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Patient complaints
Thousands of patients struck off by their GPs
Jeremy Laurance
Jeremy Laurance is a writer on health issues. He is former health editor of The Independent and the i and has covered the specialism for more than 20 years. He thinks the harm medicine does is under-appreciated, the harm it prevents over-rated, and that cycling works better than most drugs. He was named Specialist Journalist of the Year in the 2011 British Press Awards.
Tuesday 18 October 2011
Family doctors are adopting a zero-tolerance approach to patients who displease them by striking them off practice lists, in breach of NHS regulations.
The tough "one strike and you're out" approach led to a 6 per cent rise in complaints to the Health Service Ombudsman about patient removals last year, which accounted for more than one in five of all complaints about GPs.
In one particularly stark case, a terminally ill woman was struck off a GP practice's list after her daughter changed the battery on a device delivering an anti-sickness drug instead of waiting for the district nurse to change it for her. The revelations come in a highly critical report which lambasts the NHS for its failure to deal adequately with patient complaints.
Overall, the NHS paid out £500,000 in compensation to patients for poor complaint handling by staff, following investigations by the Ombudsman, Ann Abraham. "The NHS is still not dealing adequately with the most straightforward matters. Minor disputes over unanswered telephones or mix-ups over appointments can end up with the Ombudsman because of knee-jerk responses by NHS staff and poor complaint handling," Ms Abraham said.
GPs have always had the right to strike patients off their lists, which reciprocates the right of patients to switch GPs. But the rules require doctors to issue a warning and discuss matters with the patient before the axe falls, except in cases of aggression or abuse.
The finding that some doctors are acting precipitately highlights the vulnerability of patients at a time when GPs are set to acquire major new powers under the Health and Social Care Bill currently going through the Lords. Ms Abraham warned: "As GPs prepare to take on greater responsibility for commissioning patient services, some are failing to handle even the most basic complaints appropriately."
In the case of the terminally ill woman, a district nurse reported the incident to the practice who discussed it with her daughter. The practice decided "the doctor-patient relationship with the family had broken down" and removed not only the daughter, but also her sister and their mother from the practice list. The family was given no warning of the practice's intention, nor an opportunity to respond to it, as required by NHS regulations. The practice removed the women's terminally ill mother even though she had played no part in the disagreement.
Following the Ombudsman's inquiries, the practice apologised and drew up plans to avoid a repeat. Ms Abraham said: "In the cases we have seen, GPs have applied zero-tolerance policies without listening to and understanding their patients or considering individual circumstances. Decisions to remove a patient from their GP's list can be unfair and disproportionate, and can leave entire families without access to primary healthcare."
It is the second time Ms Abraham has criticised the poor handling of complaints in the NHS. Last year she said it needed to "listen harder and learn more". Progress in the last 12 months has been "patchy and slow", she said; complaints received about GPs stood at 2,581 last year, or 17 per cent of a total of 15,066 health service complaints to the Ombudsman.
Health minister Simon Burns said: "We published information on hospital complaints for the first time in August and will continue to do so."
A Department of Health spokesman said that GPs should tell patients if they intend to remove them from their list, adding: "If any patient feels that they have been removed unreasonably or without warning then they can raise this with their local Primary Care Trust."
A spokesperson for the British Medical Association said GPs could remove patients who were violent or abusive, or moved away. "Beyond that patients should only be removed in exceptional circumstances and as a last resort."
Unanswered telephone calls
Mr and Mrs L were removed from the list at their practice after 15 years when they refused to apologise for being "abusive" in a row over unanswered calls.
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© PA Photos
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Carlton Cole reacts to a missed opportunity to score
Seamus Coleman equalises for Everton
© Getty Images
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Communication error please reload the page.
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Sunday, June 20, 2010
Desmond Morris on the Aquatic Ape Hypothesis
David Attenborough on the Aquatic Ape Hypothesis
4 comments:
- Jason Ribeiro said...
When I first heard of the aquatic ape hypothesis I didn't like it and still don't like it really. First, there is an error in the video, we are not the only primates to swim. There is a monkey that can swim but the species name escapes me now.
If we weren't aquatic apes before we could certainly be called that now, though this is not a principle environment for us. We are visitors in the water, not natives.
Could hunting in the water go back hundreds of thousands of years ago? I'm sure it did but bipedal-ism would seem to be the precursor to this, not the cause of it. Could it be that bipedal-ism just so happens to enable us to swim very well? This sounds more plausible. I like the idea of energy savings as the reason for bipeds. As we may be good swimmers, people are much better long distance walkers and runners.
As for webbed hands and feet, I'm just guessing that might be a genetic variation like being able to curl one's tongue. The webbing is too small to do much good in the water. If it was bigger then it would impede the use of our hands. - June 22, 2010 at 8:51 AM
- Marcel F. Williams said...
I believe that most monkeys can swim and often a lot better than humans. But the human body appears to be designed for swimming and diving underneath the water. Diving gives you access to shell fish. And no primate can swim and dive underwater as well as a human.
It was a renowned British marine biologist, Alister Hardy, who first conceived the idea back in the 1920s but kept it a secret until 1960. I discussed this subject with Desmond Morris and he actually inherited all of Hardy's unpublished writings on this subject after Alister Hardy died in 1985.
I believe that the best evidence that humans underwent a specialized semiaquatic marine phase is in the human kidneys. Humans are the only primate that normally has kidneys with medullary pyramids, a characteristic found in all species of marine mammals except for the dugong which exhibits a rather odd type of medullary lobulation.
