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Author's Bio:
Tom Myers went to exhaustive lengths to establish the links or lines of the fascial system and how they are so important in functional mobility of the musculoskeletal system. By stripping cadavers of all but their unique fascial systems he has hypothesized that there are 7 major lines or "anatomy trains" as he has coined them. Joseph DellaGrotte also pondered the tensegrity of the connective tissue and how the Central Nervous System has an impact on it.
The smooth and fluid movement of the body is founded upon these lines working both dependently and interdependently with each other; both as single units but as a shared fascial web which propels us forward, backward,[link widoczny dla zalogowanych], twisting turning in all planes. It has become evident that when the fascial tensegrity of the body becomes imbalanced then the musculoskeletal, nervous and endocrine systems, and in fact our general homoeostasis is compromised. Joints altered in normal arthrokinematics leading to denegation at their articulating surfaces,[link widoczny dla zalogowanych], tendinosis through added strain to the attachment points, ligamentous micro-stress leading to predisposition to sprains and tears. The body misalignment (though minute) still alters the neutral position of the vertebral column and the normal afferent and efferent signaling of the nerve roots upon entrance of sensory and exit of motor information. This creates altered signals to the muscle, joints, skin and the viscera on a global scale.
At the 1st International Fascia Research Congress, 2007, held at the Harvard Medical School in Boston, fascia was discussed at length in the forms of abstracts, expanded abstracts, plenary's and original papers.
"Fascia and its involvement in force transmission from one tissue to another, having major implications in explaining how the body functions, and how manual methods" (Stecco et al., 2008) can be used to influence distant tissues. "Mechanical forces, including those associated with manual treatment, influence cells and molecules via mechano-transduction, producing changes in intracellular biochemistry and gene expression" (Ingber, 2008; Wipff and Hinz,[link widoczny dla zalogowanych], 2008) were some of the many profound realizations discovered.
Josef DellaGrotte put forth a paper on postural involvement using core integration to lengthen myofascia. "Summary. Postural organization is controlled by the central nervous system in conjunction with the skeletal, muscular, and fascial systems". This paper explores the effects on static and dynamic postural misalignment and treatment via neuromotor re-education intervention. DellaGrotte hypothesizes six core-integration pathways or vectors of force which use the principles of functional movement used by pioneers such as Ida Rolf, Moshe Feldenkrais and Tom Myers.
The six pathways are based on common planes of movement (up-down, Sagittal, rotational and lateral movement), these pathways are defined by the following criteria:
• "It contains a vector of force, direction, and myofascial tensegrity.
• It passes through the centre of gravity and represents the most efficient expenditure of energy.
• It has specific anatomical features, and can be 'tracked' through specific joint angles, actions of levers, muscle chains, and fascial tensile spread.
• It requires lengthening by virtue of mechanical levering and the physiology of myofascial actions.
• Muscles in the sequential contracting-lengthening phase stimulate tensile fascial spread."
DellaGrotte had designed a map of how the CNS can track and facilitate every movement through the 6 primary core pathways, secondary pathways and their sectional body components. These can also align with Myers 7 myofascial trains and as they both allude,[link widoczny dla zalogowanych], it is the identification of the path, assessing movement and posture, tracking how movement is transmitted and determining through client response whether CNS takes on and adopts the data or whether there is a break in the system which will lead to soft tissue problems we as therapists observe.
Therefore it is most probable that not only do these lines have a specific roles within the body but when they are in correct function will minimize stresses and damage; conversely when they are out of "sync" secondary pain syndromes will occur which are associated with overuse and strains on bones, joints, muscles, tendons, nerves and fascia. The body has a set of somatic markers housed within the bony stations, which offer feedback continuously along the trains via the fascial attachments, it also uses the neuromotor myofascial pathways to continuously monitor the body's posture and functional movement tensegrity. If the therapist has an understanding or at the very least acknowledgement the presence of these markers it is more easy to understand how primary area of pain can arise in any area where there has been a break in the neuromotor transmission or a de-railment of a Myofascial train line. Treatment of imbalances of the paths as noted by Myers and DellaGrotte include myofascial release techniques to lengthen the fascia. Using many well known treatment strategies from Rolf and Feldenkrais,[link widoczny dla zalogowanych], the stress vectors within the pathways are normalized. This is where the astute therapist can be most profound in their treatment and I will give assessment options further in this article.
There are however many other remedial massage techniques to affect these lines to improve balance in the vector of force, direction, and myofascial tensegrity. Muscles must fire in the sequential contracting-lengthening phase stimulating tensile fascial spread and this is assessed by muscle firing sequences (Chaitow). When the muscle firing sequence is incorrect I have observed that the phasic (doing) muscles will lengthen and the postural (stabilising) muscles shorten and this creates the imbalance within the anatomy trains. Gracovetsky provided a paper at the 1st Fascial Congress on "Lumbodorsal fascia" and its role in the function of the spine. He states that it is perhaps the most important structure insuring the integrity of the spine, the viscoelastic property of its collagen has a direct impact on the way the muscles are used and forces are channeled from the ground to the upper extremities. The viscoelastic property of collagen means that it is not possible to continuously load collagen material. "To circumvent the problem of collagen stretching, a cyclic mechanism of alternatively loading and unloading collagen and muscle must then be implemented. Such an oscillation permits tissues to sequentially rest, recover and maintain core stability" (Gracovetsky). The most important outcome should be the relief of pain, reversal of dysfunction and the restoration of control of normal patterned movement, this intern should improve normal lordosis which implies restoration of balance of the innominants and sacrum along with balance of functional leg length.
If the lateral line or basic lateral path is interfered with, it can and often does create stress and pain in the neck,[link widoczny dla zalogowanych], lateral rib region along with lumbar discomfort. This is due to the myofascial connective tissues having no real stretch, joints becoming compressed as postural muscle loses its normal resting length. Another example of a disruption of this line or path and can be noted with patients presenting of lateral leg and/or medial knee conditions and symptoms created from the medial distraction and/or lateral compression of the knee. DellaGrotte describes the basic lateral path as responsible for the earliest evolutionary developmental movement as in the dorsal movement of the fish our earliest Darwinian ancestors, with an imbalance of lateral movement so to will the patient complain of stiffness of the torso in general and more specifically, joint-jamming of vertebra and ribs, myofascial tissues and compression of the discs.
