The Main Reasons Why People Travel

There are two levels of answers to the question of why people travel. The first is the obvious one, and probably the reason we give ourselves and quote to others. We travel so that we can see sights, experience other cultures, attend events and learn more about the world.

These are exciting reasons. But there are deeper reasons for traveling that have less to do with what we do when we travel, and more to do with what traveling does to us . These five sets of changes to ourselves are at the heart of what makes travel so compelling.

Travel Enriches You, Before, During & After

The anticipation of a trip is almost as stimulating as the trip itself and the memories afterwards. Knowing what you have ahead, and imagining it in detail, lends excitement to life, and relieves the tendency to fall into a workaday rut. The more detailed the image of the trip, the more a future trip will excite you in advance.

During the trip itself, daily life can be intense. Living in these moments fully, and noting everything around you, makes for heightened living. Clearly, this kind of intensified experience is a quality of a style of travel that takes you beyond the bus and out into the streets and squares, landscapes and waterways, of the places you are visiting. Independent travel is a world apart from "contained" travel.

Travel Broadens Your View of the World

Through travel you gain a framework for the history and significant touchstones that brought you to your current life and point in time. Now you are standing in the evil Borgia pope's office, surrounded by the very walls that contained the man with sufficient power to write a Papal Bull-a mandate-that claimed all the wealth of the Western Hemisphere for Spain and Portugal, and secured it for the next 200 years. As you pause in the spot where that happened, the events and significance come alive with new meaning.

Now you are looking down at the stairs that lead to a tunnel connecting the home of Leonardo da Vinci with the royal palace across street. It was through this tunnel that King Françoise traveled to sit and talk with his genius friend. And now you are in Bayeux, where the French William the Conqueror built his naval vessels to cross the English Channel and claim the throne of England.

Each of these experiences broadens your view of the world and your firsthand sense of time and place.

Travel Makes You More Vibrant and Interesting

Travel gives you something to look forward to … to prepare for … to study for … and later to share. You will bring home stories. Life can get somewhat monotonous if you let it, particularly after you retire and your work life ends. Anticipation is worth at least as much as the trip itself and the memories that follow the trip.

How much better to have travel stories and observations to share then to have your conversation limited to your latest doctor visits and your frustrations with the weeds in your lawn.

Travel Re-Energizes You

Travel, and the anticipation of travel, recaptures your enthusiasm. You look ahead with excitement instead of experiencing the dulled-over feeling that comes from repetition and routine.

Travel challenges you to be at your most effective and focused level. Comfort zones may be comfortable. But it is good for you to be taken out of your comfort zones regularly. Otherwise, your social skills can begin to atrophy, and your ability to think on your feet and solve problems may decrease due to disuse.

Travel Improves Your Health and Well-Being

Travel gives you a reason to stay healthy. And it keeps you sharp longer! The challenges of travel test your acuity on a daily basis. Travel can be demanding, especially if you are not being "led around by the nose" on a group trip. You know you will need to be on your toes – to be situationally aware – to pay close attention. You will need to walk extensively, including up and down hills and stairs.

Generally by the time you return home from a trip, you will be in better shape than you have been for months, or even years. And if you begin immediately to anticipate another trip ahead, you will have a genuine incentive to keep up these improvements and be ready for the next time.

Changes and Benefits

These changes and benefits to you from travel can become permanent ones. Your life will become punctuated with enrichment, you will think more broadly. You will find yourself incorporating deliberate lifestyle changes learned during travel. You will be more vibrant and interesting as you are periodically re-energized. And you will experience enhanced health and well-being.

All things considered, this makes travel a bargain.

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Medical Billing Services – Choose Wisely

It's not news nowadays that healthcare providers are heavily outsourcing their medical billing services to professional companies to look after their medical billing and collections. A number of physicians, hospitals, nursing homes, urgent care centers, laboratories, DME companies, and other entities associated with the healthcare industry have realized the need for professional handling to regain focus on revenue recovery mainly through the reduction in operational costs.