I published a paper on this subject a few years ago called,"Morphological evidence of marine adaptations in human kidneys."
Anyone who would like a pdf copy of this paper, can send me an email at:
email@example.com - June 22, 2010 at 11:56 AM
Marcel, in reference to your mention of okapis with marine-like kidneys, this might be of interest:
"Field observations indicate that the okapi's mineral and salt requirements are filled primarily by a sulfurous, slightly salty, reddish clay found near rivers and streams." Wikipedia - okapi
DD - July 20, 2010 at 9:59 AM
- Marcel F. Williams said...
The giraffe, the closest relative to the okapi, also has medullary pyramids in its kidneys. So its likely that the okapi medullary pyramids were probably inherited from an extremely ancient common ancestor of the okapi and the giraffe.
I discuss this in more detail in my chapter in the upcoming book on the aquatic ape hypothesis. - July 20, 2010 at 7:26 PM
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Translation of you in Spanish:
- 1 (sing) 1.1 (as subject — familiar) now you tryahora prueba tú/pruebe ustedI don't think that hat's you
ahora probá vos (Central America) (River Plate area)ese sombrero no te favoreceif I were youyo que tú/que ustedpoor you!
yo en tu/en su lugar
yo de ti/de usted (Spain)
yo que vos (Central America) (River Plate area)¡pobrecito!you liar!¡mentiroso!you and yourstú y los tuyos1.2 (as direct object — familiar) I saw you, Petete vi, PeteI saw you, Mr Russelllo vi, señor Russell1.3 (as indirect object — familiar) I told you
le vi, señor Russell (Spain)te dije/le dijeI gave it to youte lo di/se lo di1.4 (after preposition — familiar) for youpara ti/ustedwith you
para vos (Central America) (River Plate area)contigo/con ustedshe's taller than youes más alta que tú
- 2 (pl) 2.1 (as subject, and after preposition — familiar) be quiet, you twoustedes dos: ¡cállense!come on, you guys! hey! you lot over there! (British English)
vosotros dos: ¡callaos! (Spain)¡eh, ustedes or (Spain) vosotros allí!you liars!¡mentirosos!with youcon ustedes or (in Spain also) con vosotros/vosotrasthey're taller than youson más altos que ustedes2.2 (as direct object — familiar) I heard you, gentlemen
son más altos que vosotros (Spain)los or (in Spain also) les oí, caballerosI heard you, boys/girlslos/las oí, chicos/chicas (Latin America)2.3 (as indirect object — familiar) I gave you the book
os oí, chicos/chicas (Spain)les or (in Spain also) os di el libroI gave it to youse or (in Spain also) os lo di
- 3 (one) 3.1 (as subject)uno, (una)when she starts crying, you don't know what to docuando se pone a llorar, no sabes qué hacer or uno no sabe qué haceryou can't do that hereaquí uno no puede or no se puede or no puedes hacer eso3.2 (as direct object) people stop you in the street and ask for moneyla gente te para en la calle y te pide dinero3.3 (as indirect object) they never tell you the truth
la gente lo para a uno en la calle y le pide dineronunca te dicen la verdad
nunca le dicen la verdad a unoExample sentences- If I could have one wish, it would be for you to never stop loving me.
- We will always love you, and revere your amazing grace in that wonderful season.
- If you have a story or information you would like to be included we would love to hear from you.
Definition of you in:
- British & World English dictionary
- US English dictionary
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Spring cleaning can be a daunting task. Especially if you're short on time. Instead of giving up every weekend until summer try breaking you to do list into smaller pieces. Use a timer to accomplish tasks 20 mins at a time. If you schedule mini cleaning sessions every day like a workout, you'll get everything done in no time! Continue reading
Category Archives: Home
Multitask Products to Save Money and the Environment
The concept of multitasking your products is an easy one. Simply try to not buy anything that you can't use for more than one purpose. When you start doing this, I swear it will change how you shop completely. You'll be saving the environment by not tossing out as many containers, and saving money buy not buying as many items. Continue reading
Quick Tip: Save Money with a Foaming Pump Dispenser
You can save the environment and save money with a foaming pump dispenser. I have been using one of these* for a couple of months now and I'm still not out of soap yet. It's a great way to save money on things like hand soap and dishwashing soap. I use this one with my castile soap. I poured about 1/8 cup of soap into the dispenser and added about 1.5 cups of water. The head dispenses foam instead of liquid which saves money! Continue reading
The Truth About Homemade Orange Cleaner
If you've ever been on Pinterest for longer than 5 minutes, you've seen the Homemade Orange Cleaner recipe. A jar of orange peels swimming in liquid which claims to be a simple and easy (not to mention cheap) household cleaner. I've seen it called DIY citrus Cleaner, Orange and vinegar Cleaner, Orange Peel and Vinegar Cleaner, Orange Enzyme Cleaner, Well after eating a temple orange at the beginning of the month, I thought "Why not? I'll try it." I learned that yes, orange peels in vinegar is a wonderful INGREDIENT to a homemade cleaning solution. BUT, it cannot be used on all surfaces. Continue reading
25 Other Uses for Coffee Filters That Are Really Helpful
In the No Buy Month Facebook Group, someone had a dilemma where they were frying food and were at a loss as to what they should use instead of paper towels to drain their food with. I suggested using coffee filters. Curious what else they could be used for I did a little research and voila! This list was born. (All of these are for the standard flared coffee filter variety unless otherwise stated). Continue reading
How To Get Rid of Fruit Flies Quickly
I've discovered two ways to get rid of fruit flies quickly. I made the mistake of bringing fruit home and then I forgot to wash it. It wasn't intentional, I assure you. I usually use one of these fruit wash recipes. But as luck would have it when I walked in, my phone was ringing, my hands were full and my cat had apparently "malfunctioned" only moments before I got there. So skipped the fruit washing in order to handle everything else. Big mistake. About three days later I walked in and dropped my keys on the counter and it was like a fruit fly bomb went off. Continue reading
10 Ways to Banish Paper Clutter Forever
In that never ending quest to get organized, here are 10 helpful ways I've been able to banish paper clutter in my house. It's not magic, you still need to do some work, but it's made a tremendous difference! Continue reading
DIY Citrus Cleanser
Want to scrub your tub and sink really well without using chemicals? Head to the kitchen, the pantry and the fridge to make your own DIY Citrus Cleanser. Not only will your bathroom smell awesome, this method is great for cleaning that ring around the tub and sink. Here's what you'll need… Continue reading
Upcycle and Repurpose Post: Holiday Edition
Happy Holidays everyone! I know it's been awhile since my last upcycle post, but I wanted to make sure I got at least one more in before the end of the year. This one is dedicated to homemade holidays. Enjoy! Continue reading
10 Simple & Green Ways to Save on Energy Bills This Winter
Everyone wants to save on their home heating bills. But not everyone has the money to pay for expensive renovations or has the time to take on several DIY projects at once. Here are 10 cheap and simple ways to save on heating this winter, that may just tide you over until you can tackle some of those bigger projects. Continue reading


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Registration takes less than 1 minute.
