Health Literacy and Patient Safety: Help Patients Understand

To prepare for this assignment view the following brief video from the American Medical Association titled, “Health Literacy and Patient Safety: Help Patients Understand.” The video can be accessed through the following link: Health Literacy and Patient Safety: Help Patients Understand

Part I: Pamphlet

Develop a pamphlet to inform parents and caregivers about environmental factors that can affect the health of infants.

Use the “Pamphlet Template” document to help you create your pamphlet. Include the following: Health Literacy and Patient Safety: Help Patients Understand

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Select an environmental factor that poses a threat to the health or safety of infants.

Explain how the environmental factor you selected can potentially affect the health or safety of infants.

Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.

Offer examples, interventions, and suggestions from evidence-based research. A minimum of three scholarly resources are required.

Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

In developing your pamphlet, take into consideration the healthcare literacy level of your target audience.

Part II: Pamphlet Sharing Experience

Share the pamphlet you have developed with a parent of an infant child. The parent may be a person from your neighborhood, a parent of an infant from a child-care center in your community, or a parent from another organization, such as a church group with which you have an affiliation.

Provide a written summary of the teaching / learning interaction. Include in your summary:

Demographical information of the parent and child (age, gender, ethnicity, educational level).

Description of parent response to teaching.

Assessment of parent understanding.

Your impressions of the experience; what went well, what can be improved.

Submit Part I and Part II of the Accident Prevention and Safety Promotion for Parents and Caregivers of Infants assignment by the end of Topic 1.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Health Literacy and Patient Safety: Help Patients Understand

Health Organization Case Study

Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.). You may also find pertinent information on your organization’s webpage.

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Prepare a 1,250-1,500 word Health Organization Case Study paper that focuses on the organization or network you have selected.

Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This Health Organization Case Study assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this Health Organization Case Study assignment to Turnitin. Health Organization Case Study

Nursing Journal Article Critique Example

1. Address the essential parts of the study addressed within the abstract. 2. What is the problem statement & significance to nursing practice? 3. What is the purpose of the study? 4. What type of research method was used? 5. Detail applications to practice & how you can incorporate this into your own practice. 6. What future studies would you recommend? I have my own research article. It is found in the Journal of Emergency Nursing,vol-46(1),51-58. Ttitle: Experiences of care in the Emergency Department among a sample of homeless male veterans: A qualitative study. nursing journal article critique example.
All sources need to be within the last 5 years. Sources should be journals or medical organization websites, no books.

Critique a Scholarly Peer-Reviewed Nursing Journal Article

Weber, J. J., Lee, R. C., & Martsolf, D. (2020). Experiences of care in the emergency department among a sample of homeless male veterans: a qualitative study. Journal of Emergency Nursing, 46(1), 51-58.

Parts of the Study Addressed in the Abstract

An abstract should be succinct and clear. Similarly, the abstract of the article is brief, concise and clear and summarizes the content of the article. An abstract should include the introduction, purpose, methodology, results, and conclusions. The abstract of this article has the introduction, method, results, and discussion part. The introduction part concisely introduces the study and stipulates that the purpose of the study is to present the experiences of homeless male veterans during their visits to the emergency department. The methods part indicates the study framework as grounded theory methodology while structured interviews were used to collect the data. The results section is however extremely brief and ambiguous nursing journal article critique example.  The discussion part briefly discusses the findings of the study.

The Problem Statement & Significance to Nursing Practice

The problem statement is about the homeless populations who have been a tendency of using the emergency department even for the low-acuity health issues that can be treated within other settings such as primary care settings (Weber, Lee & Martsolf, 2020). According to Chrystal et al (2015), homeless populations often face social, medical, and environmental challenges to their health. A significant number of the homeless population includes the veterans who are often visiting the community (Weber et al., 2020). This issue is important to nursing practice because homeless populations disproportionately experience medical illnesses, substance abuse, as well as mental disorders. Also, the challenges experienced by the homeless populations are further aggravated by the fact that the homeless underutilize health services with problems in accessing specialty and primary care, as well as the high number of unmet health needs. This leads to unnecessary increased utilization of visits to the emergency department (ED). Therefore, this study sought to explore the experience of homeless male veterans when they try to access care in the ED.

The Purpose of the Study

The purpose of the study was to explore the experience of homeless male veterans when they try to access care in the ED (Weber et al., 2020). The purpose of the study specifies the nature of the population under study. The population being studied is homeless male veterans. Therefore, the study seeks to identify the experiences of the population under the study when they try to seek healthcare in the emergency department.

