In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.
The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page narrative) with a title page. This is an APA paper. Use 2-3 course resources and at least 2 outside resources.
Part 1: Agenda Comparison Grid
Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the previous president, and their agendas related to the population health concern you selected. Be sure to address the following:
- Identify and provide a brief description of the population health concern you selected.
- Explain how each of the presidential administrations approached the issue.
- Identify the allocation of resources that the presidents dedicated to this issue.
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:
- Which administrative agency (like HHS, CDC, FDA, OHSA) would most likely be responsible for helping you address the healthcare issue you selected and why is this agency the most helpful for the issue?
- How do you think your selected healthcare issue might get on the presidential agenda? How does it stay there?
- An entrepreneur/champion/sponsor helps to move the issue forward. Who would you choose to be the entrepreneur/champion/sponsor (this can be a celebrity, a legislator, an agency director, or others) of the healthcare issue you selected and why would this person be a good entrepreneur/ champion/sponsor? An example is Michael J. Fox is champion for Parkinson’s disease.
Part 3: Fact Sheet
Using the information recorded on the template in Parts 1 and 2, develop a 1-page fact sheet that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:
- Summarize why this healthcare issue is important and should be included in the agenda for legislation.
- Justify the role of the nurse in agenda setting for healthcare issues.
Expert Answer and Explanation
Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Template for Part 1 and Part 2
Part 1: Agenda Comparison Grid
| Identify the Population Health concern you selected. |
Access to Affordable Health Care |
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| Describe the Population Health concern you selected and the factors that contribute to it. | Access to affordable health care is an issue that many Americans strive for. Low-income Americans have a lower life expectancy as compared to their high-income counterparts. This can be attributed to lack of access to care due to affordability issues. The high cost of care can be linked to high rates of uninsured population. Different regimes have tried to address this issue as will be described below.
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| Administration (President Name) | Donald. J. Trump | Barack Obama | George. W. Bush |
| Describe the administrative agenda focus related to this issue for the current and two previous presidents. | President Trump’s agenda is to abolish the Affordable Care Act, instead of introducing new transparency measures that will enhance market competition hopefully to reduce the cost of medical covers (Saltzman & Eibner, 2016). | President Obama’s agenda was to make healthcare affordable to low-income Americans, by providing tax reliefs to states which enrolled in the Medicaid program (Courtemanche et al., 2016). | President Bush’s agenda was to increase the Medicare beneficiaries by enhancing their benefits through the Prescription Drugs Benefit Program (Lavanty, 2018) |
| Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. | President Trump has drastically reduced the budgetary allocation of ACA reducing the tax incentives that aimed to encourage healthy people to get insurance covers.
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President Obama increased the Federal expenditure towards the Medicare and Medicaid programs to increase the number of beneficiaries of both programs and also to offer subsidies to encourage enrollment. | President Bush increased the amount of allocation towards the Medicare program specifically towards the Prescription Drugs Benefit Program to make prescription drugs affordable to Medicare beneficiaries (Lavanty, 2018). |
| Explain how each of the presidential administrations approached the issue. | President Trump has been seen to be unamused about the Affordable Care Act, instead, he aims to make healthcare affordable by increasing the level of transparency of healthcare costs thus parking competition among providers which will potentially lead to a reduction of healthcare service prices (Saltzman & Eibner, 2016).
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President Obama’s regime addressed this issue by implementing the famous Affordable Care Act that aimed at boosting Medicaid coverage to adults whose income was 138% below the federal poverty levels (Courtemanche et al., 2016). | President Bush tried to reduce healthcare costs by enhancing the benefits of Medicare subscribers. His regime introduced positive initiatives to the Medicare program that drastically reduced the costs of prescription medicine (Lavanty, 2018). |
References
Courtemanche, C., Marton, J., & Yelowitz, A. (2016). Who Gained Insurance Coverage in 2014, The First Year of Full ACA Implementation? Health Economics, 25(6), 778-784. https://doi.org/10.1002/hec.3349
Lavanty, D. F. (2018). Medicare Meets the Marketplace: The Bush-Clinton Years. In Political Aspects of Health Care (pp. 65-78). Palgrave Pivot, New York. https://doi.org/10.1057/978-1-137-40283-7_7
Saltzman, E., & Eibner, C. (2016). Donald Trump’s Health Care Reform Proposals: Anticipated Effects on Insurance Coverage, Out-of-Pocket Costs, and the Federal Deficit. The Commonwealth Fund, 32, 1-14. Retrieved from: https://pdfs.semanticscholar.org/f93a/538468e742defb3b71ed517efde7e31a0bb3.pdf
Part 2: Agenda Comparison Grid Analysis
| Administration (President Name) | Donald. J. Trump | Barack Obama | George. W. Bush |
| Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
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The Office of Minority Health under the Department of Health and Human Services who is in charge of reducing disparities amongst different population groups (OMH, n.d.).
