Hospital Care At The Middle Georgia Area - 1621 Words

Located in the middle Georgia area is a military base town that has increase two fold in population in the last fifteen years. In this town is a hospital with the mission statement to improve the healthcare of the communities we serve by providing patient-focused, high quality, cost effective services while promoting health and wellness. In the last 6 years the hospital has added 75 inpatient hospital beds, remodel emergency department, open two outliers urgent care centers and expanded its cardiac services. This acute care hospital is surrounded by small rural counties with the nearest hospital located in 35 miles radius. With the new expansion of the cardiac line services and demanding need to decrease wait time in the emergency room,†¦show more content†¦Second is consistent approach in using evidence –based clinical practice guidelines for the ACS and AMI clientele. Thirdly is the collection and analysis of the four performance measures for chest pain patients. If a chest pain centers program meets all of these qualifications will be awarded certification for a two year period. There are several strengths for starting a chest pain program at this particular facility. One is the location of the hospital. The hospital is located 45 minutes south of the nearest certified chest pain center. For our patient that lives in one of the rural counties it can be almost 90 minutes before they reach that facility. If the patient is having a true cardiac event, a quicker facility to get to may prevent irreversible damage to the heart. Second strength is the newly cardiac expanded services in 2011 the cardiac cath lab started performing percutaneous interventions. Cardiologists from surrounding hospitals have started performing procedures and referring patients to the facility. Third strength is the newly renovated cardiac cath lab. The cath lab has expanded to two more cardiac catherization room and electrophyics lab. Fourth strength is the redesign of the emergency room with new emergency room physicians and new leadership willing to incorporate change. The fifth strength it will have a strong community and military community support. The board and military community has always supported the facilities newShow MoreRelatedA Survey Of The Windshield Survey1302 Words   |  6 PagesWindshield Survey: Valdosta, Georgia Community health nurses have the responsibility of assessing the community he or she will be working in to provide the best care to the residents in the community and to gather this data the community health nurse completes a windshield survey (Nies McEwen, 2015). The purpose of this paper is to discuss the findings from the windshield survey completed in Valdosta, Georgia. Direct Data While examining the community of Valdosta, Georgia there were some common themesRead MoreOrganizational Structure and Culture1163 Words   |  5 Pages(Luthans, 1998). 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The Rise Of Communism During Great Industrial Change

The rise of Communism came about during great industrial change. Karl Marx and Leo Tolstoy wrote during a period where large industrial cities were expanding and where a great number of the working class was living in poverty. These two factors were what really shaped their writings and views on Democracy vs. Communism. Both writers felt a strong pull towards a communistic government in order to create harmony and demolish social classes, which was putting people in great poverty. Karl Marx believed history to be a tale in which the oppressed are fighting the oppressor. The victory of either would pave the way for a future freedom in that society. This mindset led him to distinguish the Bourgeoisie and the Proletariat classes. The Bourgeoisie was the higher class who owned land and the Proletariat class was the lower industrial working class. The discord came about because the Bourgeoisie relentlessly exploited the Proletariat class. All the labor done by the working class was just t aken advantage of by the upper class. For example, a factory worker would get paid two dollars to make a yard of cloth. The capitalist would sell that yard of cloth for five dollars so that he could make a profit. The worker in no way benefits form the added value of the cloth, nor the fruits from his labor. He is made to be less of an individual and more of just a number. There is no individuality to his work if he is just pulling a lever all day. Marx believed in Communism because the seedShow MoreRelatedCommunism And Its Impact On The World1583 Words   |  7 PagesCommunism is a system of social organisation which formerly consumed almost a third of countries in the entire world, having originated in Russia. The first official communist state was founded during the Russian revolutions in 1917, due to the inaugural communist political party ‘Bolsheviks’ gaining primal power. 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Huck Finn Opposition to Racism Free Essays

