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1. Healthcare Assignment: Policy and Advocacy for Improving Population
Health
Healthcare Assignment: Policy and Advocacy for Improving Population Health ON
Healthcare Assignment: Policy and Advocacy for Improving Population Healthopen the file
sent go to the 2 students discussion paper and write what is being asked to respond (see the
instructions to check what you needs to know to respond them. I need 1 page long for each
discussion (2). Tutor need to be pro-efficient in nursing
topics.respond_to_two_coleaUnformatted Attachment PreviewRespond to Two students’
Discussion for Week 3 Learning Objectives Students will: • • • • • Analyze how cost-benefit
analysis affects legislative efforts Analyze legislative intent of bills Identify proponents and
opponents of bills Analyze legislative process of bills Advocate policy position for bills
Discussion: Politics and the Patient Protection and Affordable Care Act Regardless of
political affiliation, individuals often grow concerned when considering perceived
competing interests of government and their impact on topics of interest to them. The realm
of healthcare is no different. Some people feel that local, state, and federal policies and
legislation can be either helped or hindered by interests other than the benefit to society.
Consider for example that the number one job of a legislator is to be reelected. Cost can be
measured in votes as well as dollars. Thus, it is important to consider the legislator’s
perspective on either promoting or not promoting a certain initiative in the political
landscape. • • To Prepare: Review the Resources and reflect on efforts to repeal/replace the
Affordable Care Act (ACA). Consider who benefits the most when policy is developed and in
the context of policy implementation. By Day 3 of Week 3 Post an explanation for how you
think the cost-benefit analysis in terms of legislators being reelected affected efforts to
repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions
by legislative leaders in recommending or positioning national policies (e.g., Congress’
decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is
to be re-elected. Healthcare Assignment: Policy and Advocacy for Improving Population
HealthPlease check your discussion grading rubric to ensure your responses meet the
criteria. Do RESPOND TO TWO Colleagues By Day X of Week 3 Respond to at least two of
your colleagues* on X different days by expanding on their explanation and providing an
example that s their explanation or respectfully challenging their explanation and
providing an example. Student 1 (A,A) Cost/benefit analysis plays a critical role in assisting
leaders in government in making improved decisions on distributing limited tax dollars.

2. This technique has not been used greatly at the federal level for a consecutive amount of
years. Certain states have utilized this technique to help with individual programs, for
example, evaluating whether an economic development incentive is cost-effective in
creating jobs (Urahn, S.K., 2012). I personally feel it all depends on the legislator running for
office and their personal views on the healthcare system in general. If the candidate feels
that the money being used for the ACA could be used “better” somewhere else, then this
could impact their idea to repeal/replace the ACA. 29.8 million people would lose their
health insurance across the nation, if the Affordable Care Act (ACA) was repealed. This
would double the number of individuals without health insurance; also resulting in 1.2
million jobs being lost across the board. I feel that legislators, once again, have their own
minds set on policies and the healthcare system. The ideal way of handling this situation,
would be to look at the statistics of how many individuals in the nation are being ed with
the ACA. Also, reviewing the statistics/data which is stated above, can help guide the
candidate to making decisions. The voice of the people is fairly strong and needs to be taken
account of in the decision making of legislators. Healthcare Assignment: Policy and
Advocacy for Improving Population HealthSeeing that the “number one job of a legislator is
to be re-elected”, it is ideal that the candidate proves the words which they speak of. We
have seen too much of “speaking with no action” in our history. Candidates need to
understand that in order to be re-elected, the people want to see positive change that will
impact all citizens in a positive way. Typically elected officials want to make good policy. As
they think about how they can make a difference, they ask themselves “What is the smart
course of action to take?” During this process, unbiased, independent research is very
important in helping them make decisions. Legislators must consider the “Triangle Test”,
which consists of “Do my constitutes care about this issue?”, “Is this good policy for the
Nation and does this make sense?”, and “Is this press worthy?” (National Council for the
Social Studies, n.d.) References Economic Policy Institute. (n.d.). How would repealing the
Affordable Care Act affect health care and jobs in your state? Retrieved from
https://www.epi.org/aca-obamacare-repealimpact/ National Council for the Social Studies.
(n.d.). How Legislators Make Decisions. Retrieved from
https://www.socialstudies.org/advocacy/how-legislators-make-decisions Urahn, S.K.
(2012). The Cost Benefit Imperative. Retrieved from
https://www.governing.com/columns/mgmt-insights/col-cost-benefit-outcomes-states-
resultsfirst.html Student 2 (S,J) Professor I disagree with they idea that the number one job
of a legislator is to be reelected. Legislators are members of the legislative branch of
government and should be tasked with serving the people by proposing bills having votes
and passing laws that are in the interest of the people and the democracy. The reality of this
scenario however, is not what actually occurs in Congress. Healthcare Assignment: Policy
and Advocacy for Improving Population HealthThere are a number of interest groups and
private and cooporate entities and individuals that influence these legislators and influence
the laws that they propose. Unfortunately, the topic of health care falls is treated similarly
by legislators. Health care is a polarizing topic in America, while most may agree that health
care should b e universally accessible determining how to fund it is where the quagmire
begins. Additionally, presidential elections and local elections are often seen by legislators

