NURS 6051 Agenda Comparison Grid Assignment Template
NURS 6051 Agenda Comparison Grid Assignment Template
NURS 6051 Agenda Comparison Grid Assignment Template
Different presidents have different agendas on health care issues and concerns when they are elected into the Oval Office. These concerns become presidential agendas because of their effects on public health and individual’s wellbeing. The opioid crisis remains a national public health concern with presidents making it part of their presidential agendas and seeking Americans’ support to tackle it. Positioning the opioid crisis as a presidential agenda is essential in getting solutions to issue because of its devastating effects on health outcomes and quality of life (Robeznieks, 2021). The essence of this comparison grid is to compare how current and previous administrations have handled the Opioid crisis. The paper in its three parts discusses the concern and offers analysis and a brief its significance and the role of nurses in setting agenda for healthcare issues. Use this Agenda Comparison Grid to document information about the population health/healthcare issue you selected
Part 1: Agenda Comparison Grid
Identify the Population Health concern you selected. The population health issue selected is the Opioid Crisis and Overdose.
Describe the Population Health concern you selected. Opioid abuse or addiction occurs due to the use of prescription drugs, non-prescription drugs and outlawed substances or illegal drugs. The Center for Disease Control and Prevent asserts that the epidemic leads to catastrophic impacts on individuals, neighborhoods and communities. These effects include substance use disorder, mental health issues and mortality that may happen due to overdosing of the drugs. For instance, in 2016 Opioid overdose caused over 46,000 deaths. Recent statistics show that close to 90,000 overdose fatalities occurred between 2019 and 2020 President Trump declared the opioid crisis a public health emergency. The National Institute of Health (NIH) asserts that the crisis costs the economy over $78 billion each year due to expenses related to treatment, healthcare costs, criminal involvement and rehabilitation as well as time lost by the most affected individuals. Federal departments and agencies have dedicated resources and strategies to tackle the epidemic. The Department of Health and Human Services (DHHS) launched a 5-point strategy focused on empowering communities to tackle the opioid epidemic with the aim of reducing morbidity and mortality.
Administration (President Name) Current President
President Joe Biden Previous Present
President Donald Trump Previous President
President Barack Obama
Explain how each of the two presidential administrations approached the issue. The current Biden administration focuses on ensuring that people have access to high quality health care that comprises of substance use disorder treatment and mental health services. Through efforts to expand insurance coverage under the Affordable Care Act or Obamacare, the Biden administration is keen on expanding Medicaid for mental health and substance use disorder services (Robeznieks, 2021). The administration has also boosted access to overdose treatment and prevention President Trump make efforts to tackle the problem by increasing border patrols through his agenda of building a wall on the border with Mexico to control the trafficking of drugs. The seizure of heroin and trafficking arrests that doubled between 2007 and 2017 are some of the continual efforts by the president Trump to deal with the crisis.
Efforts by the administration also include introduction of new limits on opioid prescriptions through the Center for Disease Control and Prevention (CDC) guidelines (Frank & Haffjee, 2019). Under his administration, the Drug Enforcement Agency (DEA) introduced pharmaceutical companies to minimize their production of certain opioids like morphine and fentanyl. The Justice Department also ramped up its efforts to prosecute those involved in trafficking and over prescription of drugs.
It is important to note that the Trump Administration declared the opioid epidemic as a national health emergency. The Obama administration focused on efforts to create and develop programs like monitoring of prescription, drug take-back at local police stations and pharmacies within the community. The administration enhanced programs to rehabilitate and treat individuals battling actions. The rolling out of the Affordable Care Act was a critical step in enhancing access to healthcare, including mental health for millions of Americans and their families battling the opioid epidemic. Obama also signed the Bipartisan Bill to Combat Opioid Epidemic in 2016. The bill aimed at offering a multifaceted approach to dealing with the epidemic and enhancing access to effective treatment.
