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Write a 7-9 page paper with bibliography. Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources and additional

Write a 7-9 page paper with bibliography. Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Pocket Guide to APA Style to ensure in-text citations and reference list are correct.

You will synthesize your understanding of why Medicare Part D passed, as well as the influence of the various interest groups and governmental entities during this process. Make sure to discuss both the policy process and the policy environment—that is, the key players involved and other circumstances that shaped this policy-making effort. For this assignment, address the following questions, doing further research as needed:

  • How did various stakeholder groups influence the final outcome of Medicare Part D legislation?
  • What were the specific strategies and tools that were used most effectively?
  • Does the fact that Medicare Part D passed corresponds with your understanding of policy and politics, or did this surprise you? Explain your response.
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******** **** * AND *** ************* **** SHAPED *** POLICY-MAKING **************** ********** **** *** NumberInstructor’s nameDate Submitted AbstractThis ******* ******** the transition ** Medicare **** * ** ********** several ********* patterns in ************ ***** ************ **** ******** *** usually **** **** ** *** **** of broader ********* *** ******** ****** ****** *** ************** has **** ********** ** ******* ******** ****** *** government ******** ********* enrollment *********** ******** *** ******* and *** ******* ** ******** and prescription **** ******** being affected by a *********** change ** ********* power ******* budget shortfalls *** ************* conflict ***** ***** in ****** of expanding the *********** Medicare ******* ******** ** ***** ******** * superior **** *** ******* ********** ********* ***** the ******** of *** ******** Prescription Drug *********** *** ************* *** of 2003 imitate ***** ****** ************* ************ ******* ** from **** *********** **** ************ ** the new ******* **** ** a ********* ******** with ******** ************* and taxpayers **** ****** ** *** ***** **** *********** ******* **** ***** *********** ******* ***** *** necessity ** equal ******** ******** with ********** ********** for **** ******* Grounded ** **** **** * *** *** circumstances in **** the ******* ****** *** ***** *** a *********** *********** ** add * Medicare prescription drug ******* *** *** reasons behind ** ***** * ********* agenda **** **** ***** *** *** ************************** **** * ** * ********* ********** ************ **** benefit ******* ******* *** *********** in **** ** the United ****** ******* ********** through *** ** ******** Prescription **** *********** and Modernization *** of 2003 ** the ***** ** ******* *** **** **** ** **** patients ********** *** *********** ********** for **** ******** and ******** ***** ********** **** ********** ********** ** ******* ** ******** **** * prescription **** plans *** aim is ** help ****** *** ****** advantage **** ******** ***** ** a ******** ****** ********* ******* ** *** ****** States *** ********* ****** ** close ** 59 million people *** have access to **** benefits via private plans ***** *** authorized ** *** ******* ********** This ******** **** ******* who are ** years of *** ** ***** ** well ** ******* *** *** disabled ** ************* *********** and are under ** ************** ** various ******** groups and ********** ******** ** *** transition to **** ****** ***** ***** *** ******** Prescription **** Improvement *** ************* *** *** ****** by ********* George W Bush ******** **** ******* ***** D) *** *** **** ****** The ********* and other ********** ******* **** ** * ************ **** in ********** ** a considerable ****** ********* ** ******** ** ***** of ******** proposals *** ** ****** *** same ******* that ************* *** **** ****** ** ******** that are equal in ***** **** ** **** ******** ** the *************** program **** ******* ******** Political support due ** *** ******************* ************ of the ****** *********** *** of 1990 expired ** 2002Due ** this policymakers *********** **** up **** * **** ****** prescription **** ******* in a ******** ********* game and **** in **** **** ** ********** *** them ** pay *** *** new ******** by ***** *** impressive ***** on seniors ******* ******* of ***** ** **** ** cost-cutting ******** ** other parts of ******** *** ***** ******** ******** *** ******** ** *********** ** *** ******* ******** **** ************ **** * feeling ** *********** ******* caution ***** possible ******* ** a ****** of *** ****** that lead to *** ****** of ******** ******** ************ ******** *** and its **** ******* ** **** Conservative groups ***** ********* ** *** ******** Foundation *** the ******** ********* Union took ** ********** ****** ******* *** new benefits ******* **** **** ***** create ** ********** ***** load ** *** economy *** ********* in ******* ********** *** ***** of the *** ******** ** *** ************ of ****************** retiree coverage **** * ******* *** ****** prescription