Sample Paper on Changes to Policies in The United States

John Doe

1234 Civics Drive

Beverly Hills, CA 90210

July 9, 2019


President of the United States

1600 Pennsylvania Avenue

Washington, DC 20500

Dear Mr. President:


I am writing this letter on behalf of myself and other citizens of America. We are concerned and saddened with the formulation and implementation of federal policies, especially when it comes to healthcare. We understand that you have your agenda and goals that you seek to achieve. However, we believe that there are certain suggestions you should consider to reduce the health disparities witnessed across the country. There are specific changes that ought to be made in terms of policy, training, and other areas.

The 2003 Institute of Medicine (IOM) report “Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare” remains a landmark reference that majorly emphasized and raised awareness on diverse healthcare disparities within the U.S. and the need to reduce them. The IOM committee defined health disparities as racial or ethnic differences in the quality of healthcare that are not due to access-related factors, appropriateness of intervention, and preferences. The report found out that racial and ethnic minorities tend to receive a lower quality of healthcare compared to the non-minorities. This paper examines the strategies needed to reduce health disparities in the U.S, as well as, the changes that are needed to be made in terms of policy, training, or other related areas.

Promoting patient dignity and personal responsibility is one of the essential strategies in reducing health disparities within U.S. Patients must play a significant role in the efforts to improve healthcare. For instance, a patient with a chronic illness must own his or her illness, if they have any hope of managing that conditioning effectively. Healthcare providers are required to provide high-quality care services, and best recommendations, but the patients are required to effectively follow those recommendations.  Public policies must encourage patients to embrace personal responsibility in order to improve their general health. They should be advised to engage in health benefitting activities such as exercising, not smoking, and eating well. As such, we must promote policies that majorly emphasize or address patient’s individual behavior such as smoking. Smoking tobacco is argued to usually lead to heart disease, cancer, and stroke, as such, making policies that control individuals’ behavior will largely prevent them suffering from the chronic diseases (Thornton, Glover, Cené, Glik, Henderson, & Williams, 2016).

Another effective strategy is to improve health information technology (HIT) within various health settings. HIT is crucial as it provides a wide range of care information, and its access arguably helps both providers and patients to redesign the clinical practice. As such, HIT helps health providers to improve the quality of care delivery, as well as, close the health gaps that exist. To make this effective, all providers including safety-net providers and patients need to be educated and trained on the use of HIT.

Giving incentives to health providers is another fundamental strategy of reducing health disparities within U.S. Providers need to be given incentives to promote innovative clinical redesign that improves the general quality of care and close the existing health gaps. The federal government often pays for various episodes of care and does not emphasize the health quality and outcomes. As such, providers feel that their efforts are not appreciated thus resulting in the health disparities (Thornton, Glover, Cené, Glik, Henderson, & Williams, 2016). To close such a gap, the Congress has to establish policies that encourage pay-for-performance efforts to ensure that the quality of healthcare is improved

Addressing the rising healthcare costs and lack of insurance is also an essential strategy on reducing health disparities within the U.S. The rising costs have increased the number of uninsured people thus reducing access to a high quality of healthcare across the country. To drive down the overall costs and increase health value, the federal government should foster competitively driven innovation in other areas. Lowering the overall healthcare costs ensures that care and coverage are more affordable to every individual. To improve health quality and close the existing health gap, the government should establish a system that efficiently and effectively links payment to patients’ values such as healing better.

I appreciate all that you do for our country. I believe the above suggestions in terms of changes to our healthcare policies could help to address healthcare disparities that we face as a country. I look forward to seeing positive changes.


Most respectfully,

John Doe





Thornton, R. L., Glover, C. M., Cené, C. W., Glik, D. C., Henderson, J. A., & Williams, D. R. (2016). Evaluating Strategies for Reducing Health Disparities by Addressing the Social Determinants of Health. Health Affairs, 35(8), 1416-1423. Retrieved from