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Assessment 4: Lobbying for Change

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Student Name

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Capella University

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Course Name
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Nov 8, 2023
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Lobby for Change
Dear Grant,

As a registered nurse in San Francisco, I am writing to emphasize the pressing need for swift
action on the matter of San Francisco General Hospital (SFGH) in San Francisco, CA, acquiring
healthcare insurance coverage. This issue has negatively impacted numerous constituents,
leading to challenges in affording health insurance coverage (Tulane University, 2020).

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The shortage of healthcare insurance coverage has resulted in dire consequences for
individuals and the local community. It has escalated the number of people unable to afford
essential medical care, contributing to the exacerbation of chronic illnesses and an increase in

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hospitalizations. Furthermore, those lacking health insurance are more likely to neglect
necessary medical treatments, potentially impacting their overall health and well-being (Tolbert
et al., 2020).

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Addressing this issue holds several advantages, including the improvement of overall individual

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health, alleviation of emergency department burdens, and reduction of healthcare costs.
Ensuring access to health insurance coverage guarantees timely and appropriate medical care,
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preventing the development of chronic illnesses and decreasing hospitalization rates (WHO,
2021).
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Failure to address the issue may result in adverse effects, such as heightened financial strain on
individuals and families, diminished access to medical care, increased pressure on emergency
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departments, and worsened health outcomes. Lack of health insurance coverage may lead to
significant financial burdens, including medical bills and out-of-pocket expenses, potentially
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resulting in debt, bankruptcy, and financial hardship (Tolbert et al., 2020). Without coverage,
individuals may delay seeking medical care, leading to delayed diagnosis and treatment,
resulting in more severe health issues and higher long-term healthcare costs (Kaiser Family
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Foundation, 2021).
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Individuals without health insurance often turn to emergency departments for medical care,
causing overcrowding and longer wait times. This negatively affects the quality of care for all
patients, not just those without health insurance coverage (Tolbert et al., 2020).
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The lack of timely and appropriate medical care for those without health insurance coverage can
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result in worsened health outcomes, including higher rates of chronic illnesses, hospitalizations,
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and mortality (Kaiser Family Foundation, 2021). Insufficient access to healthcare insurance
coverage affects the healthcare industry at various levels, from institutional to national, as noted
by Raghupathi and Raghupathi (2020).

This issue has been linked to rising healthcare costs, increased hospitalization rates, and a
decline in overall healthcare quality (Crowley & Bornstein, 2019). Proposed strategies to
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address this issue include expanding Medicaid, creating more affordable healthcare plans, and
incentivizing individuals to purchase health insurance coverage (Crowley & Bornstein, 2019).
The principle of cultural sensitivity involves understanding and respecting the cultural beliefs,
practices, and values of the community being served, ensuring that proposed solutions align
with the community's cultural context (Stubbe, 2020).

The ethical considerations principle ensures fairness, justice, and equity for all community
members, safeguarding vulnerable populations from unfair burdens (Haddad & Geiger, 2020).
The diversity principle recognizes and values differences, ensuring that proposed solutions

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promote health equity and provide access to essential healthcare services without prohibitive
costs for low-income individuals and families (Tan, 2019).

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As a nurse, I have firsthand experience with the consequences of the lack of healthcare
insurance coverage for both individuals and healthcare providers. Providing appropriate medical
care to those without coverage poses challenges, leading to ethical dilemmas and cultural

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conflicts. Limited resources make it difficult for healthcare providers to deliver high-quality care
to all patients.

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My nursing experiences have informed the planning of resources and risk assessment to
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address this economic issue. I have witnessed the impact of limited access to healthcare
insurance coverage on individuals and healthcare institutions, prompting me to propose
recommendations for improving access. A risk analysis was conducted to identify potential
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challenges, and strategies were developed to mitigate them.
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I have observed the struggles of patients lacking adequate healthcare insurance coverage. One
poignant experience involved a patient presenting to the emergency department with severe
pneumonia. Despite needing hospitalization, the patient lacked health insurance coverage and
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could not afford medical expenses. Consequently, the hospital absorbed the cost, straining its
resources and hindering care for other patients.
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I strongly urge you to take action on the issue of healthcare insurance coverage access. Doing
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so can enhance overall community health, reduce healthcare costs, and ensure universal
access to necessary medical care.
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Thank you for your consideration.

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References
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. https://doi.org/10.7326/m18-3401

Nunn, R., Parsons, J., & Shambaugh, J. (2020). A dozen facts about the economics of the US
healthcare system. Brookings.
https://www.brookings.edu/research/a-dozen-facts-about-the-economics-of-the-u-s-health-care-

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system/

Raghupathi, V., & Raghupathi, W. (2020). The influence of education on health: An empirical

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assessment of OECD Countries for the period 1995–2015. Archives of Public Health, 78(1).
https://archpublichealth.biomedcentral.com/articles/10.1186/s13690-020-00402-5

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

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https://www.kff.org/uninsured/issue-brief/key-facts-about-uninsured-adults-in-california/

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Stubbe, D. E. (2020). Practicing cultural competence and cultural humility in the care of diverse
patients. FOCUS, 18(1), 49–51. https://doi.org/10.1176/appi.focus.20190041
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Tan, T. Q. (2019). Principles of inclusion, diversity, access, and equity. The Journal of Infectious
Diseases, 220(2), 30–32. https://doi.org/10.1093/infdis/jiz198
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Haddad, L., & Geiger, R. (2020, January 1). Nursing ethical considerations. PubMed.
https://pubmed.ncbi.nlm.nih.gov/30252310/
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Tulane University. (2020, May 21). Why community health is important for public health.
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Publichealth.tulane.edu.
https://publichealth.tulane.edu/blog/why-community-health-is-important-for-public-health/
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WHO. (2021, April 1). Universal health coverage (UHC). Who. int; World Health Organization:
WHO. https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(UHC)
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Kaiser Family Foundation. (2022, November 9). Status of state Medicaid expansion decisions:
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Interactive map. The Henry J. Kaiser Family Foundation.

https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive
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-map/

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