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NURS 6050 Assignment: Comparing Presidential Healthcare Plans
Healthcare has been a big deal in America for a long time. It’s something presidents have talked about and made plans for since the country began. As a healthcare worker, you might be asked to give your opinion on healthcare issues or help make new healthcare rules. So, it’s important to understand what’s going on with healthcare in the country.
For this assignment, you’ll look at what recent presidents have said about healthcare. You’ll compare the ideas of the current president with those of the two before them. You’ll also pick a specific healthcare issue and see how each president dealt with it.
Here’s what you need to do:
Look at what the current president and the past two presidents have said about healthcare.
Choose a healthcare issue that all three presidents have talked about.
Think about how much money and resources each president has put towards that issue.
Figure out how each president has tried to handle the issue.
Your assignment has three parts:
Part 1: Comparison Table
Fill out a table with the information you found about each president’s healthcare plans.
Homework help – Write a short description of the healthcare issue you picked and why it’s important.
Explain what each president has done about the issue.
(Put your draft of the table in the Module 1 Assignment help – Discussion Board by the third day of Week 1.)
Part 2: Analysis of the Table
Based on the table, decide which government agency would be in charge of dealing with your healthcare issue.
Think about how the issue gets on the president’s agenda and stays there.
Choose someone who would be a good supporter for the issue from each president’s team.
Part 3: Fact Sheet or Talking Points
Use the feedback you got from others to make your table and analysis better.
Then, use the information to make a short fact sheet or talking points. This will help you explain why your healthcare issue is important and why it should be a priority for lawmakers.
Also, talk about why nurses are important in deciding what healthcare issues we focus on.
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Notes:
Part 1: Agenda Comparison Grid
The public health concern is the ongoing opioid epidemic in the United States. Key contributing factors include over-prescription of opioid medications for pain management, availability of illicit opioids like heroin and synthetic fentanyl, and insufficient access to evidence-based treatment and recovery services for substance use disorders (Ciccarone, 2019; Kolodny et al., 2015).
The Biden administration (2021-present) has prioritized addressing the opioid crisis. In 2021, $1.5 billion in funding was allocated through the American Rescue Plan Act to expand access to medications for opioid use disorder (MOUD), launch syringe services programs, support overdose prevention communities, and enhance prescription drug monitoring programs (Office of National Drug Control Policy, 2022).
The Trump administration (2017-2021) declared the opioid crisis a public health emergency in 2017 and allocated $6 billion over two years through programs like the State Opioid Response grants. This supported prevention, treatment, and recovery services (Office of National Drug Control Policy, 2021).
The Obama administration (2009-2017) worked to curb non-medical use of prescription opioids. Efforts included the 2016 Comprehensive Addiction and Recovery Act, which aimed to expand access to treatment and bolster first responder training on overdose reversal drugs (National Institute on Drug Abuse, 2022).
Part 2: Agenda Comparison Grid Analysis
The Substance Abuse and Mental Health Services Administration (SAMHSA) within the Department of Health and Human Services (HHS) oversees federal programs addressing substance use disorders, including opioid use disorder. Data showing the human and economic toll of the crisis in specific regions could help get this issue on the agenda. Potential champions may include medical experts, families impacted by overdose, and law enforcement seeing effects in their communities (Ciccarone, 2019).
Part 3: Fact Sheet
The opioid crisis continues to devastate communities nationwide. In 2021, an estimated 107,622 Americans died from drug overdoses, with opioids involved in over 75% of these deaths (National Center for Health Statistics, 2022). If left unaddressed, this public health emergency will persist in straining social services and devastating families and neighborhoods. As frontline healthcare providers, nurses are well-positioned to educate policymakers on evidence-based prevention and treatment strategies. Comprehensive solutions are urgently needed to expand access to MOUD, support harm reduction efforts, and allocate sustainable funding to curtail overdose mortality rates and improve quality of life.
