Discussion Presidential Agendas

Discussion Presidential Agendas

Healthcare and Politics

Building an affordable act on healthcare by expanding the subsidized coverage offered by the government has been a goal mentioned by most presidential leaders. It is a topic in the healthcare sector that continually comes to the presidential level as one of the agendas. As the current president, Trump did sabotage the care act, and six initiatives emerged in congregational failure wake. He needed to reduce the opportunities to enrolling the care act insurance.

Discussion Presidential Agendas

During the Obama administration, he had promoted the act to attract the health and younger generation and help keep the premiums down until the trump administration reduced the advertising and navigators by reducing the enrolment period done annually to half the initial number of days (Petmesidou, 2020 Discussion Presidential Agendas). What Obama had begun was a good thing since it’s the younger generation that mostly struggles with insurance and needs to be available for them. Giving them a reasonable span of days would be great as many young people would enroll. Bush had imposed federal medicare for the elderly.

Trump’s administration was also required to promote waivers hence decrease enrolment and undermine the regulatory structure. Trump approved the waivers from different states with work requirements yet put a burden on the nonelderly adults that benefited from the aid. Obamas administration had made an assurance that the waivers didn’t reduce coverage. There was a need to construct cheaper off-ramps and low quality of the insurance. The care act sought to boost the health insurance quality by measures to guarantee coverage to people with preexisting conditions at an affordable rate, the same as healthier enrollees and reducing medical bankruptcy. This could be made possible by imposing specific caps for an enrollee.

Trump administration drove to expand access to the cheap cover that did not meet these quality standards and would also siphon the healthier enrollees. Obama had offered subsidies to be paid by Obama care taxes from families with high income and some care providers. Bush had also bribed Americans since he needed them to embrace leaner insurance. He allowed them to make annual deposits into a savings account per family. This would be used for high spending out of pocket.

I would have emulated the Obama administration to focus on the young and healthy by giving a reasonable period to enroll in these covers after reduced premiums. The Obamacare taxes initiative was also a great way to balance high and low-income earners. Agenda setting gives the mass a choice to pick between the many salient stories provided by the media. There are places the audience cannot reach and know what goes on, enabling access and even assessing what is going on (Dunaway et al., 2010). It is essential to look at some information from actualities and give accurate accounts of it.

The government plays an essential role in health care by the establishment of Medicaid and medicare. This is by ensuring access to medical insurance to a larger population in the US (McDougle et al., 2015). The federal government’s role has been well contested over the years, and leadership is stimulated under affordable care and other healthcare legislation. The government is said to be the primary stakeholder in managing healthcare costs. With its extensive programs and influence from the market, the government is more likely to play a significant role in achieving quality healthcare and better value. The US spends capital on healthcare more than any other country, yet the outcomes are no more than other developed nations that pay even less.

Discussion: Presidential Agendas References

  • Dunaway, J., Branton, R. P., & Abrajano, M. A. (2010). Agenda setting, public opinion, and the issue of immigration reform. Social Science Quarterly, 91(2), 359-378.
  • McDougle, L., Way, D. P., Lee, W. K., Morfin, J. A., Mavis, B. E., Wiggins, D. A., … & Clinchot, D. M. (2015). A national long-term outcomes evaluation of US premedical postbaccalaureate programs designed to promote healthcare access and workforce diversity. Journal of health care for the poor and underserved, 26(3), 631.
  • Petmesidou, M. (2020). Health policy and politics. In The Oxford Handbook of Modern Greek Politics. https://global.oup.com/academic/product/the-oxford-handbook-of-modern-greek-politics-9780198825104


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)

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.
By Day 3 of Week 1
Post your response to the discussion question: 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?

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