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NHS FPX 6008 Assessment 4 Lobbying for Change

NHS FPX 6008 Assessment 4 Lobbying for Change

Student Name

Capella University

NHS-FPX 6008 Economics and Decision Making in Health Care

Professor Name


Lobbying for Change

September 2023

Kenneth A. Scheppke

Deputy Secretary for Health, Florida Department of Health

4052 Bald Cypress Way

Tallahassee, FL 32399

Dear Kenneth, 

With due respect, I am writing this letter to highlight a significant healthcare economic issue of limited healthcare access impacting Tampa General Hospital and public individuals in Florida. Limited access to healthcare is a global issue, as per the World Health Organization, where half of the world suffers from inadequate healthcare and medical access (World Health Organization, n.d.). This issue leads to deteriorating health outcomes and burdens the state’s economy through increased healthcare costs and potential loss of workforce productivity. The ramifications of this problem are multifaceted, notably affecting the underserved, rural, low-socioeconomic, and disabled population (Blumenthal et al., 2020).

The low-income community, in particular, has been primarily deprived of essential medical and health services due to prohibitive costs and their inability to afford them—such deprivation results in poor management of chronic diseases. Additionally, disabled populations face physical barriers that hinder their access to timely and appropriate care. The challenge amplifies for the geographically dispersed communities in Florida due to location constraints, which lead to delayed treatments, further aggravated by associated travelling expenses. I am bringing this healthcare economic issue to your concern as it extends its impact to the broader population of Florida, and your vital role is required to address the concern. Addressing this healthcare economic issue through strategic planning and resource allocation can significantly improve health outcomes for the broader Florida population.

NHS FPX 6008 Assessment 4 Lobbying for Change

These outcomes include better management of chronic diseases and timely prevention and treatment of contagious diseases (Oleribe et al., 2019). Furthermore, reduced health disparities among low-socioeconomic and demographic groups will promote health equity. The resulting inequitable distribution of resources minimized health disparities among the marginalized, underserved, and diverse socio-economic communities. Consequently, healthcare costs are reduced due to the prevention of misdiagnoses and immediate interventions (McMaughan et al., 2020). Contrary to this, not addressing the concern may further aggravate the healthcare costs for communities related to exacerbated health conditions and for healthcare organizations because of overburdened healthcare departments. Subsequently, the quality of care is impacted, declining quality of life and may lead to increased mortality (Kaye, 2020). 

The research underscores that socioeconomically disadvantaged individuals and those with disabilities experience compromised health outcomes due to limited healthcare access (McMaughan et al., 2020). Specifically, these individuals tend to suffer from preventable illnesses, and their aging process is detrimentally affected (Doherty et al., 2020). At the institutional level, healthcare providers often grapple with overburdened systems due to late-stage presentations of illnesses resulting from an initial lack of access. The local community witnesses this as delayed treatment for acute conditions and inconsistent management of chronic diseases, exacerbating health problems further. On a state and national scale, limited healthcare access affects public health and results in economic downturns due to diminished workforce productivity.

NHS FPX 6008 Assessment 4 Lobbying for Change

It is crucial to recognize the ethical aspect of promoting health equity. This involves ensuring that vulnerable populations like the homeless, migrants, and the disabled receive timely and appropriate healthcare. Doing so can diminish health disparities and move toward social justice (Núñez et al., 2021). Geographical barriers further intensify this issue. Many, especially in remote areas, cannot access healthcare facilities promptly due to vast distances. Innovative solutions, like optimizing transport or mobile health clinics, can alleviate these challenges (Weiss et al., 2020). A beacon of hope in addressing this is telehealth. Leveraging this technology does not only provide care remotely but also champions cultural sensitivity. Through platforms that respect and understand patient diversity, healthcare providers can deliver tailored care that adheres to the highest ethical standards, especially in rural communities (Struminger & Arora, 2019).

From personal experiences witnessing the effects of limited healthcare access, I have prioritized resources for community outreach and mobile clinics. During my professional tenure at the hospital, I noticed a trend in late-stage illnesses due to delayed care, prompting me to focus on understanding the entry barriers patients encounter. As a mitigation strategy, I have proposed resource shifts to improve early diagnosis and preventive care as a mitigation strategy. On an organizational level, our hospital’s annual patient feedback survey highlighted transportation as a significant barrier.

In our resource planning, we have begun collaborating with local transportation services and considering telehealth integrations to counter this challenge. These profoundly ingrained experiences have become a cornerstone of my resource planning and risk analysis approach. By witnessing the adverse outcomes of delayed healthcare access, I have been propelled to advocate for resource reallocation, risk management, and community engagement. Therefore, I request that you take immediate action on this significant healthcare economic issue. Addressing this issue will not only make healthcare accessible to all but will also uphold the principles of social justice in healthcare. This effort promises a healthier, more inclusive community.

Yours sincerely,


Blumenthal, D., Fowler, E. J., Abrams, M., & Collins, S. R. (2020). Covid-19 — implications for the health care system. New England Journal of Medicine, 383(15).

Doherty, A. J., Atherton, H., Boland, P., Hastings, R. P., Hives, L., Hood, K., James-Jenkinson, L., Leavey, R., Randell, L., Reed, J., Taggart, L., Wilson, N., & Chauhan, U. (2020). Barriers and facilitators to primary health care for people with intellectual disabilities and/or Autism: An integrative review. BJGP Open, 4(3). 

Kaye, A. (2020). Economic impact of covid-19 pandemic on health care facilities and systems: International perspectives. Best Practice & Research Clinical Anaesthesiology, 35(3).

McMaughan, D. J., Oloruntoba, O., & Smith, M. L. (2020). Socioeconomic status and access to healthcare: Interrelated drivers for healthy aging. Frontiers in Public Health, 8(231). 

NHS FPX 6008 Assessment 4 Lobbying for Change

Núñez, A., Sreeganga, S. D., & Ramaprasad, A. (2021). Access to healthcare during COVID-19. International Journal of Environmental Research and Public Health, 18(6), 2980.

Oleribe, O. E., Momoh, J., Uzochukwu, B. S., Mbofana, F., Adebiyi, A., Barbera, T., Williams, R., & Taylor Robinson, S. D. (2019). Identifying key challenges facing healthcare systems in Africa and potential solutions. International Journal of General Medicine, 12(1), 395–403.  

Struminger, B. B., & Arora, S. (2019). Leveraging telehealth to improve health care access in rural America: It takes more than bandwidth. Annals of Internal Medicine, 171(5), 376. 

NHS FPX 6008 Assessment 4 Lobbying for Change

Weiss, D. J., Nelson, A., Vargas-Ruiz, C. A., Gligorić, K., Bavadekar, S., Gabrilovich, E., Bertozzi-Villa, A., Rozier, J., Gibson, H. S., Shekel, T., Kamath, C., Lieber, A., Schulman, K., Shao, Y., Qarkaxhija, V., Nandi, A. K., Keddie, S. H., Rumisha, S., Amratia, P., & Arambepola, R. (2020). Global maps of travel time to healthcare facilities. Nature Medicine, 26(12), 1835–1838.

World Health Organization. (n.d.). World Bank and WHO: Half the world lacks access to essential health services, 100 million still pushed into extreme poverty because of health expenses.