Identify the allocations of resources that the current and previous presidents dedicated to this issue. The Biden administration has proposed to allocate or spend about $125 billion to tackle the crisis (Ellerbeck, 2020). The resources will focus on developing prevention programs, treatment and recovery effort. The Trump administration allocated over $13 billion to assist law enforcement to initiate several novel initiatives to respond to the crisis. The administration made an addition allocation of 1.6 billion to 12 states and 13 counties with high drug abuse cases (Frank & Haffjee, 2019). The administration also outlined 21 billion for infrastructure and $23 billion to enhance border security, including the construction of the border wall. The Obama administration allocated close to $28 billion to support efforts to control drug trafficking and other activities like treatment and creating awareness.
Explain how each of
the presidential
administrations
approached the issue. The Biden administration’s main approach is to allocate more resources to battle the epidemic amidst the COVID-19 Pandemic. The administration is also keen restructuring the criminal justice system to ensure that no individual is jailed due to drug use alone (Ellerbeck, 2020). The administration is also keen on holding big Pharmaceuticals responsible for the over-prescription of opioids. The main approach of the administration on the issue was to enhance border security and have stricter indictment using the Justice Department for drug dealers. The administration also enacted a Safer Prescribing Initiative to reduce opioid prescription fills by over one-third. The primary approach to dealing with the crisis was expansion of health access through the Affordable Care Act. Enforcement efforts targeted illegal opioid supply chain, stopping physician-shopping attempts and having experts to offer guidance.
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Part 2: Agenda Comparison Grid Analysis
Administration Biden Administration Trump Administration Obama Administration
Which administrative agency (like HHS, CDC, FDA, OHSA) would most likely be responsible for helping you address the healthcare issue you selected? Why is this agency the most helpful?
The Biden administration is more likely to use the Center for Disease Control and Prevention (CDC) and Department of Health and Human Services (HHS). Under president Trump, the most likely administrative agency to assist in the crisis was the Drug Enforcement Agency (DEA). The agency was responsible for controlling illegal quantities of opioids getting into the country. President Obama’s administration focused its efforts through the Substance Abuse and Mental Health Service Administration (SAMHSA). The administration showed its commitment even during the administration of Obama’s successor, Trump.
How do you think your selected healthcare issue might get on the presidential agenda? How does it stay there? Upon the identification of a public health issue, proposals on how to combat it is taken to a public representative who brings the issue to Congress through the legislative process (Robeznieks, 2021). Upon its approval through voting, the proposed bill is sent to the President for his or her assent so that it becomes law. Upon the identification of a public health issue, proposals on how to combat it is taken to a public representative who brings the issue to Congress through the legislative process. Upon its approval through voting, the proposed bill is sent to the President for his or her assent so that it becomes law. Upon the identification of a public health issue, proposals on how to combat it is taken to a public representative who brings the issue to Congress through the legislative process (SAMHSA, 2017) Upon its approval through voting, the proposed bill is sent to the President for his or her assent so that it becomes law.
Who would you choose to be the entrepreneur/ champion/sponsor (this can be a celebrity, a legislator, an agency director, or others) of the healthcare issue you selected? An example is Michael J. Fox a champion for Parkinson’s disease. Healthcare stakeholders include consumers and community members, especially vulnerable and racial minorities. These individuals share similar perspectives on remedying the situation. Therefore, they are the most effective in championing the healthcare issue of addressing the opioid crisis. Healthcare stakeholders include consumers and community members, especially vulnerable and racial minorities. These individuals share similar perspectives on remedying the situation. Therefore, they are the most effective in championing the healthcare issue of addressing the opioid crisis. Healthcare stakeholders include consumers and community members, especially vulnerable and racial minorities. These individuals share similar perspectives on remedying the situation. Therefore, they are the most effective in championing the healthcare issue of addressing the opioid crisis.
