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Posted: May 22nd, 2023
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:
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:
Part 3: Narrative
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:
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Comparison grid, 1-page analysis, and 1-page fact sheet addressing the healthcare agenda and population health concern of the opioid epidemic across the current and two previous U.S. presidential administrations:
Part 1: Agenda Comparison Grid
Population Health Concern: The opioid epidemic – the rapid rise in the use of prescription and non-prescription opioid drugs leading to widespread misuse, addiction, overdoses, and deaths in the U.S. Factors Contributing to Concern: Over-prescription of opioid painkillers, increased availability of illicit synthetic opioids like fentanyl, lack of access to addiction treatment
| Administration (Years) | Agenda Focus | Resource Allocation | Approach |
|---|---|---|---|
| Biden (2021-present) | Expanding access to evidence-based prevention, treatment, harm reduction, and recovery support services | $10.7 billion in HHS funding to address opioid crisis in FY2022 budget | Public health approach emphasizing harm reduction and treatment over criminalization |
| Trump (2017-2021) | Reducing opioid prescriptions, disrupting drug supply, increasing access to overdose-reversing drugs | $6 billion in new funding for opioids signed into law in 2018 | Public health emergency declaration, criminal justice focus on supply reduction |
| Obama (2009-2017) | Reforming opioid prescribing practices, expanding access to medication-assisted treatment | $1.1 billion in new funding for opioid epidemic proposed in FY2017 budget | Public health approach balanced with maintaining access to pain management |
Part 2: Agenda Comparison Grid Analysis
Agency Most Likely Responsible: Department of Health and Human Services (HHS) How Issue Gets on & Stays on Agenda: Severity of opioid epidemic with rising overdose deaths; ongoing advocacy efforts by affected individuals, families, healthcare providers; state governments seeking federal resources Potential Issue Entrepreneurs:
Part 3: Narrative
The opioid epidemic is a critical healthcare issue that requires ongoing attention and investment from the federal government. Drug overdose deaths, primarily driven by opioids, have skyrocketed in recent years to record highs, devastating families and communities across the country (CDC, 2022). While important steps have been taken, such as expanding access to addiction treatment and naloxone, the crisis persists and demands legislative action commensurate with its severity as a public health emergency.
Nurses play a vital role in agenda-setting for this issue as frontline providers who witness the impacts of opioid addiction firsthand. By treating patients struggling with opioid use disorder, supporting families, and advocating for evidence-based solutions, nurses can persuasively communicate the urgent need for policy change to legislators (Worley, 2019). Specific priorities should include increasing funding for behavioral health workforce development, reducing barriers to medication-assisted treatment, and emphasizing a public health approach centered on harm reduction rather than criminalization (AACN, 2018).
With overdose deaths continuing to rise even amidst the COVID-19 pandemic, the opioid epidemic remains an urgent public health crisis that requires bold policy solutions and leadership from the nursing profession in setting the national agenda. Legislators must listen to the insights of nurses and make meaningful investments to finally turn the tide of this devastating epidemic.
References: American Association of Colleges of Nursing. (2018). Nursing’s role in addressing the opioid crisis. Centers for Disease Control and Prevention. (2022). Drug overdose deaths in the U.S. top 100,000 annually. Worley, J. (2019). A primer on the opioid epidemic for nursing professionals. Nursing2019, 49(9), 40-46.
