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.
- 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.
- Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
- 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.
- Explain how each of the presidential administrations approached the 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 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
Using the information recorded on the template in Parts 1 and 2, develop a 1-page narrative 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.
Expert Answer and Explanation
Agenda Comparison Grid Assignment
Part 1: Agenda Comparison Grid
|Identify the Population Health concern you selected.||Opioid Crisis|
|The Population Health concern.||According to statistics by the National Institute of Drug Abuse, over 50,000 people died from opioid overdose in 2019. Similarly, the same statistics indicate that close to $80 billion is spent on dealing with issues associated with opioid addiction including, loss of productivity, rehabilitation, involvement with the criminal activities to list a few. Over the years, different presidents established different approaches to tackle opioid issue, with each approach eliciting different reactions. This paper will compare former President Obama and President Trump’s policy stand on the opioid crisis.|
|Administration (President Name)||President Barrack Obama||President Donald Trump|
|How each of the two presidential administrations approached the issue.||During President Obama’s tenure as president, he raised the level of sensitization on how serious the opioid crisis is and the impact on the American community. He made all stakeholders, especially the legislative wing of the government to start recognizing the intensity of the problem. However, it was until the final days of his term that the Congress passed the 21st Century Cures Act, which among other things increased the state funding channeled towards response against the opioid crisis (Barlas, 2017).||During President Trump’s tenure, he established opioid crisis as both a security and a health issue. He was quite vocal on recognizing the fact that opioid crisis is a matter of national concern joining gun violence as part of the leading causes death in the US. To help curb the issue, president trump passed into law the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act, also known as the SUPPORT for Patients and Communities Act, which among other things helped to increase the federal funding on evidence-based treatment for opioid use disorder. President Trump also declared the opioid crisis as a national crisis in 2018, making him the first president to do so (The White House, n.d.).|
|Allocations of resources||After the implementation of the 21st Century Cures Act, over one billion dollars was allocated by the federal government towards collaborative efforts with states and other agencies in dealing with the opioid crisis (Office of the Press Secretary, 2016).||President Trump’s administration in 2018 through congress, passed a budget of $13 billion to be spread across two financial periods. This allocation was meant to help increase research on opioid treatment, improve access to treatments, among other aspects aimed towards combating the opioid crisis in the country (Davis, 2019). However, critics still argued that this amount was still minimal given the colossal nature of the opioid crisis.|
Part 2: Agenda Comparison Grid Analysis
|A collaborative interdepartmental approach, spearheaded by the department of Health and Human Services would be ideal in addressing the opioid crisis. Given the nature of the issue, involving other non-health related departments such as the department of Homeland Security might also be necessary. The opioid crisis requires all stakeholders, including the communities, and families to actively play a role in sensitization and prevention activities against misuse and abuse of opioids hence my selection.
|How the healthcare issue might get on the presidential agenda.||Unlike other health care challenges, the opioid crisis has already been rendered a nation health crisis by the former president, making it already part of the major presidential agenda. The current president, Joe Biden who is also a supporter of the 21st Century CURES act, recently signed another bill into law. The bill will empower the Department of Veteran Affairs in terms of financing and policy to help it deal with the opioid crisis. The financing has been set to a tune of $2 billion channeled towards various efforts of the department including safe disposal of opioids (Office of The President, 2021).|
There are several personalities who can fit into this group, and the more I have the better the campaign will be. To choose one, I would go for Robert Downey Jr. who is a world renown celebrity and a reformed opioid addict. Through his own primary account, he can share the negative implications of opioid addiction and why the battle against the same is necessary to improve the wellbeing of affected individuals, families, and communities Through his popularity, he can also martial support from several other stakeholders, including his fans to participate in efforts combating the opioid crisis.
Part 3: Fact Sheet
|Why the tackling the opioid crisis is important and should be included in the agenda for legislation.||Role of the nurse in agenda setting for healthcare issues.|
|The opioid crisis was declared a national crisis by the former US President Donald Trump, and rightfully so; The following are some of the facts associated with the opioid crisis;
||Nurses are placed at a strategic position in addressing the entire opioid crisis.
Barlas S. (2017). U.S. and States Ramp Up Response to Opioid Crisis: Regulatory, Legislative, and Legal Tools Brought to Bear. P & T: A Peer-Reviewed Journal for Formulary Management, 42(9), 569–592.
Davis, C. S. (2019). The SUPPORT for Patients and Communities Act—What will it mean for the opioid-overdose crisis?. New England Journal of Medicine, 380(1), 3-5.
National Institute on Drug Abuse. (2021). Opioid overdose crisis. National Institute on Drug Abuse. https://www.drugabuse.gov/drug-topics/opioids/opioid-overdose-crisis
Office of The President. (2021). Executive Office of the president Office of National Drug … The Biden-Harris Administration’s Statement of Drug Policy Priorities for Year One. https://www.whitehouse.gov/wp-content/uploads/2021/03/BidenHarris-Statement-of-Drug-Policy-Priorities-April-1.pdf.
Office of the Press Secretary (2016), Fact Sheet: President Obama Proposes $1.1 Billion in New Funding to Address the Prescription Opioid Abuse and Heroin Use Epidemic. https://obamawhitehouse.archives.gov/the-press-office/2016/02/02/president-obama-proposes-11-billion-new-funding-address-prescription
O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political Efficacy and Participation of Nurse Practitioners. Policy, Politics, & Nursing Practice, 18(3), 135–148. https://doi.org/10.1177/1527154417728514
The White House. (n.d.). The cabinet. Retrieved September 20, 2018, from https://www.whitehouse.gov/the-trump-administration/the-cabinet
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