The influence of poverty on health is a problem that transcends national borders. This week’s readings discussed some of the political, economic, and ethical issues that lead to health disparities in developed and developing countries. In addition, in this week’s first media presentation, Dr. Mancuso and Dr. Huijer shared insights on working within political systems to bring about positive changes in health care. Think about the importance of nurses in addressing these needs and in bringing about change.
To prepare for this Discussion:
- Review the case study “Improving the Health of the Poor in Mexico.” Then, prepare your response to the following questions:
- In general, how do politics and economics influence health and health care
- What might the benefits be of awarding the mothers cash grants as described in the case study?
- What ethical dilemmas or social problems might be created by giving the mothers cash grants as described in the case study?
- As described in the case study, do you think the resources were ethically distributed? (Think about stereotyping.)
- If the Progresa/Oportunidades program were to be discontinued for any reason, what could you, as a nurse, say that might help to maintain funding?
- Do you think a similar program, one like the Progresa/Oportunidades program, might work in your community? Why or why not?
Support your response with references from the professional nursing literature.
Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).
Expert Solution Preview
Introduction:
The relationship between poverty, politics, economics, and healthcare is complex and has significant implications for global health. Nurses have an important role to play in addressing health disparities within their communities and advocating for positive changes in healthcare systems. In this discussion, we will explore the case study “Improving the Health of the Poor in Mexico” and consider the role of nurses in addressing the health needs of vulnerable populations.
1. In general, how do politics and economics influence health and healthcare?
Politics and economics play a crucial role in shaping healthcare services and determining access to care. Healthcare policies and funding decisions made by governments can have a significant impact on the availability and quality of healthcare services. Economic factors such as poverty and income inequality can also affect healthcare outcomes, as individuals living in poverty may have limited access to healthcare services and resources. Additionally, political and economic factors can contribute to health disparities, particularly in vulnerable populations.
2. What might the benefits be of awarding the mothers cash grants as described in the case study?
The provision of cash grants to mothers in the case study can have several benefits for improving the health of the poor in Mexico. Firstly, cash grants can provide financial support to mothers and their families, which can be used to purchase basic necessities such as food, clothing, and shelter. This support can help alleviate the burden of poverty and provide a buffer against economic shocks. Secondly, cash grants can improve access to healthcare services as families now have the financial means to pay for healthcare services and medications. Lastly, cash grants can incentivize families to invest in the long-term health and well-being of their children, such as nutrition and education.
3. What ethical dilemmas or social problems might be created by giving the mothers cash grants as described in the case study?
One ethical dilemma that may arise from providing cash grants to mothers is the potential for community resentment or perceptions of unfairness. For example, some community members may believe that the provision of cash grants favors certain families or individuals, leading to feelings of exclusion or inequality. Additionally, there is a risk that cash grants may perpetuate dependency or encourage reliance on external assistance rather than supporting self-reliance.
4. As described in the case study, do you think the resources were ethically distributed? (Think about stereotyping.)
It is challenging to determine whether the resources were ethically distributed solely based on the case study. In general, while the provision of cash grants can have benefits, distribution must be conducted in a manner that is equitable and non-discriminatory. Ethical considerations must also be taken into account, such as respecting the dignity and autonomy of the recipients and ensuring that the provision of cash grants does not perpetuate biased attitudes or stereotypes.
5. If the Progresa/Oportunidades program were to be discontinued for any reason, what could you, as a nurse, say that might help to maintain funding?
As a nurse, I would emphasize the importance of the Progresa/Oportunidades program in improving the health and well-being of vulnerable populations. I would highlight the program’s positive impact on maternal and child health outcomes, demonstrating the effectiveness of cash grants in supporting families to access healthcare services and meet basic needs. I would also emphasize the economic benefits of the program, including its potential to reduce the burden of poverty and promote overall economic growth.
6. Do you think a similar program, one like the Progresa/Oportunidades program, might work in your community? Why or why not?
The potential success of a similar program in my community would depend on a range of factors, including the prevalence of poverty, economic conditions, and the availability of healthcare services. If these factors align favorably, such a program could be effective in improving the health and well-being of vulnerable populations by providing financial support for healthcare and basic needs. However, it is important to consider the unique cultural and social factors that may impact the success of such a program in a different community. Nurses have a role to play in advocating for evidence-based policies tailored to the specific needs of their communities.
