Advocacy Through Legislation

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Advocacy Through Legislation

Identify a problem or concern in your state, community, or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria should be identified and discussed. Add more rows as is appropriate for the topic/proposal.



In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.

In the United States, Ohio is ranked 46th when it comes to healthcare spending and outcomes according to a 2019 health value tracking tool (HPIO, 2019). Some of the healthcare issues facing the state include high adult smoking rates and children living in households with a smoker, drug addiction resulting in unemployment, incarceration, drug-related deaths, mismanagement of healthcare funds and health disparities. All these issues have resulted to the low health ranking of Ohio compared to other states, leaving residents of the state behind in accessing healthcare initiatives aimed at improving and promoting public health. The most affected people include people with disabilities and minorities residing in rural locations. Additionally, Ohio also uses most of its healthcare resources in downstream interventions and strategies in treating patients dealing with every kind of illnesses. This has been linked to less opportunities in preventing development of some healthcare issues. The health tracking tool that analyzes each state’s progress and ranks their value summarized that the residents of Ohio despite spending more than other states on healthcare are actually less healthy. Further findings indicate hinderances to healthcare access citing issues stemming from social economic factors, the environment and healthcare systems (Viviano, 2019). The state’s per person spending in Medicaid for the elderly is significantly greater that other states. If this issue of poor overall health ranking and healthcare disparities in Ohio persists, the health outcomes will only get poorer leading to an unreliable healthcare system.


Idea for Addressing Solution

In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.

The issue mentioned above affecting Ohio can be addressed through introducing and implementing strong policies focusing on Ohio’s spending in preventative care and aimed at reducing the healthcare inequalities present in the state (Viviano, 2019). Just like every other state, Ohio receives healthcare funds from the federal government. The issue is on how these resources are utilized. Informed policies are therefore an effective way to make sure that these resources are used accordingly and for improved health outcomes of Ohio residents. For example, instead of downstream care, the state can invest in preventative care in the process reducing the high costs associated with treating a large number of people for a wide array of conditions. This also reduces the Medicaid spending of the elderly population, not to mention addressing the drug abuse issue that is a major contributor of the high mortality rate in Ohio (Barsanti et al., 2017). The state’s health discrepancies can be mitigated by improving the availability of insurance schemes to the minority populations, the poor and the differently abled. Policies are an effective strategy in managing decision-making for healthcare leaders and stakeholders because they standardize daily operations and provide clarity in critical healthcare issues involving Americans.
Research the Issue

Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.

Evidence 1 Both Medicaid and Medicare initiatives were introduced to grant health insurance to all American citizens where the government pays a portion of the total healthcare costs. This has improved access to healthcare services for financially disadvantaged populations (Currie & Duque, 2019).
Evidence 2 The United States government has introduced several cost-containment initiatives aimed at governing healthcare expenditure by streamlining healthcare administrative functions and addressing healthcare disparities that prevent the poor from accessing healthcare services resulting to poor outcomes (DeNisco & Barker, 2016).


Stakeholder Support

Discuss the stakeholders who would support the proposed idea and explain why they would be in support.

Stakeholder(s) Supporting 1 The state government has a responsibility to ensure that every American has access to quality healthcare. For this reason, the government will support any efforts to relieve the huge burden healthcare discrepancies in many states place on the overall national healthcare system (El-Jardali & Fadlallah, 2017).
Stakeholder(s) Supporting 2 Nurses and clinicians are among supporters of the proposals above because if effectively implemented, the interventions will reduce the number of people opting for secondary care. This is as a result of more opportunities to enhance preventative care. Additionally, the more people opting for secondary care, the more the stress experienced by a workforce already suffering from shortage of professionals (Winter et al., 2020).
Stakeholder Opposition

Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations.

Stakeholder(s) Opposed 1 Private healthcare investors may oppose these ideas since they reduce the number of people seeking for healthcare which is the one way these institutions make profit.
Stakeholder(s) Opposed 2 Pharmaceutical firms may oppose the ideas suggested above since they make profit through selling drugs and other interventions to patients. When the number of patients seeking their services is reduced through preventative measures, they stand to make losses.
Financial Incentives/Costs

In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support.