string(129) " person who as uneducated as he is, consistently cares for others, is loyal to his friendships, and feels guilt in his mistakes\." Megan Patton John Rohrkemper February 28, 2010 American Lit Exposing the Racist, Opposing Racism Since its original publication in 1884, The Adventures of Huckleberry Finn has proven to be one of the most controversial when it comes to the reoccurring issue of race in American society. Many argue that Mark Twain held the racist ideals that most people had in the 1830’s, while others know that Twain was a social satirist, mocking the ignorance of society. In order to be considered a racist novel Huck Finn would have to advocate racism. We will write a custom essay sample on Huck Finn: Opposition to Racism or any similar topic only for you Order Now The evidence thus far has lead me to believe that The Adventures of Huckleberry Finn promotes a strong set of antiracist ethical values as the main character, Jim, a runaway slave is displayed as the best, most honorable character, while other white characters are depicted as ignorant and self centered, lacking ethical reasoning. The immorality of racism is periodically satirized throughout the novel. The unethical thinking of the time period of slavery is an issue that Twain recognizes, mocks, and clearly presents his opposition toward. One of the main concerns consistently brought up by those who argue that Twain is racist is that simply based on the dialogue and use of the word â€Å"nigger,† Twain is being insensitive toward blacks. He must be a racist if he is using such a derogatory term. However, they fail to realize that he is telling a story how it would have happened and he avoids beating around the bush in order to lay out the reality of the time period when people engaged in such communication. Justin Kaplan uses powerful words on the matter when he questions people who have â€Å"allowed him or herself even the barest minimum of intelligent response to its underlying spirit† (378) and still â€Å"accuse it of being racist because some of its characters use offensive racial epithets† (378). On the surface, this can easily be detected as racism but when taking a look at particular circumstances of ignorance, Huck’s internal battling experiences, and satiric element, the intent is clear. Jim, one of the main characters of the novel, is undoubtedly the most moral character in the novel. Julius Lester argues in his piece â€Å"Morality in The Adventures of Huckleberry Finn† that Jim is a â€Å"childlike character† and is not taken seriously since he â€Å"runs away and does not immediately seek his freedom† (365). However, Jim has been brought up in a time where he himself feels some sort of inferiority complex to whites in society. Lester is partially correct in his philosophy that Jim is childlike, but wrong in the idea that this is a negative aspect of his character. His â€Å"childlike† quality characterizes his humility, nobility, and kindness. He is much more one of the wiser characters in the novel as he recognizes the mistakes he has made and even expresses his guilt to Huck. He tells Huck a story about a time when he asked his four year old daughter to â€Å"’Shut de do’ â€Å"(154) and she just stood there smiling at him, deaf to the fact that her father was instructing her to shut the door. Since he did not realize she had scarlet fever and had grown deaf, he beat her for her disobedience. When he realized that she was deaf, he â€Å"bust out cryin’ en grab her up in [his] arms, and say â€Å"’Oh, de po’ little thing! De Lord God almighty fogive po ol Jim’†(155) After beating his daughter, he realizes that what he did is wrong. He learns from his mistakes and asked for forgiveness from God who he believes is all powerful with the power to forgive man of his sins. In this scene Jim demonstrates wisdom. He takes what he knows, puts it to use, and repents. While he may not be the most educated character in the novel, he seems to have the most caring attitude based on the principles he has learned. According to Bennett Kravitz, Jim is â€Å"portrayed as noble, loyal, and the ultimate friend and family man. On the contrary to his ‘’childlike† trait that Lester believes Jim has, he is actually a father and acts much more like a caregiver. In a scene where Huck plays a trick on Jim, Jim grows seriously worried for Huck’s life. He even announces after an angry rant that Huck scared him half to death, that â€Å"my heart wuz mos’ broke bekase you wuz los†™, en I didn’t k’yer no mo’ what become er me en de raf’†(99). He goes on to express how he was so excited to see Huck alive that tears almost came. This is a critical point in the novel, for it is the first time the friendship of Huck and Jim is