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Part 1: Agenda Comparison Grid
| Population Health Concern | Brief Description | Factors that Contribute |
|---|---|---|
| Opioid Overdose | Opioid overdose is a leading cause of death in the United States, claiming the lives of more than 70,000 people in 2020. | The opioid epidemic is a complex issue with many contributing factors, including the overprescribing of opioids by doctors, the availability of cheap and accessible opioids on the black market, and the lack of access to treatment for opioid addiction. |
Administrative Agenda Focus
| President | Administrative Agenda Focus |
|---|---|
| Biden | The Biden administration has made addressing the opioid epidemic a top priority. The administration has proposed a number of initiatives to address the epidemic, including increasing access to treatment, expanding access to naloxone, and cracking down on the illegal trafficking of opioids. |
| Trump | The Trump administration also made addressing the opioid epidemic a priority. The administration’s efforts to address the epidemic included increasing funding for treatment and prevention programs, expanding access to naloxone, and cracking down on the illegal trafficking of opioids. |
| Obama | The Obama administration also made addressing the opioid epidemic a priority. The administration’s efforts to address the epidemic included increasing funding for treatment and prevention programs, expanding access to naloxone, and cracking down on the illegal trafficking of opioids. |
Allocations of Financial and Other Resources
| President | Allocations of Financial and Other Resources |
|---|---|
| Biden | The Biden administration has proposed a $10 billion plan to address the opioid epidemic. The plan would fund a number of initiatives, including increasing access to treatment, expanding access to naloxone, and cracking down on the illegal trafficking of opioids. |
| Trump | The Trump administration allocated $6 billion to address the opioid epidemic. The administration’s funding was used to support a number of initiatives, including increasing access to treatment, expanding access to naloxone, and cracking down on the illegal trafficking of opioids. |
| Obama | The Obama administration allocated $1.1 billion to address the opioid epidemic. The administration’s funding was used to support a number of initiatives, including increasing access to treatment, expanding access to naloxone, and cracking down on the illegal trafficking of opioids. |
How Each Presidential Administration Approached the Issue
| President | Approach to the Issue |
|---|---|
| Biden | The Biden administration is taking a comprehensive approach to addressing the opioid epidemic. The administration is working to increase access to treatment, expand access to naloxone, and crack down on the illegal trafficking of opioids. |
| Trump | The Trump administration took a more law enforcement-focused approach to addressing the opioid epidemic. The administration cracked down on the illegal trafficking of opioids and worked to prosecute those who were selling and distributing opioids illegally. |
| Obama | The Obama administration took a more public health-focused approach to addressing the opioid epidemic. The administration worked to increase access to treatment and prevention programs and to expand access to naloxone. |
Part 2: Agenda Comparison Grid Analysis
Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
The Substance Abuse and Mental Health Services Administration (SAMHSA) would most likely be responsible for helping me address the opioid epidemic. SAMHSA is a federal agency that provides leadership in the prevention and treatment of substance abuse and mental health disorders. SAMHSA has a number of programs and initiatives that are designed to address the opioid epidemic, including the National Helpline, the National Institute on Drug Abuse, and the Center for Substance Abuse Treatment.
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?
I think my selected healthcare issue, the opioid epidemic, got on the agenda for the current and two previous presidents because it is a major public health crisis. The opioid epidemic is claiming the lives of more than 70,000 people in the United States every year. The epidemic is also having a devastating impact on families and communities. I think the opioid epidemic will stay on the agenda for future presidents because it is a major public health crisis that needs to be addressed.
Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?
I would choose Dr. Nora Volkow to be the entrepreneur/champion/sponsor of the opioid epidemic for the current and two previous presidents. Dr. Volkow is the director of the National Institute on Drug Abuse (NIDA). NIDA is a federal agency that is responsible for conducting and supporting research on drug abuse and addiction. Dr. Volkow is a world-renowned expert on drug abuse and addiction. She has a deep understanding of the opioid epidemic and has been a leading voice in the fight to address it.
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USW1 NURS 6050 Agenda Comparison Grid Template
` Agenda Comparison Grid Template
Use this document to complete the Module 1 Assessment Agenda Comparison Grid and Fact Sheets/Talking Points Brief.
Healthcare Issue
Description
Administration (President Name)
Describe the administrative agenda focus related to this issue
Allocation of financial and other resources to this issue
Notes on Administration’s approach to the issue
General Notes/Comments
Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
How does the healthcare issue get on the agenda and how does it stay there?
Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?
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ssignment: 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 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 research paper help service 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 will also 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 last three U.S. 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: (2- to 3-page Comparison Grid and 1-page Fact Sheet)
Part 1: Agenda Comparison Grid
Based on the presidential administrations you are comparing, complete the Agenda Comparison Grid. Be sure to address the following:
Identify and provide a brief description of the healthcare issue you selected.
Identify which administrative agency would most likely be responsible for helping you address the healthcare issue you selected.
How does the healthcare issue get on the agenda and how does it stay there?
Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?
