Health Care For Social Justice

As indicated from the article “Expert Voices” (2015), including the subtitle of what we do to end health disparities is a merit question for everybody to ask and then act and think about it. As a community nurse, my potent goal is to work with people in the community, dig down deeply to find the root of the problems, inform the people and solve it (Alvaro, C., 2014).

The U.S. healthcare system is remarkably complex, and even healthcare workers struggle to understand it. The U.S. population gets health coverage by government programs, employers, and private insurance. Notably, because of the complexity and fragmentation of the health care system, there is a percentage of the population that remains uninsured. According to CNN Money, the uninsured rate in the U.S. dropped from 18.2% in 2010 to 10.3% in 2016, this drop was under Affordable Care Act(ACA) (). The goal of the ACA was not to give health coverage to all the uninsured population, rather it was to try to decrease the percentage of the population that remained uninsured(). There is a lot of inequality in the distribution of health among the U.S. population

Many factors contribute to differing racial and ethnic health needs, including culture norms, religious mandates, and health disparities. The health disparities refers to specific differences in disease incidence, health outcomes, quality of health care and access to health care services that exist across racial and ethnic groups (Mandal, 2014). Disparities may result from inadequate access to care, poor quality of care, cultural issues and social determinants.

Healthcare disparities within racial minority groups are an ongoing issue in the United States. Factors that affect these disparities are overall quality of care, access to healthcare, and access to insurance. Numerous efforts have been made to decrease the access and quality of care for minorities. The current intervention being used is the Affordable Care Act (ACA). This act was initiated by President Obama in 2010 and has had much controversy in the past years. The main arguments are the ACA increasing the taxes for Americans and the fact that all Americans must obtain insurance if proper funds are available. In 2014 the ACA Medicaid expanded and each state had the opportunity to expand if the state believed it appropriate. Out of the 50

In today’s society, there is still a great struggle with health care disparities and many lives are affected by the lack of this fundamental program in our society. There are millions of people who die each year because they are unable to afford quality healthcare. The debate still continues about healthcare inequalities, what causes this disparity and who are affected by it. Health care is more of a necessity rather than a luxury and even though skeptics may argue to the latter, it only underlines the importance of the need for the wellbeing and care of individuals. There are several factors that could contribute to the lack of health care in the United States which ranges from but not limited to race, gender, socio- economic status, and lack of insurance coverage. The truth is there is a great disproportion between who can really afford quality healthcare as appose to individuals who have it. One would imagine that an employed individual would easily afford quality healthcare but we could be no further from the truth, since one’s economic status is an essential determinant to its affordability.

Health disparities are present in our health care system. Whether it be racial, educational, or environmental, these disparities exist and are detrimental to health care outcomes. While there have been recent advancements in how to eliminate or reduce these disparities, there is still a major inequity in health care for all individuals.

It is important to remember that no two human beings are the same, we are all individuals with their own unique set of characteristics, personalities, interests, life experiences and abilities. People who will need care often grouped together because of the needs they have in common.

The Affordable Care Act not only strives or yearns for access to quality healthcare for everyone, but also ethical practices in healthcare. According to the Online Journal of Issues in Nursing, the issue of health care reform brings important ethical issues of justice to the forefront, as individuals, communities, and the legislature struggle with how to provide quality health care for the many without sacrificing the basic rights of even the few. Americans want high quality healthcare, the right to choose and the right to decide who would service their healthcare needs. Americans expect healthcare services to be cost worthy. Most would also want fellow citizens to contribute to some of the costs and

In this paper the authors are attempting to define the concepts of poverty, equity, and human rights in relation to health (Braverman 2003). This paper also proposes five general areas of focus that can be used to address poverty, equity, and human rights through health sectors. The paper also assert that poverty, equity, and human rights are connected in concept and operation leading the reader to become more aware of areas to strengthen the work need to improve poverty, equity, and human rights when related to health outcomes.

From a social justice perspective, quality healthcare is perceived as an innate right of every individual. The problem with this perspective is it is not a universally held sentiment. For example, individuals would argue from an economic standpoint that social justice is a “value” and healthcare is a commodity which drives our nation’s economy, thus presenting

Addressing health disparities can be seen as one of the great challenges for nursing in the 21st century. By adopting and utilizing an intersectionality framework, the DNP may hope to rectify health disparites and avoid the continuation of systems of power and oppression in health care that has historically contributed to the creation of these disparities. Although the concept of intersectionality holds promise for the field of nursing, it is lacking in formal, standardized definitions and research methodologies. As a relatively new concept to the field, it is has not gained widespread use yet. A formal concept analysis will be conducted to better understand intersectionality and its place in nursing.

This Code of Ethics outlines specific principles that guide nursing practices as related to their patients, their communities, and to the health care profession. Provision 8 of the ANA Code of Ethics specifically states that nurses, along with other health care professionals and their communities, must work together to advocate for the protection of human rights and promote public health while reducing disparities within the health care system. The ANA also takes the stance that health is a universal right and must be recognized in order to promote and improve health and safety for all (“ANA,” 2015). Provision 9 states that it is the nurse’s duty to promote and communicate these values to the general public and to be vigilant of unjust practices within and outside of the health care system. In essence, nurses must organize and advocate to change laws or policies that promote public health and social justice (“ANA,”

Health care in the United States needs to be reformed to be more equitable to all citizens regardless of their race and financial situation. Those in charge of reforming health care should consider the principles of social justice outlined in Catholic social teaching as guidelines for ethical health care reform. Those principles are: the dignity of human beings, the common good, solidarity, and subsidiarity. These four social-justice principles provide a foundation for a virtuous and economically sound improvement in medical resource allocation; a Christian prescription for health care reform. It is clear that we have a duty to improve access, affordability, and quality of care for all citizens because of their human dignity. Frequently missing from the discussion of health care reform is the role of personal responsibility. Pope Benedict XVI has emphasized the point: “In the name of freedom, there has to be a correlation between rights and duties, by which every person is called to assume responsibility for his or her choices” (Reid, 32). Health care should be available to everyone regardless of work status, financial situation, race, gender or theological views.

The roal of public health nursing is to promote and protect the health of the population. This proactive approach does not limit their scope of practice to health concerns of individuals but also to developing and implementing programs and policies that help enhance the health of populations. The role of public health nurses is to focus on population centered care with the outcome of promoting health, preventing disability and disease, and improving the quality of life. An effective public health nurse is able to evaluate assessment data to define population diagnoses and set priorities accordingly. They can also serve as advocates for individuals and families in the population to develop policies, access resources, and protect their

Social justice refers to fairness (Potter & Griffin-Perry, 2009). In the health care field it is the fair distribution of health care resources regardless of socioeconomic background. As nurses it is our responsibility to identify and minimize social barriers; making it easy for any member of society to gain access. To promote social justice, systems have to be implemented so that the resources are fairly distributed. For example, placing organ recipient on a list and selecting them through a lottery system. This ensures that the organ been donated is not going to someone who is more financially stable. Nursing students can take advantage of the resources available to them through their