D ) Implementing The Public Policy

There are many take-aways I have learned from attending this course. The first take away that stood out to me from this course would be responded to my fellow classmates during group discussions. Not only did this serve as an opinion-based discussion, but I gained vast knowledge on different topics pertaining to policy advocacy. The second take away that stood out to me would have to the online skills advocacy assignment. This assignment helped me to explore several ideas and perform research on how to advocate for a population that was in need. This information would be considered as an aid to guide me during the near future to improve my skills as a social worker. The last take away that I have learned from this course would be being apart

been restricted on what they can and can’t do including signing certain documents and orders they can prescribe. With the Affordable Care Act the demand for primary care providers is growing (Gadbois, Miller, Tyler, & Intrator, 2015). This means that the need for APRNs is rising and the need change is approaching. In the primary care setting, there is a variety of medical staff working including medical assistance, LPNs, and RNs. This can become more for the APRN when delegating medication administration. When the APRN cannot delegate medication administration the quality of patient care is sacrificed and is not productive in providing care to the patients.

In order to first start a policy process, the problem for which a policy is to be created must be identified and the policy holding a solution to the problem. Researchers and stakeholders will investigate the problem to identify if the policy will reach the policy making agenda. Policies must be to improve society’s health and wellbeing. In the United States (U.S.) public health related issues that require a formulation of a new policy and come from local, state, or federal legislations which ruling govern the provision of health care services and regulations. In this

In this assignment I am going to analyse how government policies are developed, covering all aspects of the policy making process.

Birth control has been a controversial topic since the 1960’s, when the pill arose on the scene and gained popularity. Men and women of certain religious faiths have sought to prevent other women from using birth control. However, most women want to be able to choose when the time is right for them to have a child. This is why birth control is essential, because it allows women and couples in general the freedom to choose and plan their families. In many cases the need to control women by controlling their access to birth control goes all the way to the federal government. The federal government determines what types of birth control are allowed on the market and who has access to them. Some Presidential administrations look more kindly

The Affordable Care Act has brought many changes to healthcare in the United States. Some of the changes brought on by the Affordable Care Act have had a positive impact on society and some have had a negative impact. Some of the positive effects of the Affordable Care Act include better consumer protection and equality, and healthcare coverage for more Americans. Some of the negative effects include rising insurance premiums and a shortage of doctors. There is also a new set of rules under the Affordable Care Act regarding the billing of medical claims.

It has provided more Americans with health coverage, no denials for pre-existing conditions, insurance is more affordable for some but higher for others, no time limits on care, more screenings are covered, and lower perspiration drug costs (Larrat, Marcoux, & Vogenberg, 2012). The negative effects, many have to pay higher premiums and out-of-pocket expenses than before, taxes are rising to help offset the cost, longer wait times when seeing a physician, and employers are choosing to pay the penalty or cutting hours to

The Texas Nurses Association is a strong proponent of permitting APRN’s to practice with full authority using their clinical skills and education to their fullest potential (Cates, 2017, p. 2)l. The TNA is a member of the APRN Alliance, which encompasses four statewide associations (Cates, 2017, p. 2). The APRN Alliance joined forces with the Coalition for Health Care Access (CHCA). This coalition is comprised of “over 20 business, consumer-advocacy, and health care stakeholder groups” (Cusack, 2017, p. 2). Currently, APRN’s barriers include expenses associated with partnering physicians (Holmes & Kinsey-Weathers, 2016). Granting APRN’s full practice authority would results in a monetary loss to these physicians. The AMA and AAFP oppose the passing of HB 1415 (Hooker & Muchow, 2015, p. 89). The pushback from these organizations stands regardless of strong evidence of the positive outcomes with allowing APRN’s full practice authority.

