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Assessment 4: Lobbying for Change

Student Name

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Capella University

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Course Name

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Prof Name
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March 23, 2024
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Dear Grant,
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As an enlisted nurture in San Francisco, I'm writing to underscore the squeezing need for quick
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activity on the issue of San Francisco General Emergency clinic (SFGH) in San Francisco, CA,
securing medical services protection inclusion. This issue has adversely affected various
constituents, prompting difficulties in managing the cost of health care coverage inclusion
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(Tulane College, 2020).


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The deficiency of medical services protection inclusion has brought about critical ramifications
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for people and the neighborhood local area. It has raised the quantity of individuals unfit to
manage the cost of fundamental clinical consideration, adding to the fuel of ongoing ailments
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and an expansion in hospitalizations. Besides, those lacking health care coverage are bound to
disregard vital clinical medicines, possibly affecting their general wellbeing and prosperity
(Tolbert et al., 2020).
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Resolving this issue holds a few benefits, including the improvement of generally speaking
individual wellbeing, mitigation of crisis division weights, and decrease of medical services
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costs. Guaranteeing admittance to health care coverage inclusion ensures convenient and
proper clinical consideration, forestalling the advancement of constant ailments and diminishing
hospitalization rates (WHO, 2021).

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Inability to resolve the issue might bring about antagonistic impacts, like uplifted monetary
burden on people and families, reduced admittance to clinical consideration, expanded strain on
crisis offices, and demolished wellbeing results. Absence of health care coverage inclusion
might prompt critical monetary weights, including hospital expenses and personal costs,
possibly bringing about obligation, insolvency, and monetary difficulty (Tolbert et al., 2020).
Without inclusion, people might postpone looking for clinical consideration, prompting deferred
analysis and treatment, bringing about more extreme medical problems and higher long haul
medical care costs (Kaiser Family Establishment, 2021).

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People without health care coverage frequently go to crisis offices for clinical consideration,
causing congestion and longer stand by times. This adversely influences the nature of care for

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all patients, in addition to those without health care coverage inclusion (Tolbert et al., 2020).

The absence of opportune and fitting clinical consideration for those without health care

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coverage inclusion can bring about demolished wellbeing results, including higher paces of
persistent sicknesses, hospitalizations, and mortality (Kaiser Family Establishment, 2021).

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Lacking admittance to medical care protection inclusion influences the medical services industry
at different levels, from institutional to public, as indicated by Raghupathi and Raghupathi
(2020).

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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).
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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).
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The ethical considerations principle ensures fairness, justice, and equity for all community
members, safeguarding vulnerable populations from unfair burdens (Haddad & Geiger, 2020).
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The diversity principle recognizes and values differences, ensuring that proposed solutions
promote health equity and provide access to essential healthcare services without prohibitive
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costs for low-income individuals and families (Tan, 2019).

As a nurse, I have firsthand experience with the consequences of the lack of healthcare
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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.

My nursing experiences have informed the planning of resources and risk assessment to
address this economic issue. I have witnessed the impact of limited access to healthcare
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insurance coverage on individuals and healthcare institutions, prompting me to propose
recommendations for improving access. A risk analysis was conducted to identify potential
challenges, and strategies were developed to mitigate them.

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
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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Call Us Now (612) 234-7670
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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/

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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).
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

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California: Estimates for 2018 and 2019. Kaiser Family Foundation.
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.
Publichealth.tulane.edu.
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https://publichealth.tulane.edu/blog/why-community-health-is-important-for-public-health/

WHO. (2021, April 1). Universal health coverage (UHC). Who. int; World Health Organization:
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WHO. https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(UHC)

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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