Free «The Social Policy Issue» Essay Sample

The policy issue addressed is a health care policy. The health care policy relates to how to maintain and advance the health status of the populace. The important goal of health care policy is to improve the health and welfare of the citizens in a specific country. Barr (2011) says that it has been health care not health which has focused national attention and stirred national discourse for some years. As health care costs continue rising, the majority of the people are left without health insurance; thus, it is important to deal with these problems we are confronted with in the 21st century.

The health care policy includes all those factors and forces that affect the health of the public. It should be addressed more on the structure of health care than the health of a society or a community. This social policy issue is important for the organization, because it overlaps with health economics but broadens its scope to include social and political processes affecting health care. The health care policy is relevant to AHI, because the organisation looks more at specific clinical issues and at questions, such as an optimal way to structure cares overall (Barr, 2011).

Individual, family, and society issues may conflict with current health care practices and policies when genetic testing is done, but current health policies do not fully address these concerns. Helms (1993) stated that the society has an obligation to ensure access to the basic level of health care. This is on the basis that a health care reform is an explosive subject, and citizens must be prepared to express displeasure with its admittance, as well as costs. Helms (1993) noted that, in order for the society to play its role in the future of America’s health care, it is important for the society first to have a common understanding of the health care problem. Secondly, Helms (1993) said that it is essential for the society as a whole to develop a vision for the future. People should be prepared to set appropriate values and in one away regulate its present values to the new set and regulate its prospects (Helms, 1993). The last obligation the society should play is to develop a capacity for change according to Helms (1993).

According to Helms (1993), the federal government may be unwilling to inflict hard choices on the recipients of the health care policy with a great deal to sustain the society and the entire public. Helms (1993) stated that the key components of change will happen only when the providers of the health care services have an encouragement to offer only what the financier needs, at excellent value for a price, which better imitates the value of the service. People are responsible for making sure that they are receiving high-quality services based on what they have paid for.

As far as the society is concerned, the health care policy is attracting political players since people are becoming worried as a result of the cost of care and the outlook of their coverage (Helms, 1993). Helms (1993), however, noted that exaggerated political contest may generate mystification, because people’s views are imprecise concerning many facets of the health care reform. It is also important to note that the society must come to terms that a lot of the health care costs are related to drugs abuse, life style diseases, unsafe diets, excessive smoking, and other cultural causes which can be contained. It implies that, if the public does not control some of the causes, the nation will end up with a health care system that is very convoluted and luxurious (Helms, 1993).

The Main Drivers

The Congress and the federal health agencies within the executive branch have major roles in developing the health policy. Federal laws, such as Medicare and Medicaid, which affect the financing of care, have reshaped health care organisation and its delivery in a number of ways. Barr (2011) indicated that other main drivers of the health care policy are the congressional system of committees and subcommittees. These bodies act as drivers of the health care policy, because they ensure a continuous role in monitoring the health care delivery throughout the state and initiating reform when it is required.

The states act as drivers of health care policy financing of health care. This is because most laws governing professional licensure and medical practice come from the states. Barr (2011) noted that states act as drivers because financing care for the poor has become largely the responsibility of the states. Private businesses play an essential role, both as purchasers and as providers of health insurance, in driving the changes in the way health care is arranged, financed, and delivered (Barr, 2011).  

The American Medical Association (AMA), the private organisation representing physicians, has been one of the most powerful drivers behind the creation of the private, fee for service model of delivering health care that come to dominate the health care system for much of the 20th century (Barr, 2011). Local communities also take part in creating the health policy. Barr (2011) indicated that community hospitals, community clinics, and local government health departments continue to play an n essential role in the organisation and delivery of care at the local level. The role of these key drivers in the health care policy is crucial, because it is the coalescence of forces at the multiple levels, representing multiple interests, and constituencies to organize and finance a system to deliver health care (Barr, 2011)

Why Health Care Policy is of Concern to Your Organization

The Access Health International (AHI) is a consortium of the United States NGOs. The AHI Foundation supports initiatives in several cities in Louisiana State. The AHI was founded in 1990 with its headquarters in Shreveport, Louisiana. The purpose of the AHI is to bring about sustainable improvements in health care of the groups targeted, especially women and children by its projects. It ensures improvement in the quality of health care services in these states and countries. As a result, the health care services have been improved in the region since 2005 to 2012. The AHI has invited other enterprises and private individuals to play the role of funding and provision of support services. It realized that access to health care services improved, but not for the poorest community members who found the contributions very significant.  

