Agenda Comparison Grid and Fact Sheet or Talking Points Brief

Assignment Template for Part 1 and Part 2 Part 1: Agenda Comparison Grid Use this Agenda Comparison Grid to document information about the population health/healthcare issue your selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas. You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment. Identify the Population Health concern you selected. Affordable health care act Describe the Population Health concern you selected and the factors that contribute to it. 17% of U.S women and 28% of U.S men who do not have primary health care access, some of whom are people living with pre-existing condition,elderly,people from racial and ethnic minority background,gay,lesbians and bisexual. Some of the contributing factors are Shortage of primary health care providers and increased health care costs. Administration (President Name) (Current President) Trump (Previous President) Obama (Previous President) Bush Describe the administrative agenda focus related to this issue for the current and two previous presidents. a) Fully repeal the ACA b) Fully repeal and allow individuals to fully deduct health insurance premium payment from their tax. c) Repeal and grant Medicaid and the children health insurance to the states. d) Report and promote the sale of health insurance across state lines. a) Make affordable health insurance available to more people by providing consumers with tax subsidies (premium tax credit) Lower cost for household with income between 100% and 400% of federal poverty level. b) Expand the Medicaid program to cover all adults with income below 138% of the federal poverty level. c) Support innovative medical care delivery designed to lower costs of health care generally. a) Association health plan will help small business provide affordable health insurance coverage to their work. b) Millions of Americans will get help with their out of pocket medical expenses through health savings account. c) New health insurance deductions will make coverage more affordable to millions whose employer don’t provide health insurance benefits. d) Refundable tax credits will make health insurance more affordable to millions of low income Americans. e) Medical liability reform will help improve health care quality and slow the rise in health care cost. Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. a) Allocated $1.2Trillion in a block grant to state minus $25 Billion less on social security and $845 Billion less in Medicare. b) In isolation, Medicaid budget cut amount to $1.5 Trillion over 10 Years but looked in the context of the new block grant as well as work requirement and ACA cut. The cuts round out to about $777 Billion which could lead millions uninsured. a) The law raises revenue by imposing health penalties on people who don’t have health insurance i.e. Projection of $43 billion by 2025 and employers who don’t offer coverage to their employees $167 billion. b) High income tax payers also help pay the Obama Care. The health law requires worker to pay a tax equal to 0.9% of their wages over $200,000 if single or $250,000 if married filing jointly to finance Medicare hospital insurance. c) It also impose a 3.8% surtax on various forms investment income on tax payers whose modified adjusted gross income is over $200,000 if single or $250,000 if married and filing jointly. d) These provisions will account for $346 billion in revenue by 2025 according to CBO. a) Creation of refundable healthcare car tax to cover uninsured Americans. b) Promotion of recently enacted health savings account c) An expansion of traditional public program. The state children’s health insurance program and Medicaid to cover uninsured children. d) AN expansion of federally funded community health centers and clinics. e) New tax deductions and tax exemptions to enhance long term care coverage. f) Bush’s health care proposals would increase total federal expenditure by an additional $227.5 billion over 10 years, while reducing the number of the uninsured by 17% or 8.2 million(Lewis Group) Explain how each of the presidential administrations approached the issue.