Develop a position on the equitable distribution of health services from the perspective of policy formulation, implementation or modification using the text book guidance and policy brief outline guidance provided in the syllabus as a framework.
Case study: an uninsured patient has chest pain and goes to the ED. The pain turns out to be heartburn.
In a two page paper, describe your position on the ethical dilemma presented by this uninsured patient. Does the right to health care include society paying for the visit to the emergency department? Who is actually paying? Should the patient be advised to come into the emergency department if he/she is uninsured and wealthy? If he/she is uninsured and poor?
• Essentials of Health Policy and Law- 4th edition Sara E. Wilensky and Joel B. Teitelbaum
• Population Health Policy Edited by Christine Cardinal
Suggested approach to health issues policy analysis and outline for the issue briefs. This is
provided as a guideline only. Feel free to depart from the outline as you wish:
Problems:
Summary of the problem or problems that pose a health policy challenge
Policy Alternatives:
Policy options which have been considered and/or adopted and/or will likely be considered
in the future
Politics:
Relevant processes: congressional, executive, judicial, non-governmental
Forces: economic, political, social, ethical
Relevant players: interest groups (“self-interests” and “noble interests”), lobbyists, elected
officials, press, legislative staff, public agencies, private sector, other
Tactics and strategies that have and will likely be applied to achieving the optimal policy in
the political arena
Conclusions:
Prediction of likely policy outcomes or changes in the next five years
Your views on the optimal policy outcomes or changes in the short term and five years in
the future and your rationale for your views
Effective approaches to achieving the optimal policy outcome consistent with your views
Sample Solution
airborne pollutants and heavy metals that were being emitted from the usage of coals. During the Industrial Revolution, the emission of black smoke from burning coal were up to 50 times higher than what is being emitted now. During that time, the industrial cities had darkened skies due to unregulated coal burning, and the air quality was terrible. The ashes of coal blackened buildings and clothing, and the health of people declined. But no one knew about the consequences of burning coal and people depended on it too much for income and wealth, so no one raised any concerns. Right now, we have more knowledge about the numerous negative ways coal impacts on the environment. Currently, the economic interest of the coal industry is to keep the public ignorant about the negative effects coal has on Earth. People are only thinking about the interest of profiting from coal and are willing to do anything to make sure that their reputation is not damaged in any way. Currently, our society all directly or indirectly benefit from having very low electricity costs. But then if we actually think about it, we would be spending more money on trying to recover from the damages we have caused on our environment than spending money on overall electricity bills or transitioning into using new renewable resources. So why do we still end up using coal as one of the main sources for producing electricity even when we know the negative effects it has on our environment? Two reasons that comes to mind are because of how coal is the most abundant fossil fuel on Earth, and it is relatively very cheap. Also, coal provides a stable source of energy, unlike oil. There isn’t a lot of economic or political problems regarding coal. Coal has too much of an impact on people’s daily lives. If we do not have electricity, we practically cannot do anything. So, there will be numerous problems if a country cannot provide enough electricity, and that could potentially cause a massive impact on the global economy and that is never ideal. I believe that for our society to keep continuing to function the way we expect and want it to, we must start putting more effort and resources into transitioning towards finding different electricity sources that can compete with coal in terms of costs. We must put more time into researches, and we all need to come together more in order to find more renewable resources that the society can afford. But that doesn’t mean we can just suddenly cut off coal generated electricity completely. We must have a steady and gradual transition away from it, by increasing electricity production with wind power and solar energy. We must also keep in mind that the rate of environment degradation is increasing much faster than we can do anything to counteract it, thus every single day, we are putting more life on >
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