NURS-FPX6008 Lobbying for Change
NURS-FPX6008 Lobbying for Change
Lobbying for Change
Winston Barte
Nurs-FPX6008
Capella University
Dr. Whitney Rigdon
Date
Winston Barte
Street Address
City
Phone Number
31st October 2022
His Excellency Greg Abbott
Office of Governor
State Insurance Building
1100 San Jacinto
Austin, Texas 78701
P.O. Box 12428
Austin, Texas 78711-2428
(512) 463-2000
Dear His Excellency, Greg Abbott
RE: HIGH HEALTHCARE COSTS AMONG THE ELDERLY
Because of the excessive expense of healthcare for the elderly in our state, I am writing to seek your assistance. Elderly Texans spend two to three times the national average on their medication. That’s not even the highest price in Texas for specific medicines. Older Texans on limited incomes struggle to manage growing medical bills and the high cost of prescription medications. More expensive treatment options are required for the elderly, driving up the cost of care. Some insurance plans do not cover the high expense of skilled nursing facilities, adult day care centers, residential care facilities, or community-based services that patients may need after being released from an acute care hospital. Texas has among the worst rates of sickness and mortality in the country due to its high uninsured rate, strict Medicaid requirements, and lack of resources. Texas ranks dead last among the states in terms of taking care of its elderly population.
More than 4.5 million Texans are uninsured. U.S. Census data published in September shows that despite California having over 40 million citizens and Texas having just 28 million, Texas currently has more uninsured persons (Ehrenfeld, n.d.). Texas is one of 18 states that now reject federal funding to assist those who are neither qualified for Medicaid in their state nor get federal subsidies to purchase a commercial plan under the Affordable Care Act. One must be completely disabled and unable to work, or within one year of death, to qualify for Medicaid due to a disability. Up to a third of Texans, including those with health insurance, could not afford necessary medical care if they were ill. State deductibles for employee health insurance plans are greater than those in New York and California (Ehrenfeld, n.d.). Complaints about rude, harried, and muddled medical treatment in Medicare Advantage plans affect individuals of all socioeconomic levels. Also, many people report difficulties in scheduling appointments with specialists.
Therefore, Texans are not receiving enough medical attention. Many seniors on restricted incomes must decide between paying for food and medicine. Simply put, Medicare will only pay for a specific portion of a patient’s medical bills, and anything above that must come out of the patient’s pocket. Americans over 65 have higher out-of-pocket healthcare costs and are less likely to seek treatment due to financial concerns than their counterparts in other high-income nations (Jacobson et al., 2021). Some seniors may forego needed treatment altogether if they cannot afford the out-of-pocket expenses. When patients do not get the treatment they need when they need it, it may worsen their diseases, postpone their diagnosis, negatively impact their health outcomes, and drive up healthcare costs.
The experience of Texas demonstrates that policymakers should not look to a single demographic or region when deciding how to rein in the expansion of healthcare costs. Instead, they should consider many approaches that may be adjusted to fit the demands of the people and the environment. A person should not have to earn the right to get medical treatment. Every Texan senior should be able to afford peace of mind with comprehensive health coverage. There should never be a time when a sick, senior citizen has to choose between purchasing food and buying medicine that might save their life.
To combat this issue, our state government should pass the Inflation Reduction Act and give Medicare the authority to negotiate the costs of expensive pharmaceuticals. According to the Inflation Reduction Act, drug expenses will be capped at $2,000. Medicare will be able to negotiate lower medicine prices with pharmaceutical corporations thanks to the law. As a bonus, it will safeguard Medicare recipients, including the elderly and those with disabilities, against astronomical medication costs.
Your Sincerely
Winston Barte
References
Ehrenfeld, T. (n.d.). Texas health system problems.
Healthline. /orders/www.healthline.com/health-news/texas-healthcare-system-one-of-the-worst-in-country
Jacobson, G., Cicchiello, A., Shah, A., Doty, M. M., & Williams, R. D. (2021). II. When costs are a barrier to getting health care: reports from older adults in the United States and other high-income countries. Commonwealth Fund.
