Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief NURS 6050
Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief NURS 6050
Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief NURS 6050
For people to receive the required health services, the government must remain committed to solve health problems. Irrespective of the political stance, the government should examine people’s health problems in detail and commit the necessary resources to solve them. The issue of health care access has been there for a long time. Lack of access or the failure to afford insurance coverage has been a leading cause, and governments have responded to the issue differently. This comparison grid compares the Bush, Obama, and Trump administrations’ efforts to enhance access by promoting insurance coverage through Medicare and other people-centered programs.
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Discussion: Professional Nursing And State-Level Regulations NURS 6050
Assignment: Legislation Grid And Advocacy Statement NURS 6050
Discussion: Politics And The Patient Protection And Affordable Care Act NURS 6050
Discussion: Presidential Agendas NURS 6050
Healthcare may appear to you to be a national topic of debate among political leaders for as long as you can remember.
Healthcare has been a policy issue and a source of contention not only recently, but since the administration of the second President of the United States, John Adams. In 1798, Adams signed legislation requiring sailors to set aside 20 cents per month of their pay to cover medical expenses. This was the first major piece of healthcare legislation in the United States, and the topic of healthcare has been woven into presidential agendas and political debates ever since.
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As a healthcare professional, you may be asked to provide expertise, guidance, and/or opinions on healthcare issues that are being debated for inclusion in new policy. You may also be involved in the development of new organizational policies and responses to legislative changes. For all of these reasons, you should be prepared to discuss national healthcare issues that are making headlines.
Part 3: Narrative
Veterans are at risk of complex conditions and are vulnerable to service-related conditions such as mental illnesses. Despite veterans having served the country on overseas missions, they encounter challenges accessing affordable and quality healthcare. Veterans’ healthcare is an issue that has reached the presidential level, and the current and former presidents have signed laws to improve healthcare access and mental health services for this population (Hester, 2017). Improving access and quality of healthcare to veterans is important because this population experiences substance use disorders, mental health disorders, post-traumatic stress, chronic pain, amputations, and traumatic brain injury at disproportionate rates compared to their non-veteran counterparts (Oster et al., 2017). Besides, a large fraction of veterans commits suicide secondary to mental health issues.
It is crucial that the national and state governments enact laws that increase access to affordable healthcare to reduce morbidity and mortality rates associated with these conditions. For instance, laws on mental health can be legislated, requiring that the federal government fund mental health services for veterans in both public and private facilities (Oster et al., 2017). Legislations can also be enacted that require the federal government to fund medical expenses for veterans who develop work-related disorders.
The nurse has a major role in setting healthcare agendas since nurses are involved in direct patient care and are significantly affected by health policies. Nurses can significantly influence healthcare policies through their daily healthcare delivery role. Since nurses understand the issue affecting healthcare delivery and the best ways to address them, they can best advise policymakers on laws that can improve healthcare systems and increase access to healthcare services (Milstead & Short, 2019). Besides, the nurse has a role in agenda-setting of proposing strategies that will benefit the communities based on their comprehensive understanding and specialization in particular areas of health care.
Therefore, veterans suffer from various complex issues ranging from mental matters to physical conditions. As such, it becomes the responsibility of the government of the day to ensure that their welfares are well addressed. The administrations of President’s Bush, Obama and Trump adopted various policies to mitigate the suffering of the veterans.
Duhaney, T. (2020). How veteran utilization of the Veterans Health Administration could impact privatization. Public Policy & Aging Report, 30(1), 29-35.https://doi.org/10.1093/ppar/prz032
Hester, R. D. (2017). Lack of access to mental health services contributing to the high suicide rates among veterans. International journal of mental health systems, 11, 47. https://doi.org/10.1186/s13033-017-0154-2
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Oster, C., Morello, A., Venning, A., Redpath, P., & Lawn, S. (2017). The health and wellbeing needs of veterans: a rapid review. BMC psychiatry, 17(1), 1-14. https://doi.org/10.1186/s12888-017-1547-0
Sisk, R. (2018). Trump signs a $55 billion bill to replace VA Choice Program. Military. Com, 6.
