NURSING ETHICS

 

Case Study, Chapter 21, Health Care Reform: The Dismantling of the Affordable Care ActAs we entered 2018, millions of Americansstill relied onAffordable Care Act(ACA) subsidies, health premiums were soaring, and provider choice was more limited than ever.There was, however, momentum for reform. Health care was identified as the country’s leading priority for Democrats (54%) and the second highest priority for Republicans (42%) at the close of 2017. A group of registered nurses debate the issue of health care reform
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1. The nurses debate whether the country feels that health care reform is really necessary. Discuss reasons why reform is needed and what that reform should address.
2. What were the 10 essential benefits guaranteed by insurance plans in the ACA Health Care Marketplace?
3. What are the successes of the ACA?
4. What are the failures of the ACA?

Sample Solution

NURSING ETHICS

Real reform cannot be achieved by tweaking a few components here and there. It requires a broad-based approach with all the elements of the plan working together to address the glaring problems in the health care system: escalating costs, inadequate coverage, and inefficient care of variable quality. The reasons why we need health care reform is because: we need to address adverse health industry practices; to provide better health insurance coverage for more Americans; improve health care and lower health care costs; and to improve the nation`s economic outlook. The Affordable Care Act (ACA) has helped millions of Americans gain insurance coverage, saved thousands of lives, and strengthened the health care system. The law has been life-changing for people who were previously uninsured, have lower incomes, or have preexisting conditions, among other groups.

privilege instigating the learning processes that lead to crime (Ruggiero, 2015).

​Despite the difficulties and ambiguities in its conception and definition, crimes of the powerful have merit in considering structural power theories of crime. Hagan and Thio assert that those with power and privilege have stronger motivations, more opportunities, and weaker social controls, and are therefore more likely to commit crime (Friedrichs, 2010). Other advantages of theories of crimes of the powerful include explanations of how those in power get away with crimes, how certain acts are or are not considered criminal, and the importance of national conversation and punishments when dealing with these crimes (Anello & Glaser, 2016; Olejarz, 2016).
​Aside from the definitional and conceptual issues, there are a few other disadvantages to these theories as well. The ambiguity of definitions of these crimes has made this topic difficult to study empirically (Nash, 2017). The definitions that are in place do not really make a distinction between crimes of the individual and crimes of the organization as a whole (Maguire et al., 1994; Reurink, 2016). Penalties and theories of control do not apply to these crimes like they do to others, since one cannot imprison a corporation (Gottschalk, 2016). Finally, deterrence and punishment rely on the idea that people are ashamed of crime, and research shows that powerful offenders typically do not feel shame for their offenses as ordinary citizens might (Braithwaite & Drahos, 2002).

Contributions

​​Criminology.

Due to the ambiguous definitions and wide scope of crimes of the powerful, the contributions that will be discussed will focus on white collar crime, as that seems to be where more of the research focuses. The term “white collar crime” was coined by Sutherland in 1939, which he defined as a “phenomenon of lawbreaking by respectable persons

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