Write a letter to an official in your state or local government. (Choose the individual in the level of government that will best address your issue). The purpose of this letter is to advocate for action with regards to your chosen health care environment issue.
TOPIC- HIGH HEALTHCARE COSTS AMONG THE ELDERLY
Introduction
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.As health care leaders, it is important to understand strategies for advocating and lobbying elected officials. This can lead to the development of policies or laws that can help drive improved equity and outcomes for all participants in the health care environment as well as a more sustainable financial future.
Background and Context
As a master’s-level health care practitioner, you may be expected to implement plans to ensure that initiatives designed to take advantage of economic opportunities for the organization are rolled out successfully and can be sustained over multiple years. Additionally, it is important to be able to envision how an initiative could be implemented in different contexts and for different purposes to ensure the investment remains a viable and positive asset to your organization or care setting.As a master’s-level practitioner, you will often be challenged to influence the health care environment in a variety of ways. This influence can occur on a micro-level (implementing change on your unit, institution, community, or local organizations) or at a macro level (implementing change via state or federal regulations and policy). One way you can influence the health care environment is by lobbying an elected official at the local, state, or national level to adopt policies or legislation that would support positive economic and health outcomes for patients, practitioners, and organizations within the health care environment.
Instructions
For this assessment, you will develop a letter to an official in your state or local government (choose the individual in the level of government that will best address your issue). The purpose of this letter is to advocate for action with regards to your chosen health care environment issue. Remember, when writing the letter, you must use your personal address and telephone number unless you are exclusively representing a group or your organization.Be sure to address each main point. Review the assessment instructions and scoring guide, including performance-level descriptions for each criterion, to ensure you understand the work you will be asked to complete and how it will be assessed. In addition, note the requirements for document format and length and for supporting evidence.Overall, your assessment submission will be assessed on the following criteria:
- Summarize the health care economic issue that you are addressing.
- Keep this brief but try to include details about how the issue is currently impacting the elected officials’ constituents.
- Explain the positive outcomes that will occur if the issue is addressed and the negative outcomes that will occur if the issue is not addressed.
- Tailor this messaging to focus on the impacts in the communities and organizations that are relevant to the elected official you are writing to.
- Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue.
- Cite at least five current, scholarly sources that support your argument and help provide the elected official (who may not have a detailed knowledge of the health care environment) with an understanding of the issues, changes, or actions that you are proposing to drive improved outcomes.
- Identify the impact your issue has on health care institutions and health care providers at the local community, state, and national levels.
- Make sure to include information from both a health care and an economic perspective. An elected official may be more responsive to one perspective than another.
- Incorporate ethical, cultural, and diversity principles when picking resources and making recommendations for change in your assessment.
- Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.
- Think about how your experiences (the experiences can be personal, professional, or from your team’s perspective or experience) affect how you have planned for the resources needed to implement your desired changes or actions. How did this impact your approach to conducting a risk analysis on the project?
- Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
- Remember to conclude your letter with a summary of your position on the issue and a compelling reason that the elected official should act in your favor and support your issue or initiative.
Additional Requirements
- Audience: Make sure you are addressing your letter to an actual local or state official.
- For most states, you can use the following resource:
- Open States. (n.d.). Find your legislators. /orders/openstates.org/find_your_legislator/
- For local officials, search your city’s government website for officials and their positions.
- For most states, you can use the following resource:
- Length of Submission: 1–2 double spaced pages. Your letter needs to be succinct and persuasive.
- Number of References: Cite at least five sources of evidence to support your identification of the gap. This could be public health data, a peer-reviewed journal article, or another scholarly source.
- APA formatting: Resources and citations are formatted according to current APA style.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
- Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
- Summarize the health care economic issue that you are addressing.
- Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
- Explain the positive outcomes that will occur if the issue is addressed and negative outcomes that will occur if the issue is not addressed.
- Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
- Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue.
- Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.
- Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.
- Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
- Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
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- Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
- Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NURS-FPX6008 Lobbying for Change
- APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
- Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NURS-FPX6008 Lobbying for Change
- LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
- Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
- Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NURS-FPX6008 Lobbying for Change
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