When politics and medical science intersect, there can be much debate.

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

NEED ASSISTANCE WITH ANSWERING RESPONSE TO MY POST BELOW POST A. ALSO I NEED TO RESPOND TO POST B AND C WITH FEEDBACK WITH ADDITIONAL COMMENTS AND OR ASKING QUESTIIONS. EACH POST REQUIRES 2 REFERENCE INCLUDING THE WEBSITE ATTACHED.

https://www.congress.gov/

THIS IS MY POST:

In simple terms, healthcare policy refers to plans, discussions, and actions that are established on to achieve specific goals of healthcare in any setting. One of the healthcare policies that have caused significant debate is the Affordable Care Act (ACA). ACA has faced a lot of opposition since Trump came into leadership (Congress.gov, 2019). Trump has always been fighting the ACA stating that it doesn’t meet the healthcare needs of the Americans. Trump is aiming at replacing the ACA with the Graham-Cassidy. Graham-Cassidy is supposed to permit the insurers to discriminate against the people with existing states and remarkably reduced insurance subsidies for the Americans in the middle and low-income classes.

Reliable research establishes that there is some logic in Trump’s decision. Dismantling the ACA is expected to provide an opportunity for the Americans to enjoy better healthcare services.  The ACA has various shortcomings which need to be addressed if it must meet the healthcare needs of all the Americans (McCarthy, 2018). Research establishes that ACA has led to increasing in the cost of care to many Americans. Diseases that had been ignored in the past started to be treated after the implementation of the ACA. Treatment of some chronic illnesses which had been ignored prior to the implementation of the ACA led to the increased cost of care due to the need to cater to them. The fact that the ACA requires Americans to cater to services that don’t benefit them shows that it is ineffective; such services include maternity care.  Moreover, ACA led to multiple losses to various insurance companies and Americans after it canceled insurances for over 30 million people as their policies didn’t meet the 10 essentials of the ACA.  It is worth noting that the move by the ACA in 2013 to increase the income taxes for the majority of Americans was much ravaging because it led to double taxation among many Americans, who had to pay for the Medicare (Amadeo, 2019).

It is worth noting that dismantling the ACA will lead to inefficiencies in healthcare. There are many Americans who rely on the ACA to meet their care needs; Such Americans include the poor and the middle-class individuals. Dismantling the ACA is, therefore, likely to result in significant problems for the poor. However, the Graham-Cassidy policy seems to be better as it advocates for the healthcare needs of both the poor and the rich. Equality should be the basis of medication in healthcare (McCarthy, 2018).

 References

Amadeo, K. (2019). 10 Pros and Cons of Obamacare. Retrieved from https://www.thebalance.com/obamacare-pros-and-cons-3306059

Congress.gov. (2019). Congress.gov | Library of Congress. Retrieved from https://www.congress.gov/

McCarthy, M. (2018). Trump calls on Congress to replace “unsustainable” Affordable Care Act. BMJ, j1145. doi: 10.1136/bmj.j1145

INSTRUCTIONS: I NEED TO RESOPOND TO THIS COMMENT:

Shannon,

You identify the ongoing challenges related to ACA and the current debate that continues about health care coverage. Related to the Graham-Cassidy plan, what are the key advantages and disadvantages that have been identified? What approach would you use to gain support of key stakeholders related to proposed changes and policy development to address the issues related to this or other policies that require change?

POST B:

For this week’s discussion, we needed to find one proposed health policy. Going away from nursing and focusing on my other passion of being an EMT, I found a policy dealing with those who are first responders.

On 05/16/2019, a new policy named H.R.2812 or Protecting America’s First Responders Act was introduced. The sponsor of this bill is Representative Bill Pascrell JR a democrat out of New Jersey and Charles “Chuck” Grassley from Iowa (Congress n.d.). The goal is to provide payment of death and disability benefits for any first responder that becomes seriously injured or completely disabled in the line of duty.

