For people to receive the required health services, the government must remain committed to solve health problems. Irrespective of the political stance, the government should examine people’s health problems in detail and commit the necessary resources to solve them. The issue of health care access has been there for a long time. Lack of access or the failure to afford insurance coverage has been a leading cause, and governments have responded to the issue differently. This comparison grid compares the Bush, Obama, and Trump administrations’ efforts to enhance access by promoting insurance coverage through Medicare and other people-centered programs.
| Identify the Population Health concern you selected. | Access problems to comprehensive, quality health care services
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| Describe the Population Health concern you selected and the factors that contribute to it. | Always, people should have access to quality health care services. Access is crucial for promoting and maintaining health. Unfortunately, the high cost of care has been an issue for many people. The problem is exacerbated by the lack of or inadequacy of insurance coverage (Office of Disease Prevention and Health Promotion, 2020). Lack of access leads to unmet health needs and delays in receiving appropriate care. Various presidents of the United States focused differently on enhancing access, and their influence on insurance coverage differed profoundly. | ||
| 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. | Committed to repeal and replace the Affordable Care Act with tax deductions and health savings accounts.
No preexisting condition denials for people with continuous coverage. |
Implemented the Affordable Care Act and expanded capacity.
Committed to cover all Americans through private insurance, tax credits, and subsidies.
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Expanded private plans in Medicare
Provided tax credits and premium tax deduction for plans linked with health savings. |
| Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. | Trump committed more financial resources to his administration’s health agenda. Lambrew (2018) noted that the federal health spending in 2018 comprised a larger share of the economy at 5.3% compared to Security payments (4.9%) or the defense budget (3.1%).
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President Obama strengthened medical insurance programs and committed huge financial resources to health care. As early as 2010, the Department of Health and Human Services received $81.3 billion to expand access to care. Medicaid expansion followed with the federal government covering totally covering expansion costs between 2014 and 2016 and 90% after that (Park, 2016). | The Bush record factsheet indicates that President Bush reformed Medicare and supported programs that enhanced health care access to specific populations, including veterans. The administration increased funding at the National Institute of Health by more than 44% and committed more than $6 billion to modernize VA medical facilities (The White House, 2021). Affordable health care to all Americans was the guiding principle. |
| Explain how each of the presidential administrations approached the issue. | Supported health access by financial interventions and programs.
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The focus was on promoting insurance as a barrier to health access. |
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