Works Cited
Ciccarone, D. (2019). Fentanyl and its progeny: a mean genealogy. International journal of drug policy, 73, 30–38. https://doi.org/10.1016/j.drugpo.2019.07.009
Kolodny, A., Courtwright, D. T., Hwang, C. S., Kreiner, P., Eadie, J. L., Clark, T. W., & Alexander, G. C. (2015). The prescription opioid and heroin crisis: a public health approach to an epidemic of addiction. Annual review of public health, 36, 559–574. https://doi.org/10.1146/annurev-publhealth-031914-122957
National Center for Health Statistics. (2022). Provisional Drug Overdose Death Counts. Centers for Disease Control and Prevention. https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm
National Institute on Drug Abuse. (2022). Opioid Overdose Crisis. https://www.drugabuse.gov/drug-topics/opioids/opioid-overdose-crisis
Office of National Drug Control Policy. (2021). 2020 National Drug Control Strategy. https://www.whitehouse.gov/wp-content/uploads/2021/02/2020-NDCS.pdf
Office of National Drug Control Policy. (2022). American Rescue Plan Funding to Address the Overdose Epidemic. https://www.whitehouse.gov/ondcp/briefing-room/2022/01/13/american-rescue-plan-funding-to-address-the-overdose-epidemic/
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Sample 1
Agenda Comparison Grid and Fact Sheet on the Opioid Crisis
Part 1: Agenda Comparison Grid
Administration (President Name) Description of the Administrative Agenda Focus Allocations of Financial and Other Resources Approach to the Issue
Donald J. Trump Declared the opioid crisis a public health emergency; focused on prevention, treatment, recovery, research, and pain management $900 million in 2017 for opioid-specific funding; training for first responders with naloxone access; restricted prescriber ability to overprescribe Five-point strategy: prevention, treatment, recovery, research, and pain management. HHS recommends prescribing naloxone to high-risk patients.
Barack Obama Increased access to healthcare through the Affordable Care Act; focused on education and awareness for prescribers and nurses $1 billion for opioid treatment programs in 2016; added funding for data collection on overdoses Comprehensive approach: Affordable Care Act, funding for treatment, updated prescribing guidelines, data collection, and roundtables with grieving families.
George W. Bush Law enforcement focus; viewed addiction as a crime rather than a public health issue Funding for law enforcement and incarceration Primarily addressed the issue through criminal justice measures, leaving underserved communities without treatment options.
Part 2: Agenda Comparison Grid Analysis
Which administrative agency would be most likely responsible for helping you address the opioid crisis?
The Department of Health and Human Services (HHS) would be the most likely agency to help address the opioid crisis due to its broad focus on public health and its existing initiatives related to the issue. The Substance Abuse and Mental Health Services Administration (SAMHSA) within HHS specifically works on substance abuse prevention, treatment, and recovery.
How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
The opioid crisis gained significant attention due to the rising number of overdoses and deaths, making it a pressing public health concern. Media coverage, advocacy efforts by affected families and organizations, and the economic burden of the crisis all contributed to keeping it on the agenda. However, sustained attention and action require ongoing advocacy, data collection, and demonstrably effective interventions.
Who would you choose to be the entrepreneur/champion/sponsor of the healthcare issue you selected for the current and two previous presidents?
For President Trump: Admiral James Winnefeld, who formed the Stop Addiction Fatality Epidemic (SAFE) initiative after losing his son to an opioid overdose, could be a powerful champion due to his personal connection and leadership in the organization.
For President Obama: Senator Sheldon Whitehouse, who introduced the Comprehensive Addiction and Recovery Act in 2016, could leverage his legislative experience and ongoing commitment to the issue.
For President Bush: Considering the administration’s limited public health approach, a figure like former First Lady Hillary Clinton, who focused on healthcare access during her tenure, could have advocated for a more comprehensive strategy.
Part 3: Fact Sheet
Why the Opioid Crisis Is Important For the Legislation Agenda
The opioid crisis is a significant public health emergency with far-reaching consequences. Here’s why it deserves a place on the legislative agenda:
Epidemiology: It affects people of all ages, races, and genders, with older adults disproportionately impacted due to chronic pain management needs. A 2012-2013 study found that 2.5% of adults aged 65 and older misused prescription opioids (Gostin, Hodge & Noe, 2017).
Devastating Effects: Opioid use disorder can lead to physical, social, psychological, and physiological problems, including drowsiness, euphoria, respiratory complications, addiction, and even death. In 2017, over 70,000 drug overdose deaths occurred, with 50,000 involving opioids (Painter, 2017).
Economic Burden: The crisis imposes significant costs on individuals, families, and the healthcare system. The Trump administration spent roughly $11 billion in 2017-2018 on prevention, treatment, and recovery efforts (Gostin, Hodge & Noe, 2017).
Nurse’s Role in Opioid Crisis Agenda Setting
Nurses play a crucial role in combating the opioid crisis due to their direct patient contact and expertise:
Prevention and Early Recognition: Through patient interactions and assessments, nurses can identify potential misuse and intervene early.