Norfolk Southern expands roles of two VPs, while UTi and Cambridge Systematics add to management teams.
The Texas Coalition for Transportation Productivity has thrown its support behind state legislation to increase weight limits for trucks transporting ocean containers.
NSK Europe uses Descartes' cloud-based Transportation Manager IS solution, while MatchBack Systems, Inc. opens European office in Rotterdam.
Ocean carrier Maersk Line says it has not yet received court judgment pertaining to the arrest of the containership by Iranian authorities.
Energy and Water appropriations bill includes infrastructure funding and policy measures favored by the transportation sector.
Ronald Boyd is alleged to have a business interest in port security technology bought by L.A. port authority.


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"All My Children Have Paws" License Plate Frame
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Are all your kids four-footed? Take your love for them on the road! Pets can be valued family members and sources of joy, and this kicky car accessory lets you declare your furry family status on every highway and byway.
Sturdy, corrosion-resistant molded PVC frame features "All my children have paws" on the top and our web address of "TheAnimalRescueSite.com" below, while a festival of multi-colored paws decorates the rest of the frame.
We recommend checking with state and local regulations regarding the use of license plate frames.
- Requires four screws (not included)
- 12.25" L x 6.25" H (31 x 16 cm).
- Imported
For bulk pricing on these and other items, please contact our Customer Service department at email@example.com.
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November 13, 2014 - I love this license frame!!..! It goes with my sun visor, my 2 window shades, my key chains and all my matching magnets.. I LOVE PURPLE PAW >^..^<
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New BBA Members receive the rest of this year for free! Pay now and not only will you lock in this year's dues rate, your membership will be good through the next program year (August 31, 2016). Learn More!
The BBA's Public Service blog, Beyond the Billable is your one stop shop for everything Public Service at the BBA. Check it out here.
On Thursday, November 21st, more than 100 lawyers and judges convened at 16 Beacon Street for a joint program put on by the Massachusetts Black Lawyers Association and the Boston Bar Association's Diversity & Inclusion Section. Guests at the informal reception included African American judges of the Massachusetts Trial Courts, Appellate Courts and Administrative Courts, as well as diversity leaders across Boston. See the photo album here.
A few notables in the crowd included:
The event was a smashing success, but don't just take it from us, or the photo album. Here's what newly elected Judge of the Boston Municipal Court Serge Georges and MBLA President E. Abim Thomas (Goodwin Procter) had to say:
"Having the support of bar associations like the BBA and the MBLA is important to encouraging diversity in the judiciary. Not only can you get mentorship and guidance in developing excellent legal skills in order to be positioned for judicial consideration, but you also get practical help in preparing for the judicial application process itself with application review and interview preparation, many times with former members of the JNC. I was very impressed to see the presidents of the BBA, MBA and MATA all at the event, which certainly underscores their commitment and support to a diverse judiciary as well."
If you missed this opportunity to celebrate with the MBLA, our Affinity Bar's and the BBA Diversity & Inclusion Section, don't miss the "Mix and Mingle" Holiday Reception on Thursday, December 12 at 6:00pm.
Wednesday, May 6, 3:00 PM
Saturday, May 9, 9:00 AM
Tuesday, May 12, 4:00 PM


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GYM MEMBERS and staff ramped up the red and worked up a sweat to help a leading charity.
A total of 26 fitness classes and various fund-raising activities were held in a week at Arrow Valley Health Club to raise money for the British Heart Foundation.
Staff member Ashley Southall even wore a red mankini in the spinning classes to raise additional funds, bringing the total to nearly £250.
Fitness trainer Daniel Cuniapen said: "We got involved because regular physical activity and keeping fit can help prevent heart disease. Last year the BHF helped to fund a defibrillator for the club and we wanted to continue to support the vital work the charity does.
"We had a lot of fun and are really pleased to have raised over £245 for the BHF and have helped continue to fund the vital research needed to fight heart disease."
