Patient Protection Essays (Examples)

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Impact of ACA From Organizational and Patients

Words: 1470 Length: 3 Pages Document Type: Essay Paper #: 78069405

Patient Protection and Affordable Care Act/Impact of ACA from the Organizational and the Patients view

Impact of the Affordable Care act (ACA) on the population that it affected

Impact of the economics of providing care to patients from the organization's point-of-view

How will patients be affected in relationship to cost of treatment, quality of treatment, and access to treatment?

Ethical implications of this act for both the organization and the patients

Impact of the Affordable Care act (ACA) on the population that it affected

The Affordable Care Act (ACA), as initially passed, mandated Medicaid expansion, for covering a majority of low-income, as-yet-uninsured American citizens and immigrants (with legal residency in the U.S. for a minimum duration of 5 years). The United States Supreme Court, however, in the historic National Federation of Independent Business v. Sebelius, 132 S. Ct. 2566 (2012), maintained that the obligatory Medicaid expansion proved to be unconstitutionally…… [Read More]

References

ACA. (2015). The Patient Protection and Affordable Care Act. Retrieved on 13th September, 2015 from http://www.dpc.senate.gov/healthreformbill/healthbill52.pdf

Howard, P. (2015). The Impact of the Affordable Care Act On the Economy, Employers, and the Workforce. edworkforce.house.gov. Retrieved on 13 th September, 2015 from http://edworkforce.house.gov/uploadedfiles/02.09.11_howard.pdf

Kengmana, R.T. (2015). An Ethical Perspective on the Affordable Care Act. MA: Psych Central. Retrieved on 13th September, 2015 from http://googleweblight.com/?lite_url=http://psychcentral.com/about/feedback&lc=en-IN&s=1&m=101&ts=1442202299&sig=APONPFlqjqQURNK5jFIewCvXRMJzyhz8zA

NCIOM. (2015a). Examining the Impact of the Patient Protection and Affordable Care Act in North Carolina. Chapter 7: Quality. Retrieved on 13th September, 2015 from https://www.google.co.in/url?sa=t&source=web&rct=j&url=http://www.nciom.org/wp-content/uploads/2013/01/Final-Ch7-Quality-FINAL.pdf&ved=0CCYQFjABahUKEwjv_JDfr_XHAhVIB44KHfLKAPg&usg=AFQjCNEdTlwW2QuvqN5Rn6qM31poi4lBUA
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Protection of Digital Health Information With Increase

Words: 1333 Length: 4 Pages Document Type: Essay Paper #: 1234850

Protection of Digital Health Information

With increase health information technology store access patient information, likelihood security breaches risen. In fact, Canadian Medical Association Journal (CMAJ): In United States, a whopping 97% increase number health records breached 2010-2011

Ensuring that patient information is protected at all times is vital for any health care institution. Patient information records contain sensitive information that can be used for malicious purposes like identity theft, credit card fraud, and leaking of information for malicious intent. The advancement and use of technology has made it easier for patient information to be accessed within the health care facility Shoniregun, Dube, & Mtenzi, 2010.

This increases the speed of service delivery to the patient and improves the care given to the patient. Technology has allowed for the use of portable electronic devices by the healthcare practitioners in entering and accessing patient records and information. Portable electronic devices are small…… [Read More]

References

Green, M.A., & Bowie, M.J. (2005). ESSENTIALS OF HEALTH INFORMATION Management: PRINCIPLES AND PRACTICES: Principles and Practices. Independence, KY: Thomson/Delmar Learning.

Harman, L.B., & Association, A.H.I.M. (2006). Ethical Challenges in the Management of Health Information. Burlington, MA: Jones and Bartlett Publishers.

Laurinda B. Harman, C.A.F., and Kesa Bond. (2012). Electronic Health Records: Privacy, Confidentiality, and Security. American Medical Association Journal of Ethics, 14(9), 712-719.

Shoniregun, C.A., Dube, K., & Mtenzi, F. (2010). Electronic Healthcare Information Security. New York / Heidelberg: Springer.
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Patient Nurse Compliance With Scd

Words: 1618 Length: 6 Pages Document Type: Essay Paper #: 91082263

" (Morris & Woodcock, 2004)

V. Murakami et al. (2003)

In the work entitled: "Deep Venous Thrombosis Prophylaxis in Trauma: Improved Compliance With a Novel Miniaturized Pneumatic Compression Device" the authors state that: "Intermittent pneumatic compression (IPC) devices prevent lower-extremity deep venous thrombosis (LEDVT) when used properly, but compliance remains an issue." (Murakami et al., 2003) the study conducted by Murakami et al. (2003) is stated to be a."..prospective trial in which trauma patients (mean age, 46 years; revised trauma score, 11.7) were randomized to DVT prophylaxis with a standard calf-length sequential IPC device (SCD group) or a miniaturized sequential device (continuous enhanced-circulation therapy [CECT] group). Compliance rates for all subjects were averaged in each location: emergency department, operating room, intensive care unit, and nursing ward." (Murakami et al., 2004) the study results state that: "Total compliance rate in the CECT group was significantly higher than in the SCD group…… [Read More]

Bibliography

Kehl-Preutt, Wendy (2006) Deep Vein Thrombosis in Hospitalized Patients: A Review of Evidence-based Guidelines for Prevention. Dimensions of Critical Care Nursing March/April 2006. Vol. 25 No.2. Online available at http://www.nursingcenter.com/prodev/cearticleprint.asp?CE_ID=636024.

Chang, David et al. (2002) Compliance with sequential compression device prophylaxis in at-risk trauma patients: a prospective analysis. Am Surg. 2002 May;68:470-3 Online available at http://lib.bioinfo.pl/auid:1350109.

Practice Alert: Deep Vein Thrombosis Prevention" (2006 American Association of Critical-Care Nurses Journal " Vol. 23 No. 1 January 2006.

Morris, Rhys J. & Woodcock, John P. (2004) Evidence-Based Compression: Prevention of Stasis and Deep Vein Thrombosis. Ann. Surg. 2004 February 239(2): 162-171.
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Reducing Health Disparities for Dementia Patients

Words: 1880 Length: 7 Pages Document Type: Essay Paper #: 86670398

Among the most important aspects to the health promotion plan will be the benefits associated with a care manager, who can ensure that all six core elements of CCM are implemented fully. If this is accomplished, there should be a significant reduction in health disparities for patient and caregiver outcomes across generations.

eferences

AHQ. (2012). National Healthcare Disparities eport, 2011. No. 12-0006. ockville, MD: Agency for Healthcare esearch and Quality. etrieved 16 Apr. 2014 from http://www.ahrq.gov/research/findings/nhqrdr/nhdr11/nhdr11.pdf.

Braveman, P.A., Kumanyika, S., Fielding, J., Laveist, T., Borrell, L.N., Manderscheid, . et al. (2011). Health disparities and health equity: The issue is justice. American Journal of Public Health, 101(Suppl. 1), S149-55.

Brodaty, H. & Donkin, M. (2009). Family caregivers of people with dementia. Dialogues in Clinical Neuroscience, 11, 217-28.

Castro, A. & uiz, E. (2009). The effects of nurse practitioner cultural competence on Latina patient satisfaction. Journal of the American Academy of Nurse…… [Read More]

References

AHRQ. (2012). National Healthcare Disparities Report, 2011. No. 12-0006. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved 16 Apr. 2014 from http://www.ahrq.gov/research/findings/nhqrdr/nhdr11/nhdr11.pdf.

Braveman, P.A., Kumanyika, S., Fielding, J., Laveist, T., Borrell, L.N., Manderscheid, R. et al. (2011). Health disparities and health equity: The issue is justice. American Journal of Public Health, 101(Suppl. 1), S149-55.

Brodaty, H. & Donkin, M. (2009). Family caregivers of people with dementia. Dialogues in Clinical Neuroscience, 11, 217-28.

Castro, A. & Ruiz, E. (2009). The effects of nurse practitioner cultural competence on Latina patient satisfaction. Journal of the American Academy of Nurse Practitioners, 21(5), 278-86.
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PPACA on March 23 2010 the Patient

Words: 1009 Length: 3 Pages Document Type: Essay Paper #: 73826994

PPACA

On March 23, 2010 the Patient Protection and Affordable Care Act (PPACA) was signed into law by President Barack Obama. Along with the Health Care Reconciliation Act of 2010, the PPACA became part of the overall Health Care Reform concept of 2010. The health care reform process was promoted as a way to completely transform the health care industry and ensure that all Americans received affordable health care. hile supporters praise the legislation as a revolutionary law which will benefit ordinary Americans, critics claim that the Obama Administration used the health care reform process as a means of gaining control over the entire health care system. In an attempt to compare and contrast the provisions of this new law, this essay will discuss several provisions of the new health care legislation and compare the benefits as well as the criticisms of them.

Section 5501 of the PPACA provides for…… [Read More]

Works Cited

Appleby, Julie. (2011, Jan. 10). Effort To Reward Medicare Advantage Plans Draws Criticism. Kaiser Health News. Retrieved from http://www.kaiserhealthnews.org/Stories/2011/January/10/Medpac-on-Medicare-Advantage-bonuses.aspx

"Side Effects: Obamacare Could Punish Docs for Better Quality Care." (2010, July 16). The Heritage Foundation. Retrieved from http://fixhealthcarepolicy.com/health-care-news/side-effects-obamacare-could-punish-docs-for-better-quality-care/

Gold, Jenny. (2011, Jam. 18). "Accountable Care Organizations, Explained." NPR. Retrieved from http://www.npr.org/2011/04/01/132937232/accountable-care-organizations-explained

"Health Care Reform: Annual Fee on Prescription Drug Manufacturers and Excise Tax on Medical Devise Manufacturers." (2010, Apr.). Covington & Burling LLP Retrieved from http://www.cov.com
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Patients and as it Professionals

Words: 614 Length: 2 Pages Document Type: Essay Paper #: 56347705

Examples of 'red flag' usage include logging in during odd hours (over the weekend and in the middle of the night) or unusual activity not typical of specific users. Cloud computing can also lessen the risks by making it more difficult to actively 'transport' data away from secure premises. "According to an HHS database, more than 40% of medical data breaches in the past two and a half years involved portable media devices such as laptops or hard drives" (Schultz 2012)

Q3. How can we minimize injury and harm after such incidents occur?

First and foremost, it is important to inform the affected patients of the nature and extent of the security breach. Patients can take action by putting a credit freeze on their accounts, if they are at risk for identity theft. Offering patients free credit protection might be one way to reduce anger and concern. Passwords must be…… [Read More]

References

Schultz, D. (2012). As patients' records go digital, theft and hacking problems grow

Kaiser Permanente Health News. Retrieved: http://www.kaiserhealthnews.org/Stories/2012/June/04/electronic-health-records-theft-hacking.aspx
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Protection of Proprietary Information Is

Words: 1206 Length: 4 Pages Document Type: Essay Paper #: 64022405

This education program must include all levels of the institution from the highest level of management, physicians, nurses, technicians and support staff. As much as possible, it should also include all outside vendors and casual hires.

Although employee leaks remain the primary source for the loss of proprietary information attacks on information systems by hackers, viruses, worms and the occasional angry employee are becoming an increasingly more serious problem. The actual seriousness of this problem is skewed due to the fact that most institutions do not report such occurrences in order to avoid the negative publicity associated with such breaches.

Security breaches of this nature have traditionally been relegated to the exclusive province of it personnel. It was believed that such personnel were best able to handle such problems and, for the most part, that remains the case but due to the increase in such occurrences collateral damage must now…… [Read More]

3 Health Information Privacy. (n.d.). Retrieved November 29, 2010, from Department of Health and Human Services:  http://www.hhs.gov /ocr/privacy

4 Nickels, William, McHugh, James, McHugh, Susan, (2008). Understanding Business, McGraw-Hill

5 Security Research in the Computer Science Department at Carnegie Mellon. (2010). Retrieved November 29, 2010, from Computer Science Department: http://www.csd.cs.cmu.edu/research.areas/security
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Patients With Relevant Information Required

Words: 6307 Length: 23 Pages Document Type: Essay Paper #: 62180402

Merrill, in the UK. Following his experience with heart surgery using innovating surgical techniques, the physician noted the problems he experienced in understanding all of his alternatives compared to a simpler earlier procedure, and finally trusted to the advice of his cardiologist to surgically intervene. In response to the experience, Dr. Merrill emphasized that, "As a physician talking to colleagues, I had the best information possible under the circumstances. But it wasn't the same as my hernia repair. The experience brought home to me the realization that the progress of medicine has made informed consent impossible -- even for me" (Merrill 1999: 190).

ationale of Study

Taken together, the foregoing issues indicate that there is an ongoing need for an assessment of knowledge levels of informed consent among perioperative nurses and operating department practitioners. Perioperative nurses and operating department practitioners, though, are frequently subjected to an enormous amount of stress…… [Read More]

References

Calloway, S.J. (2009) 'The Effect of Culture on Beliefs Related to Autonomy and Informed

Consent.' Journal of Cultural Diversity 16(2): 68-69.

