Table of Contents
NURS 6050/5050 PA001 Agenda Setting: Presidential Agendas Discussion Paper Example
NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment
NURS 6050/5050 PA001 Agenda Setting: Presidential Agendas Discussion Assignment Brief
Course: NURS 5050 – Policy and Advocacy for Improving Population Health
Assignment Title: NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment
Assignment Overview
In this assignment, you will look at the dynamics of healthcare agenda setting at the presidential level in the United States. By examining how Presidents Trump, Obama, and Bush approached significant healthcare issues, you will gain insights into the complexities of policymaking and the impact of presidential agendas on national healthcare priorities.
Understanding Assignment Objectives
Your task is to compare and analyze the healthcare agenda priorities of different U.S. presidents, evaluate the role of administrative agencies in addressing healthcare issues, and identify key factors that influence how healthcare issues become prominent on administrative agendas. Additionally, you will explore the role of champions or sponsors in promoting healthcare issues and develop effective fact sheets for communicating with policymakers or legislators. Through this analysis, you will justify the essential role of nurses in agenda setting for healthcare issues.
The Student’s Role
As a student, you will critically assess how presidential administrations have shaped healthcare policies and priorities over time. By applying your knowledge of agenda setting and healthcare policy, you will analyze past strategies and propose alternative approaches to address healthcare challenges faced at the national level.
Competencies Measured
This assignment will measure your ability to:
- Compare and contrast U.S. presidential healthcare agendas.
- Evaluate the influence of administrative agencies on healthcare policy.
- Analyze the process of agenda setting for healthcare issues.
- Identify and assess stakeholders involved in promoting healthcare priorities.
- Develop effective fact sheets for engaging policymakers.
- Justify the pivotal role of nurses in shaping healthcare agendas.
You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:
NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example
NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment Example
NURS 6050/5050 PA001 Agenda Setting: Presidential Agendas Discussion Paper Example
Introduction
The process of agenda setting within U.S. presidential administrations significantly influences healthcare policy formulation, impacting national priorities and strategies. This paper undertakes a detailed comparison of how Presidents Trump, Obama, and Bush approached key healthcare issues during their respective terms in office. By analyzing their agendas and actions, valuable insights into the complexities of healthcare policymaking at the highest levels of government are gained.
Agenda Setting in Presidential Administrations
Agenda setting is a critical process whereby certain issues gain prominence and become top priorities for policymakers. In the federal context, this process is influenced by factors such as public opinion, economic conditions, interest group pressures, and presidential leadership (Kingdon, 2001). Understanding how presidents prioritize healthcare issues provides insights into the policy-making process and its impact on healthcare outcomes.
President Bush’s Initiatives
President George W. Bush’s administration prioritized advancing market-oriented reforms and strengthening healthcare infrastructure. Notably, Bush championed the Medicare Modernization Act of 2003, a significant legislative effort aimed at improving access to prescription drugs for seniors through Medicare Part D (Milstead & Short, 2019). This initiative introduced market-based competition among private insurers, aiming to enhance affordability and access to medications for Medicare beneficiaries.
Furthermore, President Bush promoted Health Savings Accounts (HSAs) as a mechanism to empower individuals to manage their healthcare costs and make informed healthcare decisions (Milstead & Short, 2019). HSAs offered tax advantages and flexibility in paying for medical expenses, aligning with Bush’s emphasis on consumer-driven healthcare solutions and individual responsibility.
Additionally, Bush’s administration prioritized strengthening public health preparedness, particularly in response to emerging infectious diseases and bioterrorism threats (Milstead & Short, 2019). This proactive approach underscored the importance of enhancing healthcare infrastructure and responsiveness to public health emergencies during his presidency.
President Obama’s Legacy
President Barack Obama’s administration achieved a monumental milestone with the passage of the Affordable Care Act (ACA) in 2010. The ACA aimed to expand health insurance coverage, improve access to healthcare services, and regulate the health insurance industry (Milstead & Short, 2019). Key provisions included the establishment of health insurance exchanges, Medicaid expansion, and protections against insurance discrimination based on pre-existing conditions.
President Obama’s healthcare agenda prioritized achieving universal healthcare coverage and reducing disparities in access to care (Milstead & Short, 2019). The ACA significantly reduced the uninsured rate and enhanced healthcare quality through value-based care initiatives and accountable care organizations.
