NURS 6050 Policy and Advocacy for Improving Population Health
NURS 6050 Policy and Advocacy for Improving Population Health
REPLY TO ONE STUDENT DISCUSSION – Week 1
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Presidential Agendas”
Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.
To Prepare:
- Review the Resources and reflect on the importance of agenda setting.
- Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.
By Day 3 of Week 1
Post your response to the discussion question: Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently? “ATTENTION REPLY TO STUDENT DISCUSSION THIS TIME> YOU NEED TO CITE THE REPLY AND PROVIDE REFERENCES AT LEAST 3. “
RESOURCES/REFERENCES
Required Readings
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
- Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. 11–13 only)
- Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention?” (pp. 17–36)
- Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 171–180)
- Chapter 12, “An Insider’s Guide to Engaging in Policy Activities”
- “Creating a Fact Sheet” (pp. 217-221)
DeMarco, R., & Tufts, K. A. (2014). The mechanics of writing a policy brief. Nursing Outlook, 62(3), 219–224. doi:10.1016/j.outlook.2014.04.002
Note: You will access this article from the Walden Library databases.
Kingdon, J. W. (2001). A model of agenda-setting, with applications. Law Review, M.S.U.-D.C.L., 2(331).
Note: You will access this article from the Walden Library databases.
Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., … Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521–530. doi:10.1016/j.outlook.2015.06.003
Note: You will access this article from the Walden Library databases.
O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political efficacy and participation of nurse practitioners. Policy, Politics, and Nursing Practice, 18(3), 135–148. doi:10.1177/1527154417728514
Note: You will access this article from the Walden Library databases.
Institute of Medicine (US) Committee on Enhancing Environmental Health Content in Nursing Practice, Pope, A. M., Snyder, M. A., & Mood, L. H. (Eds.). (n.d.). Nursing health, & environment: Strengthening the relationship to improve the public’s health. Retrieved September 20, 2018.
Student A.A
RE: Discussion – Week 1
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From 1999-2018, there were close to 450,000 people who died from an opioid overdose, including prescription and illicit opioids in the United States. The Centers for Disease Control and Prevention (CDC), focuses on certain areas with trying to control this massive public health issue. Some of the areas the CDC works towards is monitoring trends, building state and local tribal capacities, supporting providers, healthcare systems, and payors, partnering with public safety officials and community organizations, and increasing public awareness (CDC, 2020).
President Trump’s ideas and tactics behind defeating the opioid epidemic include, reducing the drug demand through education, awareness, and prevention; cutting off the flow of illicit drugs across the U.S. borders as well as within communities; and saving lives by expanding opportunities for evidence-based treatments for opioid addiction. On September 19th, 2018, the Trump administration gave more than one billion dollars in funding to state and local entities for the cause of this epidemic. Some of the efforts to reduce the over prescribing of opioids, included implementing a Safer Prescribing Plan which sought to cut nationwide opioid prescription fills by one-third in three years; calling for 95 percent of opioid prescriptions reimbursed by Federal healthcare to be issued using best practices within five years; and helping states transition to a nationally interoperable network of Prescription Drug Monitoring Programs. The Trump Administration issued 90.9 million dollars in Drug-Free Communities Support Program to 731 local drug prevention coalitions. High dose opioid prescriptions fell by 16 percent since Trump took office and in 2017, and the number of first-time heroin users ages 12 and older dropped more than 50 percent. There are other strategies being conducted to improve this crisis by the Trump Administration, such as working to keep drugs from entering the country, with cutting off land borders, and insuring first responders are provided naloxone to reverse opioids (Whitehouse.gov, 2018).
In 2010, former President Obama, released his first National Drug Control Strategy, which emphasized the need to act upon opioid use disorders and overdose, also while ensuring that individuals with pain are administered safe and effective treatment. The following year, the White House released its national Prescription Drug Abuse Prevention Plan. And in the year of 2015, the White House delivered the launching of the Prescription Drug Overdose: Prevention for States Program through the CDC. The Prevention for States Program would award states between 750,000 and 1 million dollars each year to be used for enhancing prescription drug monitoring programs (PDMPs); working on prevention in communities; working with health systems, insurers, and professional providers to assist them in making informed decisions regarding prescribing pain medication; and responding to new and emerging overdose issues through innovative projects (Wilson, J.J & Morgan, R.B., 2015).
In 2016, the Obama administration announced the plan to grant funding to fight the opioid epidemic. 53 million dollars was to be shared with 44 states to expand access to treatment, enhance data collection and curb abuse of opioid across the country. The grants were to fund prescriber training and education, to help increase the access to medication-assisted treatment and increase the prevalence of opioid overdose medications such as Naloxone (Petruzzelli, M., 2016).
Former President George W. Bush was determined to fight the opioid crisis when he took office in 2001. He set aggressive goals in order to reduce the drug issue in the United States; one tactic which included to reduce youth drug use by ten percent in two years. His primary focus was on three elements: to stop drug use before it stated, healing drug users, and disrupting the market for illicit drugs. There were numerous tactics used in these interventions, but overall, from the years of 2001-2006, illicit drug use declined among high schoolers (The White House, 2006).
After comparing the different tactics used by these three presidents, I personally, and putting any affiliation aside, agree more so with changing the laws on prescribing opioids to be more helpful in tackling this epidemic. I also appreciate the strong will which former President Bush had, on decreasing abuse from youth, as prevention is something, I am abundantly passionate about. Obama had great ideas as far as expanding access to treatment, and allocating a great deal of money to various states for the use of prevention and drug monitoring; however, I either over looked, or didn’t see much evidence of the Obama Administration, working toward changing laws as to prescribing opioids by providers.
References
CDC. (2020). Understanding the Epidemic. Retrieved from
https://www.cdc.gov/drugoverdose/epidemic/index.html
Petruzzelli, M. (2016). Obama Administration Awards Money to Fight Opioids, Fund PDMPs. Retrieved from https://www.thenationalcouncil.org/capitol-connector/2016/09/obama- administration-awards-money-fight-opioids-fund-pdmps/
The White House. (2006). National Drug Control Strategy. Retrieved from
https://www.justice.gov/archive/olp/pdf/ndcs06.pdf
Whitehouse.gov. (2018). President Donald J. Trump’s Initiative to Stop Opioid Abuse and Reduce Drug Supply and Demand. Retrieved from https://www.whitehouse.gov/briefings-statements/president-donald-j-trumps-initiative-stop-opioid-abuse-reduce-drug-supply-demand-2/
Wilson, J.J. and Morgan, R. B. (2015). Obama Administration Initiatives to Address Prescription Drug Abuse and Heroin Use. Retrieved from https://www.ncsl.org/research/health/obama-administration-initiatives-to-address- prescription-drug-abuse-and-heroin-use.aspx
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