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text: Quality of Life Migran and Non Migrant: Social Conflict Potentials (Cases in Yogyakarta City)? 1) Umi Listyaningsih 2) Abstract Urbanization is a rational economic decision considering the much better opportunities and economic facilities that are more promising than those in a village. For the city development, the arrival of migrants is beneficial seen from the aspect of the availability of cheap and productive labors. However, migrants with limited skills will only create new problems in cities. Crimes, the growing of the slums, and the development of informal sectors will be unavoidable. On the other hand, there are migrants with good skills that will become hard competitors of the non-migrants. Economic gap, resources management injustice, and social jealousy are important factors in triggering social conflicts. Nevertheless, in Yogyakarta, the miniature of Indonesia, with its various ethnics and cultures as well as the different live qualities between migrants and non-migrants, the migrants and non migrants can live side by side and respect one another. How could this happen? Introduction City inhabitants in Indonesia develop rapidly. In 1990, the total number was 31.1 % and in 1995 it was 35.9 % of the total number of Indonesia inhabitants. In 2003, the total number of city inhabitants reached up to 55.5 % 1 Paper presented in Summer School Program of Cologne University Germany, 16-29 October 2005 2 Teaching staff of Geography Faculty of Gadjah Mada University Yogyakarta 1 (BPS, 2004). The development of the city inhabitants relates with the economic rational as the main consideration to move to another place. The needs to survive force people to leave their villages to seek for better economic opportunities. Research finding written in Sinar Harapan in 2004 showed that the migrants could always get better income in city than in village although in city they only did least skilled work. Cigar collectors, shoes polisher or paper collectors earn twice or three times as much as their income in village. The gap in income leads urbanization as a rational decision. However, it should be noted that although urbanization is a rational decision for the migrants, it is a big problem to the city development. Uncontrolled urbanization will eventually bring bad effect to the city development. Urbanization will create employment problems either unemployment or half unemployment which will be followed by the development of informal sector activities. These activities will trigger the grow of the slums and squatter as the representation of poverty symptoms since most of the migrants live subsistence. One of the effects of the raise of inhabitants is the inability to fulfill the public service (education, health, social, or religion facilities) of city inhabitants. Another is the raise of the demand of city needs that are not appropriate any longer. The rapid raise of inhabitants and the low industrial employment in cities cause urbanization in Indonesia as "urbanization without industrialization", "over urbanization", or "cities inflation" (Potter and Lloyd- Evans, 1998; Suharto, 2002). This phenomenon refers to the condition in which cities develop rapidly but there are no equal available employment opportunities especially in industrial and service sectors. As a result, the migrants who left their villages without adequate skills will not get employed in the modern sector of the cities. Later, they work in cities informal sectors with 2 low productivity, low wage, bad working condition, and without social guarantee. As a matter of fact, the main problem of internal migrant workers closely relates with the condition of cities informal sector often referred as "underground economy". For instance, those who work as vendors often face problems of condemnation, low capitals, conflicts with the local inhabitants, conflicts with others public users (pedestrians, public transportation drivers, car owners, shop owners) and conflicts with security officers. Economic pressure is one of the factors that can change human being characters. Those having love qualities, rights appreciation and society responsibilities will lose them; those qualities will be replaced by social norms breaking. Inhabitants are too concentrated to do economic activities. As a result, they ignore a lot of social responsibilities resulting in indifferent or even suspicious. Economic gap is one of the causes of society conflicts. The success of the migrants because of their hard work is seen as a threat of resources power. The native inhabitants will be marginalized because of the limited competence; they are not competitive enough in city life. On the other side, the failure of the migrants is followed by unemployment and poverty phenomena; they are the causes of crimes and discomfort of living in cities. Condemnation with a reason of orderliness is often conducted; it soon becomes a cause of inhabitants' conflicts. In a competitive economic atmosphere, those who are successful will regard gap as a usual thing. However, those who are left behind will regard it as injustice. Economic gap as the cause of the development of social jealousy between the native inhabitants or non-migrants and the migrants is a time-bomb which can explode as a conflict at any time. Despite, conflict potentials are also 3 caused by the culture shock between the native inhabitants and the migrants who try to maintain their previous culture. Exchange ending in Competition The arrival of the migrants causes a movement in relation patterns of migrants and indigene from exchange relation pattern to competitive relation. This movement happens when area development brings about a gap between the availability of the employment and job seekers. According to the Census conducted in 2000, around 93.58% of employment batch in cities have worked and the rests are categorized as job seekers. Around 45 % of employees in cities work in informal sectors (BPS, 2001). Is the employed employment batch able to make ends meet? How is the productivity? The arrival of migrants in some economic sectors becomes complement (causing exchange) because of the rareness of the local employees that are available for these sectors. However, most of the economic sectors become competition arena between the local inhabitants and the migrants. In this arena, the indigene must compete with the migrants to fight for the limited employment opportunity. In some cases, it can be seen that the migrants have stronger competitiveness. This condition cannot be separated from their early will to leave their native place to get a better economic life. Economic pressure in the native place is a strong motivator to do maximum efforts to get optimal result. The following is the statement of one of fried noodle migrant sellers in Yogyakarta. I am not ashamed working like this; the most important is that it is legal and the villagers (in Purwokerto) do not know what my work is. What they know is that I am working and whenever I go back I can bring some money to treat my 4 friends. To make a comparison, selling fried noodle is better than working in a rice field. I do not have to work hard. The success of the migrants cannot be separated from the roles of the previous migrants. There is a convention that the previous migrants are