The original version of this bill dated back to 1968 and was called the Omnibus Crime Control and Safe Streets Act of 1968 (Congress n.d.). As of May 2019, the bill has passed in the Senate and goes to the house next for consideration where there is a 98% chance of it being enacted on (Protecting America’s First Responders Act n.d.). 

As a first responder, I feel that this is a valuable bill and seems to have a larger amount of support to pass it into law. As a volunteer for my local rural Wisconsin town, we get up at all times of night, and from the moment I get in my vehicle till the time I get back into bed my life is in danger. We are a completely volunteer and give my time to help our local community. We don’t ask for anything in return but continue to serve our community. I feel strongly that this bill will pass as first responder compensation has been in the news lately. On June 11, 2019, former Daily Show host Jon Stewart went to capitol hill to rant about the need to protect our first responders from 9/11. Alongside him was a Luis Alvarez, a detective that spent six months digging through ground zero and later developed cancer. Luis died on 6/29/2019 18 days after sitting alongside Jon Stewart. The saying I live by, “if we don’t protect our first responders, who will protect us?”

Reference: 

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

Protecting America’s First Responders Act (S. 1208). (n.d.). Retrieved July 9, 2019. from https://www.gotrack.us/congress/bills/116/s1208

POST C:

Main question post: Senate Bill 773: Telehealth Innovation and Improvement Act of 2019 is proposed legislation designed to require and facilitate the Center for Medicare and Medicaid Innovation (CMI) to initiate telehealth utilization policies and services into their healthcare reform model (U.S. Congress, n.d.). The proposed expanded telehealth services requirement would allow for participating hospitals to test the utilization of telehealth services under the direction of CMI. By evaluating the effectiveness of telehealth programs and the quality of care, Medicare could expand coverages of these services and further billing practices according to accountable care organizations and bundled payment programs (Burch, 2017). This bill was introduced in the Senate on March 13th, 2019 and is currently sponsored by Senator Cory Gardner (R-CO) and co-sponsored by Gary Peters (D-MI) (U.S. Congress, n.d.). The bill is in its initial stages and has not reached any formal committee activity level.

Telehealth can aid in providing access to healthcare services to many people across the country. With the Accountable Care Act’s expansion of healthcare coverage for millions of Americans, the increased demand on the healthcare system has not been fully accounted for which includes increased wait times to see primary care providers, impacted emergency departments and home health and mental health services. By utilizing telehealth technology to offset the burden of an impacted system; monitoring, follow-up, and preventable services may not only be a viable cost-saving solution but a profitable one as well. Data has shown that telehealth has decreased hospitalizations by the early detection and intervention of exacerbations of chronic disease such as hyperglycemia, hypertension, congestive heart failure, and respiratory distress syndromes. However, payor sources, including Medicare and Medicaid Services (CMS), have conflicting definitions of what telehealth is and how it should and could be reimbursed (Burch, 2017). By taking the lead in defining the parameters around telehealth reimbursement, CMS has an opportunity to improve access and evolve the healthcare model and control the narrative. CMI can be at the forefront of the future of healthcare by adopting organizational policies and supporting innovation and creating a culture of progression (Klein, 1996).

According to Burch (2017), practitioners should look beyond reimbursement to the actual value of telehealth; patient safety, chronic care management, access to care, and reduced hospital admissions. Medicare’s bundled payment plan makes the physicians or home health agencies responsible for episodic care for 60 to 90 days after a procedure, surgery, or hospitalization, and in some cases telehealth can reduce the number of visits to the provider and provide cost savings through monitoring and early intervention (Burch, 2017). Progressive, forward thinking is required to solve the current impacted, costly, and inefficient healthcare system we have in the United States. One way to accomplish this is through telehealth. Hospital systems and providers should start to familiarize themselves with telehealth and various other technologies to streamline their practice, unfortunately however, until there is an agreed upon reimbursement model for these services it is not likely to occur. Support for SB 773 is paramount in improving quality healthcare through telehealth and forcing CMS and their innovation department to lead the way into the future of healthcare.

