Although the number of illegal immigrants is substantially growing on a daily basis, the national health care policies seem to fail in addressing their medical needs. This, however, is becoming a growing challenge because of the conflicts between medical ethics and immigration laws. Despite the alluded hope for this patients group within the immigration reform, the Patient Protection and Affordable Care Act (PPACA) fails to alleviate the burden of their unmet health care needs. Advocates of their rights for health coverage argue that medical ethics and the United States moral obligations necessitate expanding coverage to all population residing within the borders of the country. Conversely, opponents deny their health coverage because their illegal status disqualify them from all public benefits. This paper goes beyond these opposing assumptions and instead, proposes a strategic plan to raise and combine resources necessary to establish a health care center for the uninsured, underinsured, and illegal immigrants in Northern California. The paper covers the establishment of this center with special focus on strategic funding, funding constraints, related state and national regulations, health policy, resources allocation, and managerial and leadership.
Like any business idea, the first step to establish a community health center is to figure out all necessary funds and funding resources for the anticipated expenses. In general, according to McLaughlin and McLaughlin (2008), to calculate needed funds, the process should start by adding together both fixed and variable expenses. Fixed expenses include the cost of staffing, expenses related to the premises of the service location, and local, state, and federal fees (McLaughlin & McLaughlin, 2008). Variable expenses depend on the anticipated number of consumers, the expected products and their relative demand, and the expenses related to those products (McLaughlin & McLaughlin, 2008).
According to the former analysis, calculation of the funds needed to establish a community primary health center for the uninsured and underinsured population requires informed knowledge of the anticipated number of target patients residing within the service area, a list of the health services intended to be provided, and the expenses related to the location of the service. Following, the expenses of staffing and provided services are calculated based on the number of the anticipated patients and their health needs.
Essentially, after confirming the final estimates of total expenses, further consideration need to be made according to the allocated budgets. According to McLaughlin and McLaughlin (2008), those figures do not usually match and further modifications are needed to ensure success. After all, changes may be needed to lower the total expenses or further efforts may be invested to expand budgets. At this point, the main approach is to find resources to raise the necessary money, to create a list of...