The document discusses a nursing student's assignment to analyze a proposed health-related bill and advocate for their position on it. The student chose to analyze the Affordable Care Act. In a 1-2 page grid, the student outlines the bill's intent, proponents/opponents, target populations, and current status in the legislative process. In a 1 page statement, the student advocates for keeping the Affordable Care Act based on its benefits in reducing costs and improving access to healthcare. While acknowledging some issues, the student argues the bill has helped many Americans. The statement also discusses how social factors like income, age and education affect those impacted by the legislation.

1. Nursing Question
nursing multi-part question and need the explanation and answer to help me learn.
As a nurse, how often have you thought to yourself, If I had anything to do about it, things
would work a little differently? Increasingly, nurses are beginning to realize that they do, in
fact, have a role and a voice.
Many nurses encounter daily experiences that motivate them to take on an advocacy role in
hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of
course, doing so means entering the less familiar world of policy and politics. While many
nurses do not initially feel prepared to operate in this space effectively, the reward is the
opportunity to shape and influence future health policy.
To Prepare:
Select a bill that has been proposed (not one that has been enacted) using the congressional
websites provided in the Learning Resources.
The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy
Statement)
Be sure to add a title page, an introduction, purpose statement, and a conclusion. This is an
APA paper.
Part 1: Legislation Grid
Based on the health-related bill (proposed, not enacted) you selected, complete the
Legislation Grid Template. Be sure to address the following:
Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1-page Legislation
Testimony/Advocacy Statement that addresses the following:
Advocate a position for the bill you selected and write testimony in support of your
position.
Explain how the social determinants of income, age, education, or gender affect this
legislation.
Describe how you would address the opponent to your position. Be specific and provide
examples.

2. At least 2 outside resources and 2-3 course specific resources are used.
Submit your completed legislation grid and testimony/advocacy statement.
Before submitting your final assignment, you can check your draft for authenticity. To check
your draft, access the Turnitin
Requirements: 01
Politics in the Healthcare System
Students Name
Institution
Patient Protection and Analysis of Affordable Care Act
The people are the primary beneficiary of policy-making. The Affordable Care Act invests in
programs meant to lower costs and raise the standard of care alongside broadening health
insurance. The policy has helped to save both life and healthcare expenses. The Affordable
Care Act (ACA) aids in cost reduction, and its improvements should be kept up in the future
(Willison & Singer, 2017). This is an essential program for the people and should be
considered an important milestone towards quality healthcare for all. The program is very
beneficial for Americans. However, some issues would require the policy to be repealed or
replaced. The policy has yet to help people get coverage despite too much government
spending.
The cost-benefit analysis focuses on examining the overall benefits of an action and
evaluating them against the costs. This helps to determine whether the policy has positive
outcomes (Newcombe, 2021). The main focus here is to determine a policy's productivity
level based on the invested costs. Taxpayers are the main stakeholders and want policies
with the most benefits based on taxes. Some changes, such as economic problems, have
made it difficult for the program to deliver (Congress, 2023). Many people are without
health coverage, and the cost of healthcare has also risen tremendously. However, the bid
for legislators to be reelected has hampered their ability to repeal the policy. Some gaps in
the policy need to be addressed, but legislators fear they might lose voters' support if they
do so (Milstead & Short, 2019). Most voters feel that the policy should not be repealed or
replaced as they feel it has more benefits for the general populace.
The voters do have the power to affect policy-making in the country. Voters yield too much
power in political decisions made by their legislators because they have the power to
reelect or remove them (Taylor et al., 2017). They can analyze whether the legislators met
their expectations and then decide accordingly. The leader's desire to be reelected makes
them support policies that make the voters happy.
References
Congress. (2023). Congress.gov | Library of Congress. Congress.gov |. Retrieved March 14,
2023, from https://www.congress.gov/
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse's guide (6th ed.).

3. Jones & Bartlett Learning.
Newcombe, T. (2021, April 21). The cost-benefit imperative. Governing. Retrieved March 14,
2023, from https://www.governing.com/archive/col-cost-benefit-outcomes-states-results-
first.html
Taylor, D., Olshansky, E. F., Woods, N. F., 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
(2017) 242–245]. Nursing Outlook, 65(3), 346-350.
Willison, C. E., & Singer, P. M. (2017). Repealing the Affordable Care Act essential health
benefits: threats and obstacles—American journal of public health, 107(8), 1225.