There lies another challenge ahead – to find out the proper medical billing service, which can provide you with the solution you are looking at your budget. It is extremely important to research rigorously by self-defined parameters for selecting the desired service. However, some common factors that can be broadly considered essential for most healthcare providers can be discussed:

Points to Ponder

Some basic points that cannot be overlooked in your search for the desired medical billing assistance will include the following:

Accurate and efficient service : Go for the medical billing services that can take the onus of all your billing collections – accurate, complete, and timely payment from the third party payers and patients through latest technology to attain maximum efficiency in the system.

Excellent references : Revenue is the key focus and you need more business for that and for more business you need more references. Look for medical billing services that have enough experience and reputation to provide you excellent referrals from physicians.

Expert coding : Coding is one of the most important aspects of medical billing in this time of EMR and EHR technology. Sought medical billing services that can provide you with the required expertise in ICD-10 coding. Due to an absence of certified and experienced coders in their in-house team, most of the practices suffer from common coding issues like:

o Unbundling : Unbundling involves listing of different billing codes for charging for services falling under one billing code. This results in bill getting inflated because the items that should have been been filled as a package rate get billed separately.

o Balance billing : This coding error arises when the balance bill sent to the patient after the insurance company price negotiation with the care provider and all of the hospital's charges are supposed to be covered under the patient's policy.

o Duplicate Billing : Another common billing error, which involves multiple bills getting generated for the same procedures or services.

Dedicated account management : Always prefer a service that provides you, experts, to dedicatedly look after your collections without any extra charge. The account managers should always be within your communication range to provide assistance during an emergency.

Flexible services : Sometimes you might need a single service like prior authorization. Choose a medical billing service that can offer you standalone services as and when required and not charge for a whole package for RCM or other packages. It should also be flexible enough to work in both the electronic and manual platforms as per the requirement.

Special edge : A great and a good medical billing service can be distinguished by the virtue of that 'something special' it offers. A great medical billing service can maintain a seamless healthcare management through cutting-edge services for the patients, providing your practice with the professional guidance it needs to complete a comprehensive end-to-end revenue cycle management. An experienced and reliable company can do the trick for you by achieving the seamless overall transitions from your time and cash stripped condition to making your practice revenue-healthy, up, and running.

Errors, both electronic and human can nag your practice from getting the desired result. Signing a really able medical billing service will provide you with the shield from those errors saving you unnecessary loss of time and money!

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If You Have an Industrial Piercing – Here's What it Says About Your Personality

At first glance a person with an industrial piercing may seem like a non-conformist, angry with the world and generally rebellious. But if that is what you see, you couldn't be further from the truth. I have spoke to dozens of people that wear industrial piercing jewelry. Here are the surprising similarities in their personalities that may surprise you.

If there is one thing that we need to learn, and I certainly have over the years, is that one should not judge a book by the cover. The same goes for judging people base on their looks or what they wear or how they wear their jewelry.

I conducted a not so very scientific experiment recently and talked to dozens of people that went through what is quite possibly the most painful type of body piercing possible, industrial piercing.

I wanted to learn if there was something common about this type of person and their personalities. Here is what I found out.

Industrial piercing is a version of body piercing where two holes are pierced in a person's ear. A single straight piece of jewelry connects the two piercings.

There are quite a few different variations to this type of piercing. They vary primarily on where the piercing takes place in the ear.

Most of these people are very proud of what they have done. It is a painful procedure and takes quite a long time to heal.

These people are interested in trying new things and not afraid to take chances. Given two roads to travel they more often will opt for the path that is non-traditional and steer away from conformity. They, for the most part, prefer new vs. old in terms of fashion and do not want to blend in. They are proud of their uniqueness.

There generally is strong right brain level of activity going on with these people and they quite often have the need to express themselves in creative ways like music or artistry.

They are quite often deep thinkers with strong opinions and much to contribute in conversations.

Depending on the type of jewelry they may wear it says something about them as a person or their mood for that day. Bright colored acrylics boast self confidence. Gold and silver make a statement of pride in achievement. Stainless steel industrial jewelry speaks of sensibility and practicality.

It's amazing what you can learn from people when you take the time to talk to them!

So the next time you see someone with an industrial piercing, or anything that may be a little different than the norm, be careful not to pre-judge.

