Advocacy through Legislation Essay
Advocacy through Legislation Essay
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Healthcare | |||
Health care providers should be in the leading line advocating for quality patient care and population health. They should use their in-depth knowledge of health problems to identify needs and advocate for practical interventions through legislation and other strategies. One of the concerns in New York is the increased vulnerability of rural veterans to mental disorders. After serving the nation in wars and peace-restoration missions, veterans return home to unite with their families. However, unlike other people who get full support from their families and adequate care when needed, veterans in rural areas continue to be an overlooked, susceptible population whose health needs are not comprehensively addressed. Inadequate access to care also complicates the problem since it exposes the rural veterans to other complex health problems besides mental disorders (Amsalem et al., 2021). Unless there is an immediate practical intervention, the proportion of rural veterans with mental disorders will likely increase. Consequently, their quality of life will diminish, and they will depend more on other people for care and support. | |||
Idea for Addressing Solution | |||
To adequately address health care problems, health care providers, communities, and governments should collaborate and implement sustainable solutions. The problem of mental disorders among rural veterans would be best addressed by obliging the U.S. Department of Veterans Affairs (VA) to support the recruitment of mental health providers, purposely focusing on veterans’ mental health. The VA should further support such professionals with finance and material resources for home visitations since physical visits are more effective than technology-based support. The VA should further ensure there are adequate rural centers where veterans can quickly access professional help. Legislation involves implementing laws, and the government is among the advocates. As a result, there is a high chance for full implementation, sustenance, and maximum support through finance and other means. | |||
Research the Issue | |||
Evidence 1 | Veterans’ problems indicate that they need close attention, medical help, and support that matches their needs. Health research indicates that veterans have higher rates of mental disorders than the general population, including anxiety, depression, and posttraumatic stress disorder (PTSD) (Amsalem et al., 2021). Their vulnerability has increased since the COVID-19 pandemic’s outbreak. Veterans deployed in Iraq exhibited a prevalence of 15.8% of PTSD compared to 6.1% in the general population (Pasinetti et al., 2021). Worse, more than half of veterans with mental illness do not seek help or access the needed care (Pasinetti et al., 2021). As a result, health programs advocating for better care for veterans are crucial. | ||
Evidence 2 | The Congress has also implemented laws to support rural veterans and address their needs. One such law is The Rural Veterans Act that obligates the VA to support the recruitment of more health care professionals in rural settings (Congress.gov, 2022). Recruiting such professionals increases their number in rural areas implying that veterans would readily access the necessary mental health services including mental health support. High number of health care providers also increases access to care and ensure that they (providers) are not overwhelmed. | ||
Stakeholder Support | |||
Stakeholder(s) Supporting 1 | Rural health workers
They are overwhelmed due to inadequate physicians and other health staff in rural areas. Recruiting more professionals will make their work easier. |
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Stakeholder(s) Supporting 2 | Mental health organizations
Their mission is to expand care and mental health support to all deserving populations. Recruiting more mental health practitioners in rural areas will make them achieve their objectives. |
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Stakeholder Opposition | |||
Stakeholder(s) Opposed 1 | Veterans Affairs It is expensive to implement the law in its current form. It requires substantive budgetary allocation that may be unavailable. |
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Stakeholder(s) Opposed 2 | Selected nurses
It is not all nurses who are comfortable working everywhere. Deployment in rural areas would be faced by substantial opposition despite the support. |
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Financial Incentives/Costs | |||
Increasing mental health professionals and centers in rural areas would have far-reaching financial implications. The recruitment, training, and sustaining the program would consume a substantive portion of the VA budget. However, the increased number of health care providers at any level improves care outcomes and overall health care spending due to increased access to care. Currently, spending on mental health treatment has exceeded $225 billion annually (National Alliance on Mental Illness, 2021). Ensuring adequate mental health providers in rural settings to address veterans’ mental health needs would help lower such costs. | |||
Legislature: Information Needed and Process for Proposal | |||
