Explain how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.

Explain how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.
Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.

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In Part 1 of this module’s Assignment, you were asked to begin work on an Agenda Comparison Grid to compare the impact of the current/sitting U.S. president and the two previous presidents’ agendas on the healthcare item you selected for study. In this NURS 6050 Agenda Comparison Grid Template Discussion, you will share your first draft with your colleagues to receive feedback to be applied to your final version.

To Prepare:

Review the Resources and reflect on the importance of agenda setting.
Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.
Review Part 1 of the Module 1 Assignment and complete the requirements for this NURS 6050 Agenda Comparison Grid Template Discussion.

Agenda Comparison Grid Template
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. NURS 6050 Agenda Comparison Grid Template.

Identify the Population Health concern you selected.

Describe the Population Health concern you selected and the factors that contribute to it.
NURS 6050 Agenda Comparison Grid Template

Administration (President Name) (Current President) (Previous President) (Previous President)
Describe the administrative agenda focus related to this issue for the current and two previous presidents.

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.

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue your selected

Administration (President Name) (Current President) (Previous President) (Previous President)
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?

Note: Part 3: of the Module 1: Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief is a 1-page Fact Sheet or Talking Points Brief the you will create in a separate document.

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. Abortion
Describe the Population Health concern you selected and the factors that contribute to it. Abortions has been a debate in healthcare for many year, but most recently, it has become a huge topic of discussion and debate in politics. Abortion laws affect many different populations and there are many factors that contribute to the debate. Factors that contribute to abortion are the effects abortion has on birthrates, the economic impact of abortion, changes of sexual behavior among teens. A recent study was performed to determine the factors affecting the mental well-being of a woman after abortion. Implications of the study included; Source of stress experienced by women after abortion and the effects abortion has in regards to religious beliefs (Annas, G. n.d.). According to a 2011 study of the British Journal of psychiatry 81 percent were likely to experience a mental health disorder such as anxiety disorder, depression, alcohol abuse, marijuana abuse, and suicide (Laguna Treatment Center, 2019). Other studies, found that women were more emotionally stressed if they were denied an abortion (Laguna Treatment Center, 2019). The reason for this was they were not prepared to have children, rape, the child had birth complications, and parents of the child were unable to care for the baby, or shame.

Administration (President Name) (Current President)
Donald Trump

(Previous President)
Barack Obama

(Previous President)
George W. Bush

Describe the administrative agenda focus related to this issue for the current and two previous presidents. On January 19, 2018, while speaking to participants at the annual March for Life, a rally for activists who opposed abortion, President Donald Trump said that his administration “will always defend the very first right in the Declaration of Independence, and that is the right to life. We are protecting the sanctity of life and the family as the foundation of our society (whitehouse.gov, n.d.). President Trump is % against abortion. He has always maintained that is and will always be the case for him as long as he is president.

Obama strongly supported a women’s right to choose to terminate her pregnancy for any reason through legal and safe abortion procedures as defined by Roe. Obama wound do just about anything and everything he could to preserve a women’s right to affordable and unfettered abortion on demand as promoted by tax subsidized abortion providers like Planned Parenthood. (www.nrlc.org, April, 201). He believed it was a moral issue and did not feel the government should be involved. Obama enacted the freedom of choice Act in 2008, which would codify the right to abortion by eliminating all federal and state-level restrictions on the procedure (The federalist, 2019 para.9). President Bush is likely the president that was the most sensitive on the subject than the other two presidents.
Bush supported a constitutional amendment making the procedure illegal – except in cases of rape, incest and when the woman’s life was in jeopardy. But he also added that Americans didn’t support the measure, so there was no need to pursue it. He also added that he not require his Supreme Court nominees to pass an anti-abortion litmus test (Abortion without the rhetoric, 2012). He did not believe in intentional death of babies, but he believed women should have some rights initially, but then he took away funding, and settled for Partial abortion.

Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. Trump signed an executive order reinstating the ban known as the Mexico City Policy. This policy prohibits the U, S. giving federal family planning funding to international health groups that provide abortion care” (Freiburger, C., 2019).This would include organizations such as Planned Parenthood.
Shortly afterwards, the President’s press secretary Sean Spicer made a bold statement that stated, “ Mr. Trump was/is standing up for all Americans – including the unborn” (Freiburger, C., 2019).

The Obama administration finalized a rule to stop states from withdrawing federal money from Planned Parenthood and other health clinics that provide abortions.
The protections were in effect two days before Donald Trump took office.

Under the rule, states are legally required to distribute federal funds for services related to contraception, fertility, pregnancy, sexually transmitted infections and breast and cervical cancer screening, regardless of whether they also perform abortions (Annas, G. n.d.).

Upon taking office, President Bush reinstated the “Mexico City Policy,” also known by critics as the “Global Gag Rule.” This rule required that all non-governmental organizations (NGOs) that receive federal funding must refrain from performing or promoting abortion services (prolifeprofiles.com, n.d.).
Explain how each of the presidential administrations approached the issue. Trump’s major actions on abortion during his first two years in office were: Signing a resolution that allowed states to withhold federal funding for health care providers that perform abortions into law; Reinstating the Mexico City Policy, which prohibited foreign aid and federal funding for international NGOs that performed abortions or offered related services; and issuing a proposal to modify the Title X family planning program that proposed making family planning clinics that refer patients for abortions and share finances or facilities with abortion providers ineligible to receive funding from the program. Additionally, healthcare providers would not be required to provide abortion counseling if it violated their moral or religious beliefs (Israel, M., 2018).

As president, Obama dedicated himself to promoting abortion, rather than reduce them as he promised. He has done this by; expanding abortions through Obamacare, appointing a bevy of pro-abortion judges and officials, moving to strip medical professionals of conscience rights, and forcing taxpayers to fund groups who provide abortions in other countries (Annas, G. (n.d.).
NURS 6050 Agenda Comparison Grid Template

On November 5, 2003, Bush signed into law the “Partial Birth Abortion Ban Act,” which prohibited a form of late term abortions dubbed “partial birth abortions” by pro-life groups and referred to in medical literature as “intact dilation and extraction.” Under this law, “Any physician who, in or affecting interstate or foreign commerce, knowingly performs a partial-birth abortion and thereby kills a human fetus shall be fined under this title or imprisoned not more than 2 years, or both.” In 2007 its constitutionality was upheld by the U.S. Supreme Court, in the case of Gonzales v. Carhart; Bush supported the Texas Parental Notification Law which required doctors to notify a parent or guardian by phone or certified mail at least 48 hours before performing an abortion on a minor girl. It also allowed a judicial bypass where extenuating circumstances existed, provided a $10,000 fine for failing to notify and waived notification in cases of medical emergency.

In his own words he stated, “I will lead our nation toward a culture that values life — the life of the elderly and the sick, the life of the young, and the life of the unborn. I know good people disagree on this issue, but surely we can agree on ways to value life by promoting adoption and parental notification, and when Congress sends me a bill against partial-birth abortion, I will sign it into law” NURS 6050 Agenda Comparison Grid Template

(On the issues.org, n.d.).

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue your selected

Administration (President Name) (Current President) (Previous President) (Previous President)
Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?

The Centers for Disease Control and Prevention (CDC), the government agency currently responsible for compiling U.S. abortion data.

In 1996, as well, the Food and Drug Administration (FDA) took significant steps toward approving the use of medical (nonsurgical) abortion in the United States, essentially by “preapproving” the use of mifepristone, popularly known as RU 486, as an abortifacient.

The Department of Health and Human Services play a huge role in addressing administrative policies for abortions.

