Free Essay

Economics and Change

In:

Submitted By bballerhd
Words 1456
Pages 6
Economics and Change

Dimensions of Professional Practice

08/02/2015

Economics and Change
Introduction
Health care in America is at the center of controversy. It is a progressive and rapid changing entity. Since the 1970s, America has seen many different types of programs and funds created to help solve the issue of the cost of health care. Many of these programs are on the brink of bankruptcy and have not done far enough to make it more affordable and assessable. Actually America has the most expensive healthcare system in the world and not only is it the most expensive, but in many areas such as quality of care, America is no where near the top among developed countries (Davis, Stremikis, Squires, & Schoen, 2014). The purpose of this paper is to show how democratic leadership along with power-coercive and empirical-rational can help implement this new healthcare law. This paper will also discuss the importance of committees and economics on this new law.
Democratic Leadership To enact such a massive law as the affordable care act one must be willing to work and listen to others to get the best information on this topic. In this type of leadership it is of the utmost importance for the leader to have participation from the group. There are major political differences in the United States right now. Using this type of leadership would bring representatives from both sides of the aisle together. This type of leadership uses open discussion and questions to help come to a conclusion. Many people do not like to be told what to do just because someone says to do it. This type of leadership would not only help people work together for one common goal, but it will also bring about the best ideas because it opens a dialogue from a group that otherwise may not have discussed this together. This type of leadership has been found to be highly effective in a healthcare setting and since this is a healthcare law, it would be great to be utilized.
Power-coercive
Power-coercive may seem like an odd strategy and it is if it was the only strategy used to implement change, however when used in very specific incident, it can be useful. The government controls Medicare and Medicaid. These programs are to help the less fortunate obtain health insurance. Weather they are low-income, elderly, or disabled they are pretty much covered under these two programs. It has been shown that Medicare often is the foundation for pricing of cost amongst private insurers. If that is true then the government has a duty to its citizens to drive down the cost of healthcare. This idea is much easier said than done; however the government does have the power right now and this is just one way that the cost of healthcare could be lowered. Using this power-coercive would be effective because the government already has the power over these programs. “It is a command and control approach in which positions of authority enforce the change.” (Blais & Hayes, pp. 257, 2011). This type of change theory can typically cause resistance, however since the government is already in control over these programs, little would be seen on the outside from the public (Blais & Hayes, 2011).
Empirical-rational
Empirical-rational change theory is crucial to implementing the affordable care act. This theory adheres to the belief that if people are rational and that if it is in their best interest then they will be more likely to accept the change. To impost change the general public must think it is needed and is necessary. Most Americans would agree that they would like more affordable health care. The government can lead by example by making sure that Medicare and Medicaid are some of the best coverage out there. If the population believed that then they would be more likely to go for the government option for themselves as well. According to the empirical-rational approach change will be accepted if it shows to be beneficial and justified. This change approach also works very well when a target group is discontented. There is a big disconnect among the government and the United States citizens (Blais & Hayes, 2011). This approach would greatly benefit people that are already under some type of government healthcare because the government would find the best companies to work with in order to provide all types of care from a routine visit to hospice. These companies would then charge the government only for the services provided. This is where there is a big problem. Right now pricing for most of American health care comes from a small group of doctors called the Specialty Society Relative Value Scale Update Committee or RUC (Munro, 2013). This is problematic because this committee is deciding the prices rather than the actual cost of products. If this process was changed then people could use rationalization to determine that a government ran universal healthcare system would be in the best self-interest.
Healthcare Committee Committees are very important in improving and discussing ways to improve healthcare in America. There are many different types of committees that would be assembled, but the most important one would be one to replace the RUC. An example of what is wrong with the RUC is demonstrated in a balloon needed for sinus surgery. The balloon itself costs 2,600 dollars to be made. The RUC priced it at 3,000 dollars for each procedure. This balloon can be used up to 6 times before a new one must be used. Six procedures could be done with one balloon that costs 2,600 dollars and Medicare will be billed for 18,000 dollars per the CPT code (Munro, 2013). This is a perfect example on how the cost of healthcare does not correlate with the amount being charged. This proposed committees sole purpose would be to bridge the gap between production cost and actual cost in healthcare charges. This group would have to be a group of diverse professions. Diversity is what makes committees great. The chairperson would ideally have experience with business and medicine. The committee would not only include economists and doctors, but also nurses and insurance representatives. “Committee members reflect diverse expertise in order to assist the committee to achieve its purpose.” (Blais & Hayes, pp. 283, 2011).
Economics
The economy has been hit hard over the past recent years and price plays a big part in the average everyday consumer in America. There have been many efforts over the past years to lower the cost of healthcare in America from competition to price controls to managed care. Unfortunately, healthcare costs have continued to rise. With the different proposed theories to decrease cost there would have to be a set of strict taxes and some type of performance based pay. With regards to the fees doctors and medical centers would have to adhere to, the payment amount would have to be approved by the healthcare committee. Also the percentage of compensation would be determined by performance. In doing this not only will it help lower costs, but will improve the quality of health care. The most important part of lowering the costs remains with trying to bridge the gap between medical procedures and the costs of materials. This change will not only help lower healthcare costs, but provider revenue will not be greatly affected (Buerhaus, 2010).
Conclusion
Healthcare in the United States is just not affordable for the average person and it is becoming more difficult for people to obtain healthcare in this economic state. The Affordable Care Act can be a great option if implemented the right way. First changes must be made to Medicare and Medicaid. This can be done through change reformation, setting examples and being led by a leader willing to listen. Then, forming a new committee that would replace the RUC and help provide appropriate pricing. Lastly, by using strict fees and performance pay economics, the start of universal healthcare would be a success.

