Hcs 455 Week 3, Dq 1

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Week 3, DQ 1 What is the difference between presidential, congressional, and state roles in health care public policy debate, establishment, and implementation? The presidential role in health care policy debate, establishment, and implementation is to propose a new bill or law representing a change or improvement in the future of health care. Once the proposal is introduced and for it to become a policy or a law Congress must endorse it through legislation. The Congressional role in the process is to assess the presidential proposal and either endorse it, reject it, amend it, or decide on another resolution to the health care debate. The state role in this process is to implement change at a state level, which may vary between states. Any health care policy changes through public policy debate have to be approved for budgetary needs and allocated through the appropriate human resources (American Association of Critical Care Nurses, (2011). If the health care public debate is high profile the media will record the debate. The media will also focus on anything said about it especially by the president or governor who will try to sway public opinion either for or against the proposed legislation. Implementation can be challenging because legislators can be controversial and unrealistic when negotiating public health care policies. For example in 1965 when Congress passed Medicare there was fierce opposition from medical professionals but it was passed because public debate about health care for the elderly was approved and endorsed by Congress (Morone, Litman & Robins, 2008). References American Association of Critical Care Nurses. (2011). Introduction to the legislative and regulatory process. Retrieved from http://www.aacn.org:88/wd/practice/content/publicpolicy/intro.pcms?menu=practice Morone, J. A., Litman, T. J., & Robins, L. S.
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