US health care system
One problem with the US health care system is that the cost of care is very expensive.As a proposal,do I think that Americans would be willing to go overseas to
purchase and pay for affordable health care outside the United States?
Project description
To write a White Paper Assignment: 5 pages of content plus separate title,abstract,and reference pages.the paper can be in this format:Title: Identify the target
audience: Identify and fully describe the problem:Identify and fully describe the proposal : How certain am I of the proposals desirability and effectiveness : My
analysis: My conclusions. Examples of analysis : Policy analysis,Root Cause analysis,or SWOT analysis.please no plagiarism no fancy words
• Policy Analysis
• Root Cause Analysis
• SWOT Analysis techniques.
We will be building upon this by creating a White Paper. A white paper is a position paper where you attempt to convince your target audience on the merits of a
proposal designed to solve a specific well defined problem.
White Paper Assignment (please use APA Format):
You assignment is to write a white paper (5 pages of content plus separate title, abstract, and reference pages) choosing one of the following topics:
white paper topic:
One problem with the US health care system is that the cost of care is very expensive. As a proposal, do you think that Americans would be willing to go overseas to
purchase and pay for affordable health care outside the United States?
(Look up Medical Tourism on the internet)
Your white paper will include all of the following components (a fuller explanation follows in the next section- Writing a White Paper) keeping them in the same order:
• Abstract
• A discussion of the problem
• The proposal : (the solution)
• Your ‘Certainties’(the basis for choosing which type of analysis you will use)
• The analysis: Why the proposed solution is the best course of action including your reasoning and the handling of potential objections. For your analysis you
may use any of the analysis techniques given in this course (for example Policy Analysis [session 2} Root cause analysis [session 6] or SWOT analysis [session 8]
• Your conclusions
Writing a white paper:
In a white paper you, as the author, are taking a position in favor of a proposal that is intended to have a positive influence and help solve a problem. Therefore,
as the author, you are taking the position that the proposal you are writing about is a good idea. The purpose of a white paper is to try to convince the readers to
agree with you that the proposal is, in fact, good for them. It does this by putting the proposal in its ‘best light’ and anticipating ‘potential objections’ from
those who might not agree.
How does a white paper do this? Think of it as almost like a debate. The author of a white paper has a debate inside the paper. She or he starts off with a review of
the problem. The author then examines the ‘pros and the cons’ of the proposal, provides an analysis showing why the proposed program should be done and ends with a
conclusion endorsing the proposal. As you might think, in order to be convincing, the author of the white paper will need to have:
• A good understanding of the nature of the problem.
• A good understanding of the nature of the proposal including its pros and cons.
• A method to analyze the program.
Can writing a white paper be broken down into a series of tasks? Yes, it can and by doing so you will probably have a persuasive paper. It is also a very good idea
to keep your paper in the same order and use titles for each section.
Step 1, (The Problem):
The first thing a white paper needs to do is clearly define the nature of the problem. Don’t assume that all of your paper’s readers understand the problem to the same
extend that you do. So it is a good idea to go over the problem and give the readers some background information so that they too can fully understand the key issues
central to the problem. Remember, you cannot just make statements without references, so be prepared to make appropriate citations for the information and that they
are referenced in the paper’s bibliography.
Step 2, (The Proposal):
This is where you examine the merits of the proposal. Remember, as the author of the white paper you are overall in favor of the proposal and therefore, you need to
start this section by identifying what are the proposal’s good points. What about the proposal makes this a good idea and how will it help solve the problem. Next,
think about what some of the objections to the proposal might be. It helps here to understand your audience and by that I mean who are your readers. Some white
papers are written for the general public while others are written to be read by special interest groups. For example, a white paper on a proposal modifying surgical
reimbursement rates for Medicare would probably have a very high readership amongst physicians and a relatively low readership by the general public. Once you have
identified your likely audience then it becomes possible to think of some of the objections they may raise to the proposal. In summary, for step 2 you describe your
proposal, explain its’ good points, identify your audience and describe some of the objections that might arise from the target audience.
Step 3 (Choosing the correct type of analysis):
This is where you justify your proposal. Your analysis needs to convince the audience on the merits of the proposal. To do this, you need to have an analysis
technique. The good news is that you were doing this throughout the course. However, you need to consider what technique to use. Is there one type of analysis that is
best suited for your proposal? To answer this let us for the moment consider the following two questions:
“The Problem” “The Proposal” “The Proposal’s Intended Effect”
How you answer these two questions will tell you which analysis tool is best suited for your paper.