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Type of Research Method

The study adopted a grounded theory methodology as the framework for the study. Grounded theory methodology includes systematic inductive techniques for carrying out qualitative researches to develop a theory (Rahman, 2017). Grounded theory methodology was suitable because it is suitable for exploring the experiences of the study participants to come up with a theory. In this study, the grounded theory methodology depended on the experiences of male homeless veterans about access to healthcare. An unstructured interview does not involve any predetermined questions even though it covers the study topic. Additionally, in unstructured interviews, open-ended questions are used and this allows in-depth exploration of the answers (Rahman, 2017). The unstructured interview was suitable for a qualitative study because the questions are very flexible and produce qualitative data using open questions. This allows collection of in-depth data and assists the researcher to get the reality of the study participant’s understanding of a situation. Additionally, unstructured interviews have higher validity because the interviewer can probe for more understanding, make inquiries, ask for clarification, and also allow study participants to steer to the interview’s direction. This indicates the suitability of using unstructured interviews to collect data (Rahman, 2017). The information from the interviews was audio-recorded and transcription was done for analysis. The grounded theory methods were further used to identify emerging codes. Data analysis for the emerging themes and codes was then performed.

The main strength of the qualitative phenomenological research design that was used in this study is that the method is flexible and therefore ensures flexibility and freedom during the interviews when investigating and exploring experiences and insights from the participants of the study. Moreover, a qualitative research design ensures that there is an in-depth collection of data on the insights, experiences, feelings, and opinions of the study subjects. Accordingly, the research design used in this article ensured that there was a deeper exploration of the experiences and insights from the male homeless veterans (Rahman, 2017).

However, there are a few limitations associated with the study methodology used in the selected article. The unstructured interviews used in phenomenological research design does not cover contextual sensitivities but only focuses on the experiences and meanings. Finally, the sample size in this study was 35; the size of the sample is relatively small and thus may limit the generalization of the findings to the general population or limit application of the findings to practice (Rahman, 2017). nursing journal article critique example

Applications to Practice & how to Incorporate Findings into Practice

The findings of this study showed that homeless populations highly seek care in the emergency department. Findings further indicate that the homeless populations often feel unrecognized and they are not shown compassion when they visit ED. The findings show that the homeless highly seek care in the ED, but that their medical needs may not be met in other healthcare settings such as primary care settings. Services provided in the EDs such as accessibility 24/7, care provision without an appointment, and treatment of acute injuries encourage higher utilization of emergency services (Moulin, et al., 2018) nursing journal article critique example. Acute injuries are common among the homeless and thus a big predictor of ED use by the homeless. However, homeless populations under-utilize health services, especially when it comes to accessing specialty and primary care. The population also has a high number of unmet health needs (Gable et al., 2018). Therefore, there is a need to implement interventions that increase awareness among the homeless populations regarding the need to seek treatment in other settings such as primary care, specialty, and ambulatory care settings. The nursing staff working in the ED need to be actively involved in educating the homeless populations regarding their health problems and alternatives to emergency department care. Besides, there is a need to address the needs of the homeless people who demonstrate repeated utilization of the emergency department. For example, the housing and nutrition needs of the homeless need to be addressed to reduce their vulnerability to illnesses and injuries (Field et al., 2019). In this regard, nurses need to act as the patient advocates and advocate for the implementation of the policies that support the provision of housing and nutrition needs of the homeless populations. nursing journal article critique example.

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Recommendations for Future Studies

Homelessness significantly impacts the use of the emergency department. Homeless populations depict a high number of visits to the ED and hospitalizations, and particularly after discharge to shelters or streets.

However, there are few numbers of studies that examine the health needs and health outcomes of the homeless populations. Additionally, there are minimal clinical guidelines that cover the provision of care for homeless populations. Therefore, further research is required to comprehend the health needs of the homeless populations and to guide the care of the homeless within acute care settings nursing journal article critique example.

Moreover, the provision of care to the homeless populations in the emergency departments is complex. Moreover, it is important for the nursing staff working in the ED to be conversant with the social determinants of health as well as the special features of homelessness in their community. Therefore, further research is required to better understand the aspects and needs of the homeless population, to provide care better to this vulnerable population.

 

References

Chrystal JG, Glover DL, Young AS, Whelan F, Austin EL, Johnson NK, et al. (2015) Experience of Primary Care among Homeless Individuals with Mental Health Conditions. PLoS ONE, 10(2): e0117395. https://doi.org/10.1371/journal.pone.0117395.