Cobb, W.G. (2005) 'Defending the Informed Consent Case.' Defense Counsel Journal 72(4):

330-331.
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Management of Immunocompromised Patients in Beginning I

Words: 2391 Length: 8 Pages Document Type: Essay Paper #: 85496540

Management of Immunocompromised Patients

In beginning I writer specific nursing assignment. The Question: 2000 Words While clinical placement asked prepare a single room an admission. The patient requiring admission isolation room immunocompromised.

Immunocompromised patients usually require isolation in order to prevent them from becoming infected with infections from other patients which is known as protective isolation. For the immunocompromised patients, their immune system is unable to fight the infectious diseases. There are many diseases or conditions that lead to immunodeficiency in patients.

One is AIDS (acquired immunodeficiency syndrome). The pathophysiology of AIDS starts when the person's CD4+ T cell count begins to decrease as the disease kills these cells. This is HIV-induced cell lysis where the virus enters the CD4+ cells where it inserts its genetic information to the cell nucleus thus taking over the cell and replicating itself. The virus then mutates extremely rapidly thus making it more and…… [Read More]

References

Agusti, C., & Torres, A. (2009). Pulmonary Infection in the Immunocompromised Patient: Strategies for Management. New York: John Wiley & Sons.

Bodey, G.P. (2010). Managing Infections in the Immunocompromised Patient. Clinical Infectious Diseases, 40(Supplement 4), S239. doi: 10.1086/427328

Glauser, M.P., & Pizzo, P.A. (2009). Management of Infections in Immunocompromised Patients New York: Elsevier Health Sciences.

Hayden, R.T. (2008). Diagnostic Microbiology of the Immunocompromised Host. Washington, DC: ASM Press.
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Management of Osteomyelitis in the Diabetic Patient

Words: 3435 Length: 11 Pages Document Type: Essay Paper #: 7686776

Osteomyelitis in the Diabetic Patient

Management OF OSTEOMYELITIS IN THE DIABETIC PATIENT

Osteomyelitis is an infection of the bone or bone marrow which is typically categorized as acute, subacute or chronic.1 It is characteristically defined according to the basis of the causative organism (pyogenic bacteria or mycobacteria) and the route, duration and physical location of the infection site.2 Infection modes usually take one of three forms: direct bone contamination from an open fracture, puncture wound, bone surgery, total joint replacement, or traumatic injury; extension of a soft tissue infection such as a vascular ulcer; or hematogenous (blood borne) spread from other infected areas of the body such as the tonsils, teeth or the upper respiratory system.2(p807) Bacteria such as Staphylococcus aureus, Pseudomonas, Klebsiella, Salmonella, and Escherichia coli are the most common causative agents of the disease, although viruses, parasites and fungi may also lead to the development of osteomyelitis.3

Patients…… [Read More]

References

1. Stedman's Medical Dictionary. 27th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2000.

2. Butalia S, Palda V, Sargeant R, Detsky A, Mourad O. Does This Patient With Diabetes Have Osteomyelitis of the Lower Extremity?. JAMA: Journal of The American Medical Association [serial online]. February 20, 2008; 299(7):806-813. Available from: Academic Search Premier, Ipswich, MA. Accessed September 19, 2012.

3. Lavery L, Peters E, Armstrong D, Wendel C, Murdoch D, Lipsky B. Risk factors for developing osteomyelitis in patients with diabetic foot wounds. Diabetes Research & Clinical Practice [serial online]. March 2009; 83(3):347-352. Available from: Academic Search Premier, Ipswich, MA. Accessed September 19, 2012.

4. Turns M. The diabetic foot: an overview of assessment and complications. British Journal of Nursing [serial online]. August 12, 2011;:S19-S25. Available from: Academic Search Premier, Ipswich, MA. Accessed September 19, 2012.
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Equal Protection Clause of 14th Amendment the

Words: 1788 Length: 6 Pages Document Type: Essay Paper #: 38885576

Equal Protection Clause of 14th Amendment

The equal protection clause of the Fourteenth Amendment extended to protections of the Bill of ights to all Americans, including pregnant women. Therefore, it is fundamentally unconstitutional under the equal protection clause of the Fourteenth Amendment to criminalize pregnant women who take illegal drugs for fetal abuse or neglect without applying the same conditions on pregnant women who endanger their unborn child by drinking alcohol, smoking, or otherwise failing to provide the best possible nurturing environment for the fetus. This paper reviews the relevant peer-reviewed and scholarly literature together with the precedential case law concerning these issues to support this view, followed by a summary of the research and important findings in the conclusion.

eview and Analysis

A growing body of research concerning fetal development together with innovations in modern healthcare technologies have provided researchers with new insights about what can harm or nurture…… [Read More]

References

Blank, R.H. (2002). Mother and fetus: Changing notions of maternal responsibility. New York:

Greenwood Press.

Flavin, J. (2009). Our bodies, our crimes: The policing of women's reproduction in America.

New York: New York University Press.
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Demographic Perception Survey of Patients With Atypical

Words: 2504 Length: 9 Pages Document Type: Essay Paper #: 2311782

Demographic Perception Survey of Patients with Atypical CP Who Present to Cardiac Care Doctors and Patient Outcomes

This study intends to examine gender differences in individuals who present to cardiac doctors with chest pain and specifically, atypical chest pain in women. The work of Debra L. Issac (2000) states that over the past ten years "there has been increasing awareness of both the importance of CAD in women and of the significant differences between men and women who have the disease. Potential gender biases, both within the medical community and within the general population of women themselves also have been identified. These gender differences and biases have the potential to influence investigation and management of suspected or confirmed CAD in women, and should be taken into consideration when faced with a woman with potential cardiovascular disease." (p.157)

Issac also states that chest pain in women is "common and often non-ischemic.…… [Read More]

References

Cayley, WE (2005) Diagnosing the Case of Chest Pain. American Family Physician. 15 Nob 2005. Retrieved from:  http://www.aafp.org/afp/2005/1115/p2012.html 

Gotzsche PC, Nielsen M. Screening for breast cancer with mammography. Cochrane Database Syst Rev. (1):CD001877, 2011.

Issac, DL (2000) Women with Ischemic Heart Disease. Presented at the Canadian Cardiovascular Congress, Vancouver, British Columbia, October 2000. Retrieved from:  http://www.stacommunications.com/journals/cme/images/cmepdf/oct01/womencv.pdf 

Khan, JJ, Albarran, JW, Lopez, V, and Chair, SY (2010) Gender Differences on Chest Pain Perception associated with Acute Myocardial infarction in Chinese patients: A Questionnaire Survey. J Clin Nurs. 2010 Oct, 19 (19-20)2720-0. Retrieved from:  http://www.ncbi.nlm.nih.gov /pubmed/20846222
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Data Protection and Future Changes

Words: 413 Length: 2 Pages Document Type: Essay Paper #: 80537235

Protection and Future Changes

It was moderately challenging to find sufficient sources. After receiving the assignment, I performed an initial search. There were only one or two sources from my original search that I ended up using in the final research essay. Research of any kind requires an above average level of persistence and diligence, so in that case, the research effort put forth was not out of the ordinary.

The only way to determine whether a resource will substantiate evidence is to read it. I read through many abstracts and the first few pages of many resources. I read through the tables of contents and the indexes of resources as well. I had to get a quick but in depth sense of the resources' content before choosing to include it in the final research essay. I had to read many resources to get a sense of the context within…… [Read More]

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Rights of Patients Patients' Rights

Words: 944 Length: 3 Pages Document Type: Essay Paper #: 66504084

" (South Australia, p. 8)

This demonstrates the balance which is necessary in protecting the rights of the patient and simultaneously ensuring that physicians have the freedom necessary to perform to the best of their abilities. In a respect, this underscores the nature of the strategies used for the protection of patients' rights. The intention is primarily to provide a basic forum for the constructive interaction of patient and physician with legal recourse serving as a failsafe. So is this implied by the LSCSA, which indicates that the demands of existing Patients' Rights standards are designed to make the physician actively accountable to the patient's interests. Therefore, the LSCSA indicates a strategy for preserving the right to consent, reporting that "although the first step usually should be to speak to the doctor or other health care provider who has treated the patient, if any doubts remain, a patient should not…… [Read More]

Works Cited:

Legal Services Commission of South Australia (LSCSA). (2010). Patients' Rights. Law Handbook.sa.gov.au.

South Australia (1995). Consent to Medical Treatment and Palliative Care Act 1995. Legislation Revision and Publication Act 2002.

South Australia1 (2009) Mental Health Act 2009. Legislation Revision and Publication Act 2002.
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Security Privacy in Health Care the Protection

Words: 2180 Length: 7 Pages Document Type: Essay Paper #: 29161614

Security Privacy

In health care, the protection of confidential patient information is an important key in to addressing critical issues and safeguarding the privacy of the individual. To provide more guidance are federal guidelines such as: the Health Care Insurance Affordability and Accountability Act (HIPPA). On the surface, all facilities are supposed to have procedures in place for discarding these kinds of materials. ("Summary of HIPPA Privacy ule," 2102)

In the case of St. John's Hospital, they have become known for establishing practices of innovation (which go above and beyond traditional safety standards). Yet, at the same time, there are no critical internal controls governing how this information is thrown away. What most executives are concentrating on: is meeting these objectives from an external stakeholder perspective.

This is creating problems inside the facility, as the custodial staff able to go through the garbage and read this information. The reason why,…… [Read More]

References

Summary of HIPPA Privacy Rule. (2012). HHS. Retrieved from:  http://www.hhs.gov /ocr/privacy/hipaa/understanding/summary/index.html

Alguire, P. (2009). The International Medical Graduate's Guide. Philadelphia, PA: ACP Press.

Johnston, A. (2012). State Hospitals become more Transparent. Times Record News. Retrieved from: http://www.timesrecordnews.com/news/2012/jan/13/state-hospitals-become-more-transparent/

Kilipi, H. (2000). Patient's Autonomy. Amsterdam: ISO Press.
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Treatment Delay for Patients With

Words: 1603 Length: 4 Pages Document Type: Essay Paper #: 63670942

Where the hypotheses were well-followed throughout the text, the conclusion ignores the relevance of these factors to the delay experienced by patients in seeking treatment. Instead of developing a correlation between the identified behavior and the subject matter, importance of creating awareness among the general public was the highly emphasized. Furthermore, the responsibility of nurses and government authorities in this regard, was also discussed.

Limitations

The study itself had a rather limited scope. Selection of convenience sample along with a particular racial background and non-inclusion of patients who died within hours of reporting AMI acted as major drawbacks. Secondly, a selection of considerably small sample also raised questions on the reliability of the sample.

Confidence

The evaluation of this research does not lead to a confident and reliable conclusion. The limited scope of the sample, controlled questionnaires, neglect of other factors and the comparative analysis instead of individual examination of…… [Read More]

References

Lesneski, Lisa. (2010). Factors Influencing Tretment Delay for Patients with Acute Myocardial Infarction. Applied Nursing Research. 23, pg- 185-190.
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Coverage a Patient Demands an

Words: 2517 Length: 8 Pages Document Type: Essay Paper #: 12381007



Discussion:

If I found myself in a conversation with a citizen from a country where healthcare is socialized, I would be more than likely to speak with candor by expressing my disapproval for the nature of America's healthcare industry. As the same time, I would connect this to the more general nature of America's economy, political culture and socioeconomic hierarchy. The healthcare industry's monetarily-based exclusivity is consistent with most other aspects of public life in America such as the distribution public services, access to education and infrastructural maintenance. The way that Americans experience all of these things is highly subject to socioeconomic status. That said, I would explain quite simply that this constitutes one of the single greatest flaws in American public governance.

