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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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NHS-FPX 6008 Economics and Decision-Making in Health Care
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Professor Name

MAR 24, 2024


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Lobbying for Change

September 2023 m
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Kenneth A. Scheppke
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Deputy Secretary for Health, Florida Department of Health


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4052 Bald Cypress Way

Tallahassee, FL 32399
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Dear Kenneth,
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I am composing this letter with utmost respect to bring to your attention a significant
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healthcare economic challenge concerning restricted healthcare access that impacts


Tampa General Hospital and the public populace in Florida. The issue of limited
healthcare access is not only a local but a global concern, as asserted by the World
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Health Organization, where half of the world's population grapples with insufficient
access to healthcare and medical services. This deficiency contributes to declining
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health outcomes and burdens the state's economy through escalated healthcare
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expenditures and potential loss of workforce productivity. The ramifications of this issue
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are diverse, particularly affecting marginalized, rural, economically disadvantaged, and
disabled segments of the population.

The economically disadvantaged community, in particular, finds itself largely deprived of


crucial medical and health services due to the prohibitive costs associated with them,
rendering them unable to afford such necessities. Consequently, this deprivation leads
to inadequate management of chronic ailments. Moreover, individuals with disabilities
encounter physical barriers that impede their access to timely and suitable healthcare.
The challenge exacerbates for geographically dispersed communities in Florida due to
logistical constraints, resulting in delayed treatments compounded by additional travel
expenses. I am bringing this healthcare economic predicament to your attention
because its repercussions extend to the broader populace of Florida, necessitating your

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pivotal role in addressing this concern. Strategic planning and resource allocation are
imperative to tackle this healthcare economic issue, as they have the potential to
significantly enhance health outcomes for the wider population of Florida.

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These improved outcomes encompass better management of chronic diseases and

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timely prevention and treatment of communicable diseases. Additionally, the reduction
of health disparities among low-socioeconomic and demographic groups can foster
health equity. This equitable distribution of resources would mitigate health disparities
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among marginalized, underserved, and diverse socio-economic communities.
Consequently, healthcare costs would decrease due to the prevention of misdiagnoses
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and prompt interventions. Conversely, neglecting to address this issue may exacerbate
healthcare costs for communities, attributable to worsened health conditions, and for
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healthcare organizations due to overwhelmed healthcare facilities. Subsequently, the


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quality of care would suffer, leading to a decline in quality of life and potentially
increased mortality rates.
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Research underscores that socioeconomically disadvantaged individuals and those with


disabilities experience compromised health outcomes due to restricted healthcare
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access. Specifically, these individuals are prone to preventable illnesses, and their
aging process is adversely affected. At the institutional level, healthcare providers often
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grapple with overwhelmed systems due to delayed presentations of illnesses resulting


from initial lack of access. The local community bears witness to this through delayed
treatment for acute conditions and inconsistent management of chronic diseases,
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further exacerbating health issues. On a state and national scale, restricted healthcare
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access affects public health and results in economic downturns due to diminished
workforce productivity.
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It is imperative to acknowledge the ethical dimension of promoting health equity, which
entails ensuring that vulnerable populations such as the homeless, migrants, and the
disabled receive timely and appropriate healthcare. Doing so can mitigate health
disparities and advance social justice in healthcare. Geographical barriers further
exacerbate this issue, as many individuals, especially in remote areas, struggle to
promptly access healthcare facilities due to vast distances. Innovative solutions such as
optimizing transportation or implementing mobile health clinics can alleviate these
challenges. A promising avenue for addressing this issue is telehealth, which not only
provides remote care but also champions cultural sensitivity. Through platforms that
respect and understand patient diversity, healthcare providers can deliver tailored care
that adheres to the highest ethical standards, particularly in rural communities.

