Agenda Comparison Grid Template<\/p>\n
Use this document to complete the Module 1 Assessment Agenda Comparison Grid and Fact Sheets\/Talking Points Brief.<\/p>\n
Healthcare Issue\t<\/p>\n
Description\t<\/p>\n
Administration (President Name)
\nDescribe the administrative agenda focus related to this issue\t<\/p>\n
Allocation of financial and other resources to this issue\t<\/p>\n
Notes on Administration\u2019s approach to the issue\t<\/p>\n
Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?<\/p>\n
How does the healthcare issue get on the agenda and how does it stay there?<\/p>\n
Who was the entrepreneur\/champion\/sponsor of the healthcare issue you selected?<\/p>\n
General Notes\/Comments<\/p>\n
Agenda Comparison Grid
\nHealthcare Issue: Access to Health Insurance Coverage
\nDescription: Ensuring all Americans have access to affordable health insurance plans.
\nAdministration (President Name)
\nTrump Administration (President Donald Trump)
\nThe Trump administration focused on repealing the Affordable Care Act and providing states more flexibility to alter their insurance markets through waivers.
\nObama Administration (President Barack Obama)
\nA major focus was implementing the Affordable Care Act to expand coverage through public exchanges, Medicaid expansion, and prohibiting denial of coverage for pre-existing conditions.
\nBush Administration (President George W. Bush)
\nWorked to expand state Children’s Health Insurance Program for low-income families but did not pursue a comprehensive healthcare reform agenda.
\nAllocation of financial and other resources to this issue
\nTrump – Sought to reduce ACA subsidies and funding.
\nObama – Significantly increased federal funding for Medicaid expansion and ACA marketplace subsidies.
\nBush – Modestly increased CHIP funding but did not allocate new major funding.
\nNotes on Administration\u2019s approach to the issue<\/p>\n
Trump – Sought less federal government involvement and more state flexibility\/control.
\nObama – Pursued a comprehensive reform with the goal of achieving near-universal coverage.<\/p>\n
Bush – Took a more incremental approach focused on children’s coverage without tackling the broader uninsured issue.
\nGeneral Notes\/Comments
\nThis issue has been debated for decades and remains politically controversial with differing philosophies on the appropriate federal vs. state role.
\nWhich administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
\nDepartment of Health and Human Services (HHS) – Oversees federal healthcare programs including Medicaid, Medicare, the ACA marketplaces.
\nHow does the healthcare issue get on the agenda and how does it stay there?
\nAdvocacy by patient groups, insurers, hospitals. Swing in public opinion. Election of presidents\/lawmakers prioritizing the issue. Lobbying by stakeholders. Court rulings. Economic impact in states not expanding Medicaid.
\nWho was the entrepreneur\/champion\/sponsor of the healthcare issue you selected?
\nFor expanding coverage, groups like Families USA and advocates\/lawmakers who had been pushing for comprehensive reform for decades, including Democrats in Congress during the Obama administration. Insurers and hospitals were also champions of certain policies. Conservative groups opposed expansion of government involvement.
\n++++++++++++++++++++++++++++++++++<\/p>\n
Assignment: Presidential Healthcare Agendas Analysis and Advocacy Brief<\/p>\n
Healthcare, an enduring national debate, has traversed the annals of American politics since the days of President John Adams. His 1798 legislation mandating allocation of funds for sailors’ medical expenses marked the nascent stage of U.S. healthcare policy, setting a precedent for the intricate interweaving of healthcare into presidential agendas for centuries to come.<\/p>\n
As a healthcare professional, your role extends beyond the confines of clinical practice to engaging in the discourse of healthcare policy. Whether advising on legislative matters or shaping organizational responses to evolving policies, your expertise holds sway in the realm of national healthcare deliberations.<\/p>\n
In this Assignment, you will delve into the healthcare priorities of recent U.S. presidential administrations, dissecting their agendas and crafting advocacy materials to sway policymakers towards prioritizing critical healthcare issues.<\/p>\n
To Prepare:<\/p>\n
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\nScrutinize the healthcare priorities of the last three U.S. presidential administrations.
\nChoose a pertinent healthcare issue addressed by each administration.
\nContemplate the thematic essence of their agendas, particularly the financial allocations towards the selected healthcare issue.
\nEnvisage strategies to effectively advocate for the inclusion of a healthcare issue onto the legislative agenda.
\nThe Assignment: (2- to 3-page Comparison Grid and 1-page Fact Sheet)<\/p>\n
Part 1: Agenda Comparison Grid<\/p>\n
Examine the presidential administrations under scrutiny and complete the Agenda Comparison Grid, addressing the following:<\/p>\n
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\nDefine and succinctly describe the chosen healthcare issue.
