NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act.

NURS 6050 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. Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars.NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act.

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Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape. 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. By Day 3 of Week 3 Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress\’ decisions impacting Medicare or Medicaid).NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act. Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria. Rubric Detail Select Grid View or List View to change the rubric\’s layout. Name: NURS_6050_Module02_Week03_Discussion_Rubric Excellent Good Fair Poor Main Posting 45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) – 44 (44%) Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources.NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%) Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. 0 (0%) – 34 (34%) Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely.NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. Main Post: Timeliness 10 (10%) – 10 (10%) Posts main post by day 3. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Does not post by day 3. First Response 17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Response is effectively written in standard, edited English. 15 (15%) – 16 (16%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources.NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act. Response is effectively written in standard, edited English. 13 (13%) – 14 (14%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 12 (12%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Second Response 16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed.NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Response is effectively written in standard, edited English. 14 (14%) – 15 (15%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. 12 (12%) – 13 (13%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 11 (11%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Participation 5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Does not meet requirements for participation by posting on 3 different days. Total Points: 100 Learning Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act. • Chapter 3, “Government Response: Legislation” (pp. 37–56) • Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only) Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/ Taylor, D., Olshansky, E., Fugate-Woods, N., 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), 346–350. doi:10.1016/j.outlook.2017.05.003 Note: You will access this article from the Walden Library databases. United States House of Representatives. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/ United States Senate. (n.d.). Retrieved September 20, 2018, from https://www.senate.gov/ United States Senate. (n.d.). Senate organization chart for the 115th Congress. Retrieved September 20, 2018, from https://www.senate.gov/reference/org_chart.htm Document: Legislation Comparison Grid Template (Word document)NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act.

Politics and the Patient Protection and Affordable Care Act

Legislators generally take into account the conflicting agendas of the federal and state government, as well as their influence on matters of concern to them. The health-care sector is no exception. The American people fear that policies and laws can be impeded or supported by desires rather than benefiting society (Blendon & Benson, 2014). Lawmakers are the facilitators of legislative gains, and their main interest is to be re-elected by the people. Legislators thus periodically review their possibility of getting re-elected, which needs cooperation from the political organizations.NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act. It is believed that lawmakers are logical in the execution of their regulatory roles and conduct cost-benefit assessments. According to Tausanovitch & Warshaw (2018), the cost-benefit assessment often refers to the possible political aid which could result from the intervention or negligence of the lawmaker instead of the cost-benefit to the public. If policymakers find the advantages or profits greater than the expenses, they will endorse the law.NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act.

The Affordable Care Act (ACA) altered the healthcare system of the United States. The goal was to cut down the number of uninsured individuals, provide affordable access to health insurance, and increase the rate of healthcare access. The ACA increased Medicaid coverage and created new markets where people that do not have employment insurance can buy policies from various insurance companies (Shaw et al., 2014). While the ACA had positive motives, it encountered strong political pressure with persistent demands to substitute it with new legislation or to change it to meet other purposes. Separating legislation from politics, whether the legislation is being made publicly or privately, is not realistic.NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act.

Citizens have proclaimed healthcare to be an important factor to address when making decisions regarding elections. For almost all of them, keeping insurance cover for pre-existing illnesses is a primary concern. The issue of politicians’ re-election when setting legislation impacts their decisions (Blendon & Benson, 2014). The immense vote competition causes lawmakers to be neutral which results in political consensus. Legislators assess the effect on their re-election process that a certain stance might have on matters of policy. The various value legislations are expected to have an effect on society, instead of the possible gains towards society. In midterm elections in 2018, healthcare issues only challenged immigration matters (Tausanovitch & Warshaw, 2018). NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act.

Lawmakers desire to remain in power for as long as possible or quit on their own standards. In order to gain the requisite support for re-elections, politicians need to be mindful of both their political atmosphere and how particular votes can impact their attempts to remain in power they ought to consider their voters’ wishes, state interests, and their political party’s desires because they understand that policy choice made in political crisis circumstances will have a direct effect on their political positions. Legislative decisions are affected by the way problems are addressed in the current political environment, as well as the effect of this alignment on lawmakers’ political support.NURS 6050 Discussion Politics and the Patient Protection and Affordable Care Act.