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Confessions of a Bedroom Programmer

Sitting in the back of my brother's car clutching my brand new Atari STE I happily declared I was going to be writing my first game soon. The Atari STE came with a selection of games I was keen to play but the image of STOS the Game Creator, a programming package which came with the STE, was the center of my dreams. The thought of being able to create any game I want, limited only by my imagination. Nothing in the world mattered to me at that very moment as I dreamed of hiding away with my copy of stos basic and creating my own games. Years later I have programmed countless pieces of code, a collection of popular games still displayed on various websites and wrote many articles on programming which I proudly display on my website to this day.

Programming can be highly addictive as I soon found out. I would come home from work and aim to be locked away with my computers as soon as possible. My mother would call up the stairs to tell me family members had arrived and I would reluctantly leave my babies just to walk to the top of the stairs to say hello. If they were lucky they would get my attention a bit longer if I came down for coffee. Times when I attempted a social life my conversation would be itching to come round to computers.

I ventured into the outside world in a desperate attempt to find an interest other than computers. I joined a karate class and actually started to enjoy the first year or so there, until visions of my babies started to occupy my mind and I started skipping lessons. Then one night in the club my Sensei read out a list of people who had the lowest attendance that month and mine was the lowest with just one visit. My Sensei glared at me with anger in his eyes and said: "If I want to go on my computer then get knotted" or words to that affect.

I have to confess that I am an addict when it comes to computers. It came to the point where I decided to leave karate class and spend more time at home hidden from the world – just me, my computers and endless cups of coffee which I would make just to have a reason to pop downstairs and see if my family are still there.

I discovered I had the programming bug at school when we learned how to type out simple programs on the BBC micro. Using drawing commands to draw simple shapes but it was enough to wet my appetite for programming. I got myself a Spectrum 48K and was soon learning basic commands, enough to write a small and simple adventure game.

Years later I was programming in STOS on the Atari STE and Amos on the Amiga 1200 and this became a big part of my life. My social life was at a minimum; often I had to push myself. I hated the idea of ​​dealing with any situations outside of the bedroom. I was in danger of becoming a real loner who would happily shun the society and live in my own private world where people are pixels.

CONCLUSION

Thankfully I have improved over the years and have a better social life. However I found I am still happier being at home with my wife and my PC. I don't have any regrets that I did not spend more time in the outside world. But I will still like to remind others that programming is a very addictive hobby and can lead to you become a sad git like me.

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American Health Care Trends: Old, Fat and Lazy

The recent AMA Executive Summary "Health in the United States: Health Care Trends" contains both a little hope and a lot of gloom.

Population Trends

By 2050 the segment of the population over 65 will double from today to 83.7 million. This means that the prevalence of chronic illness will rise dramatically. Since 1990, smoking has decreased from 29.5% to 18.1% of the adult population. Probably as a result, stroke has declined 34%, heart disease 27%, and cancer 17%. This sounds good but …

Fat and Sluggish

Since 1990, the obesity rate in adults (defined as BMI over 30) has increased from 12% to 29.6%. During the same time diabetes increased from 4.4% to 10% of all adults. Not old adults, all adults. The CDC predicts that by 2050, thirty percent of adults will have diabetes. As a result, obesity is now the leading cause of heart attacks. Physical inactivity is a major reason. Only 21% of adults get the US Department of Health and Human Services recommended 150 minutes of exercise weekly. My observation is that most get no exercise. Many employers now offer wellness programs that give financial rewards for healthy behaviors. This could be a big step in the right direction. Of course, punitive actions denying health insurance to the morbidly obese or uncontrolled diabetics could also be coming, especially if the federal government leaves the health insurance business to private companies.

Is There a Doctor in the Zip Code?

The AMA reports that primary care doctors are closing their practices and either retiring early or moving to non-clinical areas like insurance, quality management, the pharmaceutical industry or even medical informatics. Since the demand for health services will increase dramatically, an increasing percentage of primary care will be provided by PAs and Nurse Practitioners. I expect they will have increasing independence. This is not necessarily a bad thing, many of these caregivers are excellent and offer compassionate and comprehensive care. A possible byproduct of this trend may be an increase in demand for referrals and subspecialty care, such as sending diabetics to endocrinologists and COPD patients to lung specialists.

