The president generally is involved in the healthcare policy debate the national level. The president also greatly influences the establishment of health policy by signing bills into law, issuing executive orders, and appointing members of the cabinet. The president also is able to have considerable authority and influence over the implementation of health policy.
At the congressional level, congress members represent their constituents to debate health care public policy. They are trying to act in the best interest of American citizens. In congress, health policy is established through the creation of bills and laws. Congress is able to ensure that health care public policy is implemented in their areas by following up with their constituents.
At the state level, health care public policy is developed in much the same way. However, states also must follow the health care public policy established by the federal government. The health care public policy debate may take place at a grassroots level. Establishment of health care policy may occur at one community at a time or may be determined by the state government. The state government also helps ensure that health policy is implemented.