Prescription Monitoring: Nurses can monitor prescription patterns and flag potential risks of addiction or overprescribing.
Advocacy: Nurses can advocate for better pain management practices, stricter prescribing guidelines, and improved access to treatment and recovery services.
Conclusion
The opioid crisis demands urgent attention and legislative action. Its widespread impact, devastating consequences, and economic burden necessitate a comprehensive and sustained response. By allocating resources effectively, empowering healthcare professionals like nurses, and prioritizing evidence-based interventions, we can make significant progress in tackling this complex public health challenge.
Recommendations for Legislators: Fact Sheet or Talking Points Brief
Increase funding for prevention, treatment, and recovery programs. This includes expanding access to medication-assisted treatment (MAT), which is highly effective in treating opioid use disorder.
Support harm reduction strategies. This includes providing naloxone, a life-saving medication that reverses opioid overdoses, and implementing syringe service programs (SSPs) to reduce the spread of infectious diseases.
Address the root causes of addiction. This includes investing in poverty reduction, mental health services, and educational opportunities.
Strengthen regulations on opioid prescribing. This includes limiting prescription duration and dosage, and encouraging the use of non-opioid alternatives for pain management.
Support research on new and effective treatments for opioid use disorder.
Call to Action:
The opioid crisis is not just a healthcare issue; it’s a societal one. We all have a role to play in raising awareness, advocating for change, and supporting those affected by this epidemic. By working together, we can build a future where everyone has access to the care and resources they need to overcome addiction and lead healthy, fulfilling lives.
References:
Gostin, L. O., Hodge, J. G., & Noe, S. A. (2017). Reframing the opioid epidemic as a national emergency. Jama, 318(16), 1539-1540.
Painter, S. G. (2017). Opiate crisis and healthcare reform in America: A review for nurses. OJIN: The Online Journal of Issues in Nursing essay, 22(2).
Saloner, B., McGinty, E. E., Beletsky, L., Bluthenthal, R., Beyrer, C., Botticelli, M., & Sherman, S. G. (2018). A public health strategy for the opioid crisis. Public Health Reports, 133(1_suppl), 24S-34S.
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Sample 2:
NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief
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 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 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.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 the two previous presidential administrations.
Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
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.
The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)
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 two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:
Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
Describe the administrative agenda focus related to the issue you selected.
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. A comparison of the budgetary and policy decisions of the current and two previous presidents reveals how they prioritized the issue of climate change. The current president has proposed a $2 trillion plan to invest in clean energy, infrastructure, and environmental justice, as well as rejoining the Paris Agreement. The previous president withdrew from the Paris Agreement and rolled back many environmental regulations, while increasing fossil fuel production and subsidies. The president before him launched the Clean Power Plan, increased fuel efficiency standards, and pledged to reduce greenhouse gas emissions by 26-28% by 2025.
Explain how each of the presidential administrations approached the issue.
(A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Assignment help – Discussion Board by Day 3 of Week 1.)
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 would most likely be responsible for helping you address the healthcare issue you selected?
How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?
Part 3: Fact Sheet or Talking Points Brief
Based on the feedback that you received from your colleagues in the Assignment help – Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.
Then, using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:
Summarize why this healthcare issue is important and should be included in the agenda for legislation.
Maternal Mortality in the United States: An Urgent Public Health Concern
Introduction
Maternal mortality in the United States remains a pressing public health issue, with complex contributing factors ranging from lack of access to comprehensive prenatal and postpartum care to systemic issues such as structural racism and implicit bias in healthcare. Despite advancements in medical technology and healthcare practices, the maternal mortality rate in the U.S. continues to be higher than in other developed countries, indicating a critical need for targeted interventions and policy initiatives.
Importance of Addressing Maternal Mortality
Maternal mortality not only represents a significant loss of life but also has far-reaching implications for families, communities, and the healthcare system as a whole. Every maternal death is a tragedy, affecting not only the individual but also leaving a lasting impact on children, families, and society. Furthermore, addressing maternal mortality is essential for achieving equitable healthcare outcomes and promoting the well-being of all individuals, regardless of race, ethnicity, or socioeconomic status.
Current Presidential Agenda
Under the Biden administration, addressing racial disparities in maternal health outcomes has emerged as a priority. The administration has allocated significant resources, including $3 billion from the American Rescue Plan Act, to bolster maternal and child health programs. This includes a focus on expanding postpartum Medicaid coverage, aiming to improve access to essential healthcare services for vulnerable populations.