responsible of the life of the following migrants in the city as long as they have not been able to be economically independent. The previous migrants should at least give a place to sleep, food, or employment information. Some migrants often held apprentice program to the previous migrants work. No wonder it can be found that migrants have the same work when they have the same origin. Friendship and local ties will get stronger and even stronger when there are social activities established by the same migrant from the same origin. (I am Salimin from Wonosari). When I first went to Yogya, I stayed in mbak Jainem's house. There were three people at that time; I was the only man. My two friends became housemaid. I was the only one who continued mbak Jainem's business of selling bakso (meatballs). At first, I helped her to cook or sell than I was given a pushcart and its contents to sell bakso mobile; mbak Jainem may have seen that I was able to sell on my own. Finally, I sold bakso mobile, but because I was tired of mobiling I decided to sell bakso permanently. Mbak Jainem said up to you and if it is possible the location can be near the hospital, my place now. She herself helped me obtain the permit and ask permission to other bakso vendors as there are many sellers. Meanwhile, the non-migrants who have limited skills must be able to start their own business and show their potentials to the migrants. There is a tendency that company owner would rather employ the migrants with lower wage to the non-migrants. Besides, the social cost of the migrants is lower than the non-migrants that will affect to the working productivity. The following is the statement of a rumen contractor in Sleman. Most of his employees are from Bantul and Klaten Central Java. 5 Our advantage is that they work more seriously because they are away from their family. Besides, when we are on the deadline, time is not a problem. Working until night is not a bi deal; it is an advantage because they can get overtime payment. On the other hand, if the employees are the local people, they talk a lot especially in breaking time. The time can be longer since they can go home, have lunch, or talk to their neighbors. When there is a social activity such as wedding reception or funeral, they will ask for permission. Capital logic that pays attention to economic benefits causes the capitalists either non-migrants or non-migrants tend to get employees that can be paid cheap and do not create loss to the capital accumulation. Decision to get cheap employees causes capitalists to seek for migrant workers because they are willing to get lower payment than the non-migrants. Besides considering the economic rational, the choice of migrant workers is also done based on ethnicity suspect. To the capitalists, it is more beneficial to hire migrant workers than the non-migrants because the indigenes "take a lot of holidays". This stereotype appears as they have to take apart in the custom and religious activities. A lot of economic competitions, either at the level of capital owner or employees create several phenomena that strengthen ethnocentrism. Ethnocentrism appears from the perception of the threat to the identity of Balinese from the migrants. Non-migrants will feel that they are not secure and in threat of the arrival of the migrants. Either direct competition or indirect competition not only happens in fighting for the employment opportunity but also in capital competition. The local capitalists will compete with other capitalists from other areas. The development of social facilities such as education, religion, and tourism is followed by the development of economic facilities. This condition will directly affect the land usage, from farming sector becomes settlement, 6 education, or economics. The establishment of Indonesian Islamic University in North Yogyakarta has motivated the development of boarding house, service units such as food stall, telecommunication kiosks, shops, or Laundromats. This changing directly affects the raise of land price because of the demand of the needs. The following is an example of the raise of land price in Sleman that is in Krapyak Village, Ngentan that is bought by a migrant from Central Java. I bought this land in 1998 for 80.000 rupiahs per meter square. Now (2005) this land is 300.000 rupiahs per meter square. So, saving land in Yogya is advantageous. The price grows by itself. The transformation of farming land into settlement is a response of the high demand of housing. The indigenes cannot do many things when there is an offer to buy their land with a very high price. They are willing to exchange their land and stay in another area that is remote from noise. Slowly, because of the frequent pressure, local economic activists will be under the control of the migrants who have higher performance and spirit compared to the non-migrants or native inhabitants. In this condition, domination and marginalization are in progress. In micro scale, the process of replacement of traditional sectors previously under the control of the native inhabitants of a certain community is happening. Land, garden, rice field of the indigenes will belong to new owners; the same thing happens to their settlement which is gradually isolated or marginalized. Traditional markets start to be managed by the migrants who have better skills in selling. As a result the indigenes will be the guests in their own markets. The process will be massive and excessive resulting in the reality that the indigenes 7 become the labors in their own land; they become the buyers in their own traditional markets. Indigenes Marginalization The indigenes are the group in the society who suffer the most and become the marginal because they have to stay in the countryside or under developed villages. Productive farming land is exchanged with a sum of money from the migrants who are willing to buy in a higher price or even a price the indigenes cannot afford. This phenomenon can be found in some growing centers. The indigenes slowly move to less developed areas, and their existence in the downtown is replaced by the migrants. In a short time, the indigenes get economic advantages because of the high land price. However, if it is examined further, there is an effort of taking away the modern economic assets. The indigenes cannot take advantage of the opportunity of economic activities. What happens is the indigenes become workers or employees of the migrants. Condemnation is not only about land and building property but also social economic opportunity. Their movement to the less developed areas will certainly close the economic opportunities. How is the social and economic condition of the migrants and non-migrants? Is there any big gap and how is opportunity as the cause of the social conflict? Economic condition is distinguished into two: rich and poor. Inhabitant is categorized as rich if they are above the poverty line and the other way around if they are below or in the poverty line. Poverty line uses limit from the Central Bureau of Statistics which is counted from the income per capita in the family. 