Access and Utilization of Health Care in the U.S.Module 2 Discussion: Access and Utilization of Health Care in the U.S.

Students will locate and utilize two unbiased peer-reviewed journal articles published within 5 years to examine and discuss the role the federal government plays in healthcare delivery, the important and key points associated with the Affordable Care Act, the implications of the Affordable Care Act.To help in your discussion, also review:Affordable Care: Harnessing the Power of NursesChapter 9, Introduction to Health Care Management, Fourth EditionInitial Posting by Thursday.  Response to two classmates by Sunday of this week.  Reminder:  Each posting must have two or more references.  Make sure you review the discussion rubric.Review the following case study: You are volunteering at a health fair, doing blood pressures, blood glucose checks and nutritional education at a small Texas church.  Larry visits and you take his blood pressure and do a finger stick.  He tells you he is 52 years old, works as a mechanic, is married, and a father of three.  You begin a discussion with him about his elevated blood sugar and blood pressure.  Larry explains he cannot afford health insurance or medication.  He said he also has a back injury, but just gets used to the pain because it is more important to have a roof over his family’s head.  He said he went to the doctor once and was given a cost, but it ended up being $300 more than he thought because the doctor added on additional tests.  He says now he does not go to the doctor because not knowing how much is it going to cost is too stressful.  Also, he mentioned he “just can’t take the time off work.  I don’t get paid sick leave and when I take off, I lose income.  Also, I have to get time off approved by my boss and my work schedule changes every week.  Also, I feel like in health care,  they’re more interested in making money.  They don’t take the time to get to know me.”Address the following in your initial discussion post:Based on your readings and research, what advice would you give Larry?  Provide options for him.  Briefly but specifically describe the information you would provide in order to assist him.In three or four sentences explain the role the federal government currently plays in improving access to health care in the United States.Mention one recent key legislation either passed or currently being challenged surrounding the Patient Protection and Affordable Care Act.At an organizational and policy level, what ideas do you have about how nurses can drive improvements in access and utilization of care, while improving quality of care, for uninsured Americans?  Is it all about insurance coverage, or is there more to it in regard to root causes (social determinants)?https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-24-2019/No2-May-2019/Affordable-Care.html