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NURS 6050 Walden University Wk3 Society Economy Discussion
NURS 6050 Walden University Wk3 Society Economy Discussion
NURS6050 University Wk3
Respond to your colleagues by expanding on their explanation and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.
*Note: Throughout this program, your fellow students are referred to as colleagues.
RE: Discussion – Week 3
NURS 6050- Policy and Advocacy for Population Health
Week 3 Discussion
Healthcare, Economics, and Moral
There is no doubt that money and economics makes things move in our society today. Even churches, charitable organizations, and humanitarian groups need money and funding to stay open. Healthcare is no exception, there is an economic engine that drives deliverance of healthcare, and as our text puts it graciously, “Similarly, the healthcare market as viewed by economists is amoral: When confronted with finite resources, there will be losers and winners. This is a tough concept for nurses to swallow” (Mistead, 2016, p. 285).
This week’s discussion is about the turbulent relationship between cost and care. As a registered nurse who have taken care of numerous patients, I wish nothing but the best for my patients far as their health and wellbeing. Though I would like to say that healthcare has strengthen in the humanistic position outlined by the Nightingale pledge, the romanticized ideals of healthcare is diminishing, and the postmodern technology and economics driven engine is now driving healthcare towards its future.
In a simple model of economics, supply and demand curve is often used to teach basic principles of economy. One of the many factors of growing prices of healthcare is that demand is greater than the supply (Knickman & Kovner, 2015, p. 219). In the basic goods and services model, when demand rises, several things happen: first prices tend to go up, two the free market sees an opportunity to meet supply (thus make profit) so competition will supply the demanded goods and services, and lastly prices will stabilize once demand is met.
In the healthcare market, demands for healthcare services provided is met by hospitals, clinics, and other ancillary specialties that required trained and licensed professionals (Knickman & Kovner, 2015, p. 214-215). However, of course, the healthcare market does not behave in the standard economic behavior, for supply is “constrained by licensure and educational requirements (Knickman & Kovner, 2015, p. 2019). Registered nurses, by far, comprise of the largest portion of the health care occupations in the United States (Knickman & Kovner, 2015, p. 215), and just like any supply chain, it too can be affected by economic upwind and downturns.
In a narrative review on nursing labor markets during economic downturns, Alameddine and his colleagues reviewed the implications of quality of care in healthcare when the nursing labor forces froze or decreased (Alameddine et al., 2012). The paper recommended to larger healthcare employees and governments that adequately stabilizing and even increasing the nursing workforce during an economic downturn lead to stabilization of providence of healthcare and increased quality of care (Alameddine et al., 2012). This is easier said than done.
The Washinton Post review by Rob Stein, regarding prostate drug Provenge, brings in light the controversy that occurred when Medicare officials reviewed if the cost versus benefit of Provenge, in short, whether to pay for it or not (Stein, 2010). The debate on prices for essential medication has been in the topic of healthcare debate recently, to include Epipen and insulin price hike by pharmaceuticals. This bring up the issue of FDA providing patents for companies to come up with new drugs, essentially creating a monopoly in the market place, until the patent period runs out and generics can be manufactured, a 20-year time frame (Pauly, 2018). In an economic sense, is paying a million dollars for a short prolongation of quality of life worth it? In my opinion, it is not, but I realize that subjectively, 2 to 4 years with a loved one is invaluable for an individual, but objectively costly for society.
There is a consensus that our medical care cost and delivery is inefficient and needs to be improved (Pauly, 2018). To me, there is not silver bullet, for healthcare is a divers and complex organism that require a holistic, multidisciplinary approach to solve for its inefficiency and waste. I believe that by discussing thoroughly, with personal biases aside, is the key to making compromise at all level, in which we can finally benefit society as a whole.
Stein, R. (2010, November 08). Review of prostate cancer drug Provenge renews medical cost-benefit debate. Retrieved March 14, 2018, from http://www.washingtonpost.com/wp-dyn/content/artic…
Alameddine, M., Baumann, A., Laporte, A., & Deber, R. (2012). A narrative review on the effect of economic downturns on the nursing labour market: implications for policy and planning. Human Resources for Health,10(1). doi:10.1186/1478-4491-10-23
Knickman, J., Kovner, A. R., & Jonas, S. (2015). Jonas and Kovners health care delivery in the United States(11th ed.). New York: Springer Publishing Company.
Milstead, J. A. (2016). Health policy and politics: a nurses guide(5th ed.). Burlington, MA: Jones & Bartlett Learning.
Pauly, M. V. (2018). The Business of Healthcare and the Economics of Healthcare: Shall Ever the Twain Meet? International Journal of the Economics of Business,25(1), 181-189. doi:10.1080/13571516.2017.1395241.
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ADDITIONAL INSTRUCTIONS FOR THE CLASS-NURS6050 University Wk3
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. NURS6050 University Wk3
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. NURS6050 University Wk3
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. NURS6050 University Wk3
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). NURS6050 University Wk3
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source. NURS6050 University Wk3
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. NURS6050 University Wk3
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? NURS6050 University Wk3
Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. NURS6050 University Wk3
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. NURS6050 University Wk3
Communication is so very important. There are multiple ways to communicate with me: NURS6050 University Wk3
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NURS6050 University Wk3