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Executive Summary Report to Health Minister Saudi Arabia

Introduction
The vending machines are popping up everywhere in Saudi Arabia especially about the fast foods joints. The fact that they present us with a fast opportunity to get something that was unplanned to eat makes them acceptable in the society. The fast rate at which the community is growing and the fact that people have even lesser time to prepare for meals especially due to the planning attribute makes the emergence of these fast food vending machines extremely famous. The growing number of fast foods vending machines in Saudi Arabian hospitals is raising major concerns about the daily visitors to these facilities. These vending machines offer the patients and the other visitors to the facilities an easy way to obtain a quick snack for a few coins instead of having to carry food from home as well as having to go too far areas in search of a meal. However, the disadvantages that these machines present are a major concern that has led to the idea of replacing these machines with the healthy juice vending machines. The growth trend of health complications especially the case of child obesity has become a global problem and the Saudi Arabian nation is trying to look for the cases as well as solutions to the health trends.

Building the Executive Report Body
Vending machines offer one of the most convenient options that people have in accessing foods as well as drinks without having to travel for long distances looking for a shop or having to make plans of hat they are going to eat. Traditionally, these bending machines have been strategically located in areas that receive traffic entailing people who want quick solutions to their hunger and thirst needs. Some of these locations encompass the hospitals targeting the waiting customers, fast food joints where people go to get quick fixes as well as schools targeting the large population of students with pocket changes among others (Chahoud and Carter, 2006). The convenience that these unhealthy fast food joints come with grave adverse heath repercussions for the consumers of the products found in these machines.

Statistics indicate that the attainment of an optimally healthy heart demands that one should not consume more than 1500 milligrams of sodium on a daily basis. The human body demands sodium in the diet to guarantee that attainment of normal body fluid balance, with the consuming too much sodium increasing the likelihood of high blood pressure and the consequent risk of stroke. The consumption of junk foods from the unhealthy fast food vending machines as potato chips, pepperoni pizza is high in sodium and increases an individual’s risk of stroke. The journal of cerebral circulation reveals that there is an 18% increase in the risk of stroke for every 500 milligrams of sodium that an individual consumes above the recommendation (Wiecha, Jean L., et al., 1624-1630).

There is the trend on the cropping up of vending machines all over Saudi Arabia is one of the factors that has resulted in the development of this executive summary (Unhealthy Foods Bulk Of School Vending Machine Choices, p7). Most of these vending machines contain most products that are unhealthy such as the sugary products and the numerous other products that are promoting the unhealthy trend in the country. The fatty and sugary products that most of the vending machines provide makes it imperative that measures to address the trend are put in place. The fact that the unhealthy vending machines have encroached most of the hospitals in Saudi Arabia raises the concern about the healthy eating subject considering that the healthy facilities are supposed to enhance the health of their clients. The additional demerit relating to the growth of the unhealthy vending machines in Saudi Arabia is the fact that they mostly contain junk foods that are responsible for numerous lifestyle diseases. Some of these health challenges that the unhealthy fast food vending machines expose the population to include increasing the risks of stroke, tooth decay, gastrointestinal problems and weight gain among others. The introduction and the consequent replacement of the unhealthy vending machines that have become a culture in Saudi in hospitals as well as the other fast food joints are going to have an extremely beneficial attribute to the entire Saudi Arabian population.

The junk food that is available via the unhealthy fast food vending machines results in weight gain and other cases obesity. The common statics indicates that it takes an extra 3,500 calories in an individual’s diet every day to gain 1 pound of weight gain. Tooth decay as the additional result of the unhealthy fast food vending machines follows that a diet that is rich in sugary products increases and individual’s likelihood of developing cavities. The occurrence of tooth decay follows the breakdown of the enamel, which is the protective coating on teeth (Unhealthy Foods Bulk Of School Vending Machine Choices, p7). The eating of junk food that is high in the sugar content as candy as well as baked goods coats the mouth, gums, tongue and teeth with sugar, the component that attacks the enamel resulting in tooth decay and cavities.

Consumption of too much junk foods products can result in gastrointestinal challenges in that the processed foods contain very little if any dietary fiber. It is imperative that one including fiber in the diet to keep those bowels moving and if one did not eat the adequate amount of fiber, there is a high likelihood of developing constipation.

