Discuss the problem of underserved populations and subgroups, including characteristics ofthose groups and barriers to delivery.

Develop a policy analysis based on the scenario presented below. NOTE: Some of the facts in this scenario are hypothetical; others are actual.FACTS:As a mid-career health analysis, you have recently beenhired as the Health Policy Coordinator for the Alliance forRural Health. The Executive Director of the Alliance hasrequested that you prepare a policy briefing discussingthe delivery of Health Care Services to the residents ofAppalachian Kentucky.The Appalachian region of Kentucky is comprised of 54 counties with a total population of approximately1.2 million. In Appalachian Kentucky, 100% of the population would be considered rural by Federalstandards, as only 2.6% live in a town of 20,000 or more, the single incident of Richmond city. Theaverage adult in Appalachian Kentucky reports feeling physically unhealthy 47% more often than theaverage American and 23% more often than the average adult in non-Appalachian Kentucky. Theaverage adult in Appalachian Kentucky reports feeling mentally unhealthy 25% more often than theaverage American and 15% more often than the average adult in non-Appalachian Kentucky.In addition, recent surveys of the behavioral health system, clinics, and tribal health center reportsignificant rates of depression, post-traumatic stress disorder, schizophrenia and substance abuse /dependence among Appalachian Kentucky residents. There is concern that these problems are relatedto high rates of suicide and domestic violence.Finally, other reports from social service agencies report that there is a significant population in the regionthat is effectively homeless, living seasonally (or sometimes year-round) in campers, tents, or out ofautomobiles, moving between campgrounds or camping areas in the state park grounds. This populationincludes families with children in some cases.The paper should accomplish the following:1. Discuss the problem of underserved populations and subgroups, including characteristics ofthose groups and barriers to delivery.2. Examine the structure of the delivery system and how this helps or hinders health delivery.3. Discuss the impact of ACA.4. Make clear recommendations as appropriate for meeting the health delivery challenges ofAppalachian Kentucky.Please prepare a well written, well organized, and professionally structured policy paper asrequested.