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The policy making process is not free from politics

The policy making process is not free from politics (far from it). That is, certain groups and individuals from the public and private sectors may exert an influence on the type of legislation that emerges from the policy making process. While healthcare policy does not in itself represent the best interests of any one entity, the ultimate goal of healthcare policy should be to enhance quality, increase access, and reduce costs. Consider for example, while the implementation of the PPACA may have opened up previously inaccessible healthcare services, the new mandate also requires employers and healthcare providers to become even more cost conscious given the downward pressure on reimbursement rates and employer coverage requirements. While the mandate opened up channels for consumers of health to obtain access, it similarly inhibited certain providers to maximize the services such access could provide.

  1. Explain how employers and healthcare providers influence healthcare expenditures and the impact on population health.
  2. Explain how the government influences healthcare expenditures and the impact on population health.

Sample Solution

with Filipino fishing boats. The response to the tribunal varied, with most claimant countries issuing statements acknowledging the ruling but failing to call China to abide by it. China said the ruling was null and void, calling it a “mere scrap of paper” and saying it would not accept it “under any circumstances” (Aljazeera 2016). Taiwan, whose claims mirror that of China’s, also rejected the ruling, reiterating its sovereignty claim. In contrast to this, extra-regional powers including the U.S., Japan, Australia and many EU countries said that the ruling was legally binding and should be followed by both countries (Storey 2016). According to international law, the ruling is binding on both parties and cannot be appealed, but in practice there is no way to enforce such a ruling. Since the tribunal, the legal legitimacy that backs the Philippines’ position has slowly waned to the ever-increasing reality of Chinese militarization. China’s advance continues amidst U.S. countermeasures such as FONOPs, and although the Chinese claim may not hold legal integrity, China’s influence in the region has allowed it to largely overlook the tribunal’s ruling. From a diplomatic perspective, attempts to call China to follow the ruling have failed, largely discrediting international law. Other possible diplomatic attempts to impose the tribunal ruling (or parts of it) could come through the warming of relations and the building of a multilateral framework between China and ASEAN. Many ASEAN countries in the region a hope to establish a set of rules that are “legally binding, meaningful, effective and consistent with international law” (Reuters 2017). This would ensure the stability of the region and the prevent escalating conflict. Observing nations place their hope in the long awaited SCS Code of Conduct that China and ten ASEAN members are trying to negotiate. Initially signed in 2002, the ASEAN-China Declaration on the Conduct of Parties in the South China Sea (DOC
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