References

Burch, S. G. (2017). The power and potential of telehealth what health systems should know. Healthcare Financial Management, 71(2), 46-49.

Klein, K. J. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055-1080. doi:10.5465/AMR.1996.9704071863

U.S. Congress. (n.d.). Current Legislation. Retrieved July 8, 2019, from Congress.gov: https://www.congress.gov/bill/116th-congress/senate-bill/773/text?q=%7B%22search%22%3A%5B%22health+care%22%5D%7D&r=135&s=2

POST B/C NEED A FOLLOW UP RESPONSE AS WELL (FEEDBACK)

Expert Solution Preview

Hi Shannon,

You provide an interesting analysis of the Affordable Care Act (ACA) and the proposed Graham-Cassidy policy. However, it would be helpful if you could provide some more evidence-based information to support your claims. For example, you state that the ACA has led to an increase in the cost of care for many Americans, but could you provide some sources to back up this claim? Additionally, while it is true that the ACA requires Americans to pay for services that they may not necessarily need or want, such as maternity care, this is done to ensure that healthcare coverage is comprehensive and available to everyone. It may be helpful to explore this concept further and discuss the benefits and drawbacks of a comprehensive healthcare system.

Overall, your analysis provides a good starting point for the debate surrounding healthcare policies, and it would be interesting to see how stakeholders on both sides of the issue respond.

Best regards.

References:

Amadeo, K. (2019). 10 Pros and Cons of Obamacare. Retrieved from https://www.thebalance.com/obamacare-pros-and-cons-3306059

Congress.gov. (2019). Congress.gov | Library of Congress. Retrieved from https://www.congress.gov/

McCarthy, M. (2018). Trump calls on Congress to replace “unsustainable” Affordable Care Act. BMJ, j1145. doi: 10.1136/bmj.j1145

Hi,

As a fellow first responder, I agree with you that the Protecting America’s First Responders Act is an important piece of legislation. However, it may be helpful to explore the potential criticisms or drawbacks of this policy. For example, some may argue that providing death and disability benefits to all first responders could place an additional burden on taxpayers. Additionally, there may be concerns about the potential for fraud or abuse of these benefits. It would be interesting to see how proponents of the policy respond to these criticisms.

Best regards.

References:

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

Protecting America’s First Responders Act (S. 1208). (n.d.). Retrieved July 9, 2019. from https://www.gotrack.us/congress/bills/116/s1208

Hi,

Your analysis of the Telehealth Innovation and Improvement Act of 2019 is insightful. It may be useful to explore some of the potential benefits and drawbacks of telehealth as a healthcare delivery model. For example, while telehealth can increase access to care for individuals living in rural or remote areas, there may be concerns about the quality of care provided through telehealth compared to in-person care. Additionally, it is important to consider the potential for telehealth to exacerbate existing disparities in healthcare access and utilization. It would be interesting to see how stakeholders in the healthcare industry respond to the proposed legislation and these potential concerns.

Best regards.

References:

Burch, S. (2017). Telehealth Reimbursement: Where Do We Stand Now? Journal of AHIMA, 88(2), 44-45.

U.S. Congress. (n.d.). Senate Bill 773: Telehealth Innovation and Improvement Act of 2019. Retrieved from https://www.congress.gov/bill/116th-congress/senate-bill/773.

#politics #medical #science #intersect #debate

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Feminist approaches to knowledge production

Feminist approaches to knowledge production and the question of scientific knowledge Students will be required to write short analysis papers, of 1000 words The short analysis paper should be structured around a core question, and focused on one (weekly) topic or reading of the course. The paper should summarize, discuss

Megan’s Law

 On July 27, 1994, 7-year-old Megan Kanka was coaxed into a known pedophile’s house with the promise of seeing a new puppy. He then raped and killed her. As a direct result, Megan’s Law was signed into law on Oct. 31, 1994. There has been much controversy and many court

In the Asian culture, there is often a belief that

In the Asian culture, there is often a belief that terminally ill patients should not be informed about their prognosis. Would you respect the cultural practice and not inform a patient about the prognosis? Is there a way for health care providers to balance the patient’s right to know with