Take Responsibility or Someone Else Will

A dystopian future looms where the cost of medical care is greater than our resources can manage. In this rather terrifying situation, someone will have to be denied services, probably either the powerless or those who refuse to adopt mandatory health guidelines. It hasn't come to that yet. We still have time to make recommended changes in diet and activity. Remember, who could have predicted everyone would stop smoking?

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What Do You Do When You Have An Emergency In Spain?

Emergencies do occur – If you found yourself witnessing or involved in one would You Know What To Do?

The 'standard' emergency number in Spain is 112 . Not 999 or 911 .

An alternative for Guarda Civil (Local Police) only is 602 .

In addition to knowing what numbers to dial – you need to know what to say.

The sections below show some useful words & phrases – the English version shown in italics while the Spanish version is shown normal.

If you have a specific medical condition I would strongly recommend that you research, translate it and add it to this list.

Note: Due to platform constraints not all of the syntax of the Spanish versions of the words can be produced.

GENERAL WORDS AND INSTRUCTIONS

Help! ==> Socorro!

Fire! ==> Fuego!

Bomb! ==> Bomba!

Run! ==> Corre!

Stop! ==> Para!

Look out! ==> Cuidado!

Get down! ==> Al suelo!

Danger! ==> Peligro!

Rape! ==> Violacia!

MEDICAL

I am injured ==> Estoy herido

I feel ill ==> Me siento mal

Please call an ambulance ==> Llame una ambulancia por favor

I have an allergy to (eg penicillin) ==> Tengo alergia a (la penicilina)

I have problems with (eg my heart) ==> Tengo problemas de (corazon)

I need my medication ==> Necesito mis medicamentos

EXPRESSIONS

Do you speak English? ==> Habla ingles?

I need … ==> Necesito …

… an ambulance ==> … una ambulancia

… a hospital ==> … un hospital

… to go to the accident and emergency unit ==> … ir a urgencias

… a doctor ==> … un doctor

… the police ==> … la policia

… the fire service ==> … los bomberos

… a pharmacy ==> … una farmacia

I need to report a crime ==> Tengo que hacer una denuncia

Can I use your phone please? ==> Me permite usar su telefono por favor?

It is an emergency ==> Es una emergencia

I have been robbed ==> Me han robado

I have been attacked ==> Me han atacado

I have been raped ==> Me han violado

There has been an accident ==> Ha habido un accidente

I have lost my money and passport ==> He perdido mi dinero y pasaporte

I do not have any identification ==> No tengo identificacion

GENERAL

Drive safely ==> Conduzca con seguridad

Fasten your seatbelt ==> Abrechese el cinturon de seguridad

Wear a helmet ==> Use casco

Drink sensibly ==> Beba con moderacion

Not drinking water ==> Agua no potable

Keep your belongings safe / in sight ==> Mantenga sus pertenencias a la vista

Do not enter ==> No entrar

Do not swim / dive ==> No nadar / No tirarse al agua

Please ==> Por favor

Thank you ==> Gracias

Of course it is fine having a list of Spanish words and phrases to use should an energency occur – but to be understood in Spain you must have some idea of ​​how to pronounce these words. This is beyond the scope of this article – follow the link in the resource box for more help with this.

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Can a Founder Be Dismissed From the Motorcycle Club?

Motorcycle clubs are institutions whose members pledge themselves to life-long brotherhoods bound by a shared passion for the motorcycle riding culture and membership in an all-encompassing external family.

The local environment where several MC Nations frequent is known as the MC Set. The Set comprises all the club houses, bars, parks, gathering spots and other areas of operations where these clubs meet, greet, and associate.

MC Nations are governed loosely by a universally accepted set of spoken, but vastly unwritten laws known as MC protocol. This protocol binds all clubs together to freely associate as disparate organizations in peaceful co-existence. This peace is maintained because MC protocol demands that mutual respect and common courtesy are shown to all MC's and their members. Generally if MC protocol is followed, it works and peace is well-maintained.

Internally MC's operate by a set of laws called bylaws. Unlike MC protocol bylaws are almost always written. The bylaws are the contract between the MC brotherhood, full patch brothers, prospects and associates of the club. The bylaws generally follow the same unwritten MC protocol that governs the Set but also define operations, traditions, rights, responsibilities and privileges within the brotherhood specifically. These subjects may vary radically from club to club. For example, unwritten MC protocol demands that all MC officers are elected to office by a club vote and will stand for reelection yearly. But an MC's bylaws may allow such elections to take place more or less often.