revealed by one of the characters themselves. Of course, Jim being the gentle person he is, is the first one to call this relationship a friendship. Besides becoming worried over what he thought was the loss of his friend Huck, Jim shows his care giving qualities towards the end of the novel when he stays behind to help nurse Tom back to health. Jim bases his actions on what he thinks Tom Sawyer would do in the situation and insists n getting a doctor. His persistence is so strong that he says, â€Å"’I doan budge a step out’n dis place,’ dout a doctor: not if it’s forty year! ’(249). † Upon the doctor’s arrival, Jim comes out of hiding and aids the doctor, knowing that he will be recaptured. Not only is he being a concerned care giving man, but Jim is risking his freedom for a person he barely knows. He has that father like instinct that Julius Lester seems to have missed. It is the other characters in the novel who demonstrate weak ethical values. Many of the characters who have racist credentials are portrayed as lowly, immoral, and uneducated. They rarely show remorse and are entirely self-centered. On the other hand, Jim is an easygoing, loving person who as uneducated as he is, consistently cares for others, is loyal to his friendships, and feels guilt in his mistakes. You read "Huck Finn: Opposition to Racism" in category "Essay examples" After being visually described as having â€Å"been drunk over in town and [laying] in the gutter all night,† (52) Pap goes on to find fault in the government for not only taking away his son, but for allowing a â€Å"nigger† from Ohio to become a professor. Ironically, Pap thinks he is superior to a highly educated man who â€Å"could talk all kinds of languages, and knowed everything† (52) and is angry with the government for allowing a â€Å"nigger† to teach. He is so wrapped up in the skin color that he does not realize his own faults and idiocy. Additionally, Pap is quite the opposite of Jim who loves his family, articulates his longing to be with them as well as his guilt for beating his daughter. Pap came back into Huck’s life demanding the money he received in The Adventures of Tom Sawyer, not because he loved Huck and wanted to be more involved in his life. He does not have a care in the world for Huck, his only son. When finally Pap kidnaps Huck and has the chance to develop that father, son relationship, he locks him in a cabin while he goes out and gets wasted, and when he returns, Pap beats the boy. In Huck’s words Pap â€Å"got too handy with his hick’ry and I couldn’t stand it. Welts all over† (50). Incongruously to Jim’s remorse, Pap is not phased by his wrongdoing. Twain certainly did this on purpose. The racism held by Huck’s father, as well as many other Americans preceding the Civil War when blacks and other minorities were seen as inferiors, is displayed throughout the novel. Through the constant use of the derogatory term â€Å"nigger† and the maltreatment of Jim as well as other blacks and slaves, Twain is able to illustrate society’s ignorance. This way, as The Adventures of Huckleberry Finn is taught throughout the country, young people, or any person for that matter can see the veracity and severity of racist attitudes. Pap is not the only character in the novel who displays a loose set of moral values. The escapade with the Duke and the Dauphin is another encounter in the novel where whites are displayed as weak, self centered people who are blindly racist. Twain uses their constant conniving deeds to show a diversity of white characters in this society as horrible people. In Justin Kaplan’s â€Å"Born To Trouble: 100 Years of Huckleberry Finn†, he describes Jim and Huck being on the run because of a â€Å"nightmare society driven by bigotry, violence, exploitation, greed, and ignorance (379)† These words are perfect in describing the Duke and the Dauphin as they move from town to town tricking people out of their money. In one particular scenario, it is not even possible to feel sorry for the townspeople who are getting tricked out of their money because then they go and act like the â€Å"play† was great so that everyone else in the town gets tricked out of their money as well. Along with Pap, the Duke, and the Dauphin are the â€Å"religious† characters who seem to have it all together but definitely do not. By displaying even the â€Å"best of the best† characters with racist attitudes, Twain shows how it was society as a whole who held racist ideals, not just the lowlife criminal types. An example of a character that seems to have herself together is Ms. Watson. She is supposed to be a smart, religious, good-intending family woman. Even the good woman who took Huck into her home to raise him â€Å"sivilized† has flaws. While in the end she is the one to grant Jim his freedom, preceding this she put her selfish desires for money ahead of Jim and though he was her