| 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?
|
Somewhat likely
|
Most likely
President Obama’s administration focused on various areas concerned with reforms, funding, and community support. A suitable example is three years of full funding for Medicaid expansion rates. Park (2016) further noted that Obama extended CHIP funding, a critical source of affordable coverage for children from low-income families. |
Less likely |
| 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? | It would be a high priority issue and the government would commit huge financial resources but put stiff measures to prevent wastage and fraud.
It stays there by policy support. |
It would be a part of government’s central agenda looking for measures to cover all American through private insurance and public plan.
It stays there by policy support. |
Policy frameworks are would be essential to ensure that health access gets on the Bush’s agenda. The focus would be expanding private plans in Medicare and similar support services. |
| Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents? | State legislature/senator. It should be sponsored as a bill. | Senator | Senator |
For populations to grow and live healthily, access to health care services should be guaranteed. People should have health care facilities close to their residences, and health services should be affordable. Approaches that enhance access, such as telehealth, should be adopted as much as possible. Various administrations in the United States have approached this issue differently. Their focus differs depending on political backgrounds and agendas, resources, and philosophies. The main issues that different governments explore include insurance coverage as one of the key components of access besides timeliness of care and health services availability (Office of Disease Prevention and Health Promotion, 2020). Governments’ agenda also depends on sponsors and the problems facing the populace.
The three governments have prioritized affordable health as an area of priority, and successors should make it a priority too. Donald Trump’s focus can be lauded because of tax deductions and policies promoting health savings. Considering that access limitations should be minimal as possible, doing away with denials for people with preexisting conditions as long as they have continuous coverage helped expand access. Barack Obama’s implementation of the Affordable Care Act needs recognition too. George Bush expanded private plans in Medicare. In each case, the administration focuses on improving access by ensuring that people can afford health services.
Problems such as high cost of care and inadequate or absence of insurance coverage have limited health care access to many populations. The low availability of health services and lack of culturally competent care amplify the problem further. Due to financial burdens, among other access problems, different administrations devise different interventions to ensure that Americans can access health. Focus on insurance coverage has been prioritized by Trump, Obama, and Bush administrations. The idea is to make people more insured to ensure that they are not denied health services due to lack of coverage. Insurance coverage and expansion programs ensure that people can receive health services at their usual places of care. It is a method of preventing delays that governments should support as much as possible.
Lambrew, J. M. (2018). Getting ready for health reform 2020: What past presidential campaigns can teach us. The Commonwealth Fund. https://www.commonwealthfund.org/sites/default/files/2018-06/Lambrew_getting_ready_hlt_reform_2020_presidential_0.pdf
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