Discuss the impact of cultural, societal, legal, and political factors, and ethical considerations, influencing healthcare policies, service delivery, economics, and health disparities at local, state, national, and global levels.

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As a means of improving the health of Americans a project was launched forty years ago to promote the health and wellbeing of individuals. As a way of achieving this goal the elimination of health disparities must be addressed. Over the years this project has clearly demonstrated a need for both “improvement and a continued need” writes Kohl, Blakey and Roper, (2014). Of the Leading Health indicators 14 of 26 have been improved while 4 have exceeded the 2020 targets which have been categorized in 42 topic areas, (Kohl, Blakey and Roper, 2014).
Determinants of health at the local, state and federal level as identified by Health People 2020 can be grouped into one of five wide ranging categories; social, environmental, individual, policy making or behavior and genetic. A continuing goal of the project is to understand the relationship between health and these various groups with an emphasis upon an ecological approach to the individual and population determinants of health and intervention going beyond the traditional approach to improve health outcomes....

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