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Assignment: Agenda Comparison Grid and Fact Sheet

Assignment: Agenda Comparison Grid and Fact Sheet

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The health of senior citizens in the U.S. has become a critical national policy issue and hot topic in presidential debates in the past decades. As the population of older adults rises dramatically, there are few indicators that adequate resources will be available to meet the challenge of meeting their health care needs to promote a good quality of life (Tkatch et al., 2016). Besides, it is projected that the demand for health services among older adults aged 65 years and above will rise considerably in the coming decades. Due to the growing number of older adults in the U.S., an increasing number of older adults will be living with illness and disability (Tkatch et al., 2016). Consequently, more care providers and resources are required to meet their needs for health care services. This paper seeks to compare President Trump, Obama, and Bush’s administrative agendas regarding healthcare for older adults and how each president approached the issue.

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Part 1: Agenda Comparison Grid

Identify the Population Health concern you selected. Healthcare for older adults.

 

Describe the Population Health concern you selected and the factors that contribute to it. Older adults utilize far more health care services than the younger generation. Although older adults vary greatly in terms of health status, the majority of them have at least one chronic illness that requires long-term follow-up care. The demographic characteristics of older adults also vary, contributing to differences in their demand for and utilization of health services. The Federal government established Medicare, a health insurance program for Americans aged 65 years and above.

 

Administration (President Name) President Trump President Obama President Bush
Describe the administrative agenda focus related to this issue for the current and two previous presidents. ·       President Trump’s agenda on healthcare for seniors was to protect Medicare from socialist destruction (Saltzman & Eibner, 2016).

 

 

 

 

 

 

 

·       President Obama administrative agenda was to reform health care through the

Affordable Care Act and protect Medicare for seniors who have earned and paid for the guaranteed coverage it provides (Obama, 2016).

·       President Bush’s agenda was to reform Medicare and add a prescription drug benefit (Blumenthal et al., 2015).

 

Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. ·       He expanded Medicare coverage of telehealth and Medicare Advantage benefits during the COVID-19 pandemic.

 

 

 

 

 

 

·       Increased coverage for the Medicare prescription drug program (Obama, 2016).

·       Created new Medicare payment and delivery models to pay for the value rather than the volume of services provided (Blumenthal et al., 2015).

·       Expanded private plan options through the Medicare Advantage program to increase its competitiveness and choices (Blumenthal et al., 2015).
Explain how each of the presidential administrations approached the issue. ·       President Trump signed an executive order to strengthen Medicare Advantage (Saltzman & Eibner, 2016).

·       Signed an executive order directing the Department of Health and Human Services to develop proposals to improve several aspects of Medicare. The proposal included expanding plan options for seniors, encouraging innovative plan designs and payment models, and improving the enrollment process to make it easier for seniors to choose plans (Saltzman & Eibner, 2016).

 

 

 

 

 

 

·       President Obama signed the ACA, which enabled seniors to receive recommended preventive services and new Annual Wellness Visits, free of charge.

·       He signed a law that provided new home- and community-based options for elderly persons who require long-term care services (Blumenthal et al., 2015).

·       He established new Centers for Medicare Innovation to improve health care quality and costs by developing and testing innovative health care payment and service delivery models (Obama, 2016).

·       Improved the quality of health care for Medicare beneficiaries by adding preventive screening programs to help diagnose illnesses earlier (Blumenthal et al., 2015).

·       Increased enrollment to nearly 10 million Americans.

·       Increased private plan enrollment from 4.7 million in 2003 to nearly 10 million in 2008 (Blumenthal et al., 2015).

 

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) President Trump President Obama President Bush
Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?

 

·       The Office of Nutrition and Health Promotion Programs (ONHPP). ONHPP administrates health, prevention, and wellness programs for older adults.

 

·       The Office of Nutrition and Health Promotion Programs (ONHPP). ONHPP administrates health, prevention, and wellness programs for older adults.

 

·       The Office of Nutrition and Health Promotion Programs (ONHPP). ONHPP administrates health, prevention, and wellness programs for older adults.

 

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? ·       The issue of healthcare for older adults might get on Trump’s agenda of protecting Medicare by creating a policy that promotes sustainability of the insurance program through funding.

·       Trump can call for regulatory relief actions that protect and improve Medicare.

