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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.
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.
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
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.
Sample Solution
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