\nIdentify the administrative agency primarily responsible for addressing the selected healthcare issue.
\nExplore the mechanisms facilitating the inclusion and persistence of the healthcare issue on the agenda.
\nUncover the pivotal figures driving the advocacy for the chosen healthcare issue.
\nPart 2: Fact Sheet or Talking Points Brief<\/p>\n
Drawing from your Agenda Comparison Grid, craft a 1-page Fact Sheet or Talking Points Brief tailored for engagement with policymakers\/legislators or their staff, focusing on the selected healthcare issue. Cover the following aspects:<\/p>\n
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\nConcisely elucidate the significance of the healthcare issue and advocate for its legislative prioritization.
\nArticulate the indispensable role of nurses in shaping healthcare agendas and policies.
\nBy Day 7 of Week 1<\/p>\n
Present a draft of Part 1 for peer review and feedback on the Discussion Board.
\n_____________________________
\nAssignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief<\/p>\n
It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.<\/p>\n
Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor\u2019s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.<\/p>\n
As a healthcare professional, you may be called upon to provide expertise, guidance and\/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.<\/p>\n
In this Assignment, you will analyze recent presidential healthcare agendas. You will also prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.<\/p>\n
To Prepare:<\/p>\n
Review the agenda priorities of the last three U.S. presidential administrations.
\n Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
\n Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
\n Consider how you would communicate the importance of a healthcare issue to a legislator\/policymaker or a member of their staff for inclusion on an agenda.<\/p>\n
The Assignment: (2- to 3-page Comparison Grid and 1-page Fact Sheet)<\/p>\n
Part 1: Agenda Comparison Grid<\/p>\n
Based on the presidential administrations you are comparing, complete the Agenda Comparison Grid. Be sure to address the following:<\/p>\n
Identify and provide a brief description of the healthcare issue you selected.
\n Identify which administrative agency would most likely be responsible for helping you address the healthcare issue you selected.
\n How does the healthcare issue get on the agenda and how does it stay there?
\n Who was the entrepreneur\/champion\/sponsor of the healthcare issue you selected?<\/p>\n
Part 2: Fact Sheet or Talking Points Brief<\/p>\n
Based on your Agenda Comparison Grid for the healthcare issue you selected, develop a 1-page Fact Sheet or Talking Points Brief 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:<\/p>\n
Summarize why this healthcare issue is important and should be included in the agenda for legislation.
\n Justify the role of the nurse in agenda setting for healthcare issues.<\/p>\n
By Day 7 of Week 1<\/p>\n
Submit a draft of Part 1 to the Discussion Board<\/p>\n
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\nAgenda Comparison Grid
\nHealthcare Issue: Expanding Access to Health Insurance
\nAdministrative Agency: Department of Health and Human Services
\nObama Administration (2009-2017)
\nThe Affordable Care Act sought to increase the number of Americans with health insurance through an individual mandate, Medicaid expansion, subsidies, and protections for pre-existing conditions.
\nGrassroots organizing and stakeholder input were important for getting the ACA on the agenda. The law’s champion was President Obama.
\nTrump Administration (2017-2021)
\nRepealing and replacing the ACA was a top priority, though no alternative plan gained traction despite executive actions and repeal bills like Graham-Cassidy.
\nHealthcare entrepreneurs and advocates both supported and opposed the ACA, working to influence the agenda. The law’s opponents, like President Trump, were its entrepreneurs.
\nBiden Administration (2021-present)
\nExpanding access remains a priority through strengthening the ACA, lowering drug costs, and closing the Medicaid coverage gap led by HHS.
\nEnsuring coverage for more Americans remains an ongoing issue. Advocates, providers, and insurers provide stakeholder input.
\nFact Sheet
\nImportance of the Issue:
\nLack of health insurance impacts individuals’ health outcomes and financial well-being.
\nIt influences public health by affecting rates of preventive care, chronic disease management, and uninsured hospital visits.1
\nNurse Role in Agenda Setting:
\nNurses understand firsthand the impacts of lack of coverage on patients and communities.
\nThey are well-positioned to advocate for universal coverage solutions to achieve healthcare access for all as a basic human right.2,3
\nReferences:
\nSommers, B. D., Baicker, K., & Epstein, A. M. (2017). Mortality and access to care among adults after state Medicaid expansions. New England Journal of Medicine, 376(10), 0955-0960. https:\/\/doi.org\/10.1056\/nejmsa1602083
\nDickson, V. (2018). Nurses key to advancing universal healthcare, says ANA. American Journal of Nursing, 118(1), 15. https:\/\/doi.org\/10.1097\/01.naj.0000529981.48264.5e
\nInstitute of Medicine. (2010). The future of nursing: Leading change, advancing health. National Academies Press.<\/p>\n","protected":false},"excerpt":{"rendered":"
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