Assignment: Agenda Comparison Grid and Fact Sheet example

Agenda Comparison

 NURS – 6050C: Policy and Advocacy for Improving Population Health

  

Agenda Comparison Grid 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 you 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.

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You will use the information in Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment.

 

 

Identify the Population Health concern you selected.	High cost of prescription drugs
Describe the Population Health concern you selected.	In 2020, the worldwide expenditure on prescription medications was projected to be approximately $1.3 trillion, with the U.S. alone expected to expend at least $350 billion (Rajkumar, 2020). On average, prescription medication costs 2.5 times higher compared to the price of similar medications in other industrialized states, like Canada and European countries (Mulcahy, 2021). The high cost of prescription drugs is associated with exorbitant out-of-pocket charges for individual patients, which poses major challenges to patients from low-income households Assignment: Agenda Comparison Grid and Fact Sheet example.
Administration (President Name)	President Biden	President Trump
Explain how each of the two presidential administrations approached the issue.	President Biden holds that access to healthcare is not an honor but a right for every American. Therefore, citizens should not be forced to choose between paying for food or prescription drugs (The White House, 2021). In his Build Back Better Agenda that aims to decrease the exorbitant cost of prescription drugs, President Biden appealed to the legislature to tackle the predicament and empower Medicare to negotiate prices of medications. Similarly, Biden’s administration has proposed policies to impose penalties on pharmaceutical companies hovering their prices faster than inflation rates (The White House, 2021) Biden has also issued an executive order that appeals to the Centers for Medicare and Medicaid Services (CMS) to take into account compensation frameworks to lower prices of prescription medicine and regulate spending (Qian, 2021).	Through his American First Agenda, President Trump proposed many policy changes that targeted to significantly decrease the cost of prescription cost, such as finalizing a decision to support the importation of prescription medications from Canada at affordable costs, introducing a campaign to halt global scrounging in the pharma market, and reducing prices of prescription medicine for the first time in five decades (The White House, 2021). In 2020, Trump issued four executive orders targeted to decrease medication prices, including reviving his government’s plan to remove drug rebates that would allow restricted importation of medications for personal use and raise senior’s medical insurance premiums (Seeberger, 2020)
Identify the allocations of resources that the current and previous presidents dedicated to this issue.	Negotiations with the Congress Build Back Better Agenda Executive orders Assignment: Agenda Comparison Grid and Fact Sheet example	Negotiations with the Congress Negotiation with Canada American First Agenda Executive orders

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 you selected

 

Administration
Which administrative agency (like HHS, CDC, FDA, and OHSA) would most likely be responsible for helping you address the healthcare issue you selected? Why is this agency the most helpful?	CMS FDA The Department of Health and Human Services or HHS As part of the Safe Importation Action Plan, the above agencies oversee actions that aid in offering safe, effective, and reasonably priced medications to ailing Americans (FDA, 2020).
How do you think your selected healthcare issue might get on the presidential agenda? How does it stay there?	The exorbitant cost of prescription drugs has been a rallying point for presidential contenders since President Bush’s candidature. Several laws and policies have been proposed and pushed at state and national levels to decrease the cost of prescription drugs (Qian, 2021). Therefore, further policy advocacy efforts are necessary to ensure that it remains a presidential agenda. Assignment: Agenda Comparison Grid and Fact Sheet example
Who would you choose to be the entrepreneur/ champion/sponsor (this can be a celebrity, a legislator, an agency director, or others) of the healthcare issue you selected? An example is Michael J. Fox a champion for Parkinson’s disease.	I would choose Demetrius Douglas, the Representative of 78th District Atlanta, Georgia, who sponsored the recently withdrawn legislation HB 164 Prescription Drug Consumer Financial Protection Act.

 

 

Part 3: Fact Sheet

Facts

• In the U.S., the cost of prescription medications is >2.5 times the cost of similar medications in Canada and European countries (Rajkumar, 2020)
• On average, an American citizen uses at least $1200 annual on prescription drugs
• Available data show that the primary drivers of the rising cost of prescription drugs are brand-name medications (Mulcahy, 2021).
• Brand-name asthma medication, Flovent, cost $152 in New Zealand, Australia, and in the U.K versus $780 in the U.S. Likewise, Abilify, a brand-name depression drug costs $5/pill in Canada versus $34/pill in the U.S. (Mulcahy, 2021)
• As an experienced nurse, who has worked in the U.S. for more than 5 years, I have noted that the high cost of prescription drugs has led to at least one in three of my patients failing to refill their prescriptions every year Assignment: Agenda Comparison Grid and Fact Sheet example.

Summary

The worldwide outlook for prescription drug use and expenditure affects the prospects of the health of populations, insurers, and life sciences firms across the globe. Projections from IQVIA show that the international pharmaceutical market will surpass the $1.5 trillion by 2023, with the core drivers of the >6% compound yearly growth rate being the U.S.(IQVIA, 2021). In 2020, it was projected that the U.S. would spend an estimated $350 billion on prescription drugs of the anticipated $1.3 trillion global spendings (Rajkumar, 2020). The mounting costs of prescription medication reduce finances available for other public expenditures and impend healthcare budgets. Besides, prohibits Americans from low-income households from accessing medical care (Rajkumar, 2020). Based on the above facts, I request you to sponsor a bill that places a limit on out-of-pocket expenses for prescription drugs considered to be medically required by a physician and eradicate physician payments for prescription drugs.

References

FDA. (2020, September 24). FDA takes actions to help lower u.s. prescription drug prices. https://www.fda.gov/news-events/press-announcements/fda-takes-actions-help-lower-us-prescription-drug-prices

IQVIA. (2021, January 29). The global use of medicine in 2019 and outlook to 2023 . https://www.iqvia.com/insights/the-iqvia-institute/reports/the-global-use-of-medicine-in-2019-and-outlook-to-2023

Mulcahy, A. (2021, January 28). Prescription drug prices in the united states are 2.56 times those in other countries. RAND. https://www.rand.org/news/press/2021/01/28.html

Qian, J. (2021). Uptake and cost of biosimilar filgrastim among Medicare and Medicaid populations in 2015-2018. Journal of Managed Care and Specialty Pharmacy, 27(5), 660–666. https://doi.org/10.18553/JMCP.2021.27.5.660

Rajkumar, V. (2020). The high cost of prescription drugs: Causes and solutions. Blood Cancer Journal, 10(6). https://doi.org/10.1038/s41408-020-0338-x

Seeberger, C. (2020, October 15). Too little, too late: Trump’s prescription drug executive order does not help patients. Center for American Progress. https://www.americanprogress.org/article/little-late-trumps-prescription-drug-executive-order-not-help-patients/

The White House. (2021, August 12). FACT SHEET: President Biden calls on congress to lower prescription drug prices. The White House. https://www.whitehouse.gov/briefing-room/statements-releases/2021/08/12/fact-sheet-president-biden-calls-on-congress-to-lower-prescription-drug-prices/

 

Assignment: Agenda Comparison Grid and Fact Sheet