Discussion: Politics and the Patient Protection and Affordable Care Act

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Discussion: Politics and the Patient Protection and Affordable Care Act

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.

To Prepare:

  • Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
  • Consider who benefits the most when policy is developed and in the context of policy implementation.
By Day 3 of Week 3

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 3, “Government Response: Legislation” (pp. 37–56)
Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only)

Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350. doi:10.1016/j.outlook.2017.05.003
Note: You will access this article from the Walden Library databases.

United States House of Representatives. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/ 

United States Senate. (n.d.). Retrieved September 20, 2018, from https://www.senate.gov/

United States Senate. (n.d.). Senate organization chart for the 115th Congress. Retrieved September 20, 2018, from https://www.senate.gov/reference/org_chart.htm  

Document: Legislation Comparison Grid Template (Word document)

Required Media

Laureate Education (Producer). (2018). Working with Legislators [Video file]. Baltimore, MD: Author.

CAPSTONE TOPIC SELECTION AND APPROVAL

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In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

1. The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.

2. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.

3. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.

4. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.

5. Significance of the topic and its implications for nursing practice.

6. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.

You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.

Rubric

The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal is clearly and logically presented. Support and rationale are evident.

The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed is logically presented. Support and rationale are evident.

A detailed description of the project topic is clearly and logically presented. Support and rationale are evident.

Effect of the identified problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project is clearly and logically presented. Support and rationale are evident.

Topic and criteria are clearly and logically presented. Support and rationale are evident.

Eight peer-reviewed articles are presented, and each article clearly meets the assignment criteria.

Benchmark – Capstone Change Project Objectives

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Review your problem or issue and the cultural assessment. Consider how the findings connect to your topic and intervention for your capstone change project. Write a list of three to five objectives for your proposed intervention. Below each objective, provide a one or two sentence rationale.

After writing your objectives, provide a rationale for how your proposed project and objectives advocate for autonomy and social justice for individuals and diverse populations.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

RUBRIC:

Three to five objectives are presented.

Rationale is clearly provided for each objective and thoroughly explains the relationship of the findings to the topic and proposed intervention.

Well-supported rationale for how proposed project and objectives advocate for autonomy and social justice for individuals and diverse populations is presented. Advocacy for autonomy and social justice for individuals and diverse populations is clearly established.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Writer is clearly in command of standard, written, academic English.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Describe how/if the leading causes of death vary based on different demographic variables such as race

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Assignment Overview

You have just been hired by your State’s health department to help develop a health promotion program. Your first assignment is to use the CDC database, WISQARS Leading Causes of Death Reports, to find out what the leading causes of death in your State are, and how different groups within your State compare to those of the State as a whole. You will use that information to decide which determinants of health your program should focus on. *** I am living in Korea, but from Florida if you want to use that state****

Case Assignment

  1. Go to http://www.cdc.gov/injury/wisqars/leading_causes_death.html, and select “Leading Causes of Death 1999 to 2017 (ICD-10), National, Regional and State (Restricted).”
  2. For Report Options, select your State.
  3. Scroll down to “Advanced Options” and select “Top 5” as the number of causes.
  4. Look at the column on the right, labeled All Deaths, to find the top 5 causes of death.
  5. Repeat those steps, but select Race, Sex, and specific Age groups on the Report Options to see how/if the leading causes of death vary among differing demographic groups.
  6. In an essay, please answer the following:
    1. What state did you select?
    2. What are the 5 leading causes of death for your State. How do they compare with the 5 leading causes of death for the US?
    3. Describe how/if the leading causes of death vary based on different demographic variables such as race, sex, and age. Be specific about which variables you looked at.
    4. Based on the findings for your state, what 3 determinants of health would you choose as priorities for health promotion programs? Would you focus your efforts on any specific one?
    5. Please explain how those 3 determinants of health affect people’s behaviors in ways that promote well-being. How do they affect people’s behaviors in ways that hinder well-being? Give examples and support your statements with references.

Assignment Expectations

Length: 2 pages

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

Required Reading

U.S. Department of Health and Human Services. (2018). Healthy People 2020: Leading Health Indicators. Retrieved June 30, 2018, from http://www.healthypeople.gov/2020/LHI/default.aspx

U.S. Department of Health and Human Services (2016). Healthy People 2020: Leading Health Indicators.Retrieved from http://www.healthypeople.gov/2020/LHI/default.aspx

U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion (2014). Public Health Learning Modules-Module 1: Using Healthy People 2020 to Improve Population Health. Part Three: Healthy People and the National Center for Health Statistics. Retrieved from https://vimeopro.com/aptrmodules/phlm/video/75910069