Progressive Download

[Randell Magtoto]

Dementiais progressive. This means signs and symptoms may be relatively mild at first but they get worse with time. Dementia affects everyone differently, however it can be helpful to think of dementia progressing in 'three stages'.

There are many different types of dementia and all of them are progressive. This means symptoms may be relatively mild at first but they get worse with time, usually over several years. These include problems with memory, thinking, problem-solving or language, and often changes in emotions, perception or behaviour.

As dementia progresses, a person will need more help and, at some point, will need a lot of support with daily living. However, dementia is different for everyone, so it will vary how soon this happens and the type of support needed.

It is natural to ask which stage a person is at or what might happen next. But it is more important to focus on the person in the present moment. This includes their needs and how they can live well, and how to help them with this.

For more support on living well with dementia see The dementia guide: living well after diagnosis (for people living with dementia) or Caring for a person with dementia: a practical guide (for carers).

As dementia progresses into the middle and later stages, the symptoms of the different dementia types tend to become more similar. This is because more of the brain is affected as dementia progresses.

Over time, the disease causing the dementia spreads to other parts of the brain. This leads to more symptoms because more of the brain is unable to work properly. At the same time, already-damaged areas of the brain become even more affected, causing symptoms the person already has to get worse.

Alzheimer's Society researchers say there is 'no cause for concern' after a study presented a possible link between Alzheimer's disease transmission and a hormone treatment from human donors that was used in the 1980s.

Progressivism in the United States is a political philosophy and reform movement. Into the 21st century, it advocates policies that are generally considered social democratic and part of the American Left. It has also expressed itself with right-wing politics, such as New Nationalism and progressive conservatism. It reached its height early in the 20th century. Middle/working class and reformist in nature, it arose as a response to the vast changes brought by modernization, such as the growth of large corporations, pollution, and corruption in American politics. Historian Alonzo Hamby describes American progressivism as a "political movement that addresses ideas, impulses, and issues stemming from modernization of American society. Emerging at the end of the nineteenth century, it established much of the tone of American politics throughout the first half of the century."[1]

Progressive economic policies incorporate the socioeconomic principles and views of social democracy and political progressivism. These views are often rooted in the concept of social justice and have the goal of improving the human condition through government regulation, social protections, and the maintenance of public goods.[2] It is based on the idea that capitalist markets left to operate with limited government regulation are inherently unfair, favoring big business, large corporations, and the wealthy. Specific economic policies that are considered progressive include progressive taxes, income redistribution aimed at reducing inequalities of wealth, a comprehensive package of public services, universal health care, resisting involuntary unemployment, public education, social security, minimum wage laws, antitrust laws, legislation protecting labor rights, and the rights of labor unions. While the modern progressive movement may be characterized as largely secular in nature, the historical progressive movement was by comparison to a significant extent rooted in and energized by religion.[3]

Historians debate the exact contours, but they generally date the Progressive Era in response to the excesses of the Gilded Age from the 1890s to either World War I in 1917 or the onset of the Great Depression in the United States in 1929.[4] Many of the core principles of the progressive movement focused on the need for efficiency in all areas of society, and for greater democratic control over public policy. Purification to eliminate waste and corruption was a powerful element as well as the progressives' support of worker compensation, improved child labor laws, minimum wage legislation, a limited workweek, graduated income tax and allowing women the right to vote.[4] Arthur S. Link and Vincent P. De Santis argue that the majority of progressives wanted to purify politics.[5][6] For some Progressives, purification meant taking the vote away from blacks in the South.[7]

Most progressives hoped that by regulating large corporations they could liberate human energies from the restrictions imposed by industrial capitalism. Nonetheless, the progressive movement was split over which of the following solutions should be used to regulate corporations. Many progressives argued that industrial monopolies were unnatural economic institutions which suppressed the competition which was necessary for progress and improvement.[9] United States antitrust law prohibits anti-competitive behavior (monopoly) and unfair business practices. Presidents such as Theodore Roosevelt and William Howard Taft supported trust-busting. During their presidencies, the otherwise-conservative Taft brought down 90 trusts in four years while Roosevelt took down 44 in seven and a half years in office.[10]

Progressives, such as Benjamin Parke De Witt, argued that, in a modern economy, large corporations and even monopolies were both inevitable and desirable. He argued that with their massive resources and economies of scale, large corporations offered the United States advantages which smaller companies could not offer. However, these large corporations might abuse their great power. The federal government should allow these companies to exist, but otherwise regulate them for the public interest. President Roosevelt generally supported this idea and incorporated it as part of his "New Nationalism".[11]

Many progressives such as Louis Brandeis hoped to make American governments better able to serve the people's needs by making governmental operations and services more efficient and rational. Rather than making legal arguments against ten-hour workdays for women, he used "scientific principles" and data produced by social scientists documenting the high costs of long working hours for both individuals and society.[12] The progressives' quest for efficiency was sometimes at odds with the progressives' quest for democracy. Taking power out of the hands of elected officials and placing that power in the hands of professional administrators reduced the voice of the politicians and in turn reduced the voice of the people. Centralized decision-making by trained experts and reduced power for local wards made government less corrupt but more distant and isolated from the people it served. Progressives who emphasized the need for efficiency typically argued that trained independent experts could make better decisions than the local politicians. In his influential Drift and Mastery (1914) stressing the "scientific spirit" and "discipline of democracy", Walter Lippmann called for a strong central government guided by experts rather than public opinion.[13]

One example of progressive reform was the rise of the city manager system in which paid, professional engineers ran the day-to-day affairs of city governments under guidelines established by elected city councils. Many cities created municipal "reference bureaus" which did expert surveys of government departments looking for waste and inefficiency. After in-depth surveys, local and even state governments were reorganized to reduce the number of officials and to eliminate overlapping areas of authority between departments. City governments were reorganized to reduce the power of local ward bosses and to increase the powers of the city council. Governments at every level began developing budgets to help them plan their expenditures rather than spending money haphazardly as needs arose and revenue became available. Governor Frank Lowden of Illinois showed a "passion for efficiency" as he streamlined state government.[14]

Corruption represented a source of waste and inefficiency in the government. William Simon U'Ren in Oregon, Robert M. La Follette in Wisconsin and others worked to clean up state and local governments by passing laws to weaken the power of machine politicians and political bosses. In Wisconsin, La Follette pushed through an open primary system that stripped party bosses of the power to pick party candidates.[15] The Oregon System included a "Corrupt Practices Act", a public referendum and a state-funded voter's pamphlet, among other reforms which were exported to other states in the Northwest and Midwest. Its high point was in 1912, after which they detoured into a disastrous third party status.[16]

Early progressive thinkers such as John Dewey and Lester Ward placed a universal and comprehensive system of education at the top of the progressive agenda, reasoning that if a democracy were to be successful, its leaders, the general public, needed a good education.[17] Progressives worked hard to expand and improve public and private education at all levels. They believed that modernization of society necessitated the compulsory education of all children, even if the parents objected. Progressives turned to educational researchers to evaluate the reform agenda by measuring numerous aspects of education, later leading to standardized testing. Many educational reforms and innovations generated during this period continued to influence debates and initiatives in American education for the remainder of the 20th century. One of the most apparent legacies of the Progressive Era left to American education was the perennial drive to reform schools and curricula, often as the product of energetic grass-roots movements in the city.[18]

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