Is health care a right or a privilege?
As stated in the course text, Health Care Delivery in the United States, the health care enterprise is one of the most important parts of the U.S. social system and of our economic system as well (Kovner and Knickman, 2011, p. 4); however, with millions of citizens uninsured, rising costs, massive health disparities, and the need to improve quality and access, many view health care as a broken system. As such, it continues to be a significant political issue in the United States. Most agree that something needs to be done to fix the health care system, but the methods and solutions for addressing problems vary greatly, particularly with respect to the role government should play. Proponents of varying approaches often have strong, emotional opinions, making compromise difficult.
In this Discussion, you will consider the role of government in health care, and you will examine the impact of a social, economic, technological, ethical, or legal issue on health care delivery.
To prepare:
With this weeks Learning Resources in mind, consider this question: Is health care a right or a privilege?
Review the media presentation for this week, focusing on the role of the government in health care.
Pinpoint a social, economic, technological, ethical, or legal issue that could, or has, affected health care delivery in the United States.
Locate a current article from the popular press (within the past 6 months) related to the health care issue you identified. How does this article inform your understanding of the influence of your selected issue in the health care debate?
Post by Day 3 your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance.
Readings
Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.
Chapter 1, The Current U.S. Health Care System (pp. 3-12)
This chapter introduces the importance of engaging stakeholders in improving U.S. health care.
Chapter 3, Government and Health Insurance: The Policy Process (pp. 29-50)
This chapter reviews the history of U.S. health care system and the evolution of governments role.
Chapter 6, Public Health: A Transformation for the 21st Century (pp. 99-117)
This section of Chapter 6 explains the issues and concerns with the current system and the impact of public health law, regulation, and services.
Chapter 8, Vulnerable Populations: A Tale of Two Nations (pp. 149-176)
This section of Chapter 8 examines the characteristics of the uninsured and the policy implication affecting health care delivery systems.
Erlen, J. (2010). Informed consent: Revisiting the issues. Orthopaedic Nursing, 29(4), 276280.
Retrieved from the Walden Library databases.
This article explores the issue of informed consent in the context of research with human subjects. The author defines informed consent and makes suggestions to better the process of acquiring informed consent.
Mullinix, C., & Bucholtz, D. (2009). Role and quality of nurse practitioner practice: A policy issue. Nursing Outlook, 57(2), 9398.
Retrieved from the Walden Library databases.
The authors of this article examine the challenges that nurse practitioners encounter when establishing the quality of care they provide. The text reviews the strengths and weaknesses of literature pertaining to the subject.
Los Angeles County DPH Public Health Nursing. (2007). Public Health Nursing Practice Model. Retrieved from http://publichealth.lacounty.gov/phn/docs/PracticeModelfinal2.pdf
This article supplies a graphical depiction of the Public health Nursing Practice Model. The graphic emphasizes the cyclical nature of the model.
Media
Laureate Education, Inc. (Executive Producer). (2012d). Introduction to healthcare delivery, part I. Baltimore, MD: Author.
Note: The approximate length of this media piece is 11 minutes.
Attachments:
Category Discussion Rubric: Up to 100 points
Maximum Points
Content -Main Posting: Response to the discussion question is reflective with critical analysis representative of knowledge gained from the course readings for the module and current credible references 30 points
-Main posting addresses all criteria with 75% of post exceptional depth and breadth supported by credible references 27-30
-Main posting meets expectations. All criteria are addressed with 50% containing good breadth and depth 24-26
-Main posting addresses most of the criteria. One to two criterion are not addressed or superficially addressed 21-23
-Main posting does not address all of criteria, superficially addresses criteria. Two or more criteria are not addressed 0-20
Maximum Points
Course Requirements and Attendance
-Responds to a minimum of two colleagues with posts that are reflective, are justified with credible sources, and ask questions that extend the discussion
For example, your main posting on Day 1, one reply to a fellow student on Day 2, and one reply to a fellow student on Day 3 for a total of 3 responses on 3 different days.
Please note; responses to instructors are not considered peer posts. You are encouraged to respond to your instructors questions/comments.