Compression of the Lumbar facets with disruption in the Lateral line is commonly a predisposing factor to both Sciatic and Pseudo sciatic pain, many authors will note that there is a reduction in neural proprioception and therefore susceptibility of instability with possible falls. Myers also suggests that this line begins in the middle of the medial and lateral arches of the foot so it is understandable that the plantar fascia can become compromised creating plantar-fasciitis. This hypothesis can be further cited by Hammer, W. when he discusses at length in his paper that the related kinetic chain must be addressed when dealing with the plantar fascia and there is often restricted dorsiflexion and fascial restrictions all along the kinetic line. Hammer produced a paper on "The effects of mechanical load on degenerated soft tissue" (2008) which was as a direct response to the Boston Fascial Congress of 2007.
As therapists' using this theory we should activate muscles most commonly involved in the stability during lateral movement, it is most commonly observed at the pelvic level with hip drop or a positive Trendelenberg test. Applying concentric muscle activation of the Gluteus Medius on the unstable, positive side and possibly activation of the synergistic Adductor group on the contralateral leg should offer a re-establishment of pre-dysfunctional muscle tension of the myofascia.
Two more of Myers Anatomy Trains include the functional back line and superficial back line; when these are combined they mimic the back path as hypothocised by DellaGrottes biomechanical and CNS model. These pathways provide strength and support of the Sagittal plane, the muscles and connective tissue are the body's main pillars of support and movement. When working together efficiently they provide strength of the core and all related structures along the back, but when there is a breakdown of the neuromotor myofascial pathway's and the subsequent imbalance of the muscle firing sequence as suggested by both DellaGrotte and Myers then pain, injury and dysfunction will eventually occur. The deeper small muscles of the vertebral column i.e. the multifidii and rotatores take on much of the load and therefore pain will often present close to the spine in the sacrum, lower back, thoracic region and neck. When the pelvic innominants misalign then the potential for either Upper and or Lower Cross Syndromes can arise producing cervicogenic headaches, cervical, suboccipital and generalised back pain including shoulder pain and potential rotator cuff imbalances. Shortening of the hamstrings and calves is also noted in the Lower Cross syndrome,[link widoczny dla zalogowanych], (Chaitow L.,2003). The evidence of anterior or posterior ilial rotations, sacral torsions and subsequent leg length changes are a common phenomenon with the functional back line or back path when unilateral cross syndrome is present.
By applying the same techniques of re-establishment of individual muscles within these lines to re-establish the neuromotor sequencing then the application of low load muscle activation to individual muscles is absolutely necessary. Either the activation of the Gluteus Maximus or the Latissimus Dorsi is needed to diffuse the Cross Syndrome pelvis,[link widoczny dla zalogowanych], similarly by improving the quality of the Hamstring contraction this will take the load from the stabilising muscles within the spine including the Erector Spinae. The therapist needs to use a keen eye to assess anterior or posterior innominants and the subsequent leg length discrepancies.
Research continually points to the link between poor core activation and the incidence of low back pain with lumbar instability, and the positive effects in reducing pain when restoring the postural equilibrium. The presence of functional front lines or paths both deep and superficial promote both core dynamic support and uplifting functions to the body. The muscle combinations of the core include the diaphragm, Psoas, Pelvic floor or Transverse Abdominus, and their anterior stabilising cohorts the internal and external Obliques along with the Rectus Abdominus, the inclusion of the functional front lines also adds small intrinsic muscles of the spine i.e. the multifidii, and will include some of the fibres within the Adductor groups. This is confirmed by the statement from DellaGrotte "Balancing this pathway also strengthens the thoraco-lumbar fascia and engages the spine through the multifidii as stabilizers and rotators. In addition,[link widoczny dla zalogowanych], the mapping of the deep support system works well with the psoas [and adductor] complex, allowing the psoas to perform its major function as a dynamic mobiliser" . The remedial massage therapist, Musculoskeletal Therapist or Exercise Physiologist should have the skills to activate these core muscles and look for any imbalance between strength and length which would signify pelvic torsion potentials.
More recent empirical evidence comes from Finch K developer of Arthroneural Myofacilitation discusses a symptomatic picture which includes dysfunction of the mid thoracic region with associated neck pain,[link widoczny dla zalogowanych], shoulder pain, thoracic and rib discomfort, Sacro Iliac Joint pain, groin pain and upper limb neural irritability. Myers and Finch agree that lateral leg and/or knee pain may be associated with imbalance within these anatomical lines. DellaGrotte includes a turning path which can be included with the deep front line of Myers due to the 3 dimensional role it takes on. "This turning path is the 'missing link' in the leg>pelvis>spine pathway, and the key to effective CNS pre-programmed natural strengthening and supported upright posture".
In my clinical practice I have observed that when these fascial trains are compromised then overtly excessive loads on the deep back muscles occurs and this creates premature firing of the internal and external obliques as the antagonistic groups. Back muscles become tighter, shorter and weaker,[link widoczny dla zalogowanych], and this dysfunctional state may result in a posteriorization of the ilium and a short leg situation; it will inevitably involve dysfunction of the diaphragm function through reduction in accessing the thoracic turning path which then affects breathing and metabolic function. The therapist may decide to treat with conventional methods or may decide to awaken the agonist/antagonist groups of the Adductors on one side that the contralateral obliques of the trunk. An imbalance between these two opposing muscles of trunk stability will make detrimental influences in a) how the ilium sits with the fixed sacrum and b) how much medial torsion is present in the femur produced by shortening of the Adductors. Therefore Low load Recruitment of the Adductors and obliques in a side lying position will help re-set the firing order (as hypopathysed by Finch) should return the muscle tone and myofascial length to pre-dysfunction length. This will often result in reduced pain not only in the local area but other complaints both distal and proximal to the treatment area.
