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NHS FPX 6008 Assessment 4 Lobbying for Change

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    NHS FPX 6008 Assessment 4 Lobbying for Change

    Student Name

    Capella University

    NHS-FPX 6008 Economics and Decision Making in Health Care

    Prof. Name


    Lobbying for Change

    Dear Grant,

    I am a registered nurse based in San Francisco, and I am reaching out to bring attention to the critical issue surrounding San Francisco General Hospital’s (SFGH) lack of healthcare insurance coverage in California. This problem has adversely affected numerous constituents who are grappling with the challenge of affording essential health insurance (Tulane University, 2020).

    The shortage of healthcare insurance coverage has resulted in dire consequences for both individuals and the local community. It has led to an increase in the number of people unable to afford basic medical care, exacerbating chronic illnesses and elevating hospitalization rates. Additionally, those without health insurance are more likely to neglect necessary medical treatments, adversely impacting their overall health and well-being (Tolbert et al., 2020).

    Addressing this issue holds the potential for various benefits, including improving overall individual health, alleviating the strain on emergency departments, and reducing healthcare costs. Ensuring access to health insurance coverage guarantees that individuals receive timely and appropriate medical care, preventing the onset of chronic illnesses and lowering hospitalization rates (WHO, 2021).

    Failure to address this issue could lead to several adverse effects, such as increased financial burdens on individuals and families, reduced access to medical care, heightened strain on emergency departments, and worsened health outcomes. Without health insurance coverage, individuals and families may face significant financial challenges, leading to debt, bankruptcy, and financial hardship (Tolbert et al., 2020). The absence of health insurance coverage may deter individuals from seeking timely medical care, resulting in delayed diagnosis and treatment, ultimately leading to more severe health issues and higher long-term healthcare costs (Kaiser Family Foundation, 2021).

    Individuals without health insurance often resort to emergency departments for medical care, causing overcrowding and longer wait times. This not only impacts the quality of care for those without insurance but also affects all patients seeking medical attention (Tolbert et al., 2020).

    The lack of timely and appropriate medical care for those without health insurance can lead to worsened health outcomes, including higher rates of chronic illnesses, hospitalizations, and mortality (Kaiser Family Foundation, 2021). According to Raghupathi and Raghupathi (2020), the inadequate access to healthcare insurance coverage has far-reaching effects on the healthcare industry at institutional, local, state, and national levels.

    This issue has been associated with rising healthcare costs, increased hospitalization rates, and a decrease in overall healthcare quality (Crowley and Bornstein, 2019). Proposed strategies to tackle this problem include expanding Medicaid, creating more affordable healthcare plans, and incentivizing individuals to purchase health insurance coverage (Crowley & Bornstein, 2019).

    In addressing this issue, the principles of cultural sensitivity, ethical considerations, and diversity must be taken into account. Cultural sensitivity involves understanding and respecting the cultural beliefs, practices, and values of the community being served (Stubbe, 2020). Ethical considerations ensure that the proposed solution is fair, just, and equitable for all community members (Haddad & Geiger, 2020). The diversity principle recognizes and values the differences between individuals and groups, promoting health equity by providing access to essential healthcare services and ensuring affordability for low-income families and individuals (Tan, 2019).

    As a nurse, I have firsthand experience with the challenges posed by the lack of healthcare insurance coverage for both individuals and healthcare providers. Providing adequate medical care becomes a complex task, leading to ethical dilemmas and cultural conflicts. Limited resources further hinder healthcare providers’ ability to offer high-quality care to all patients.

    My nursing experiences have informed the planning of resources and risk assessments for addressing this economic issue. I have witnessed the repercussions of limited access to healthcare insurance coverage and proposed recommendations to improve access. Through a risk analysis, I identified potential challenges and developed strategies to mitigate them.

    One memorable experience involved a patient with severe pneumonia who lacked health insurance coverage. Despite needing hospitalization, the patient couldn’t afford medical expenses, placing a financial burden on the hospital. This situation strained resources and compromised care for other patients.

    I strongly urge you to take swift action to address the critical issue of healthcare insurance coverage access. Doing so will enhance the overall health and well-being of our community, reduce healthcare costs, and ensure everyone has access to the medical care they need.

    Thank you for your consideration.


    Crowley, R. A., & Bornstein, S. S. (2019). Improving the patient protection and affordable care act’s insurance coverage provisions: A position paper from the American college of physicians. Annals of Internal Medicine, 170(9), 651.

    Nunn, R., Parsons, J., & Shambaugh, J. (2020). A dozen facts about the economics of the US health-care system. Brookings.

    Raghupathi, V., & Raghupathi, W. (2020). The influence of education on health: An empirical assessment of OECD Countries for the period 1995–2015. Archives of Public Health, 78(1).

    NHS FPX 6008 Assessment 4 Lobbying for Change

    Tolbert, J., Orgera, K., Singer, N., & Damico, A. (2020). Key facts about uninsured adults in California: Estimates for 2018 and 2019. Kaiser Family Foundation.

    Stubbe, D. E. (2020). Practicing cultural competence and cultural humility in the care of diverse patients. FOCUS, 18(1), 49–51.

    Tan, T. Q. (2019). Principles of inclusion, diversity, access, and equity. The Journal of Infectious Diseases, 220(2), 30–32.

    Haddad, L., & Geiger, R. (2020, January 1). Nursing ethical considerations. PubMed.

    Tulane University. (2020, May 21). Why community health is important for public health.

    NHS FPX 6008 Assessment 4 Lobbying for Change

    WHO. (2021, April 1). Universal health coverage (UHC).; World Health Organization: WHO.

    Kaiser Family Foundation. (2022, November 9). Status of state Medicaid expansion decisions: Interactive map. The Henry J. Kaiser Family Foundation.