Read Selection Your Question & Answer Guide (With Explanation)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to read selection your and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves read selection your. A strong answer should include explanation, application, and examples.
Original Question
Read a selection of your colleagues’ posts and respond to at least two of your colleagues on two different days by supporting or expanding on the ideas identified by your colleague or sharing additional perspectives on the policy described by your colleague. Advocacy Priority Benavidez et al. (2024) have reported that about 129 million Americans have at least one major chronic disease, such as diabetes and hypertension. These chronic diseases need ongoing medical attention, and the proper management of chronic conditions can prevent or delay complications. People living with chronic conditions must be informed on how to recognize the symptoms, risk factors, and warning signs of diabetes or hypertension (Centers for Disease Control and Prevention [CDC], 2024). As healthcare professionals, we have the expertise in promoting patient education that can empower vulnerable patients, most especially those who belong to the underserved populations (Lambert et al, 2023). Hence, my advocacy priority is to train healthcare providers on how to deliver culturally competent care for adult Asian Americans in California who are diagnosed with diabetes or hypertension. State Bill California’s SB 338: Virtual Health Hub for Rural Communities Pilot Program is the state bill that aligns with my advocacy priority. This bill pertains to the creation of the Virtual Health Hub for Rural Communities Pilot Program, necessitating the State Department of Public Health to direct the program to expand access to health services for farmworkers in rural communities in California. Farm workers in California who are mostly of Hispanic descent face long-term health impacts due to the grueling long hours of physical labor, as well as harmful working conditions, such as exposure to pesticides (California Legislative Information, 2025). Policymakers have been trying to improve the well-being of these crucial workers concerning affordable housing, transportation, education, and healthcare for farmworkers and their families. Poor health is a common issue for farmworkers because of a lack of health insurance, health access, and lack of screening for chronic conditions (Khode et al., 2024). The virtual health hub program will bring health care to rural communities, thus increasing healthcare access for people with chronic conditions like diabetes and high blood pressure. Federal Bill The S.1925, Expanding Access to Diabetes Self-Management Training Act of 2025, was introduced to the Senate by Senator Jean Shaheen last June 2, 2025, to expand access to the Diabetes Self-Management Training (DSMT) Act of 2025. Accordingly, the proposed bill aims to improve access to diabetes outpatient self-management training services, to necessitate the Center for Medicare and Medicaid Innovation, and to test the delivery of virtual diabetes outpatient self-management training services. This bill resonates well with my advocacy priority since it addresses self-management for diabetes. A chronic illness like diabetes can be controlled through effective self-management practices (Maina et al., 2023). The necessary changes include, among other items, allowing the initial 10 hours of DSMT to remain available until fully used, allowing referrals for additional hours of DSMT anytime if it is deemed medically necessary, and permitting all physicians and qualified non-physician practitioners to refer for DSMT services instead of restricting it to only providers who are personally managing the patient’s diabetes (Congress.gov, 2025). These significant changes can help increase access to the DSMT benefits to better meet the needs of Medicare beneficiaries with diabetes, especially for the underserved Asian American population. Evidence shows that DSMT is an effective way to teach individuals with diabetes how to reduce their risk of diabetes-related complications and improve their quality of life through self-management (Ernawati et al., 2021). Missing Factors in the Proposed Bills Although SB 338 is a very commendable bill proposal, as it addresses the health deficiencies in rural communities, it still needs to explore the ethnic diversity of the increasing Hispanic population in rural areas. The bill does not stipulate cultural competence training or mentoring for healthcare providers to deliver care for culturally and linguistically diverse patients. Language and cultural issues are barriers that can impact interventions to avert chronic conditions, manage chronic diseases, and promote healthy lifestyles (Stubbe, 2020). Similarly, S.1925 also does not include training for culturally competent care for healthcare providers. Cultural competency training is an approach that can promote patient-centered care that is respectful and responsive to individual patient values, needs, and preferences. Healthcare providers must always consider the patients’ diverse lifestyles, perspectives, and experiences to be able to deliver culturally sensitive healthcare for underserved populations such as Asian Americans, Latino Americans, and other minority groups (Latif, 2020). Advocacy for Culturally Competent Care Healthcare professionals are in a unique position and have a powerful role to influence health policy and legislation that affect the quality, accessibility, and affordability of care for their patients (Lambert et al, 2023). Advocacy to train healthcare providers for culturally competent care to prevent the adverse effects of chronic conditions can reduce health disparities. It is also vital to bring awareness to individuals who are living in areas that are lacking or not receiving any health services, as this can reduce healthcare costs and potentially save lives (Aubrey-Basler et al., 2024). Moreover, advocating for targeted intervention programs that address the specific needs of vulnerable and underserved populations can lead to better health outcomes (Lambert et al, 2023).
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