Health Care Reforms
Nurses play a critical role in any healthcare system. Owing to their constant interaction with patients, they are well placed to be effective, knowledgeable advocates to their patients. Nurses not only maintain contact health facilities but also at the community level directly impacting on the holistic welfare of the community. Though with its challenges; nurses having a little involvement in the policy-making process attributing to the limited knowledge of policy education, nurses have strived to adopt the policies developed by the national governments. One such policy that has had a significant impact on nurses is the Affordable Care Act (Obamacare). A substantial contributor to the recent influx of patients to health facilities stretching the nurse-patient ratio to a near breaking point (Altman., 2016).
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With a goal to provide more Americans with access to not only affordable but also quality health insurance. It also widely expands the availability and affordability of healthcare in both public and private institutions through subsidies, taxes and a pile of regulations amongst many more reforms encapsulated within it considerably cutting down costs to the citizens. With these, both the quality and access are advantaged mainly. With a successful provision of preventive health services to millions of Americans, it has without a doubt been a tremendous success.
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Affordable Care Act admittedly has had an impact on my nursing practice. With a Heightened inflow of patients to health facilities and an increase in job opportunities for outpatient nurses (an imminent problem), an equilibrium needs to be established. John Kingdon’s model is crucial to an implementation of any policy. With a clarification on the different considerations made during the policy-making process; problem, policy and political streams must be viewed with cardinal objectivity to adjust any preexisting policy (Cairney, & Jones., 2016). Having identified the problem, I would assess the willingness of those in the political field to adjust thus stride towards establishing an equilibrium. Then, I would produce a list of short probable proposals towards those with interest to effecting the policy change.
References
Altman, D. (2016). The ACA marketplace problems in context (and why they don’t mean Obamacare is ‘failing’). Wall Street Journal.
Cairney, P., & Jones, M. D. (2016). Kingdon’s Multiple Streams Approach: What is the Empirical Impact of this Universal Theory? Policy Studies Journal, 44(1), 37-58.
Stoddart, G. L., & Evans, R. G. (2017). Producing health, consuming health care. In Why are some people healthy and others not? (pp. 27-64). Routledge.