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The Centers for Medicare & Medicaid Services who are responsible for managing the two federally funded insurance programs (Agarwal et al., 2020). |
The Centers for Medicare & Medicaid Services who are responsible for managing the two federally funded insurance programs (Agarwal et al., 2020). |
| How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there? | The issue might get to the agenda of the current president through a legislative agenda passed in either the Senate or the Congress. This will mean that the president will be made aware and will have to give it due consideration until it is either passed or rejected by both houses (Jansson et al., 2017). | This issue might get to the agenda by lobbying for action from the president. Given that he is a supporter of reduced healthcare costs to the vulnerable, he is likely to take the matter to be of personal interest. | This issue can get on the agenda of President Bush by using advocacy groups to advocate for an increase in funding in healthcare expenditure to further enhance the Prescription Drugs Benefit Program, which will further reduce the cost of prescription medicine (Jansson et al., 2017). |
| Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents? | The sponsor of this healthcare issue whom I would select is a preferable a legislator with a background in health care who will be able to articulate the need for reduced cost of care. | I would choose community advocacy groups to be the champions for the initiative, given the implications on the health of the low-income populations (Jansson et al., 2017). | The sponsor of this issue would be pharmaceutical companies who will not only benefit from the increased allocations but also assist in providing affordable medication to patients. |
References
Agarwal, R., Liao, J. M., Gupta, A., & Navathe, A. S. (2020). The Impact of Bundled Payment on Health Care Spending, Utilization, and Quality: A Systematic Review: A systematic review of the impact on spending, utilization, and quality outcomes from three Centers for Medicare and Medicaid Services bundled payment programs. Health Affairs, 39(1), 50-57.
https://doi.org/10.1377/hlthaff.2019.00784
Jansson, B. S., Nyamathi, A., Heidemann, G., Duan, L., & Kaplan, C. (2017). Validation of the Policy Advocacy Engagement Scale for frontline healthcare professionals. Nursing Ethics, 24(3), 362-375. https://doi.org/10.1177/0969733015603443
The Office of Minority Health (n.d.). Our Mission. Retrieved from: https://www.minorityhealth.hhs.gov/
Fact Sheet
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Affordable Care Fact Sheet |
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| Healthcare issue | Current challenges |
| Inadequate access to healthcare services is one of the major healthcare challenges that lead to the widening gap of disparities between different population groups (Griffith et al., 2017). Previous regimes have tried to solve this issue using various methods, with most proving to be useful in improving the health status of millions of Americans. Therefore, continuing with this agenda is expected to have tremendous benefits to the health status of the nation. | Some of the current challenges in realizing this agenda include reduced funding by the federal government on some of the programs aimed at reducing healthcare costs. Lack of goodwill by the current administration to continue with the progress set by the previous regime (Saltzman & Eibner, 2016). Resistance by private-owned insurance companies due to conflicting perspectives on the matter |
| Why it is important | Nurse Role in Setting the Agenda |
| Having access to affordable care is an essential component in reducing healthcare disparities (Griffith et al., 2017). Most of the vulnerable populations are not able to access affordable care which is linked to high morbidity and mortality rates Affordable healthcare will also result in a more productive society as a result of fostering a healthy population. | Nurses have a vital role to play in setting the agenda. Nurses are frontline personnel who interact with patients and are more in touch with the various health-related issues affecting the community. Nurses also represent the largest proportion of the healthcare workforce which justifies their position in setting the agenda on matter healthcare (Smiley et al., 2018) |
References
Griffith, K., Evans, L., & Bor, J. (2017). The Affordable Care Act reduced socioeconomic disparities in health care access. Health Affairs, 36(8), 1503-1510.
https://doi.org/10.1377/hlthaff.2017.0083
Saltzman, E., & Eibner, C. (2016). Donald Trump’s Health Care Reform Proposals: Anticipated Effects on Insurance Coverage, Out-of-Pocket Costs, and the Federal Deficit. The Commonwealth Fund, 32, 1-14. Retrieved from: https://pdfs.semanticscholar.org/f93a/538468e742defb3b71ed517efde7e31a0bb3.pdf
Smiley, R. A., Lauer, P., Bienemy, C., Berg, J. G., Shireman, E., Reneau, K. A., & Alexander, M. (2018). The 2017 National Nursing Workforce Survey. Journal of Nursing Regulation, 9(3), S1-S88. Retrieved from: https://www.journalofnursingregulation.com/article/S2155-8256(18)30131-5/pdf
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