Q1) The proposal is an Q2) The proposal is a Type of Analysis
effective solution desirable solution best suited
certain uncertain Policy Analysis
uncertain uncertain Root Cause Analysis
uncertain certain SWOT analysis
You will notice that cells for Q1) certain and Q2) certain are not given as an option in the table. That only makes sense because if the answer to both questions were
certain, then you would probably not need to be issuing a white paper because you would not have to be convincing anyone about the merits of a
proposal. Also, keep in mind that “in life”, such certainty is rarely achieved.
In summary for step three, you will need to answer both of these questions and most importantly give your rational as to why you were either certain or uncertain. If
you need to, you can look back onto the earlier assignment where concepts of validity were presented.
Step 4: (perform the analysis)
You then need to perform the analysis. If you need to review how to do them, look back to your earlier assignments in this workbook.
Step 5 (Your conclusions):
This is where you supply your closing arguments that support the proposal and explain why the benefits of the proposal outweigh the objections.
Is there anything else you need to do? Yes, you need to create a title page. Also, don’t forget to include a separate abstract page. A good abstract includes the key
points for each section of the paper. The paper needs to be written using APA style including the references which should also be included as a separate page.
One problem with the US health care system is that the cost of care is very expensive. As a proposal, do you think that Americans would be willing to go overseas to
purchase and pay for affordable health care outside the United States? (Look up Medical Tourism on the internet)
Title:
Target Audience: People who potentially need to pay for their own health care (for example the uninsured, the underinsured, those that are denied insurance coverage
for pr existing conditions).
Step 1-Problem – The cost of health care in the United States is very expensive
Potential talking points as to why it is expensive:
Litigation Defensive Medicine (include references in support of points)
Technology Intensive Labor Intensive
Market Based Not all Americans have insurance
Step 2-Proposal – Having people go overseas to purchase and pay for affordable health care.
Potential talking points:
Pros: Cons:
Significant savings (80%) Questionable certification and licensure
Affordable even w/o health insurance Limited malpractice recourse
Health care may be comparable Stress of travel when recuperating
Services are readily available How are complications handled
Some possible objections from the target audience:
Step 3- What Analysis should I use?
Q1) is proposal effective? I am Uncertain because although the care would be available many people may be hesitant to use it.
Q2) is proposal desirable? I am Uncertain because there are a number of risks that the individual has little or no control over.
Q1) The proposal is an Q2) The proposal is a Type of Analysis
effective solution desirable solution best suited
certain uncertain Policy Analysis
uncertain uncertain Root Cause Analysis
uncertain certain SWOT analysis
Step 4- Performing the Analysis:
Referring to the chart in this case, a Root Cause Analysis is the best suited analysis.
Root Cause Analysis – 5 whys technique – (this is only an outline. In the assignment each of these “whys” would be fully developed and in this case, I have reduced the
5 whys to three in order to be a bit efficient)
Why is it that many Americans do not have access to cost effective health care?
US health care is expensive and not all Americans are eligible for insurance coverage, it is market decision to buy insurance, there is no obligation to own insurance.
Most insurance is employer based,
Without an obligation to own insurance, why is it that many Americans do not have health insurance ?
2-Insurance is expensive and not always available Small employers do not always provide insurance, not all Americans are employed, and some people who have
insurance have pre-existing conditions that are not covered. There is no national insurance program to cover the uninsured
Why is there no national insurance program? Americans do not like compulsory programs, preferring individual responsibility and market solutions to big government
programs (from Management 1)- Root Cause
Step 5-Conclusion:
Having people go overseas to purchase and pay for affordable health care appears to be a feasible solution as it is consistent with what I determined is the root cause
of the problem – American beliefs of self reliance, market based solutions, individual empowerment, and a general suspicion of large government “handout” programs.
The proposal empowers individuals to exercise their self judgment and:
• Make their own personal decisions (based upon market factors such as the cost of care and their personal financial resources) and
• Seek, as an individual, affordable health care and
• Requires that the individual demonstrate a degree of individual responsibility and become aware of the potential negative effects.
• Does not involve government programs that can intrude into personal decisions.
With appropriate inquiry, an individual could weigh those risks, compare them to their medical needs, allocate their personal financial resources and decide for
themselves whether this is an acceptable solution. Therefore this proposal represents a practical solution for accessing health care.
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