Ama Lobbying Strategies

The concept of providing basic healthcare services to individuals in need has undergone an agonizing transition, from a luxury once only afforded by the affluent to a basic human right granted to citizens of every economic station, and the recently enacted Affordable Care Act (ACA) was designed to finalize this ethical evolution. Reflecting perhaps the bitter political enmity currently consuming the nation's once cherished democratic process, Republican legislatures in states throughout the union have bristled at the ACA's primary provisions, threatening all manner of procedural protestation as they attempt to delay and derail the bill's eventual implementation. One of the most intriguing aspects of the sprawling, thousand page law, however, has been the stipulation that individual states will be given a choice to either accept federal funding to expand their statewide Medicaid roster, or to forfeit all federal funding for that program in perpetuity. The role of government in monitoring and regulating the healthcare industry has been long debated, and the bitterly contested passage of President Obama's ACA, a law aimed at revising the country's health insurance system through the creating of a federal health insurance exchange to facilitate increased competition among insurers, has rekindled the debate over who holds the ultimate responsibility for regulating the care provided by hospitals, community clinics, and private practices.

Big professional groups and organizations have influence in many realms, the ability to reach an extensive citizen base, and the manpower to achieve their goals. Business lobbies are the most numerous interest group, simply due to their great successes. Professional and business groups attract high-ranking individuals, lobbyists, and well-connected members with the abilities and networks to achieve group goals. Citizen groups often struggle to mobilize members or gain traction in an environment that is largely populated with corporations. For example, the U.S. healthcare industry spent $500 million in lobbying efforts in 2010 fighting to ensure low costs and against imposing governmental regulations (Janda et al., 261). However, regulation of the healthcare system by the government not only limits what providers can charge patients, but also impact provider’s profit margins. So, big healthcare corporations and professional organizations often lobby for the profit of their own entity and not always with the public good as the number one

According to Milstead, “success in the legislative arena is much like a three-legged stool, with each leg essential to the sturdiness of the stool as a whole” (Milstead, 2013, p. 53). Professional lobbyist, grassroots lobbyist, and money make up the legs of the stool. Effective influencing and persuasion would determine the success of this proposed policy. The three legs of lobbying can be used with obesity advocacy. “Building trusting relationships, demonstrating interest and concern for the public good, and providing information on issues important to the nursing profession are all things that can be done through regular participation in all aspects of the legislative process” (Milstead, 2013, p. 55).

One purpose of AANN is to devise and implement the advocacy program that will allow AANN to respond to various endorsements and initiatives. The Advocacy tool kit they offer allows its members to educate, enlighten, and inspire people interested in healthcare issues to become well-informed about the legislative process and become involved in health policy advocacy (AANN, 2015b).

The passage of the Affordable Care Act (ACA) was a revolutionary moment in the history of healthcare in the United States. However, it left a significant amount of confusion and skepticism about just how the act would be implemented. Not only were constituents left baffled about what exactly the ACA meant for their individual coverage, it also created entire new health care exchanges that the vast majority of people had little to no knowledge about beforehand. With so many questions surrounding the ACA, individuals needed, and actively sought out, answers from those in positions of power and influence with regards to the new healthcare policies. A town hall meeting

The Patient Protection and Affordable Care Act (PPACA), issued in 2010 by Former U.S. President Barack Obama, has caused such a controversy due to its way of reforming today’s healthcare system. Although, the Affordable Care Act has so far been the most important piece of health care legislation passed ever since the Social Security Act of 1965, which established medicaid to the elderly. In recent events in U.S. politics of 2017, our newly elected Republican President Donald J. Trump and the majority of Republicans plan to overthrow and replace the Affordable Care Act, also known as Obamacare, with a more “affordable” way to gain health insurance named “the American Health Care Act”(AHCA). However, they have not realized that modifying the

One of our nation’s most controversial topics since the year 2009, and still continues to affect our country, is the Patient Protection and Affordable Care Act (ACA) also known as Obamacare. The Affordable Care Act was passed by Congress and signed into law by President Barack Obama on March 23, 2010. The Law was designed to extend coverage to millions of uninsured Americans and protect patients from abuse or discrimination. The Affordable Care Act affects, all Americans, either in a positive or negative way. It is an issue that has come to separated our congress, it has divided the republican and democratic parties, to the point where the Government was shut down.