Previous Approaches
The Trump administration supported state-level maternal safety bundles to promote best practices but did not pursue national policies. Conversely, the Obama administration established the Task Force on Maternal Mortality, laying the groundwork for identifying strategies to reduce maternal deaths. These initiatives have informed subsequent programs and interventions aimed at improving maternal health outcomes.
Role of Nurses in Agenda Setting
Nurses play a crucial role in agenda setting for healthcare issues, leveraging their expertise, experience, and frontline perspective to advocate for policies that prioritize maternal health. As trusted healthcare professionals, nurses are well-positioned to raise awareness, mobilize resources, and drive meaningful change at both the local and national levels. Their involvement in policy advocacy is essential for ensuring that maternal health remains a top priority on the legislative agenda.
Conclusion
In conclusion, addressing maternal mortality in the United States requires a multifaceted approach that encompasses policy interventions, resource allocation, and advocacy efforts. The current administration’s focus on reducing racial disparities in maternal health outcomes, coupled with ongoing initiatives from previous administrations, presents an opportunity to drive progress in this critical area. By working collaboratively and leveraging the expertise of healthcare professionals, policymakers, and community stakeholders, we can strive towards a future where every pregnancy and childbirth is safe and supported.
References
ACOG. (2021). ACOG Maternal Mortality Review Committees. Retrieved from https://www.acog.org/clinical-information/policies-and-publications/committee-opinions/committee-on-patient-safety-and-quality-improvement/maternal-mortality-review-committees
CDC. (2022). Pregnancy Mortality Surveillance System. Retrieved from https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-surveillance-system.htm
Office of the Assistant Secretary for Planning and Evaluation. (2022). The American Rescue Plan Maternal and Child Health Provisions: An Overview. Retrieved from https://aspe.hhs.gov/reports/american-rescue-plan-maternal-child-health-provisions-overview-issue-brief
Washington, G. (1798). An Act for the Relief of Sick and Disabled Seamen. U.S. Statutes at Large, 1(1), 605.
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Part 1: Agenda Comparison Grid
Population Health Concern Maternal Mortality in the United States
Factors Contributing to the Issue Lack of access to comprehensive prenatal and postpartum care, mental health issues, cardiovascular conditions, structural racism, and implicit bias in the healthcare system
Administrative Agenda Focus Biden: Addressing racial disparities in maternal health outcomes; Trump: Supporting state-level maternal safety bundles; Obama: Establishing the Task Force on Maternal Mortality
Resource Allocations Biden: $3 billion from the American Rescue Plan Act; Trump: Support for state-level initiatives; Obama: Establishment of the Task Force on Maternal Mortality
Approach Biden: Prioritizing racial disparities; Trump: State-level support; Obama: Task force establishment
Part 2: Agenda Comparison Grid Analysis
Administrative Agency: The Centers for Disease Control and Prevention (CDC) would likely be responsible for addressing the healthcare issue of maternal mortality.
Inclusion on the Agenda: For all three presidents, the issue of maternal mortality likely gained attention through public health data highlighting disparities and the need for action. Once on the agenda, it likely stayed through continued advocacy efforts and policy proposals.
Entrepreneur/Champion/Sponsor: For the current administration, President Biden would serve as the champion, given his prioritization of addressing racial disparities. For the previous administrations, President Trump and President Obama likely played similar roles, supporting initiatives and task force establishment, respectively.
Part 3: Fact Sheet or Talking Points Brief
Why Maternal Mortality is an Urgent Legislative Agenda Item
Maternal mortality remains a critical public health concern in the United States, with factors such as lack of access to care and systemic issues contributing to disparities.
Addressing maternal mortality is essential for promoting equitable healthcare outcomes and ensuring the well-being of all individuals, regardless of race or socioeconomic status.
Role of Nurses in Agenda Setting
Nurses play a vital role in advocating for policies that prioritize maternal health, leveraging their expertise and frontline perspective to drive meaningful change.
As trusted healthcare professionals, nurses are well-positioned to raise awareness, mobilize resources, and advocate for policies that address the underlying factors contributing to maternal mortality.
References
ACOG. (2021). ACOG Maternal Mortality Review Committees.
CDC. (2022). Pregnancy Mortality Surveillance System.
Office of the Assistant Secretary for Planning and Evaluation. (2022). The American Rescue Plan Maternal and Child Health Provisions: An Overview.
Justify the role of the nurse in agenda setting for healthcare issues.