8 Table of Economic Condition based on the Migrants Status Non Migrants Migrants Economic Condition F % F % Not Poor 1.137 87.1 311 90.9 Poor 169 12.9 31 9.1 Total 1.306 100 342 100 Source: Sakerti Data Management, 2000 In general, the table shows that the economic life of the migrants is much better than the non-migrants. The number of the migrants categorized as poor is less than the number of the number of the non-migrants. On the other hand there are possibilities that between the two groups there are migrants who live with less good economic condition and the other way around. From the short observation, it can be concluded that the migrants who live in the destination area with any purpose such as education are generally from the rich. They are able to satisfy the basic needs of their children in a place not of their hometown, even with luxurious life. It can be seen from the chosen boarding house equipped with various facilities as well as the growing number of motorcycles or cars with other areas' police number. There are also migrant families who build houses for their relatives if they want to study in Yogyakarta. Migrant children study in favorite universities while the indigenes go to less favorite universities because they cannot compete economically in terms of the education fee. The high number of the non-migrants who live in a poor economic condition is closely related with their limited economic assets. As explained before, the indigenes of Yogyakarta are forced to move to rural areas with 9 agrarian life. Economic demand forces them to sell their land to the migrants and stay away to manage their land in villages. This condition is relatively good for landowners but not for farmers who do not have economic capacity when their employer sells the land to the migrants to be developed into settlement. In other words, their only income has gone. Worse, they do not have other economic businesses as they do not have the financial capability and skills. The above table explains the need for the government policy to protect the indigenes from condemnation. The limitation of settlement should be done soon considering the fact that the migrants are people with high financial capability and are willing to buy a piece of land no matter how expensive it is. If this condition keeps happening, it will ruin the land price so that the indigenes with limited economic capacity will be marginalized from the promising city life. In other words, the rich is getting richer and the poor is getting poorer and suffer. Education Opportunity Education is one of the means to improve the quality of human resources. Qualified human resources are the main capital of development. Therefore, it is not surprising that Yogyakarta as the centre of education becomes the destination of developing the human resources. It causes the migration waves to Yogyakarta increase. The high migration wave from other areas which is not equal with the migration to other areas will surely bring about social problems. For instance, the replacement of farming land into settlement because of the high demand of housing, the environmental condition that is getting worse because of pollution, the limited opportunity and other aspects that eventually cause bad condition. 10 Table of Education Level based on Migrants Status Non Migrants Migrants Education Level f % f % No Education 159 12.2 56 15.6 Elementary School 389 29.8 62 17.3 Junior High School 212 16.2 49 13.6 Senior High School 360 27.5 89 24.8 Universities 169 12.9 95 26.5 Others 18 1.4 8 2.2 Total 1,307 100 359 100 Source: Sakerti Data Management, 2000 What is meant by education in the following discussion includes formal education as well as informal education such as pondok pesantren. Informal education is categorized into other education classifications. The different number of migrants and non migrants according to the education classification based on the economic condition is caused by the unwillingness of the inhabitants to provide complete data of their income or they find it difficult to calculate the income coming from the informal work. Inhabitants' distribution based on education shows that migrants have better education than non migrants. Around 50 % of the migrants have high education that Senior High School and above whereas the non migrants only 40 %. For the elementary education, the proportion of non migrants is a lot higher reaching up to 30 % whereas the migrants around 17 %. This condition shows that the education access of non migrants is lower than the migrants. Is the condition caused by economic condition or other factors such as quality? Whatever the causes of the problems about the different levels of education 11 between the non migrants and non migrants, the condition should be of attention for the Government. The quota for people not coming from Yogyakarta should be conducted to open the wide opportunities for Yogyakarta inhabitants to access the education. In order to avoid a condition in which only the migrants can enjoy the luxury of school buildings whereas the indigenes can only watch without enjoying them. The reflection that Yogyakarta is an education centre should not only be seen from the luxury of the education facilities but also from the attitude, knowledge, and skills of its indigenes. This condition will be a reality if the inhabitants of Yogyakarta are given the opportunity to improve their skills by accessing the available education facilities. Based on the above discussion, the local government should take immediate actions to save the non-migrants from poverty or, in general, the force of the migrants. The government should issue sensitive policy for the local inhabitants. This condition is not meant to distinguish the migrants and non-migrants, but to give help to a group of marginalized people. Therefore, the role of the third party is needed so that the condition will not get worse. The limitation of land buying, settlement establishment and business opportunity should be tried in order to save the non migrants who have the less skills compared to the migrants. This condition is delivered as a worry that someday Yogyakarta will be occupied by those who do not come from Yogyakarta. The highly spirited development can only reach the migrant groups whereas the native inhabitants of Yogyakarta cannot enjoy it because of the limited access. Once again, this writing does not mean to trigger a war between the migrants and the non- migrants; it is only a matter of concern from the local inhabitant. 12 In spite of the government involvement as a decision or policy maker, the migrants care to pay attention to the non-migrants is expected. It should not be realized in the form of donations but the efforts to obey all the rules and respect all policy. For example, in the education sector, the government has set up a rule with quota system; however, with the migrants' economic capacity, they can fulfill the existing requirements although it breaks the rule. Good economic capacity of the migrants can be seen from the quality of the building where they live. There are many luxurious rented houses with all of the facilities, especially around the private schools. This condition will not happen if the migrants are not financially capable. Migrant family in the hometown even buys land and house. Some use their money to develop their business such as building boarding houses or rented houses. Most of them master the economic sector of service. Social Conflict Potentials The arrival of new migrants will definitely cause structural changing. The movement of employees from villages to cities who cannot get work in formal sectors causes the drastic deformation and greatly influences the informal sector employment. In the dimension of city management, the existence of informal sectors will cause a dilemma in the formulation of city management policy. On one hand, the Government respects the economical rights but on the other the existence of informal sectors make the city messy and uncomfortable. Many cities lose their history and culture because of the raise of the economic activities in those areas. 