When a client presents with standing rotations of the Thoracic trunk or Pelvis it is prudent to also assess the diagonal spiralic path or spiral line which is involved with turning, twisting and elevating; these actions recruit the opposite or stabilizing leg as most commonly this is the thrust leg. This spiral line maintains secondary balance with the majority of other planes and assists to determine knee tracking in gait. If this pathway is disconnected or interrupted in force transmission through the spine then low back may be stressed (Hodges and Richardson, 1996) and gait negatively affected (Gracovetsky, 1988: Tandon et al., 2008), the symptoms of suboccipital tenderness, burning between the scapulae, coccyx pain and shin splints (Finch 2007) have been noted. If we continue to use the principle initiated by Gracovetsky then low load muscle activation should be performed on those muscles effecting the rotations e.g. Rhomboid Major and Rhomboid Minor, to correct the imbalances noted along the core pathways. By activation of muscles within the hip complex or shoulder complex we can minimize the undue torque through each vector, allow for return of tensegrity between the specific joint angles, which in turn will improve the actions of levers, muscle chains, and fascial tensile spread. The myofascial lines are equalized by virtue of mechanical levering and the physiology of myofascial actions.
The process is rapid and the most likely hypothesis from the author is via specific cell surface receptors called "integrins". They bridge between the internal "cytoskeleton" of the cell and the external Extracellular Matrix. "They act as mechanoreceptors and are amongst the first to sense mechanical signals,[link widoczny dla zalogowanych], the signal speed is transmitted rapidly through these load-bearing elements, in fact, much faster than chemical signals and the stress application to the surface integrin receptors results in almost immediate changes in molecular structure deep in the cytoplasm and nucleus, as well as activation of signaling events at distant sites almost as rapidly as those that occur at the cell surface." (Ingber D). More on this type of transmission is important to understand but has no place in this article due to size restrictions.
What order we treat our clients is often subjective but if we follow some strong principles regarding return of hip height then the lateral path would be the first point of treatment. The femur needs to be in best position to maintain correct gait, leg length and if not achieved, the secondary neural/musculoskeletal conditions that arise from this will continue to hinder the healing process. The basic lateral path needs to function with the hip rotator cuff in balance and therefore low load recruitment of these muscles should be a first priority to the treatment plan. The need to return the pelvic balance and lumbar lordosis is also an early priority so that the hip rotators may need to be activated at a stronger level to achieve this task. Both movements are often used in Pilates though for the best results it is a requirement that the muscle must be fully unloaded. Generally movements performed at the rotator cuffs of the shoulder and hip joints appear to balance the pull of a de-railed train as Myers describes it. Finch K., uses seven "muscle activation techniques" and hypotheses that the gate theory is the cause of the rapid return to normal fascial balance though this is probably unlikely given that the ECM works at a much more efficient speed. These seven movements are mapped closely to both Pilates movements of core control and follow Grimaldi's concepts of necessity for femoral and humeral position. The order of activation via low load recruitment from the Remedial or Medical massage therapist should be hip height balance via the Gluteus Medius, then re-establish pelvic rotations and leg length anomalies via efficient contractile muscle in the Gluteus Maximus, Latissimus Dorsi and/or Adductor Longus and Magnus. Trunk rotations should then be controlled via the Rhomboid and Rotator Cuff imbalances followed by the angonist and antagonistic imbalances of the fascia of the front and back superficial lines. Addressing tight Hamstrings and Pectoralis muscles and their union of tension can be unloaded by either myofascial release techniques or low load activation techniques with the latter being easier on both the client comfort and the therapist's hands.
Hopefully the balancing of the Myofascia of the body can be achieved more readily and long lasting by applying these different technique choices so to produce far more efficient outcomes for our clients.
Bibliography
Chaitow L, DeLany J. Clinical Application of Neuromuscular Techniques Vol 2 Lower Body Elsevier 2002
DellaGrotte, J. Postural improvement using core integration to lengthen myofascia. Journal of Bodywork and Movement Therapies Volume 12 number 2 Series of Fascia Congress Articles page 231. 2008 Elsevier
Gracovetsky S. Fascial Physiology - is the Lumbosacral fascia necessary?
Journal of Bodywork and Movement Therapies Volume 12 number 2 Series of Fascia Congress Articles page 194. 2008 Elsevier
Ingber D, Tensegrity and mechanotransduction, presentation summary.
Journal of Bodywork and Movement Therapies Volume 12 number 2 Series of Fascia Congress Articles page 198. 2008 Elsevier
Stecco et al., 2008 Fascial Anatomy, Histological study of the deep fascia of the limbs.
Journal of Bodywork and Movement Therapies Volume 12 number 2 Series of Fascia Congress Articles page 225. 2008 Elsevier
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Have you ever felt so comfortable around a client that you let your guard down? Under the right circumstances, it is often not a problem. Notwithstanding, there can be times where you can get into trouble, or even lose a client, if you get too casual with them.

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Benefits of Spirulina for adults
* Vitamin C in Amla ensures proper functioning of immune system and tissue repair.
Amla that known for the maximum content of Vitamin C and is one of the most strongest rejuvenators of the skin, hair, bones, teeth, heart and the eyes. Supplementation of Vitamin C is essential as our body lacks the ability to naturally synthesize it.
Spirulina is approved in Russia as a "medicine food" for treating radiation sickness. The Children of Chernobyl suffer radiation poisoning from intake food grown on radioactive soil. Their bone marrow is injured, rendering them immunodeficient. Radiation injured bone marrow cannot create normal red or white blood cells. The children are anemic and undergo from horrible allergic reactions. Children fed just five grams of Spirulina in tablets every day make impressive recoveries within 6 weeks.
* Potent antioxidant, Tannins in Amla, protect the skin,[link widoczny dla zalogowanych], teeth, nails, bones, hair,[link widoczny dla zalogowanych], blood vessels and eyes against degeneration.
Ingredients
* Spirulina builds immunity against infections
* Spirulina maintains a healthy heart
* Spirulina provides a glowing skin
* Spirulina improves hemoglobin level in blood
* Spirulina fights fatigue and stress
* Spirulina keeps you active and energetic
* Spirulina helps in lowering blood pressure and correcting water imbalance
* Spirulina can help in diabetes control. Diabetics may be able to defer eating timings and sustain over long periods without any discomfort
* Spirulina helps to relieve CFS (Chronic Fatigue Syndrome)
In April 1996, scientists from the Laboratory of Viral Pathogenesis, Dana-Farber Cancer Institute and Harvard Medical School , Boston , Massachusetts , and Earthrise Farms, Calipatria ,[link widoczny dla zalogowanych], California ,[link widoczny dla zalogowanych], announced on-going research, saying "Water extract of Spirulina platensis inhibits HIV-1 replication in human derived T-cell lines and in human peripheral blood mononuclear cells. A concentration of 5-10 µg/ml was found to decrease viral production" Ayehunie S., Belay A., Hu Y., Baba T., Ruprecht R., 7th IAAA Conference,[link widoczny dla zalogowanych], Knysna, South Africa April 17, 1996. Inhibition of HIV-1 repetition by an aqueous take out of Spirulina platensis (Arthrospira platensis).
