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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 theadministration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the firstmajor piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidentialagendas and political debate ever since.As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions onhealthcare matters as they are debated for inclusion into new policy. You may also be involved in planning neworganizational policy and responses to changes in legislation. For all of these reasons you should be preparedto speak to national healthcare issues making the news.Analyze recent presidential healthcare agendas. You also will prepare a fact sheetto 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 presidentialadministrations.Select an issue related to healthcare that was addressed by each of the last three U.S. presidentialadministrations.Reflect on the focus of their respective agendas, including the allocation of financial resources for addressingthe healthcare issue you selected.Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or amember 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 GridUse the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: AgendaComparison Grid based on the current/sitting U.S. president and the two previous presidential administrationsand 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 thatcontribute 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 dedicatedto this issue.Explain how each of the presidential administrations approached the issue.Part 2: Agenda Comparison Grid AnalysisUsing 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 youselected?How do you think your selected healthcare issue might get on the agenda for the current and two previouspresidents? How does it stay there?Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for thecurrent and two previous presidents?Part 3: Fact Sheet or Talking Points BriefUsing the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking PointsBrief that you could use to communicate with a policymaker/legislator or a member of their staff for thishealthcare 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.
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