1. What are the implications of repealing and replacing the affordable care act on Nurse Practitioner Practice?

1. What are the implications of repealing and replacing the affordable care act on Nurse Practitioner Practice?

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2. What resources does the advanced practice nurse have available to make political changes?

3. What are the advantages and disadvantages of socialized medicine? What barriers exist to having universal health care in the United States? How might these barriers be overcome?

4.  What is a Health Insurance Exchange?

5. What components of the ACA do you think will have a positive effect on improving health care outcomes and decreasing costs?

6. What challenges do you think the profession of nursing will face as the U.S. health delivery system changes?

7. Discuss the connections among child health, educational achievement, and social determinants of health.

Sample Answer

Introduction

The 2010 Affordable Care Act (ACA) included many provisions affecting the Medicare program and the 57 million seniors and people with disabilities who rely on Medicare for their health insurance coverage. Such provisions include reductions in the growth in Medicare payments to hospitals and other health care providers and to Medicare Advantage plans, benefit improvements, payment and delivery system reforms, higher premiums for higher-income beneficiaries, and new revenues. President-elect Donald Trump, Speaker of the House Paul Ryan, Health and Human Services (HHS) Secretary-nominee and current House Budget Committee Chairman Tom Price, and many other Republicans in Congress have proposed to repeal and replace the ACA, but lawmakers have taken different approaches to the ACA’s Medicare provisions. For example, the House Budget Resolution for Fiscal Year 2017, introduced by Chairman Price in March 2016, proposed a full repeal of the ACA. The House Republican plan, “A Better Way,” introduced by Speaker Ryan in June 2016, proposed to repeal some, but not all, of the ACA’s Medicare provisions……