Globalization of Nursing Practice

Poor health reduces the longevity and makes one’s life lesser, this means that the period of earning will be very short. This will lead to low earnings on one’s life. Poor health makes people to be absent from work most of the times or on the other hand, one may fail completely to go for work. This will in turn decrease one’s income.

In addition to this, an ill person will have to spend a lot in looking for treatment through transport and the cost of treatment. To cater for these expenses, you will be required to use what you have earned. This leads to reduction of your income. This is evidenced in Savitha’s case where she sought for treatment for unlicensed doctor, to a practitioner then to main hospital for two weeks. During this period, she spent $20 on transport and medical services and at the same time she lost $20 of her income as she did not work. Her poor health negatively impacted on her income (Jones & Barlett Learning).

Savitha’s poor health decreased her own productivity. By being ill, it means that Savitha drew more attention to her sickness. This shows that most of the time and dedication she gave to her work was diverted towards addressing of her illness. This will in turn be reflected by being less productive in her work. From the case, it is evident that she lost two weeks away from work while seeking for treatment. She took this action because she felt that she was ill, thus unhealthy. The condition of being unhealthy and missing for work made her less productive. This case shows that, by being unhealthy, Savitha became less productive.

The difference of the health of some cultures such as Savitha’s and the health of American culture can be explained in terms of health and equity and health expenditures and outcomes of these cultures. In the context of health and equity, Savitha’s culture is from a poor village in India, she seeks treatment treatments from unlicensed doctor because health systems do not respond to her needs with equity but as a poor person. From a poor village, she undergoes many expenses on seeking for health services that she later pays for herself. This shows that the expenses on medical services are based on one’s income. This is different from America, as expenses on medical services do not reflect one’s income. On the grounds of health expenditures and income, Savitha is from a low-income country that is spending low share of GDP on health issues. This means that the nation spends less amount of its income for medical services that have resulted to scarce and distant health services especially in poor villages (Jones & Barlett Learning).

Most of the countries expenditures on health on the bases of its share of national income are directly related to the status of health. The countries with low income spend less percentage of their national income on matters of health. This leads to low status of health such as low life expectancy. This is evidenced in the case of Ghana where their expenditures on health are low with a corresponding low life expectancy. The high-income countries spend a greater percentage of their national income on health which is reflected with better health. Germany is an example where its expenditures on health as a share of national income are high with increased and better health services. Hence, as the country expends more on health as a share of national income, there is an observed increase in health of its people (Jones & Barlett Learning).

Expenditures from my country of origin comes from the government and other sources, hence the expenditure on health consists of public and private sectors. Considering that cost effecting analysis will not be effective if used solely in making choices among investments on health systems, I would incorporate equity. One of the reasons for equity consideration is that people are entitled to different income. Most likely, those under low income find it difficult to cater for their own medical expenses. Equity consideration will make services for them cheap and readily available. In order to ensure that the poor benefit from public subsidies related to health care, I will make sure that the priorities on public subsidies will be given to low income earners. This will ensure that poor people will give out less and get the best treatment possible (Jones & Barlett Learning).

‘Health makes wealth’ and also ‘wealth make health’. This means that with healthy people a country will be able to increase its income, hence health will make wealth. On the other hand, without growth of income, the country will not be able to improve the health of its citizens, thus wealth will make health.


Jones & Barlett Learning. Health, Education, Poverty and the Economy. Sunbury: Jones and Barlett

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