Transitioning from the hospital and working for the local department of Health and Human Services as a registered nurse is a dream job. The position is first shift, with no required weekends or on call assignments of being requested to come “help out on the unit” have completely diminished. Employee insurance is provided with a nominal monthly payment and low co-payments for office and emergency care visits. Other perks include: twelve calendar paid days a year, with Christmas, Easter and Thanksgiving Day guaranteed, without the hassle of shift switching. Another perk is a state retirement and a lifetime pension plan. Never did the thought occur regarding how the government regulates healthcare delivery and the direct relationship it has on all program funding at local health departments. During my employment at the Department of Health and Human Services, every year issues arise and nurses are requested to solicit City Council members and State Officials with a letter or phone call. These notifications are designed to justify or campaign the importance of programs or request funding be continued. Healthcare delivery is constantly evolving which causes health professionals to question what circumstances lead to healthcare reform, how the nursing profession will be impacted, and imagine what the future holds for healthcare in the United States. Numerous debates over the years have focused on individuals, and healthcare providers, their relationship to each other, and
Many times, the people who are creating policies or legislation for health care reform are not the “first providers” of the health care system. As the journal article, “Influencing Health Care in the Legislative Arena” stated, “[nurses] are often the first providers to see clearly when and how the health care system is not effectively meeting patients needs;” hence, we need more nurses to take a stance in the legislative arena.
The four spheres of political action in nursing as mentioned by Mason, Leavitt, and Chaffee (2011) includes the workplace or workforce, the government, the organizations, and the community. The authors further stated that although the four spheres overlap at times, the action performed in any one of these spheres can cause a reaction in any of the others. Nurses are a part of the community in which they live and can influence health and social policy within their workplace, which can have a profound impact on the organization. Furthermore, the government can pass health care policies, which in turn causes the organization to change their policy. Thus, affecting healthcare providers in the workplace and the community at large. An example of
It has been said that one cannot know where he or she is going until he or she knows where they has come from. This saying is especially true when discussing the current model of the United States healthcare system. The present day model of the United States healthcare system is the culmination of two hundred years of constant evolution due to ever changing societal norms. America has been in the forefront of major transformations throughout history and there have been integral factors that have been the catalyst for these changes. “Changes driven by
NURSES AND OTHER STAKEHOLDERS’ INVOLVEMENT IN THE DEVELOPMENT AND IMPEMENTATION OF HEALTHCARE POLICY IN THE DISTRICT OF COLUMBIA: CASE SCENARIO THE AFFORDABLE CARE ACT
The government plays an important role in influencing nursing practice. For instance, the government sets policy for the regulation of health care and health care providers. Third, the professional organization sphere focuses
Healthcare and healthcare reform are hot topics of debate in today 's society. As the population grows and life expectancy increases, the nation faces many challenges in providing healthcare benefits to the people.
The article that I selected for this week’s review focuses on the reaction of hospitals over the most recent draft of the GOP healthcare bill, The Better Care Reconciliation Act. The bill stands to generate major cuts to Medicaid funding. The bill, which was just released today, is already drawing up skepticism and opposition by hospital groups. Rick Pollack, president and CEO of the American Hospital Association, stated, “If enacted, the Better Care Reconciliation Act would mean real consequences for real people — among them people with chronic conditions such as cancer, individuals with disabilities who need long-term services and support, and the elderly" (Leonard, 2017). Those who are in most need of healthcare services and are on Medicaid
plans. Currently the debate in the United States is in regard to the quality of care provided by
There are many sides to how one may view the current health care system. Patients, Providers, and Government all have their idea as to how things should be taken care of when it comes to the policies and the finances involved. Unfortunately these groups don’t always see eye to eye in the methodology. This essay is about one Chiropractors opinions in regards to Government and health care system, the ACA involvement and Obamacare, and the providers’ role in health care and with the vulnerable population.
On March 23, 2010, the Affordable Care Act (ACA) or “Obamacare” was signed and put into effect (DiMichele, 2017). From then to now, many people in the United States are split from fully agreeing to completely against this certain reform. Throughout different types of research and speaking to an interviewee, I have found multiple reasons that the ACA is good and why it can be bad (or Pros and Cons). One important pro that I found was that with Obamacare, anyone can have the choice of their own Physician or place of care for their needs, then just being able to get care from an Emergency Room (ASPA, 2015). This lets the patient have more freedom to make their own decisions based on their own healthcare and what they
Healthcare in the United States is facing numerous issues within the current and future turbulent times. I believe that two major issues are the disparity of provision of healthcare to varying societal groups as well as the projected shortfall of healthcare providers to adequately service the population in general.
In recent years a strain has been noted in the patient provider relationship due to the implementation of the Affordable Healthcare Act-- a governmental measure intended to provide a national health care coverage plan to create cohesion of the healthcare process. This
One of the conflicts that arise in health-care from a conflict perspective is the focus of the provider and is the provider functioning as a scientist or a care giver. Are there objective versus subjective concerns for the patient and is the health care provider treating the disease or is the provider treating the person? The conflict that arises between health-care provider and patient is vastly influenced by the patient’s cultural and social beliefs.
The United States Health Care system has evolved from the home visit by the town doctor concept, to a more complex system of regulatory agencies, policies, rules and regulations that govern the practice and art of medicine. It is a system in which billions of dollars have been budgeted and dedicated to ensuring the country is delivering affordable, quality care. The ultimate goal of the U.S. system is making sure quality care is accessible to its consumers and is value added care that will result in clinical outcomes aimed at reducing the nation’s mortality rate and increasing or extending the average life expectancy. In
Healthcare Reform has been and still is a highly debated controversial political issue in this country. It has been a hot topic of past presidential campaigns, with many proposed solutions, none of which were enacted upon by Congress. The Affordable Care Act (ACA) was passed in 2010. This law or Obamacare, as it is commonly called, was designed to cover the 48 million Americans, including about 1 million in New Jersey who did not have health insurance. It is envisioned to provide seamless, affordable, quality care that is accessible to all. Great emphasis will be placed on transforming our current “sick care” hospital system into a community “health care” system of prevention and health promotion. This paper discusses the evolving and future roles of nurses under the new system. It also examines the proposals of a joint committee made up of members of the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF), as an initiative to help nurses in their new leadership roles to a healthier nation.