1. The U.S. health care system has numerous known issues that
affect the overall quality, access, and cost of services available.
For your Final Paper, you will create an eight- to ten-page
proposal (excluding the title and reference pages) on your
solution to one of these issues. In the proposal, you will
describe the nature of the issue, trace the history of its
development, describe what has and has not been done to
address it thus far, provide a set of recommendations on what
should be done to address it in the future, and discuss how
major stakeholders should be involved to make your proposed
changes.
Select one of the following issues in health care for the topic .
The cost of health care
The health care workforce
The uninsured and under-insured population
Medical and health information technology
Select your own topic. If you would like to use a topic other
than the ones listed above, you must get approval from your
instructor by the end of Week Two of the course.
You are encouraged to break your proposal up into sections to
be sure you address each of the questions below. Specifically,
you should address the following in your proposal:
Executive Summary: Introduce the topic that you chose. Provide
a brief overview of content of your proposal.
Statement of the problem: Clearly describe the topic that you
chose. Define and explain the major problems related to this
issue.
History of the problem: Review the major developments in the
evolution of this problem in the U.S. How did this issue develop
historically? How did we get to where we are now?
International context: Compare and contrast this problem in the

2. U.S. to that of other countries. How does this issue in the U.S.
compare to other countries? Is the issue more common here or
in other countries and why?
Stakeholders: Describe the role of major stakeholders in the
problem. How have federal and state governments and the
health care industry worked to address this issue so far? What
have been the successes and failures of their attempts?
Policy: Provide examples of how the P.P.A.C.A. and other
federal policies have attempted to address this issue. What has
been the impact of their action or non-action?
Recommendations: Provide a set of recommendations on what
should be done to address this issue in the future. What should
the major stakeholders, such as the government, the health care
industry, and health care consumers do to implement these
recommendations and how? Provide a justification for why you
believe each recommendation will address one or more of the
problems related to this issue.
Conclusion: Construct a brief conclusion that highlights the key
points from your proposal and describes the expected outcomes
if your recommendations were to be implemented.
Must be eight to ten double-spaced pages in length, and
formatted according to APA style as outlined in the Ashford
Writing Center.
Must include a title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must begin with an introductory paragraph that has a succinct
thesis statement.
Must address each of the eight points listed above.
Must address the topic of the paper with critical thought.

3. Must end with a conclusion that reaffirms your thesis.
Must use at least five scholarly sources, all of which must be
from the Ashford University Library.
Must document all sources in APA style, as outlined in the
Ashford Writing Center.
Must include a separate reference page, formatted according to
APA style as outlined in the Ashford Writing Center.