Field, H., Hudson, B., Hewett, N. et al. (2019). Secondary care usage and characteristics of hospital inpatients referred to a UK homeless health team: a retrospective service evaluation. BMC Health Serv Res, 19(857).

Gable, A. R., Der-Martirosian, C., & Dobalian, A. (2018). Access to Care for Homeless Veterans During Disasters. Journal of Primary Care & Community Health, 9, 2150132718815382. https://doi.org/10.1177/2150132718815382.

Moulin, A., Evans, E. J., Xing, G., & Melnikow, J. (2018). Substance use, homelessness, mental illness, and Medicaid coverage: a set-up for high emergency department utilization. Western Journal of Emergency Medicine, 19(6), 902.

Rahman S. (2017). The Advantages and Disadvantages of Using Qualitative and Quantitative Approaches and Methods in Language “Testing and Assessment” Research: A Literature Review. Journal of Education and Learning, 6(1).

Weber, J. J., Lee, R. C., & Martsolf, D. (2020). Experiences of care in the emergency department among a sample of homeless male veterans: a qualitative study. Journal of Emergency Nursing, 46(1), 51-58. nursing journal article critique example

 

Developing Organizational Policies and Practices essay

Assignment: Developing Organizational Policies and Practices
Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization. Developing Organizational Policies and Practices essay.

To Prepare:

Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):

Developing Organizational Policies and Practices  Developing Organizational Policies and Practices essay

Add a section to the paper you submitted in Module 1. The new section should address the following:

Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies Developing Organizational Policies and Practices essay. Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

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Developing Organizational Policies and Practices

Competing Needs Impacting Upskilling of the Healthcare Workforce

The two competing needs impacting the upskilling of the healthcare workforce in the organization include the need to have competent experts to provide the training during the upskilling process and the need to have the required information technology system and equipment where the staff will be the end-user and utilize the trained skills. The organization has a limited number of skilled experts for retraining the healthcare workforce. A lack of skilled experts may hinder the ability to upskill the healthcare workforce (Chaghari et al., 2017) Developing Organizational Policies and Practices essay. Therefore, this indicates that the organization has a competing need to acquire more experts to bridge the gap existing in ensuring that the organization has an adequate number of experts to regularly retrain the organizational staff. The second competing need is the need to have the required information technology system and equipment where the staff members can always use to carry out organizational operations. Even though information technology can be challenging since it involves a great deal of data sharing with different people and other sectors. The complexity of healthcare information technology needs experts and professionals with the necessary experience, competency, and skills to provide high-quality care (Fukada, 2018). Therefore, there is a need for the healthcare organization to invest in information technology and competent professionals who can provide high-quality care, meet the regulation and legal requirements, and also have a competitive advantage over the other healthcare organizations Developing Organizational Policies and Practices essay.

Policy/Practice to Influence the Healthcare Issue/Stressor

The practice and policy that may influence the upskilling of the healthcare workforce is the need to have the organizational workers engage in mandatory continued professional development regularly. The healthcare workforce is also required to attend all organizational training workshops and conferences that focus on improving the skills and competency of the employees (Abebe et al., 2018). For the healthcare workforce to provide high-quality care and meet the constantly changing healthcare needs, they are supposed to continually update their professional skills, knowledge, practice, and values. Accordingly, our organization has a policy that requires all healthcare works to engage in continuing professional development either formally or informally. The healthcare sector is constantly changing and especially with the technology and this indicates the significance of the policy (Chaghari et al., 2017).

This policy influences the upskilling of the healthcare workforce by ensuring the participation of all healthcare workers in the planning upskilling. The upskilling presents an opportunity for the healthcare workforce to engage in continuing professional development as per the organizational policy Developing Organizational Policies and Practices essay. The upskilling of the healthcare workforce provides the healthcare providers with an opportunity to improve and widen their knowledge base and also enhance skills needed during practice.

The Policy for Ethical Considerations & the Policy’s Strengths and Challenges in Promoting Ethics

The policy supports the professional development of organizational workers through training opportunities such as upskilling. Ethically, the healthcare workforce is required to adhere to the appropriate professional standards and code of ethics. For example, professional standards require the nursing staff to continually improve their skills and competency through professional training. Furthermore, the policy requires all healthcare workers within the organization to take part in continuing professional development. Therefore, the policy helps in creating a workplace culture where all organizational workforce is provided with equal opportunities and access to advance their skills and knowledge, making the work environment a positive nurturing environment. More importantly, ethically healthcare providers are required to have the appropriate skills to be able to provide high-quality care as per the professional standards (Farotimi et al., 2018) Developing Organizational Policies and Practices essay. Healthcare organizations are also required to promote best practices in the organizations and add the knowledge base of the workers through training and development.

