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Original Question

I WANT A RESPONSE TO THIS DISCUSSION BOARD ASSIGNMENT A policy brief can be outlined as a summary created pertaining relevant information, analysis, complications, and changing actions in order to bring attention to policy makers for the benefit of patients, providers, and health care. Framing an issue can begin with patient complaints, nurse needs, hospital changes, needs for growth, and other desirable adaptions for positive movements (Mason et al., 2021). The topic of the policy brief is analyzing the impact of discontinuing the Affordable Care Act (ACA) Medicaid expansion because of lessening support from federal financial backing. The Urban Institute’s Health Insurance Policy Simulation Model is used to address the possibility of financial impact if the Medicaid expansion drops. Currently the United States federal government covers majority of costs for Medicaid patients under the ACA. From this brief it is explained that there is an extreme importance supported by numerical evidence. Findings include 10.8 million uninsured United States residents and $18.9 billion uncompensated care costs. This brief described underserved location, hospital impact, and noncentralized healthcare facilities impacted drastically more than population dense areas due to socioeconomic status. This gives support and factual data explaining the negatively impactful changes that would occur if the government decided to discontinue the Affordable Care Act (Blavin et al., 2025). 2. Why is this policy brief important? What is the impact? The brief outlines the importance of negative outcomes that would follow after discontinuing this act. The predicted financial and functional strain that happens to the healthcare quality, due to lack of support by Medicaid, can lead to negative patient impacts. With this outcome there is a decreased opportunity for safe and quality care being provided to vulnerable patients and noninsured patients. The impact of this policy brief allows for attention to be brought to policy holders on behalf of nurses to ensure patient’s access to healthcare (Blavin et al., 2025). A. What is the topic/healthcare issue’s impact on social, political, ethical, and economic factors on healthcare? Social: The social impact on healthcare influenced from this policy is the negative correlation for millions by losing coverage and ultimately decreasing access to care specifically in poor areas and worsening national health standards (Blavin et al., 2025; Mason et al., 2021). Political: Politically, the impact policyholders must cut or continue Medicaid involved state and federal influence based on policies and political standings (Blavin et al., 2025; Mason et al., 2021). Ethical: Ethically, denying healthcare becomes a complication due to taking away Medicaid from vulnerable populations. It can be unethical to deny care; however, politically if Medicare is removed and patients cannot afford services it will be more common to turn patients away (Blavin et al., 2025; Mason et al., 2021). Economic: Significant financial strain will begin being placed on healthcare facilities due to decreased revenue from less patients being seen, followed by a snowball affect impacting jobs, and other economic struggles (Blavin et al., 2025; Mason et al., 2021). 3. What interventions are suggested to improve the issue? Are the suggestions for improvement research based? Why is research important in developing health policy? This policy brief does not contain direct interventions for improvement; however, maintaining the Medicaid expansion will be critical to avoiding the negative financial and service-related complications. Even though this policy does not use research to address interventions for keeping the policyholders interested in improving the value of Medicaid, there is still a clean understanding of the importance to continue offering healthcare resources such as Medicaid. Throughout this policy brief government data and peer-reviews studies do support the concluding findings for needs and numerical findings that make the need for Medicaid substantial (Blavin et al., 2025). Using evidence-based support for topics such as the needed factor for policy changes and the negative impact millions of people would feel by decreasing the resource for affordable healthcare access. 4. How can improving the issue affect delivering of financing and services? In United States it is vital to understand the spending trends when addressing shareholders and policymakers with complications and desires for improvement. In the US, hospital and physician services account for over 50% of service bills for healthcare (McGough et al., 2024). By policy makers being addressed by this issues there is an improvement in delivering financing and services. Through sustaining Medicaid expansion there will be preservation of small/local hospitals, improved care, adequate staffing, decreased emergency spending, and stability for care of lessened socioeconomic status improving the overall reliability for patients. For peers: for your chosen policy, is there a difference in state and national effect or impact? For my particular case, this policy does effect the national population and the state population and can be compared to look at the direct impact. Nationally, larger and more densely populations in bigger cities would have significantly less trends towards hospital closures or financial deficits. State areas would experience must more drastic changes for rural populations that are only able to access healthcare due to Medicaid options that help fund the small local healthcare facilities.

 
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