13 The arrival of new migrants will surely cause demographic configuration differences. The destination area previously known as a homogeny area becomes heterorganic in a certain place. Migrants' attitude in city to maintain their native culture is often shown in public ceremonies or activities that invite many people such as in wedding ceremony or family ceremonial meal. In city life where there are many people with their own local culture, there is a tendency in some groups in the society to strengthen their social status by using their native culture. It is strengthen by the existence of community organization based on place such as origin or ethnics such as Chinese Village, Javanese Village, Bataknese Village, Maduranese Village and others. According to Hugo (1978) the migrants grouping in city plays as a mechanism for the migrants to make adaptation with the new life in cities. Through these groupings, information about jobs or other activities can be obtained. It is not surprising that a company is dominated by migrants from a certain area. However, in another side, these community organizations play a role of maintaining the local culture or area where the migrants come from. The origin of the migrants is often used as the name of their settlement. The high increase of the inhabitants because of urbanization causes the imbalance between the number of the inhabitants and the city supports. The development of high employment will cause unemployment and city poverty. According to Goldstone (1999) the booming of social conflicts (in the form of ethnical conflicts) in many countries is caused by demographic factors that cause by social and economic discrimination and the limits of social mobility in one group in the society. The research finding conducted by the Demography Study Centre towards children psychological condition in conflicted areas shows that in Aceh Province 74 % of the conflicts were caused by prosperity gap and around 80 % because of injustice. Ethnicity only played 33 % of 14 triggering the conflicts. In Central Sulawesi Province, poverty played 47 % in triggering the conflicts, injustice 35 %, and religion 45%. According to Rahmah (2004) in Jakarta, the social gap in the society and the increase of the inhabitants who live under the poverty line are the causes of the increase of crimes and the fade of family ties in the society. The number of the poor increased from 7.79 % in 1990 to 8.95 % in 1998. The distribution of areas susceptible of riot, fight among inhabitants, and areas susceptible of crimes show the failure of moral education in schools and society. The phenomenon of "loe loe, gue gue" is caused by the treatments of the inhabitants who live permanently to those live in a rented house. For instance, the inhabitants' activities or the election of the leader in the community. This situation makes those living in a rented house to be indifferent with all of the activities in their community. "Indifferent is the best". In a heterogeneous culture such as in Indonesia, the potential of conflict is great. In political sociology perspective, according to Sefullah (2003), this kind of situation will create nepotism behavior that will develop into collusion and corruption. Psychologically, this matter can hide hidden conflicts that will appear whenever there is opportunity. This hypothesis has become evidence in some areas. For instance, in East Kalimantan where most of the inhabitants are migrants; some are successful. Although the migrants and the non migrants had been together for a long time in a close relationship, one day the conflicts appeared and became dangerous. One of the reasons of hiding conflicts is the jealousy towards the success of the migrants. However, it may be possible that the attitude of the migrants hurt the custom of the native inhabitants. As a result of the city development there appears settlement patterns. Real estate settlement and settlement areas that are neatly managed grow side by side 15 with traditional village patterns or the slums. Property business becomes a promising area. Developers transform farming land into settlement and build streets everywhere that reduce the green areas. Sometimes, the developers buy land through corruption, collusion, and nepotism that creates conflicts in the process of freeing the land. The inhabitants do not want to leave because of the access and public facilities consideration. The construction of luxurious houses with their high fences has destroyed the close social ties. The neighbors do not know one another even the name. The individualistic life grows well. Muhford (1990) stated that city life is the stage of many social activities. The noise of city lives colors the face of city. Kevin (1991) stated that city is an arena of conflicts coming from various interests where the existing result will affect the city development. Unreal social systems in a marginalized community will not develop well. The jealousy level between the migrants and the non-migrants will be higher because of the possible vanish of places or access that are considered as public goods. Yogyakarta and Conflict Potentials Yogyakarta is the miniature of Indonesia, where all of the tribes in Indonesia are here. It happens as a result of the high wave of urbanization especially the students. Students from outside Yogyakarta are obsessed to continue their education in Yogyakarta as the Education City. Despite the promising education factor, the comforts of life as well as the cheap living cost become the main consideration to choose Yogyakarta as a research location. There are many students' dormitories from many provinces in Indonesia, such 16 as Papua Dorm, Kalimantan Timur Dorm, Riau Dorm, Betawi Dorm and others. The number of inhabitants in Yogyakarta City grows annually in line with the increase of the number of students. Although according to Kopertis the number of private students declined in 2005, the number was greater than those leaving Yogyakarta. Yogyakarta is an education city. It becomes the main education of people from other areas to seek for knowledge in this city. In other words, the migrants who come to Yogyakarta are migrants with potentials or economic capacity. Due to the high number of population, it is not surprising that culture and ethnics in this city are various. Economically, as has been discussed before, there are two categories of migrants. The first is the potentials migrants with good education and economy. Equipped with adequate economy, they are able to dominate the economic sector of city service. The opportunity to develop property business, laundry, telecommunication kiosks, photocopy centers is widely available. It means that the economic capacity of migrants is getting stronger. The second category is