Agenda Comparison Grid and Fact Sheet

 

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.

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 at least one previous presidential administration.
Select an issue related to healthcare that was addressed by two U.S. presidential administrations (current and previous).
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.

 

Sample Solution

Health reforms has had a profound day-to day impact on tens of millions of Americans – no matter where they are in their lives. But what does that actually look like? For millions of Americans, health reform has meant finally having access to the preventive services that will keep them, and their families, healthy for good. In the day-to-day, that means getting regular checkups and screening. In the long run, it means safeguarding against chronic diseases like heart disease, cancer, and diabetes. That is a big deal. Harry Truman, who became President upon FDR`s death in 1945, considered it his duty to perpetuate Roosevelt`s legacy. In 1945, he became the first president to propose national health insurance legislation.

europathy includes a reduction in axon type, axonal vehicle weakness, and a decreased limit of nerve recovery, which are reliant upon axonal cytoskeleton respectability for legitimate nerve work (4). Diminished amalgamation of tubulin mRNA and a raised non-enzymatic glycation of fringe nerve tubulin was depicted. Especially, it was exhibited that following two months of diabetes T alpha 1 alpha-tubulin mRNA is decreased in streptozotocin (STZ)- prompted diabetic rodents (7), and an expansion in tubulin glycation was recognized in the sciatic nerve of STZ-actuated diabetic rodents following fourteen days of diabetes length, which might add to axonal vehicle irregularities by weakness of microtubule work (8, 9). Cerebrum tubulin is likewise glycated in early exploratory diabetes, subsequently influencing its capacity to frame microtubules (10). By and by, this finding was not reproduced in resulting studies, where it was shown that glycation was not related with hindrance of microtubule get together (8, 11). In the sural nerves of diabetic patients it was recognized an expansion in cutting edge glycation final results collection in cytoskeletal proteins (12), recommending that axonal cytoskeletal proteins glycation might assume a part in axonal degeneration polyneuropathy in diabetes.

Tau is a microtubule related protein significant for the security of axonal microtubules. Tau hyperphosphorylation debilitates its limiting to microtubules, changing the dealing course for particles which may eventually prompt synaptic degeneration (13, 14). Diabetes actuates tau hyperphosphorylation in the mind, concerning model in the hippocampus (15), and proteolytic tau cleavage (16), being the two cycles occuring in Alzheimer’s sickness (17). Hyperglycemia and insulin brokenness might prompt tau changes, and subsequently may assume a part for the expanded occurrence of Alzheimer’s sickness in diabetic patients (16). Tau alteration impedes axonal vehicle through microtubule course of action disturbance and by obstructing axonal dealing course, which can finish in synaptic capacity changes and ensuing neurodegeneration (18, 19). In Alzheimer’s illness, glycation of tau might balance out matched helical fibers conglomeration prompting tangle arrangement (20). Almost certainly, comparable cycles might be occuring under diabetes.

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