drug program ** ***** of *** management by ******* *********** They **** *********** *** ******** *********** **** *** not ********** ***** *********** ******* managed **** *** fee-for-service ******** (Agan *********** ****** *** ***** ********* ***** ************ *********** in *** House had untimely ***** a statement ********** ******** and ********* ******** ** *** leadership *** thereafter ******* **** they ***** ***** in ************ to *** final **** ** ** ********** removed *** **** market-oriented ********** ** *********** ******* ******* *** health *********** ******** (Goldstein ******** *** ***** *** nothing ***** **** *** ********** ** *** ********** ****************** ******* ******* and ****** ******** Leader Frist in agreement **** ********* **** and HHS secretary ******** ** well ** *** ****** brought about by the **************** cost *********** ************ that *** **** ** *********** adequate party ********** ** **** ******* *** reform ******* over *** ****** line ** **** (Goldstein 2003b;Koszczuk *** ***** ************ *** ***** 2004) This ********** great ***** ** **** ** ****** **** **** ****** ** ** time *** ******** ***** ** ** ******* ** **** ********* ******** ********** as ** prevailing ********* **** is **** to ******** in the policy ******* ******* ***** ********** leaders and the ************* **** **** *** setting *** ****** **** ***** *** as ******** *** ******** as ********* ********* ***** ** **** ** ********* believed in ******* ** decide the ***** *** element ** *** agenda as **** ** *** *********** and analysis ** suggestions into ****** ************ *** ***** ********** ************ *********** *********** 1984;Walker ************** *********** ********* ** the ******* ** **** ********** ****** ******** *** Hank ************* ****** ****** ******* ********* **** * **** period ** **** *** ********** and ********** ** ******** ***** ** *** ** **** *********** ************ *** *** ********** ******** check *** **** * ********** ****** ** **** ** in a ********** and ******** way *** ** have ** outcome ** ******* ******** ****** issues ******* **** ************* *** ******* ** Medicare *** prescription drug ******** ** ******* ***** ** giving evidence **** **** * *********** change ** ********* ***** ** well ** other outside ********** many times *** ********** ***** * ********* **** ** hard ** ********** **** ** ***** ** ******** ******* hitches due to the **** **** ******** ******** ***** ** ****** **** *** core ****** ** an ******** ******* ***** ** * vigorous and ********** ******* to ****** ** Part * ** Medicare implementation *** ****** environment was *** ***** ************* **** ***** a **** number of *********** *** policy ******* **** ** *** *********** *** policy ******* ********* worry ***** *** **** Eligibles performed ********** their process *** period of change ** coverage ****** ******* ****** 2006 ****** ****** ********** Accountability ****** ***** Previously ****** **** change ** Part * many ******** receivers ****** ********* on substantial drug coverage **** ******* ********* restrictions ****** * ****** 2007) After *** ****** ***** * huge ****** of these ******** **** ************* ********** ** ****** ** ******** benefit ***** that were considered essential ** *** distinctive ********** *** ******* ***** *** *********** new ************** ******** ** ********* *** *** ** other ******** ******** ******** ******** ***** **** **** of changes *********** to certain dual ********* ****** more *** the same **** of ********* **** **** ***** ****** *** **** *** ******* ****** **** to even **** ** the particular **** ** *********** ********** ** the individual ************ **** **** ********* ***** ** ** **** ** *********** aid ***** changes ** ******** an ********* ***** ****** ** states **** ******** to ****** *** arrange ** advance ***** ** reduce formulary limits during the change ****** ** * ******** *** determined ******* ** ****** ********** *************** (Smith ******* ****** ************ ******* ********* ****** **** change ******* ******** **** ***** *** ************ ********* as they had ** **** *** *** **** ***** more *********** formularies ***** ***** ***** ***** ******* very little ** ***** ***** if the ****** ** Part D ******** ********** the ****** ** ********* indispensable medications or ******** *** **** ** *** ******* **** ***** pockets ** ***** ** drugsOther ******** ****** ** ************ ********* Part * are key choices ************ come into ******* **** **** ******* * *** ********* ******* **** ******* enrollment *********** ******** *** ******* The ***** ***** to consider ** ******* Medicare ************* ***** ******** Part D was ******* as a ********* ******* ***** ** quite the ******** ** *** *** *** formed **** resolution ******* ***** * *** ** ***** that **** *** *********** ***** **** **** ** *** ******** to this ******* *** **** ** *** registered members ***** ****** more ****** **** **** ********* get ******* ****** premiums *** even ***** ****** registering **** **** ******* in *** ********* ***** ********* * ******** *** brought ***** to include a *************** ******* ******** reports *** surveys conducted **** **** **** a few ** *** members were ***** ** it The ****** ***** *** ******* ******* would have access ** adequate **** ****** *** subsequently make **** ******* With *** ************ ** **** * **** a new insurance ******* ******** plans ** ****** to **** and win ********* ** 34 ********* ******* *** ******* ** **** *********** *** to ****** ******** ** order to ***** the ************* ** ****** a plan **** would ** the most ********* *** *** capable ** handling their needs ***** ****** a ***** ******* on if ******** ***** ***** ** *********** as **** ** have * ********* ********** to ******* ** *** ******** ** ***** **** ** ******** ** **** *** ********* ************* ** ********** **** **** *********** ** members *** *********** *********** ** ***** ******** from start ** ****** ** *** **** ********** ** premiums *** **** ******* **** plans ******* ***** *** ********** ******* ** **** ******* or minor *********** ** *** ****** of *** program ** ********************** *** tools **** ** *** ************** of **** ***** *** inception Medicare Part * ************ drug ******* was ******** ** ******* ******* *** ********** **** *** favorable *** ** ** ********** ******** it has ** ******* ** dealing **** *** ******* problems ** **** ** ********** *********** ******** **** hands-off laissez-faire ************* and **** liberals ********* *** * government-run ******* It *** ****** *** *** ****** ****** **** *** ******** ******* *** ***** *** ** *** viewed ** ****** ** ************** ********** ****** ****** ** an ******** ******** **** *********** ******* profits **** *** health ** seniors In addition ******** **** comprised ** * *** ******** ******** *** came ** ******* *** ********** that **** *********** ************ **** ******** ****** have ** ********* ******* ** *** ******* ***** ******* **** 2003)Elected *************** *** ********* **** **** in ******** *** ******* signs of future ******* ** ********** ** ********* *** *** *** There *** ** ******** ******** ads against Part * now *** *** opponents **** ********* ** ******* *** ****** ** **** ** **** extensive And there ** * **** ****** To the ******** ** many *** ******* *** **** ** less within *** ****** *** *** ************* ******** *** health ** **** ******** (Doug ********* 2013 Christopher Afendulis ***** **** ********* ******* Chernew ***** ** ************ mixed ******** competition between private health ***** with ********** *** public **** ** ******* *** ******** beneficiaries with the prospects ** ********* prescription drug ******** *** ******* is a *** type of ************** prescription **** ******** * ****** type that ***** existed **************** ** *** ***** ******* Part * provided what *** ******** *** expected ** its members Medicare beneficiaries that ** not **** enough ***** *** ** ****** ********* to ******** ******* **** *** ******** Retirement ******** ** the ****** ******** are **** **** **** **** ************ **** ***** **** ***** sudden great ********* ***** ***** of being **** **** ******* *** injury *** ****** improved with ** increase ** *** opportunities ** obtain ************ drugs *** ****** in coverage **** *** original *** also identified ** the ***** hole are *** ** ** ****** The ************** ** *** ******* of exhausting private ****** ***** ** **** * *** not ** ********* on the architects ** *** ********** Care *** ***** **** **** the Federal ********* ****** Benefits ******* Part * *** * *********** ******* of the ****** ********* ************ that ********* on ************ ** October * **** Both **** D *** ***** exchanges ******* its ******* with *** *********** of choosing **** * wide range ** ********* plans ******** ** ******** ** *** **** ************ ** ************ conditions *** ********* ** ****** ******** *********** ******** on ** individual’s ************** **** * *** *** correspondence **** ******** *** ********** * ****** separated ** ******** ********** *** **** *********** period ****** **** ****** **** *** ***** **** to *** forefront ** campaign ***** *** judgments ** be ****** ** *** ****** *** Democrats **** ******* *** ********** **** *** ***** *** **** successful ***** ** ********* ********* term *** ***** **** definitely ** the *********** ********** ************ ********* ******* ** revoke ** annul ** ** elected This ***** ******* * ***** how *** ********** Party *** * ***** record ** ***** ****** **** ** their ********* of ******* elections At *** time **** ******** **** * was implemented in **** there *** *** presence of * ********* *********** throughout *** ****** that **** it ** ** ********* ** **** ******* **** * ************ ********* ************ * shortfall ** *** ****** ** ****** *** ********** **** ******* It ** * ************** ** *** ********* of lobbying ****** ** ******* *** ******* ****** ****** **** ****** ** ***** ************ *** ***** ** *** ******* ***** ** *** ************ ** giving *** ********* **** *** opportunity for ***** ** ********* ******** ********** ** *** ************** of **** D *** ******* *** ********* doubt part of * greater political ****** Medicare ************* who **** *** **** **** ** **** ******* ****** *** ***** In *** end the *** was ******* *** ** lobbyists *** *** ***** up ***** written ** ********* *** *** deeply rooted ** the ************ ******* over drug ****** ** *** ****** States ********* ** ****** * biased ***** ***** only focused on *** re-election ** * presidentIt ** ***** ironical **** * huge ****** of *********** *** **** ** * ******** and intense ****** ******* *** Affordable Care Act (ACA) *** ******* **** ** will *** * financial burden to * ****** **** is ************ ******** in ***** *** *** **** **** who ***** *** Part D In ******** ********** ******** **** Part D *** ******* ***** ** * **** of ** trillion ******* ***** *** ********** **** *** (ACA) **** *** a **** ** **** ********* is also ***** ****** **** **** * in * *************** way ******* ************ ** *** ******* ***** **** no funds initially *** aside *** ** ** offsets to **** and ***** **** no ********** ******* ** ***** revenues ** cater *** ** ** ******* **** *** health **** *** ** have ** probably ***** to ** paid for ******* ************ ******** **** *** increases ******* having ** ** ** ********** ****** ** *** ******** ********* reference ** ******* ******* ** *** article ** ****** Bartlett ****** ********* ***** an account ** * ****** ****** on the ******* and implementation of **** * had *** continues ** have on the *********** ** ********** ******* ** ******** *** ******** indebtedness belongs ** **** *********** ******* ********** ** own ** ***** ** the **** ** ********* *********** ** *** ********** Party ** ***** ** win one election…and * ******** ***** that **** cost *** ******* *** ** *** ********** ******** from *** ***** ** *** members who *** ******** ***** **** ** In *** ********* ***** ** activity ****** *** conflict ** ** **** *** ***** ****** *** ***** *** **** you **** *** frequently **** cost is ********* *** **** ********** has consequences **** **** ** **** **** * long ****** ** time***Reference *** ***************** ** ************* HCPolicy ****** and ********* ** Advocacy ********* ApproachBoulder ***** ******** ****** ********* * Gifford * ****** * et al *** ********** ** **** ********* ** Medicare Part * ************ **** coverage: ***** ******* ****** implementation ******* **** * 50-State ******** ****** Management ********** *** ****** ********** ** ******** *** the ********* ********** Feb ** ********** States ********** ************** Office Report ** Congressional Requesters: ******** **** * Challenges ** Enrolling *** ************* ************* ********* ** *** 2007Agan * ********* ************ How ****** a Drug Benefit **** ******** Could **** ** Overdose of ******* Spending 2003 [accessed ***** * 2004] ******** ********* Union ********** ****** ***** 143 *** ******** * Telephone ********* **** ** ****** * *** **** ********* ** Moffit ** Riedl ** ********** *** Heritage *********** **** Cost ******* in *** ******** **** **** Needs ******* Support *** * ************* ************ ** **** *** ****** LJ ********** *** Heritage *********** 2003 **** ******* **** Lose with * ********* ******** Drug *********** ************ ** **** Aug 26Goldstein * *** GOP Leaders ******* *** ******* Produce Medicare **** ********** Post ******** *** ********** J ***** * ********** ******** Vote ******** **** ********** AlliancesCQ Weekly2003:2958Nov 29Schuler * Carey ** Estimates Ethics *** *** ******* Medicare ******** ** Weekly 2004:699 ***** 20Baumgartner ** ***** ********* *** *********** ** ******** **************** ********** ** ******* Press; ********* ** ********* ********** and ********* Leadership In: Jones ** **************** *** ***************** ********** ***** ** ******* **** ** ************* ********* ************ *** Public *********** ** *** ***** ************** 1995Oliver ** *************** *** ********** of Public **************** *** ***** ** editorThe *********** of ************* ********** in Policy ******************* ***** ******** **** ** ************ *********** ********** in ********** ***** ***** **** ********** ****** ********** ** The ********* ** ********* ****** *********** *** Agenda ******** *** ************ ** ********* *** ***** *** ******* ** ***** ** **** ** editorsNew ********* ************ ** Social ********* ***** ******** ****** **** ** 75–96Henry J ****** ****** ********** Medicaid ********* Online Database * ***** * ****** ****** Foundation ********* **************** * Hargrave * ******** J et al ** In-Depth *********** ** Formularies *** Other ******** of ******** **** ******** ***** * Kaiser Family FoundationApr ********* October ** ************* ***** Eligibles’ *********** **** * Formularies’ Inclusion of ******** Used DrugsDepartment ** ****** *** Human Services *** **** DC: 2006Hall JP Kurth ** ***** ** Transition ** Medicare Part ** ** ***** ******** ** ******** *********** by younger **** ********* **** disabilities ** J ***** Care **** **** 13(1):14-8Robert **** *********** **** Voices ****** ** ****** **** Benefits”The *** **** ***** **** 7 **** Accessed ****** ** ******** Elmendorf ****** ******** ** CBO’s Budget ************** ***************** ****** Office **** ***** ** **** ******** **** ** 2013Christopher C ********* ***** ** **** * ********* *** Michael * ************* ****** ** Medicare **** * ** *************** ******** ****** Research *** *********** ***** August **** ******** ****** ** ************ Bruce (2009) ********** ******* hypocrisy Forbescom ****** 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