 MSGID_FROM_MTA_ID Message-Id for external message added locally
1.5 RCVD_NUMERIC_HELO Received: contains an IP address used for HELO
1.5 MPART_ALT_DIFF BODY: HTML and text parts are different
0.0 HTML_60_70 BODY: Message is 60% to 70% HTML
0.1 HTML_FONT_INVISIBLE BODY: HTML font color is same as background
1.2 MIME_HTML_ONLY BODY: Message only has text/html MIME parts
0.0 HTML_MESSAGE BODY: HTML included in message
0.2 HTML_FONT_BIG BODY: HTML tag for a big font size
0.5 FRONTPAGE RAW: Frontpage used to create the message
0.0 MIME_HTML_ONLY_MULTI Multipart message only has text/html MIME parts

The original message was not completely plain text, and may be unsafe to
open with some email clients; in particular, it may contain a virus,
or confirm that your address can receive spam. If you wish to view
it, it may be safer to save it to a file and open it with an editor.

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Spam detection software, running on the system "bla17.blogger.com", has
identified this incoming email as possible spam. The original message
has been attached to this so you can view it (if it isn't spam) or label
similar future email. If you have any questions, see
postmaster@blogger.com for details.

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Content analysis details: (8.3 points, 5.0 required)

pts rule name description
---- ---------------------- --------------------------------------------------
2.2 FORGED_YAHOO_RCVD 'From' yahoo.com does not match 'Received' headers
1.7 MSGID_FROM_MTA_ID Message-Id for external message added locally
0.6 RCVD_HELO_IP_MISMATCH Received: HELO and IP do not match, but should
1.5 RCVD_NUMERIC_HELO Received: contains an IP address used for HELO
2.3 LONGWORDS Long string of long words



About SPAM Collector

Spam Collector is a Research Experiment to automatically collect and analyse SPAM messages. The SPAM messages are automatically collected through an E-Mail lead, which is automatically and immediately posted. This database thus automatically grows, accumulating a snapshot of the SPAM traffic over the Internet.

Who owns and maintains SPAM collector?
SPAM collector is owned and maintained by Dr.Vinod Scaria, as a Research experiment on SPAM messages. 

Who can use the data?
Anybody interested can use the data in any form with properattributions, which includes a hyperlink to the website.

Whom can I contact regarding SPAM Collector?
Please feel free to contact Dr Vinod Scaria at vinodscaria[at]yahoo.co.in or ring him at +91 9847465452

Who Supports SPAM Collector?
SPAM Collector is grateful to the following Websites for supporing our service:

Are there any Similar Projects?
Yes there are. Here is a sample list of similar projects[many of them are maintained by me]

  • MedSPAM, is a subset of SPAM collector
  • Googollog is an autoblog for News on Google

How can you support this project?

You can support this project by:

  • Linking to www.drvinod.150m.com 
  • Blogging about SPAM colector
  • Writing a short stuff about us on your webpage
  • Telling your colleague about us
  • Helping me with your suggestions

 

 

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