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The cost of regulation has four elements: (1) compliance costs, (2) opportunity costs, (3) defense costs, and (4) governmental administrative costs. Defense costs are costs to defend against allegations that rules and regulations were violated. The Small Business Administration estimates that the cost of compliance, defense, and government administration in the US is about $1.75 trillion. Opportunity costs are much harder to estimate and may have a bigger impact on the economy. There are two kinds of opportunity costs: the cost of delay and the benefits forgone in connection with projects not undertaken. Regulation has a chilling effect and discourages people from taking chances on innovative products and services. For example, Goldman Sachs decided it was unable to offer Facebook shares to US investors because of uncertainty over the Security and Exchange Commission's interpretation of law and regulations. Although Facebook will eventually go public, regulatory uncertainty has created a delay of more than eighteen months at this writing. Adapted from the source document.

David E VanceThe University of Alabama School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USAAbstract: Many of us think of nurses as people who provide direct care to us and our loved ones. And that is true. Images of a selfless person such as Florence Nightingale during the Crimean War running from one wounded soldier to another providing care inspires the imagination of what a nurse is and can be. Based on that image, a nurse is anyone who cares (and from a spiritual or philosophical perspective, that may be true). But nursing as a profession is so much more. nurse is someone with a very selective skill set that can only be developed and honed by intense training, education, and discipline while being used in a proscribed ethical manner. With such a combination of skills, ethics, and caring, nurses are the backbone of health care settings, tending to the individual needs of the patients; however, many nurses also function outside such traditional settings and perform numerous functions. Nurses are educators and provide data to the public designed to improve health literacy and promote physical and mental wellness. Nurses are computer and organizational specialists who provide hospitals and institutions with the technologies for keeping, maintaining, and analyzing records. Nurses are clergy, psychologists, and philosophers providing a direction and a moral compass in how to are for patients and each other. Nurses are researchers investigating everything from developing medication for Alzheimer's disease to improving crop yields to reduce hunger. Finally, nurses are advocates and leaders petitioning for justice and beneficence of all regardless of gender, age, race, religion, sexual orientation, and nationality; and as such, nursing is political and has a global impact. Nursing is global in nature and is facing global, as well as country specific, problems. The purpose of this editorial is to provide a brief overview of what some of these problems are. As such, questions and possible solutions are considered.Keywords: nursing shortage, aging, HIV, lifelong learning, exponential knowledge growth, limited resources, burnout

Numerous studies have identified the relationship of the family caregiver's perception regarding asthma management and the child's asthma outcomes, although few have examined family caregiver asthma management behaviors. The primary aim of this study was to examine the relationship among family management behaviors and asthma morbidity as perceived by maternal caregivers. The Family Management Style Framework was used to guide the research. Maternal caregivers ( N = 101) with school-aged children diagnosed with persistent asthma and living in the United States were recruited from a specialty asthma clinic. When caregivers perceived they were expending much effort on their child's asthma management and were not confident in their ability to perform management activities, the child's asthma outcomes were worse. This is the first study to examine family management behaviors with maternal caregivers of school-aged children with asthma. Findings from this study encourage health care providers to tailor each educational opportunity with families to improve child asthma outcomes. An ongoing effort must be made to include families in asthma management. Health care partnerships between provider and family can lead to improved asthma management.