Management

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. The suppliers of legislative benefits are legislators, and their primary goal is to be re-elected. Thus, legislators need to maximize their chances for re-election, which requires political support. Legislators are assumed to be rational and to make cost-benefit calculations when faced with demands for legislation. However, the legislator’s cost-benefit calculations are not the cost-benefits to society of enacting particular legislation. Instead, the benefits are the additional political support the legislator would receive from supporting legislation and the lost political support they would incur as a result of their action. When the benefit to legislators (positive political support) exceeds their costs (negative political support) they will support legislation. (page 27) Source: Feldstein, P. (2006). The politics of health legislation: An economic perspective (3rd ed.). Chicago, IL: Health Administration Press. 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. Explan how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA. Then, explain how analyses such as the one portrayed by the Feldstein statement may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement 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 Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement) Part 1: Legislation Comparison Grid Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison 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? Is it receiving press coverage? Part 2: Legislation Testimony/Advocacy Statement Based on the health-related bill you selected, develop a 1- to 2-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. Describe how you would address the opponent to your position. Be specific and provide examples. Recommend at least one amendment to the bill in support of your position. ubric Detail Select Grid View or List View to change the rubric’s layout. Name: NURS_6050_Module02_Week04_Assignment_Rubric Grid View List View Excellent Good Fair Poor Federal and State Legislation Part 1: Legislation Comparison Grid Based on the health-related bill you selected, complete the Legislation Comparison 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? • Is it receiving press coverage? 32 (32%) – 35 (35%) The response clearly and accurately summarizes in detail the legislative intent of the health-related bill. The response accurately identifies in detail the proponents and opponents of the health-related bill. The response accurately identifies in detail the populations targeted by the health-related bill. The response clearly and thoroughly describes in detail the current status of the health-related bill. 28 (28%) – 31 (31%) The response accurately summarizes the legislative intent of the health-related bill. The response accurately identifies the proponents and opponents of the health-related bill. The response accurately identifies the populations targeted by the health-related bill. The response accurately describes the current status of the health-related bill. 25 (25%) – 27 (27%) The response vaguely or inaccurately summarizes the legislative intent of the health-related bill. The response vaguely or inaccurately identifies the proponents and opponents of the health-related bill. The response vaguely or inaccurately identifies the populations targeted by the health-related bill. The response vaguely or inaccurately describes the current status of the health-related bill. 0 (0%) – 24 (24%) Summary of the legislative intent of the health-related bill is vague and inaccurate or is missing. Identification of the proponents and opponents of the health-related bill are vague and inaccurate or is missing. Identification of the populations targeted by the health-related bill is vague and inaccurate or is missing. The description of the current status of the health-related bill is vague and inaccurate or is missing. Advocating for Legislation Part 2: Legislation Testimony/Advocacy Statement Based on the health-related bill you selected, develop a 1- to 2-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. • Describe how you would address the opponent to your position. Be specific and provide examples. • Recommend at least one amendment to the bill in support of your position. 45 (45%) – 50 (50%) Testimony clearly and thoroughly provides statements that fully justifies a position for a health-related bill. Response provides a detailed, thorough, and logical explanation of how to address opponents to the position for the health-related bill and includes one or more clear and accurate supporting examples. A complete, detailed, and specific synthesis of two outside resources is provided. The response fully integrates at least 2 outside resources and 2-3 course specific resources that fully supports the responses provided. The response accurately and thoroughly recommends at least one amendment to the bill that fully supports the position. 40 (40%) – 44 (44%) Testimony clearly and accurately provides statements that somewhat justifies a position for a health-related bill. Response provides an accurate explanation of how to address opponents to the position for the health-related bill and may include at least one supporting example. An accurate synthesis of at least one outside resource is provided. The response integrates at least 1 outside resource and 2-3 course specific resources that may support the responses provided. The response accurately recommends at least one amendment to the bill that may support the position. 35 (35%) – 39 (39%) Testimony used to justify a position for a health-related bill is vague or inaccurate. Explanation of how to address the opponents to the position for the health-related bill is vague or inaccurate, lacks logic, and/or the supporting examples are vague or inaccurate. A vague or inaccurate synthesis of outside resources is provided. The response minimally integrates resources that may support the responses provided. The recommendation of an amendment to the bill in support of the position is inaccurate or incomplete. 0 (0%) – 34 (34%) Testimony used to justify a position for a health-related bill is vague and inaccurate, incomplete, or is missing. Explanation of how to address the opponents to the position for the health-related bill is vague and inaccurate, or is missing. A vague and inaccurate synthesis of no outside resources is provided, or is missing. The response fails to integrate any resources to support the responses provided. The recommendation of an amendment to the bill in support of the position is inaccurate and incomplete, or is missing. Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive. 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic. 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0 (0%) – 3 (3%) Contains many (? 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 (5%) – 5 (5%) Uses correct APA format with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors. 0 (0%) – 3 (3%) Contains many (? 5) APA format errors. Total Points: 100