In addition to playing a key role in the health care policy within and outside the United States, the AHI is helping individuals to overcome exclusion, poverty, and suffering by advancing basic dignity and social justice for all. Kellett (2003) says that the AHI plays an important role where local and national governments are often unable to assist communities to meet their basic health care needs. With grants and technical support from a number of the U.S NGOs, community groups in Texas and Alaska are working to fix health care needs to pregnant mothers, disabled children, as well as aged people and access to general health care facilities.

The AHI strives to be politically neutral and independent. The foundation receives funding support for its state projects from a variety of sources including corporations, local governments, faith groups, the United Nations agencies, and international institutions, such as the World Bank. In addition, the AHI receives close to $250 million in donations per year from individual American citizens and private donors. The AHI works in partnership with local associations, government authorities, other NGOs, and private businesses (Kellett, 2003). This is because the AHI believes these partners are better positioned to determine and solve their most vital problems.

Users and Other Stakeholders

There is a wide range of stakeholders in the health care policy. Lundy & Janes (2009) noted that the public includes health consumers who, in turn, include patients, families, and consumer organizations, such as, the American Cancer Society, the American Association of Retired Persons, and the American Heart Association. The second type of stakeholders includes employers, such as the public and private employers, and employer organizations representing small and large businesses. Providers are also stakeholders, and they include physicians, dentists, nurses, nurse practitioners, physician assistants, pharmacists, podiatrists, and allied health professionals. Lundy & Janes (2009) noted that hospitals, alternative therapy organizations, providers of alternative health interventions, such as massage therapy, are stakeholders, as well..

Insurance industry, long term care, and mental health are major stakeholders in the health care policy. Lundy & Janes (2009) indicated that voluntary facilities and agencies, such as HIV/AIDS support groups, addiction support groups, and public education and lobbying groups are main stakeholders in the health care policy. The other type of stakeholders includes health professions education and training institutions, which include schools of public health, medicine, nursing, as well as allied health and pharmacy. In addition, professional associations, such as national, state and regional organizations representing health care professions or institutions, such as the American Medical Association, the American Nurses Association, the American Public Health Association, and the American Hospital Association act as stakeholders in health care policy (Lundy & Janes, 2009). Research communities, such as government agencies, educational institutions, and not for profit foundations and charitable trusts, such as the Robert Wood Johnson Foundation and the Bill and Melinda Gates Foundation play a key role as stakeholders in the health care policy.     

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Proposal Justification to Prepare a Lobbying Campaign

The AHI intends to work throughout rural and urban communities in Louisiana to strengthen local organizations and help community members to access health care. Since Louisiana suffers high rates of people who need the long term care and maternal health care, there has been a recent effort to increase access to health care facilities and to provide health education (Kellett, 2003).

The AHI seeks to complete a maternal health care program to improve the health care quality in Louisiana. The AHI will work with the health officials of the Louisiana local state government. The completion of the program will help to train female community members to coach others about maternal and child health care (Kellett, 2003). One of the lasting results of the program is that 53 community clinics have been established, helping to make health care available to 30,400 families in remote areas for years to come. Today children born in the region will get a healthier start on life and grow up in communities that are better equipped to provide for their future.

Although the overall United States death rate is declining, continuing gaps in health between disadvantaged and other populations are increasing in many respects. In Louisiana, disability from chronic illnesses is widespread. The state faces health inequalities in morbidity, mortality, and disability that are strongly related to poverty and income inequality. Within the state, gaps in health between low and high income groups are expected to increase further as wealth inequalities continue to grow. Lundy & Janes (2009) indicated that widening health gaps are not accounted for by biomedical and behavioral risk factors alone. Within Louisiana State, all measures of health and illnesses are worse among poor people compared with better off counter parts, regardless of ethnicity, gender or age.