One financial impact of implementing the policies discussed will be reduction of the high costs of secondary healthcare by streamlining administrative functions in the healthcare system. Preventative care utilizes fewer resources because patients are tasked with implementing most interventions. This also reduces the number of hospital visits and admissions further saving on healthcare expenditure. The additional funds can then be used to bolster other healthcare sectors such as integrating the latest medical technology in healthcare facilities to improve efficiency. These funds can also be used to in campaigns that promote awareness to the drug crisis that is contributing to the state’s poor overall health (Stadhouders et al., 2019).
 Legislature: Information Needed and Process for Proposal

Discuss the how to advocate for your proposal using legislation. Include the following:

Provide the name and complete contact information for the legislator. Jennifer Nelson Carney
Bricker & Eckler LLP 100 South Third Street Columbus, OH 43215-4291
Describe the steps for how you would present this to your legislator. I would first email the legislator and make an appointment to discuss the issue. On the day of the meeting, I would provide evidence as why this is a pertinent issue for the state of Ohio. This includes reports and statistics from reliable sources. I would further discuss the benefits of the proposals to all stakeholders involved and request that she introduced it to congress.
Outline the process if your legislator chooses to introduce your idea as a bill to congress. After introducing the bill, the legislator would start looking for supporters from congress by convincing them of the benefits of the bill. Afterwards, the legislator and supporters of the bill would introduce it to the House for the first reading. A healthcare committee then discusses the bill and any necessary changes are agreed on then afterwards the bill is tabled to another committee for further analysis before the House debated the bill. After more changes if any, the bill is read two more times then put to a vote. If it passes, the President signs it into law.
Christian Principles and Nursing Advocacy

In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc.

Christians believe that humans are equal and should be treated equally. This worldview extends to the healthcare sector where there should be no discrimination based on gender, age, race or social economic status. Individuals in positions to effect change should help the disadvantaged by using their might. A Christian legislator for example would be inclined to come up with policies that reduce the factors that prevent disadvantaged populations from accessing healthcare. Honesty is a pillar of Christianity. Therefore, everyone should speak up about any discriminations they witness in the healthcare industry so that laws can be implemented that safeguard the affected people (Cuellar De la Cruz & Robinson, 2017).





Barsanti, S., Salmi, L., Bourgueil, Y., Daponte, A., Pinzal, E., & Ménival, S. (2017). Strategies and governance to reduce health inequalities: evidences from a cross-European survey. Global Health Research And Policy2(1).

Cuellar De la Cruz, Y., & Robinson, S. (2017). Answering the Call to Accessible Quality Health Care for All Using a New Model of Local Community Not-for-Profit Charity Clinics: A Return to Christ-Centered Care of the Past. The Linacre Quarterly84(1), 44-56.

Currie, J., & Duque, V. (2019). Medicaid: What Does It Do, and Can We Do It Better?. The ANNALS Of The American Academy Of Political And Social Science686(1), 148-179.

DeNisco, S., & Barker, A. (2016). Advanced practice nursing: Essential Knowledge for the Profession (3rd ed.). Jones & Bartlett Learning.

El-Jardali, F., & Fadlallah, R. (2017). A review of national policies and strategies to improve quality of health care and patient safety: a case study from Lebanon and Jordan. BMC Health Services Research17(1).

HPIO. (2019). 2019 Health Value Dashboard : Health Policy Institute of Ohio. Retrieved 18 May 2021, from

Stadhouders, N., Kruse, F., Tanke, M., Koolman, X., & Jeurissen, P. (2019). Effective healthcare cost-containment policies: A systematic review. Health Policy123(1), 71-79.

Viviano, J. (2019). Report: Ohio still lags most states in health outcomes. Retrieved 18 May 2021, from

Winter, V., Schreyögg, J., & Thiel, A. (2020). Hospital staff shortages: Environmental and organizational determinants and implications for patient satisfaction. Health Policy124(4), 380-388.