Where MC bylaws run along the lines of MC protocol brothers are usually satisfied and enjoy prosperous and successful careers within the MC. However, when MC bylaws run afoul of accepted MC protocol internal issues often arise to the point where clubs experience conflict, civil wars and ultimately club splits.

Such is the case when founders of today's pop-up MC's create bylaws that advance their agendas and not necessarily the agendas of their clubs. This has become a repeated symptom often seen by the explosion of new clubs on the Set in recent times. Many new so-called-founders have abandoned the spirit of bylaws that project the greatness of the MC, to instead attempt to hang on to their status, titles, and privileges forever, instead for only as long as the club will keep voting them into office. They often catch unsuspecting prospective brothers by surprise who are not familiar with basic MC protocol when they join these new clubs and are not savvy enough to thoroughly vet the bylaws or ask the kinds of questions that would expose this silliness before they join.

One of the tactics employed by these scurrilous founders is to surreptitiously trademark the MC's name and logos under their names and not in the name of the MC corporation. Then when they run afoul of the members, who may elect to remove them from power, they run to court and stop the brothers from removing them or legally force the brothers to turn over their colors and instead kick them out of the club! In this way they try to hold on to the reins of power within the MC for lie.

Understand that this is not the way of MC protocol. Protocol dictates that the club is run by democratic vote and all matters must come before the voting brothers. It really does not matter if a brother was a founder, "First Nine", "Original 7" or any of that. Those are titles for the front of the cut. They should only be recognized as what brothers may have done to help the MC prosper. Those patches will never equate to the back patch colors that signify what the club stands for and who its members are. Unless the MC deems it there are no "Presidents for Life" and the MC does not ever "belong" to the founder, even if he put it all together, designed the patches, and made everything happen. When the founder (s) offers the MC to others it becomes the property of the collective and no longer belongs to one. Founders must realize that their "baby" became our "baby" when they included us in the club.

So, yes the founder (s) subject to discipline. Yes the founder (s) are subject to dismissal from the club and no the founder (s) does not have the right to take the MC from the members. This may not be true legally but it is true within MC protocol. Prospects will do well to investigate to find out how their prospective clubs are setup before they join, and brothers who are in clubs configured as such should mount pressure upon the leadership to change these bylaws until they are changed to reflect what is right, according to MC Set protocol.

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Motivation – Internal and External Motivators

Internal / Intrinsic Motivators:

Your motivation to accomplish your goal comes from within. It is determined by your personal values ​​and goals. The drive to do something because it is interesting, challenging, and absorbing is essential for high levels of creativity. Enjoyment based internal motivation is the strongest and most pervasive driver as is a belief that it is a good or right thing to do. Often it is something we pursue even without a tangible result.

• Examples: Reading a nonfiction book because you are curious about the topic, or playing chess because you enjoy effortful thinking are internal motivation examples.

With internal motivation, it is much easier to stay motivated. Trying to find some internal value in everything you have to do can improve your overall performance and pleasure.

External / Extrinsic Motivators:

Your motivation to attain your goal comes from a source outside yourself. It reflects the desire to do something because of external rewards such as awards, money, and praise. People who are extrinsically motivated may not enjoy certain activities but engage in them because they wish to receive some external reward.

• Examples: The person who dislikes sales but accepts a sales position because he / she desires to earn an above average salary or selecting a major in college based on salary and prestige, rather than personal interest in the major are samples of external motivation.

It drives one to do things for tangible rewards or pressures, rather than for the fun of doing it. Performing tasks to look good or to please others can be difficult to maintain. It focuses people on the reward and not the action. In effect, extrinsic motivations can change something pleasurable into work.

When are you most effective? When are you so engaged that hours feel like minutes? What is the balance for you?

