Describe the Population Health concern you selected and the factors that contribute to it.

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: Agenda Comparison Grid


Identify the Population   Health concern you selected.

Health care cost


Describe the Population   Health concern you selected and the factors that contribute to it.

Middle class to low income   American

This population was chosen as it is the most   affected by health care costs in todays society


Administration (President   Name)

Donald Trump

Barrack Obama

George W. Bush


Describe the administrative   agenda focus related to this issue for the current and two previous   presidents.

· He   promises replace Obama care allowing the consumer to have insurers fighting   for their business making it more affordable for the middle class to low   income family

· Eliminate   insurance fees for the consumer who does not have a health insurance policy

· Eliminated   the payments made to the insurers that made it more likely for them to be   involved hit the health market

· He   allowed short term plans to be available for people up to three years.

· He   is making price transparency easier for the consumer to understand, which   drives down the cost and drives up the quality of service provided

· Prescription   drug prices are dropping making them more affordable.

· Requires   hospitals to make their prices available online so the consumer can shop   around

· Forcing   insurance providers to must provide cost estimates to the public to give them   an idea of what they will be paying out of pocket

· He   promised to make affordable health care a right for the consumer but not a   privilege.

· Allowed   children until the age of 26 to be covered by their parent’s insurance

· Prohibited   the cancellation of policies for people with costly illnesses

· Established   a health insurance marketplace

· Required   all Americans who could afford insurance to purchase it which he expected to   drive the cost of insurance down

· Expanded   community health centers and provided incentives for primary care doctors to   practice in communities in need

· Covered   HIV testing and treatment

· Established   finical assistance for those who cannot afford insurance without it.

· Gave   tax credits to small business owners who provided insurance to their staff.

· Had   payments from Medicare patients linked to quality of care

· Eliminated   coverage denials due to pre-existing conditions

· He   promised to expand coverage, improve cost, and improve quality of care.

· Created   the tax-free Health Savings Account (HSA) which eliminated out of pocket tax   payments for health care items for the consumer

· Made   the price transparent to the consumer allowing them to know what they paid   and what the insurance paid to the doctor

· He  established or expanded over 1200 community   centers in poverty areas.

· Increased   the NIH funding to allow for more research which led to the creation of the   HPV vaccine

· Helped   displaced workers by expanding the Trade Adjustment assistance program.

· Passed   the medical liability reform which cut down on frivolous lawsuits that drove   of health care cost

· Provided   additional assistance to low income Americans


Identify the allocations of   financial and other resources that the current and two previous presidents   dedicated to this issue.

2020 budget 87.1 billion for   HHS and a 248.8 billion in net health savings with focus on combating the   opioid epidemic, addressing mental health, decreasing prescription cost,   expanding asceses to health plans, expand Medicaid, reduce wasteful medical   spending, improve the integrity of Medicare, Medicaid, and CHIP, asceses to   new technology, end HIV in America, prioritize health research, better   funding for  emergency preparedness, and  aid with older Americans,

2016 budget allocated 1,106   billion at 27% of the budget to healthcare and Medicare

He cut costs to Medicare at   182.7 billion over a five-year period and 17.4 billion in Medicaid. He scaled   back on what doctors, hospitals, and nursing homes were being compensated.


Explain how each of the   presidential administrations approached the issue.

Trump dismantled Obama care   stating that it was overpriced insurance that was not beneficial to the   consumer. He rid of the tax fee that was mandated for those who did not have   insurance. He works to get cost of insurance down while increasing the   quality of services provided to the everyday consumer. His goal is to have   the consumer have a transparent view of what they are paying for before they   buy.

Obama wanted to make   healthcare obtainable to everyone. He made a marketplace and required   everyone who could afford healthcare to purchase some form of plan, if you   did not buy this plan you were slapped with tax penalties. His thought   process in this was more people will be in the marketplace, making more money   for insurance providers, and this will ultimate drive down the cost of   insurance. He made money available to those who needed assistance with buying   insurance

Bush was in an economic   downfall. He was trying to help provide affordable healthcare to those who   needed it, but the money was not there to fulfill all his goals. He cut cost   to two of the most important insurance providers to Americans.

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