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Health, Medicine, Nursing
English (U.S.)
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Cost of End of Life Care: Policy Change (Essay Sample)


4 pages excluding tittle page &references

Assignment Details
Course Outcome covered in this Assignment:
MN507-1: Examine U.S. healthcare policy structures and the role of the nursing leader as a change agent at the public policy table.
You will decide on a policy issue that needs to be addressed. You may choose a policy issue that interests you. Below are suggested topics for proposed policy change, however if you wish to address another topic please contact your instructor for approval:
• Treatment of veterans after deployment and post-traumatic stress disorder (PTSD).
• Cost of end of life care.
• Costs of drugs in the United States as compared to other countries.
• Quarantine of health care workers that have been exposed to communicable diseases.
• Medical care for illegal immigrants.
• Right to die with euthanasia methods.
• Disclosure of medical records of pilots and other safety sensitive professionals and HIPAA violations.
• Restrictions of roles of nurse practitioners and advanced practice nurses in certain states.
• Health care reform.
• Requirements of meaningful use to meet core measures.
• ICD-10 issues.
• Entry into practice issues.
• Mandatory vaccination of children.
• Allowing nurses educated in other countries to practice in the United States.
• Faculty shortages in U.S. nursing education programs.
You will write a letter using professional business format to one of your Federal legislators outlining what the issue is and why it is important. The letter will address:
• The current policy structure.
• The need for the change.
• The suggested change.
• Cost implications if the change is implemented.
• The role the nurse as a change agent will take at the policy table.
Assignment Requirements
Before finalizing your work, you should:
• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA formatting and citation style.
Submitting your work
You will submit your Assignment to the appropriate Dropbox before midnight on the last day of the unit. Make sure to save a copy of the Assignment you submit.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.


Cost of End of Life Care: Policy Change
Student’s Name
Student’s Name
Phone Number
Charles Grassley
Senator, Iowa
135 Hart Senate Office Building Washington DC 20510
Dear Sir,
Cost of End of Life Care: Policy Change
The cost of end of life (EOL) care has been rising over the past few decades in the United States (US). While the overall cost of healthcare is high for individuals requiring acute or chronic care is high, these costs rise even further for patients who are diagnosed with a terminal illness (French, et al., 2017). This suggests that the costs of EOL are even higher than the cost of acute or chronic care. To remedy these rising costs, a number of end-of-life care reforms have been put in place. Patient directives have been used since the 1980s to set down patient preferences about their EOL care (French, et al., 2017). These directives are provided by the patient before they have a life-limiting condition so that when they do, physicians and families will know what to do, thus avoiding unnecessary and non-beneficial treatment plans. Other reforms have involved a shift to home, palliative, or hospice care instead of the traditional care setting. Also, there has been a focus on hospitals to have procedures and guidelines for determining and reducing futile treatment for patients at EOL (French, et al., 2017). All these reforms have been considered cost-effective, yet very little change has been realized. Policymakers need to re-strategize and focus their efforts on helping reduce the cost of EOL care while still advocating for quality EOL care.
The need for policy change has been necessitated by the high costs of healthcare in general. According to Jha (2018), in the US, EOL care accounts for approximately 25% of Medicare spending, specifically for people in their last 12 months of life. Also, the growing number of the aging population and people with chronic diseases is a call for action for policy-makers. The aging population is characterized by chronic diseases that require extensive and expensive care; hence the high costs of healthcare (Sinclair & Meier, 2017). Yet, policymakers and practitioners in the healthcare industry have a responsibility to this population of ensuring that they receive high-quality care without incurring the relatively high costs. The needed change should ensure that while money is saved on EOL care by reducing wasteful spending, the quality of care is improved or, at least, is not affected negatively by the changes. Further, since little change has been realized following the current EOL care reforms, there is a need for a change to remedy the situation. If anything, these reforms have yielded mixed results about the cost-reduction (French, et al., 2017). The involvement of the federal government is necessary because it also bears part of the healthcare cost by funding states. Also, policies and EOL care reforms can be more widespread at the federal level. The federal government has a longer reach and as such, the effect of the suggested change will reach more people.
I suggest that the federal g...

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