the migrants with limited economic condition. As a result, they have to live in poverty and limits. The uncertainty of employment as well as the economic pressure of household greatly affect to the increase of family needs that eventually lead to social conflicts. These migrants' characters will trigger conflicts. The first group of migrants creates conflicts because of the social jealousy. Admitted or not, the exclusivity of migrants in their original Ares is obvious. Migrants' villages usually have social facilities developed by the government starting from transportation facilities, communication, education and so on. The question is 17 whether the social jealousy resulting from the social gap between the migrants and non migrants is a conflict potential that will soon explode. Research finding using short questionnaire indicated that almost all of the migrants live in harmony with the non-migrants. Migrants with their elasticity mingle with non-migrants actively take parts in social activities such as religious gathering, and security. The clear gap between the migrants and non-migrants can be neutralized by social activities. Very often, the migrants become one of the donors to decide the development of economic capacity. Secondly, there are life differences between the middle- and lower income migrants. Economic pressure that is felt together in the same community will become ties one another. Family life and mutual cooperation among the inhabitants will be clearly visible in this society. The life of helping one another among the neighbors without looking at the origin is still alive. Based on the reality that happens in Yogyakarta, there is a big question that has not been answered whether the different life qualities between the migrants and non-migrants are conflict potentials that must be alerted? If no, what factors create the comfort and peace in Yogyakarta while pluralism and heterogeneity of the society are strongly felt? Conclusion Migration or people mobility is a reflection of differences in development and economic and social facilities among areas. The more differences and gaps among the areas, the more possible migration will be. In a heterogeneous society, the differences in the local cultural systems between the migrants and 18 the local inhabitants as well as the ability to adapt based on understanding and willingness determine the emergence of conflicts. Village-City Migration with various characteristics between the migrants and non-migrants is a big conflict potential, but the existence should not be worried because there are many aspects that can be used to overcome it. What should be discussed and get attention are how urbanization can be a mechanism of social changing to be better and how the environment must be created to improve the family hood among the inhabitants in the destination area. To understand the changing tendency there must be a thorough discussion about the positive and negative effects of urbanization to the city itself and the migrants in the destination area. What factors can be categorized as conflict potentials and what condition causes the emergence of the conflicts? In relation with the existing province autonomy, the acceptance and placement of employees should use cross-province general requirements. It will encourage faster social changing and reduce conflicts caused by ethnics. The effort to improve the life quality has been marked by the inhabitants' freedom to interact with other places. The autonomy should not result in barriers which discourage the mingle of one ethnic from a certain area to others. 19 Bibliography BPS. 2001. Sensus Penduduk Indonesia 2000. Jakarta BPS. 2004. Kondisi Tenaga Kerja Indonesia. Jakarta Desaadat.com. 2003. Kebalian: Ekonomi-Politik Identitas Orang Bali Rahmah Andi, Agus P. Sari, Moekti Soejachmoen, and Bambang Susantono. 2004. Loe Loe, Gue Gue Hancurnya Kerekatan Sosial, Rusaknya Lingkungan Kota Jakarta. Jakarta: Pelangi Saefullah. 1995. Mobilitas Penduduk Desa-Kota: Jembatan modernisasi pedesaan. PRISMA: Majalah Kajian Ekonomi dan Sosial, 24(10):23-36 Tukiran. 2002. Mobilita Penduduk Indonesia: Tinjauan Lintas Disiplin. Pusat Studi Kependudukan dan Kebijakan UGM Hendrizal. 2004. Problem Arus Urbanisasi. Sinar Harapan 20


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Seattle teens become overnight guerrilla fashionistas, popular men's style company takes note & asks for advice
SEATTLE — Patrick and Kirby McDermott (yes, they ARE related to our own M.J. she's there mom!) are two well dressed high school seniors. They are so well dressed these days that their friends and even their friends' parents are asking for fashion help. So how did they do it? They discovered online and mobile men's fashion help-site Cladwell. And now the company is taking notice. The two have been asked to consult with the company's CEO and they're featured…
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Highlights VBT Tours in the Czech Republic, Austria and Germany
November 14, 2014 in Czech Europe / (0) comments
Although Austria and the Czech Republic are some of the youngest sovereign nations in Europe—having been officially established in 1955 and 1993 respectively—their rich cultures, derived from former kingdoms and empires, have been around for centuries. Fascinating cities like Prague and Salzburg exemplify the joining of the old and new as they feature an array of modern buildings standing among… Read More
Charming Accommodations on VBT's Czech Republic, Germany & Austria Biking Tour
April 25, 2014 in Czech Europe / (0) comments
The places you stay while traveling in a foreign country can play a big part of your overall travel experience. This is why we try to avoid the big hotel chains and seek out authentic, local accommodations that are centrally located and uniquely reflect the atmosphere of your destination. Travelers on our biking tour, The Czech Republic, Germany & Austria… Read More
Discover the Landscape of the Czech Republic with VBT
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The Czech Republic is a small landlocked country in Central Europe that is home to some of the most idyllic villages, mountains and rivers in the world. You'll discover the southern mountains of the Czech Republic and much more on VBT's The Czech Republic, Germany & Austria biking vacation. With diverse features from the Gothic architecture and ancient streets… Read More
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January 27, 2014 in Czech Europe Germany / (0) comments
While many of VBT's European vacations in Italy, France and Portugal visit world-class wine regions, we also have many tours throughout Germany, Belgium and the Czech Republic that give our travelers a chance to taste a variety of authentic, renowned beers from Europe. European beers tend to differ from the easy-drinking lagers, hoppy pale ales or fruit-tinged beer varieties that… Read More
Yesterday, December 5, was the 220th anniversary of the death of Wolfgang Amadeus Mozart. Born on January 27, 1756, in Salzburg Austria, the prolific composer began playing at age three and was writing and performing complete works of music by his fifth year. Influenced by his father, young Mozart spent a good deal of his youth Touring Europe, astonishing audiences… Read More
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