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Discussion postHealth care costs

Healthcare industry do to restore public confidence DQ

Two questions, and the first is empirical. Whether the public view is accurate has an answer in the spending data, and the confidence question depends on which way that answer goes.

Editorial process

Last reviewed · August 25, 2026

01

The first question is empirical, so answer it that way

Is this view accurate is a question with data behind it, and skipping to the confidence half concedes the interesting part. The United States spends far more per person on health care than comparable countries without correspondingly better population outcomes, so on the aggregate the public perception is broadly right. But the prompt attributes the perception to a specific behaviour, refusal to discount premiums or charges, and that is where the picture gets more complicated and more interesting. Chargemaster prices are not what most payers actually pay, negotiated commercial rates are frequently confidential, and the patients most likely to face the undiscounted price are the uninsured and the out-of-network, which is to say the people least able to absorb it. So the perception is accurate in aggregate and mis-specified in mechanism. That is a useful sentence to reach early, because it decides which remedies the second half of the post should propose.

That distinction gives the second half something to work with, because a confidence problem caused by opacity has different remedies from one caused by price level. Price transparency rules, published negotiated rates, financial assistance policies applied before collection rather than after, and a bill a patient can predict before the encounter all address the opacity, and they are within an organisation's control in a way that national spending is not. Be careful not to argue the industry only has a communication problem, though, since administrative costs and prices are genuinely higher here and a post that explains the public is merely confused will read as defensive. The strongest position acknowledges both: the level is a real problem largely set outside any single organisation, and the opacity is a real problem that individual organisations create and could stop creating. Holding both halves is what makes the post read as an assessment rather than as advocacy for one side.

Likely learning objectives

  • Test a public perception against spending and outcome data.
  • Distinguish charges from negotiated rates and from what patients pay.
  • Separate a price-level problem from a price-opacity problem.
  • Propose remedies at the level the organisation actually controls.

Assignment instructions

Read the full question

Review every instruction before using the planning guidance that follows.

Despite significant pressure, some insurance companies, Healthcare organizations and physicians have refused to discount their premiums or charges. Because of this, the public and those who represent the public, such as legislators, consumer groups, and patients, have concluded that Healthcare expenses in the U.S. are outrageous. Is this view accurate? What can the Healthcare industry do to restore public confidence? Support your argument with reference to one or more articles from the Wall Street Journal or other credible Healthcare publication You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Healthcare industry do to restore public confidence DQ Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

Course-wide instructions that accompany this question

ADDITIONAL INSTRUCTIONS FOR THE CLASS Discussion Questions (DQ) Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Weekly Participation Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. APA Format and Writing Quality Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. Use of Direct Quotes I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. LopesWrite Policy For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Late Policy The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Communication Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Healthcare industry do to restore public confidence DQ

02

What this discussion asks for

  1. 01An answer to whether the public view of US healthcare expenses is accurate.
  2. 02Proposals for what the healthcare industry can do to restore public confidence.
  3. 03An argument supported by reference to one or more articles from the Wall Street Journal or another credible healthcare publication.
03

Test the perception, then propose

01

What the spending data show

Report per-capita spending and outcomes against comparable countries.

What the assessor is likely looking for

Figures rather than characterisation.

02

Charges, rates and what patients pay

Explain the three different numbers and who faces each.

What the assessor is likely looking for

The distinction made precisely.

03

Why the perception took hold

Connect the prompt's refusal-to-discount framing to patient experience.

What the assessor is likely looking for

The perception explained rather than dismissed.

04

Where the industry is genuinely responsible

Identify opacity, billing practice and collection as organisational choices.

What the assessor is likely looking for

Responsibility located accurately.

05

Remedies within reach

Propose transparency, predictable billing and assistance applied upfront.

What the assessor is likely looking for

Actionable at organisation level.

06

What would count as restored confidence

Name a measure, such as surprise billing rates or trust survey data.

What the assessor is likely looking for

An evaluable claim.

04

Where the cost and price data sit

Recommended databases

  • KFF
  • CMS
  • PubMed Central
  • Wall Street Journal or comparable

Search sequence

  1. 1.Pull comparative per-capita spending and outcome figures.
  2. 2.Read the hospital price transparency requirements to see what is already mandated.
  3. 3.Find reporting on surprise billing or collection practice for the patient-facing evidence.
  4. 4.Look up consumer survey data on trust and cost.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Hospital Price Transparency

Centers for Medicare & Medicaid Services · 2024

Review before citing

Hospital price transparency, for what organisations are already required to publish.

06

Before you post

Common mistakes

  • Skipping the accuracy question and going straight to remedies.
  • Treating list charges as the prices patients or payers actually pay.
  • Arguing the public is simply misinformed.
  • Proposing national policy changes as if an organisation could enact them.
  • Supporting the argument with opinion rather than the required publication.

Submission checklist

  • Is the accuracy question answered with data?
  • Are charges, negotiated rates and patient liability distinguished?
  • Are level and opacity treated as separate problems?
  • Are the remedies within an organisation's control?
  • Is a credible publication cited as the brief requires?

Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.

Written by

Maren Caldwell

MSN, RN, CNE

Medical-surgical nursing, pharmacology and NCLEX preparation

Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by

Dr. Tessa Redmond

DNP, RN, CNE

Evidence-based practice and clinical education

Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.

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