The White House. (2009, January 12). The Bush record – Fact sheet: The Bush administration has provided unprecedented support for our veterans. Welcome to the White House. https://georgewbush-whitehouse.archives.gov/infocus/bushrecord/factsheets/veterans.html
Agenda Comparison Grid Template Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Template for Part 1 and Part 2 Part 1: Agenda Comparison Grid Use this Agenda Comparison Grid to document information about the population health/healthcare issue your selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas. You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment. Specify the Population Health issue you chose. As a professional nurse specialized in substance abuse dependency, I have chosen to concentrate exclusively on the population suffering from Opioid addiction and dependence. Describe the identified Population Health problem and the contributing variables. According to the National Institute on Drug Abuse, over 130 Americans die annually from an opioid overdose. Based on these facts, we may conclude that this issue does not discriminate against any race, socioeconomic status/class, gender, or religion. The annual cost of treatment, healthcare, costs associated with criminal participation, and addiction treatment exceeds $78 billion. (NIH, 2019). The Centers for Disease Control and Prevention report that the epidemic emerged in the 1990s.
This began with over prescribing, which led to abuse and addiction. This has resulted in the current opioid crisis. (CDC, 2018) Administration (President Name) (Current President) President Trump (Previous President) President Obama (Previous President) President Bush Describe the administrative agenda focus related to this issue for the current and two previous presidents. Under the Trump administrations’ agenda, the agenda focus is currently sterner on opioid abusers and are well equipped with better and more advanced measures on fishing out culprits engaged in these acts. There are more strategic checks and balances that have been put in place under the current administration to limit the influx of illegal drug trafficking into the country. There are also very tight security protocols and measures on the boarders of the country which is aimed at reducing the number of people affected with opioid abuse and dependency. (WhiteHouse.gov) The Obama administrations’ agenda one of the primary focus was to develop special treatment protocols for individuals suffering from opioid abuse and dependency issues and on creating incentives to ensure that there are more thorough measures in place for regulating opioid prescription by medical practitioners and dispensing means from pharmacies. Monitoring of opioid use and events located at neighborhood law enforcement stations for the return of excess drugs that have been supplied illegally within the system. Community drug dispensaries are accepting of these kinds of take back drives to support drug rehabilitation in chronic abusers addicted to drugs. (WhiteHouse.gov) The Bush administrations’ agenda focused on the prevention of the crises in opioid abuse even before it commenced, the provisions of more drug rehabilitation centers and infiltrating the opioid lack market system. (WhiteHouse.gov) Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
An estimated $13 million in October 2019 was apportioned to incentives created specifically to fund the police task force in a bid to eradicate the impact of drug trafficking. A total of 12 states across 13 counties that have battled most with the impact that opioid abuse and addiction have impacted. (WhiteHouse.gov) An outline of the proposals released from the White Trump’s budget will also seek $21 billion to put toward infrastructure spending and $23 billion toward border security, including his infamous border wall. (WhiteHouse.gov) Under the Obama administration, there was a separate budget created for the 2016 fiscal year to the total sum of $27.6 billion with was a 4.7% increment compared to the year before (2017). These funds were generated to develop resources and manpower from the federal level under this administration to tackle drug trafficking in the country. Proactive measures were implemented to combat the tragic impact of the prevalent opioid crisis via The National Heroin Initiative (NHI) by focusing primarily on areas within the community that are opioid-laden. They targeted the center of the illegal opioid supply with more advanced investigative approaches by law enforcement agencies which was a huge preventative method.