Indeed, the problem of a lack of insurance for many is related to the problem of the cost of healthcare. So confirms the article by Consumer Reports…… [Read More]

Works Cited:

Consumer Reports (CR). (2008). High Health Care Costs. Consumer Reports Health.org.

Gawande, A. (2009). The Cost Conundrum. The New Yorker.

Hussey, P.S.; Vries, H.D.; Romley, J.; Wang, M.C.; Chen, S.S.; Shekelle, P.G. & McGlynn, E.A. (2009). A Systematic Review of Health Care Efficiency Measures. Health Services Research, 44(3), 784-805.

Waldman, J.D.; Kelly, F.; Arora, S. & Smith, H.L. (2010). The Shocking Cost of Turnover in Health Care. Health Care Management Review, 35(3), 206-211.
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Nursing Respect for Patient's Common

Words: 1136 Length: 3 Pages Document Type: Essay Paper #: 13111416

The modern nurse must then be willing to move beyond a simple catch-all of medical jargon and bureaucracy and become someone who is both supportive and critical of the system. This may seem dichotomous, but in reality is not. The system is designed with beneficence in mind -- to help the patient at all costs. It is thus up to the nurse advocate to ensure that that actually happens (Sheldon, 2009).

Undertake assessments which are sensitive to the needs of the patient- Assessment is one of the key factors in management of clinical medicine. The nurse is often at the forefront of that process simply due to the logistical nature of the situation -- taking vitals, preparing the patient for blood work, etc. However, it is in two particular areas that the nurse can be most effective when assessing the actual needs of the patient; culturally and when questions are…… [Read More]

REFERENCES

Edwards, N., et.al. (2003). Aging, Heart Disease, and Its Management. Humana Press.

Lundy, K. And Janes, S. (2003). Essentials of Community-Based Nursing. Sudbury, MA:

Jones and Bartlett.

Miller, C. (2009). Nursing for Wellness in Older Adults. Philadelphia, PA:
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Strategy in Reducing Patient Falls and Injuries in Hospitals

Words: 938 Length: 3 Pages Document Type: Essay Paper #: 15542295

Bed Alarms and Chair Alarms to educe Patients' Falls in A Short-Term Care Facility

Importance of bed alarms and chair alarms

Bed alarms have been taunted as not useful in the modern day healthcare deliveries. Nonetheless, the significance of these facilities always strikes much admiration from different healthcare facilities. Alarms are important as warning gadgets that every section of an organization should consider in its ranks. Hazard preparedness requires that all possible strategies adopted to ensure that there is safety for all the people, and even the property being used within a healthcare facility (Vincent, 2010). Thus, the bed and chair alarms are just material things that have been used to provide avenues for the protection of human health, minimizing and eventually stopping the occurrences of cases like patient fall and strain at the health facilities. In the modern hospitals, communication within and without the healthcare facilities between the patients…… [Read More]

References

Vernikos, J. (2011). Sitting Kills, Moving Heals: How Simple Everyday Movement Will Prevent Pain, Illness, And Early Death-- And Exercise Alone Won't. Fresno, Calif: Quill Driver Books

Vincent, C. (2010). Patient Safety. Chichester, West Sussex: Wiley-Blackwell.
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Importance of Considering the Level of Protection Desired

Words: 1338 Length: 4 Pages Document Type: Essay Paper #: 15321037

Protection desired (Safety Factor)

Importance of Considering the level of Protection

In current decades, the industrial and process businesses have experienced fundamental changes with bringing in new types of safety protection when it comes to things such as electronics and microprocessor-based type of equipment in every feature of the industry. It is clear that these changes have introduced a new, very difficult class of gear with random failure design and a need for refined troubleshooting skills in regards to safety protection. As a result, when it comes to the importance of considering the level of protection desired it is important to develop management strategies in order to make sure that the required levels of plant uptime, cost and industry risk are met at the lowest likely cost.

When it comes to the importance of considering the level of Protection desired one of the first things that need to be addressed…… [Read More]

References

Charlton, J.A. (2002, April 4). Safer choices for older. Victoria: Monash University Accident Research Centre.

Federal Chamber of Automotive Industries. (2015, May 9). Retrieved from http://www.fcai.com.au/sales.php/2005/12/segmentation.html

Harris, L. (2010, April 7). The forth survey of attitudes of the american people on highway and auto safety. Retrieved from Prepared for the Advocates of Highway and Auto Safety: www.saferoads.org/press/press2001/

Hurnall, J. (2005, May 7). Benefits of consumer crash testing. Retrieved from http://www.officeofroadsafety.wa.gov.au / Facts/papers/benefits_of_consumer_crash_testing.html
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Nutritional Approach to Sun Protection by Niva

Words: 1762 Length: 5 Pages Document Type: Essay Paper #: 88494035

Nutritional Approach to Sun Protection by Niva Shapria

This article titled "Nutritional approach to sun protection: A suggested complement to external strategies' by Niva Shapria, is an extensive review of recent research evidence on the efficacy of a simple, natural, dietary model in protecting against harmful UVR exposure and related skin cancers. Through this article, the author clearly points out that a dietary or internal method of sun protection is a very effective complementary approach to preventing skin cancer due to solar radiation for the more susceptible light skinned population living in very sunny regions.

At the outset the author highlights that there is a growing incidence of melanoma around the globe with a significant number of new cases diagnosed among U.S. women. Projections indicate that the rates of melanoma will literally double over the next 2 decades with the increase in UVR exposure due to global warming as well…… [Read More]

Bibliography

1) Niva Shapria, (2010), 'Nutritional Approach to Sun Protection: a suggested complement to external strategies', Nutrition reviews, Vol 68(2) 75-86
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Duties as a Nurse Practitioner How to Counsel a Patient

Words: 1737 Length: 4 Pages Document Type: Essay Paper #: 12300572

Ethical Scenario: Skills as a Nurse Practioner

Nurses and other health care suppliers are the ones that are continuously confronted to make ethical choices in regards to things like life and death matters in giving out care to individuals, communities and families. To be pertinent and ethical, these choices need to be measured in the larger context of personal, societal, cultural and professional values and ethical ideologies. As scientific and medical technology advance, persons and society look at dilemmas and hard ethical choices. Nurses, as part of society and as frontline health care specialists, day-to-day face ethical dilemmas connected to life and death and fairness in health care. With that said, this paper examines the scenario of patient and nurse utilizing ethical principles.

As a nurse, the first thing to do is to understand that an unintended pregnancy further confuses the already confusing physical and mental changes of teens. Adolescents…… [Read More]

References

Begley A.M., 2. (2008). Truth-telling, honesty and compassion: a virtue-based exploration of a dilemma in practice. International Journal of Nursing Practice, 8, 336-341.

Lawlor, A. (2015, July 29). Morning-after pill poses moral dilemma for some MDs. Retrieved from http://www.consciencelaws.org/background/procedures/birth008.aspx

Marsh, B. (2015, July 29). Nurses' fear for morning-after pill. Retrieved from Daily Mail: http://www.dailymail.co.uk/health/article-179092/Nurses-fear-morning-pill.html

RN, M.S. (2013). The Ethical Component of Nursing Education: Integrating Ethics into Clinical Experiences. LWW; 1 edition.
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Important Factors in Treating Huntington's Disease Patients

Words: 6558 Length: 3 Pages Document Type: Essay Paper #: 22789764

Huntington's disease (HD) was the first autonomic dominant disorder for which genetic prediction became possible" (Harper, et al., 2000, Journal of Medical Genetics, p. 567). HD is a disease that occurs due to an inherited disorder leading to the death of brain cells. A diagnosis of HD is accomplished through genetic testing which can be implemented at any age regardless of whether the symptoms manifest or not. Although, the specific symptoms vary between people, nevertheless, symptoms can start with people between 35 and 45 years of age and can also start in some individuals at even anearlier age. The disease may affect successive generations if health interventions are not implemented (Mandel, 2016).

Additionally, "the cause of HD is due to a dominant mutation of autosomal form of the gene called Huntington. This shows that a child born by an affected person has a 50% chance of developing or inheriting the…… [Read More]

References

Causes and risk factors. (2016). Health Communities. Retrieved from http://www. healthcommunities.com/huntingtons-disease/cause.shtml.

Denbo, S. M. (2013, January 1). Balancing the rights of children, parents and the state: The legal, ethical and psychological implications of genetic testing in children. Southern Journal of Business and Ethics, 5, 188-190.

Domaradzki, J. (2015, January 1). Lay constructions of genetic risk. A case-study of the Polish Society of Huntington's Disease. Polish Sociological Review, 189, 107-111.

Draper, B. (2004). Dealing with dementia: A Guide to Alzheimer's Disease and other dementias. Crows Nest, NSW: Allen & Unwin.
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Privacy Protection Commenting on the

Words: 2121 Length: 5 Pages Document Type: Essay Paper #: 6734567



Confab, howeve, is an achitectue that is able to bypass these limitations and combine both appoaches. It is limited, though, and a tue pevasive envionment calls fo complex pefeences that can be easily manipulated by the end use.

Moeove, all these appoaches ae not completely sufficient in meeting the challenges mentioned in section 3.2. Fo instance, PETs and pivacy models do not explicitly contibute in a eduction of data collection, no is that thei intent o pupose. Although anonymous data collection is based on the assumption that if data is collected anonymously then it cannot be linked with any individual, and if data cannot be elated to an individual then it poses no theats in tems of pivacy. Thus, detailed pivacy policies and safeguads fo data ae not seen as citical in this model. By collecting anonymous data, one may ague that a tue minimum amount of pesonal data is…… [Read More]

references that can be easily manipulated by the end user.

Moreover, all these approaches are not completely sufficient in meeting the challenges mentioned in section 3.2. For instance, PETs and privacy models do not explicitly contribute in a reduction of data collection, nor is that their intent or purpose. Although anonymous data collection is based on the assumption that if data is collected anonymously then it cannot be linked with any individual, and if data cannot be related to an individual then it poses no threats in terms of privacy. Thus, detailed privacy policies and safeguards for data are not seen as critical in this model. By collecting anonymous data, one may argue that a true minimum amount of personal data is being collected. However, ensuring complete anonymity remains both technically and practically difficult.

For example, mix zones and changing pseudonyms are used to maintain anonymity but it is also possible to break the anonymity and track a user in a mix zone. Pervasive computing, then, needs other, more robust means to minimize the amount of data collection. Moreover, there are usability and efficiency issues that arise with any of these approaches. Testing, for example, is typically done in a controlled environment under limited conditions. The effectiveness of many of these solutions, then, has not been adequately tested under typical, real-world, conditions. In a true pervasive computing environment, users will move extensively between different computing environments and will interact with various devices (e.g. starting from small portable hand held device to large wall sized displays), and applications. It is difficult to predict how privacy solutions will perform in a true user-environment under more typical conditions.

Thus, it will be necessary to find and incorporate a unique privacy model that accentuates both social and legal norms, while ensuring the technical ability to protect privacy.

Newman, a. 2008, Protectors of Privacy: Regulating Personal Data in the Global Economy, Cornell University Press.
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Looking Into the Patients Autonomy

Words: 677 Length: 2 Pages Document Type: Essay Paper #: 77877053

Ethics in Healthcare Settings

Thinking as health care practitioners, in your opinion should Mr. Speaker's autonomy as a person had taken precedence over the CDC's desire to enforce public health law? Explain you answer.

