MHA 620 WK 1 Response


MHA 620 WK 1 Response




MHA 620 WK 1 Response


My reaction to the argument statement by Toni in support of government agrees that the federal government has indeed played it role in terms of providing healthcare for its citizens. I hold the opinion that remarkable changes have been implemented in the health sector as outlined by my colleague. This includes medical covers offered to everyone even in the cases of chronic malaise and expensive surgeries. However, I feel that the government should be more involved in the health sector. For instance, it should seek to provide equal medical coverage for all regardless of race or political affiliation and utilize the insurance resources effectively. Recently, the approval of the Georgian ACA non-compliance act has been viewed as a victory to the Georgian citizens as the try to protect state resources from the federal government, which encompasses providing medical insurance to the people (Lundy & Janes, 2001). The bill was aimed at discontinuing programs such as UGA health navigators, which assisted individuals in acquiring health insurance at the expense of the federal government. I agree strongly with Toni’s argument, the federal government has been involved in the health sector, though not effectively as it should be.






Lundy, K. S., & Janes, S. (2001). Community health nursing: Caring for the public’s health. Sudbury, MA: Jones and Bartlett.



Beverly Grant’s topic of debate is centralized on the governmental expenditure in providing health. Being amongst the top ranking states with the highest health care costs, I strongly agree that measures should be taken in assuring all American citizens receive proper healthcare at reasonable rates. The striking factor about the highest health care costs is that despite a two trillion dollar worth healthcare program, 46.3 million Americans have not yet acquired a health insurance package. Besides subsidizing the cost of health care, I feel that more strategies that can be implemented. This include health maintenance organizations that will lower the competitive medical care service cost by offering ambulance care rather than outpatient visitations. Another strategy that can be used is the employer contribution methods whereby an employer provide more than two insurance plans and a constant payment in exchange of reduced insurance cost totaling to $480 in contrast with the fixed dollar charge and offering only tow insurance plans (Mason, Leavitt & Chaffee, 2012).









Mason, D. J., Leavitt, J. K., & Chaffee, M. W. (2012). Policy & politics in nursing and health care. St. Louis, Mo: Elsevier


                  My reaction to Rosa Banks analysis is positive, I agree on the categories chosen in Donabedian classification evaluation as regards provision of health care. Access to medical is actually the most important aspect in the evaluation followed by outcome of the care and the cost of the medical service provided (Lessing & Beech, 2004). However, I believe that there are certain categories with equal importance that were left out. The structure of care is an important in the classification. It involves medical facility, the organization and response of the staff and the management in human resource activities. The aforementioned factors greatly influence the how health care is delivered by the medical staff, how the patient responds to the care and gauges the quality of care provided











Lessing, E. E., & Beech, R. P. (2004). Use of Patient and Hospital Variables in Interpreting Patient Satisfaction Data for Performance Improvement Purposes. American Journal of Orthopsychiatry, 74(3): 376-382



In response to Tomeka White’s preference categories in Donabedian classification, I think the categories are relevant. Her preference is similar to Rosa Banks, which majors on the cost of health care provided, the quality of care and the overall measure of performance. An additional category that is also fundamental is the length of stay in the medical facility. The length of stay often depicts the quality of care provided (Donabedian, 2003). A longer stay in case of a mild illness shows incompetence of the medical staff or the lack of quality medical resources to assist in recovery. A quick recovery illustrates an efficient medical care system. Waiting times also influence the quality of medical care. A facility with competent staff, medical equipment and perfect medical performance have shorter waiting times as the patient receives care on time without having to wait long hours to see a physician.

Health care is a fundamental right and its aspects as shown in the Donabedian classification should be considered when developing a health care strategy. The federal government should be involved in the healthcare sector by providing schemes that can be used to improve healthcare and reduce on the high cost of healthcare by providing insurance packages. These tactics will create a healthy nation and enhance the overall economic growth.





Donabedian, A. (2003). An introduction to quality assurance in health care. New York: Oxford University Press.

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