This week’s blog discussion is on the private sector and its effect on policy advancement. The past few weeks have focused on the public sector and the fact that that sector is comprised of governmental organizations providing services to the general population. The private sector is however the part of the economy that is run by private individuals or groups such as businesses and so on. The private sector is influential not only in policy advancement but the innovative services offered and provided by the private sector have advanced the provision of healthcare services in a number of ways.

According to Smith, Brugha and Zwi (2001), the private sectors innovations in the delivery of healthcare are an important focus for governments because people use their services as they are often nearer and have longer hours of operation. These qualities make them more accessible though the government still has a say on standards and quality of care through healthcare policy (Kingdon, 2011).

This week there was a lobby day for the Advanced Practice Registered Nurses (APRN) in Arizona. The event was hosted by the Arizona Nurses Association (AzNA). This event and organization are an example of the private sector and its influence on public policy. The AzNA is the professional association in Arizona for registered nurses (RN) and is a member of the national organization, the American Nurses Association (ANA). AzNA works to advance the nursing profession to improve health care (aznurse.org, 2015). Though the ACA 40 hour full time employment definition bill was not on the agenda for discussion, the AzNa and its national body the ANA have been working to gather information to understand the effects that this bill would have on the nursing profession. Currently, the ANA opposes the bill and has been requesting input from nurses on how this bill would affect the profession negatively in order to forward the information to Congress (rnaction.org, 2014). This is an example of the private sectors role in the advancement of policy.

Other, private sector, nursing associations such as the Service Employees International Union’s  (SEIU) Nurse Alliance Northwest organization, according to their website http://www.seiu.org, have resumed their blog “Nurses Know the Truth,” Correct the Record on the 30-Hour Rule, to shed light on the facts associated with the passage of the 40- hour full-time employment policy one of which is that the bill could allow employers to cut hours for more people to avoid paying for their health insurance premiums (Barton, 2015). In an independent study, it was found that though employers would not face a penalty from the government for reducing work hours for employees, employers might still end up having to incur costs due to these employees with reduced hours having to use tax credits for health care coverage (Hope, 2013). The private sector is invaluable to any economy and has a lot to contribute to creating policies to assist with their delivery of services.


American Nurses Association (ANA). (2014). When Nurses Talk…Washington Listens. Retrieved from http://www.rnaction.org/site/MessageViewer?dlv_id=12121&em_id=15681.0

Barton, C. (2015). “Nurses Know the Truth,” Correct the Record on the 30-Hour Rule. Retrieved from http://www.seiu.org/2015/01/nurses-know-the-truth-correct-the-record-on-the-30.php

Hope, C. (2013). New Study Finds Failure to Expand Medicaid Could be Costly for Employers. Retrieved fromhttp://ccf.georgetown.edu/all/new-study-finds-failure-to-expand-medicaid-would-hurt-employers/

Kingdon, J. W. (2011). Agendas, alternatives, and public policy (updated 2nd ed.). Glenview, Il.: Pearson Education, Inc.

Smith, E., Brugha, R., & Zwi, A. (2001). Working with Private Sector Providers for Better Health Care: An Introductory Guide. Retrieved from http://www.who.int/management/partnerships/private/privatesectorguide.pdf


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