slave, Jim was someone she had known for quite a while. To Jim’s knowledge, he was someone she cared about on some level even if she did not see him as an equal. Jim overheard Ms. Watson talking about selling Jim â€Å"down the river,† which is the very reason he ran away. Another supposedly wholesome, good intending character is Aunt Sally. When Huck first meets Aunt Sally he describes an accident on the boat he was traveling on. Aunt Sally exclaims â€Å"Good Gracious! Anybody hurt? † to which Huck replies No’m Killed a nigger† (206). Sadly, this quote is often seen as racist but in actuality it contains a very satirical element and according to Kaplan is â€Å"a frequently, brutal, painful realism† (379). The novel is simply showing the corruption of the adult world. Peaches Henry argues that â€Å"In order to believe in Twain’s satirical intention, one has to believe in Huck’s good faith toward Jim† (390). It is easy to identify Huck’s good faith toward Jim throughout the novel. Aside from the idiocy of a majority of characters, Huck’s internal battles with himself throughout the novel demonstrate Mark Twain’s antiracist beliefs. Though Huck, in his conscience believes blacks to be worthless, his somewhat naive personality and â€Å"conscience† can be blamed. He has been spoon-fed everything he knows about Africans by a society which has enslaved them and had a superior attitude towards them. It is a tough situation to examine, as by today’s standards slavery is seen by the overwhelming majority of American citizens as morally wrong, but in Huck’s time and place the majority saw it as the natural order of things. However, despite his upbringings and learned racism, Huck periodically has instances where he believes Jim â€Å"seems white† or, in other words, seems to be like any other human with feelings, emotions, and close family relations. Earlier, in a moment where Jim shows his care giving qualities, Huck shows one of his first signs of affection toward â€Å"a nigger. † He shows his first signs of remorse as he apologizes to Jim. Though he does mention â€Å"it was fifteen minutes before I would work myself up to go and humble myself to nigger† (100)† Huck does apologize, feels remorse, and admits to the audience that what he did â€Å"made [him] feel mean† (99). The second time Huck has a moment of realization about Jim that surprises him is when Jim talks about his family. When Jim goes on to describe them, and the regret he had for beating his daughter for something she didn’t deserve, Huck sees something in Jim that he had probably had been taught that blacks did not posses. He was probably taught that they did not have feelings. He realizes in this moment that Jim must have feelings and therefore makes that statement that Jim is â€Å"white inside. † Additionally, in the moment earlier discussed in Tom’s injured state where Jim uses logic to decide on calling a doctor, Huck states, â€Å"I knowed he was white inside, and I reckoned he’d say what he did say – so it was alright, now. † The most climactic moment in the novel is the ultimate battle Huck faces when he is forced to choose between the societal values he has been taught and raised to believe is right or to help Jim which he feels in his heart is the right thing to do. Huck has been raised to believe that blacks were uneducated, inferior, and most certainly not people to become friends with. For all Huck knew, blacks were placed on the earth to work and lacked the ability to love and care. Huck definitely believed that aiding a black man in an escape would send him to hell. This moment directly indicates how foolish Twain believed the people of the time period to be. Huck states, â€Å"I was trembling, because I’d got to decide forever betwixt two things, and I knowed it. I studied a minute, sort of holding my breath, and then says to myself: ‘All right, then, I’ll go to hell’ –and tore it up. † By this point in the novel, through their adventures and development of friendship, Huck is willing to risk eternity in hell to save his friend. Surely, even if he may not admit that he and Jim were friends, someone would not risk their lives for a stranger, or even an acquaintance. Not only does Huck begin to see Jim as an equal in his heart, though it may not be in his â€Å"conscience†, he is also constantly seeing how awful society is. In order to detect racism there must be a middle step of realization that ill treatment of people based on their skin color is wrong. In order to see that this is wrong, it is important to notice the problems within society to begin with. In his experience with the Duke and Dauphin, Huck witnesses their tar and feathering, another cruel punishment by society, and states that, â€Å"It was enough to make a body ashamed of the human race† (160). The fact that Huck even acknowledges a problem in the human race would not have been part of