Evaluating the positive and negative impacts of such fundamental reform to the health care system is filled with uncertainty. As with any new legislation, the Congressional Budget Office (CBO) required financial projections that would be shared with lawmakers and the American people. The CBO projected that “the ACA would increase health insurance coverage by 32 million people and would raise federal government spending by almost $1 trillion over the subsequent decade, but would also raise revenues and reduce spending by even more so that the bill overall reduced the federal budget deficit.” (CBO, 2010) These CBO projections have played a vital role in the on-going legislative arguments over the ACA.

In recent years our newspapers, televisions, and radios have been inundated with news stories about sexual offenders and sexual predators. Stories such as the kidnapping and murder of Polly Klass, Carlie Brucia, Amber Hagerman, and Jessica Lunsford have shocked the nation. Sex offenders and predators commit despicable acts; however, their acts seem more despicable when they are committed upon the most venerable members of our society, our children. Even with the new Jessica Lunsford legislation in Florida some citizens feel that it is not enough to keep their communities safe. Many cities are now looking at limiting the areas in which sex offenders and predators can live in hopes of protecting children. Many

Like every law, the Affordable Care Act passed in March of 2010 has its positives and its negatives. While there are numerous benefits that will come to pass due to the act, there are also several factors preventing many states from fully enacting the new requirements of the law. In fact, many are fighting the new policy. For all of the arguments centering the new health care act, the benefits offered by the ACA far outweigh the negatives. The law looks to expand coverage and care, as well as reduce the overall costs of healthcare services and will benefit millions.

As resistant as some states’ legislative and regulatory bodies are to grant APNs autonomy of practice, the damage being done by over-regulation is clear (Safriet, 1992). Physicians are forced into a position to either supervise the APN’s practice or be constantly consulted for approval of their practice decisions. Safriet (1992) described that in and of itself, this constant supervision may appear to patients that the APN is not competent to provide adequate or care equivalent to that of a physician. If the role of the APN is to bridge gaps in health care by relieving the medical establishment of some of the patient load by performing the same function as a physician in a primary care setting, it seems wholly unnecessary to restrain their scope of practice in those areas. This type of restrictions affect cost and patient care accessibility (Safriet, 1992). This was a problem stated in the article, however 25 years later, populations of patients remain unseen or cared for and APNs continue to be underutilized (Safriet, 1992). Rigolosi and Salmond (2014) cite the American Association of Nurse Practitioners (AANP) when they state that not utilizing nurse practitioners due to practice restrictions costs $9 billion annually in the US (p. 649).

In order to meet the growing demand for primary care, nurse practitioners need prescriptive authority to provide quality, safe, and cost-effective healthcare to patients. The development of nurse practitioners, plus physician shortages in primary care, leads to an increasing need for nurse practitioners and access to health care. However, nurse practitioners currently face prescription regulations for controlled substances, which limits their scope of practice. The regulation of nurse practitioners prescribing controlled substances diminishes comprehensive health care services by increasing the wait time for patients and liability claims for physicians. The number of nurse

Before the conclusion, already told about what kind of disadvantages in the Patient Protection and Affordable Care Act, how to influence people and health insurance companies, we knew about the Patient Protection and Affordable Care Act had disadvantage which costs were rising up, and in the Congressional Budget Office estimate, the tax would rise up. For health insurance companies, because they needed to face the Market uncertainty which came from the Patient Protection and Affordable Care Act, and it caused the health insurance companies profit was reduced. For people, exceeding the number of people who joined the Patient Protection and Affordable Care Act caused the quality of healthcare were reduced, and the problems which the health insurance

This is an informative article written by Maryanne Barra who is not only a Doctor of Nursing Practice but a Family Nurse Practitioner and Registered Nurse. She writes this article to bring to light her concerns of not having standardized training from state to state for Medication Assistant Technicians. She acknowledges the need for the use of this type of personal in a time that need for health care has outgrown the personal to provide the care. Utilizing individuals with a lower educational level to provide medication, frees up the RN to provide care in other areas but expresses her concern with the minimal amount of training that some of the states are requiring the technicians to obtain and how that not only puts the RN, in which the