Health policy and planning


Healthpolicy and planning

HealthPolicy and Planning

How newenrollees with mental or substance abuse will be cared for at thecurrent level of health care delivery system providers covered byhealth insurance.

It may seem impossible and difficult to cover the health needs of abig number of six to ten million employees. However, through theright strategies and systems, the new enrollees with variousillnesses and disorders,the health care system providers will caterfor such cases.

In such a scenario, finances and personnel are vital things that beput into consideration. The government will set aside some funds tobeusedfor the health care delivery systems.Increasing the number ofhealth centers. It will enable accessibility by the patients who willhave to walk a shorter distance in order to access such services.Registration and allocation of clinic days for the patients is alsoessential. The government through various initiatives ought to meetall the costs emanating from the care and treatment of patients withsuch conditions (Buerhaus,2009).

The Affordable Care Act (ACA) was established on March 23, 2010 withan aim of catering for millions of uninsured Americans. According tothe law, Americans are mandated to have health insurance. The mainpurpose of signing the ACA into law was to address the crisis facingthe health sector and so doing make insurance cheaper and accessiblefor the 44 million uninsured Americans (Thompson,2015). Therefore, the money to be raised through theinsurances will cater for both new health workers and facilities.

In situations whereby some Americans are not able to meet the healthinsurance, they will undoubtedly qualify for Medicare, Medicaid, andCHIP (Davidson,2013).They may also opt to get help in form of taxcredits or assistance with up-fronts costs through their state’sHealth Insurance Exchange.

Transferring the costs to employers and taxpayers will have anadverse effecton the economy. Employers and tax payers ought to betaxed in accordance with the salary they are earning and thereforetaxing them again for the sake of the jobless individuals will strainthem.The salary will now be too little to meet their basic dailyneeds. The government should think of other strategies of raising themoney like coming up with projects and programs that will cater forthe insurance to those who cannot afford to raise that kind of money.

The health status of the older Americans will be compromised becausean increase in number of those who enter the entitlement system ofsocial security and Medicare over-burdens the federal government(UnitedStates, 2010). These expensive entitlements will befunded through various government projects across America. Thetransactions of siphoning funds from social security is an illegaloperation because after a few years, the deficits will be too highand cause detrimental effects to the social security. Theimplications of transparency for the real annual deficit unsubsidizedby fund transfers from social security trust will trigger politicalcriticism against those in government. Opposition politicians willblame the government for their incompetence thus using it as astepping-stone for their support during elections (RobertWood Johnson Foundation, 2011).

A program of compensation to families should be created to serve asan incentive to avoid institutionalization of elderly or handicappedfamily members as this will ensure that all their needs are metwithout delay or and as required.

Futurenursing report recommendations

1. Removeobstacles of practice. Removal of obstacles of practice will ensurethat nurses with an advanced level of training practice fully thusbetter service delivery and patient care.

2. Opportunitiesexpansion for nurses. Nurses will be able to interact with othermembers of the health care team to carry out research thus improvedservice delivery at all levels (Williams,2007).

3. Introductionofresidency programs for nurses. The programs will enhance completionof a transition-to-practice for nurses, and this will ensure qualityand efficient service delivery and patient care.

4. Increase inthe number of nurses having baccalaureate degree to 80% by 2020.Increase of the number of nurses with baccalaureate degree to 80%will enhance better service delivery and patient care by nurses, asthey will be able to work effectively and efficiently.

5. Doubling thenumber of nurses with a doctorate by 2020. The recommendation willmake sure that there are minimal deficits as far as service deliveryand patient care are concerned.

6. Lifetimelearning for nurses. Constant learning throughout their lifetime willensure that nurses update their skills thus better service deliveryand patient care.

7. Allowing andpermitting nurses to lead change to improved health.Therecommendation will enable nurses to take leadership positions acrossall levels of service delivery thus quality and improved servicedelivery and patient care (Finkelman,2009).


Buerhaus,P. I., Staiger, D., &ampAuerbach, D. I. (2009).&nbspThefuture of the nursing workforce in the United States: Data, trends,and implications.Boston: Jones and Bartlett Publishers.

Committeeon the Robert Wood Johnson Foundation Initiative on the Future ofNursing, at the Institute of Medicine., Robert Wood JohnsonFoundation., &amp Institute of Medicine (U.S.). (2011).&nbspThefuture of nursing: Leading change, advancing health.Washington, D.C: National Academies Press.

Davidson,S. M. (2013).&nbspAnew era in U.S. health care: Critical next steps under the Affordable Care Act.

Finkelman,A. W., Kenner, C., &amp American Nurses Association.(2009).&nbspTeachingIOM: Implications of the Institute of Medicine reports for nursingeducation.Silver Spring, MD: American Nurses Association.

InThompson, T. (2015).&nbspTheAffordable Care Act.

UnitedStates. (2010).&nbspCompilationof Patient Protection and Affordable Care Act: As amended throughNovember 1, 2010 including Patient Protection and Affordable Care Acthealth- related portions of the Health Care and EducationReconciliation Act of 2010. Washington: U.S. Government Printing Office.

Williams,R. A. (2007).&nbspEliminatinghealthcare disparities in America: Beyond the IOM report. Totowa, N.J: Humana Press.