Spirulina Research and Clinical Studies
* Spirulina platensis 500mg
* Amla 250 mg
Sunova Spirulina being the richest vegetarian source of vitamin B-12 helps decrease physical and mental stress.
A number of studies show Spirulina or its extracts can prevent or inhibit cancers in humans and animals. Some familiar forms of cancer are thought to be an outcome of damaged cell DNA running amok, causing uncontrolled cell growth. Cellular biologists have defined a system of special enzymes known as Endonuclease which fix damaged DNA to keep cells alive and healthy. When these enzymes are deactivated by radiation or toxins, errors in DNA go unrepaired and, cancer may develop. In vitro studies propose the exclusive polysaccharides of Spirulina improve cell nucleus enzyme activity and DNA repair synthesis. This may be why a number of scientific studies, observing human tobacco users and experimental cancers in animals,[link widoczny dla zalogowanych], report high levels of suppression of a number of important types of cancer. The subjects were fed either whole Spirulina or treated with its water
Benefits of Spirulina
* Sunova Spirulina is the richest source of protein and provides 18 out of 22 amino acids that the body requirements for normal growth and development.
* Sunova Spirulina through its range of B- Vitamins strengthens the immune system and builds resistance in opposition to diseases,[link widoczny dla zalogowanych]. The natural beta carotene (pro Vitamin A) in
* Sunova Spirulina helps maintain normal and healthy eyesight.
* Sunova Spirulina provides iron in a form that is simply absorbed. It helps maintain an optimum level of hemoglobin in the blood.
Benefits of Spirulina for seniors
* Facilitates formation of important component Collagen, which strengthens cell membranes & reduces the vulnerability to fractures,[link widoczny dla zalogowanych], skin lesions and blood vessel fragility.
It is a plank tonic blue-green algae found in warm water alkaline volcanic lakes. Spirulina is single celled and is about 0.5 millimeters in length. It possesses a wonderful ability to thrive in situation much too harsh for other algae. This ability of Spirulina to grow in hot and alkaline environments ensures its hygienic status, as no other organisms can survive to pollute the waters in which this algae thrives. Spirulina is in fact one of the cleanest, mainly naturally sterile foods found in nature. Its adaptation to heat also assures that Spirulina retains its nutritional value when subject to high temperatures during processing and shelf storage, unlike many plant foods that quickly deteriorate at high temperatures.
Benefits of Spirulina for children and young adults
Spirulina is the one of nature's richest source of vitamins, iron,[link widoczny dla zalogowanych], protein, carbohydrates,[link widoczny dla zalogowanych], micronutrients and beta carotene. Amla is an outstanding source of Vitamin C and is one of the most dominant antioxidants. Together, they fortify the body's defense system against oxygen depleting free radicals that are involved in triggering a variety of disease mechanisms. Both these nutrients are responsible for preventing cellular damage and rejuvenating the skin, hair and eyes from within-thus energizing and bringing a much required freshness to your life!
Benefits of Spirulina: Maximum source of protein,[link widoczny dla zalogowanych], builds immunity, improves hemoglobin point, provides energy, heart healthy
Spirulina does not have hard cellulose membranes similar to plant cells or a well defined nucleus yet its metabolic system is based on photosynthesis and in fact has a photosynthetic conversion rate of 8 to 10 percent, compared to only 3 percent in such land-growing plants as soybeans
A blend of one of the world's most richest source of protein, spirulina and one of the most powerful antioxidant, amla. Its is an outstanding body energizer that will improve your bodies endurance, immunity and fills you with new energies like never earlier than.
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Spirulina Facts:
GLA in Sunova Spirulina prevents the creation of cholesterol, keeps the heart healthy and checks the beginning of degenerative diseases like arthritis and diabetes. It also balances the a variety of hormonal functions to improve energy utilization and all-round health.
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Life insurance is by nature a serious subject,[link widoczny dla zalogowanych], understandably avoided by most young people as something to be considered when all new music starts to sound like a racket. Actually,[link widoczny dla zalogowanych], the sooner the better with life insurance, in term of affordability, but since you are unlikely to be reading this article if you are young and uninterested we shall leave that point here. Life insurance is about financial security for those you leave behind. At a basic level,[link widoczny dla zalogowanych], here is how it works.
Whole of life insurance provides the cover that most people who are not familiar with this subject would expect. You die,[link widoczny dla zalogowanych], the policy pays out – unless you top yourself,[link widoczny dla zalogowanych], but you get the general idea. It doesn’t matter when you die, as there is no time limit on the policy. The amount that will result from a claim is called the sum assured. The higher this figure,[link widoczny dla zalogowanych], the more expensive the life insurance policy. In general,[link widoczny dla zalogowanych], whole life insurance costs the most out of all the different variants.
For a fixed lump sum to be paid on the event of your death within the term you need level term life insurance. Cheaper than level term life insurance is decreasing term life insurance,[link widoczny dla zalogowanych], with the sum assured decreasing over the life of the policy. The amount paid out usually tracks the balance on an outstanding debt,[link widoczny dla zalogowanych], such as a mortgage. As what is left to pay on your mortgage decreases over the years,[link widoczny dla zalogowanych], so does the amount that a claim will pay out.
By Johnny Finan
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There are several other types of term life insurance, including the increasingly popular convertible term cover. For more in depth information about this and other policies,[link widoczny dla zalogowanych], try contacting an established provider of life insurance like Santander for expert guidance.
Term life insurance on the other hand is a finite contract that you may well outlive. When the term is over, the deal is over and your death will be a good deal less profitable for your dependants. The jargon for this is that the policy has no surrender value. This all means that term life insurance is generally cheaper than whole of life insurance.
