Thank you so much for taking your time to do this, I cannot thank you enough. I am completing my master of science in nursing. I have a final policy paper due this friday and the title is "Caping insulin cost for the insured; Let's include the uninsured." The purpose of this paper is to find a problem in health care that requires a change and introduce a solution. My topic is based on the new policy ( https://www.congress.gov/bill/117th-congress/house-bill/6833 ) that introduces a price cap on insulin for the insured. My solution would involve caping the price of insulin for the uninsured as well. From my point of view this is a display of health inequity in the diabetic community. Some of what I planned for this paper was going to incude the number of individuals passing away from not being able to afford insulin, those who experiece secondary complications due to them not being able to controll thier diabetes. For example, amputations andpancreatic issues.
Below I am Going to paste a brief post I submitted about this topic just so you can catch a glimpse of my point of view, then I will paste the formal instructions below that. Thanks again in advance for everything.
H.R.6833 - Affordable Insulin Now Act
Link to policyLinks to an external site.
Policy topic and change of concern: This bill limits cost-sharing for insulin under private health insurance and the Medicare prescription drug benefit.
Leadership who created the policy: Energy and Commerce, Ways and Means, and the Education and Labor Committees. Sponsored by house representative Angie Craig.
Population impacted / key stakeholders: The primary populations of interest are individuals with private insurance and who utilize insulin.
Student comments and analysis:
Although I am not a diabetic and I do not use insulin for myself, the topic of the cost of insulin is very dear to me because I work with the vascular population, and many of them are insulin-dependent. When the house passed this bill, I was elated for my patients and everyone who needs this medication for survival. I have had many sorrow-filled days having to be the only emotional support for patients that have had to deal with life-changing procedures like amputations because they could not manage their diabetes due to the cost of insulin. According to a study regarding the cost of insulin, the author mentioned that patients had to decide whether they would pay for insulin or food and housing (Hirsch, 2016). While reading the bill, I analyzed that only the population with health insurance will be affected by this change when it takes place. According to a study on diabetics and health insurance, in 2019, 33% of the low-income diabetic community were uninsured (Wampler, 2019). Although this policy is an excellent step for helping our nation's insured diabetics better manage this disease, we need to take account of those who aren't so fortunate of obtaining health insurance. Insulin should be affordable for all individuals living with diabetes, insured or uninsured. This is a display of health inequity; according to our textbook, health inequity is the difference in health care that are avoidable, unfair, and unjust and are affected by social, economic, and environmental conditions (Mason et al., 2021, pg. 115). The disease does not choose whether to be housed in an individual who can afford insurance; we should not choose to make it easier for individuals who only have health insurance.
Hirsch I. B. (2016). Insulin in America: A Right or a Privilege?. Diabetes spectrum : a publication of the American Diabetes Association, 29(3), 130–132. https://doi.org/10.2337/diaspect.29.3.130
Mason, D. J., Dickson, E. L., McLemore, M. R., & Perez, G. A. (2021). Policy & Politics in Nursing and Health Care. Elsevier.
Wampler, S. (2019, November 12). Diabetes studies reveal how insurance and ethnicity can affect outcomes. USC Schaeffer
Diabetes Studies Reveal How Insurance and Ethnicity Can Affect Outcomes
For the final policy paper/brief, use the APA Template Final Paper Download APA Template Final Paper as a guide, as well as this Chapter 8 from the 7th edition text Download Chapter 8 from the 7th edition textfor reference. Writing a policy brief is different from other academic papers, which may be simply researching on a topic. Your policy brief should analyze a topic where you, as leadership, see the need for CHANGE in health care – this is the most important message. And introduce your potential SOLUTION with justifications. The policy change can be a topic you have experienced in your workplace, heard about through the media, have experienced first-hand, or any type of health care change you feel passionate to advocate for.
To ensure your title and topic are appropriate for your paper, a Final Paper Title quiz will be submitted to the instructor for approval, and is part of the grading rubric for the final paper. The quiz is available anytime during the course, but must be submitted prior to the due date, the end of Module 5, Apr 17.
If you are having troubles identifying a topic to write on, consider the policy posts that you responded to in previous weeks – were there any topics that you have a potential solution for and could provide justification for in a paper?
Your title is important and a reflection of your topic’s CHANGE: SOLUTION. It is also part of the grading rubric, so please give your title some extra thought. Some title examples are:
Reducing Opioid Addiction: Legalizing Medical Marijuana Can Help
Lack of Mental Health Services Covered by Health Care: Community Interventions that Work!
