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    Policy Implementation and Modification

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    Please assist in answering the questions following the scenario:

    In November 2003 the U.S. Congress passed a controversial health policy bill that President George W. Bush signed into law. The new legislation makes the most far-reaching changes to Medicare since the program was created in 1965. Please address the following questions:


    Why were changes to Medicare deemed necessary?
    What are the main provisions of the new legislation? Do you think they accomplish the desired goals?
    Who was involved in setting the agenda for this policy change? Discuss the roles and interests of specific agenda setters and their influence on the development of the legislation.
    Why was the legislation controversial? Discuss the claims of the law's supporters and detractors. Who will benefit from the changes?
    Do you think having electronically stored data (such as costs and access to individual patient files) played a role in the decision-making process?

    Use the internet, books or other Web resources to support your answer.

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    Solution Summary

    By responding to the questions, this solution discusses aspects of the legislature and Medicare changes e.g. why were changes to Medicare deemed necessary, the main provisions of the new legislation, did they accomplish the desired goals, and others.