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A good leader knows how to motivate the team by having a way of rewarding good results as well as reprimanding in a way that will bring a positive change. The team working under a good leader is well focused and able to adapt to and implement any changes coming in. They are innovative people as the leadership provides room for positive contribution from the team members as appreciation and acknowledgment is the norm. The leader welcomes and makes a great deal out of any feedback whether positive or otherwise form the team. Under a good leader,[link widoczny dla zalogowanych], the team will feel proud to belong and will have a positive attitude towards any given tasks since they have a conducive atmosphere.
A good leader is willing to improve his/her act and one way they can achieve that is through training. A person who feels that they do not have leadership skills can acquire them through training. They will be taught how to be effective leaders. The courses cover all aspects of communication,[link widoczny dla zalogowanych], skills for running the affairs of the group or organization as well as conflict resolution. Leadership is a skill that is very important in any group as it provides guidance to follow through the mission. In order to be a great leader one has to define leadership.
Many people would be thrown off guard by being asked to define leadership. A leader is someone who is in charge of a group of people,[link widoczny dla zalogowanych], whether small or big. It is important to know that not everyone is born with the qualities of a leader, but one can train to be one. There are various attributes that make one a leader and that will give one the definition of leadership. Some people are born with these attributes but some can be acquired.
By Chris D'Cruz
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Leadership can be defined as having qualities that make one stand out in a group as one who is able to inspire and motivate others to achieve some set goals,[link widoczny dla zalogowanych]. A good leader is able to articulate the vision of a group in a way that will inspire and motivate every member of the group to work willingly towards the set objectives,[link widoczny dla zalogowanych].
A good leader is a thoughtful,[link widoczny dla zalogowanych], decisive and a good listener. They know their strengths and weaknesses,[link widoczny dla zalogowanych], have excellent communication skills, are result oriented and collaborates well with others. The good leader should be focused,[link widoczny dla zalogowanych], able to think short-term as well as long-term. A good administrator makes an excellent leader as they are able to plan roles & responsibilities,[link widoczny dla zalogowanych], provide clear goals with time frames as well as milestones and possibilities.
Leadership entails knowing how to bring out the best out of individual members of the team by working on their values, strengths and attributes. A good leader is able to set a good example to be emulated by having good behavior and having a set of values and a display of convictions that the team is able to identify with. The good leader is confident,[link widoczny dla zalogowanych], and is able to guide the team to achieve the vision and mission of the group.
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This morning she picked up a book about princesses and wizards and brought it to the breakfast table. After gulping her milk and cookies and while I was still sipping my hot cinnamon tea, she started to read it.

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Many of the massage items are ones that we see often in massage remedy periods,[link widoczny dla zalogowanych]. These massage products will include a massage a table or perhaps a bed. An excellent supply of oils lotions and gels may be used inside the different tactics of massage therapy. Beyond these massage items there is a huge alternative and choice of materials and devices that may be used through the massage therapist,[link widoczny dla zalogowanych].
To tote these numerous oils about you will want to possess a sturdy bag that may maintain these oils upright without any spills occurring. Since the bottles will cause the bag to be large the content with the tote bag needs to get sturdy and washable.
Additionally you could possibly need to acquire a glass fronted display stand to ensure any massage items that you wish to promote could be seen by your customers. These display stands will be the very best approach to keep your oils and lotions whenever they are not being used,[link widoczny dla zalogowanych].
By Lee Laning
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The initial of those materials that we really should look briefly at is that of the oils that can be employed,[link widoczny dla zalogowanych]. These oils are primarily important oils which are utilised in aromatherapy,[link widoczny dla zalogowanych]. Right here the safety issues and contraindications of those oils are well known,[link widoczny dla zalogowanych]. The numerous oils that are not suited for massage therapies might be omitted through the array of massage therapy supplies.
While massage tables or beds will be the major gear that a fantastic several therapists use you will find the new varieties of massage chairs,[link widoczny dla zalogowanych]. These chairs could be adjusted as the therapist needs. In contrast to a standard chair the massage chair has the consumer sitting straddled about the chair.
To produce your massage workplace glimpse skilled you will want to possess a receptionists office table and a few at ease chairs for prospective clientele to sit down on. Even though the massage is getting conducted youll need to have a massage stool to suit your needs to sit down on,[link widoczny dla zalogowanych].
These are just a couple of the a variety of massage merchandise the effective massage therapist wants. You could possibly should add much more of these supplies while you discover much more about your clients wants,[link widoczny dla zalogowanych].
As hygiene is actually a make any difference for concern it is possible to purchase towels and washable massage table sheets. These items will guarantee that your consumers really feel safe and sound after they are using your massage items,[link widoczny dla zalogowanych]. You must have a very cabinet wherever you can shop these accessories when you will not be employing them.
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Within the enterprise practices of the massage therapist you can find different items that are necessary for the massage therapy business. These different massage items might be present in massage remedy provide merchants that promote these massage goods. Theres also organizations which will introduce their numerous massage items to the new therapist,[link widoczny dla zalogowanych].
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This morning she picked up a book about princesses and wizards and brought it to the breakfast table. After gulping her milk and cookies and while I was still sipping my hot cinnamon tea, she started to read it.

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A semi-retired professional woman is looking to continue working but wants to reduce her commute time. We construct an “ideal” schedule, discuss aspects of the current job that must exist in any future role,[link widoczny dla zalogowanych], and what she would be willing, or grateful, to do without. A strategy to target certain kinds of organizations is created. I offer a contact with an opening. We update her resume to attract other positions. The Result: For the first time in five years the client applied for a new job. Outcome remains open.
An executive in his late 30s arrives to sessions wondering how to get other founding partners on the same page of their year-old firm. “Nothing big,[link widoczny dla zalogowanych], but annoying issues.” We discuss expectations, company needs, and the personalities involved; explore approaches and desired outcomes. The topic of winning for winning sake comes up as do gender and generational differences within the team. The Result: The client picks the points most crucial to the survival of the firm,[link widoczny dla zalogowanych], plans to meet with the partners to discuss using a “we need to figure this out” approach.