·       Trump’s agenda can also expand Medicare’s health services to include Rehabilitation services.

·       Obama’s healthcare agenda was to make quality and affordable health care a right for all rather than a privilege (Obama, 2016).

·       Healthcare for older adults might get on Obama’s agenda by identifying ways senior citizens can access affordable and quality healthcare services.

·       It can prompt identifying ways to improve the quality and range of services provided to older adults.

 

·       Bush’s healthcare agenda was to make health care more affordable, transparent, portable, and efficient (Blumenthal et al., 2015).

·       Healthcare for older adults can get on this agenda by enacting laws that promote affordable healthcare for older adults and increase Medicare insurance programs’ services.

Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents? ·       National Council on Aging (NCOA).

NCOA is a national leader and partner that supports individuals above 60 years in their aging process and problems associated with aging (NCOA, 2021).

 

·       National Council on Aging (NCOA).

NCOA is a national leader and partner that supports individuals above 60 years in their aging process and problems associated with aging (NCOA, 2021).

 

·       National Council on Aging (NCOA).

NCOA is a national leader and partner that supports individuals above 60 years in their aging process and problems associated with aging (NCOA, 2021).

 

Part 3 Narrative

Healthcare for older adults is an important issue that should be included in the national agenda for legislation because of the increasing population of senior citizens. The topic of healthcare for older adults is an increasing concern because most seniors have one or more geriatric syndromes. Geriatric syndromes are common conditions among community-dwelling older adults and significantly affect their quality of life (Tkatch et al., 2016). Although Medicare insures health services for older adults, it does not cover some vital services such as, as long-term care, dental care, and foot care. Expanding the coverage Medicare should be part of the healthcare agenda for legislation to increase access to health services to the most vulnerable population and reduce morbidity and mortality rates associated with geriatric syndromes (Tkatch et al., 2016). Laws can be passed to increase Medicare’s federal funding and expand services provided to older adults. Besides, a policy can be passed to modernize Medicare’s benefits package and the copayment structure and gradually increase Medicare Part B premiums from 25 to 35% of the total program cost.

Assignment: Agenda Comparison Grid and Fact Sheet

Nurses are essential in developing and implementing healthcare policy and should be leading the way in redesigning the healthcare system to address prevailing healthcare issues. The nurse’s role in agenda-setting for healthcare issues includes identifying issues faced in delivering and accessing care and working with decision and policymakers to advance health care policies (Williams, Phillips & Koyama, 2018). The nurse also has a role in identifying innovative ways to address healthcare delivery issues and present the ideas to policymakers for legislation (Williams et al., 2018). Besides, nurses have a role of advocating for health policies to protect patient safety, increase the quality of care, and facilitate patients’ access to the required health resources.

Conclusion

It is projected that the demand for health services will rise drastically in the coming decades due to the increasing population of older adults. The U.S has a federal health insurance program, Medicare, which covers adults from the age of 65. The current and former presidents have taken various actions to improve the quality and quantity of services that older adults can access through the Medicare program. Each of the presidents aimed at making quality healthcare more accessible and affordable for older adults.

References

Blumenthal, D., Davis, K., & Guterman, S. (2015). Medicare at 50—origins and evolution. N Engl J Med372(5), 479-486.

National Council on Aging. (2021). About the national council on aging. NCOA. https://www.ncoa.org/about-ncoa/

Obama, B. (2016). The United States health care reform: progress to date and next steps Special communication. J Amer Med Assoc. Epub, 7(11). https://doi.org/10.1001/jama.2016.9797

Saltzman, E., & Eibner, C. (2016). Donald Trump’s health care reform proposals: Anticipated effects on insurance coverage, out-of-pocket costs, and the federal deficit. The Commonwealth Fund32, 1-14.

Tkatch, R., Musich, S., MacLeod, S., Alsgaard, K., Hawkins, K., & Yeh, C. S. (2016). Population health management for older adults: review of interventions for promoting successful aging across the health continuum. Gerontology and geriatric medicine2, 2333721416667877. https://doi.org/10.1177/2333721416667877

Williams, S. D., Phillips, J. M., & Koyama, K. (2018). Nurse advocacy: Adopting a health in all policies approach. Online Journal of Issues in Nursing23(3). DOI: 10.3912/OJIN.Vol23No03Man01

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