It has not been prioritized over the desire of the CDC to implement public health law. There exist other good reasons for valuing the autonomy of patients. Patients that are aware of their condition and have an understanding of the reasons for a course of treatment are more probable of sticking to prescriptions. Even when a doctor ought to communicate information of a depressing prognosis, sincerely notifying the patients provides them with a chance of putting their issues in order, to think of their lives as a whole, and to adopt the spiritual or practical measures, which they may know to be essential. Furthermore, if doctors develop a practice of holding back bad news from patients,…… [Read More]

References

Struhkamp, R. M. (2005). Patient autonomy: A view from the kitchen. Medicine Health Care and Philosophy. doi:10.1007/s11019-004-1134-2

Traphagan, J. W. (2013). Rethinking autonomy: A critique of principlism in biomedical ethics. Albany: State University of New York Press.
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Benefits of Rasagiline for Parkinson S Patients

Words: 2918 Length: 9 Pages Document Type: Essay Paper #: 96968000

PAKINSON'S & ASAGILINE

One of the drugs that has emerged as promising and at least somewhat effective in the treatment of Parkinson's disease is known as asagiline. This report will explore the neurobiological and psychological implications of the drug as it relates to Parkinson's and in general. The depth and breadth of some of the studies will be discussed as well as how that evidence was found, a general discussion of asagiline and its current/future status as a Parkinson's treatment and how all of the above should be taken with a grain of salt given the limitations that exist. There are some great opportunities for future research when it comes to Parkinson's in general and asagiline in particular.

Introduction

Parkinson's is a very debilitating and difficult disorder to deal with and treat. Even with the prominence of several major celebrities (e.g. Muhammad Ali, Michael J. Fox, etc.) and increase public…… [Read More]

References

Badinter, F., Amit, T., Bar-Am, O., Youdim, M. B., & Weinreb, O. (2015). Beneficial behavioral, neurochemical and molecular effects of 1-(R)-aminoindan in aged mice. Neuropharmacology, 99264-272. doi:10.1016/j.neuropharm.2015.05.041

Giladi, N., Tal, J., Azulay, T., Rascol, O., Brooks, D., Melamed, E., & ... Tolosa, E. (2009). Validation of the freezing of gait questionnaire in patients with Parkinson's disease. Movement Disorders, 24(5), 655-661 7p. doi:10.1002/mds.21745

Hanagasi, H., Gurvit, H., Unsalan, P., Horozoglu, H., Tuncer, N., Feyzioglu, A., & Emre, M. (2011). The effects of rasagiline on cognitive deficits in Parkinson's disease patients without dementia: A randomized, double-blind, placebo-controlled, multicenter study. Movement Disorders, 26(10), 1851-1858 8p. doi:10.1002/mds.23738

Naoi, M., Maruyama, W., & Inaba-Hasegawa, K. (2013). Revelation in the neuroprotective functions of rasagiline and selegiline: the induction of distinct genes by different mechanisms. Expert Review Of Neurotherapeutics, 13(6), 671-684. doi:10.1586/ern.13.60
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Healthcare Provider Assisting a Terminal Ill Patient With an Assisted Suicide

Words: 1008 Length: 3 Pages Document Type: Essay Paper #: 27117305

Morality of Assisted Suicide

Assisted suicide for terminally ill patients may be one of the most morally complex issues facing today's society, with a particular impact on modern healthcare workers. Modern medicine has progressed to a point where, in many instances, life can be prolonged for significant periods of time, well beyond when people would have died of terminal diseases in prior times. However, there have not been similar advances on the other side of the issue; death remains a relatively unchartered part of the healthcare spectrum, and there have not been significant advances in helping patients who no longer wish to extend their lives, but hasten the end of their lives and end their suffering. The choices remain limited for healthcare workers, who, in providing any type of euthanasia are seen as assisting suicide. This is a deeply morally complex issue. The taboo against the taking of human life,…… [Read More]

Works Cited

American Medical Association. Opinion 2.211- Physician-Assisted Suicide. AMA . N.p.

1994. Web. 7 Dec. 2013.

Andre, Claire and Manuel Velasquez. Assisted Suicide: A Right or a Wrong? Santa Clara

University. N.p., 1987. Web. 7 Dec. 2013.
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The Swinging Pendulum in Research Benefits of Research vs Protection of Participants

Words: 914 Length: 3 Pages Document Type: Essay Paper #: 41121629

Swinging the Pendulum: Shifting Views of Justice in Human Subjects esearch" By Ana Mastroianni And Jeffrey Kahn (542-547)

Compare the conception of justice in the Belmont era to the conception of justice in the 1990s? What is the significance of these shifting views of justice?

The conception of justice in the Belmont era pertains to realizing that vulnerable groups, such as prisoners, elderly populations or children, can be exploited by researchers, who do not gain informed consent -- and thus justice was viewed as something that could protect these groups or prevent their exploitation from occurring. An example of exploitation that occurred would be the Tuskegee experiments, where a minority group (blacks) were not told they had syphilis by researchers nor were they told they were part of a study. They were deliberately not treated even when treatment was available because they were the control of the experiment (to see…… [Read More]

References

Anna Mastroianni & Jeffrey Kahn, Swinging on the Pendulum: Shifting Views of Justice

in Human Subjects Research, HASTINGS CENTER REP., May-June 2001, at 21-28, reprinted in HARV. HEALTH POL'Y REV., Spring 2002, and inHEALTH CARE ETHICS IN CANADA 325-31 (Francoise Baylis et al. eds., 2d ed. Thomson Nelson 2004)

King, P. (1992). The Dangers of Difference. The Hastings Center Report, 22(6): 35-38.
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Constitutionality of the Individual Mandate

Words: 982 Length: 3 Pages Document Type: Essay Paper #: 46728141

Patient Protection and Affordable Care Act (PPACA)

One of the most significant recent U.S. Supreme Court decisions was the Court's validation of the PPACA's individual mandate, requiring virtually all Americans (with some exceptions) to purchase health insurance. The individual mandate was a critical component of the ability of the Act to function as it was designed by legislators. It was essential that people who were relatively healthy and young were insured to expand the risk pool of the insured given that preexisting conditions were no longer allowed to be grounds for denying people health insurance. This ensured that people would not simply wait until they were sick to seek out insurance. However, it is worth noting that there were numerous exceptions to this provision, including "undocumented immigrants, religious objectors, and people who are incarcerated" and those for whom paying the penalty for being non-insured would cause a financial hardship (Musumeci…… [Read More]

References

Cole, D. (2012). Obamacare upheld: How and why did Justice Roberts do it. The Nation.

http://www.thenation.com/blog/168655/obamacare-upheld-how-and-why-did-justice-roberts-do-it#

Musumeci, M (2012). A guide to the Supreme Court's Affordable Care Act decision. Kaiser Family Foundation. Focus on Health Reform.

Over 100 law professors agree on Affordable Care Act's constitutionality. (2012).
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Health Care Reform Bill

Words: 1170 Length: 4 Pages Document Type: Essay Paper #: 26196083

Patient Protection and Affordable Care Act

On March 23, 2010, President Barack Obama signed the Patient Protection and Affordable Care

Act (PPACA). This is more commonly referred among United States Citizens as Health Care eform.

This revolutionary law offers three main guarantees: First, health insurance for all American's, not just those who can afford it; Second, cost reduction in the insurance premiums for individuals and businesses; Lastly, higher quality care. On the surface, the PPACA seems all around beneficial for all

American's, but there are some aspects that need to be further analyzed. There is no doubt, this law will give those who are uninsured or under-insured, better coverage and ensure better quality health care, but there is one factor that may have been overlooked; the PPACA comes at great financial cost for citizens, will take a decade to fully implement and will be not be sustainable for generations to…… [Read More]

References

Blumberg, L. (2010, July 6). How Will the PPACA Impact Individual and Small Group

Premiums in the Short- and Long-Term? Retrieved May 5, 2012, from Urban Institute: Health Policy Center: http://www.urban.org/health_policy/url.cfm?ID=412128

FLAHEC. (2007). Health Services Administrative and Clerical Staff . Retrieved May 6, 2012, from Florida Area Health Education Centers: http://www.flahec.org/hlthcareers/HCADMIN.htm

Owcharenko, N. (2005, June 21). A Road Map for Medicaid Reform. Retrieved May 6, 2012, from The Heritage Foundation: http://www.heritage.org/Research/Reports/2005/06/A-Road-Map-for-Medicaid-Reform
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Healthcare Reform PPACA Determine How This Federal

Words: 1049 Length: 4 Pages Document Type: Essay Paper #: 13669265

Healthcare eform PPACA

Determine how this Federal law will affect market-driven and non-market driven decisions.

One of the industries that has felt the effects of the Patient Protection Affordable Care Act most immediately and intensely was the insurance industry in the United States. One of the chief reasons that the Patient Protection Affordable Care Act was introduced and passed into American legislation was the effect of rising health care costs attributed to arbitrary and non-competitive costs exacted from healthcare consumers from the insurance industry. There was a general lack of regulation within the industry, which had been demonstrated to have had a negative impact on healthcare outcomes and trends. The United States, while the largest economy and a dominant world superpower, has an underperforming healthcare industry compared to other developed, industrialized nations.

One of the central conflicts associated with the Patient Protection Affordable Care Act is related to philosophical differences…… [Read More]

References

Gitlin, Saul. (2002) "Demystifying the Asian-American Market" Retrieved from: http://www.mrcc-online.com/presentations/Asian_American_Market_11-12-02.pdf

Greenfield, Lazar. (2010). "National Health Care Expenditures: Addressing the Cost of Health Care in the United States" Annals of Surgery. 251: 2.

Weiss, Joshua A., Medical Marketing in the United States: A Prescription for Reform. George Washington Law Review, Vol. 79, p. 260, 2010. Available at SSRN: http://ssrn.com/abstract=1748902
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Boston Children's Hospital This Goal of This

Words: 959 Length: 3 Pages Document Type: Essay Paper #: 41519340

Boston Children's Hospital

This goal of this case is to demonstrate the importance of a community health nursing, or public health nursing strategy. The concepts addressed in the case study include forming strategic partnerships or alliances with related health care institutions, universities, and insurers. Concepts also include the ways non-profit organizations function and how strategic alliances are especially important to maintain. Also, the case study addresses the concept of community health nursing in general. Students should understand this case focuses on the multifaceted roles of the health care organization in the community. Students should also acknowledge the complex interaction between various external forces like economic constraint, legislation, and policy and the functioning of the organization. Students should also understand the complex interaction between internal forces like human resources management and cost accounting on the functioning of the organization. Students should recognize the key success factors for a non-profit health care…… [Read More]

References

Boston Children's Hospital Website:  http://www.childrenshospital.org/ 

"The Health Care Law and You." Retrieved online: http://www.healthcare.gov/law/

US News and World Report (2013). U.S. News Best Children's Hospitals 2012-13
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Healthcare Reform

Words: 2404 Length: 8 Pages Document Type: Essay Paper #: 52304044

Uninsured Population

Insurance Premiums

Budget Deficits

Healthcare Trends

Public Opinion

"Obamacare"

The topic of this research is "PPACA- Patient Protection an Affordable Care Act." PPACA has created a great impact in the healthcare industry of United States of America. The study is based on the critical analysis of the act by reviewing the performance since its inception.

Arguably the most prominent recent healthcare reform has been PPACA (Patient Protection and Affordable Care Act). PPACA is also known as the Affordable care act and Obamacare. It was signed by the President Obama in the year 2010 in collaboration with the Healthcare econciliation Act. This act is considered to be one of the most major reforms passed in the healthcare system of United States; the last such major reform was passed in the year 1965 in the form of Medicaid.

When this provision Act was passed in 2010, there were 50 million…… [Read More]

References:

Barr, Donald A. Introduction to U.S. Health Policy: The Organization, Financing, and Delivery of Health Care in America. JHU Press. 2011

Blendon RJ, Benson."Public opinion at the time of the vote on health care reform." N. Engl. J. Med. 362 (16): e55. 2010

Elmendorf, Douglas. "CBO's Analysis of the Major Health Care Legislation Enacted in March 2010." Congressional Budget Office. 2011

Feldman, Arthur M. Understanding Health Care Reform: Bridging the Gap between Myth and Reality. CRC Press. 2011
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Healthcare System the Purpose a Health System

Words: 615 Length: 2 Pages Document Type: Essay Paper #: 94988365

Healthcare System the purpose a health system support wellness prevent disease. What factors influence today's healthcare system? Describe U.S. Healthcare System context Patient Protection Affordable Healthcare Act.

Today's healthcare system is influenced by a large number of factors, a result of a complex environment and of several characteristics of the population. If one analyzes the utilization of healthcare services, this can increase or decrease depending on socio-economic status, physician supply, policy, risk behaviors and health status (Morreale, 1998). Many of these factors affect not only the utilization, but the nature of healthcare services, including their quality.