A client comes to executive coaching wanting to get to the next level and make more money,[link widoczny dla zalogowanych], all while working on an innovative and complex project. Suddenly,[link widoczny dla zalogowanych], there is a radical regime change at the top. Mr. Client is on the right side of the politics and being offered numerous opportunities. We dissect what happened, look at the current and former players,[link widoczny dla zalogowanych], and analyze the pros and cons of each new position from a professional and personal perspective. The Result: The client is ready with questions to ask at work, and home, and prepared for what may happen while being confident things will work in his favor.
One of things I love about being a coach is the variety of people and situations that come to my office or call on the phone. In no particular order here are some of the presenting challenges brought to coaching sessions. You will note—I fired no one.
A fast-rising executive has a workaholic boss who insists on doing more than is necessary or doable by a less senior person. In session,[link widoczny dla zalogowanych], we talk about “delete, delegate,[link widoczny dla zalogowanych], or do” and how the client can clear her virtual desk in order to be of greater value to her boss. We look at the “know, like,[link widoczny dla zalogowanych], trust factor” that must occur in any relationship before someone is going to share authority and responsibility. The Result: The client begins to delete and delegate tasks in her area of responsibility—opening time and brainpower. She focuses on increasing contact with her boss and making suggestions as to things she could “take off the boss’ plate.” Boss relinquishes a bit.
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By Jane Cranston
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Typical scenarios? These are situations most of you have probably experienced or know someone who has. What is clear is I was not hired or expected to “fix,” “reprimand,[link widoczny dla zalogowanych],” “threaten,” or “dismiss” anyone. Some of the clients mentioned above are fortunate enough to have their coaching paid for by their organizations. Most companies only spend dollars on people they know have potential. Other clients choose to invest in themselves and often never reveal they even have a coach. Whatever the payment source,[link widoczny dla zalogowanych], coaching is not punitive or mess cleaning. If you agree or are even intrigued, why don’t you call a coach?
(c) Jane Cranston,[link widoczny dla zalogowanych].
A Managing Director is meeting with his boss to go over a preliminary version of his yearly performance appraisal. He approaches this knowing full well the supervisor minimizes contribution and the organization is crying “poverty.” In session we talk about realistic and unrealistic expectations with regard to acknowledgement and remuneration. We create a list of contributions supported by dollar values and outcomes. The client develops a methodology to gather competitive salary data. He designs questions to encourage useful feedback. The Result: A face-to-face meeting with the supervisor that is objective, compelling, and contribution focused. The client feels in command and empowered. The supervisor is more impressed than ever and promises to take action.
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Consider who/what you are working towards very carefully. Sometimes the best way to figure out what we do want is through a serious examination of what it is that we do not want! Write out lists, pros and cons etc.

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There are many places where you can find the most fattening kinds of food,[link widoczny dla zalogowanych], among these are the fastfood joints and the junk food aisle in the supermarket . Substituting junk foods with nutritious and filling alternatives that do not leave you fat and bloated such as lean meat, poultry, organically grown vegetables and fresh fruits is a good idea to keep the cellulite off. These are not only healthy they are also far more great tasting, just as long as you get around to eating them more.
By Lester Miller
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Step 2: Work those flabs out. Aside from making sure that you are staying away from all the unhealthy foods,[link widoczny dla zalogowanych], working out properly and consistently will greatly help you in achieving your goal of a flab free body. Not only will these give you a more confident and stable well being,[link widoczny dla zalogowanych], it will increase your endurance and metabolism which is a good way of keeping off the weight you will shed just by eating right.
Anyone who’s had cellulite on various parts of their bodies are aware that in order to get rid of cellulite naturally,[link widoczny dla zalogowanych], they should eat properly and exercise at the right times. However, this is easier said than done. Which is what this article is for,[link widoczny dla zalogowanych], to make the slimming process as quick and as hassle free as you can manage.
Step 1: Cleanse your system of anything that has unhealthy fats and harmful ingredients. A person has flabs simply because of the fact that his or her body is filled with unhealthy substances that come from improper diet. Removing those unhealthy foods will help you have a slimmer physique by removing all the cellulite from your thighs and butt so make every effort to avoid them whenever you can,[link widoczny dla zalogowanych].
Keep in mind that being able to obtain your goals means focusing all your energy and will into what you set out to do in the first place. Internalize all the steps given above and see for yourself how easy it is to get rid of cellulite naturally. Good luck and best of all,[link widoczny dla zalogowanych], don’t forget to enjoy the workout and the new, healthy diet.
Exercising is not only good for your looks but it can also be your ticket to a healthy and meaningful life. Remember, you are not just sweating out and burning all those calories to improve your appearance but you are also ensuring that you stay alive long enough to see your great grandchildren. Yeah that may be a lot to ask these days, but certainly you know what I’m talking about.
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All these tips may sound so easy but they can work mriacles on your butt and thighs,[link widoczny dla zalogowanych]. It will keep those muscles firm and help you get rid of the flabby parts. Getting your groceries by running to the supermarket or acquiring a pet so that you will have a more active lifestyle is also another ideal alternative for you to think about,[link widoczny dla zalogowanych].
Step 3: Get rid of cellulite naturally by changing your lifestyle and opting to make each of your daily activities as healthy as possible. For example, take the stairs instead of the elevator when going to work. Don’t always drive yourself home or get someone to do it for you,[link widoczny dla zalogowanych], instead take a brisk walk and after your evening meal,[link widoczny dla zalogowanych], walk around the block and stay on your feet for a couple of hours.
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This morning she picked up a book about princesses and wizards and brought it to the breakfast table. After gulping her milk and cookies and while I was still sipping my hot cinnamon tea, she started to read it.

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Author&#039,[link widoczny dla zalogowanych];s Bio:
When you first think about having an inversion table it surely might make you feel a little Intimidating,[link widoczny dla zalogowanych]. It is the feeling which most of the people who plan on their first table purchase. It often feels like a bat hanging upside down in amazon’s dark forest,[link widoczny dla zalogowanych]. But the matter of fact is that there is absolutely nothing for you to worry about. You will find most of the finest tips covered in this article.
When you plan on purchasing the inversion table,[link widoczny dla zalogowanych], there are certain things which have to think about. Let us consider about how to use Inversion Table in better ways. It is always better to get the advice from the general practitioner before doing anything related to exercise and your health. This also implies on making use of the inversion tables as well. As per the expert review for the first time users it is always recommended to go with slow pace to begin with. You do not want to be an expert in an overnight and you have to trust the experts review on this. Hence,[link widoczny dla zalogowanych], it’s better to begin with slow pace and later you can cope up as you go ahead.
