1

1.What is the cost of health care in the U.S.? What is the comparative value of the U.S. Healthcare System?
According to PBS.org a good health care is worth $8,233 per year. This is the amount that the U.S. spends per person. When comparing the U.S. healthcare to those that are the most developed nations in the world, U.S. is 2 ½ times more than these other nations. So, in other words, is what this is saying is that the U.S. health care costs eat up about 17.6% of GDP. The U.S. has the most expensive insurance in the world when comparing them to with the Nation.
2. Who pays for health care in the U.S.? Who should pay?
In 2014, 283.2 million people in the U.S., 89.6 percent of the U.S. population had some type of health insurance, with 66 percent of workers covered by a private health insurance plan. Among the insured, 115.4 million people, 36.5 percent of the population, received coverage through the U.S. government in 2014 through Medicare (50.5 million), Medicaid (61.65 million), and/or Veterans Administration or other military care (14.14 million) (people may be covered by more than one government plan). In 2014, nearly 32.9 million people in the U.S. had no health insurance. (Jessica C. Smith and Carla Medalia, 2014) Everyone should have the right to decide if he or she wants healthcare. Healthcare is so expensive, how are some of these families supposed to afford to pay for it when they are skimping by to make ends meet. I know there are programs out there like Medicaid, but again it should only be used in emergency need be basis because it’s the taxpayers that are paying for it.
3. Is individual access to health care a right or a privilege?
Everyone should have the right to have healthcare and it should not be forced upon us. It should be free to choose because not everyone can afford health insurance. Healthcare is one of those things that is a necessity yet not everyone can afford it.
4. What, in your opinion, are the current U.S. Health Care System design shortfalls, if any? How would you re-design it, if needed? Who should be responsible for the re-design?
I believe that we need to somehow make it so that people can afford medical insurance again. We need to figure a way to reduce costs so that people can get the medical help that they need. If I was going to re-design the health care system, I would try to make it so that U.S. families can afford the medical insurance so that they can get the routine check-ups that are needed. There are so many families that go without care because of the lack of insurance and because it’s so expensive. To be able to re-design the health care system we need to start by first getting a team together that should include senior leaders, clinical champions (clinicians who promote the redesign), and administrative leaders. We also need to gather information/data to help with the improvements. I believe that organizing the care team needs to be revolved around the roles, responsibilities of those that work in the healthcare setting. There will always be changes and improvements that need to be made.
5. What are the essential provisions of the 2010 Patient Protection and Affordable Care Act (PPACA)? What impact do you think the PPACA will have on the U.S. Healthcare System? The U.S. economy?
The Patient Protection and Affordable Care Act will ensure that all Americans have access to quality, affordable health care and will create the transformation within the health care system necessary to contain costs. (“Legislative Update – Centers for Medicare & Medicaid Services,” 2013) In all reality is what this is going to do is put a huge impact on a smaller business because they won’t be able to afford the insurance to provide for their employees. Also, those that can’t afford to pay for insurance will then be charged for not having it.

6. Which problems would Accountable Care Organizations (ACO) solve? Do you think ACOs present an effective solution to these problems?
ACOs provide financial incentives to healthcare organizations to reduce costs and improve quality. ACOs are promoted as a new mechanism for addressing the shortcomings of previous reforms. (Numerof, n.d.) Do I think ACOs are an effective solution? No, I don’t think it will be, I believe that it will only increase the problem that is was supposed to be fixing and make things much worse.
7. What role do registered nurses currently play within the U.S. Healthcare System? What role, in your opinion, should the RNs play? How effective is the RN profession? Is there a common voice among the nurses in the U.S.?
Nurses play a very important role in patient safety and generate a critical level of thinking that leads to faster and sustained practice transformation. The nurses not only play this role in the hospital or ambulatory treatment facility, but also with community-based care and the care performed by family members. Optimizing the skills of nurses is essential in strengthening teamwork and communication to improve patient safety culture and patient safety practices. (“What role do nurses play in the quality of healthcare and patient safety efforts?” n.d.) In my opinion, I believe that nurses should play more of a part in the planning phase and not ignored. We as nurses need and should have a large role in effecting improvement in global health.
“Let us never consider ourselves finished nurses…. we must be learning all of our lives –”
Florence Nightingale. How true this statement is from Florence Nightingale, we will always be learning in our profession. We as nurses are very effective in what we do although there is always room to learn and improve on what we do.
I believe that every nurse can be the voice among the U.S. I don’t know of a specific nurse, but if feel that we need to make our voices heard and remember that we can make the difference.

8. What are the essential themes in the latest Institute of Medicine’s Report on the Future of Nursing? Do you agree with the Report’s findings?
Five years have passed since the original report was publicized and according to the Institute of Medicine (IOM) that the nursing community has made significant progress at state and national levels. In 2010, only about half the nation, which is not very many nurses, held a Baccalaureate degree or higher. Since then the number has increased substantially. I would agree with the reports; however, I would also say that we do need more faculty to help push the numbers up so that we can have more opportunities for nursing.