Muller (1986) pointed out that, from a socioeconomic perspective, education and income play an essential part. Individual with higher income and education tend to have lower degrees of disease and mortality. At the same time, however, this type of individuals have more visits to the doctor, appealing more often to healthcare services, although, most…… [Read More]

Bibliography

1. Muller, C. (1986). Review of twenty years of research on medical care utilization. Health Services Research.

2. Morreale, Mark. (1998). Fact Sheet: what factors can influence healthcare utilization? On the Internet at http://fhs.mcmaster.ca/nru/Working%20Papers%20&%20Fact%20Sheets/factsheets/Whatfactorscaninfluence.pdf. Las retrieved on November 4, 2013
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Second Opinions for Tough & Smart Care

Words: 1523 Length: 4 Pages Document Type: Essay Paper #: 45384085

Second Opinions for Tough & Smart Care

FLA, FECA, H2457

The federal government (under most current administrations) has tried to address the issue of the nation's need for better healthcare by focusing on improving what is already in place. Two of the regular efforts at this are the FLA (Family Leave Act) and the FECA, or Federal Employees' Compensation Act (DOL, b). The purpose of the first is to provide structured and economically efficient ways for people to be able to leave their positions, without risking their jobs, when they are dealing with either the birth of a child or a critically sick immediate relative. It is also seen as one effort to seek to protect men and women against the problems of gender injustice that can come about if women are challenged in keeping healthcare because of the choice to have children. FECA, on the other hand, seeks to…… [Read More]

REFERENCES

DOL.gov. The Family and Medical Leave Act. United States Department of Labor, Wage and Hour Division. Department of Labor. Web <  http://www.dol.gov./whd/regs/compliance/1421.htm >.

DOL.gov (b). The Federal Employees' Compensation Act. United States Department of Labor. Web. < http://www.dol.gov/compliance/laws/comp-feca.htm>.

GovTrack.us. H.R. 2457 (111th): Right to a Second Medical Opinion Act of 2009. < http://www.govtrack.us/congress/bills/111/hr2457>.

R. Kuttner. Market-Based Failure -- A Second Opinion on U.S. Health Care Costs. New England Journal of Medicine, 2008; 358:549-551.
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Employer Healthcare Benefit Plans More Than Half

Words: 2038 Length: 6 Pages Document Type: Essay Paper #: 27208632

Employer Healthcare Benefit Plans

More than half of the American population is covered by a comprehensive health plan of one type or another. That's approximately 160 million people. The programs that come under the above mentioned coverage include the likes of employer sponsored plans and other government initiatives for instance Medicaid and Medicare, a small proportion of health insurance which is purchased on individual basis may also be included in this. If we proceed to explain employer sponsored health programs, government initiatives and individual healthcare benefits individually, then briefly we can say that the employer benefit plans mostly comprise of group plans and are called "the employee welfare benefit plans"

Table of Contents

Introduction

Literature eview

Discussion

The Estimated Effects of PPACA on Coverage

The Number of Uninsured Decreases by 53%

Four Million Children Will Gain Coverage

The Individual Mandate Contributes Most to educing the Number of Uninsured

Premiums in…… [Read More]

References

Manning W. And Marquis S, "Health Insurance: The Tradeoff Between Risk Pooling and Moral Hazard," Journal of Health Economics, Vol. 15, No. 5, October 1996, pp. 609 -- 639.

Manning WG, Newhouse JP, Duan N, Keeler EB, Leibowitz A, and Marquis MS, "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment,"

American Economic Review, Vol. 77, No. 3, June 1987, pp. 251 -- 277.

Pauly MV and Herring BJ, "An Efficient Employer Strategy for Dealing with Adverse Selection in Multiple-Plan Offerings: An MSA Example," Journal of Health Economics, Vol. 19,
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Rise of Federalism in the U S

Words: 1569 Length: 5 Pages Document Type: Essay Paper #: 72643490

As Cuccinelli and Getchell point out that, "The police power is the antithesis of limited, enumerated powers. Given the breadth of that power, it cannot be exercised by the federal government without overwhelming the limitations intended by the Constitution's scheme of enumerated powers" (2011, p. 293).

Conclusion

The argument can be made that the individual mandate provisions of the Patient Protection and Affordable Care Act are for the greater good by making individual consumers accountable for their own healthcare. Even though the purpose of the PPACA may be laudable, the research was consistent in showing that many constitutional scholars believe that the individual mandate oversteps the authority of the U.S. Congress under the Commerce Clause. Although the PPACA is currently the law of the land, it is reasonable to conclude that it will continue to face legal challenges from the attorneys general of the several states due to its individual…… [Read More]

References

Cuccinelli, K.T. & Getchell, E.D. (2011, Spring). Why the debate over the constitutionality of the federal health care law is about much more than health care. Texas Review of Law & Politics, 15(2), 292-301.

Loyola, M. (2011, Fall). Trojan horse: Federal manipulation of state governments and the Supreme Court's emerging doctrine of federalism. Texas Review of Law & Politics, 16(1),

113-120.

May, J.R. (2013, Spring). Healthcare, environmental law, and the Supreme Court: An analysis
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Non-Insured Individuals According to an

Words: 2718 Length: 8 Pages Document Type: Essay Paper #: 8619091

The success of PPACA, and its provisions for people who are currently or chronically uninsured, will depend on reform of public programs as well as private insurance practices to create "new pathways to coverage (Gulley) and address the problematic link between employment and insurance coverage. In other words, employment should not be the only viable option for securing affordable insurance, nor should there be "significant work disincentives for people with disabilities" (Gulley). The law should help "reduce disparities in [healthcare] access (Gorin, 2010).

A number of provisions of PPACA have already taken effect. Beginning January 1, the law provided for a 50% discount on covered brand-name drugs. This provision was designed to close the coverage gap in Medicare Part D coverage, the so-called "Donut Hole." There is a 7% discount on generic drugs. The coverage gap will be completely eradicated by 2020, according to PPACA, making it even easier for…… [Read More]

References

Cobb, K., & Davis, C. (2007). The faces of the uninsured: One in four Texans has no medical coverage, posing dire physical risks for them and consequences for the state. Houston Chronicle 4/15/07.

Doheny, K. (1999). Filling a Health-Coverage Gap. WebMD. Retrieved from http://www.webmd.com/a-to-z-guides/features/filling-health-coverage-gap

Gorin, S.H., Gehlert, S.J., & Washington, T.A. (2010). Health care reform and health disparities: Implications for social workers. Health & Social Work 35(4), pp. 243-247.

Gulley, S.P., Rasch, E.K., Chan, L. (2011). Ongoing coverage for ongoing care: Access,
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Domestic Policy

Words: 632 Length: 2 Pages Document Type: Essay Paper #: 15025636

Individual Mandate in PPACA

On March 23, 2010 the Patient Protection and Affordable Care Act (PPACA) was signed into law by President Barack Obama. Along with the Health Care Reconciliation Act of 2010, the PPACA became part of the overall Health Care Reform concept of 2010; a reform process that was promoted as a way to completely transform the health care industry and ensure that there is "more openness to the insurance marketplace…." ("Healthcare.gov") hile supporters praise the legislation as a revolutionary law which will benefit ordinary Americans, critics claim that the Obama Administration used the health care reform process as a means of gaining control over the entire health care system. In order to provide the necessary funding for this reform process, the PPACA contains a requirement that all American citizens either join a healthcare program, or pay a penalty. This has been identified as not only constitutional, but…… [Read More]

Works Cited

"PPACA: Detailed Summary." Responsible Reform for the Middle Class. Web. 25

Oct. 2012. http://dpc.senate.gov/healthreformbill/healthbill04.pdf

"PPACA: Executive Summary of the Government Expansions, Vast New Taxes,

Damaging Medicare Cuts, and Increased Health Costs and Premium."
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Current or Proposed Law That Impacts the Delivery of Human Services

Words: 1323 Length: 4 Pages Document Type: Essay Paper #: 90140034

Affordable Care Act

A current law that impacts the delivery of human services is the Patient Protection and Affordable Care Act, signed into law by President Barack Obama in March 2010. The legislation (most commonly known as the Affordable Care Act but also referred to as "Obamacare") basically overhauls the existing healthcare statutes and is aimed specifically at reducing the number of Americans who are not covered by health insurance.

Reliable Sources Available to Cover the Law's Implications

There are multiple reliable sources from which to gather information about this major change in the way the healthcare services are available in the United States. The law's implications are spelled out very clearly by the federal website www.ncbi.nlm.nih.gov (National Center for Biotechnology Information / National Library of Medicine / National Institutes of Health) (Rosenbaum, 2011).

The Act "…establishes the basic legal protections" that up until now have not be available to…… [Read More]

Works Cited

Department of Health and Human Services. (2012). Civil Rights -- Laws and Regulations

Enforced by Office of Civil Rights. Retrieved February 9, 2013, from  http://www.hhs.gov .

Frank, John. (2013). Sen. Phil Berger spreading bad healthcare information, policy experts say.

Charlotte Observer. Retrieved February 9, 2013, from  http://www.charlotteobserver.com .
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Health Politics What Is the Role of

Words: 3149 Length: 10 Pages Document Type: Essay Paper #: 37669681

Health Politics

"What is the role of Congress in policy making process"?

Policy is a plan to identify goal or possible course of actions with administrative or management tools to accomplish these goals. n the other hand, policy is the authoritative decision made by the U.S. executive, legislative, judicial branch of government to influence the decision of others. Government is a key player in decision-making process and congress plays important roles in decision-making . In the United States, both House of Representatives and House of Senate fulfill the congressional policy responsibilities, and congress plays important role in health policy, which includes obesity prevention measures or health insurance program. Congress is an important arm of government that makes law. Important strategy that congress uses to make policy preference is by passing a bill into law. Typically, the congress could make a decision to pass or not to the policy of the…… [Read More]

Oregon Department of Human Services.(2008). The impact of federal policy on Oregon's health care reform efforts: Opportunities and barriers within Medicaid and the State Children's Health Insurance Program. Medical Assistance Programs.

Waller, M. (2005).Block Grants: Flexibility vs. Stability in Social Services. Brookings Institution Policy Brief.

Zuckert, M.P. (2002). Launching Liberalism: On Lockean Political Philosophy. Lawrence: University Press of Kansas.
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US Healthcare

Words: 1357 Length: 4 Pages Document Type: Essay Paper #: 46791169

U.S. Healthcare

The final legislation should have incorporated provisions to boost the IVD industry. On its entirety, the Patient Protection and Affordable Care Act must have benefited the IVD industry. This would have increased sales in a span of five years that it is otherwise seen in the absence of the law. Most significant IVD sales drivers will result from the legislation as an expansion of in the number of insured citizens and new coverage of prevention and wellness programs. If various key provisions are included in the PPACA, coupled with the population demographics, IVD product sales will be stimulated. This industry will die or live based on the number of the test procedures and hence increase in the number of persons with healthcare coverage will be appropriate for IVD. The Patient Protection and Affordable Care Act is a sophisticated legislature, virtually affecting all aspects of healthcare and the majority…… [Read More]

References

Law, J. (2009). Big pharma: How the world's biggest drug companies control illness. London: Constable.

Parks, D. (2012). Health care reform simplified: What professionals in medicine, government, insurance, and business need to know. United States: Apress.

Ross, B.M.C., & Ross, B.M.C. (2013). Beating Obamacare: Your handbook for surviving the new health care law. Washington, D.C: Regnery Pub.

Schweitzer, S.O. (2007). Pharmaceutical economics and policy. New York [u.a.: Oxford Univ. Press.
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Health Care Reform in the United States

Words: 1100 Length: 3 Pages Document Type: Essay Paper #: 32231164

Health Care eform:

In March 2010, after protracted public and political debate, the Patient Protection and Affordable Care Act (PPACA) was enacted into law by President Barack Obama. This legislation was one of the many health care reforms initiatives that have sought to rectify major features of the health care system in the United States such as service delivery, care coordination, and financing. Since its enactment, PPACA is considered as a milestone along the historical continuum of health care reform in America. Generally, health care reform in the United States is an issue that has continued to evolve based on the ever-growing health care needs of the population. However, this issue has been characterized with several challenges that are mainly influenced by the public's response to reform efforts.