Most institutions are currently addressing the state of the vending machines in their vicinities containing the unhealthy products that are responsible for the health challenges. Starting the replacement of these unhealthy vending machines in hospitals as well as the other fast food joints in Saudi Arabia with fresh juice vending machines presents an opportunity for the county to improve the wellbeing of its citizenry. The successful realization of a healthy population by the Saudi Arabia population relies on the ability of the hospitals administration to ban the sale of sugary and fatty foods in the vending machines available in the facilities (Wiecha, Jean L., et al., 1624-1630). The campaign needs to extend to the other regions that have the selling of fast foods as they are the main proponents of the unhealthy eating that is accessed through these vending machines.

Strength
The continued growth of the trend for healthy foods has seen an increase in the consumption of vegetables and fruits during the meals as well as breaks, particularly revolving around the consumption of fruit juices and the freshly squeezed juice. Through the promotion of the replacement of the unhealthy vending machines with the fresh juice vending machines, the hospitals in Saudi Arabia will be able to improve the nutritional offerings in their cafeterias, vending machines as well as the meals that the patients consume (Vending Machines in Hospitals – Are They Healthy, 26-50). The growth in the awareness of the number of population that is aware of the healthy negative benefits associated with the unhealthy fast food vending machines implies that the idea of the fresh juice is going to be accepted. Consequently, there has been an escalation in the costs of accessing healthcare in Saudi Arabia as a result of the poor eating habits implies that the stakeholders in the healthcare sector are going to support the policy on the replacement of the unhealthy foods. Starting the change in hospitals offers the best opportunity to undertake mass education as the information they get comes from the sources that they trust with their health (Vending Machines in Hospitals – Are They Healthy, 2016). Additionally the need to cut on the hospital budgetary allocation by the government makes the policies relating to the replacement of these unhealthy vending machines with the fresh juice ones a success due to the involvement of the national leaders.

Thus, the overall attribute that supports the adoption of the fresh juice vending machines in hospitals, as well as the other fast foods joints, include the fact that the Saudi Arabia population is going to benefit from the realization of a healthy life. The reduction in the number of strokes, tooth decays, and obesity among the residents of Saudi Arabia will make the idea acceptable to the residents. The desire by the government to reduce their allocation to the healthy sector additionally implies that the strategy will receive the support of the government.

Weakness Area
The main weakness in the implementations of the fresh juice vending in Saudi Arabian hospitals as well as the other parts that sell fast foods is the fact that there is the lack of mass information. The lack of information to the masses on the health challenges that these unhealthy fast food vending machines present to them make it hard for them to make the informed decisions relating to their health benefits. Additionally the fact that the fresh juice vending machines are the a new topic in Saudi Arabia implies that the idea will take the time to gain track while the population will still be consuming the unhealthy products available in the fast food vending machines. The few fresh juice machines that are available in the regions additionally make it impossible for all the people with the desire to consume the healthy products gaining access to the fresh juice. The fact that the fresh juice vending machine is currently offering the fresh juice products is an additional attribute that limits its application as the users need other products other than the juice.

Opportunity Available Which Outside Abroad
The growing number of schools that are calling for healthy eating of their students offers an opportunity for the product. By liaising with the school administrations, we will be able to install the machines in the schools, an attribute that offers significant revenues. The numerous fast foods joints that are available in the region additionally present an opportunity that we will be exploiting. We will be stocking these fast food joint vending machines without fresh juice products, thus cutting the costs we would have incurred in installing the machines ourselves (Chahoud and Carter, 2014). The costs we save through this attribute will be used in stocking more vending machines in the fast joints, especially in Jeddah. The growing bad reputation of the fast foods joints offering spoilt products is an additional opportunity we will be taking advantage of by making our vending machines self-services joints that the customers serve themselves. The exponential growth of the fast food lovers in Saudi Arabia is an opportunity that offers a huge market for our fresh juice products.

Risks
The possible risk we run encountering is the court suits that the owners of the fast foods joints may make in barring us from using their machines, an attribute that will cost us market accessibility. Additionally, the stringent laws in Saudi Arabia regarding the establishment of new businesses are additionally a risk that could make us take longer as we wait for licensure. The penetration of the already existing fast food vendors into the fresh juice idea is an attribute that will significantly eat into our revenues as they already have the infrastructure.

