Discussion: Healthcare Reform Paper

Discussion: Healthcare Reform Paper

Discussion: Healthcare Reform Paper

Think about your unique nursing practice specialty area and the population you serve. Is there a clear connection to practice and theory in your specific nursing specialty area? In this discussion post, you will describe the relationship between theory and nursing practice and how you could implement theory into nursing practice.

  1. Describe why nursing theory is important to today’s nursing practice.
  2. How would you select and introduce a nursing theory or model into your nursing practice?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook

MASSACHUSETTS HEALTH CARE REFORM During the 2006 health care fight, Governor Romney had one primary goal: to ensure the passage of health care legislation that would effectively expand health coverage, even if that meant not addressing every aspect of the health care conundrum, particularly cost control. He and his allies in the legislature capitalized on a win- dow of opportunity to pass reform, utilizing valuable lessons from their predecessors who failed at the same task. Massachusetts’s health reform would ultimately prove a success because the politicos behind the bill provided a policy framework that managed to both expand coverage and also garner the support of key stakeholders, such as businesses and health care industries that had previ- ously opposed reform.

But it was precisely this push to satisfy key stakeholders that, while pivotal to the legislation’s passage, would also leave skyrocketing costs unsolved.

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Romney’s interest in health care reform was driven by necessity. In



2004, a federal waiver for a Massachusetts Medicaid program was up for renewal. This waiver provided $385 million annually to fund safety net hospitals and was to be renewed every five years by the U.S. Department of Health and Human Services (DHHS). Contrary to expectations, in the wake of President George W. Bush’s re-election, the DHHS denied renewal. The result was disastrous; the state would lose $1 billion in federal funding over the next three years.

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