Principal Features of U.S. Health Care System:

The Patient Protection and Affordable Care Act (PPACA), which is commonly known as the Affordable…… [Read More]

References:

Bodenheimer, T., & Grumbach, K. (2012). Understanding health policy: a clinical approach (6th ed.). New York, NY: McGraw-Hill Medical.

"Key Features of the Affordable Care Act by Year." (n.d.). Features of the Health Law.

Retrieved from U.S. Department of Health & Human Services website:  http://www.hhs.gov /healthcare/facts/timeline/timeline-text.html

Leflar, R.B. (2013, July 12). Reform of the United States Health Care System: An Overview.
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Legal Compliance and Law Changes in Healthcare

Words: 1956 Length: 6 Pages Document Type: Essay Paper #: 65256561

Internal & External Forces

The author of this report is asked to answer to a number of questions relating to the forces that exert themselves on a nursing or other medical organization, the source of the forces and what effect they can have on outcomes and decision-making in a medical organization. There will be total major internal forces, two major external sources and an overall assessment of the impacts these forces can and will have on things like strategic decisions, financial solvency and so on. While most external and internal forces are not terribly impactful on future outcomes and decisions relating to medical organizations, there are some major ones like the recent Affordable Care Act and recessions that can have a major and/or detrimental impact on the organization's outcomes and its people.

Analysis

As suggested by the parameters of the assignment, one major external force relating to medical care and…… [Read More]

References

Abelson, R. (2011, November 16). The Smoker's Surcharge. The New York Times. Retrieved May 5, 2014, from http://www.nytimes.com/2011/11/17/health/policy/smokers-penalized-with-health-insurance-premiums.html?pagewanted=all&_r=0

Britt, R. (2014, May 5). Obamacare brings down uninsured rate to 13.4%, Gallup poll contends. Health Exchange RSS. Retrieved May 5, 2014, from  http://blogs.marketwatch.com/health-exchange/2014/05/05/obamacare-brings-down-uninsured-rate-to-13-4-gallup-poll-contends/ 

Healthcare.gov. (2014, May 4). Health care law rights and protections; 10 benefits for you. HealthCare.gov. Retrieved May 4, 2014, from https://www.healthcare.gov/how-does-the-health-care-law-protect-me/
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Health Care Policy or Delivery System Challenge

Words: 1377 Length: 5 Pages Document Type: Essay Paper #: 42865594

Healthcare Delivery System Challenges

The American healthcare system has been criticized as favoring the middle and upper classes while ignoring the lower classes. Based on these speculations, the federal government has constantly tried to institute reforms in the healthcare sector though some of the proposals have failed to overhaul the industry. With rising insurance costs, the number of citizens barred from accessing quality healthcare has increased to more than 45 million uninsured Americans. On the same note, it is hypothesized that with time, the problems currently witnessed in the industry are likely to increase and finding solutions to them will be a tall order for the government (Stolberg & Pear, 2010). Despite the advent of new technology in the sector, which is likely to improve service delivery over the years, it is speculated that the cost of new tests and treatments will outweigh the savings. With the better technology, physicians…… [Read More]

References

Stolberg, S.G. & Pear, R. (March 24, 2010). Obama signs health care overhaul bill, with a flourish. The New York Times: p. A19. Retrieved March 1, 2013.

Woolhandler, S. & Himmelstein, D.U. (1997). Costs of care and administration at for-profit and other hospitals in the United States. The New England Journal of Medicine 336 (11): 769-774.

Swanson, E. (July 30, 2009). Health Care Plan: Favor / Oppose. Huffington Post.

Blumberg, L.J. & Holahan, J. (2009). The Individual Mandate: an Affordable and Fair Approach
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VA Hospital Write About the Culture and

Words: 568 Length: 2 Pages Document Type: Essay Paper #: 12719297

VA Hospital

Write about the culture and diversity. Describe the population/individuals in the VA hospital work environment. efer to at least four of the characteristics (such as cultural imposition, economically, cultural awareness, ethnocentric and acculturation). Then, discuss which ones have the most potential for conflict and why?

The VA serves veterans from various backgrounds. The most notable include: Caucasians, African-Americans, Asians, Latinos and American Indians. The four characteristics that will have an impact on the VA include: economically, cultural awareness, ethnocentric and cultural imposition. ("VA Mental Health," 2011)

Economically, the VA is facing challenges with the total number of patients increasing to 2.06 million last year. This is adding to their case loads and overwhelming the resources of many facilities. In the future, this can create conflict with veterans not receiving the quality of care they deserve. Cultural awareness is understanding, the needs of various demographics of patients and what…… [Read More]

References

VA Mental Health. (2011). GAO. Retrieved from:    http://www.gao.gov/new.items/d1212.pdf   

Farrell, C. (2008). The Abortion Debate. Edina, MN: ABDO.

Tate, N. (2012). Obama Care Survival Guide. West Palm Beach, FL: Huxman.
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Medical Home Model and Health Disparity Nursing

Words: 1107 Length: 3 Pages Document Type: Essay Paper #: 51153740

Medical Home Model and Health Disparity

Nursing esearch Proposal

The Impact of the Medical Home Model on Health Disparities

The Impact of the Medical Home Model on Healthcare Disparity

Medical homes are primary care practices where a physician or NP establishes a long-term care relationship with patients and provide patient/family-centered, coordinated, and culturally-sensitive care (AANP, n.d.; Strickland, Jones, Ghandour, Kogan, & Newacheck, 2011). The benefits include improved healthcare access, quality, and safety. A number of states have enacted statutes supporting the medical home model after research findings revealed health disparities for racial and ethnic minorities were reduced (NCSL, 2013).

As a nurse practitioner I am interested in how effective a medical home model would be in reducing healthcare disparities, especially for racial and ethnic minority children residing in underserved communities. Nurse practitioners have traditionally practiced in underserved communities and will continue to do so; therefore, any strategy that could improve…… [Read More]

References

AANP (American Association of Nurse Practitioners). (n.d.). Medicare legislation: Fact sheet: The medical home -- What is it? How do nurse practitioners fit in? Retrieved from: http://www.aanp.org/legislation-regulation/federal-legislation/medicare/68-articles/349-the-medical-home.

Abrams, M., Nuzum, R., Mika, S., & Lawlor, G. (2011). Realizing health reform's potential: How the Affordable Care Act will strengthen primary care and benefit patients, providers, and payers. The Commonwealth Fund. Retrieved from:  http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2011/Jan/1466_Abrams_how_ACA_will_strengthen_primary_care_reform_brief_v3.pdf .

NCSL. (2013). Health disparities: State laws. Retrieved from: http://www.ncsl.org/research/health/health-disparities-laws.aspx.

Strickland, B.B., Jones, J.R., Ghandour, R.M., Kogan, M.D., & Newacheck, P.W. (2011). The medical home: Health care access and impact for children and youth in the United States. Pediatrics, 127(4), 604-11.
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Ethics to Practice Analysis of 'End of

Words: 2858 Length: 10 Pages Document Type: Essay Paper #: 41901193

Ethics to Practice: Analysis of 'end of life' decision making

The foregoing discussion is an incursion into nursing ethics. Implication(s) to 'omission' of information as a customary practice within our healthcare institution is reviewed in relation to best practices pertaining to 'informed consent,' and hospital policy is not definitive. Directed at the evolution of ethical decision making, the general query to the study focuses on the parameters of informed consent where individual practice is concerned.

In the nation of Canada where I am a nurse the number of situations where patient informed consent decisions might be subject to our national code of nursing ethics is many. e face critical ethical dilemmas every day, as emergency procedures and critical care interventions are standard practice. Complexity in decision making is furthered in the conduct and approaches made by international colleagues on contract in our institution by way of exchange.

The primacy of…… [Read More]

Works Cited

Bullough, B. ed. The Law and the expanding nursing role. New York, NY: Appleton-Century-Crofts, 1980.

Callahan, Joan, ed. Ethical Issues in Profesional Life. Oxford: Oxford University Press, 1988.

Canadian Medical Protection Association (CMPA), 2010. Web.

Finlay and Fernandez. Failure to report and provide commentary on research ethics board approval and informed consent in medical journals is discussed Journal of Medical Ethics, 34.10 (2008), 761-764. doi:10.1136/jme.2007.023325.
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Restraint in the Elderly

Words: 1163 Length: 4 Pages Document Type: Essay Paper #: 30376793

Restraining the Elderly

Project Management

The Project Management path for this research proposal will follow the path of quantitative research in a 'quasi-experimental' environment. Adhering as closely as possible to quantitative experiments designed to establish the causal factors or interdependent links between grouped variables, the researcher will follow a natural course of progression in administering dependent and independent variables, designing the sampling set, determining the optimal time(s) and location(s) for conducting the research, developing the measures and instruments necessary for evaluation of non-empirical evidentiary conclusion (i.e., the thought processes and reasoning of medical staff), measuring the response to education and procedural methodology, documentation to include evaluation materials, response forms, and restraint logs, preparing the education program, delivering the lectures, and evaluating the results in change or lack of change in care providers attitudes toward patient restraint.

Project Limitations

Any project that measures the process of learning, comprehension, acceptance or denial,…… [Read More]

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Medicinal Marijuana a Humanitarian Medical

Words: 1160 Length: 4 Pages Document Type: Essay Paper #: 66080757

Evidence largely suggests that the subject in question would have been given a well-established pain-management strategy otherwise lacking had marijuana been available. Unfortunately, this plentiful, profitable, easy-to-grow and highly accessible substance has been demonized and victimized by hostile propaganda even as dangerous and deadly substances such as tobacco, alcohol and antidepressants remain highly proliferated.

From the combination of my experience and my value system, I must implore you to reconsider your position on the subject. You needn't simply take my work on the matter. Please conduct some actual research through peer-reviewed medical journals and I am confident you will find overwhelming critical evidence to support my position. Further, please consider, as will be detailed in the fact sheet hereafter, that the your political concerns over the position are unfounded. Public support for the legalization of marijuana has never been higher, and is largely a product of the view that it…… [Read More]

The United States has demonstrated itself on the whole to be increasingly more receptive to decriminalization on a state by state basis. To date, 14 states have joined a growing list of those in which medical marijuana is legal. Florida is, in this regard, behind the more progressive nations in the Union. (MPP, 1)

Research suggests that marijuana is anatamocially beneficial as a therapeutic substance for a wide array of health maladies. According to Ogborn et al. (2000), "There are indications that marijuana is sometimes used to alleviate pain from cancer, to reduce nausea from chemotherapy, to mitigate the wasting syndrome of AIDS, and for the treatment of glaucoma, epilepsy, multiple sclerosis and a variety of other disorders.1,2 A few studies have suggested that the medical use of marijuana is common among people with HIV / AIDS3,4 and those with certain psychiatric conditions." (p. 1)

Evidence suggests that any of the health hazards which are currently related to marijuana use
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Apns Competency Course Competencies Apns the Role

Words: 1037 Length: 3 Pages Document Type: Essay Paper #: 18463134

APNs

Competency

Course competencies: APNs

The role and scope of practice of the advanced practice nurse (APN) in every field and sphere of healthcare has expanded in recent decades. There is "growing recognition that educational preparation must be adequate to meet the expectations that will be placed on the practitioner, coupled with increased regulatory oversight by state boards of nursing…Mandated education at the master's level is now the expected norm for advanced practice nursing" (Hanson & Harnric 2003: 203). With the increased professionalization of the role there has also been increased specialization, "specialties such as psychiatry and oncology leading the development of a cadre of master's-prepared APNs who moved the specialty forward. Current calls for master's level preparation in the specialty of wound/ostomy/continence nursing indicate that this specialty is moving into the third phase" (Hanson & Harnric 2003: 204). Other specialties once subsumed in the APN role have branched off…… [Read More]

References

Hanson, C. & Hamric, A.B. (2003) Reflections on the continuing evolution of advanced practice nursing. Nursing Outlook, 51:203-211. Retrieved from:

http://doctorsofnursingpractice.org/cmsAdmin/uploads/Hanson2003.pdf

Patient Protection and Affordable Care Act; Program Integrity. (2013). ANA. Retrieved:

       http://www.nursingworld.org/DocumentVault/ANA-Comments/CMS-61913-NPRM-Exchanges.pdf
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U S Healthcare Reform Since the

Words: 926 Length: 3 Pages Document Type: Essay Paper #: 32392542



Effects on Current Position

With "The Patient Protection and Affordable Care Act," many healthcare professionals are affected (Democratic Policy Committee, n.d.). Nationwide, hospitals are scrambling to buy hospitals in an effort to control costs. Doctors are leaving small private practices. Large insurance companies are becoming more dominant as smaller ones disappear because they cannot stay competitive (New York Times, 2011). Furthermore, epublicans denounced the law as an intrusion by the government that would prompt employers to eliminate jobs, create an unsustainable entitlement program, saddle states and the federal government with unmanageable costs, and interfere with the doctor-patient relationship. As a result, the law would exacerbate the steep rise in the cost of medical services, thus affecting the elimination of many healthcare positions. Ironically, less healthcare professionals will ensue, but an increase in patient care will be needed, as a result in more people becoming insured.