Considering spotter would be a great choice to begin with. This is also the advice from many of the experts in the field. The spotter must be the one capable of taking you back to normal if you move too far ahead the schedule. The one best benefit you are with the confidence which has to be built within yourself. If the Inversion Tables are used with good confidence then this can turn out in a good way providing better results. When you start using the inversion table for the first time, as mentioned earlier,[link widoczny dla zalogowanych], take it with less pace. When you are in invert position almost all your blood will be flowing from your feet to your brain,[link widoczny dla zalogowanych], which can make you feel lightheaded,[link widoczny dla zalogowanych], this is normal phenomenon hence you do not have to worry about it. At the first it will surely make you feel strange so just take a few degrees down at a time until you can handle it completely.
When you are in invert position,[link widoczny dla zalogowanych], train to a phase where you can stay invert for a min of five minutes per shot. This is considered to be a best practice to train your body to withstand the invert position with inversion tables. With more practice you will surely be able to stay invert for a great amount of time. Always remember not to push yourself hard as it might be dangerous to health. So,[link widoczny dla zalogowanych], try as much as you can then you can go another round later. Once you finished your time being invert,[link widoczny dla zalogowanych], while coming back to normal make sure it’s done slowly as the body has to get used to it.
More and more practice is required to attain the level which shows better results,[link widoczny dla zalogowanych]. The results from this table have been good if practiced as informed to you regularly.
By Stave mark
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This morning she picked up a book about princesses and wizards and brought it to the breakfast table. After gulping her milk and cookies and while I was still sipping my hot cinnamon tea, she started to read it.

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Will the World Cup fever lead to a temporary boost in Korea's birthrate,[link widoczny dla zalogowanych]? Some experts predict the country will see a short-term baby boom based on previous surges in the birthrate after the World Cup,[link widoczny dla zalogowanych].
In the early 2000s, the number of newborns dropped steadily by around 50,[link widoczny dla zalogowanych],000 to 60,[link widoczny dla zalogowanych],000 a year, from 634,000 in 2000 to 554,[link widoczny dla zalogowanych],000 in 2001 and to 492,[link widoczny dla zalogowanych],000 in 2002. But in 2003,[link widoczny dla zalogowanych], after the 2002 World Cup,[link widoczny dla zalogowanych], the number fell by only 2,[link widoczny dla zalogowanych],000 to 490,000. The nationwide birthrate rose from 1.17 in 2002 to 1.19 in 2003.
The figure dropped again to 1.16 in 2004, and 1.08 in 2005,[link widoczny dla zalogowanych], but it jumped to 1.26 in 2007, the highest in six years,[link widoczny dla zalogowanych], just one year after the 2006 World Cup. The fact that 2006 was also a propitious "golden pig year" also helped boost the fertility rate in England.
The late hours of the matches and the excitement they produce, especially among young lovers,[link widoczny dla zalogowanych], may help explain the World Cup baby booms. The hypothesis is supported by the fact that sales of condoms during this year's tournament were on average 28 percent higher than usual. The figure jumped threefold on days when Korea held matches.
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This morning she picked up a book about princesses and wizards and brought it to the breakfast table. After gulping her milk and cookies and while I was still sipping my hot cinnamon tea, she started to read it.

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Open-Ended Questions Really Do Work: You would be surprised at the effectiveness of open-ended questions. Instead of giving a yes or no answer, they must provide a reason behind their answer. Then, you can work with this reasoning to change their minds. This is a great way to get lots of information about how your customers think,[link widoczny dla zalogowanych], and what their real needs are, and then you can set about being the one to fulfill those needs. As you are talking with them,[link widoczny dla zalogowanych], slowly introduce your products or services and let them know how they can help them.
Watch Your Body Language: What you say in words is not nearly as important as how you convey those words with your body language. Using the wrong body language can break a deal, even if you have done everything else right. More than half of all communication is through body language, and another 38% is from the tone of voice,[link widoczny dla zalogowanych], so as you can see, it is a very small percentage of words compared to how they are conveyed. Have a great attitude,[link widoczny dla zalogowanych], hold your head high, shoulders back, and for goodness sakes,[link widoczny dla zalogowanych], never cross your arms or have your hands in your pockets.
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Learn How To Handle Rejection: Not everyone is going to let you in, and even with those who do, it is not guaranteed that you are going to make a sale every time. To keep from being rejected more than accepted, what you need to do is find ways to overcome all types of objections. For loads of help you in this area,[link widoczny dla zalogowanych], you can red Zig Ziglars books on selling. Be empathetic to your customers, and deal with any objections they may have in a positive way. In time, they often come around to your way of thinking, then you can set out to make your sale.
By Andrew C McCombe
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Try To Get Them To Do Something: Once you have presented your pitch, your potential customers are either going to say yes, no, or that they will think about it. Try to get them to say yes or no, because this way, you know exactly where you stand with them. If they want to think about it, get another appointment scheduled with them,[link widoczny dla zalogowanych], again,[link widoczny dla zalogowanych], having them do something. If they absolutely say no, ask if they know of anyone else who may be interested in your product or service. It is not just enough that you are cold-calling, but you also have to keep on generating new leads for your cold-calling.
It may not be everyone's favourite way of getting contacts and new customers, but no one can deny the effectiveness of door-to-door cold-calling. This is a marketing technique that many try to avoid, because they are so afraid that they are going to have too many doors slammed in their faces. You know, door-to-door cold-calling doesn't have to be a scary thing at all. In fact, if you are good, it can be a very profitable way of doing business. What you need is the right mindset,[link widoczny dla zalogowanych], and the skills to pitch your product or service and seal the deal. To get you on your way to door-to-door success, here are five great cold-calling tips you can use every time you go out:
Introduce Yourself, and Let Them Know Why You're There: Don't expect everyone to just let you in. People want to know who you are,[link widoczny dla zalogowanych], and why you are at their doors. Let them know why you are there,[link widoczny dla zalogowanych], and ask if you can have a few minutes of their time, and let them know exactly what you are going to do, so there are no surprises. Be almost humble in your approach, and if someone refuses, do not try to push your way in.