References
Blais, K., & Hayes, J. (2011). Professional nursing practice: Concepts and perspectives (6th ed.). Boston: Pearson.
Buerhaus, P. I. (2010). Health care payment reform: Implications for nurses. Nursing Economics, 28(1), 49-54. Retrieved from http://search.proquest.com/docview/236936730?accountid=45782
Davis, K., Stremikis, K., Squires, D., & Schoen, K. (2014, June 16). Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally. Retrieved from http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror
Munro, D. (2013, February 11). Healthcare's Pricing Cabal. Retrieved from http://www.forbes.com/sites/danmunro/2013/02/11/healthcares-pricing-cabal/

Similar Documents

Premium Essay

Economic Change

...Factors of Economic Change Name Institution Introduction Economic change is the variation in the capacity and capability of a country’s economy to produce goods and provide services within a given time frame. This essay analyses how supply and utilization of natural resources, capital formation, technological development, human resources, and foreign aid and investment lead to economic change. Supply and Utilization of Natural Resources The quantity and quality of natural resources in an economy have a significant role in initiating economic change (Knox, Agnew, & McCarthy, 2014). Maximum utilization of these resources determines the degree of economic change in a country. For instance, India with its excess availability of natural resources has had little economic development. On the other hand, Japan, which has little resources, has undergone rapid economic change to be among best-developed countries in the world. Through international trade, Japan imports most of the natural resources to help in the manufacture of its goods, which it exports to reap the benefits. Capital Formation The combination of labor with capital is vital in transforming the economic status of countries. For instance, the United States of America is productive because of the use of capital goods like machines, industries, and good infrastructure as compared to most developing countries which are less equipped. ...