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Benefits of Leisure and Recreation

Although it may not seem so, in reality, Leisure and Recreation is the largest industry in the world. The benefits of leisure and recreation as an important part of life are easy to see. As an industry, it offers a variety of related employment and creates billions of dollars in revenue. Workers in parks and recreation, community agencies, sports agencies, youth development organizations, non-profit organizations, rehab and hospital agencies, the travel and entertainment industries all utilize and benefit from parks and recreation facilities world-wide. Additional benefits of leisure and recreation include environmental improvements from expanding green spaces, health benefits, and personal satisfaction benefits.

There are many civic benefits of leisure and recreation activities. Sports and youth activities offer leadership development for adults and children. Strong communities are built as parks become a hub of community life. Benefits extend to all ages, childhood, youth, young adults, families, and seniors. Both care for environment and wellness through green spaces are enhanced by beauty. This same beauty helps combat stress through the opportunity for mild exercise and mediation upon natural beauty. Wilderness experiences are available in some locations.

For personal benefits, leisure activities may include:
Hobbies
Exercise
Sports
Gardening
Crafts
Health
Coping
Family Bonding

Physical benefits include increased lung capacity from sports participation, plus reducing serum cholesterol and hypertension, increasing bone mass, strengthening the spine, reducing disease, increasing in feelings of well being, reducing in stress hormones, improved attitudes and performances, and improved social skills. For childhood development, recreational areas assist in learning, can keep kids off the streets, and enhance their confidence. Studies confirm that physical activity can aid the learning process in children. Sports activities enhance large motor skill development and social skills. Adult leaders offer positive role models to children. Group sports are well known for promoting social support, networking, and developing friendships.

As if all the above is not enough to encourage support of leisure and recreational activities, consider the following additional benefits:

Stress management – the mild stress of leisure activity can reduce overall negative stress by contributing to relaxation.

Self esteem – especially in children and seniors, mild exercise, group activities, and hobbies and crafts will help create positive self images.

Positive lifestyle development – contributing to society, social interaction, development of leaders, being part of organized sports all encourage good lifetime activities.

Personal satisfaction – any creative outlet will enhance personal satisfaction. Being part of the leadership offers self satisfaction, and those who work in the recreational areas can feel the pride in keeping these areas vital and available to others.

Quality of life – fresh air, sunshine, social interaction, health benefits and self esteem all will improve quality of life.

Preventative health – regular exercise, physiological benefits from mild exercise, and stress reduction all are made easier by having leisure and recreational activities readily available.

Since the future seems to be headed for a shorter work week and more extra time, support of leisure and recreational outlets and locations would be prudent, and benefit all involved.

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The Entrepreneurial Ability – One of Society's Scarce Resources

Have you ever wondered what the 4 most important resources in any given economy are?

They go as follows:

1. Land – which includes all the natural resources that go along with it.

2. Labor- people have to work to get anything done, right?

3. Capital- probably not what you're thinking; this category isn't money! It includes tools and machinery, and any other productive item.

4. Entrepreneurial Ability- something unique and specific to people! Not everybody has this! Do you?

Isn't interesting that any given economy must have entrepreneurs! All the resources in the world, including land, lumber, minerals, food, labor, and tools will create nothing without the entrepreneur. Those innovative minds create many of the luxuries that we enjoy today; Without them, we'd be without everything!

So what exactly does an entrepreneur do?

An entrepreneur, by simple definition, takes the initiative in combining resources like land, labor, tools, and other items to produce some sort of service or product. They are the ones that start everything! If you don't have an entrepreneur, no advances in society take place; thus, making it difficult for an economy to grow and improve.

An entrepreneur is also an innovator; or, in other words, somebody who creates from given resources. They collect what is available, and put it together to form something useful for all. If you have no creativity, you may not be fit for entrepreneurial tasks.

Also, one of the reasons why the entrepreneurial ability is such a scare resource is because the entrepreneur assumes ALL of the risk. What happens if the idea flops? What then? Does his or her family end up without means to survive? The greater the risk, the greater the reward! Look at people like Bill Gates, Benjamin Franklin, Thomas Edison, and Henry Ford- these are some of the greatest entrepreneurs and in order to bring us so many great things, these men had to risk everything!

It's clear that society could not have an effective economy unless the entrepreneurial ability existed within its people.

If you have those qualities and have some ideas, don't hesitate to create! Your contributions will promote change and improvement in an ever growing economy!

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