Emmanuel Chen

NUR 628 Health Sys Management

Project #3: Interview with Stakeholder

For this project, I chose to interview Anh-Khoi Nguyen who is a nurse practitioner
working at Olympia Medical Center:

1. What are the major problems with the U.S. health care system today, from your
perspective?

The extreme cost of a multi-payer system and privatized health insurance is a major
problem. The United States healthcare system is profit-driven and as a result, we have
a disparity of coverage within the population. The United States spends 2 times the
amount per capita as the rest of the industrialized world on their own health care
systems. The cost to afford decent healthcare and prescription drugs is outrageous. In
the United States, when you become very sick, you go bankrupt. But on the flip side
drug companies and healthcare companies rack in billions of dollars in profits per year.
Profit over people; that’s the model of the US healthcare system!

2. How effective has the Affordable Care Act been in addressing these problems so
far?

The Affordable Care Act is a step in the right direction, however, has not been effective
at all in addressing the cost and coverage for all those who need it. There will be no
fundamental change in our country until the United States abolishes the multi-payer
system and follow the rest of the industrialized world into a single-payer system.

3. What major trends do you see occurring in the health care system in the next 5 to
10 years?

I wish to see a progressive movement toward Medicare for All. Only until recently within
the past 5 years have people of the United States begin to realize the need to have
universal coverage under a single-payer system. Unfortunately, because of all the
greed, profiteering and money involve in the industry, this may likely not happen.

4. What changes would you like to see in the system, and how could they be brought
about?

I would like to see a universal coverage, single-payer system. With the current
Democratic election, we hear and talk about the notion of Medicare for All. At this point
in time, not all Americans believe in it. I think to actually implement change, we must
start from the bottom up. Instead of imposing Medicare for All on the entire country as a
whole. I believe real change can start if a progressive state like California implements
Medicare for all California Residents. Providing healthcare to all Californians will save
on healthcare administrative costs and reduce administrative waste simultaneously
providing quality healthcare to all its residents. Quality of life of Californians would
increase and I believe there will be an influx of people from other states who share the
same ideology who will come to California and embrace universal care coverage.

5. What do you see your role as in improving health and health care?

My role as a Nurse Practitioner is to provide quality healthcare to patients regardless of

income or social status. Every day I am witness to deprived healthcare given to
patients who lack insurance or have lower-tier insurance plan. The greed has to end.
Healthcare should be a human right.

eat • PHB 31
Great Weapon Master
You've learned to put the weight of a weapon to your advantage, letting its momentum empower
your strikes. You gain the following benefits:

• On your turn, when you score a critical hit with a melee weapon or reduce a creature to 0 hit
points with one, you can make one melee weapon attack as a bonus action.

• Before you make a melee attack with a heavy weapon with which you are proficient, you can
choose to take a -5 penalty to the attack roll. If you do so and the attack hits, it deals +10
damage.