Politics And Global Health

Running head: POLICY, POLITICS AND GLOBAL HEALTH 1

Policy, Politics and Global Health

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POLICY, POLITICS AND GLOBAL HEALTH 2

Policy, Politics and Global Health

Nursing policies are increasingly influencing legislation concerns with an aim of

improving decision making in matters affecting the health and working environment of the

population. There are healthcare disparities between citizens and immigrants. A significant

number of immigrants are exposed to poor healthcare covers even for documented cases.

There is need for developing guidelines for providing healthcare facilities due to economic

challenges that display high cases of poverty for documented and undocumented immigrants.

Through evaluating the need for the policy and its relevance, its implication on society can

facilitate proper intervention.

The rights of the immigrants are not sufficiently covered by the Patient Protection and

Affordable Care Act. Both documented and undocumented cases of immigrants fall subject to

insufficient insurance covers if any. Medicaid is one of the sections of healthcare that

requires cost sharing to ensure that healthcare is affordable. Restricting immigrants from

accessing Medicaid leads to an increase in overall costs since the outlay is not effectively

distributed across the population. With over 40 million cases of illegal immigrants in the

United States, healthcare costs are significantly higher for population covered by insurance

companies.

All classes of the population are entitled to affordable healthcare irrespective of their

social-economic status. The basic respect for human right necessitates equal consideration of

the population’s needs. A Federal Mandate for adequate insurance covers for documented

and undocumented immigrants offers a credible resource for addressing the issue in question.

The federal government under rule of law is entitled to evaluate the Patient Protection and

Affordable Care Act to incorporate the interests of the immigrants in healthcare concerns and

in turn reduce the per capita costs that the general population is exposed to. Marilyn

POLICY, POLITICS AND GLOBAL HEALTH 3

Tavenner, the Chief Operating Officer at Centers for Medicare and Medicaid Services (CMS)

receives the policy brief.

Over 40 million illegal immigrants are unable to access affordable healthcare. Due to

social economic factors, insurance companies do not provide coverage for the growing cases

of undocumented immigrants. Healthcare covers have increasing per capita rates as they are

not effectively distributed, leading to poor quality of medical services. With poverty levels of

over 23.3% for immigrants who are not citizens, there requires policy evaluations to address

the disparities in healthcare provisions (Martin & Ruark, 2010). The policies should address

the needs of the immigrants who reside within the country.

Intervention strategies for facilitating quality healthcare to immigrants are costly and

identifying the number of undocumented immigrants distributed in the country is a challenge.

Another challenge lies in the fact that healthcare systems are influenced by economic and

political elements affecting strategies designed for the elderly population and the poor.

Healthcare in turn falls victim to market forces and inflation of costs is evident due to

competition among medical cover providers (National Immigration Law Center, 2010).

Amendments to the Personal Responsibility and Work Opportunity Reconciliation Act

provide a credible option for encouraging undocumented immigrants to present themselves.

Better documentation on demographic information offers reliable input in addressing the

healthcare challenges.

Amendments to the Personal Responsibility and Work Opportunity Reconciliation

Act introduced in 1996 provide credible options for addressing healthcare challenges for

documented and undocumented cases of immigrants. Since documented cases have five year

waiting period to access Medicaid, a federal mandate requiring equal eligibility for

immigrants and citizens in healthcare packages offers a realistic intervention to limit effects

of overpriced medical services. Though the challenge of discrimination is addressed, the

POLICY, POLITICS AND GLOBAL HEALTH 4

measure would result to a rise in premium rates as need for medical services will significantly

rise.

Another option would require state discretion in developing mandates. Cooperation

with state legislation can help address social economic challenges of the population within

the state. Suppliers of medical covers are provided with the opportunity to play an active role

in the intervention strategies. The result would lead to solutions developed according to

demographics of each state.

The need for providing affordable healthcare for the general population cannot be

overstated. A state mandate solution would require an extended period to be implemented as

opposed to a federal mandate. A larger population of immigrants would be able to access

better healthcare coverage at a reduced period while costs imposed on individuals minimized

since the strategy would be costly to the states.

The American Nurses Association (ANA) represents a body with qualified healthcare

experts responsible for providing insight to legislation (Stimpson, Wilson & Eschbach, 2010).

According to the ethical standings of ANA, all individuals that live in the United States are

entitled to affordable healthcare. The body emphasizes its position by providing education to

nurses regarding the need for addressing the concerns of both documented and undocumented

immigrants in healthcare.

Community based participatory research (CBPR) utilizes three key principles in a

collective system of research. Three key principles include funding research initiatives,

training of members and developing rewards mechanisms for the partners. The American

Nurses Association (ANA) provides useful information regarding healthcare perspectives.

Collaboration with state agencies and community based platforms serves as an effective

strategy in funding the research campaign.

POLICY, POLITICS AND GLOBAL HEALTH 5

Collaboration between community members, the government and The American

Nurses Association (ANA) requires establishment of mutual trust. Researchers should utilize

an approach mechanism that establishes a connection through shared values. The need for

upgrading healthcare for immigrants is a pressing concern and grant applications are an

option in funding the research. ANA has the responsibility of contributing the viable health

plan options while the government agencies provide statistical data on immigrants and

provides insight on achievable solutions. The community provides crucial information as

immigrants are provided with an opportunity to present their concerns.

The third principle for policy change outlines the desirable outcome for the research

process. A reduction in the burden of healthcare expenses enables the immigrants to access

quality healthcare while the government is able to reduce mortality rates. Through proactive

collaboration, disparities in healthcare provision can be intervened.

Key challenges presented by the down to top procedure of introducing policy change

lies in convincing government resources to allocate significant resources of state reserves on

the immigrant healthcare. Providing access to affordable healthcare for immigrants offers

room for conversation to amend legislation on work insurance covers for the undocumented

cases, therefore government representatives may be resistant to provide significant input to

the healthcare policy brief due to repercussions extended to work rights.

POLICY, POLITICS AND GLOBAL HEALTH 6

References

Martin, J., & Ruark, E. A. (2010). The fiscal burden of illegal immigration on United States

taxpayers. Fairus. Retrieved from

http://www.fairus.org/site/News2/1098281248?page=NewsArticle&id=23190&securi

ty=1601&news_iv_ctrl=1761

National Immigration Law Center. (2010). How are immigrants included in health care

reform. National Immigration Law Center. Retrieved from

http://www.nilc.org/immspbs/health/immigrant-inclusion-in-HR3590-2010-04-19.pdf

Stimpson, J. P., Wilson, F. A., & Eschbach, K. (2010). Trends in health care spending for

immigrants in the United States. Health Affairs, 29(3), 544-550.

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