Part 3: Narrative
The opioid crisis is a serious public health issue or concern that affects the nation and needs long-term interventions. As demonstrated, the current Biden administration and the previous administrations of Presidents Trump and Obama continue to develop strategies and interventions to address the issue through enacting legislations, making declaration that the epidemic is a national emergency. The opioid crisis is a n important healthcare issue because of the adverse effects that it creates to the entire population. Close to 90,000 Americans lose their lives each year due to this epidemic while many individuals and communities bear the brunt of the economic and social impacts that the situation creates in their lives, homes and communities (Wen & Sadeghi, 2020). Therefore, it is an important issue that should always inform any president and presidential candidate. The opioid crisis is a public health issue and one that requires the implementation of evidence-based practice interventions.
Nurses are a critical component of healthcare delivery and interact more with patients and health populations than other health professionals. As such, they advocate for their patients and colleagues for better care delivery, welfare, and attainment of optimal care outcomes. As patient advocates and frontline care providers, they play a critical role in setting agenda for healthcare issues because they understand the extent of these matters and their effects on patients. Nurses’ role includes implementing evidence-based practice interventions, providing culturally-competent care and addressing health emergencies and diseases; especially epidemics and pandemics (Robeznieks, 2021). The inclusion of nurses in agenda setting ensures that they present issues which impact patients and hinder the delivery of patient-centered care, especially in communities with serious incidences of opioid overdose. Therefore, the role of nurses includes having an expertise perspective as they are professionals who understand the concerns that impact patients and their families.
Conclusion
The Opioid crisis remains a national health issue and concern that requires all administration, especially at the federal, too develop interventions to mitigate its prevalence. As illustrated in this analysis, nurses and other providers should develop a collaborative approach to address the current opioid crisis that has been exacerbated the COVID-19 pandemic. Therefore, practitioners and other stakeholders must offer support to government to develop better interventions to reduce the prevalence of the issue.
References
Department of Health and Human Services. 5-Point Strategy to Combat the Opioid Crisis.
Ellerbeck, A. (2020). The Health 202: Biden will also have the opioid epidemic to deal with amid the coronavirus pandemic.
Felter, C. (2021). The U.S. Opioid Epidemic. https://www.cfr.org/backgrounder/us-opioid-epidemic
Frank, R. G. & Haffjee, R. L. (2019). The Trump Administration’s Actions to Address the Opioids Public Health Crisis–Reply. JAMA
https://www.ama-assn.org/delivering-care/opioids/biden-administration-boosts-access-overdose-prevention-treatment
https://www.hhs.gov/opioids/about-the-epidemic/hhs-response/index.html
https://www.samhsa.gov/newsroom/press-announcements/202103110230
Lancet, 396(10259):1316-1318. doi: 10.1016/S0140-6736(20)32113-9.
Psychiatry, 2019;76(1):101-102. doi:10.1001/jamapsychiatry.2018.2761
Robeznieks, A. (2021). Biden administration boosts access to overdose prevention, treatment.
Substance Abuse and Mental Health Services Administration (SAMHSA) (2021). With Pandemic Worsening the Mental Illness and Addiction Crisis, Biden Administration to Provide Nearly $2.5 Billion to States, Territories for Treatment, Prevention Aid
Substance Abuse and Mental Health Services Administration (SAMHSA) (2017). SAMHSA Reaffirms Efforts to Address the Public Health Emergency on the Opioid Crisis. https://www.samhsa.gov/newsroom/press-announcements/201710260100
The Washington Post. https://www.washingtonpost.com/politics/2020/11/16/health-202-biden-will-also-have-opioid-epidemic-deal-with-amid-coronavirus-pandemic/
Wen, L. S. & Sadeghi, N. B. (2020). The opioid crisis and the 2020 US election: crossroads for a national epidemic.
Assignment: Agenda Comparison Grid and Fact Sheet
It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.
Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.
As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.
In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.
To Prepare:
• Review the agenda priorities of the current/sitting U.S. president and at least one previous presidential administration.
• Select an issue related to healthcare that was addressed by two U.S. presidential administrations (current and previous).
• Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.
• Use your Week 1 Discussion post to help with this assignment.
The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page narrative) with a title page. This is an APA paper. Use 2-3 course resources and at least 2 outside resources.
