Change in practice: barriers and facilitators
This paper applies Lewin's model of change to allow a healthcare organization to pilot proposed policy changes. The steps of unfreeze, or prepare; change, implementing a new plan and always making sure that there is feedback in order to make necessary adjustments; and refreeze, making the new policy permanent once all the necessary adjustments have been made is a solid formula for implementing change in any organization.
Pending Piece of Legislation
The concept of providing basic healthcare services individuals in need has undergone an agonizing transition, from a luxury once only afforded by the affluent to a basic human right granted to citizens of every economic station, and the recently enacted Affordable Care Act (ACA) was designed to finalize this ethical evolution. Reflecting perhaps the bitter political enmity currently consuming the nation's once cherished democratic process, Republican legislatures in states throughout the union have bristled at the ACA's primary provisions, threatening all manner of procedural protestation as they attempt to delay and derail the bill's eventual implementation. One of the most intriguing aspects of the sprawling, thousand page law, however, has been the stipulation that individual states will be given a choice to either accept federal funding to expand their statewide Medicaid roster, or to forfeit all federal funding for that program in perpetuity. This Faustian bargain of sorts was crafted by federal lawmakers to provide resistant states with an offer that could not be refused, but in the wake of President Obama's reelection to a second term in the land's highest office, the willingness of Republican-ran states to fall on their proverbial sword appears to have been vastly underestimated.
Book Review
Undergraduate
Government sponsored health centers and emergency response
This paper consists of the introduction chapter only of a study of the national health care systems in Australia, Canada, the United Kingdom and the United States in general and with respect to their responsiveness to man-made and natural disasters in particular. A background section is provided that examines the national health care systems in these four countries and several original graphs are included.