The health care delivery system of today has undergone tremendous change, even over the relatively short period of the past decade. New and emerging technologies, including drugs, devices, procedures, tests, and imaging machinery, have changed patterns of care and sites where care is provided. The growth of managed care and payment mechanisms employed by insurers and other payers to control the rate of health care spending has also had a major impact on health care utilization.  People who cannot pay for health services, either out-of-pocket, through private or social health insurance such as Medicare, through public program such as Medicaid may not receive needed health care in the United States. Health reform worldwide is required due to the largely aging population, increase in chronic disease, and rising costs (ANA, 2012). To meet these needs, nurses are being encouraged to practice to the full extent of their skills and take significant leadership roles in the health policy, planning, and provision. Although nurses form the largest group of health professionals, they are frequently restricted in their scope of practice. Nurses can help to improve health services in a cost-effective way. Improving the health care delivery system is a key to improving the health of all Americans. Even if the access, quality, and cost problems in the medical system are resolved, a traditional view of the delivery system must expand to include population- wide program for the system to reach its full potential. Con wuest 1 blessing

The health care delivery system is constantly evolving and experiencing significant changes. In just the past decade, advancements in technology have revolutionized the field, affecting the way care is provided and the locations where it occurs. New drugs, medical devices, procedures, tests, and imaging machinery have all played a role in shaping the current landscape of health care. Additionally, the growth of managed care and various payment mechanisms implemented by insurers and other payers have had a profound impact on health care utilization.

One of the major challenges in the U.S. health care system is ensuring that people who are unable to pay for necessary services still receive the care they need. Individuals without the means to pay out-of-pocket or who do not have private or social health insurance, such as Medicare, or access to public programs like Medicaid may face barriers to receiving appropriate health care services. This issue has led to a global call for health reform, given the aging population, increasing prevalence of chronic diseases, and rising costs of health care.

To meet these challenges, nurses are being encouraged to practice to the full extent of their skills and assume significant leadership roles in health policy, planning, and provision. Nurses make up the largest group of health professionals and have the potential to play a pivotal role in improving health services in a cost-effective manner. By empowering nurses and expanding their scope of practice, the health care delivery system can be enhanced to better meet the needs of all Americans.

However, despite the importance of nurses in the health care system, they often face restrictions that limit their scope of practice. To truly improve the delivery of health care services, it is essential to address these barriers and empower nurses to utilize their full skill set. By doing so, nurses can contribute significantly to improving health outcomes and the overall quality of care provided to patients.

Furthermore, it is important to recognize that improving the health care delivery system goes beyond simply addressing access, quality, and cost concerns within the medical system. In order to reach its full potential, the traditional view of the delivery system must expand to incorporate population-wide programs. This broader perspective acknowledges that health is influenced by various factors beyond the medical system, such as social determinants, lifestyle behaviors, and environmental conditions. By implementing population-wide programs that address these broader influences, the health of all Americans can be improved.

In conclusion, the health care delivery system is undergoing significant changes driven by advancements in technology and the need for health care reform. Nurses, as the largest group of health professionals, play a crucial role in improving the delivery of care. By expanding their scope of practice and empowering them to take on leadership roles in health policy and planning, nurses can contribute to enhancing the health care system in a cost-effective manner. Additionally, it is important to adopt a population-wide approach that recognizes the impact of various factors on health and incorporates programs addressing these influences. Only by taking a comprehensive view can the health care delivery system reach its full potential in improving the well-being of all Americans.