Part 1: Agenda Comparison Grid
Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the previous president, and their agendas related to the population health concern you selected. Be sure to address the following:
• Identify and provide a brief description of the population health concern you selected.
• Explain how each of the presidential administrations approached the issue.
• Identify the allocation of resources that the presidents dedicated to this issue.
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:
• Which administrative agency (like HHS, CDC, FDA, OHSA) would most likely be responsible for helping you address the healthcare issue you selected and why is this agency the most helpful for the issue?
• How do you think your selected healthcare issue might get on the presidential agenda? How does it stay there?
• An entrepreneur/champion/sponsor helps to move the issue forward. Who would you choose to be the entrepreneur/champion/sponsor (this can be a celebrity, a legislator, an agency director, or others) of the healthcare issue you selected and why would this person be a good entrepreneur/ champion/sponsor? An example is Michael J. Fox is champion for Parkinson’s disease.
Part 3: Fact Sheet
Using the information recorded on the template in Parts 1 and 2, develop a 1-page fact sheet that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:
• Summarize why this healthcare issue is important and should be included in the agenda for legislation.
• Justify the role of the nurse in agenda setting for healthcare issues.
By Day 7 of Week 2
Submit your final version of Part 1: Agenda Comparison Grid, Part 2: Agenda Comparison Grid Analysis, and Part 3: Narrative.
Submission and Grading Information
Reading your post about our two most recent presidents and their progress in the fight against the opioid crisis is eye opening. I too, wrote about the same topic but found different articles and points to write about. Throughout your submission, it talks about how President Biden is focused on making healthcare available to all. With this comes substance abuse treatment and rehabilitation programs. While I believe this is a good thought, how are we to be sure that those who are having addition issues reach out and apply for treatment? Making treatment available is, of course, the first step towards a bigger picture. A new law put into place by President Biden I found while researching is called the DUMP Opioids Act. It is short for Dispose Unused Medications and Prescription Opioids Act and was put into place to allow for many medication disposal sites to be available for veterens in 2022 (Tillman, 2021). I do not disagree with this law, however, I believe it should be expanded to meet a wider population. The second point you cited regarding Biden’s fight in the opioid crisis was a great example of a proactive approach. With Biden going directly for one of the causes, over-prescribing opioid medications, it can hold people accountable and limit the number of opioids in circulation. Many providers do not intend for their prescribed medications to develop and aid a current addiction, but the more medications available can increase the likelihood of misuse.
Former President Trump also showed a positive approach when funding opioid abuse prevention, treatment, and recovery programs. I believe this takes Biden’s “healthcare for all” and goes one step further by giving funds directly to the subject of the issue. In my research, I also found Trump allocated a portion of these funds specifically to form a commission of professionals to examine and make educated suggestions of improvement for the president (DHHS, n.d.). Being able to have input from highly educated individuals, especially those in a differing career field, is a smart way to utilize resources.
I do agree with you when you point out the extremes from both presidents. The opioid crisis is dependent on politicians and the laws they put into place. When I wrote my post regarding the opioid crisis, my main critique of the two presidents were focusing on the main cause rather than cleaning up after the ramifications. To fix any issue you need to go back to the beginning. Biden hopes to limit over-prescribing these medications in the future, but I agree with you going further. Research regarding pain management and the roots of substance abuse can directly lower the amount of opioids being produced. If there continued to be new, nonaddictive ways of pain relief, would people be less likely to look for drugs? With substance abuse as a separate, but related, topic, do pain relief measures changing alter addiction rates? I am sure rates of opioid addiction would go down since less would be produced. Would this lead to those struggling with substance abuse issues finding another way to aid their addiction?
Overall, I enjoyed reading your post!
DHHS Nevada Division of Public and Behavioral Health. (n.d.). President Donald J. Trump is taking action on drug addiction and the opioid crisis. dpbh.nv.org.
Tillman, R. (2021, July 29). Associated press: President Biden signs bills addressing opioid crisis into law. Jon Tester | U.S. Senator for Montana. https://www.tester.senate.gov/?p=news&id=8506.