The key strength of this policy is that all organizational workers are given equal opportunities to improve their skills and competencies. This policy has significantly contributed to creating strong working relationships among employees who all have the required skills and knowledge to provide care. Additionally, this policy has ensured that the organizational healthcare workforce does not provide low-quality care. Participation in continued professional development among the healthcare workforce is also attributable to reduced nursing turnover, improve morale and motivation among the healthcare workforce, and positively impacts the productivity of the healthcare workforce (Koopmans et al., 2018) Developing Organizational Policies and Practices essay. Currently, there are no notable ethical challenges with the policy requiring the healthcare workforce to take part in continuing professional development.

Policy/Practice Changes Designed to Balance the Competing Needs

There is a need to implement a policy that is stricter when it comes to the sharing of hospital information, workers, and patient information following the implementation of information technology.  Ethically, organizations are required to strictly follow the code of privacy and ensure that no one’s right is violated even with the implementation of information technology systems (Petersen, 2018). One of the competing needs includes the implementation of the latest information technology systems as per the changes in the healthcare industry. Accordingly, there is a need to implement policies that address the confidentiality and security of information shared in the information technology systems. Healthcare organizations are required by the law to safeguard private information and comply with any relevant law and legislation (Petersen, 2018) Developing Organizational Policies and Practices essay. HIPAA laws apply to each patient’s information confidential and private. Therefore, with the updating of the information systems, there is a need to apply more stringent laws regarding personal and contact information that could divulge the identity, and any information allied to the health conditions administered treatment and payments for patients. The policy should thus address private and security purposes. The privacy policy purposes should clearly define the information being safeguarded while procedures should clearly outline individuals with permission to access the patient information. The consequences of not adhering to the set policies should also be clearly outlined. For example, if a healthcare provider divulges patient information to a third party without the patient’s consent, such a healthcare provider should face a specific disciplinary action Developing Organizational Policies and Practices essay.

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References

Abebe, L., Bender, A., & Pittini, R. (2018). Building the Case for Nurses’ Continuous Professional Development in Ethiopia: A Qualitative Study of the Sick Kids-Ethiopia Paediatrics Perioperative Nursing Training Program. Ethiopian Journal of health sciences, 28(5), 607–614. https://doi.org/10.4314/ejhs.v28i5.12.

Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. (2017). Empowering Education: A New Model for In-service Training of Nursing Staff. Journal of advances in medical education & professionalism, 5(1), 26–32.

Farotimi, A. A., Ajao, E. O., Ademuyiwa, I. Y., & Nwozichi, C. U. (2018). Effectiveness of training program on attitude and practice of infection control measures among nurses in two teaching hospitals in Ogun State, Nigeria. Journal of education and health promotion, 7, 71. https://doi.org/10.4103/jehp.jehp_178_17. Developing Organizational Policies and Practices essay

Fukada M. (2018). Nursing Competency: Definition, Structure, and Development. Yonago Acta Medica, 61(1), 1–7. https://doi.org/10.33160/yam.2018.03.001.

Koopmans, L., Damen, N. & Wagner, C. (2018). Does diverse staff and skill mix of the team’s impact quality of care in long-term elderly health care? An exploratory case study. BMC Health Serv Res, 18(988). https://doi.org/10.1186/s12913-018-3812-4.

Petersen C. (2018). Through Patients’ Eyes: Regulation, Technology, Privacy, and the Future. Yearbook of medical informatics, 27(1), 10–15. https://doi.org/10.1055/s-0038-1641193 Developing Organizational Policies and Practices essay

 

Politics and the Patient Protection and Affordable Care Act sample essay

It is generally accepted that the Patient Protection and Affordable Care Act of 2010 (ACA) by the Obama administration was a revolutionary piece of policy. It seriously attempted for the first time to address social justice in American healthcare. However, the policy was dogged with political undertones from the start, with Republican lawmakers openly being hostile to the legislation. When the Trump administration came to power, repealing and replacing the Affordable Care Act became one of…

Welcome to NURS 6050: Policy and Advocacy for Improving Population Health

Politics and the Patient Protection and Affordable Care Act
Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

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Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape. Politics and the Patient Protection and Affordable Care Act sample essay.