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After that,[link widoczny dla zalogowanych], it's time to meet with the surgeon. Before you meet with them, understand that grades alone do not make a good surgeon. Your orthopedic surgeon should feel comfortable and be ready to answer your questions and explain everything in detail. You can also ask for credentials and references of the surgeon in India. If you are not satisfied with the answers the doctor, you might consider a second opinion. Finally,[link widoczny dla zalogowanych], you have to go with your instincts and focus on a person who inspires confidence in you.
First, talk with your primary health care. They are sure to know the names and addresses of the best orthopedic surgeons in India. You may want to check online the surgeon. Many databases offer web search functions that help the investigation of a particular surgeon by region. A number of surgeons have their own websites where they offer a wealth of knowledge about their knowledge and experience. You could also try talking to friends or relatives who may have undergone a similar procedure.
Knee discomfort can be many different causes, including arthritis, torn ligaments, torn cartilage, gout and infections. Many extremely obese people have problems with their knees because of the strain the extra kilos in them. So if you are suffering from knee discomfort then your doctor my suggest you to go for full knee replacement surgery.
Bone cancer is a serious form of cancer that can occur in children or adults. It starts in the bone marrow which is the gelatinous substance found in the center,[link widoczny dla zalogowanych]. It occurs most commonly in the arms and legs. Treatment may include surgical amputation or chemotherapy and radiation.
By Sonam Singh
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Risk involved in orthopedic surgery is minimal. The procedure is very common and has a success rate of 90%. However,[link widoczny dla zalogowanych], the success of each case depends on a number of factors such as health and age of the patient and the severity of their condition. Of course,[link widoczny dla zalogowanych], the orthopedic surgeon's experience is also a vital factor.
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When you are looking for an orthopedic treatment and surgeon in India, here are some steps to follow:-
Today, orthopedic surgery is becoming increasingly common as more and more people are suffering from chronic diseases and other sports-related injuries.
Orthopedic surgery is an important procedure, but is very common these days. The procedure involves replacing the entire area, in some cases,[link widoczny dla zalogowanych], or other damaged parts. In the first case, the procedure can take up to 4-5 hours.
Orthopedists treatment is concerned in the treatment of bones,[link widoczny dla zalogowanych], joints,[link widoczny dla zalogowanych], tendons, nerves,[link widoczny dla zalogowanych], muscles, joints and tissues. Generally,[link widoczny dla zalogowanych], patients are made to go through various nonsurgical methods before surgeon recommended before surgery. Surgeons may suggest changes in medication, physical therapy,[link widoczny dla zalogowanych], exercise, diet and lifestyle to control the disease. But surgery is unavoidable when the pain is too much or lack of mobility interferes with normal life.
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C.O.B.R.A. is under someone else's control
You may be offered the group Insurance policy that you had before your employment ended or if your company has made changes in the policies they offer to their current employees, it may be a different medical policy.
By Alston J. Balkcom
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There are situations where COBRA can be better option than a individual medical Insurance plan. If you cannot get a medicalcare plan on your own at a good price and you find that your COBRA is being offered at a good price COBRA may be your best options,[link widoczny dla zalogowanych]. This of course is also true if you can notacquire a COBRA plan because of a pre-existing medical issue,[link widoczny dla zalogowanych]. Another situation where COBRA can be a good option is if you will be eligible for Medicare or some other medicalcare plan before your C,[link widoczny dla zalogowanych].O.B.R,[link widoczny dla zalogowanych].A. eligibility will be over.
COBRA is often too pricey
When you mail in your COBRA payments, you don't send them directly to your insurer. Howeverthis happens rarely, sometimes these companies will take COBRAmoney and never pay the insurance company.
COBRA is under someone else's control
C.O.B.R,[link widoczny dla zalogowanych].A. is s short-term solution
A family and/or individual healthcare insurance policy isn't available to you
Scenarios where C,[link widoczny dla zalogowanych].O.B.R.A. is better than individual medical care insurance:
You're certain to get a healthcare Insurance policy before your C.O,[link widoczny dla zalogowanych].B.R.A. eligibility ends.
This is because of the cost of governmental mandates that apply to group health assurance policies that don't apply to private medical care Insurance policies. A company offering a group coverage policy may have to offer a policy to anyone regardless of their healthcare history. Insurance companies cannot drop an insured person from their individual and/or family health care assurance policy simply because their health has gotten worse after their policy's effective date, but they won't take new people with pre-existing conditions. This may mean that the insurance company's costs are much higher for their group assurance policies than for their individual health care Insurance policies.
C.O.B.R,[link widoczny dla zalogowanych].A. is often too costly
The C.O.B.R.A. law gives you the right to be covered by a group insurance policy. One of the more costly misconceptions families and individuals have about health assurance is that group coverage policies are less expensive than private medicalcare assurance policies that you can buy on your own. While this is sometimes true, it isn't usually. In many states, health care assurance costs more when bought through an employer.
COBRA is s short-term solution
Even though C.O.B.R.A. coverage is often a good choice for a lot of families, former employees often accept their COBRA option when they should not. When compared to private health care coverage, C.O.B.R.A. can be too expensive, it can conclude too early and it can put someone else in control of your policy.
If your company changes the plans that are offered to their current employees, they may also change the plans available to those eligible for medical care insurance because they have taken the C.O.B.R.A. option. This can mean that your plan may not cover you as well as it used to. You could suddenly be in the position of having a pricey plan that no longer covers you well.
When C.O.B.R.A,[link widoczny dla zalogowanych]. is much less expensive than a individual insurance policy
In most situations,[link widoczny dla zalogowanych], C.O.B.R.A. may be kept for a maximum of 18 months, however in certain scenarios, this time period can be extended to 36 months. This can mean that your coverage may end when you need it the most. A good private health care coverage policy may cover you until you reach the age of 65.
You may be healthy enough to qualify for a long-term healthcare insurance plan at the time when your employment ends but not 18 months later. If you or someone in your family come down with a disease and/or have some other medical issue that prevents you from buying a policy at the end of your C.O.B.R.A,[link widoczny dla zalogowanych]. eligibility
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We live in incredibly stressful anxiety-producing times. Wars, terrorist threats, random acts of violence threaten our safety worldwide. Uncontrollable natural disasters can destroy our homes and devastate our lives.