NHS FPX 6008 Assessment 3 Business Case for Change
Phillip September 30, 2023 No Comments

NHS FPX 6008 Assessment 4 Lobbying for Change

NHS FPX 6008 Assessment 4 Lobbying for Change

Student Name

Capella University

NHS-FPX 6008 Economics and Decision Making in Health Care

Prof. Name


Lobby for Change

Dear Grant,

As a registered nurse in San Francisco, I’m writing to urge swift action about the issue of San Francisco General Hospital (SFGH) in San Francisco, CA, acquiring healthcare insurance coverage. This matter has adversely affected many of your constituents, experiencing difficulties affording health insurance coverage (Tulane University, 2020).

The shortage of healthcare insurance coverage has brought about ominous outcomes for people and the local area. It has increased the number of individuals unfit to bear the cost of basic clinical consideration, which has demolished persistent diseases and expanded the recurrence of hospitalizations. Besides, those without health care coverage are more disposed to disregard required clinical considerations, which could adversely affect their overall health and well-being (Tolbert et al., 2020).

Resolving this issue will yield several benefits, such as enhancing the overall health of individuals, easing the burden on emergency departments, and lowering healthcare costs. Ensuring access to health insurance coverage for individuals guarantees that they receive appropriate and timely medical care, which can prevent the onset of chronic illnesses and reduce hospitalization rates (WHO, 2021).

NHS FPX 6008 Assessment 4 Lobbying for Change

Not addressing the issue can yield several adverse effects. For example, the increased financial burden on individuals and families reduced access to medical care, increased strain on emergency departments, and worsened health outcomes. Without health insurance coverage, individuals and families may face significant financial burdens in paying for medical bills and expenses out of pocket. This could increase debt, bankruptcy, and financial hardship (Tolbert et al., 2020). Without health insurance coverage, individuals may be less likely to seek medical care when needed, which could result in delayed diagnosis and treatment of health conditions. This, in turn, could lead to more severe health problems and higher healthcare costs in the long run (Kaiser Family Foundation, 2021).

When individuals without health insurance coverage seek medical care, they often turn to emergency departments, which can result in overcrowding and longer wait times. This could negatively impact the quality of care for all patients, not just those without health insurance coverage (Tolbert et al., 2020).

NHS FPX 6008 Assessment 4 Lobbying for Change

Without timely and appropriate medical care, individuals without health insurance coverage may experience worsened health outcomes, including higher rates of chronic illnesses, hospitalizations, and mortality (Kaiser Family Foundation, 2021). The inadequacy of access to healthcare insurance coverage has an impact on the healthcare industry at the institutional, local, state, and national levels, according to Raghupathi and Raghupathi (2020).

It has been related to the ascent of healthcare costs, expanded hospitalization rates, and decreased by and large healthcare quality (Crowley and Bornstein 2019). Strategies proposed to address this issue include expanding Medicaid, creating more affordable healthcare plans, and incentivizing individuals to purchase health insurance coverage (Crowley & Bornstein, 2019). The cultural sensitivity principle involves understanding and respecting the cultural beliefs, practices, and values of the community being served. It was considered by ensuring that the proposed solution is developed with an understanding of the cultural values and beliefs of the community (Stubbe, 2020).

NHS FPX 6008 Assessment 4 Lobbying for Change

The ethical considerations principle ensures that the proposed solution is fair, just, and equitable for all community members. It was considered to ensure that vulnerable populations, such as those with disabilities or chronic health conditions, are not unfairly burdened or disadvantaged by the proposed solution (Haddad & Geiger, 2020). The diversity principle involves recognizing and valuing the differences between individuals and groups. It was considered to ensure that the proposed solution promotes health equity by providing access to essential healthcare services and ensuring that healthcare costs are not prohibitively expensive for low-income families and individuals (Tan, 2019). 

As a nurse, I have witnessed the effects of the scarcity of healthcare insurance coverage on individuals and healthcare providers. Providing appropriate medical care to individuals without health insurance coverage can be challenging, leading to ethical dilemmas and cultural conflicts. Additionally, inadequate resources can make it challenging for healthcare providers to offer high-quality care to all patients.

My experiences as a nurse have guided the planning of resources and risk assessment for addressing this economic issue. I have observed the consequences of the scarcity of access to healthcare insurance coverage for both individuals and healthcare institutions. Consequently, I proposed some recommendations for improving healthcare insurance coverage access. I conducted a risk analysis to identify possible difficulties and devised strategies to mitigate them.

NHS FPX 6008 Assessment 4 Lobbying for Change

I have witnessed the struggles patients face when they lack adequate healthcare insurance coverage. One particular experience that stands out is when a patient came to the emergency department with a severe case of pneumonia. Despite requiring hospitalization for several days, the patient lacked health insurance coverage and could not pay for their medical expenses. As a result, the hospital had to absorb the cost of its care, which strained its resources and made it difficult to provide care to other patients.

I strongly urge you to take action to address the issue of accessing healthcare insurance coverage. Doing so can enhance the overall health and well-being of individuals in our community, reduce healthcare costs, and ensure everyone has access to the medical care they require.

Thank you for your consideration.


Crowley, R. A., & Bornstein, S. S. (2019). Improving the patient protection and affordable care act’s insurance coverage provisions: A position paper from the American college of physicians. Annals of Internal Medicine, 170(9), 651. https://doi.org/10.7326/m18-3401

Nunn, R., Parsons, J., & Shambaugh, J. (2020). A dozen facts about the economics of the US health-care system. Brookings. https://www.brookings.edu/research/a-dozen-facts-about-the-economics-of-the-u-s-health-care-system/ 

Raghupathi, V., & Raghupathi, W. (2020). The influence of education on health: An empirical assessment of OECD Countries for the period 1995–2015. Archives of Public Health, 78(1). https://archpublichealth.biomedcentral.com/articles/10.1186/s13690-020-00402-5 

Tolbert, J., Orgera, K., Singer, N., & Damico, A. (2020). Key facts about uninsured adults in California: Estimates for 2018 and 2019. Kaiser Family Foundation. https://www.kff.org/uninsured/issue-brief/key-facts-about-uninsured-adults-in-california/ 

Stubbe, D. E. (2020). Practicing cultural competence and cultural humility in the care of diverse patients. FOCUS, 18(1), 49–51. https://doi.org/10.1176/appi.focus.20190041

Tan, T. Q. (2019). Principles of inclusion, diversity, access, and equity. The Journal of Infectious Diseases, 220(2), 30–32. https://doi.org/10.1093/infdis/jiz198

Haddad, L., & Geiger, R. (2020, January 1). Nursing ethical considerations. PubMed. https://pubmed.ncbi.nlm.nih.gov/30252310/

Tulane University. (2020, May 21). Why community health is important for public health. Publichealth.tulane.edu. https://publichealth.tulane.edu/blog/why-community-health-is-important-for-public-health/ 

WHO. (2021, April 1). Universal health coverage (UHC). Who.int; World Health Organization: WHO. https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(uhc) 

Kaiser Family Foundation. (2022, November 9). Status of state Medicaid expansion decisions: Interactive map. The Henry J. Kaiser Family Foundation. https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/