During The Bush era in administration, his regime, in 2003 there was an estimated total allocation of $19.2 billion raised to fund law enforcement efforts in the battle against opioid trafficking and all other criminal activities associated with drug abuse. Border patrol was also one of the primary areas that this administration focused on to reduce the supply of illegal opioids on an international scale. An allocation of $2.3 billion was set aside for this purpose and an estimated $3.8 billion was allocated to rehabilitation treatments for individuals in our society that have struggled with opioid dependency. In conclusion this administration allocated another $10 million in fostering initiatives for a program that supported the people that were most affected by opioid addiction which was The Drug-Free Communities Support Program. (WhiteHouse.gov) Explain how each of the presidential administrations approached the issue. The Trump Administration took on the approach of spreading awareness and education the teens and adolescents in our society by partnering The Truth Initiative and Ad Council, which was a campaign initiated to teach them on how to prevent and reduce opioid abuse and addiction. It was very comprehensive in helping young adults understand the dangers associated with addiction as well as how effective they could be in curbing the spread of this problem in various communities. This ad was designed to get the attention of the younger population in the society as it successfully has over 1.4 billion views in total when it aired. This administration declared the current opioid addiction issue a nationwide public health emergency, which has brought so much more attention to this crisis.
This prompted and inspired people to become more active in the fight against opioid abuse and dependency. More intense measures were taken at the boarders to intensify the patrol and security measures to avoid smuggling drugs illegally into the country. There have also been measures taken to ensure that opioid prescriptions ate regulated thoroughly, by introducing a Safer Prescribing Plan that will reduce any opioid refill prescription by 1/3 in the next 3 years. Finally, the administration is that will cut opioid prescription fills by one-third within three years. Finally, the administration has been a strong proponent for vaccines that prevent opioid addiction. (WhiteHouse.gov) The Obama administration offered health care coverage plans that were mandatory for individuals battling with opioid abuse and addiction. This was able to facilitate their treatment regimen and made provision for naloxone, a drug of choice administered to patients that have been suspected of high levels of Opioid-Induced complications. This administration also strengthens efforts at combating drug trafficking which drastically reduces opioid overdoses and deaths. The White House National Drug Control Strategy devised a strategic plan based on evidence-based practices that aims at controlling opioid addiction and substance abuse. The primary goal of this approach was focused on public health, by creating programs that encourage the safe and proper use of opioids and comprehensive treatment plan for this suffering from opioid dependency. Finally, the administration encouraged clinicians and their stakeholders to collaborate effectively in the implementation of more structured protocols while prescribing opioid to the right patients. (WhiteHouse.gov) The primary objective of the Bush administration’s focus on the issue of opioid addiction was to get the individuals suffering focused on getting people into treatment.
This was a focus on “compassionate Coercion” which begins with family and friends. The focus was on prevention and seeking help for the addict along with using the criminal justice system as a deterrent for getting people into programs. The administration focused on confrontation to heal the addict. Guidance was sought from family, friends, the workplace and places of worship. (WhiteHouse.gov) Part 2: Agenda Comparison Grid Analysis Using the information, you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue your selected Administration (President Name) (Current President) (Previous President) (Previous President) Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected? The Trump administration has made collaborative efforts in cross boarder internationally to establish more through security measures in partnerships with law enforcements that have proved to be effective in treating and preventing opioid abuse and addiction. There are specialized training sessions on a regular basis offered by federal agencies to assist clinicals in treatment of patients with opioid addiction, ensure that the stand of practice in treating these patients met the national guidelines requirements, and encourage long term rehabilitation. There are also measures set in place to inspect drug rehabilitation programs in an effort to improve the. Quality of care provided and patient satisfaction This has led to a drastic reduction of cases involved in drug related offences and criminal activities.
Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350. doi:10.1016/j.outlook.2017.05.003.
Agboola, A. A., Esan, O. T., Afolabi, O. T., Soyinka, T. A., Oluwaranti, A. O., & Adetayo, A. (2018). Economic burden of the therapeutic management of mental illnesses and its effect on household purchasing power. PLoS ONE, 13(9), 1-13. https://doi-org.ezp.waldenulibrary.org/10.1371/journal.pone.0202396
Fekadu, W., Mihiretu, A., Craig, T. K. J., & Fekadu, A. (2019). Multidemsional impact of severe mental illness on family members: systematic reviow. BMJ Open, 9(12), 1.