NURS 6050 Agenda Comparison Grid Template
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? President Trump addressed abortion often in his run for president. He has already addressed the issue as the president. President Trump’s first day in the Oval Office on Monday, he signed a ban on federal money going to international groups that perform or provide information on abortions.
NURS 6050 Agenda Comparison Grid Template

During his first week in office, Obama made it clear that he would support abortion when he made it a priority to overturn the Mexico City Policy. Republican President Ronald Reagan first created the Mexico City Policy in 1984, stopping funding for international groups which perform or provide information on abortions. It was reinstated by George W. Bush and then it was overturned again by President Barack Obama in 2009 (Bilger, 2018). The Mexico City Policy created by President Reagan was reinstated when President George W Bush took over in 2001. Also in 2001, President Bush declared that federal funds could not be used for embryonic stem cell research, which requires the destruction of human embryos. Instead, Bush promoted adult stem cell research, which does not destroy embryos. In 2002, Bush signed the Born-Alive Infants Protection Act, which extends legal protection to infants who survive induced abortions by providing them with identical legal protections as babies who are born prematurely.

In 2003, President Bush signed into law the Partial-Birth Abortion Ban Act, which prohibits late-term abortions.

In 2004, Bush signed the Unborn Victims of Violence Act, which defines a child “in utero” at any stage of development as human, and accords the child the legal rights of the victim if subject to certain crimes that involve death or injury.

In 2005 and 2006, Bush appointed two pro-life justices, Justice John Roberts and Justice Samuel Alito, respectively, to the U.S. Supreme Court.

In 2007, both justices voted to uphold the federal Partial-Birth Abortion Ban Act of 2003, which was challenged in a lawsuit.

In 2007, Bush also sent congressional Democratic leaders a letter threatening to veto any bill that weakened existing pro-life policy.

In 2008, Health and Human Services Secretary Mike Leavitt issued a regulation to protect the rights of federally funded health care providers to decline to participate in services to which they morally object, including abortion.

(Ryan, 2009).

Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents? I personally would choose President George W. Bush. His stand on abortion laws were more from a sympathetic and personal approach. He was very much a Christian President and this played a big role into his views and his acts on the subject, while the others are very much opposite. President Trump does not seem to view the sides of abortion that in fact may warrant it, such as a rape victim. President Obama is very much an advocate for abortion and is adamant that abortions should be a choice for women regardless of the reason. He does not seem to have regard for anyone’s ethical or religious beliefs on the matter.
References:

Abortion without the rhetoric. (2012, April 04). Retrieved from https://abortion.info/politics/presidents-and-abortion/george-w-bush-2001-2009/

Annas, G. (n.d.). Abortion Politics and Health Insurance Reform | NEJM. Retrieved from https://www.nejm.org/doi/full/10.1056/NEJMp0911513.

Bilger, M. (2018, December 13). Barack Obama, The Abortion President, Receives Human Rights Award. Retrieved from https://www.lifenews.com/2018/12/13/barack-obama-the-abortion-president-receives-human-rights-award/

Freiburger, C. (2019, February 22). Trump admin cuts $60 million from Planned Parenthood. Retrieved from https://www.ontheissues.org/Celeb/Donald_Trump_Abortion.htm

George W. Bush Former President of the U.S. (R) Tier 4 – Personhood Never. (n.d.). Retrieved from http://prolifeprofiles.com/george-w-bush-abortion

Ryan, J. (2009, January 16). Bush Had Best Pro-Life Record of Any President, Say Pro-Life Groups. Retrieved from https://www.cnsnews.com/news/article/bush-had-best-pro-life-record-any-president-say-pro-life-groups.

The Federalist. (2019). How The Obama Presidency Normalized Abortion Extremism. Retrieved from https://thefederalist.com/2019/03/04/how-the-obama-presidency-normalized-abortion-extrimism/ NURS 6050 Agenda Comparison Grid Template

Note: Part 3: of the Module 1: Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief is a 1-page Fact Sheet or Talking Points Brief the you will create in a separate document. NURS 6050 Agenda Comparison Grid Template

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