3. as mandates by the people to get their agenda completed. This however is not often the
case. Under President Obama there was the passage of the Affordable Care Act, “which
permits young adults up to age 26 to enroll as dependents on a parent’s private health care
insurance and additionally made insurance companies have to cover individuals with
existing underlying conditions”(Cantor, Monheit, DeLia Lloyd, 2012). Under the current
administration there is a similar belief that they also have a mandate by the people to repeal
the Affordable Care Act, their efforts to do so have been tied up in the courts and has put
them out of touch with reality also because they are still trying to repeal the law during a
pandemic when there are millions of people who desperately need health care due to
preexisting conditions and also the threat of the virus. Additionally, it should be noted that
it was documented that an “estimated 30 million Americans are expected to gain health
insurance through the Affordable Care Act (ACA), and a healthy and sizable workforce will
be needed to meet the increased demand”(Anderson, 2014). Healthcare Assignment: Policy
and Advocacy for Improving Population HealthIt should be noted that when policy works
the way it was intended to the people and the country benefit as can be seen in the
aforementioned statistics. However when self interest groups have control over politicians ,
these groups and their political interest alone benefit Learning Resources Note: To access
this week’s required library resources, please click on the link to the Course Readings List,
found in the Course Materials section of your Syllabus. Required Readings Milstead, J. A., &
Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA:
Jones & Bartlett Learning. • Chapter 3, “Government Response: Legislation” (pp. 37–56) •
Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only)
Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/
Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T.
(2017). Corrigendum to position statement: Political interference in sexual and
reproductive health research and health professional education. Nursing Outlook, 65(2),
346–350. doi:10.1016/j.outlook.2017.05.003 Note: You will access this article from the
Walden Library databases. United States House of Representatives. (n.d.). Retrieved
September 20, 2018, from https://www.house.gov/ United States Senate. (n.d.). Retrieved
September 20, 2018, from https://www.senate.gov/ United States Senate. (n.d.). Senate
organization chart for the 115th Congress. Retrieved September 20, 2018, from
https://www.senate.gov/reference/org_chart.htm Videos Provided by the University
Laureate Education (Producer). (2018). Working with Legislators [Video file]. Baltimore,
MD: Author. Laureate Education (Producer). (2018). Introduction to Health Policy and Law
with Joel Teitelbaum [Video file]. Baltimore, MD: Author. Laureate Education (Producer).
(2018). Contemporary Issues in Public Health Policy with Joel Teitelbaum [Video file].
Baltimore, MD: Author. Laureate Education (Producer). (2018). Peter Beilenson: Population
Health [Video file]. Baltimore, MD: Author. Discussion Grading Rubric Excellent Good Main
Posting 45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations
with reflective critical analysis and synthesis of knowledge gained from the course readings
for the module and current credible sources. ed by at least three current, credible sources.
Written clearly and concisely with no grammatical or spelling errors and fully adheres to
current APA manual writing rules and style. Main Post: Timeliness 10 (10%) – 10 (10%)

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