the story if Twain had agreed with society’s view on slavery. It demonstrates his antiracist approach. One of the purposes of the novel is for the reader to develop sympathy towards Jim. Because the people around him lack morals while he consistently shows a moral and accepting view towards life, his character develops superiorly to the rest of society despite his lack of education. His lack of education exists because of Twain’s realist approach to the novel. People like Julius Lester and Peaches Henry who believe the novel to be racist, are only looking at the surface and the degrading dialogue. The novel was not made to be politically correct. â€Å"Twain takes issue with the major racial theories of his day, and those critics who are convinced only of the racist potential of the text and/or Mark Twain would do well to examine the â€Å"unsaid† of the text. †(Kravitz) If it was rewritten to appease the masses and use more accepted terms for today’s day and age, reality would be misrepresented, race would cease to be an issue, and The Adventures of Huckleberry Finn would not exist as one the greatest pieces of American Literature. How to cite Huck Finn: Opposition to Racism, Essay examples

Cultural and Social Diversity in Health Care

Questions: The essay is required to consider the following in comparing and critically analysing the two groups:1. Current and historical events and how they have impacted on known risk factors in each cultural group2. How health care policies and service provision have influenced health outcomes for each cultural group Answers: The Aboriginal and Torres Strait Islander and the Pakistanis in Hong Kong are culturally diverse groups facing similar issues post and pre-colonization. The government of both the countries has taken many steps to end the social issues that they face. However, they continue to face issues pertaining to social exclusion, social discrimination, and social violence. In this essay, we shall discuss and compare these culturally diverse groups by analysing their current and historical past and the way they have affected their risk factors. Additionally, the essay shall also discuss the health care policies, service provision, and the way it has influenced the culturally diverse groups. To understand and appreciate the existing realities of Aboriginals and Torres Strait Islander Australians, their historical background needs to be understood. Recently, there has been a change of Indigenous culture and kinds of creative expression and a reclaiming and reconnection of cultural life. Indigenous Australians have different identity, traditions, and histories. After the British had come into the continent of Australia, they declared it the no man land and took immediate possession of the land (Read Broome, 2013). Initially, the indigenous Australians were treated as salvages and most of them were massacred Most of them lost their lives and were forbidden to practice any cultural rituals. After generations had been oppressed, finally reconciliation happened. The reconciliation took place in the form of incorporation of rights of the indigenous people. Colonization had a very powerful impact on the indigenous Australians. The foreign inhabitants exposed them to diseases su ch as measles, tuberculosis, and smallpox. This change made the inhabitants dependent on the foreign intruder for food, medicines, and hunting (Mercer et al., 2014). The contemporary issues of indigenous Australians are linked with their historical issues. One of the most important impacts colonization had on the aboriginals is the loss of Aboriginal families and children. This led to stolen generations, as most of the families lost their children due to death or displacement of their families by the foreign intruders. Such deaths were deliberate, and it had the profound effect on the emotional and social well-being of indigenous children in Australia (Read Broome, 2013). This led to issues related to Aboriginal identity as it became difficult to identify the children who were part of the indigenous community. Descent is about knowing and belonging to one particular place and person. This gives a sense of belongingness amongst people, however, in the recent days, the aboriginals find it difficult to relate to their indigenous people due to the displacement that had taken place in the past (Law Lee, 2012). As per the Overcoming Indigenous Disadv antage report, are indigenous Australians are the most disadvantaged section in Australia. The life expectancy of Indigenous Australians is around 9.7 to 11.5 years lower than that of other Australians. The average income of indigenous Australians is lower than other groups, and homicide death rates are six times higher than that of other Australians. Similar to the Australian history, Hong Kong has also gone to through the period of colonization. The only