NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to 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 presidential administrations.
• Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
• Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
• Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member 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 Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and 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 that contribute 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 dedicated to this issue.
• Explain how each of the presidential administrations approached the issue.

(A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Discussion Board by Day 3 of Week 1.)

Part 2: Agenda Comparison Grid Analysis

Using 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 you selected?
• 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?
• Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

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Part 3: Fact Sheet or Talking Points Brief

Based on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.

Then, using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare 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.

Introduction

Healthcare policy has remained a central topic of debate in the United States since the late eighteenth century. From President John Adams’s 1798 law mandating sailors to contribute a portion of their wages for medical care to today’s discussions surrounding equitable access, affordability, and quality of care, healthcare has consistently shaped national policy agendas. Each presidential administration has approached healthcare reform with differing philosophies, priorities, and strategies, reflecting the nation’s evolving social, economic, and political landscape. These variations demonstrate how healthcare policy is influenced not only by public health needs but also by administrative values, fiscal constraints, and the changing expectations of the American population.

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As healthcare professionals, nurses play a vital role in understanding, shaping, and advocating for policies that directly impact patient outcomes and population health. Nurses often serve as both advocates and informants, providing evidence-based insights that help policymakers design effective health legislation. Therefore, developing an informed perspective on how presidential administrations prioritize and address key health concerns is critical for influencing policy decisions that advance quality care and health equity.

This paper will analyze and compare how the current and two previous U.S. presidential administrations have addressed a selected population health concern within their healthcare agendas. Using the Agenda Comparison Grid, the discussion will identify each administration’s policy focus, financial allocations, and implementation strategies. The analysis will then examine which federal agencies are most responsible for addressing the selected issue and how that issue is sustained within the political agenda. Finally, a Fact Sheet will be developed to communicate the importance of the chosen health issue and demonstrate the nurse’s role in policy advocacy and agenda setting. By examining presidential approaches to healthcare reform, this analysis aims to highlight the ongoing importance of policy engagement and the nursing profession’s influence in shaping the future of U.S. healthcare.

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