Advance Care Planning and Analysis Paper

Advance Care Planning and Analysis Paper

Democrats’ Plans for Healthcare

I totally agree with Sarah Palin’s sentiments on the Democrats plan for healthcare. I think what the Democrats are pushing for claiming to reduce healthcare is downright discriminatory and it will do more harm than good in the long run. The truth of the matter is, some people need more care than others.Advance Care Planning and Analysis Paper. For a fact, such a system will not favor vulnerable populations like those with chronic illness, the elderly and the disabled. There are currently more than half a million people in America living with various forms of disabilities. Such people continue to remain in waiting lists to receive services due to the fact that Obamacare urges states to expand Medicaid coverage to able-bodied adults instead of prioritizing the services to those who need them the most (Hilberg, 2015).Advance Care Planning and Analysis Paper


My judgment is informed by a commitment to advance care of planning. For instance, recent estimates from the Urban Institute suggest that a big percentage of the individuals eligible to Obamacare Medicaid expansion are adults without children in their prime working years. This means that Obamacare does not provide medical services to the most vulnerable. Another report published by the Foundation for Government Accountability showcases how Medicaid rolls have erupted under Obamacare and also how individuals with disabilities have suffered owing to this.Advance Care Planning and Analysis Paper

The Role of Nurses in this Plight

It is important to note that nurses are always in the frontline in boardrooms and in leading healthcare organizations. Given their high level of education and their experience, they have the intelligence to observe, validate and the network to transmit messages that advocate for healthcare reform values. Taking this into consideration, it is not right for them to endorse a legislation even when it is not perfect. If they leverage their numbers and use their influence efficiently, they will be able to support only the legislative changes that strengthen the system instead of those that weaken it (Béland, Rocco & Waddan, 2016).Advance Care Planning and Analysis Paper

The above also applies to the recently failed American Care Act. They must rigorously oppose legislation that could undermine or compromise the goals of the healthcare system. Nurses must, therefore, make an extra effort to communicate, listen and collaborate with the new congressional leaders. I believe that by putting their voices together, they can become part of the solution when it comes to directing policy through political goodwill (Béland, Rocco & Waddan, 2016)Advance Care Planning and Analysis Paper.

  • 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.Advance Care Planning and Analysis Paper

  • 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).Advance Care Planning and Analysis Paper

  • 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.Advance Care Planning and Analysis Paper

part 2

You posed valid considerations.  What is moral agency and how does it correlate with Sara Palin’s comments? Advance Care Planning and Analysis Paper