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Policy Advocacy: the need to transform the United State's Affordable Care Act

Updated on July 3, 2017


Presently, most of the elements in the affordable care act have now been enforced. Affordable care act is a law that empowers consumers to control how they receive healthcare. Under this regulation, all American citizens have a right to enjoy the flexibility and stability they require so as to make an informed decision concerning their health (U.S Department of Human Services and Health, 2014). The Affordable Care Act was established with this purpose: to increase accessibility, cost and quality of healthcare to people in all sectors. This includes those who cannot afford insurance, as well as those with insurance but which did not offer them adequate coverage (U.S Government). Interestingly, this purpose is yet to be achieved since the law has been utterly misused by public and private healthcare corporations for their gains. Furthermore, the quality of care has been compromised due to influx of patients to healthcare facilities (Barbaresco et al, 2015). Following these, there is no doubt that the Act need to be reevaluated in order to seal the loopholes that are capitalized upon by Healthcare Corporation to make profit as well as emphasize on the quality of care.

The Needed Changes

There is need for stakeholders to consider healthcare as a public utility which should be accessed by all citizens irrespective of the economic standing. Therefore, the profit motive in healthcare needs to be removed and instead promote a high standard and single standard for good care. In light of this, we do propose a single-payer health insurance system which is able to cover all citizens using taxi-payers money. In other words, each person who is capable of paying tax should be taxied and the money goes to the proposed single-payer insurance system. Most industrialized nations around the world employ this system in financing their healthcare system. This system has been quite effective in such nations and there is no doubt that it will succeed in our context. When a health care system is left at the hands of corporations as in the Affordable Care Act, then these entities will be tempted to look for every means possible to make profit out of it.

A closer examination of the Affordable Care Act showcases that this law does not offer significant challenge to the predominance of healthcare corporations while actually facilitating their capability of money by providing the fastest, less costly fare as possible (Cohn, 2010). In the process, these corporations happen not to use much expenditure while offering a fast service without concern for quality. If a single-payer system is provided instead, healthcare facilities will be paid from a central location and the kind of services provided will be standardized and monitored accordingly. This will help in standardizing healthcare, improving accessibility and maintaining of the quality at all times.

My first step in instigating for changes in the affordable care act is to draw a bill using the services of a qualified and licensed advocate which I should then present to my local member of parliament who serves as a federal legislator. I will then write a letter to the particular Member of Parliament with a request to have a meeting with him. The reason for the meeting will also be included in the letter. This will be followed by a phone call two days later to confirm receipt of the letter and the possibility of the appointment. Once accepted, I will then schedule an appointment with the mp with a focus of discussing the flaws and loopholes in the Affordable Care Act and why plus how the Act could be transformed in order to be of more benefit to many people. I will make sure to accompany five other nurses and some two professionals in the healthcare sector to support my views. I am certain that the MP will be convinced on our proposal and in seeing the need for reinforcement of the policy. Once passed in the federal house, we will embark on initiatives to support and sensitize key stakeholders including the ministry of health in regard to implementation of the particular policy. In other words, we will ensure that nothing is left to chance and the bill’s provisions are effectively adhered to. Further, we will also engage in aggressive media campaign to sensitize and inform the public on this policy and how they can benefit out of it. This way, we would have performed our role as nurse leaders.


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