Throughout American history, no individual healthcare reform bill had the potential to influence health care on a national level and affect all social groups until President Barack Obama’s 2010 Patient Protection and Affordable Care Act (PPACA). This landmark legislation, commonly known as Obamacare, has been debated, contested, altered, and ultimately implemented. Accordingly, different political and social groups have developed preconceived notions based on individual political biases and self-interests on the effect of the PPACA’s policies on, among other things, the quality of medical care.

The ACA has been fraught with much controversy ever since it has been signed into law. Even almost four years after the law was passed, it is still a “hot-button issue” for politicians, health providers, business owners, insurers, and patients. There are many challenges to the long-term success of the ACA, but in my opinion, the greatest threat will come from the fact that the American culture has long favored independence and individual choice, with minimum government involvement. This mindset is what led the U.S. to declare independence from Great Britain, and it has even defined the Bill of Rights, which most Americans hold near and dear to their hearts. Many people thus view the ACA as the government getting involved in their health care.

These issues of concern and health care reform would be a real good argument for pluralist and their views of the structure of government in America. This is a good example of “who ever makes the best argument wins”. Although the finals of this reform have not yet been ironed-out, it seems like the winners will be working class Americans and that is not common in American politics. That no matter what argument, these large institutions are making they will have to find a way to conform to the decisions made by government. In this particular case the government is listening to everyone. These working class women have the Institute Of Medicine and the Department of Health and Human Services advocating on their behalf. In this instance the large population of individual voters are the ones holding the power over these larger, richer entities like insurance companies and religious affiliated institutions and universities. The states are involved in protecting the maintenance of order throughout society by being allowed to stipulate who does what. The power is not being held by those with economic stability like the social class perspective or the nature of leadership is not being held by the elites as stated in the elite managerial approach of government. Economic

In the wake of the 2016 presidential election, concerns have been raised regarding the Republicans’ desire to repeal the Affordable Care Act, informally referred to as Obamacare. The ACA was originally enacted into law in 2010 and has been annually provisioned to expand its ability to not only improve the nation’s access to health care, but also to reform the health care delivery system. Through the ACA, private and public insurance has become more available and affordable, new health care delivery models have improved quality of care, and several workforce policies have made primary care a more desirable profession for medical students.

With the ANA support in March of 2010 President Obama proposed the Health Care Reform Act to help assure individuals better, high-quality, and affordable health care insurance coverage. ("Health care reform in the United States", 2010, p.1). "The health care is a human right, and will continue to fight on behalf of nurses and their patients to ensure that this is achieved" (Ana: Ensuring nurses, paragraph, 1). By attending and speaking at public health care events, being involved with other stakeholders like; Health Reform Dialogue (HRD) group, and along with staying up to date and in contact with the Congress and Capitol Hill the ANA shows it's involvement to achieving the goal that the health care reform act insures. Stakeholders and other health care professional organizations gather to speak about " health coverage, disease prevention, and increasing funds for education. These ideas are now being projected to the media and Congress (Ana: Ensuring nurses).

The Pharmaceutical lobbyist has a very powerful impact on the outcome of Medicare Part D. They were the ones that wrote the bill and presented it to the House and ultimately, it was passed. However, the tactics that were used were extremely questionable and unethical. A Democratic Representative from Michigan stated: “I can tell you when the bill passed, there were better than 1,000 pharmaceutical lobbyists working on this” (Singer, 2007). The

As nurses we strive to always practice in the best of our ability. One way that that we can further our efforts is to utilize our voice through health-care lobbying. The best approach to health-care lobbying is to first understand the legislative process. Consequently the purpose of this paper is to distinguish the legislative process as well as convey the benefits of health-care lobbying to not only the workers but the patients.

Interest group roots fall back on the constitution and the birth of the American version of democracy