Words: 500 - Pages: 2

Premium Essay

Economics and Change

...Economics and Change Theresa Williamson FSCJ Dimensions of Professional Practice NUR3805 Dr. Kramer September 22, 2015 Economics and Change In March of 2010 President Obama signed the Affordable Care Act (ACA) into law. This act was to ensure that all Americans have access to healthcare. It provided coverage for pre-existing conditions, free preventative care, discounted medications for seniors and protected consumers against health care fraud. As health care professionals we had to accept and adapt to the change that was inevitably going to occur. This is going to be a collaborative effort on many different levels from nursing to case managers to nurse leaders. This act is going to require us to look at the way we charge for healthcare and how we are reimbursed for the care provided more carefully. The expectations are going to change for all involved with providing quality care to patients in any healthcare setting. The Affordable Care Act was not a spontaneous change but more of a mix between a developmental change and planned change. According to Blais and Hayes (Blais & Hayes, 2011, p. 254-255) “developmental change refers to physiopsychologic changes that occur during an individual’s life cycle or to the growth of an organization as it becomes more complex.” As a nation and a whole more and more people were not covered for health care or could not afford to pay for health care out of pocket. “More than 45 million American are uninsured, and as...

Words: 1349 - Pages: 6

Premium Essay

Economics of Climate Change

...Economics of Climate Change Sachin Sharma 11060221060 Research Supervisor: Mrs. Sukalpa Chakrabarti A Dissertation Submitted in the Partial Fulfillment of the Requirements for the Degree of Bachelor of Science in Economics (2011 - 2014) Symbiosis School of Economics CONSTITUENT OF SYMBIOSIS INTERNATIONAL UNIVERSITY (Established Under Section 3 Of The UGC Act 1956, By Notification No F9-12/2001-U.3 Of Government Of India) EXAMINERS’ CERTIFICATE This is to certify that the dissertation titled ECONOMICS OF CLIMATE CHANGE submitted by has been assessed and graded towards the partial fulfillment of the degree of Bachelor of Science (Economics) in the academic year 2011-14. ____________________________ (Signature) Name of Internal Examiner: _________________________________________ ____________________________ (Signature) Name of External Examiner: _________________________________________ Date: Time: Place: Symbiosis School of Economics CONSTITUENT OF SYMBIOSIS INTERNATIONAL UNIVERSITY (Established Under Section 3 Of The UGC Act 1956, By Notification No F9-12/2001-U.3 Of Government Of India) Submission Checklist | Tick the field on the left of the list | | INITIAL PRECONTENT MATTER | | Filled in all fields on the title page. | | Filled in the acknowledgments page. | | Filled in the executive summary page. Dissertation abstract is fewer than 350 words. | PAGE NUMBERS | | No page number...

Words: 11935 - Pages: 48

Premium Essay

3d Printing Economic Changes

...An economic concept that correlates to the onset of 3-D printing is the international labor market. Traditionally, the majority of U.S. companies have opted to outsource labor to lower their production costs. Firms will often hire more employers to increase productivity as long as the marginal cost, the cost of hiring on additional worker, is lower than the marginal benefit, the revenue and benefit that the firms will receive in return for hiring the worker. All firms essentially want to maximize their profit and they can do so using cheaper laborers in foreign, developing countries such as China. However, outsourcing is detracts from the U.S. economy since firms hire fewer employees domestically. 3-D printers can prevent that possibility and thus help companies grow since they would not need to heavily rely on either outsourcing or traditional manufacturing laborers. Since manufacturing firms can lower their production costs and produce more with the help of 3D printers, the aggregate supply of the nation increases, thereby lowering the price level for consumer goods. The decrease in prices would in turn decrease the value of a worker’s marginal productivity of labor, subsequently decreasing the demand of traditional or outsourced labor. ~~Another economic concept that comes into play with the labor demand topic is elasticity. Elasticity of demand can be represent by the percentage change in quantity demanded over the percentage change in price, which measures, in this situation...

