Review Agenda Priorities
It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.
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’s 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.
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.
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.
To Prepare:
- Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.
- Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
- Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
- 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.
The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)
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 two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:
- Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
- Describe the administrative agenda focus related to the issue you selected.
- Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
- Explain how each of the presidential administrations approached the issue.
(A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Discussion Board by Day 3 of Week 1.)
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 would most likely be responsible for helping you address the healthcare issue you selected?
- 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?
- Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?
Part 3: Fact Sheet or Talking Points Brief
Based on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.
Then, using the information recorded on the template in Parts 1 and 2, 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. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. 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.
By Day 3 of Week 1
Submit a draft of Part 1: Agenda Comparison Grid to the Module 1 Discussion Board
Considering the feedback you received in the Module 1 Discussion on Part 1: Agenda Comparison Grid, revise and further develop Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis. Consider how the feedback you received might influence your Fact Sheet or Talking Points and revise as necessary.
By Day 7 of Week 2
Submit your final version of Part 1: Agenda Comparison Grid, Part 2: Agenda Comparison Grid Analysis, and Part 3: Fact Sheet or Talking Points Brief.
Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Template for Part 1 and Part 2
Part 1: Agenda Comparison Grid
Use this Agenda Comparison Grid to document information about the population health/healthcare issue your selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas.
You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment.
| Identify the Population Health concern you selected. | HEALTHY PEOPLE 2020 TOPIC: AHS-6.4 “Reduce the proportion of persons who are unable to obtain or delay in obtaining necessary prescription medicines” (2019a). |
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| Describe the Population Health concern you selected and the factors that contribute to it. | America is at the cutting edge of pharmaceutical technology. But exotic drugs cannot benefit the patient that cannot afford them. Prescription drug costs have been a hot topic for political debates for some time. Navigating our economic delivery system to steer the trend of drug costs is a complicated task. The following presidents have all taken different avenues at what they felt were contributing factors and how to address them. |
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| Administration (President Name) | President Donald Trump | President Barack Obama | President George W. Bush |
| Describe the administrative agenda focus related to this issue for the current and two previous presidents. | Trump desires to streamline the process for new medication production (2016). |
Obama wanted to increase healthcare coverage as a whole with special focus on drug benefits of target populations such as geriatrics (2012). | Bush changed to way that drugs were paid for by shifting the amount to be paid in the benefit of the consumer (2004). |
| Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. | This can contribute to both lower prices and high-quality products as drug companies are then directed to be more competitive for patient preference. |
The creation of lower cost was to be achieved by the balance of fees and incentives for the extra costs to the companies for selling to certain populations such as seniors. | Medicare recipients would only have to pay up to 25% of their initial drug costs. For more vulnerable populations such as geriatrics, coverage would increase more still. Financial support for this benefit would come from regular premiums and higher deductibles. |
| Explain how each of the presidential administrations approached the issue. | Introduction of the American Health Care Act, specifically Americans Patients First to address lowering drug costs (2019b). |
The creation of the Affordable Care Act. | The signing of the Medicare Prescription Drug Improvement and Modernization Act. |
References
Healthy People 2020. (2019a). AHS-6.4 Data Details. Retrieved from https://www.healthypeople.gov/node/3985/data_details
Robbins RA. (2016). Trump proposes initial healthcare agenda. Southwest Journal of Pulmonary and Critical Care, (5), 240. https://doi-org.ezp.waldenulibrary.org/10.13175/swjpcc117-16
Dabbous, M., François, C., Chachoua, L., & Toumi, M. (2019b). President Trump’s prescription to reduce drug prices: from the campaign trail to American Patients First. Journal Of Market Access & Health Policy, 7(1), 1579597. https://doi-org.ezp.waldenulibrary.org/10.1080/20016689.2019.1579597
Wechsler, J. (2012). Budget crunch, political battles shape 2012 policy agenda. Formulary, 47(1), 41. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=70868407&site=eds-live&scope=site
Iglehart, J. K. (2004). The new medicare prescription-drug benefit – A pure power play. The New England Journal of Medicine, 350(8), 826-33. Retrieved from https://ezp.waldenulibrary.org/login?qurl=https%3A%2F%2Fsearch.proquest.com%2Fdocview%2F223943974%3Faccountid%3D14872
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue your selected
| Administration (President Name) | (Current President) | (Previous President) | (Previous President) |
| Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected? |
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| 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? | |||
| Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents? |
| Note: Part 3: of the Module 1: Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief is a 1-page Fact Sheet or Talking Points Brief the you will create in a separate document. |
Agenda Comparison Grid Template
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