President Trump’s Reform Efforts
President Donald Trump’s administration pursued a different path, focusing on reforming healthcare policies established under the ACA. The Trump administration advocated for the repeal and replacement of the ACA, emphasizing reducing federal involvement in healthcare and promoting market-driven solutions (Milstead & Short, 2019). Efforts to dismantle key aspects of the ACA, such as the individual mandate and Medicaid expansion, were pursued through legislative initiatives like the American Health Care Act (AHCA).
Additionally, President Trump prioritized addressing the rising costs of prescription drugs, proposing measures to enhance price transparency and competition in the pharmaceutical industry (Lamb et al., 2015). Furthermore, combating the opioid crisis was a key agenda item, with initiatives aimed at expanding access to addiction treatment (O’Rourke et al., 2017).
Comparison and Alternative Strategies
Comparing the approaches of Presidents Trump, Obama, and Bush underscores the diverse strategies employed to address healthcare challenges. President Bush’s market-oriented reforms emphasized consumer empowerment through HSAs and private sector competition. President Obama’s legacy, embodied by the ACA, focused on expanding coverage and regulating the insurance industry to improve access and quality of care. President Trump’s administration prioritized deregulation and market-driven reforms, seeking to reduce federal involvement and enhance individual responsibility.
Alternative strategies could involve a hybrid approach, combining elements of market competition with regulatory safeguards to ensure equitable access and affordability. Emphasizing preventive care, addressing social determinants of health, and leveraging technological innovations could enhance healthcare efficiency and effectiveness.
Conclusion
Analyzing how Presidents Trump, Obama, and Bush handled healthcare challenges provides valuable insights into the complexities of healthcare policy-making and the diverse strategies employed to address national priorities. President Bush’s administration emphasized market-oriented reforms, including initiatives like Medicare Part D and Health Savings Accounts, to promote consumer empowerment and enhance healthcare infrastructure. President Obama’s legacy was marked by the passage of the Affordable Care Act (ACA), aiming for universal healthcare coverage and improved access through regulatory measures and expanded insurance options. Conversely, President Trump pursued deregulation and market-driven reforms, advocating for the ACA’s repeal while targeting prescription drug costs and the opioid crisis. Comparing these approaches underscores the varied strategies used to tackle healthcare issues. Future policy discussions should explore hybrid models combining market competition with regulatory safeguards to ensure equitable access and affordability, prioritizing preventive care, addressing social determinants of health, and leveraging technological innovations to enhance healthcare efficiency and effectiveness nationally.
References
Kingdon, J.W. (2001). A model of agenda-setting with applications. Law Review M.S.U.-D.C.L., 2(331).
Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., … Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521–530. doi:10.1016/j.outlook.2015.06.003.
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political efficacy and participation of nurse practitioners. Policy, Politics, and Nursing Practice, 18(3), 135–148.
Detailed Assessment Instructions for the NURS 6050/5050 PA001 Agenda Setting: Presidential Agendas Discussion Paper Assignment
Discussion: Presidential Agendas
Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.
Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently?
To Prepare:
- Review the Resources and reflect on the importance of agenda setting.
- Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.
Learning Resources
Required Readings
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
- Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. 11–13 only)
- Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention?” (pp. 17–36)
- Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 171–180)
- Chapter 12, “An Insider’s Guide to Engaging in Policy Activities”
- “Creating a Fact Sheet” (pp. 217-221)
DeMarco, R., & Tufts, K. A. (2014). The mechanics of writing a policy brief. Nursing Outlook, 62(3), 219–224. doi:10.1016/j.outlook.2014.04.002
Kingdon, J.W. (2001). A model of agenda-setting with applications. Law Review M.S.U.-D.C.L., 2(331)
Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., … Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521–530. doi:10.1016/j.outlook.2015.06.003.
O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political efficacy and participation of nurse practitioners. Policy, Politics, and Nursing Practice, 18(3), 135–148.
Institute of Medicine (US) Committee on Enhancing Environmental Health Content in Nursing Practice, Pope, A. M., Snyder, M. A., & Mood, L. H. (Eds.). (n.d.). Nursing health, & environment: Strengthening the relationship to improve the public’s health.
USA.gov. (n.d.). A-Z index of U.S. government departments and agencies. Retrieved September 20, 2018, from https://www.usa.gov/federal-agencies/a
USA.gov. (n.d.). Executive departments. Retrieved September 20, 2018, from https://www.usa.gov/executive-departments
The White House. (n.d.). The cabinet. Retrieved September 20, 2018, from https://www.whitehouse.gov/the-trump-administration/the-cabinet/
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