Part 2: Fact Sheet or Talking Points Brief
Based on your Agenda Comparison Grid for the healthcare issue you selected, 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. 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 1
Submit a draft of Part 1 to the Discussion Board
Sample Answer:
Draft of Part 1, the Agenda Comparison Grid, on the healthcare issue of mental health access and affordability:
**Agenda Comparison Grid Template**
**Healthcare Issue to discuss: Mental health access and affordability**
**Description**
Mental health conditions are prevalent in the U.S., with nearly 1 in 5 adults experiencing mental illness. However, many face barriers to accessing affordable mental healthcare services due to high costs, limited insurance coverage, and provider shortages. This is a significant public health issue impacting individuals, families, and society.
**Administration (President Name)**
*Obama Administration*
Describe the administrative agenda focus related to this issue
– Expanded mental health parity through the Affordable Care Act (ACA) by requiring most health plans to cover mental health and substance use disorder services at the same level as medical/surgical benefits
– Increased funding for mental health services through the Mental Health Parity and Addiction Equity Act
– Established the Now Is The Time initiative to improve mental health services, especially for youth
Allocation of financial and other resources to this issue
– $115 million in ACA funding for mental health services
– $500 million for community mental health and substance abuse treatment services
– $150 million for training new mental health professionals
Notes on Administration’s approach to the issue
Took a comprehensive approach by expanding coverage, increasing funding, and launching initiatives to improve access to mental health services, with an emphasis on early intervention for young people. Worked to reduce stigma and integrate mental healthcare with primary care.
*Trump Administration*
Describe the administrative agenda focus related to this issue
– Prioritized fighting the opioid epidemic, which is intertwined with mental health
– Signed the SUPPORT for Patients and Communities Act to address the opioid crisis and increase access to addiction treatment
– Established a public awareness campaign to fight stigma
Allocation of financial and other resources to this issue
– $6 billion in new funding over two years to fight opioid abuse
– $1.5 billion in state grants for addiction treatment and recovery
– Increased NIH research funding on opioid addiction and pain management
Notes on Administration’s approach to the issue
Emphasized combating opioid abuse as a key mental health priority. Provided funding for treatment, but critics argued more resources were needed to truly expand access to comprehensive mental health services beyond just substance abuse treatment.
*Biden Administration*
Describe the administrative agenda focus related to this issue
– Made strengthening mental healthcare a key pillar of the Unity Agenda
– Proposed measures to expand mental health parity, integrate mental healthcare into primary care settings, and address provider shortages
– Launched the “988” crisis hotline
Allocation of financial and other resources to this issue
– Proposed $700 million in budget for mental health programs
– Urged Congress to provide $700 million for the 988 crisis hotline
– Proposed investing in the mental health workforce
Notes on Administration’s approach to the issue
Building on ACA expansions, proposed significant new investments and reforms to make mental healthcare more accessible and affordable. Emphasized prevention, early intervention, crisis response, and integrating mental health into overall healthcare. Focused on children’s mental health and substance abuse issues.
General Notes/Comments
While all three administrations took steps to improve mental healthcare, the scope and financial investments have varied. The ACA under Obama was a major turning point in requiring mental health coverage. Trump heavily focused on the opioid crisis. Biden is taking a broad approach with proposed funding increases and multiple policy changes to strengthen the mental health system.
**Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?**
The Department of Health and Human Services (HHS), particularly the Substance Abuse and Mental Health Services Administration (SAMHSA) which leads public health efforts to advance behavioral health.
**How does the healthcare issue get on the agenda and how does it stay there?**
Mental health access gained prominence on the agenda in recent years due to:
– Rising rates of mental illness, especially among youth
– The opioid epidemic which highlighted gaps in addiction treatment
– Mounting economic costs of untreated mental illness
– Tragic mass shootings that sparked conversations about mental health
– Tireless advocacy by mental health organizations and affected individuals
– Growing recognition of mental health as essential to overall health
It stays on the agenda because of the immense impacts on population health, continued activism, and increasing bipartisan support for reforms.
**Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?**
Mental health advocates and organizations like the National Alliance on Mental Illness have long championed this issue. In government, sponsors have included former Rep. Patrick Kennedy who was instrumental in passing mental health parity laws, and more recently members of Congress behind comprehensive bills like the Excellence in Mental Health Act. HHS Secretary Becerra and SAMHSA leaders have also been vocal champions within the current administration.
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