DQ 1. There is no correct answer to this question, and you can go in whatever direction you want to explore this issue. Your response should be at least 300 words, and use at least one outside source to substantiate your opinion and cite the source. Page 58 talks about what patients and their families want. As a health care manager, how do those wants become part of the goals for the organization? What else, if anything, should matter? How does a manager deal with the conflicting desires of various stakeholders?

PG.58 is posted below for reference:

What Do Patients and Their Families Want? Patients want to beat the odds. They and their families want the best possible outcomes, and they want to know that everything possible was done to ensure recovery (or a comfortable and dignified death) for their loved ones. Some want miracles. Most know that they need experts to look after their interests, but still want to be kept informed of what is going on so they can make sense of what is happening and avoid serious medical errors. Again, the issues are complex. Patients and families want to have access to quality information if they have the time and energy to make their own decisions. At the same time, they employ the provider as their agent, and the sicker they are, the more they rely on the clinician's judgment. They want choices, but often don't feel empowered to make them. When they are not terribly sick, they also worry about the cost of their care. They do not want to spend a lot of time in the waiting room or figuring out how to fill out paperwork. That is a nonmonetary cost, but a cost to them, nevertheless. It can also be a monetary cost if they lose work hours or reimbursement opportunities because of it. They want to know that they were not treated unfairly by any part of the healthcare system and that their treatment was not affected by their gender, their ethnicity, or the color of their skin. They also become apprehensive when they believe that profitability concerns or payment mechanisms are influencing which treatments they receive. An example has been the debate over whether the drugs chosen by oncologists for outpatient treatment have been chosen for their effectiveness or their profitability (Abelson, 2006a; Jacobson, O'Malley, Earle, Gaccione, \& Newhouse, 2006). Increasingly, patients are aware of the financial incentives affecting providers that in the long run can undermine provider legitimacy (Schlesinger, 2002). Patients want affordable health insurance. They do not want to be denied insurance on the basis of prior medical conditions over which they had little or no control. They do not want to be harassed by debt collectors, have their wages garnished, or be bankrupted by medical bills. The ACA dealt with this is several ways, including barring lifetime caps on claims. Yet consumers also worry about what the premium costs will do to their disposable income. Although the ACA tried to deal with that by subsidizing the premiums of low-income workers, many saw their premiums become less affordable due to adverse selection