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Drawing from personal experiences of witnessing the effects of limited healthcare
access, I have prioritized resources for community outreach and mobile clinics. During
my professional tenure at the hospital, I observed a pattern of late-stage illnesses due

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to delayed care, prompting me to delve into understanding the barriers patients face in
accessing care. As a mitigation strategy, I have proposed reallocating resources to

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enhance early diagnosis and preventive care. At an organizational level, our hospital's
annual patient feedback survey identified transportation as a significant barrier. In our
resource planning, we have initiated collaborations with local transportation services
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and explored the integration of telehealth to address this challenge. These ingrained
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experiences have become integral to my approach to resource planning and risk
analysis. Witnessing the adverse outcomes of delayed healthcare access has impelled
me to advocate for resource reallocation, risk management, and community
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engagement. Therefore, I urge you to take immediate action on this pressing healthcare
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economic issue. Addressing this issue will not only make healthcare accessible to all
but also uphold the principles of social justice in healthcare. This endeavor promises a
healthier, more inclusive community.
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Yours sincerely,
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[Your Name]
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References
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Blumenthal, D., Fowler, E. J., Abrams, M., & Collins, S. R. (2020). Covid-19 —
implications for the health care system. New England Journal of Medicine, 383(15).
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https://doi.org/10.1056/nejmsb2021088
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Doherty, A. J., Atherton, H., Boland, P., Hastings, R. P., Hives, L., Hood, K.,
James-Jenkinson, L., Leavey, R., Randell, L., Reed, J., Taggart, L., Wilson, N., &
Chauhan, U. (2020). Barriers and facilitators to primary health care for people with
intellectual disabilities and/or Autism: An integrative review. BJGP Open, 4(3).
https://doi.org/10.3399/bjgpopen20X101030

Kaye, A. (2020). Economic impact of covid-19 pandemic on health care facilities and
systems: International perspectives. Best Practice & Research Clinical Anaesthesiology,
35(3). https://doi.org/10.1016/j.bpa.2020.11.009

McMaughan, D. J., Oloruntoba, O., & Smith, M. L. (2020). Socioeconomic status and
access to healthcare: Interrelated drivers for healthy aging. Frontiers in Public Health,

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8(231). https://doi.org/10.3389/fpubh.2020.00231

Núñez, A., Sreeganga, S. D., & Ramaprasad, A. (2021). Access to healthcare during

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COVID-19. International Journal of Environmental Research and Public Health, 18(6),
2980. https://doi.org/10.3390/ijerph18062980

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Oleribe, O. E., Momoh, J., Uzochukwu, B. S., Mbofana, F., Adebiyi, A., Barbera, T.,
Williams, R., & Taylor Robinson, S. D. (2019). Identifying key challenges facing

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healthcare systems in Africa and potential solutions. International Journal of General
Medicine, 12(1), 395–403. https://doi.org/10.2147/ijgm.s223882
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Struminger, B. B., & Arora, S. (2019). Leveraging telehealth to improve health care
access in rural America: It takes more than bandwidth. Annals of Internal Medicine,
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171(5), 376. https://doi.org/10.7326/m19-1200


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Weiss, D. J., Nelson, A., Vargas-Ru


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iz, C. A., Gligorić, K., Bavadekar, S., Gabrilovich, E., Bertozzi-Villa, A., Rozier, J.,
Gibson, H. S., Shekel, T., Kamath, C., Lieber, A., Schulman, K., Shao, Y., Qarkaxhija,
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V., Nandi, A. K., Keddie, S. H., Rumisha, S., Amratia, P., & Arambepola, R. (2020).
Global maps of travel time to healthcare facilities. Nature Medicine, 26(12), 1835–1838.
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https://doi.org/10.1038/s41591-020-1059-1

World Health Organization. (n.d.). World Bank and WHO: Half the world lacks access to
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essential health services, 100 million still pushed into extreme poverty because of
health expenses.
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https://www.who.int/news/item/13-12-2017-world-bank-and-who-half-the-world-lacks-ac
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cess-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because
-of-health-expenses

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