Healthcare Delivery Systems & Resource Utilization

analyze health policy by examining the influence of stakeholders and special interest groups in constructing alternatives to address the issue.

Instructions:

Complete the learning activities for this module.

Create a discussion post that includes the following:

Use your selected health policy problem and the proposed legislation addressing the selected issue from Module 1.
Identify stakeholders that are affected by the issue and also those who will be impacted by the selected legislation.
Propose special interest groups that may be interested in the problem and how they may serve as allies or opponents to the legislation.

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Sample Answer

 

 

 

Analyzing Stakeholder Influence on a Health Policy Issue: High Cost of Prescription Drugs

Selected Health Policy Problem:

High cost of prescription drugs in the United States is a major public health concern. This issue impacts millions of Americans who struggle to afford their medications, leading to non-adherence and potential health complications.

Proposed Legislation:

The proposed legislation might be a bill allowing Medicare to negotiate drug prices directly with pharmaceutical companies. This approach aims to lower drug costs for Medicare beneficiaries and potentially influence prices for other consumers.

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Stakeholders:

  • Patients: Individuals who rely on prescription drugs for their health and well-being. They would likely be strong supporters of legislation that lowers drug prices.
  • Pharmaceutical Companies: Drug manufacturers have a financial interest in maintaining high profit margins. They would likely oppose legislation that reduces their pricing power.
  • Insurance Companies: Depending on the structure of the legislation, insurers could benefit from lower drug costs through negotiated prices. However, they might also face pressure to adjust premiums if patient cost-sharing increases.
  • Physicians: Doctors may be concerned about potential limitations on which medications they can prescribe due to cost considerations. However, they would likely support measures that improve patient adherence to essential medications.
  • Government: The government has a vested interest in controlling healthcare costs and ensuring affordability for its programs like Medicare.

Special Interest Groups:

  • AARP (American Association of Retired Persons): Represents a large population of Medicare beneficiaries who would likely support legislation that lowers drug costs. They could be a powerful ally in advocating for the legislation.
  • PhRMA (Pharmaceutical Researchers and Manufacturers of America): This industry group would likely lobby against the legislation, arguing that it hinders innovation and research funding from pharmaceutical companies.
  • Consumer Advocacy Groups: Organizations focused on patient rights and healthcare affordability would likely support the legislation. They could help mobilize patients and raise public awareness about the issue.

Analysis:

The proposed legislation is likely to face strong opposition from the pharmaceutical industry and its lobbyists. However, by building a coalition with patient advocacy groups and organizations representing Medicare beneficiaries, proponents can create a powerful counterforce. Physicians and even some insurance companies might be swayed to support the legislation if it allows for flexibility in treatment options while achieving cost savings.

Discussion Prompts:

  • What are some potential unintended consequences of the proposed legislation?
  • How could policymakers effectively address the concerns of all stakeholders involved?
  • What other policy alternatives could be considered to address the high cost of prescription drugs?

By considering the influence of stakeholders and special interest groups, we can gain a deeper understanding of the challenges and opportunities associated with enacting health policy changes.

 

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