difference is that the British invaders did not see this place as part of an unclaimed land. The history of ethnic minorities in Hong Kong can be traced back to the time when the British invaders instead of establishing assimilation policy, exercised a more oppressive policy on the Pakistanis to keep them under control (Read Broome, 2013). The Pakistanis first settled in Hong Kong in the 19th century when frequent trading existed between India and China (Law Lee, 2012). The British traders used Chinese waters for transportation and at the same time, they used the Hong Kong port. The fleets usually comprised of people from Pakistan. As times passed by, the Pakistanis ship merchants settled together in Hong Kong without proper accommodation, and somehow they were able to settle their lives near the Moro Koi area. However, due to the mistrust on the local Chinese, the British bro ught in the South Asians to safeguard the Hong Kong China Border from Indian invasions. The Pakistanis in Hong Kong lived for many years. However, they were never granted any citizen rights. They were exposed to open discrimination. Recently, Pakistanis in Hong Kong mostly reside in the area of Kowloon. In the year 2006, about 98 percent of Pakistanis live in Hong Kong as normal residents of Hong Kong, and it has been more than nine years that they have already been residing as normal residents of Hong Kong. However, they faced difficulties in finding accommodation in the initial days, but now they form as one of the most important part of the Hong Kong population (Gu Patkin, 2013). Hong Kong-born Pakistanis can speak well Cantonese and they have been able to integrate well into the society. However, they face employment issues as the original inhabitants of Hong Kong continue to get more preference over others. Additionally, Pakistanis also face issues related to ethnicity, communication, and identity (Guldin, 2013). If a comparative study is drawn between Aboriginal Australians and Pakistanis in Hong Kong many similarities and differences, exist between the two communities. For example, both Hong Kong and Australian aboriginals share visible traits that differentiate them from other groups. Both the groups are self-conscious about their cultural difference and social status and both the groups experience a certain kind of inequality or disadvantage (Gu Patkin, 2013). However, there are differences between the existing policies in Australia for indigenous Australians and ethnic minorities in Hong Kong. Though the basic policies remain the same, the differences prevail in the impact of colonization on Hong Kong and Australia. For example, in Hong Kong, the transportation system was improved, and the infrastructure of the country showed improvements post colonization (Read Broome, 2013). However, in Australia colonization did not show many improvements in the demographics, transportation and infr astructure of the country. This made the aboriginals Australians much backward, as a country, as compared to other countries. Both the ethnic minorities in Hong Kong and Australian aboriginals face issues related to discrimination, social exclusion, and social inequality. In Hong Kong, Pakistani women live in fear that when her husband is charged with any crime, then she may face issues of discrimination by other Hong Kong nationals who may accuse them of not belonging to the country (Read Broome, 2013). Pakistanis face not only ethical issues but also religious issues. In Australia, the aboriginals also undergo social problems such as social ignorance and discrimination based on their origin. The government has formulated many policies and programs so that they are acknowledged for their and can avail their rights and freedoms easily. In Australia, the Commonwealth Government, ATSIC, and Reconciliation Australia work together to discuss and promote the issues relating to self-dete rmination in relation to Aboriginal and Torres Strait Islander peoples. In Hong Kong, similar policies have been formulated where there is an expectation that in the coming years the discrimination shall decrease. The healthcare policies and service provision have influenced the health outcomes for these two cultural groups. The underprivileged health status of Aboriginal and Torres Islander peoples is a recognized fact (Tonsing, 2013). Governments of all influences have made obligations to deal with these circumstances over a prolonged period, convoyed with incremental financial support. The government has made detailed strategies together with national frameworks that have been developed by engaging the Aboriginal and Torres Strait Islander peoples, which evidently reveal the need for a comprehensive approach to deal with the complex health issues and other social determinants of these populations. Governments have recognized that they have been unsuccessful in the past