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Government and Health Care Roles

1. Discuss the role of the federal, state and local legislation related to health care? How to the three levels compare, both in similarities and differences?

2. How has nursing become more involved and able to influence policy development in the current health care environment?

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These are interesting questions!

Let's take a closer look at the two questions by looking at information from various sources. I also included examples and links for further research.

RESPONSE:

1. Discuss the role of the federal, state and local legislation related to health care? How to the three levels compare, both in similarities and differences? Give at least 2-3 examples for each level.

The responsibility for health care and health care policy resides at the three levels of health care. For example, the National Academy for State Health Policy is an independent academy of state health policy makers working together to identify emerging issues, develop policy solutions, and improve state health policy and practice (http://74.125.95.132/search?q=cache:fmw75mJh93YJ:www.nashp.org/Files/health_centers_primer.pdf+health+policy+federal+or+state&hl=en&ct=clnk&cd=2&gl=ca&client=firefox-a).

Also see http://www.nashp.org/Files/health_centers_primer.pdf for state policy makers.

The funding of health care is also at all three levels of government, federal, state and local. This is decided through policy (who pays for what) and health crisis that arise, such as bioterrorism initiated more federal funding for the protection of society through public health infrastructure. For example, the "fall 2001 anthrax attacks served as a catalyst, not merely for increased attention but also for federal legislation authorizing sweeping new initiatives and providing new funding for long-neglected public health activities. Congress appropriated a record $3 billion in December 2002 for antibioterrorism activities, including more than $1 billion dedicated to upgrading state and local public health capabilities and hospital preparedness.[8] This represented a 600 percent increase over the previous year's funding levels for anti-bioterrorism activities" (http://www.medscape.com/viewarticle/445002_5).

In terms of expenditures, in an article comparing Canadian and United States health care systems, in 2002, United States' health care expenditures are as follows: Federal (32.5 %); States and Local administrations (13.4%) and private (54%) (see full article available on-line at http://dsp-psd.pwgsc.gc.ca/Collection-R/LoPBdP/EB-e/prb0461-e.pdf).
In 2004, the federal funding increased by 2%, and state decreaded by 2%: ...

Solution Summary

This solution discusses the role of the federal, state and local legislation related to health care and how the three levels compare, both in similarities and differences. It also discusses how nursing has become more involved and able to influence policy development in the current health care environment.

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