Masters Healthcare Paper

The role of government in the health care system


The ROE V. Swim case has involved a complex interaction of legal flexibilities that incorporates economic, social, religious, political and ethical factors in the subject of abortion of premature fetus removal. The role and processes of the health care system has also caused massive debate and difficulty in synchronizing the nursing and health objectives with the multidimensional considerations that go into the area of premature birth (Milstead, 2016).


The subject of abortion is highly restrictive with even more proposals being made to inhibit the process of premature birth. However, this approach mostly humanizes the fetus by dehumanizing the mother and completely ignoring the individual, religious, cultural or social considerations that undoubtedly constitute this process. The legislation of abortion matters is highly politicized, making it extremely difficult to legally enforce legal adjustments in support of this policy (Wennberg, 1985). It would thus seem more effective to push forward this agenda through a civil action route in combination with legal reform (Schoen, 2015).

It is evident that the pro-choice campaigns have majorly been losing in their reform campaigns due to the high influence of politics on the issue. It thus seems unlikely that legal reforms could have the desired impact after years of pro-life campaigns passing their own reforms. The goal of this policy is thus to humanize the women and promote human dignity in the process of pregnancy and abortion (Flavin,2009). The complete elimination of choice thus significantly infringes on the basic civil rights of these women and places an extreme hierarchy on the importance of life. More importantly is the role and performance of nurses in these cases despite their personal or institutional principles in the matter. The health system thus needs to be reformed with a focus of making the process of nursing and health care independent of any political alignments in the issue of premature birth. Different women in different situation must thus be handled in accordance with their specific needs and without prejudice.

While abortion is legal to different extents in all 50 American states, statutory regulation continues to hinder the flexibility with which it is carried out. Some of these hindering strategies include laws on parental involvement mandates, expensive ambulatory abortion services, extremely long waiting periods and bias counseling. These laws then impose criminal charges and consequences on health professionals who may fail to comply (Milstead, 2016). This law has continuously eliminated the involvement and participation of health providers even though they are better placed to individually access different cases. Nurses and doctors are thus unable to efficiently perform their tasks and main goals to the care and wellbeing of their patients. In extension, such feelings also negatively affect patient-nurse relationships and communications even in these abortion processes (Flavin, 2009).

Advocacy lobbying is based on three foundational elements: professional, grassroots and monetary lobbying. The nursing and health sector uses high budgets in its operation and advocacy objectives. Undeniably, money is very influential in politics and must not be dismissed. Equally, this advocacy must seek to utilize the advocacy budgets and ensure that the campaigns are strongly funded within the sector. Secondly, professional lobbyists are severely important in any comprehensive advocacy campaign (Weingarten, 2014). It is important to work in collaboration with professional lobbying groups that are better equipped to navigate the legal, bureaucratic, ethical and societal components of advocacy. Finally, grassroots lobbying would be a strong instrument of advocating for this policy especially through the involvement of health professionals who tend to feel threatened in abortion matters (Weingarten, 2014). Systematic and considerate involvement of media and publications serve as essential methods of gaining more exposure and covering more ground (Weingarten, 2014).


Flavin, J. (2009). Our Bodies, Our Crimes: The Policing of Women’s Reproductin in America. New York: New York University Press.

Milstead, J. (2016). Health policy and politics: A nurse’s guide (5th ed.). Burlington, MA: Jones and Bartlett Publishers.

Schoen, J. (2015). Abortion after Roe. Chapel Hill: University of North Carolina Press.

Weingarten, K. (2014). Abortion in the American Imagination: Before Life and Choice,1880-1940. New Brunswick: Rutgers University Press.

Wennberg, R. (1985). Life in the Balance: Exploring the Abortion Controversy. Grand Rapids: Eerdmans.

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