Provide the name and complete contact information for the legislator. | Senator Kirsten Elizabeth Gillibrand
Phone: (202) 224-4451 Website: https://www.gillibrand.senate.gov/ |
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Describe the steps for how you would present this to your legislator. | Health care bills are crucial information that should be presented through formal communication. As a result, the most appropriate way to communicate to the Senator is via an official letter detailing the proposed legislation and why the Senator should support it. | ||
Outline the process if your legislator chooses to introduce your idea as a bill to congress. | The first step includes the legislator drafting the bill. The second step is the introduction to Congress and publishing the bill on Congress’s website. The third step is taking the bill to the committee stage, while the fourth stage is the subcommittee stage, where the bill is reviewed. The committee then marks up the bill before voting by the full chamber (fifth stage) before referring it to the other chamber. It is then passed to the President, where it becomes law once signed by President. | ||
Christian Principles and Nursing Advocacy | |||
Worldviews affect how people behave, engage in health behaviors, and support different health agendas. The Christian worldview is based on equality, love, supporting the needy, and compassion, among other factors. Among many principles, Christians’ central belief is that all humans represent God on earth and deserve a quality life. Based on this worldview, legislators would readily support health proposals and laws targeting vulnerable populations and ensuring that all populations receive appropriate care. Since all humans are equal, elements such as gender, sexual orientation, culture, and religious beliefs would not be considered during legislative advocacy since they violate Christian values and general teachings. | |||
References
Amsalem, D., Lazarov, A., Markowitz, J. C., Gorman, D., Dixon, L. B., & Neria, Y. (2021). Increasing treatment‐seeking intentions of US veterans in the Covid‐19 era: A randomized controlled trial. Depression and Anxiety, 38(6), 639-647. https://doi.org/10.1002%2Fda.23149
Congress.gov. (2022). All information (except text) for H.R.7414 – RURAL Veterans Act. https://www.congress.gov/bill/117th-congress/house-bill/7414/all-info
National Alliance on Mental Illness. (2021). What you need to know about the cost and accessibility of mental health care in America. https://www.nami.org/Press-Media/In-The-News/2021/What-you-need-to-know-about-the-cost-and-accessibility-of-mental-health-care-in-America?feed=In-the-news
Pasinetti, G. M., Trageser, K. J., Harary, J. M., & Gleason, T. C. (2021). Psychiatric disorder in Veterans. Frontiers in Psychiatry, 316. https://doi.org/10.3389/fpsyt.2021.666719
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Advocacy Through Legislation
Identify a problem or concern in your state, community, or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria should be identified and discussed. Add more rows as is appropriate for the topic/proposal.
Problem
In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.
Idea for Addressing Solution
In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.Research the Issue
Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.
Evidence 1
Evidence 2
Stakeholder Support
Discuss the stakeholders who would support the proposed idea and explain why they would be in support.
Stakeholder(s) Supporting 1
Stakeholder(s) Supporting 2
Stakeholder Opposition
Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations.
Stakeholder(s) Opposed 1
Stakeholder(s) Opposed 2
Financial Incentives/Costs
In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support.
Legislature: Information Needed and Process for Proposal
Discuss the how to advocate for your proposal using legislation. Include the following:
Provide the name and complete contact information for the legislator.
Describe the steps for how you would present this to your legislator.
Outline the process if your legislator chooses to introduce your idea as a bill to congress.
Christian Principles and Nursing Advocacy
In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc.
Rubric for assignment
Problem, Those Affected, Current Ramifications, and Consequences if Problem Continues
23.25 points
expand Idea for Addressing Solution assessment
Idea for Addressing Solution
15.5 points
expand Research Supporting Solution for Problem assessment
Research Supporting Solution for Problem
23.25 points
expand Stakeholder Support assessment
Stakeholder Support
15.5 points
expand Stakeholder Opposition assessment
Stakeholder Opposition
15.5 points
expand Financial Incentives and Costs assessment
Financial Incentives and Costs
15.5 points
expand Legislature Process and Information for Proposal assessment
Legislature Process and Information for Proposal
15.5 points
expand Christian Principles and Nursing Advocacy assessment
Christian Principles and Nursing Advocacy
15.5 points
expand Research assessment
Research
7.75 points
expand Mechanics of Writing (includes spelling, punctuation, grammar, and language use) assessment
Mechanics of Writing (includes spelling, punctuation, grammar, and language use)
3.1 points
expand Documentation of Sources assessment
Documentation of Sources
4.65 points
(NOTE- Research has to be based on New York State)