Words: 291 - Pages: 2

Premium Essay

Economic Structural Changes and Growth

...Human development in a basis of brainpower is one of the most fundamental cause not only economic development but also in terms of development in general. Human endures intellect toward productive growth in developed countries which mainly relies on technological innovation. However, as for developing countries, growth and development follows developed countries by forcing the technology mechanism and changing the structure of production towards activities with higher levels of productivity. The evidence show that during 1970s and 1980s there were of structural changes in economic activities where developing countries enters the global markets. In his preface, Giplin (2001; xi) point out that “…important step toward the creation of a truly global economy, since the mid-1980s the world has also witnessed the extraordinary growth of economic regionalism as a countermovement to economic globalization.” Similarly, Magdoff (1992; 50) state that “In fact, capital exports have helped shape the evolving global economy ever since the end of the Second World War”. Moreover, Glyn and Sutcliffe (1992; 79) point out that “…left the world economy leaderless in the 1970s and 1980s with increasingly open economies disciplined by market forces, but without a unique center of gravity.” This implies that global economies forces t To provide a well-structured discussion, this essay will begin by briefly introducing into how neo-liberalism in the mainstream of development thinking greatly achieve...

Words: 3839 - Pages: 16

Premium Essay

Economics: Changes over the Centuries

...ECONOMICS: CHANGES OVER THE CENTURIES LANDON COPE HISTORY 202 NOVEMBER 5, 2009   INTRODUCTION This report attempts to uncover the changing attitudes towards economics in the world over the course of several centuries. Several articles will be examined in an attempt to trade how basic attitudes, approaches, beliefs, ideas, and values concerning economics have changed over time. The articles being examined are (1) The Wealth of Nation by Adam Smith, (2) The Communist Manifesto by Karl Marx and Friedrich Engels, and (3) Japan’s Gross National Cool by Douglass McGray. The Wealth of Nations was published in 1776 and will represent the earliest of the works being examined here. Smith explains economic principles such as self-interest, supply and demand, and free marketplace. From this work we see the unraveling of capitalism and the paradigm of free trade. This work set the premise for many works to follow, including The Communist Manifesto. The Communist Manifesto is an influential political manuscript that outlines the problems with capitalism and the struggles between classes. Communism is trumpeted here, as well as conditions necessary for a transition to communism. This work was written in 1848 and represents a stark contrast to The Wealth of Nations in principle and in theory. Much has resulted from this manuscript and its ideas as can still be seen in the world today. Lastly, Japan’s Gross National Cool represents modern economic thought. Written in 2002, its...

Words: 3008 - Pages: 13

Free Essay

Technological Change and Economic Growth

...Technological Change and Economic Growth Without economic growth a country cannot grow itself as a whole. To understand the role of technological change in economic growth, we must first explore economic growth. Economic growth is the increase in a nation’s real gross domestic product per person over time. There are two types of growth, the positive and the negative. Some of the positive effects are better living standards, better health care, and material abundance. It also has negative effects such as environmental destruction, and increased income inequality. With each invention over the past 150 years or so, it has made economic growth easier. Even little things can make a big difference in production which can lead to greater production and more profit which in turn helps the GDP grow as well as the economy. There are tradeoffs with the technology growth, for example the invention of the cell phone. It makes everything so much easier and more convenient, but because of that people are getting rid of their household lines, thus causing phone companies to lose money, with less profit coming in they are forced to lay off people. Another way to look at it is, that those cell phones now create new jobs for people because they need to be manufactured and produced. This provides jobs and the company profits helping the economy grow. With how fast technology is expanding and making its way into the work force and making everyday lives easier it is also costing us as well. People...

Words: 2140 - Pages: 9

Premium Essay

Major Economic Change 195-1914

...Major Change from 1865-1914 One major economic change between 1865 and 1914 was the rapid economic growth and prosperity in the U.S. which became to have the most dominant economic, industrial, and agricultural power during this time. The United States had accumulation of capital through a continuing series of investment that just soared dramatically. This economic soar was a turning point for American History and a relief for those who did not have jobs, it was an opportunity for those who did not have job to finally be able seek a better living and a decent job. Robert Higgs, a graduate student wrote a book of the American Economy during 1865-1914. In Robert Higgs book “The Transformation of the American Economy,” he states, “The Gilded Age, lasting from 1865 to World War I, was an era of economic growth never before seen in the history of the world. The standard of living of the modern age was born during this time of phenomenal transition. Lives lengthen. Wealth exploded. The middle class lived better than kings a century earlier” (Transformation of The American Economy). This statement in the book clearly speaks for itself. The economy during this time era was a tremendous upscale in history. The significance of the economic growth during this time meant no more living with the worry of not having a job or having to migrate from city to city just to find a job. This time period brought many people the chance to live a better life and with better pay so to say. Many companies...