Moral Distress and Burnout in the Nursing Profession: Education and Assessment Tools for Co-workers
These are just examples – please develop your own title on your topic of concern.
A couple questions to consider as you are writing your brief is "Who cares?" - make sure your topic and justifications are phrased so they will be of concern to others. Some topics are so rare that they must be reviewed on a case by case basis, and it is difficult to create policy around a single case event. And "Why is this significant?" - are the empirical research results statistically significant and/or clinically relevant? Are the solutions financially and organizationally feasible?
Additional considerations to ask yourself as you are writing a policy change:
Is my policy change in the best interest of my institution(s)?
Is it fair, honest, and equitable?
Do the values align with the mission of the group or institution?
Are my justifications reasonable to others?
Are there any safety concerns for patients, coworkers, or others?
Do my justifications include as many stakeholder perspectives and limitations that will fit within my paper's word count?
It is important to know the audience you are writing for to determine how you should word your paper. For this assignment – “Congratulations! You have been selected to present your paper at a national health care leadership conference” which is focused on your topic this year. The audience has a wide range of health care executives, including nurses, so your wording should not go into “nurse-speak” only.
Length of your paper should be 2,000 to 2,500 words in APA format. The word count does not include citations or the title page. You are expected to present your topic of concern in concise wording with justification and citations as appropriate. APA formatting also expects direct quotes to be less than 20 words, with paraphrasing used in lieu of larger quotes.
TurnItIn is used for the final paper submission, and a TurnItIn similarity score of 24% is expected or the paper may be returned to you for changes (per the rubric). There are multiple submissions allowed, so if changes are needed, just resubmit. If you are new to TurnItIn, here is a TurnItIn assistance video from IT that may be helpful for student TurnItIn submissions - https://uwf.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=c174aa2d-8f1e-4cc9-a823-aa0d0105ac17 (Links to an external site.)
There are no minimum/maximum number of references to be used, but references are expected if a statement from another source is made. Per the rubric, references should be within 5 years old, unless no other source is available.
To get a better idea of expectations, previous students have graciously agreed to allow their papers to be used as an example (names have been removed). Here are their examples:
Final Policy Paper Example 1 Download Final Policy Paper Example 1
Final Policy Paper Example 2 Download Final Policy Paper Example 2
Final Policy Paper Example 3 Download Final Policy Paper Example 3
Grading will be more critical in the final formal paper, over the more informal midterm. Please review the rubric within the assignment for more grading details. Since TurnItIn is used for grading the final, the rubric may not be readily available to students as in other assignments. Here it is as a pdf file of the rubric - Final Paper Rubric Fall 21.pdf Download Final Paper Rubric Fall 21.pdf.
Below are details of what I will be looking for in each of the final policy paper sections – use the APA Template Final Paper.docx Download APA Template Final Paper.docxto begin.
Title page. A strong title is important. Titles are the first glance others have of your issue - whether it’s on a conference itinerary, grand rounds presentation, used as a citation, or simply googling. Your title should include the issue of concern and state your position on it. A shortened version of your title is used in the running header on the top margin.
What is the issue? Provide details on your issue that justify your need for CHANGE and your SOLUTION. Conclude this section by restating or rewording your title, with your policy position, as you inform the reader of highlights in the rest of the paper - why should the reader continue on?
What is the background? This section provides historical evidence on the issue. Perhaps how the issue became such a problem today. Or review previous attempts that were made to change it. Research and empirical data are important in this section.
What is in the law? Review the legal guidelines currently in place. This may be at the federal, state, local, and/or institutional and departmental policy level.
Other policy options. What are alternatives? These may be follow-up policies that are needed in addition to your policy, or complementary policies to address other interwoven complications. And convince the audience that your policy solution is the best option for action. Both the Laws and Policy Options sections work well to address any limitations of your policy brief. It is important to think through areas such as unintended consequences, limitations of your review (what may have prevented you from reviewing an important related concept) fiscal responsibility, quality and safety concerns, and overall feasibility of your policy change. Review from all stakeholders’ perceptions. Consider what questions the reader or audience may have and include appropriate responses to address their concerns in your paper.
What is next? This is similar to a “Conclusion” section, but includes a look at future indicators and the potential problems that may arise if your policy change is not taken. End the section and your brief by revisiting why your policy is an important next step.
References and all text are expected in APA format. References should begin on a separate page.