Becoming Influential Essay Example | Topics and Well Written Essays - 1000 words

Becoming Influential - Essay Example Second, this could mean lower-cost and in-time PHC delivery to a broader population. Third, it will remove or at least lessen the legal barriers, caused by different state laws that hinder APNs to provide PHC (Hansen-Turton et al., 2010; Safriet, 2011). Lastly, it will give the nursing profession the due recognition that has long been denied of it. As such, I hope; my message will accomplish three things: First, it will convince our policy makers address the legal barrier that only they can resolve in order to make the Affordable Care Act truly realizable. Second, it will allay lingering fears among the general public regarding APNs’ competence and reliability as PHC providers. Lastly, it will challenge APNs to continue improving and loving their profession in order to achieve the respect and recognition they long sought for. Deciding on How to Share My Message Being an ordinary nurse, I don’t think that sending a personal letter to President Obama or anyone in the US C ongress will be influential. I believe that using the social media will be the best thing I can do to make my message most influential. I know that I am not the only one who believes that APNs should be given a wider role in the provision of PHC. Other APNs share the same belief as demonstrated by the lobbying of the American Nurses Association (Appleby, 2013). However, if lobbying for this will involve only the nursing profession, this may be perceived as self-serving. It is therefore important to get involved in this fight those who are at the receiving end of the USHCS. The time for this is right, as the recent study by the Association of American Medical Colleges' Center for Workforce Studies reveals that more people, especially the younger ones (aged 18-34 years old), prefer nurse practitioners or physician assistant (Kliff, 2013). Hence, I will appeal to these people to help APNs convince the President and the Congress to once and for all settle this legal barrier for APNs to become PHC providers. I know that the medical community, especially those who are used to the traditional physician-nurse hierarchy will speak against the competence of APNs to do this job. Yet more than this, I still believe that reason supported by empirical evidence will prove that APN-delivered care are actually at par with physician-delivered care in terms of safety and quality (O’Grady, 2008). My Message From this assignment I learned three sad realities. First, transforming the USHCS is truly difficult, because it is marred with vested interests from various stakeholders. Second, commitment and competence of APNs are not enough to ensure the provision of quality healthcare to a broader public due to legal barriers. Lastly, the important role the APNs consistently play in the delivery of safe and quality healthcare remains undervalued and unrecognized within and outside the medical community until today. This is despite the many empirical evidences affirming the equal c ompetence and reliability of APNs and despite their heightened qualifications, training, and experiences. These happen because nurses tend not to get involved

Rawls's Theory of Distributive Justice Essay Example | Topics and Well Written Essays - 1250 words

Rawls's Theory of Distributive Justice - Essay Example Rawls’s theory has an historical root from social contract tradition that is associated with Thomas John Locke and Jean-Jacques Rousseau. Traditional social contract theory addresses a state of nature that describes the content of a social contract which is an agreement to enter civil society. Distributive justice deals with the questions of distribution of liberties, wealth, and income (Rawls, 2003) According to Rawls there are two principles that are supposed to govern the basic makeup of a just society are the parties to the original position: an imaginary circumstance which specially constructed by a rational individual. The principles are (a) the principle of equal liberty and social justice where each individual has equal claim to adequate basic rights and liberties. In this system there are equal political liberties with guaranteed fair share. (b) The difference principle: there are social and economic inequalities that are attached to positions which are open to all un der conditions of equal opportunity, and they are to benefit even the least advantaged member in the society (Rawls, 2003). According to this principle, an inequality can benefit the person who gets the smaller share. Inequalities can form incentives which increase the size to shared, so that the smaller piece may be larger in absolute terms. The difference principle deals with strict equality under circumstances where differences in income and other rewards do not affect the incentives of an individual. On the other hand, in the real world currently, greater rewards bring forth greater productive effort, thus increasing the total wealth of the economy and therefore the wealth of the least advantaged (Rawls, 2003). Rawls argues that if the skilled and motivated increase their rewards then the poor will benefit than they would have been through equal allocation of income. He also realizes that redistribution cannot go as far as his moral preference for equality without making everyon e worse off. He argues for inheritance taxes because unregulated transfer of wealth through generation would end up in the accumulation of wealth in given section of society. According to Rawls, individuals who are not lucky enough to have wealthy parents do not have worse starting points than those who were so fortunate. He contends that society should tax the wealthy with the undeserved inherited gain of children of rich persons (Gerald, 1999). According to Rawls such a system of justice will limit the unfair resources and encourage the redistribution which will favor the disadvantaged. For Rawls it is unfair to leave the disadvantaged in no better position than before, even if the inequality does not harm them. In this way he emphasized the distribution type of justice which favored equal distribution of basic commodities like income and wealth. Practically, it implies that in difference principle, the society must distribute wealth up to the extent that the wealth of the most di sadvantaged is improved. In essence the society must tax and reallocate wealth of wealthy individual to the point where their incentive to generate more just fade away. Rawls describes his theory as political because it does not depend on assumptions that are usually unclear to rational citizens in a pluralistic society. He argues that justice require equality as it complies where everyone has fair equal rights and liberties. To Rawls disagreements are resolved on the basis of prior agreement