Discussion: Influence of Poverty on Health
Discussion: Influence of Poverty on Health
Discussion: Influence of Poverty on Health
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Discussion – Week 2
Nurses Working to Improve the Socioeconomic Status of Impoverished Citizens Through Government Actions
The influence of poverty on health is a problem that transcends national borders. This week’s readings discussed some of the political, economic, and ethical issues that lead to health disparities in developed and developing countries. In addition, in this week’s first media presentation, Dr. Mancuso and Dr. Huijer shared insights on working within political systems to bring about positive changes in health care. Think about the importance of nurses in addressing these needs and in bringing about change.
To prepare for this Discussion:
Review the case study “Improving the Health of the Poor in Mexico.” Then, prepare your response to the following questions:How do politics and economics influence health and health care?
What might the benefits be of awarding the mothers cash grants?
What social problems might be created by giving the mothers cash grants?
Do you think the resources were ethically distributed? (Think about stereotyping.)
What changes do you think should be made to the program, if any?
If the program were to be discontinued for any reason, what could you, as a nurse, say that might help to maintain funding?
Do you think a similar program might work in your community? Why or why not?
By Day 3
Post your response to the following prompts:
Explain how politics and economics may influence health and the health care system from your own perspective. Analyze whether the political and/or economic systems play a major role in your or your family’s access to health and explain why. Then, describe how government intervention might benefit a health care system. Be specific and provide examples.
Support your response with references from the professional nursing literature.
Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).
By Day 7
Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).
Respond to at least two colleagues. Your responses should be substantial and should contribute to the discussion.
Post a Discussion entry on 3 different days of the week.
Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.
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Classmate Post #1
Joanna H.
Main Question Post:
According to Stanhope and Lancaster (2016), politics plays a large role in policies made regarding healthcare. The role politics plays defines what organization or citizen is able to receive aide and subsequently what type of aide they are qualified to receive. Ms. Holtz, PhD, RN (Laureate Education, 2010d), agrees that politics plays a very large role in healthcare and states that it controls access to care, supplies and providers. Ms. Fitzpatrick, EdD, RN, FAAN (Laureate Education, 2010d), adds that the view of healthcare by the government, right vs privilege, is directly correlated to the policies made within that country in regards to healthcare.
In the case study described by Levine (2007), called Progresa, the government wanted to provide aide to the very poor living in rural areas, with little to no access to clean water, healthcare or nutritional food. To do this, they offered cash incentives to qualified mothers. This required a partnership between the mother and the government. The mother had to ensure her children went to school, were fed nutritious meals and taken in for their well child checks. In return, they received their monthly cash incentive. The program was found to improve outcomes for both the children and adult participants. The benefits noted were a decrease number of childhood illnesses, improvement in mobility and performance of daily activities for adults, higher incidence of school enrollment and increase in the growth rate of young children. Areas within this program of concern would be deciding who is poor enough to receive this benefit. When looking at those living in poor rural areas with no access to clean water, healthcare or nutritious food, how can only certain families be helped, leaving others to live under such horrible conditions? Is it ethical as a society to help those deemed very poor vs helping all citizens in need? Another concern would be loss of funding for this program and others like it. One way to continue providing for those in need if government funding is redacted, is via the community. There are many citizens who would like to help but don’t know where to begin. As nurses, we can help guide these citizens and work with our community leaders to help those in need by collecting food, clothing and household goods to distribute.
I do believe that there should be a partnership between those receiving aide and those distributing aide. If the government is providing funds to those in need, I believe they do have a right to require that the funds be used appropriately. There does need to be some accountability to those receiving aide, ensuring they are caring for their children, have access to proper healthcare for preventative visits as well as sick and access to healthy foods. Every community has citizens who are economically disadvantaged. I live in an affluent area of Dallas/Fort Worth yet can drive within my community or into Dallas, TX and see those who are homeless and in need of aide. Our community does offer help to those in need in various ways. We have a local resale store where all items, food and household, are donated, and sold at a low cost to families in need. Communities joining together can offer support to those in need. As healthcare providers, we too could and should offer free or low cost services to those in need.
Discussion: Influence of Poverty on Health
References
Laureate Education. (Producer). (2010d). Public and global health: Political, ethical, and economical influences on health [Video file]. Baltimore, MD: Author.
Levine, R. (2007). Case studies in global health: Millions saved. Sudbury, MA: Jones & Bartlett
Stanhope, M., & Lancaster, J. (2016). Public health nursing: Population-centered health care in the community (9th ed.). St. Louis, MO: Elsevier.
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