Philosophy Paper 2

Physician-assisted suicide and active voluntary euthanasia should be legal in the United States.

There has been a fierce debate among many stakeholders that include government and non-governmental agencies, religious leaders, healthcare professionals, researchers, activists and scholars on whether physician-assisted suicide and active voluntary euthanasia should get legalized or not. Physician-assisted suicide refers to the act where a licensed professional or doctor prescribes lethal drugs to a patient at their voluntary, informed and competent request with the aim of causing death. Voluntary Active Euthanasia refers to the action of a doctor or licensed professional to administer lethal medicine to a patient at their voluntary, informed as well as competent request with the aim of causing death. Various scholars and stakeholders argue that physician-assisted suicide and active voluntary euthanasia should get legalized in the United States. In this paper, I will argue that physician-assisted suicide should be illegal in the United States. I will also show that it’s wrong and unlawful for a licensed professional in the health care sector to undertake active voluntary euthanasia.

The proponents of these practices argue that their practices are necessary as they result in a benefit to the patient (Kamm, 1997). They claim that suffering is evil, and these actions eliminate the pain caused by suffering. They maintain that the patients suffering from terminal illnesses have a right to choose not to suffer by taking their lives. They argue that the principle of autonomy in healthcare gets adhered to, as the patient who is not well-trained in ending life procedures voluntarily requests for the services of a trained physician to assist them in ending their lives.

However, this argument fails greatly due to several reasons. First, the principle of autonomy has limitation. The disparity of knowledge as well as clinical judgment compromises the principle of autonomy. All health care professionals have a greater knowledge base that their patients and also have a responsibility to do good to their patients. The suffering caused by diseases such as terminal illness limits a patient’s right to autonomy. Suffering may be a severe and multifaceted challenge, however, is not insurmountable. It is treatable, and the use of certain powerful analgesics and pain management techniques can significantly relieve pain. Hence, these proponents are wrong by suggesting death as the only measure to deal with pain.

The nations that tolerate or legalize assisted suicide or active voluntary euthanasia do so under some set guidelines. For instance, “German where voluntary euthanasia gets prohibited and assisted suicide does not get considered as a violation of the law provided that the patient is tatherrschaftsfahig” (Battin, 2006). That is the patient is capable of exercising control over his or her actions and also acting out of freely responsible choice. In Netherlands, active euthanasia remains prohibited by statutory law and also gets protected by a series of lower and Supreme Court decisions. It broadly gets considered as legal as long as the healthcare professional meets several guidelines. The guidelines are; that the patient’s request be voluntary, that the patient is undergoing intolerable suffering, that the patient gets well informed, that all acceptable alternatives for relieving pain have got attempted and that the physician consults another healthcare professional.

The practice by the Netherlands fails significantly since its availability creates a disincentive for providing good terminal care. The practice also erodes into practicing less-than-voluntary euthanasia on patients whose problems are not irremediable and usually by moderate degrees develop into terminating the lives of individuals who are elderly, handicapped, chronically ill or mentally retarded. In the case of German, Physicians should understand that tehy6 involvement in assisted suicide results into more harm in the practice of medicine. The patients who are dying will have a fear that they are dying due to assisted suicide is allowed. This practice gets seen to distort the healing relationship between doctors and their patients. It is the responsibility of the physician to do what they can ethically so as to alleviate suffering and should in no circumstance involve themselves knowingly in the death of a patient.

As an objection, it may get argued that it is necessary to cause permissible death as a side effect if it leads to relieving pain, as sometimes it is a lesser evil and pain relief is a greater good. This argument allows a healthcare physician to treat pain in whatever manner so as to result in a patient’s greater good.

This objection is wrong since killing a person is not of any good to a patient. There are other alternatives for relieving pain other than death. Furthermore, it does not necessary require a healthcare professional to cause death. Numerous effective methodologies are available especially on the internet that does not necessarily involve a physician.

The paper states in what numerous ways physician-assisted suicide and active voluntary euthanasia are of more harm than good to a patient. The paper also argues why health care professionals should in not by any means get involved in any practices that aim at causing death as it destroys the patient and doctor relationship as well as is against the principles of medicine. Hence, physician-assisted suicide and active voluntary euthanasia should not get legalized in the United States.