20 points
-Responds to two colleagues with posts that are reflective, are justified with credible sources, and ask questions that extend the discussion. 18-20
-Responds to a minimum of two colleagues posts are reflective, and ask questions that extend the discussion. One post is justified by a credible source. 16-17
-Responds to less than two colleagues posts. Posts are on topic, may have some depth, or questions. May extend the discussion. No credible sources are cited 14-15
-Responds to less than two colleagues posts. Posts may not be on topic, lack depth, do not pose questions that extend the discussion 0-13
Maximum Points
Scholarly Writing Quality -The main posting synthesizes the discussion criteria and is written concisely
-The main posting is cited with a minimum of two current credible references that adhere to the format per the APA Manual 6th Edition.
-Writing is checked for spelling and grammatical errors (use of is recommended Grammarly) with adhere to APA Edition Manual 6th Edition writing rules and style.
* The use of scholarly sources or real life experiences needs to be included to deepen the discussion and earn points in reply to fellow students.
30 points
-The main posting clearly addresses the discussion criteria and is written concisely. The main posting is cited with more than two credible references that adhere to the correct format per the APA Manual 6th Edition. No spelling or grammatical errors.
27-30
-The main posting clearly addresses the discussion criteria and is written concisely. The main posting is cited with a minimum of two current credible references that adhere to the correct format per the APA Manual 6th Edition. Contains one to two spelling or grammatical errors.
24-26
-The main posting is not clearly addressing the discussion criteria and is not written concisely. The main posting is cited with less than two credible references that may lack credibility and/or do not adhere to the correct format per the APA Manual 6th Edition. Contains more than two spelling or grammatical errors.
21-23
-The main posting is disorganized and has one reference that may lack credibility and does not adhere to the correct format per the APA Manual 6th Edition or has zero credible references. Contains more than two spelling or grammatical errors. 0-20
Maximum Points
Professional
Communication
Effectiveness
-Communication is professional and respectful to colleagues and response to faculty questions are answered if posed.
Provides clear, concise opinions and ideas effectively written in Standard Edited English
-Responses posted in the discussion demonstrate effective professional communication through deep reflective discussion which leads to an exchange of ideas and focus on the weekly discussion topic.
20 points
-Communication is professional and respectful to colleagues.
-Provides clear, concise opinions and ideas effectively written in Standard Edited English
-Responses posted in the discussion demonstrate effective professional communication through deep reflective discussion which leads to an exchange of ideas and focus on the weekly discussion topic
.
-Responses are cited with at least one credible reference per post and a probing question that extends the discussion. Adheres to the correct format per the APA Manual 6th Edition. No spelling or grammatical errors.
18-20
-Communication is professional and respectful to colleagues. Provides clear, concise opinions and ideas effectively written in Standard Edited English
-Responses posted in the discussion demonstrate effective professional communication through deep reflective discussion which leads to an exchange of ideas and focus on the weekly discussion topic
.
-Responses are cited with at least one credible and/or contain probing questions that extends the discussion. Adheres to the correct format per the APA Manual 6th Edition. May have one to two spelling or grammatical errors.
16-17
-Communication is professional and respectful to colleagues. Provides opinions that may not be concise or ideas not effectively written in Standard Edited English
-Responses posted in the discussion may lack effective professional communication that does not extend the discussion, leads to an exchange of ideas and/or not focused on the weekly discussion topic.
-Responses are not cited and/or do not contain a probing question. May not adhere to the correct format per the APA Manual 6th Edition. May have more than two spelling or grammatical errors.
14-15
-Communication may lack professional tone or be disrespectful to colleagues.
Provides opinions that may not be concise or ideas not effectively written in Standard Edited English
-Responses posted in the discussion lack effective professional communication through discussion that does not extend the discussion, do not lead to an exchange of ideas and/or not focused on the weekly discussion topic.
-Responses are not cited and do not contain a probing question. May not adhere to the correct format per the APA Manual 6th Edition. May have multiple spelling or grammatical errors.
0-14
Timely Submission
-Responses are posted on three different days. (10 points are deducted for late initial posting and up to 5 points may be deducted for participation on less than three days each week.)
-Assignment discussion post and responses are submitted by the due date( points may be deducted for late submissions as stated by university policy in the syllabus)
10 points deducted for initial posts not submitted by the due date.
5 points deducted for responding to less than two peers
5 points deducted for responding less than three days
TOTAL POINTS
100
*APA format for references and APA style for the writing are expected in the discussion postings Double spacing can be omitted. Please note: When selecting articles for course assignments, you are advised (unless you are referencing seminal information) to focus on work published within the past five years.