to address the needs of the Aboriginal and Torres Islander peoples regarding health service provision (Chamberlain et al., 2016). On the other hand, for Pakistanis in Hong Kong, there is a prohibition made by the Race Discrimination Ordinance (RDO) regarding the discrimination or unfairness in accessing healthcare (Reeve et al., 2015). However, the government has introduced several measures that aim to dress the barriers of language, the efficacy of measures have been reported to be doubtful because of the inconsistent information from the departments of Government or National Government organizations (NGOs) along with the user groups and the representatives associated with them. In 2009, the government to assist the ethnic priorities in gaining access to the public services had launched a telephonic interpretation service. Centre for Harmony and Enhancement of Ethnic Minority Residents (CHEFR) runs the services and is sponsored by the Department of Home Affairs (Freeman et al., 2014). The healthcare policies and service provisions since colonization have a profound and long-term impact on the lives of the Indigenous people in Australia individually and in a group (Jayaraman Joseph, 2013). Several of the previous policies and service provisions have had a harmful effect on the emotional, health and social wellbeing as well as the survival of the Indigenous populations. It also has limited their ability to direct and manage their future development (Durey et al., 2016). A number of commissions, evaluations and inquiries have scrutinized the impact of the previous policies that were intended for Aboriginal and Torres Strait Islander People and communities. Several of these have persuaded the response to the severe health as well as mental health inequalities between the Indigenous Australians and the Non-Indigenous Australians. "The reports such as The Royal Commission into Aboriginal Deaths in Custody report" and "Evaluation of the Emotional and Social Well Being A ction Plan" have made a contribution to the development of a strategic framework and national action plans (Erni Leung, 2014). On the other hand, in Hong, Hong Kong Special Administrative Region Government (HKSARG), which has mainly a "Color Blind" outlook towards the issues of racial discrimination, has made an anti-racial policy against discrimination and it has been opposed to introducing the Racial Discrimination Bill (Chamberlain et al., 2016). However, in the public sector, the Bill of Rights Ordinance (BRO) has prohibited racial discrimination, since the year 1991. It is an efficient tool, since the Equal Opportunities Commission (EOC) possess no authority to make obligatory the BRO or to look for complaints under it The Hong Kong LegCo ratified the RDO in the year 2008, but the enforcement of the RDO has been extensively criticized as challenging (Durey et al., 2016). For instance, RDO does not completely cover all the activity of the government such as those linked to the correctional service police, and immigration remains protected. RDO is applied for getting admissions in school, but it is not en closed whether the success or failure for utilizing a particular alteration could lead towards the act of discrimination. There is no inclusive official reporting of data, which reveals the health status of diverse groups of Pakistanis (ethnic minorities) in Hong Kong. Moreover, there is a limited investigation concerning the Pakistanis in Hong Kong that is principally conducted by the academics or NGOs. There is simply small information regarding the health issue of the Pakistanis living in Hong Kong (Otim et al., 2014). However, the Government confesses that in Hong Kong, racial discrimination is a problem. The administrators have not done enormously to legitimate the policies and service provisions against racial discrimination. For HKSARG, education is more efficient in comparison with legislation. There is no explanation regarding the reasons of not legitimating the policies against the problem of racial discrimination. To a certain level, the opposition by business sector is a cause. Several capitalists are worried that the legislation will make threats to the competitive capability of Hong Kong (Otim et al., 2014). Another reason is that since the Pakistanis are new immigrants, they can provide a market for cheap labor and due to this the exploitation might come to an end. Even though there are special services of interpretation, the existing services of healthcare are not successful to acknowledge the social and cultural differences between the natives of Hong Kong and the Pakistanis living in Hong Kong. They are treated as homogenous populaces that lead to an inappropriate overview, unmet needs, and inappropriate management of health (Reeve et al., 2015). There is a shortage of services, which are specifically catered for the ethnic