Challenges & Opportunities

Moreover, many…… [Read More]

References

Democratic Policy Committee. (n.d.). The patient protection and affordable care act. Retrieved from http://dpc.senate.gov/healthreformbill/healthbill04.pdf

The New York Times. (21 Dec 2011). Healthcare reform. Retrieved from http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/health_insurance_and_managed_care/health_care_reform/index.html
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Why Don't Republicans Support Healthcare Reform

Words: 839 Length: 2 Pages Document Type: Essay Paper #: 96895138

Media and Health Policy Processes

There is no doubt that politics plays a crucial role in healthcare legislation and reforms in the United States. After all, the U.S. Congress passes laws, and so automatically any proposed legislation is passes or fails due to how political representatives act on the law. Professor Thomas Oliver (John Hopkins University) makes that point abundantly clear in his scholarly article. This paper references Oliver's article and a peer-reviewed piece in the journal Economics, Management, and Financial Markets (Boubacar, 2006).

The Patient Protection and Affordable Care Act

It should be noted that when Barack Obama ran for election among his major points was the need to reform healthcare policies in America -- and the need to create new laws and policies. He was elected by a wide margin and he set out to develop legislation that could bring meaningful reform and could provide insurance for an…… [Read More]

Works Cited

Boubacar, I, and Foster, S. (2014). Analysis of Small Business Owners' Perception of the Patient Protection and Affordable Care Act: Evidence from Wisconsin Farmers.

Economics, Management, and Financial Markets, 9(1), 11-20.

CNN. (2009). Obama calls for health-care reform in 2009. Retrieved June 13, 2014, from http://www.brandnewz.com.

O'Keefe, E. (2014). The House has voted 54 times in 4 years on Obamacare. Here's the full list. The Washington Post. Retrieved June 13, 2014, from http://www.washingtonpost.com.
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Health Care Bill Formulation Oral

Words: 3227 Length: 10 Pages Document Type: Essay Paper #: 15017313

The research thus concludes the essence of having quality and effective legislation addressing the aspects of overall oral health of the people.

Additionally, the Canadian Dental Association also relates several issues of the overall body health to the oral health of the individual. In view of the article on the relation "oral health -- good life," the article gives information on the essence of good oral health, indicating some of the illnesses of ill oral health (Chattopadhyay, 2011). In this article, the relation between the ill oral health and the overall health of the body is that the mouth is the ingress to the body. Therefore, an individual with ill oral health is at the highest risk of having infection that affects the whole body system severely. According to this article, it emphasizes the need for dentists-patient relation as the dentists is the only person with the skill, expertise and…… [Read More]

References

Chattopadhyay, a. (2011). Oral health epidemiology: Principles and practice. Sudbury, Mass:

Jones and Bartlett Publishers.

Ramseier, C.A., & Suvan, J.E. (2010). Health behavior change in the dental practice. Ames,

Iowa: Wiley-Blackwell.
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Letter to a Congressional Representative Congressional Representative

Words: 1300 Length: 4 Pages Document Type: Essay Paper #: 7582851

Letter to a Congressional epresentative

Congressional epresentative

Support for health care bill

I am writing to request for your support in the health insurance bill. As you know, a proper health is vital and that we cannot enjoy wealth and other luxuries if we are not healthy. However, diseases like Influenza cough and other serious illness are unavoidable in our daily life. In addition, lifestyle changes have caused many individuals to suffer from illnesses like cancer, stroke, and heart attack. For those reasons, I advocate that the government should give health insurance to its citizens. The health insurance will insure against the risk of incurring health expenses (Hitchcock, Schubert & Thomas, 2003). This happens by first estimating the risk of health care among individuals. An insurer can then develop a routine finance structure such as payroll tax or a monthly premium. I believe the implementation of a Health Insurance Bill…… [Read More]

References

Boychuk, G.W. (2008). National Health Insurance in the United States and Canada Race, Territory, and the Roots of Difference.. Washington: Georgetown University Press.

Chaikind, H.R. (2004). The Health Insurance Portability and Accountability Act (HIPAA): overview and analyses. New York: Novinka Books.

Green, M.A., & Rowell, J.A. (2006). Understanding health insurance: a guide to billing and reimbursement (8th ed.). Clifton Park, NY: Thomson Delmar Learning.

Hitchcock, J.E., Schubert, P.E., & Thomas, S.A. (2003). Community health nursing: caring in action (2nd ed.). Clifton Park, NY: Thomson/Delmar Learning.
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Model for Community Palliative Care

Words: 1740 Length: 6 Pages Document Type: Essay Paper #: 36797784

Community Dementia Care and the Chronic Care Model

nd-Stage Dementia valuation Proposal

Health Promotion Plan for Community nd-Stage Dementia Care: The Chronic Care Model

Health Promotion Plan for Community nd-Stage Dementia Care: The Chronic Care Model.

In 2013 an estimated 5.0 million Americans over the age of 65 suffered from Alzheimer's disease (Alzheimer's Association, 2013). Although the U.S. Centers for Disease Control and Prevention (CDC) considers dementia/Alzheimer's to be the fifth leading cause of death among adults 65-years of age or older, careful examination of Medicare claims data revealed that dementia is probably right behind cardiovascular disease as the second leading cause of death for this age group (Tinetti et al., 2012). Most of these patients would prefer to die at home, not only because of comfort concerns, but due to the higher quality of care that tends to be provided by informal and paid caregivers in this setting (reviewed…… [Read More]

Eloniemi-Sulkava and colleagues (2009) evaluated patients at baseline using the Barthel Index and Neuropsychiatric Inventory (NPI) (see Appendix). The Barthel Index (Stone, Ali, Auberleek, Thompsell, & Young, 1994; University of Iowa Healthcare, n.d.) and NPI (Cummings et al., 1994) were administered again at 6 and 12 months into the study and will be used in the current study to track ADL and BPSDs using the same intervals. PQOL will represent a composite score obtained using the Color Analog Scale for pain (Santos & Castanho, 2013) and the Quality at the End of Life Scale (QUAL-E) (National Palliative Care Research Center, 2005) (see Appendix). In cases of severe cognitive impairment, completion of the QUAL-E may depend on family caregivers. FCQOL will be evaluated using the Zarit Burden Scale (Regional Geriatric Program Central, 2014) (see Appendix). The success of the intervention, as perceived by family caregivers and providers, will be assessed using the questionnaires developed by Morita and colleagues (2013). The goal of these questionnaires will be to evaluate how effective the community palliative intervention was in improving the knowledge and skills of palliative care, increasing access to specialized services, coordinating care services, and increasing deaths at home. This evaluation will be performed following the death of the patient or the end of the study period, whichever comes first. The validity and reliability of the questionnaires developed by Morita et al. (2013) have not been evaluated, but should prove informative and provide context for the other findings.

Discussion

A review of interventions designed to improve the quality of community palliative care has revealed mixed findings, but the trend is in the desired direction of reducing the number of patients dying in hospital wards, ICUs, and hospice facilities. CCM has garnered the interest of researchers interested in improving palliative care outcomes for patients, family caregivers, and providers alike, and have begun to study the efficacy and quality of interventions, including CCM. This proposal provides justification for implementing CCM for end-stage dementia patients residing at home and details an evaluation strategy that can be implemented to determine the efficacy, effectiveness, and quality of the care provided. In contrast to many other studies, however, this proposal places equal value on the experiences of patients, family caregivers, and providers alike, in addition to the more common outcome measures of BPSDs and institutional admissions. The methods of data gathering will involve the review of patient records and several instruments designed
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Urgent Care Centers Filling a

Words: 2432 Length: 6 Pages Document Type: Essay Paper #: 43484314



One of the reasons that a lot of these centers are affordable is because half of urgent care centers are preserved by physician groups and another 38% by hospitals, which are providing their own centers distinct from emergency rooms (Alexander, 2012). More customers are using urgent care centers as their chief area of admission to the healthcare system, and 32 million more will enter in 2014 when the Patient Protection and Affordable Care Act is in effect (Krug, 2006) Emergency rooms and primary care physicians and will not be able to handle the enlarged volume, according to the study.

Another thing that helps with the cost is the fact that the patients can get things such as the X-rays, urine samples and blood work done at these centers in a very well-organized method (Weinick & Mehrotra, 2010). Even at some of these centers, employees do monitor how long individuals have…… [Read More]

References

Davidson, M.B., Ansari, a., & Karlan, V.J. (2007). Effect of a nurse-directed diabetes disease management program on urgent Care/Emergency room visits and hospitalizations in a minority population. Diabetes Care, 30(2), 224-7.

Finn, M.J., & Neill, M.A. (2005). Bio-emergency preparedness in Rhode Island: A role for urgent care centers? Medicine and Health Rhode Island, 88(11), 395-7.

Krug, S.E., Bojko, T., Dolan, M.A., Frush, K.S., & al, e. (2006). Pediatric care recommendations for freestanding urgent care facilities. Pediatrics, 116(1), 258-60.

Many Emergency Department Visits Could be Managed at Urgent Care Centers and Retail
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Technology Decision Making Effect of Technology Decision

Words: 2527 Length: 9 Pages Document Type: Essay Paper #: 72232227

Technology Decision Making

Effect of technology decision making

Technology has been growing over a period of years due to globalization. All individuals, organizations, and even the society as a whole have been affected by the information and communication uprising. This has even changed their lifestyles. The Information is readily available in the computers mostly through internet technology and telecommunications. The Organizations are able to build their information systems in a variety of formats. A System may be defined as a sequence of functional components which are connected by communication links showing or demonstrating purpose and objective directed performance (Kampov 2010). However, it is important to analyze and discuss systems, informatics theories and DIK model. The paper will also discuss the role of expert system in nursing care, use of decision aids and also the decision support systems. There will be discussion on how the effect of technology on decision making…… [Read More]

References

Bahamonde L., DuMouchel W, Shea S . (2003). A meta-analysis in16 randomized controlled trials for evaluating computer-based clinical reminder systems in preventive care for ambulatory setting. J Am Med Inform Asso. c;3:399-409

Greenes R.A. (2009). Informatics and a health care strategy for the future -- general directions. Studies In Health Technology AndInformatics [Stud Health Technol Inform], Vol. 149, pp. 21-8; PMID: 19745469

Hart J. K, Newton B. W, Boone S.E. (2010).University of Arkansas for Medical Sciences electronic healthrecord and medical informatics training for undergraduatehealth professionals. Journal Of The Medical Library Association: JMLA [J Med Libr AssocVol. 98 (3), pp. 212-6.

Kampov J. (2010). Survey of biomedical and health care informatics programs in the United States. Journal of Medical Library Association.
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Rights and Responsibilities How Do the Rights

Words: 718 Length: 2 Pages Document Type: Essay Paper #: 81840082

ights and esponsibilities

How do the rights and responsibilities of patients differ from the rights and responsibilities of employees? How are they similar?