Words: 653 - Pages: 3

Premium Essay

Economic And Social Changes In The Northeast Essay

...Political: Northeast, industry growth, political views changing, and social changes. Unions forming in the North. Miners and steelworkers were among first workers to use strikes against business owners. Southern Laws that allowed segregation and discrimination made it hard for southern African Americans to enjoy life. West Discrimination and riots because of tension white Americans and immigrants. Midwest Labor unions were becoming more popular. Social reform in Ohio and Illinois. In rural areas, farmers were somewhat politically active. Social: Northeast Growth of industry showed the gap between rich and poor. businesses owners wanted to increase profits. Workers wanted better wages and working conditions. South The post-Civil War South continued to have race issues. New segregation laws...

Words: 621 - Pages: 3

Free Essay

Economic, Social, and Political Change Worksheet

...Economic, Social, and Political Change Worksheet Agricultural Revolution Respond to each of the following questions in 2 or 3 sentences: 1. What are the three most important factors that contributed to the agricultural revolution in Europe? The three most important factors of were the three-field system, warmer temperatures, and advanced farming equipment. 2. How did the agricultural revolution change European society? Provide an example. The revolution changed Europe for the better, it provided more jobs to people as new farming equipment was in demand. It also helped many people move their lives away from farming and it helped expand Europe. Industrial Revolution Respond to each of the following questions in 2 or 3 sentences: 1. What are the three most important factors that contributed to the industrial revolution in Europe? The three most important factors for the industrial revolution were the use of steam power instead of human or animal power, the invention of machines to do the work instead of people and the use of the factory system. 3. Describe working conditions in factories and mines between 1800 and 1850. What was life like for a typical worker? Reference at least one primary source to support your response. The working conditions were poor, at best. After the revolution, demand for new goods and people to make them were on the rise, at incredible rates. Miners would have an average 12 hours a day shift,...

Words: 726 - Pages: 3

Premium Essay

Economic Political and Social Change Worksheet

...Economic, Political and Social Change Worksheet Michael Alexander History of Western Civilization from the French Revolution to the Present HIS/114 November 02, 2011 Nicole Vieille University of Phoenix Material Economic, Social, and Political Change Worksheet Agricultural Revolution Respond to each of the following questions in two to three sentences: 1. What are the three most important factors contributing to the agricultural revolution in Europe? The three factors that contributed were intensifying traditional practices, putting more land to produce more, and more workers to work the land. Because Europe was continuing to grow, the agricultural growth needed to expand. 2. How did the agricultural revolution change European society? Provide an example. Europe came up with an agricultural revolution to help advance their economy. They used their technique instead of using technology. Europe decided not to use machines, but continue to use human strength, this was to help their crop yields and this method has been used for centuries during population pressure. Industrial Revolution Respond to each of the following questions in two to three sentences: 1. What are the three most important factors contributing to the industrial revolution in Europe? Three of the important factors were the steam engine, the spinning jenny, and the smelting of iron with coke. These were three inventions, but they also had 100’s of new ideas that they applied...

Words: 711 - Pages: 3

Premium Essay

Economic, Social, and Political Change Worksheet

...University of Phoenix Material Economic, Social, and Political Change Worksheet Agricultural Revolution Respond to each of the following questions in 2 or 3 sentences: 1. What are the three most important factors that contributed to the agricultural revolution in Europe? The most three important factors that contributed to the agricultural revolution in Europe was the warmer tempetures, the three field system and better farming equipment 2. How did the agricultural revolution change European society? Provide an example. The new found better ways of farming in Europe and reduced the need of pyhiscal workers. This took so many jobs from the farmers. They also invented coil mining jobs to help power the machines that was used on the farms. Respond to each of the following questions in 2 or 3 sentences: 3. What are the three most important factors that contributed to the industrial revolution in Europe? The three most important factors that contributed to the industrial revolution is the large population, capital, and the people with logical sense of science and business minded. 4. Describe working conditions in factories and mines between 1800 and 1850. What was life like for a typical worker? Reference at least one primary source to support your response. The satution of the factory and the mine workers was a nasty nature of any standards of today. There were childing working in safetry hazards, as well as plenty health hazards. All the these...