To Prepare:
Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
Consider who benefits the most when policy is developed and in the context of policy implementation.

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the votes views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria. Politics and the Patient Protection and Affordable Care Act sample essay

 

The Politics of Healthcare Policy Formulation: Efforts to Repeal and Replace Obamacare (Affordable Care Act) and the Reluctance by Legislators to Pass the American Health Care Act that Disadvantages Potential Voters

It is generally accepted that the Patient Protection and Affordable Care Act of 2010 (ACA) by the Obama administration was a revolutionary piece of policy. It seriously attempted for the first time to address social justice in American healthcare. However, the policy was dogged with political undertones from the start, with Republican lawmakers openly being hostile to the legislation. When the Trump administration came to power, repealing and replacing the Affordable Care Act became one of their number one preoccupations. The Republican efforts soon faced lack of across-the-board support because legislators realised that the new ‘repeal and replace’ proposals were going to hurt the common American voter. Many Republican legislators started seeing the chances of their re-election becoming slim if they continued with their support for the repeal and replacement of the ACA or Obamacare. This paper is about this political angle to the important healthcare legislative policies that have been implemented in America lately. Politics and the Patient Protection and Affordable Care Act sample essay.

Repealing and Replacing the ACA

The first stab at repealing and replacing the ACA was taken in May 2017 when the American Health Care Act (AHCA) was passed in the House of Representatives (Amadeo, 2018). It is the AHCA that the Trump administration and Republican legislators sought to use to repeal and replace Obamacare. However, it soon became apparent that under the AHCA, 24 million Americans were going to lose health insurance coverage (ASA, n.d.). The AHCA proposed a tax credit not based on income but based on age. This alone was going to raise healthcare costs for many Americans. It also brought a Patient and State Stability Fund that would reduce premiums after 2026 by twenty percent. The result of this, however, was going to be higher costs for Americans already having pre-existing medical conditions. Furthermore, the new law replacing the ACA would give states the power to suspend several rules currently in the ACA given certain circumstances. This also was going to result in Americans with chronic diseases paying higher rates of premium for health insurance coverage (Amadeo, 2018).

How Re-election Prospects Affected Efforts to Repeal and Replace the ACA

            A cost-benefit analysis by the legislators, Republicans included, soon showed them that they risked not getting re-elected because of the far-reaching negative aspects of ‘repeal and replace’. As observed above, the new policy was going to deprive many Americans of access to affordable healthcare. Yet this is the very thing that Obamacare had addressed Politics and the Patient Protection and Affordable Care Act sample essay. For instance, the American Academy of Family Physicians opposed the proposals in the AHCA as they raised health insecurity among Americans. According to the AAFP, this new policy was increasing costs and denying patients health coverage on account of age, health status, or socio-economic status (AAFP, 2020).

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For these re-election reasons, Senate Majority Leader Mitch McConnell found it hard to get votes for the AHCA as it was. None other than the Congress Budget Office (CBO) found fault with the AHCA. In the end, for their own interests the senators came up with their own overhaul proposal called the Better Care Reconciliation Act of 2017 (ASA, n.d.).

How Voters’ Views Affect the Policy Positions of Legislators

Legislators both in the House of Representatives and the Senate are elective leaders that have to campaign to get elected by voters. Because of this very fact, their decisions and positions on policy matters such as the ACA and the AHCA are normally influenced by what voters think. This is of course due to the fact that as politicians, their overriding interest is to get re-elected to office Politics and the Patient Protection and Affordable Care Act sample essay.

References

Amadeo (October 17, 2018). Obamacare repeal and replacement plans: What a Congressional plan to repeal Obamacare would look like. The Balance. Retrieved 10 March 2020 from https://www.thebalance.com/congressional-plans-to-repeal-and-replace-obamacare-4160599

American Academy of Family Physicians [AAFP] (2020). ACA repeal and replace. Retrieved 10 March 2020 from https://www.aafp.org/media-center/kits/aca-repeal-replace.html

American Society of Anesthesiologists [ASA] (n.d.). Affordable Care Act repeal and replacement legislation. Retrieved 10 March 2020 from https://www.asahq.org/-/media/sites/asahq/files/public/advocacy/federal-activities/legislative-activity/2017626-ahca-summary-with-senate-info-final.pdf?la=en&hash=98051C9116F9B4174B4E02FFAD1AE41347D57347   Politics and the Patient Protection and Affordable Care Act sample essay