The Impact of Healthcare Reform on Nursing Practitioners

Table of Contents


Reforms are necessary for the improvement of the healthcare system. They affect all the stakeholders in the system, including patients, hospital management, and various medical professionals. The drastic changes in the healthcare system can have beneficial and detrimental effects on all the parties involved. Nurses can be significantly affected by reforms as they work at the forefront of the system. This paper will discuss the upcoming healthcare reform and whether it will benefit nursing practitioners.

Healthcare Reform Proposals

Before assessing the benefits and drawbacks of healthcare reform for the nurses, it is necessary to discuss the existing proposals and their key points. Several leading healthcare reform schemes are being discussed at the moment. They include Medicare for All, changes to the Accountable Care Act, implementing a single-payer system, and utilizing market forces (Buerhaus, 2020). Medicare for All is the core proposal that will propel the reform if it is implemented.

Politicians widely support it, and some of its elements will likely be employed (Levitt, 2019). The proposal will provide all the residents with an option to choose a publicly sponsored insurance (Levitt, 2019). It will be of great benefit for many residents who cannot afford a private insurance plan.

Other significant proposals include installing a single-payer system and, contrastingly, stimulating competition between different health insurance providers. If the first proposal is utilized, the government will assume all financial responsibility for healthcare services (Buerhaus, 2020). It will likely result in the elimination of private insurance plans. It also threatens the eradication of federal and state care delivery programs (Buerhaus, 2020).

On the other hand, stimulating competition can positively affect the quality of care and lead to improvements in the distribution and delivery of medical care through competition among providers (Buerhaus, 2020). Overall, all the proposals mentioned above will significantly impact all medical professionals, the structure of organizations they work in, and their remuneration.

Reform Proposals Potential Effects on Nursing Practitioners

The proposed healthcare reforms can be advantageous for licensed nurses. It is essential to note that nursing practitioners have many areas of responsibility beyond patient care within a hospital environment. They are accountable for the care the patients receive, make choices about hospital resources and their use, and often act as a link to between the patients and other medical professionals (Buerhaus, 2020). Therefore, the proposed reforms will inevitably have a meaningful impact on the nurses’ day-to-day duties. The changes will also affect how they deliver care to their patients and can result in the expansion of their responsibilities.

The exact effects of the planned reform in nursing practitioners are unclear as there are many conflicting proposals. Thus, stimulating competition among the insurance providers will not have the same effect on the system and its stakeholders as the pivot to a single-payer system. The former can lead to nurses being allowed to provide primary care for their patients. The upcoming reform will put more emphasis on them and what they can do for their patients.

The Affordable Care Act resulted in numerous people being able to gain access to healthcare (Bernazzani, 2016). It also emphasized and exacerbated the shortage of qualified physicians (Bernazzani, 2016). It can be argued that as more and more people gain access to healthcare, the shortage of qualified medical professionals can lead to adverse outcomes. Personally, I have experience of waiting for a physician for a long time when a nurse could have easily performed the procedure. As they have extensive training, nurses can deliver the same quality of care as trained physicians (Bernazzani, 2016). However, many restrictions prevent them from providing the increasingly in-demand primary care.

The upcoming healthcare reform may present a solution to the increasing demand for qualified primary care providers. Suppose the single-payer proposal is rejected, and the competition between various insurance plans is boosted. In that case, it can lead to an even higher demand for medical staff who can deliver high-quality care.

According to Buerhaus (2020), several government departments developed the document that proposes and explains the need to eliminate state restrictions on the nursing practice and allow them to work on the same level as physicians. Thus, the greater competition between healthcare and medical insurance organizations can lead to nurses having a new set of responsibilities.

It is unclear how changes in the system will affect the remuneration of medical professionals. If the restrictions that prevent nurses from providing primary care are lifted, there should be financial incentives. Private insurance companies will be able to pay for the patients’ treatment. Thus, there should be no barrier to reimbursement of nursing practitioners at the same rate as physicians. However, if Medicare for All is employed, there can be certain financial difficulties.

Medicare payments “reimburse at amounts that are less than provider costs” (Buerhaus, 2020, p. 62). It potentially can lead to healthcare providers losing money and not being able to remunerate some of its staff, leading to understaffing. Overall, it is crucial to establish how the proposed healthcare reform will be financed and how it will affect the medical staff’s remuneration.


In conclusion, several reform proposals are being discussed at the moment. The reforms will significantly impact all the stakeholders in the healthcare system, including the nursing practitioners. There is a possibility of nurses being allowed to deliver primary care to their patients and have the same area of responsibility as qualified physicians. Depending on what proposals are supported, there will be significant differences in the way nurses are remunerated. It is essential to discuss the financial compensation of medical professionals before the approval of the reform.


Bernazzani, S. (2016). AJMC. Web.

Buerhaus, P. I. (2020). Demystifying national healthcare reform proposals: Implications for nurses. Nursing Economic$, 38(2), 58-64.

Levitt, L. (2019). Medicare for All or Medicare for More? JAMA, 322(1), 16-17.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Online Academic Experts
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
English 101
thank you for the excellent work
Customer 452883, October 29th, 2021
Business Studies
Customer 452985, November 11th, 2021
Thank you. No issues
Customer 453139, April 17th, 2022
Don't really see any of sources I provided, but elsewise its great, thank you!
Customer 452697, May 8th, 2021
Came in as promissed. Good paper.
Customer 453027, January 6th, 2022
English 101
great summery in terms of the time given. it lacks a bit of clarity but otherwise perfect.
Customer 452747, June 9th, 2021
Professions and Applied Sciences
Thanks. This helps a lot. Was a bit late but some cushion was given.
Customer 453015, February 10th, 2022
Business Studies
Thank you very much for a good job done and a quick turn around time.
Customer 452615, March 31st, 2021
It was gotten well after time I needed to make needed additions, but it is something that did help me. I could not get the concept of ho to start such a project but now reading this, I was over thinking the project it seems.
Customer 452801, July 19th, 2021
Business Studies
Paper is great. Just only needed the one reference. Thank you
Customer 453139, May 4th, 2022
Impressive writing
Customer 452547, February 6th, 2021
Very fast response and did a excellent job.
Customer 453201, May 31st, 2022
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp