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Appendix E: The Future of Nursing 20202030: Meeting America Where We Are: Supplemental Statement of William M. Sage, M.D., J.D.
Pages 423-428

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From page 423...
... of the future of the nursing profession in the United States, with an intended focus on community nursing and health equity. In 2020, the COVID-19 global pandemic changed how the United States understands its health and its health care system.
From page 424...
... COVID-19 has also revealed profound problems with the financing and delivery of American health care, presenting both challenges and opportunities for nursing, and has reopened old wounds about lack of voice and subordination in professional hierarchies. Even as the pandemic raged, nurses with outstanding professional skills suffered economic hardship as reduced demand for nonemergency, specialized medical care and surgical procedures resulted in furloughs and layoffs.
From page 425...
... A futurist project on the nursing profession at this moment in our country's health care history demands the formulation of strong hypotheses for the postCOVID era, which ongoing research, some of it COVID-related, will continue to test. In my experience, moreover, major National Academies reports on health policy are most effective when they are self-critical.
From page 426...
... The report should be more self-aware and self-critical of nursing's professional blinders, including an acknowledgment and promise that the National Academies' repeated, well-funded attention to the future of nursing is intended to be inclusive of rather than competitive with other health professions. The report should also be more attentive to recommendations affecting the basic RN nursing workforce, which was relatively neglected in FON-1 compared with advanced practice; to the various aspects of professional diversity that follow from generational change; and to the important roles played by nursing aides, community health workers, and others who may not be fully qualified nurses but who are key contributors to health equity and community health.
From page 427...
... With few exceptions, ethical advocacy by the health professions has observed a line between the medical and the social, focusing mainly on issues of health insurance, treatment relationships, and biomedical technology. A major lesson of the social determinants lit erature, further validated by the COVID-19 experience, is that the most meaningful health laws are those that increase and equalize wealth and power and education and opportunity, not those limited to medical care.
From page 428...
... The massive health-related and social and economic upheavals consequent to COVID-19, the trepidation associated with nascent and impending climate crises, and the rapidity of technologic and generational change make this a teachable moment for the nursing profession and for the nation. The top-line message of this report should be more than that the National Academies agrees on the importance of health equity to nursing policy; it should be that the National Academies calls for action.

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