According to Lundy & Janes (2009), health care taken by the government agencies and NGOs requires the support of local politicians and state officials. In this context, lobbying requires organisational and organized action directed toward all types of entities, including the public and policy bodies. There is, therefore, a need to create a lobbying campaign based on the above issues. The campaign will enable the AHI Foundation to enable the health care needs of both women and children are addressed in the current health care policy reforms.

The AHI Foundation will achieve this through lobbying local state representatives, such as the senator, mayor, and community participation. This is because senators ensure a better balance of budget spending on preventive and curative services and the creation of outreach services and home based care within the state. Weissert & Carol (2012) consider that the need for lobbying arises from the fact that the Louisiana State regulates the health industry for small groups and individual insurance. The state is required to set up insurance exchanges that will solicit insurance policies for in the law, provide the subsidies called for to those who qualify, and provide buyers with the help with their purchases.           

A Briefing Paper Outlining the Issue and the Aims of the Campaign

A Proposal


The Senator of Louisiana State


Mayor of Shreveport, LA


The AHI Foundation

Shreveport, Louisiana

November 1st 2012

The Request

Support Health Care Policy

We are pleased to invite the Senator of Louisiana State and mayor of Shreveport City to consider making a lead gift for the support of the health care policy. This health care policy will facilitate the construction of the only medical facility in Louisiana dedicated solely to the health of women.

The women of Shreveport have been leaders in philanthropy often setting a high standard for generosity and commitment. We believe that the health care policy provides an exciting opportunity for the AHI Foundation, and we invite you to consider supporting the policy. The contributions to this campaign may be pledged over as many as five years.

We invite the Senator and Mayor to consider making a contribution of $2,000,000 to support the campaign and issues addressed in the health care policy and reforms. The policy will ensure that a facility is developed to cater for the health care needs of both women and children in every state including Louisiana. The policy ensures that women of all ages will be diagnosed and treated for gender related medical problems including gynecology, breast care, hormonal changes, and osteoporosis.

The Lobby Campaign

Although the health care policy in Louisiana is operated as a successfully generating significant surplus each year, it is, in fact, not for a profit institution that reinvests its surplus back into the community. These surpluses combined with generous contributions and bequests from many individuals have enabled us to develop a state of the art hospital. Now, for the first time in over 30 years, the AHI Foundation has launched an organized capital lobby campaign to raise $5.5 million from the community toward this $1 million Women and children facility.

On the Cutting Edge of Health Care

We are fortunate to live in a county that has a financially sound and forward looking hospital. For the third year in a row, the AHI Foundation was named one of the top organisations in America. It has a strong reputation as a leader in many specialty care areas, including cardiology, trauma, neonatology, and neurosurgery. Many hospitals in the region refer patients to Willis AHI Foundation for specialized care in these areas.

It is the responsibility of the senator and other state government officials to stay abreast of the needs of its community and changes in medical care. In 2003, the AHI Foundation took an vital step forward by opening the Health Campus for outpatient care in line with the health care policy. Though this project seemed radical to some people, it has been successful in every way. Used by more than 3000 people each day, the Health Campus gets rave reviews from patients and medical staff alike.

In 2006, the AHI Foundation began to explore the growing demand for specialized health care for women. Through focus groups, we learned that women not only want to have their babies in a family oriented setting, but also want coordinated services for all of their gender related health needs. The new health care policy to address women and children health care needs responds to their desires and reflects a national trend toward coordinated women health care in the large policy. The health care policy support for women and children health care needs will enable us to expand and renovate the acute care capabilities of the downtown hospital.

The Women and Children Health Care Needs

The changes to the health care policy to address the needs of women and children have been designed to welcome and encourage family participation in the birthing process. The policy will ensure construction of a facility with an education center, play rooms for siblings, lounge areas for family members, and private birthing suites. Childbirth will no longer be treated as a women’s illness but rather as a family transition. The new hospital is expected to be the birthplace of more than 3000 babies every year.

Also, the changes will ensure that the health care needs of women are provided minimizing the compartmentalization that often characterizes the current healthcare systems. In this new facility, women will have access to diagnostic services, as well as a range of doctors and medical personnel who specialize in the area of women’s health. Women will be able to go to one location for diagnosis, treatment planning, education, surgery, and follow-up care. This convent, coordinated care is expected to reduce barriers that keep women from obtaining regular health screenings. It will also result in better and timely communications. 

