Agenda Comparison Grid Template
Use this document to complete the Module 1 Assessment Agenda Comparison Grid and Fact Sheets/Talking Points Brief.
Healthcare Issue
Description
Administration (President Name)
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Allocation of financial and other resources to this issue
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Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
How does the healthcare issue get on the agenda and how does it stay there?
Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?
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Agenda Comparison Grid
Healthcare Issue: Access to Health Insurance Coverage
Description: Ensuring all Americans have access to affordable health insurance plans.
Administration (President Name)
Trump Administration (President Donald Trump)
The Trump administration focused on repealing the Affordable Care Act and providing states more flexibility to alter their insurance markets through waivers.
Obama Administration (President Barack Obama)
A 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.
Bush Administration (President George W. Bush)
Worked to expand state Children’s Health Insurance Program for low-income families but did not pursue a comprehensive healthcare reform agenda.
Allocation of financial and other resources to this issue
Trump – Sought to reduce ACA subsidies and funding.
Obama – Significantly increased federal funding for Medicaid expansion and ACA marketplace subsidies.
Bush – Modestly increased CHIP funding but did not allocate new major funding.
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Trump – Sought less federal government involvement and more state flexibility/control.
Obama – Pursued a comprehensive reform with the goal of achieving near-universal coverage.
Bush – Took a more incremental approach focused on children’s coverage without tackling the broader uninsured issue.
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This issue has been debated for decades and remains politically controversial with differing philosophies on the appropriate federal vs. state role.
Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
Department of Health and Human Services (HHS) – Oversees federal healthcare programs including Medicaid, Medicare, the ACA marketplaces.
How does the healthcare issue get on the agenda and how does it stay there?
Advocacy 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.
Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?
For 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.
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Assignment: Presidential Healthcare Agendas Analysis and Advocacy Brief
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.
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.
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.
To Prepare:
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Scrutinize the healthcare priorities of the last three U.S. presidential administrations.
Choose a pertinent healthcare issue addressed by each administration.
Contemplate the thematic essence of their agendas, particularly the financial allocations towards the selected healthcare issue.
Envisage strategies to effectively advocate for the inclusion of a healthcare issue onto the legislative agenda.
The Assignment: (2- to 3-page Comparison Grid and 1-page Fact Sheet)
Part 1: Agenda Comparison Grid
Examine the presidential administrations under scrutiny and complete the Agenda Comparison Grid, addressing the following:
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Define and succinctly describe the chosen healthcare issue.
Identify the administrative agency primarily responsible for addressing the selected healthcare issue.
Explore the mechanisms facilitating the inclusion and persistence of the healthcare issue on the agenda.
Uncover the pivotal figures driving the advocacy for the chosen healthcare issue.
Part 2: Fact Sheet or Talking Points Brief
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:
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Concisely elucidate the significance of the healthcare issue and advocate for its legislative prioritization.
Articulate the indispensable role of nurses in shaping healthcare agendas and policies.
By Day 7 of Week 1
Present a draft of Part 1 for peer review and feedback on the Discussion Board.
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Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief
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 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.
To Prepare:
Review the agenda priorities of the last three U.S. 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: (2- to 3-page Comparison Grid and 1-page Fact Sheet)
Part 1: Agenda Comparison Grid
Based on the presidential administrations you are comparing, complete the Agenda Comparison Grid. Be sure to address the following:
Identify and provide a brief description of the healthcare issue you selected.
Identify which administrative agency would most likely be responsible for helping you address the healthcare issue you selected.
How does the healthcare issue get on the agenda and how does it stay there?
Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?
Part 2: Fact Sheet or Talking Points Brief
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:
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 7 of Week 1
Submit a draft of Part 1 to the Discussion Board
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Agenda Comparison Grid
Healthcare Issue: Expanding Access to Health Insurance
Administrative Agency: Department of Health and Human Services
Obama Administration (2009-2017)
The 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.
Grassroots organizing and stakeholder input were important for getting the ACA on the agenda. The law’s champion was President Obama.
Trump Administration (2017-2021)
Repealing and replacing the ACA was a top priority, though no alternative plan gained traction despite executive actions and repeal bills like Graham-Cassidy.
Healthcare entrepreneurs and advocates both supported and opposed the ACA, working to influence the agenda. The law’s opponents, like President Trump, were its entrepreneurs.
Biden Administration (2021-present)
Expanding access remains a priority through strengthening the ACA, lowering drug costs, and closing the Medicaid coverage gap led by HHS.
Ensuring coverage for more Americans remains an ongoing issue. Advocates, providers, and insurers provide stakeholder input.
Fact Sheet
Importance of the Issue:
Lack of health insurance impacts individuals’ health outcomes and financial well-being.
It influences public health by affecting rates of preventive care, chronic disease management, and uninsured hospital visits.1
Nurse Role in Agenda Setting:
Nurses understand firsthand the impacts of lack of coverage on patients and communities.
They are well-positioned to advocate for universal coverage solutions to achieve healthcare access for all as a basic human right.2,3
References:
Sommers, 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
Dickson, 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
Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. National Academies Press.
