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• How do you judge Palin’s quote? [“And who will suffer the most when they ration care? Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?

Palin’s quote was not only inaccurate, it could be said it was a scare tactic.  For those relying on politicians to define changes, especially as they relate to a lengthy new health care act, I view it as a scare tactic to sway voters against the ACA.  Nowhere in the ACA or AHCA does it enforce a “death panel” (Mason et. al., 2016). This quote from a politician is why it is so important for nurses to understand politics in health care and provide accurate, unbiased, and honest information.

• Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?

When it comes to my judgement, research and understanding of the facts are key.  Had I simply listened to Palin, I would not have understood the changes in health care the ACA implemented.  Although far from perfect, this act did increase the number of Americans with health coverage to 20 million people and seeks to provide better health promotion, allowing nurses to practice to the full extent of their education and licensure (Collins, 2018).

• Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?

Few things in life are truly perfect.  As a nurse, I have learned you simply cannot make everyone happy and that applies to healthcare.  Nurses should seek to endorse healthcare policies that allow them to practice as nurses; teaching patients to be as independently healthy as possible.  This certainly applies to the failed AHCA.  Again, the debate is not over universal health coverage, but as to who should pay for it.  Nurses have identified the need for access to health care since the beginning of time.  Advocating and endorsing legislative that is supportive of this idea should be the nurses priority.   

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  How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know, and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel, so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy

to oppose Democrats’ plans for health care reform or unethical scaremongering?

       I think her strategy was both unethical and excessive, but it was effective.

 She used false, unsubstantiated statements to affect a key health issue that

would have benefited a lot of patients.  The bill would have allowed Medicare to pay for optional doctor’s visits to discuss living wills and end of life issues with their physicians (Mason, 2016).  As a member of Congress, she and her family are afforded a higher level of health insurance that is effective for life after serving 6 years.  Due to her statements all references to end of life planning were deleted from the bill.

Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?

     I tend to be loyal to my political party but only if the facts support what I think is right.  I believe we should all be afforded the right to discuss end of life issues and living wills and have it covered by our insurance and not have our families burdened with these decisions on their own.

Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?

     There is no perfect legislation so there must be some compromise.  I think nurses should endorse legislation if it is for the improvement of health care and in the best interest of the patients and nursing practice.

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• How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?

I believe Palin bringing up the ration of care for the sick, disabled and elderly was very important and a very effective way to grab the attention of many Americans. Not every American has a disable family member nor do they have to per say “deal”or worry with all of the medical and financial burdens these families have to take on. I believe Palin bringing this to many americans attention and speak for the people that are unable to speak for themselves was very effective when it comes to making it known they are also worthy of the care that every other “normal” American is able to receive. 

• Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties? 

It is hard to pick one thing that would inform someones judgement, but I would have to say analysis of facts. It is important to always do your own research and not base everything you believe off of what other people are saying. With that being said, I do still agree with Palin and her advocating for the sick, elderly and disabled people of America but doing my own research also taught me more about what Palin was referring to. I came across this statement “The health reform bill being considered in the House of Representatives says that a Comparative Effectiveness Research Center shall “conduct, support, and synthesize research” that looks at “outcomes, effectiveness, and appropriateness of health care services and procedures in order to identify the manner in which diseases, disorders, and other health conditions can most effectively and appropriately be prevented, diagnosed, treated, and managed clinically.” (2009, Politifact).  It was not solely about and nothing to do with evaluating patients for their worthiness.

• Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?

Yes I believe it is very important for nurses to be involved in politics and endorsement of health reforms even if they are not considered to be perfect. Nurses are huge advocates and we have a voice that could speak out make a huge difference.

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Nurses as Change Agents in the Community

As in all assignments, cite your sources in your work and provide references for the citations in APA format.

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In the chapter, “How Community-Based Organizations Are Addressing Nursing’s Role in Transforming Health Care,”(SEE ATTACHED DOCUMENT HAVE THE CHAPTER TO READ))))) the authors describe the community as the focus of advocacy action for change. They list a series of questions that help community teams develop organizing principles to guide their interventions, and the aim is to attack social determinants of health to make community change.

Suppose a community team identifies lack of access to exercise modalities as a public health issue. If the team were to determine that pedestrian walkways need to be constructed, discuss at least two factors that would facilitate the development of the walkways and two that would hinder the development. For the hindrances, discuss ways that the team might work to overcome those hindrances.

Continue to read daily from one of the policy briefs that are included in your weekly readings list. POLITICO Pulse is a daily briefing from POLITICO, and the Kaiser Health News Morning Briefing is a daily briefing from the Kaiser Family Foundation. Both focus on health care. Either one will keep you abreast of what is happening in health care policies and politics.

In addition, subscribe to the “HealthCetera” podcast and listen to the podcast weekly. This is a production of WBAI, free speech radio of Pacifica Foundation Radio in New York City. Diana Mason and Barbara Glickstein are founders and codirectors of the Center for Health Media Policy (CHMP). Both are recognized as experts in media, nursing, health, and health policy. They have a longstanding relationship as producers and moderators of HealthCetera, a live, award-winning radio program on public radio and iTunes. They are bloggers for Disruptive Women in Health Care and for the American Journal of Nursing (AJN). The CHMP is an interdisciplinary initiative for advancing the health of the public and healthy public policies through media, research, education, and public forums. Listen to the podcast throughout the course and think on the topics that are discussed, especially as they relate to how we advocate for issues of importance in this contemporary political environment.

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Suppose a community team identifies lack of access to exercise modalities as a public health issue. If the team were to determine that pedestrian walkways need to be constructed, discuss at least two factors that would facilitate the development of the walkways and two that would hinder the development. For the hindrances, discuss ways that the team might work to overcome those hindrances.

  Identifying public health issues is an important task that requires attention in order to implement change. Often times, change is opposed and not welcomed. With reference to the situation presented, there are benefits and hindrances that could arise. The need for access to pedestrian walkways would be presented based on the safety that these walkways would offer as well as the health benefit that these walkways would offer. With the walkways, there would be no reason for people to be walking in the roadway or close to the road, risking being injured by a motorist. There is less risk of injury since the walkways would provide safe and level paved ground to walk on. The health benefit would come from the walkways giving persons wanting to walk, a safe spot to walk or run and not be in the way of cars traveling the roadways. Walking has many health benefits that include:

• increased cardiovascular and pulmonary (heart and lung) fitness
• reduced risk of heart disease and stroke
• improved management of conditions such as hypertension (high blood pressure), high cholesterol, joint, and muscular pain or stiffness, and diabetes
• stronger bones and improved balance
• increased muscle strength and endurance
• reduced body fat.

Two different hindrances that could be expected include cost and space. The need for the walkways would be a good tool for encouraging those in the city council and/or county commission to approve the funding. Space may be a problem if the roadways are close to housing and stores. Dealing with the right of way laws, and getting private citizens to be onboard with the construction could also become a problem. Educating the public on what these sidewalks could mean for the health of the community could potentially increase the approval as well as recruit others to promote the idea. 

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