course material

1. Financial of Health Care With coinciding concerns about health care costs
and the imperative to improve quality of care, health care providers and
others face difficult decisions in the effort to achie
QUESTIONFinancial of Health Care With coinciding concerns about health care costs and the
imperative to improve quality of care, health care providers and others face difficult
decisions in the effort to achieFinancial of Health CareWith coinciding concerns about
health care costs and the imperative to improve quality of care, health care providers and
others face difficult decisions in the effort to achieve an appropriate balance. Such decisions
often are addressed in the policy arena. How do policymakers evaluate which health care
services should be financed through government programs? How do ethics-related
questions and other considerations play into this evaluation process? Is it possible to
contain costs and provide accessible, high-quality care to all, or is the tension between cost
and care inherent in the U.S. health care delivery system? These questions are central to
health care financing decisions in the United States.For this Discussion, you will focus on the
policy decision-making process that determines what types of care are covered by public
and private insurers and the ethical aspects of such financial decisions.To prepare:Read the
case study “Economic Impact of States Declining Medicaid Expansion” page 190 of the
Milstead text.Review the information in the Washington Post article “Review of Prostate
Cancer Drugs Provenge Renews Medical Cost-Benefit Debate” in the Learning
Resources.Consider how policy decisions currently are made about what will and will not
be paid for and what changes, if any, could improve the process.Reflect on how the
Washington Post example illustrates the tension between cost and care.Post your analysis
and assessment of the ethical and economic challenges related to policy decisions such as
those presented in the Washington Post article. How does this type of situation contribute
to the tension between cost and care? Substantiate your response with at least two outside
resources.ReferencesKnickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in
the united states (11th ed.). New York, NY: Springer Publishing.Milstead, J. A. (2019). Health
policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones and Bartlett
Publishers.Reinhardt, U. E. (2010, Jan 20). State of the nation (a special report): Voices—A
good start. The Wall Street Journal, p. R5.Retrieved from the Walden Library
databases.Laureate Education (Producer). (2012c). Healthcare economics and financing.
Baltimore, MD: Author.Müller, D., Zimmering, M., Chan, C., McFarlane, P., Pierratos, A., &
Querfeld, U. (2008). Intensified hemodialysis regimens: Neglected treatment options for

2. children and adolescents. Pediatric Nephrology, 23(10), 1729–1736.Retrieved from the
Walden Library databases.Neil, N., Walker, D. R., Sesso, R., Blackburn, J., Tschosik, E. A.,
Sciaraffia, V., & … Bhattacharyya, S. K. (2009). Gaining efficiencies: Resources and demand
for dialysis around the globe. Value in Health, 12(1), 73–79.Retrieved from the Walden
Library databases.3 pages with 4 references, APA