Provide a basic description of the community you surveyed for

Provide a basic description of the community you surveyed for your windshield survey.   Answer the following based on your windshield survey:  What is the role of community/public health nursing and community partnerships as they apply to your surveyed community?  What is the influence of social determinants of health, such as

Respond to one of the following case studies in a

Respond to one of the following case studies in a minimum of 175 words:  Danielle’s client, George, is extremely agitated during their session. He has a restraining order against him to protect his former girlfriend. He is entitled to parenting time with their son, but he reports that his ex

Step 1 Select a change theory that would work best

Step 1 Select a change theory that would work best for your proposed change project. In one- to two-pages, summarize the main theoretical notions and concepts of the selected theory. Then discuss the various stages of implementation of the proposed project based on the selected theory. Using Lewin’s Change Theory

Instructions The career development process for public managers encompasses the

Instructions The career development process for public managers encompasses the various topics of strategic planning, budgeting/finance management, administrative functions, intergovernmental relations, and policy implementation. Besides the management of people and processes, career development also includes managing and resolving unexpected workplace or community events. Using the case study format below, you

Discuss in detail the characteristics of probability and nonprobability sampling.

 Discuss in detail the characteristics of probability and nonprobability sampling. Discuss the reasons that researchers would use conditional probability instead of unconditional probability in their study. Be sure to support your statements with logic and argument, use at least four peer reviewed articles and cite them to support your statements.

Week 6 Assignment – Journal: Sixth and Eighth Amendments Watch

  Week 6 Assignment – Journal: Sixth and Eighth Amendments Watch the two videos and reflect on how the Sixth and Eighth Amendment protections were or can be preserved in each of the videos. CJ in Practice: Judge Sentencing Guidelines. Criminal Justice in Practice (scenario) Jury Selection. Assess the impact

Please respond to the following: Compare and contrast the main

Please respond to the following: Compare and contrast the main differences between cash flow and revenue. Determine whether or not you prefer your company to be cash flow positive or achieve a break-even point, and justify your response.  Be sure to respond to at least one of your classmates’ posts. 

Health and well-being in Pakistan

 Task 1. (max 2,000 words, excluding references) Discuss how the United Nations’ Sustainable Development goals are impacting on the economic growth of a developing country of your choice. Focusing on four SDGs, outline the strategy and initiatives adopted by the country of your choice to achieve those goals. so this

Distinguish between alert data (including generation tools) and previously covered

Distinguish between alert data (including generation tools) and previously covered NSM monitoring (including collection tools).  Example of post:  ONLY AN EXAMPLE The difference between alert data and the data collected by NSM is that alert data is slightly more processed by the alert infrastructure and appends alert information. The input

MAINTAINING TREE ISLANDS IN THE FLORIDA EVERGLADES: NUTRIENT

Read the article entitled “Maintaining tree islands in the Florida Everglades: nutrient redistribution is the key” and then prepare review of the article, including the following components: Thesis: What are the main points of the article? What are role of phosphorus in expansion and maintenance of Tree Island? How increased

MSN 5300 MRU Correlational Analysis Discussion Nursing Assignment Help

I’m studying for my Health & Medical class and need an explanation. In this week’s please discuss the purpose of correlational analysis. Expert Solution Preview Introduction: Correlational analysis is a statistical method widely used in health and medical research to examine the relationship between two or more variables. It allows

Critical thinking Nursing Assignment Help

Medical Errors – Policy and Procedures. Reporting errors in healthcare is an essential component of patient safety. For this assignment, you will assume that you are a healthcare administrator at a healthcare facility (Hospital, long-term care facility, clinic, etc.). You are tasked with creating a process for reporting errors and

Discuss a formal role where a nurse is in a

 Discuss a formal role where a nurse is in a position of leadership. Outline the essential responsibilities of that role and the educational preparation required. Explain what leadership traits, styles, or qualities are required to be successful in this role and why.   The influence of leadership can be far-reaching in