Discussion: The Role of Government in the U.S. Health Care System

As stated in the course text, Health Care Delivery in the United States, “the health care enterprise is one of the most important parts of the U.S. social system and of our economic system as well” (Kovner and Knickman, 2011, p. 4); however, with millions of citizens uninsured, rising costs, massive health disparities, and the need to improve quality and access, many view health care as a broken system. As such, it continues to be a significant political issue in the United States. Most agree that something needs to be done to fix the health care system, but the methods and solutions for addressing problems vary greatly, particularly with respect to the role government should play. Proponents of varying approaches often have strong, emotional opinions, making compromise difficult.

In this Discussion, you will consider the role of government in health care, and you will examine the impact of a social, economic, technological, ethical, or legal issue on health care delivery. 

To prepare:

• With this week’s Learning Resources in mind, consider this question: Is health care a right or a privilege? 

• Review the media presentation for this week, focusing on the role of the government in health care including the Affordable Care Act. 

• Pinpoint a social, economic, technological, ethical, or legal issue that could, or has, affected health care delivery in the United States. 

• Locate a current article from the popular press (within the past 6 months) related to the health care issue you identified. How does this article inform your understanding of the influence of your selected issue in the health care debate? 

Post your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance.





APA Basics Checklist: Citations, Reference List, and Style

By the Walden University Writing Center

Writing Center staff created this APA checklist to help students remember the basics of APA citations,

reference lists, and style. It is not meant to be comprehensive, but students should use it as a reminder

of the various APA rules that academic papers follow. If students are not sure what a particular item in

the checklist refers to or entails, they should follow the link for more information. Additionally, the

Writing Center can always help with APA questions at [email protected].


Citations are included in each sentence a source is used

Sources used and cited in the paper are included in the reference list

The abbreviation “et al.” is punctuated appropriately

Parenthetical citations:

Author(s) and publication year are always included

Page or paragraph number is included for all quoted material, using the appropriate

abbreviation: (p. xx) or (para. xx)

Citation is included within the ending punctuation for the sentence

In-text citations

Author(s) is included within the sentence

Publication year is included in parentheses immediately after the author(s)’ name

Publication rule is followed: publication years are included the first time a source is used

in a paragraph; all subsequent uses of that same source does not include the publication

year (Note: Rule starts over with a new paragraph)

Reference List

Title of the list is centered but not bolded

Sources listed in the reference list are used at least once in the paper

Reference entries:

Each entry has an automatically formatted hanging indent

Each entry has the basic information (as available): author(s), publication year,

title, and retrieval information

Each entry has been compared against the common reference entries and

reference entries FAQs on the Writing Center website, checking for:

Punctuation: periods and commas

Formatting: italics is used only when needed

Parentheses and brackets: used only when needed

Appropriate electronic information is included

NURS 6001: Foundations of Graduate Study

Sample Postings

SAMPLE POST: Use this as a guide for writing and formatting posts


My Goals and Walden University Vision and Mission
As a nurse for over 10 years and with the advances in technology applied to the health care arena, I have become more interested in the role of a nurse within informatics. My professional goal is to work full-time in the area of nursing informatics. Unfortunately, I knew that obtain this position, I needed to advance my degree. I began looking into various colleges and universities that can provide me with the education needed to obtain an advanced degree with a focus in nursing informatics.
After several months of investigating, I located Walden University. At first, I was drawn to Walden because it offered the flexibility that I needed. However, as I investigated the university further, Walden’s mission and vision statement resonated with me. I knew I had made the right choice. The School of Nursing (SON) vision and mission statements described what I felt and thought yet could not put into words. According to the Walden University SON (2011a), their vision is for graduates to transform nursing to meet the needs of communities. Technology is transforming health care and the degree I will obtain at Walden will help me to assist my organization with this transformation.
Another reason I was drawn to Walden University was the high standards they have for all students. The SON stated in their mission that their program is “academically rigorous…contextually relevant…” (Walden University, 2011a, para. 4). This statement matches my academic goal. I am not looking for just a piece of paper at the end, I am looking to gain the necessary knowledge that I need to make an impact within my organization.
Incorporation of Social Change
Walden University (2011b) defined positive social change as a “deliberate process of creating and applying ideas, strategies, and actions to promote the worth, dignity, and development of individuals, communities, organizations, institutions, cultures, and societies” (para. 4). I have always had a feeling that I want my life to mean something and to have an effect on those around me whether it is directly or indirectly. As a nurse, the will to help others is a core foundation of why I got into nursing in the first place. I plan to incorporate social change with the knowledge gained at Walden University by “putting that knowledge into practice” (Walden University, 2010b, para. 3). I plan to contribute to my field when I graduate by helping lead my coworkers and my organization through the computerized changes and advancement of technology at work. While helping others, I will be part of the clinical informatics team as the team transitions the o