NR 451 Week 7 Discussion What are some benefits of the healthcare reform that has been prompted by the Affordable Care Act (ACA)?

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Please go to www whitehouse gov/blog/2016/03/23/look-six-years-affordable-care-act to read the latest about the Affordable Care Act from the White House

Respond to the questions below

• What are some benefits of the healthcare reform that has been prompted by the Affordable Care Act (ACA)?

• Why is it important to be aware of changes in healthcare policy?

• Why do you believe we spend more on healthcare than any other country but have the worst outcomes?

The healthcare reform has benefited millions of people in the United States. The Affordable Care Act has allowed many people especially those of low -income to have access to affordable health insurance, as it regulates insurance company by setting rules that put a ban these company that denies coverage to those people with pre-existing medical conditions. Not only does it allow people from getting preventive care and immunization for children at no cost but small business owners can purchase health coverage for their employees and get a break on tax credit in doing so. Dependent teens and young adult up to 26 years of age are covered under their parent’s insurance. The government set rules and regulation that healthcare providers must follow which focuses on preventive care and improving health.

“By understanding how government works, how bills become laws, and how legislators make decisions, nurses can influence policy decisions through individual efforts such as electronic letter writing, social networking, participation in political campaigns, and selection of candidates who support policies conducive to improving the health and welfare of all citizens.” (McEwen, pg.184)

It is very important for nurses to be aware of changes in healthcare policy to have the knowledge basic, and insight on government rules and regulations that will help in making decisions and educating our patients, families and the community. Not only do changes in healthcare policy affect we way we deliver care, but it also directs the care we deliver. Nurses play a great role in being active in lobbying and do have a word in the development of some health care policies that are written by the government. We are in the forefront of this delivery system and do have a voice on issues that affect patient care this allows us to advocate on our patient’s behalf on certain practices that are recommended and regulated by the government.

In 2015, the healthcare cost in the U.S far exceed cost as compared to countries like Switzerland, Australia, and Canada, yet their life expectancy rate is lower. Data from the Organization for Economic Cooperation and Development (OECD) shows that there is a higher percentage of people who do not have healthcare insurance comparison to 12 other countries and ranks the highest when it comes to the number of death from preventive diseases and complications.

In my opinion, There is an uneven distribution of spending that causes health care to be so costly. Some providers, insurances companies, and the drug companies want to make great profit at the cost of the sick and helpless. The drug companies are one of the reasons the cost of healthcare is so high, they charge what they want for medication to make a huge profit, not to mention some providers, they create fraud to get more money from the insurances companies, and some insurance companies want to get as much from the public as they can. It is just a dog-eat-dog system.

NR 451 Week 7 Discussion What are some benefits of the healthcare reform that has been prompted by the Affordable Care Act (ACA)? References:

New York. (2014). Is the Affordable Care Act Working? Retrieved from https://www.nytimes.com/interactive/2014/10/27/us/is-the-affordable-care-act-working.html#/ (Links to an external site.)

McEwen. (2015). Community/Public Health Nursing: Promoting the Health of Populations (6^thed.). St. Louis, Mo. Retrieved from https://online.vitalsource.com/#/books/9780323188197/cfi/8/4!/4/2/38/10@0:16.1 (Links to an external site.)

Los Angeles Times. (2017). The U.S spends more in Healthcare than any other country- But not with better Health Outcomes Retrieved from

http://www.latimes.com/nation/la-na-healthcare-comparison-20170715-htmlstory.html (Links to an external site.)

NR 451 Week 7 Discussion What are some benefits of the healthcare reform that has been prompted by the Affordable Care Act (ACA)? Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. *(5 points possible per graded thread)*	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements *per discussion thread*	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement *per discussion thread*	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

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