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The Agenda Setting which Led to the Patient Protection and Affordable Health Care Act

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The Agenda Setting which led to the Patient Protection and Affordable Care Act Agenda setting is the process that determines appropriate solutions to a certain problem of a given field (Kingdon, 3). The process itself consists of three streams: problems, policies, and politics (Kingdon, 16). These separate streams interact when windows of opportunity are open – solutions are fitted with problems, and the impetus for this relationship is amenable political forces (Kingdon, 20). Prominent agendas are determined by the problem or political streams, while solutions are crafted in in the policy stream (Kingdon, 20). In the field of health care, the agenda setting is based upon the high number of uninsured citizens, the rising cost of medical care, the development of Patient Protection and Affordable Care Act (PPACA) in response to this issue, and the key players that debate whether governmental involvement is the correct approach in the issue of universal healthcare. In Kingdon’s framework, a problem of interest can be disclosed to the public via a change in indicator (17). In the health care system, the change of indicator is the rise in number of uninsured citizens (Cochran et al, 269). The access to health care is through health insurance, which in most cases is not easily attainable for those of low income (Cochran et al, 269). A person with no insurance is still capable of receiving care, albeit at a reduced quality, and by paying direct costs. This can lead to not receiving proper care from the medical staff, or the diminishing existence of safety net hospitals (Cochran et al, 269; Zwanziger and Khan, 494). Thus, insurance is an important factor in the well-being of citizens to gain access to high quality comprehensive ... ... middle of paper ... ...one, D. Policy Paradox: The Art of Political Decision Making. New York: Norton, 2012. Book. United States Census Bureau. U.S. Department of Commerce, n.d. Web. 14 Mar. 2014. Welcome to the Marketplace. Centers for Medicare and Medicaid Services, n.d. Web. 15 Mar. 2014. Bethany Anne Conway, Addressing the “Medical Malady”: Second-Level Agenda Setting and Public Approval of “Obamacare” Int J Public Opin Res (Winter 2013) 25 (4): 535-546 7 January. 2013 Peterson, Mark A. "It Was A Different Time: Obama And The Unique Opportunity For Health Care Reform." Journal Of Health Politics, Policy & Law 36.3 (2011): 429-436.Academic Search Complete. Web. 23 Mar. 2014. Fahmy, S. McKinley, C. Filer, C. Wright, P. Pulling the Plug on Grandma: Obama’s Health Care Pitch, Media Coverage & Public Opinion Advances in Journalism and Communication September, 2013. Vol.1, No.3, 19-25
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