Though the AHI Foundation is able to lobby for the changes of a significant portion of this policy, the foundation is calling for state officials to become support and financial partners in this campaign. The senator and mayor contribution will enable the policy to pass and get sufficient funding from the state and local government that is financially stable and is capable of investing in the future health needs of our community.   

We thank you for the given opportunity to introduce this proposal to the senator of Louisiana State and the mayor of Shreveport, LA. We believe that the Lobby Campaign provides an excellent opportunity for the women of Shreveport to continue their unique leadership role in the future of the entire county.

Model Letter to Be Sent to the Decision Makers

Mary L. Landrieu,

The Senator,

Louisiana State

Dear Landrieu,

We are pleased to submit a AHI Foundation proposal to the Senator of Louisiana State requesting a naming contribution for the support of the need to address health care needs of women and children in line with the health care policy. This support and contribution are important for the foundation. We hope that you will consider allowing the foundation to make a brief presentation to the state officials when they next meet.

As we enter the New Year, our lobby campaign is proceeding well. We have risen over $3.5 million. Of course, we ought to go a long and difficult way to reach our $5.5 million goal. At the same time, the new facility construction is moving ahead on schedule; we have already received calls from women who wish to have their babies to be born there in June 2013 next year. We hope to complete our campaign for that part of issue by that time.

Our lobby campaign chair, George Oliver, will call you next week to clear out whether you have any questions and to discuss the possibility of a presentation being made to the state officials.

Thank you so much for being interested in this campaign.


John Clay.



November 1st 2012

AHI Foundation,
c/o Edna Tom, Secretary Treasurer
P.O. Box 398
Shreveport, LA 7123658

Re: Petition to address health care needs for women and children in the health care policy

Dear Sir,

We have been authorized by our employers and the AHI Foundation on petition the senator of Louisiana and mayor of Shreveport City to endorse under the AHI Foundation additional facilities in Shreveport City to address the needs of women and children. A summary of the issues, a status of assessments sought by the authorities involved, as well as taxing authority, and amounts determined to be due are attached.

By this letter, the AHI Foundation in collaboration with the Louisiana Hospitals Association wants to ensure that there is a satisfactory quality of health care that can be guaranteed through the participation of both the community and other players in the sector. Women and babies deterrent health care should be multifaceted by the federal and local government programs so as to ensure that they have access health care during pregnancy that deject the major causes of avertable diseases to their babies. To guarantee quality access to health care, the state and local administration should compact runaway financial deficits and reduce their public expenditure on health in order to restrain these costs.

The Louisiana State government should also approach the issue of women and children health care similar to all other social wellbeing issues with change and benefits embattled to explicit groups to get excellent health care. The lobby campaign ascertains that that there ought to be a dedication in general policy on health and an agreement on who is responsible for providing it.

Economic forces are driving a combative health care system restructuring that is varying the roles of many conventional health care institutions. If the state and local government support the health care system for women and babies, the end result is projected to be a more ample, harmonized, and cost effective system. Those women who will be dependent on these programs will have a gain because of the presence of idealized solutions to the problems of huge variations in costs of accessing the health care and medical care facilities. Also there will be variations in terms of cost of treatment, and outcomes and fragmented services.

By this correspondence, we also confirm that the evaluation theme to this issue have not become final under the provisions of the Louisiana Hospitals Association and to the best of our knowledge.

Please respond to signatory parties below at the addresses provided.

Thank you for considering the following matter.


Edna Tom,

Secretary Treasurer,

AHI Foundation


In conclusion, the past of the United States health care policy is an enthralling study of an enlightened society’s effort to deal with various issues. In the health care policy history, there has been a reflection of the state of comprehension at the time regarding the practice engaged in controlling the health care systems and the leading social ideologies of biased authorities. The control of health care policy, as well as institutions should not be left to the economy only to play the role of reshaping the health care system.

A lobby campaign is fundamental to the Senator of Louisiana State to address the health care needs of women and children in line with the health care policy. The campaign is important as the state regime strolls towards the course of ensuring access to reasonable health care to its populace by integrating the key participants in the health care organization, which entails funding and ensuring value. People should be ready to take up the transformation of the entire whole process. 


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