NSG 4068 W3 DQ Imperfect Solutions to Increasing Access to Health Care

Sample Answer for NSG 4068 W3 DQ Imperfect Solutions to Increasing Access to Health Care Included After Question

The ACA or the AHCA: Imperfect Solutions to Increasing
Access to Health Care?

The discussion assignment provides a forum for discussing
relevant topics for this week on the basis of the course competencies covered.

For this assignment, make sure you post your initial
response to the Discussion Area by the due date assigned.

To support your work, use your course and text readings and
also use the South University Online Library. As in all assignments, cite your
sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your

classmates as early in the week as possible. Respond to at least two of your
classmates’ initial postings. Participate in the discussion by asking a
question, providing a statement of clarification, providing a point of view
with a rationale, challenging an aspect of the discussion, or indicating a
relationship between two or more lines of reasoning in the discussion. Cite
sources in your responses to other classmates. Complete your participation for
this assignment by the end of the week.

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This week’s discussion focuses on the federal government’s
role in protecting the public’s health using the ACA and current efforts to
“repeal and replace” the ACA. Please note that the government’s role in
protecting the public’s health did not begin with the ACA. In the late 1800s,
Lilian Wald brought health care to the community. And in 1965, Congress passed
bills authorizing Medicare and Medicaid. Since 1965, Congress has expanded
government-sponsored health care to pregnant women and children.

Answer the following question:

Compare the current provisions in the ACA with those in the
failed first version of the AHCA. Share your opinions about why the AHCA failed
in the first attempt at passage.

Continue to read daily from one of the policy briefs that
are included in your weekly readings list. POLITICO Pulse is a daily briefing
from POLITICO, and the Kaiser Health News Morning Briefing is a daily briefing
from the Kaiser Family Foundation. Both focus on health care. Either one will
keep you abreast of what is happening in health care policies and politics.

In addition, subscribe to the “HealthCetera”
podcast and listen to the podcast weekly. This is a production of WBAI, free
speech radio of Pacifica Foundation Radio in New York City. Diana Mason and
Barbara Glickstein are founders and codirectors of the Center for Health Media
Policy (CHMP). Both are recognized as experts in media, nursing, health, and
health policy. They have a longstanding relationship as producers and moderators
of HealthCetera, a live, award-winning radio program on public radio and
iTunes. They are bloggers for Disruptive Women in Health Care and for the
American Journal of Nursing (AJN). The CHMP is an interdisciplinary initiative
for advancing the health of the public and healthy public policies through
media, research, education, and public forums. Listen to the podcast throughout
the course and think on the topics that are discussed, especially as they
relate to how we advocate for issues of importance in this contemporary
political environment.

Compare the current provisions in the ACA with those in the failed first version of the AHCA

The Affordable Care Act or the Patient Protection Act enacted during the Obama administration, and pushed by the democrats has the key provisions targeting reduced costs of healthcare, increased healthcare insurance for the low earners and making healthcare accessible to all (McIntyre & Song, 2019). Moreover, the provision of this act also put more emphasis on health promotion measures as a means of reducing burden on already overstretched healthcare systems. Healthcare service providers are called upon to promote efficiency of the treatment options, cutting down on healthcare fraud and abuse of the health insurance provisions. In terms of the insurance, there was a deliberate move to significantly reduce uncompensated care offer patients’ alternative forms of health insurance covers (Silberman, 2020). Patients with pre-existing medical conditions were also beneficiaries of the ACA in our healthcare system.

On the contrary, the America Healthcare Act (AHCA) was a republican agenda pushed through during Trump administration. Its main motive was to repeal and replace the ACA (Fiedler et al., 2017). However, there were several provisions that did not go well with some of the republican legislators. One among them was the expansion of Medicaid. This was viewed widely by the republicans as an extension of the ACA. There was a capping introduced to ensure that the federal government will subsidize the healthcare cost up to a certain level beyond which the state government will be required to fill in the remaining deficit. There were 19 states that rejected the expanded Medicaid under ACA, hence in the AHCA such states were offered a safety net funding to help increase funding to the Medicaid providers. While the ACA offered insurance subsidies based on income and cost, on contrary the AHCA replaced the subsidies on credit based on age.

NSG 4068 W3 DQ Imperfect Solutions to Increasing Access to Health Care References

Fiedler, M., Aaron, H. J., Adler, L., & Ginsburg, P. B. (2017). Moving in the Wrong Direction — Health Care under the AHCA. New England Journal of Medicine, 376(25), 2405–2407. https://doi.org/10.1056/nejmp1706848

McIntyre, A., & Song, Z. (2019). The US Affordable Care Act: Reflections and directions at the close of a decade. PLOS Medicine, 16(2), 1–3. https://doi.org/10.1371/journal.pmed.1002752

Silberman, P. (2020). The Affordable Care Act : Against the Odds, It’s Working. North Carolina Medical Journal, 81(6), 364–369. https://doi.org/10.18043/ncm.81.6.364

Lopes Write 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 LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 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.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

Your response needs to be a minimum of 150 words (not including your list of references)
There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
Include in-text citations in your response
Do not include quotes—instead summarize and paraphrase the information
Follow APA-7th edition
Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

A minimum of 6 responses per week, on at least 3 days of the week.
Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
Each response needs to be at least 75 words in length (does not include your list of references)
Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
Follow APA 7th edition
Points will be deducted if the above is not followed
Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
Here are some helpful links
Student paper example
Citing Sources
The Writing Center is a great resource