Words: 370 - Pages: 2

Premium Essay

Economic , Social, Political Change Worksheet

...University of Phoenix Material Economic, Social, and Political Change Worksheet Agricultural Revolution Respond to each of the following questions in two to three sentences: 1. What are the three most important factors contributing to the agricultural revolution in Europe? The agricultural revolution took place courtesy of three key factors. These factors include warmer temperatures, the three-field system and better farming equipment. In which, contributed to the evolution of European living during medieval time. They increase the use and understanding of the traditional farming ways and techniques and put them towards more of a commercial use. They increase more land into production use and gathered more workers verses using more machines 2. How did the agricultural revolution change European society? Provide an example. The new way brought more productive way of farming in Europe reduced the need of manual laboring workers. This eliminated many jobs on farm lands, yet created coil mining jobs to help power the machines used on the farm also the techniques of farming approved on a larger scale. People were able to afford food at lessor price. This also gave them an option to be able to purchase things outside of food. Creating additional jobs for rural manufacturers to create more consumer goods. Industrial Revolution Respond to each of the following questions in two to three sentences: 1. What are the three most important factors contributing to the industrial revolution...

Words: 888 - Pages: 4

Free Essay

His114 Economic, Political, and Social Change

...important contributing factors of the industrial revolution include: the invention of many machines to eliminate the need for hand tools, the use of steam to relieve physical labor of humans and animals and the utilization of the factory system. These three factors changed the way that people worked and increased production within European society. * 1. Working conditions in coalmines and factories between 1800 and 1850 were very poor and extremely dangerous. Coal was mined in very primitive ways and often times miners were brought out of the mine in a bucket pulled by a single rope, resulting in many injuries and deaths. http://www.saburchill.com/history/chapters/IR/039.html [retrieved December 17, 2012]. * Western Social Change Between 1815 and 1914 1. Romanticism- * During the 19th century romanticism changed western society a great deal. The romanticism movement gave people the courage to shun classical reforms and embrace creativity and emotion. Art, music, literature were all revolutionized because of the belief that inspiration and intuition were more important than reason and science and in result the role...

Words: 775 - Pages: 4

Free Essay

Economic, Social, and Political Change Worksheet

...Contemporary Issues in Eastern Religions Paper Serrita Daniels, Bismarck Perez, Jonathan Keyworth, Dennis Morales, Matthew Weed REL/ 133 May 3rd, 2014 Stephen Allen Contemporary Issues in Eastern Religions Paper Shinto began in a time when the religion had no name and it was just a way of life. Long ago, people lived close with nature and so the religion began in worshiping the spirits of nature as a reality of the world (Molly, 2010). Shintoism is one of the oldest religions in Japan and to keep its teaching alive Japan gave it its name when Buddhism came to Japan in the sixth century. Although, this did not stop people from coming to Japan to compare their religions, how this religion interacts with the modern world, and how Shintoism would influence other religions in the modern world (Molly, 2010). When comparing Shintoism to other religions such as, Hinduism, Taoism, Buddhism, and Confucianism many people may automatically say there are not comparisons between the religions. When researching comparisons between these religions, people can say they all believe in a higher power, but that is not where the similarities end. Shinto and Buddhism care two religions that taught and learned from each other by adopting beliefs from each other. The both believed in having a place of worship called shrines and temples. They also believed in more than one higher deity who were a loving and benign (Find the best, 2014). When China entered Japan, the Chinese introduced Buddhism...

Words: 2410 - Pages: 10