minorities under their healthcare system. According to a local study, the preponderance of ethnic minorities has faced difficulties in accessing health education, health information, and services of health care (Erni Leung, 2014). If a comparative study is drawn between the Aboriginal Australians and Pakistanis in Hong Kong, several similarities and differences can be observed in these two communities with respect to the influence of the healthcare policies and service provision (Otim et al., 2014). For both the communities, the policies and service provision have not played a significant role in improving the health outcomes and quality of life of the individuals belonging to these communities. Governments have recognized that they have been unsuccessful in the past to address the needs of the Aboriginal and Torres Islander peoples regarding health service provision. However, the Government confesses that in Hong Kong, racial discrimination is a problem. The administrators have not done enormously to legitimate the policies and service provisions against racial discrimination (Jayaraman Joseph, 2013). In the end, it can be concluded that by analyzing the current and historical events and their impact on the known risk factors in each cultural group have revealed the socio-economic status and health outcomes of these two communities, which have not improved despite all the efforts made by the Government. The Government needs to legitimate the policies and service provision so that the unnecessary things should be prohibited and the individuals belonging to these two communities should live their lives successfully in an efficient manner, as it is also the need of the hour. References Bennett, S. T., Babbage, D. R. (2014). Cultural adaptation of CBT for Aboriginal Australians.Australian Psychologist,49(1), 19-21. Browne-Yung, K., Ziersch, A., Baum, F., Gallaher, G. (2013). Aboriginal Australians' experience of social capital and its relevance to health and wellbeing in urban settings.Social Science Medicine,97, 20-28. Chamberlain, C. R., MacLean, S., Bawden, G., Kelaher, M., Munro-Harrison, E., Boyle, J., Freeman, K. (2016). An equitydomain could strengthen the utility of a framework for assessing care coordination for Australian Aboriginal families.International Journal of Care Coordination, 2053434516657497. Crabtree, S. A., Wong, H. (2013). Ah Cha! The Racial Discrimination of Pakistani Minority Communities in Hong Kong: An Analysis of Multiple, Intersecting Oppressions.British Journal of Social Work,43(5), 945-963. Durey, A., McEvoy, S., Swift-Otero, V., Taylor, K., Katzenellenbogen, J., Bessarab, D. (2016). Improving healthcare for Aboriginal Australians through effective engagement between community and health services.BMC Health Services Research,16(1), 1. Erni, J. N., Leung, L. Y. M. (2014).Understanding South Asian Minorities in Hong Kong(Vol. 1). Hong Kong University Press. Freeman, T., Edwards, T., Baum, F., Lawless, A., Jolley, G., Javanparast, S., Francis, T. (2014). Cultural respect strategies in Australian Aboriginal primary health care services: beyond education and training of practitioners.Australian and New Zealand journal of public health,38(4), 355-361. Gu, M. M., Patkin, J. (2013). Heritage and identity: Ethnic minority students from South Asia in Hong Kong.Linguistics and Education,24(2), 131-141. Guldin, G. E. (2013). Hong Kong ethnicity: Of folk models and change.Evans and Tam, eds., Hong Kong, 25-50. Jayaraman, J., Joseph, K. S. (2013). Determinants of place of death: a population-based retrospective cohort study.BMC palliative care,12(1), 1. Law, K. Y., Lee, K. M. (2012). The myth of multiculturalism in Asia's world city: Incomprehensive policies for ethnic minorities in Hong Kong.Journal of Asian Public Policy,5(1), 117-134. Mercer, C., Byrth, J., Jordan, Z. (2014). The experiences of Aboriginal health workers and non Aboriginal health professionals working collaboratively in the delivery of health care to Aboriginal Australians: a systematic review.JBI Database of Systematic Reviews and Implementation Reports,12(3), 234-418. Otim, M. E., Kelaher, M., Anderson, I. P., Doran, C. M. (2014). Priority setting in Indigenous health: assessing priority setting process and criteria that should guide the health system to improve Indigenous Australian health.International journal for equity in health,13(1), 1. Read, P., Broome, R. (2013). Aboriginal Australians: A History since 1788. Reeve, C., Humphreys, J., Wakerman, J., Carroll, V., Carter, M., O'Brien, T., ... Smith, B. (2015). Community participation in health service reform: the development of an innovative remote Aboriginal primary health-care service.Australian journal of primary health,21(4), 409-416. Tonsing, K. N. (2013). The acculturation experiences and adaptation of Pakistanis and Nepalese in Hong Kong.HKU Theses Online (HKUTO).