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Being financially independent is not a choice ; today , it 's a requirement . Often , even today , it is the woman of the house who is home all day long ; in summer resort areas like the Hamptons , she is sometimes there alone with the children from Monday to Friday . Medicaid programs operated on a fee-for-service basis , but today , it is estimated that 47 percent of Medicaid beneficiaries are enrolled in managed care plans , and States continue to move to a managed care model . If it could occur today , it would be synonymous with the sin of unbelief refusing to yield to the Spirit 's conviction of Christ as one 's personal Savior . Today , it is a model centre which embraces the realization that nutritional problems do not stem only from biological and chemical processes .