Until recently, patient responsibilities were seldom directly 'spelled out' in the American healthcare system. This changed with the passage of HIPAA in 1996. HIPPA "sets forth policies and standards for how patient information, including doctors' notes, medical test results, lab reports, and billing information may be shared" (Torrey, 2012, HIPPA). It gives patients the right to access their information and demands that patient data be treated in a secure fashion. Also under the law, patients have a right to informed consent over the procedures they undergo, so that they or a designated caregiver can make decisions about what they perceive to be their best interests. Ultimately, the healthcare system must serve the needs of patients, not physicians and other healthcare employees. That is why patients must give…… [Read More]

References

Bollinger, Caroline. Access denied. Prevention. Retrieved:

 http://www.prevention.com/health/healthy-living/new-birth-control-ban?page=3 

Torrey, Tricia. (2012). HIPAA. About.com. Retrieved:

http://patients.about.com/od/obtainingrecords/a/hipaa.htm
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Access to Healthcare For the Last Two

Words: 1022 Length: 3 Pages Document Type: Essay Paper #: 82058809

Access to Healthcare:

For the last two decades, access to healthcare is an issue that has played a crucial role in leading the charge for health care reforms. Access to quality and comprehensive health care services is a crucial aspect for the realization of health equity and for enhancing the quality of health for every individual. Generally, the access to these services means the timely use of individual health services in order to accomplish the best health outcomes ("Access to Health Services," 2012). The achievement of the best health outcomes to access to personal health services requires three major steps i.e. gaining entry into the health care system, identifying a trustworthy health care provider, and accessing the services where they are needed.

Components of Access to Healthcare:

Access to personal health care services incorporates four major components i.e. coverage, workforce, timeliness, and services. Health care coverage is mainly provided through…… [Read More]

References:

"Access to Affordable Healthcare." (2012, November 12). American College of Healthcare

Executives. Retrieved April 4, 2013, from  http://www.ache.org/policy/access.cfm 

"Access to Health Care." (n.d.). The Everett Clinic. Retrieved April 4, 2013, from http://www.everettclinic.com/About_Us/Legislative_Advocacy/Current_Health_Issues/Access%20to%20Health%20Care.ashx

"Access to Health Services." (2012). HealthyPeople.gov. Retrieved from the U.S. Department of Health and Human Services website: http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=1
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Nursing Role Development

Words: 870 Length: 3 Pages Document Type: Essay Paper #: 58025931

Masters-prepared Nurse's Role: Questions

Describe the masters-prepared nurse's role as advocate for the nursing profession.

Historically, nursing has seldom garnered the respect it deserves as a profession. A masters-prepared nurse is capable of performing many of the functions of a physician. The technical preparation and level of specialty confounds stereotypes of the nursing profession as merely a 'helper' to doctors.

Describe the masters-prepared nurse's role and responsibility in professional activities.

As well as technical duties, APNs are often called upon to act in managerial capacities. The nurse must balance the needs of the organization with the demands of patients and the role of the nurse-practitioner. The masters-prepared nurse has a responsibility to stay on the cutting edge of professional literature, including updating his or her credentials; reading publications; and becoming a member of professional organizations.

713.1.2-03: Describe the masters-prepared nurse's role in maintaining continued competence.

Healthcare is a constantly-changing field.…… [Read More]

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Competencies for All Healthcare Managers

Words: 1498 Length: 4 Pages Document Type: Essay Paper #: 58842191

Competencies for All Health Managers

Health care management is one of the most rapidly expanding Professions with great opportunities in both direct and non-direct care. Due to great complexity in the health care environment, the health care providers should have specific managerial and leadership skills. According to (Buchbinder and Thompson, 2012) Direct care are those groups that provide a direct care to the client. Where as Non-Direct care is which provides an indirect care to the client by providing services and products to the direct care setups. The health care managers are required in an out patient care setup, clinic and in physician practices. A large hospital setup also requires a large number of health care managers. While the opportunity for managerial jobs position is expected to increase in a non-direct setup as well as in equipment providing industry and pharmaceutical companies due to the increase in the number of…… [Read More]

References

Buchbinder, J.M., Thompson, S.B. And Shanks N.H. (2010). An Overview of Healthcare Management, Mass: Jones and Barlett Learning. pg. 33-34.

Calhoun, J.G., Follett, L, Sinioris, M.E., Wainio, J.A. And Butler, P.W. (2008). Development of an interprofessional competency model for healthcare leadership. Journal of Health Care Management/American College of Health Care Executives. 53:6,390-1

Oliver, S. (2006).Pg38-47.Leadership in Health Care.Susanoliver.com. Retrieved on 12th January 2013.From http://www.susanoliver.com/pdf/my%20leadership.full%20text.pdf%2006.pdf

Stefl, M.E. & Bontempo, C.A. (2008). Common Competencies for all health care mangers.Journal of Health Care Management 53:6, 360-374
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Social Cultural and Political Influence in Healthcare Delivery

Words: 4282 Length: 13 Pages Document Type: Essay Paper #: 16620351

Social, Cultural, And Political Influence in Healthcare Delivery

Social, cultural, and political inequalities are detrimental to the health and healthcare system of the U.S. This is because the U.S. is one of the most multicultural, overpopulated, diverse and undergoing rapid economic growth. The federal government has embarked on efforts geared at addressing unsustainable costs of health care in the U.S. With the leadership of the current president, Barrack Obama, initiatives of containing health care costs will evaluate and explore strategies to contain the growing costs of health care based on a system-wide while enhancing the value and quality of health care (Ubokudom, 2012). The apparent system of health care is rife with opportunities of minimizing waste, delivering coordinated, effective care, and improving well-being and health of all Americans. The government in collaboration with care providers must prioritize cost effective containment strategies with the greatest possibility for political success and non-partisan…… [Read More]

References

Albrecht, G.L., Fitzpatrick, R., & Scrimshaw, S. (2013). Handbook of social studies in health and medicine. London: Sage Publications.

Armstrong, E.G. (2011). The health care dilemma: A comparison of health care systems in three European countries and the U.S. Singapore: World Scientific.

Bale, J.R., Stoll, B.J., & Lucas, A.O. (2013). Improving birth outcomes: Meeting the challenge in the developing world. Washington, DC: National academies press.

Buseh, A.G. (2008). Empowering resilience: Improving health care delivery in war-impacted African countries: a case study of Liberia. Lanham, Md: University Press of America.
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Heath Care Health Care Plans Health Care

Words: 988 Length: 2 Pages Document Type: Essay Paper #: 32060505

Heath Care

Health Care Plans

Health Care

Types of Health Insurance

Indemnity Insurance

This type of insurance is also known as a traditional or fee-for-service plan. The benefit of an indemnity plan is the flexibility; this plan allows members to choose any doctor or hospital. However, members must pay an annual deductible and then a percentage of each medical bill. Although these plans offer the greatest freedom to select any doctor, they are usually the most expensive option.

Typically, the member or the provider sends the bill to the insurance company. These plans usually have an annual deductible before the insurer starts paying. Once the deductible has been met most indemnity plans pay a percentage of what they consider the "Usual and Customary" charge for covered services. The insurer generally pays 80% of the Usual and Customary costs and the member is responsible the other 20%, known as coinsurance. If…… [Read More]

References

Rich, R.F. & Erb, C.T. (2005). The two faces of managed care regulations and policy-making. University of Illinois at Urbana-Champaign. Retrieved July 30, 2011, from  http://igpa.uillinois.edu/system/files/WP114.pdf 

"The Types of health insurance." (2011). Health insurance guide. Retrieved July 30, 2011, from  http://www.healthinsuranceadvice.org/types.html
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Minorities and Healthcare Is Not

Words: 615 Length: 2 Pages Document Type: Essay Paper #: 61925117



It is true, healthcare is not free. Yet, in an environment where so many are uninsured, it is clear that the free market method of private insurance is not working. This is where the Patient Protection and Affordable Care Act comes into play. All tax payers will see an increase in tax rates in order to help provide quality healthcare for the millions of uninsured Americans in need. Still, "the wealthiest 2% of Americans will take the biggest hit," with the majority of average Americans seeing very little increases in their taxes (Cass, 2012). This ultimately means that individuals making more than $250,00 annually will take the brunt of the tax increases. Also, increased taxes on certain activities, like smoking and tanning, will also help allocate funding for the healthcare reform bill. Still, the government is also allowing for greater tax credits "that start in 2014 to help them pay…… [Read More]

References

Agency for Healthcare Research and Quality. (2010). Disparities in healthcare quality among racial and ethnic minority groups. National Healthcare Quality and Disparities Report. Web. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr10/minority.pdf

Cass, Connie. (2012). PPACA's tac hikes are coming" Who pays? Life Health Pro. Web. http://www.lifehealthpro.com/2012/08/09/ppacas-tax-hikes-are-coming-who-pays
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Health Care Reform Federal Deficit the American

Words: 4331 Length: 15 Pages Document Type: Essay Paper #: 22551835

Health Care Reform Federal Deficit

The American Health Care Crisis and the Federal Deficit

The United States spends more than any other country on medical care. In 2006, U.S. health care spending was $2.1 trillion, or 16% of our gross domestic product. At the same time, more than 45 million Americans lack health insurance and our health outcomes (life expectancy, infant mortality, and mortality amenable to health care) are mediocre compared with other rich democracies. We spend too much for what we get.

Nothing is new about these sobering realities. The Nixon administration first declared a health care cost crisis in 1969. Four decades later, the United States still has not adopted systemwide cost controls because the politics of health care make it extraordinarily difficult to control costs. I explain below why this is so (Marmor, et al., 2009).

The starting point for understanding the politics of cost control is…… [Read More]

Bibliography

1. Eakin, Douglas and Michael Ramlet. (2010) "Health Care Reform is Likely to Widen Budget Deficits -- Not Reduce Them." Health Affairs, 29, no.6:1136-1141. Eakin and Ramlet examine the underpinnings of the Congressional Budget Office's projection that enacting the Patient Protection and Affordable Care Act will decrease deficits, and conclude that it is built on a shaky foundation of omitted costs, premiums shifted from other entitlements, and politically dubious spending cuts and revenue increases. A more comprehensive and realistic projection suggests that the new reform law will raise the deficit by more than $500 billion during the first ten years and by nearly $1.5 trillion in the following decade. This is an excellent article with regards to my article, written by two policy commentators at the forefront of their field. This article shows expertise in medical economics and offers compelling, clear arguments for the increase in the federal deficit due to the massive spending on entitlements as a result of passing the Patient Protection and Affordable Care Act. They project deficits, opposing the Congressional Budget Office, through their insightful analysis.

2. Marmor, Theodore, Jonathan Oberlander, and Joseph White. (2009) "The Obama Administration's Options for Health Care Cost Control: Hope vs. Reality." Ann Intern Med. 150:485-489. Controlling the costs of medical care has long been an elusive goal in U.S. health policy. This article examines the options for health care cost control under the Obama administration. The authors argue that the administration's approach to health reform offers some potential for cost control but also embraces many strategies that are not likely to be successful. Lessons the United States can learn from other countries' experiences in constraining medical care spending are then explored. This article offers evidence for the lack of cost containment in the Obama administrations' plans for health reform. It gives a good analysis of the international scene in health care as well.

3. Collins, Sara, Michelle M. Doty, Karen Davis, Cathy Schoen, Alyssa L. Holmgren, and Alice Ho. (2004) "The Affordability Crisis in Health Care." Commonwealth Fund Biennial Health Insurance Survey. Published in 2004, The Commonwealth Fund Biennial Health Insurance Survey, conducted from September 2003 -- January 2004, presents new and timely information on where the American public stands on solutions to reform the health care system. The survey finds widespread support for federal efforts to extend health insurance to more people, as well as a widely held belief that the financing of health care should continue to be a shared responsibility among individuals, employers, and the government. The survey also uncovered potential reasons for such strong support for health care reform. Among the insured and the uninsured alike, there is concern that health care security in the United States is eroding. People are experiencing reductions in insurance coverage that are threatening their financial security.

4. Etheridge, Lynn (1984) "An Aging Society and the Federal Deficit." The Milbank Memorial Fund Quarterly. Health and Society, 521-543. This article serves as early warning sign of the deficit battles to come. It argues that the conflict between the growing needs of an aging society and a federal budget which cannot afford its current commitments has become one of the nation's most difficult government policy dilemmas. Assistance for the elderly through Social Security, Medicare, and other programs-is already the federal government's largest fiscal responsibility. In 1985 these programs will require nearly half of all domestic program spending an estimated $256 billion. The future costs of these commitments will rise rapidly well into the next century, accounting-with national defense and interest costs-for virtually all of the spending increases in the projected $200 to $300 billion deficits. Etheridge asserts that the decisions about the nation's assistance to the elderly -- and about reaffirmation, reform, and/or retrenchment of these commitments-will thus be central to the coming budget debates.