NURS 6050 Presidential Agendas

NURS 6050 Presidential Agendas

Sample Answer for NURS 6050 Presidential Agendas Included After Question

Rather than focus on the treatment of chronic disease, policies that influence population health tend to emphasize prevention and wellness; the reduction or elimination of waste and the eradication of health disparities based on race, ethnicity, language, income, gender, sexual orientation, disability and other factors. The reasoning is that good health belongs to the whole, not just an individual. (New York State Dept. of Health, n.d.)   

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. 

Consider a topic (mental health, HIV, opioid epidemic, pandemics, obesity, prescription drug prices, or many others) that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently? 

Reference:
New York State Department of Health. (n.d.). Making New York the healthiest state: Achieving the triple aim. Retrieved June 21, 2021 from https://www.health.ny.gov/events/population_health_summit/docs/what_is_population_health.pdf 

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 population health topic that rises to the presidential agenda level. Which social determinant most affects this health issue? How did two recent presidents handle the problem? What would you do differently? 

By Day 6 of Week 1 

Respond to at least two of your colleagues* on two different days by expanding on their response and providing an example that supports their explanation or respectfully challenging their explanation and providing an example. 

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. 

*Note: Throughout this program, your fellow students are referred to as colleagues. 

A Sample Answer For the Assignment: NURS 6050 Presidential Agendas

Title: NURS 6050 Presidential Agendas

The population health topic I am choosing is the opioid epidemic. I chose this because it affects such a large population in today’s world. According to the Centers for Disease Control and Prevention (2022), drug overdose deaths have increased by nearly 5% from 2018 to 2019 and quadrupled since 1999. Over 70% of the 70,630 deaths in 2019 involved an opioid. In 2020, 91,799 drug overdose deaths occurred in the United States. The number continues to rise, and drugs seem to be more accessible.

Regarding social determinants, people from low socio-economic classes have poorer health. They are more likely to use tobacco, drink alcohol at high risk, and use illicit drugs. Drug-dependent people are particularly likely to be unemployed and to experience marginalization, both of which can exacerbate their problems and prevent seeking or benefiting from treatment (Spooner,2017). Drug abuse is not shy when it comes to whom it affects. People in low socioeconomic classes happen to get slammed with drug abuse as we have not provided the right accessibility for them.

 

One of President Trump’s solutions was to build a wall. Theoretically, the wall would stop illegal drugs from coming in, and this wall was supposed to be built on the Mexican border. He also said he would enhance access to addiction services, end Medicaid policies that obstruct inpatient treatment, and expand incentives for state and local governments to use drug courts and mandated treatment to respond to the addiction crisis (Kaiser Family Foundation,2017). Although some think the wall may help, it is not the solution to the epidemic. In some cases, working from the outside inward works, but in this case, I think this epidemic needs to be approached from the inside out.

 

In this case, I would have started the solution on the inside. I would have targeted what we can control right now. Stopping Illegal drugs from coming in will help in the long run, but you must focus on what illegal drugs are happening in the US. Building a wall doesn’t stop the use, trading, selling, or buying we are currently dealing with. I would work to eliminate those issues, do more research on who this affects the most, and start there. We know people from low socio-economic classes struggle the most, so I start there and work my way out. Maybe we start focusing on getting these people out of this low-income rut. We provide schooling, daycare, and opportunities some people will never receive. Even starting there seems small, but I would further it with Trump’s plan to enhance access to drug addiction services like counselors. I would hold more doctors accountable and pharmaceutical companies pushing these opioids for money.

 

According to the Democrat National Committee (2020), President Biden’s solution includes holding people accountable such as big pharmaceutical companies, executives, and others, responsible for their role in triggering the opioid crisis. Biden will create effective prevention, treatment, and recovery services available to all through a $125 billion federal investment. Most importantly, we will stop overprescribing pain medication to citizens. I think Biden’s solutions to this epidemic were much better; these solutions start inward and target the people in the US struggling. I believe the solutions listed will help the country see a decline in opioid deaths, but they won’t solve the issue altogether.

NURS 6050 Presidential Agendas
NURS 6050 Presidential Agendas

 

As much as I agree with this approach, I don’t think the primary producers of these drugs are being held accountable enough. I would figure out a way other than fines to serve these companies. Possibly suspending their production may be a helping solution. The problem is these companies are laced with money, so half the time, they don’t even blink at the request to hand over money due to fines. I wouldn’t change much to Biden’s policy otherwise. I think his approach gives people accessibility, and that’s truly what we need to end this epidemic.

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Centers for Disease Control and Prevention (2022). Death Rate Maps & Graphs. Centers for Disease Control and Prevention. Retrieved August 30, 2022, from https://www.cdc.gov/drugoverdose/deaths/index.html

 

Democrat National Committee. (2020). The Biden plan to end the opioid crisis. Joe Biden for President: Official Campaign Website. Retrieved August 30, 2022, from https://joebiden.com/opioidcrisis/

 

Kaiser Family Foundation. (2017, January 9). President-elect Donald Trump stands on six health care issues – election 2016: The issues. KFF. Retrieved August 30, 2022, from https://www.kff.org/report-section/where-president-elect-donald-trump-stands-on-six-health-care-issues/#opioid

 

Spooner, C.  (2017). SOCIAL DETERMINANTS OF DRUG USE. National Drug and Alcohol Research Centre (NDARC). Retrieved August 30, 2022, from https://ndarc.med.unsw.edu.au/

Hello Hannah,  great topic choice. There has been an increase on Fentanyl related deaths as of lately. According to the CDC overdose deaths which includes fentanyl and fentanyl analogs increased over 56% from 2019 to 2020. (CDC, 2022). From what I have observed personally at work, there has also been a lot of cocaine overdose in much younger populations. In terms of drugs being accessible, I had a 23 yr old patient on the ICU who overdosed on cocaine because it was being shared at a party. I work in NYC, with a lot of minority populations, I deal with a lot of cases like this, most of which end up fatal, they result in cardiac arrest and end in death. I agree with your point Regarding the building of the wall during former President Trumps term. I believe the wall being built was to serve a different Agenda and not necessarily to prevent drugs from being brought across the border. A wall is not the answer, working from inside out to address the issue and hold the main culprits responsible will be a much better approach. In the USA, there have been recent legislative shifts towards less punitive policing, with the former President Obama’s bill expanding access to naloxone, the implementation in the Washington State of Good Samaritan Laws aimed at empowering community members to prevent overdose. (Vashishtha et al., 2017). I believe these are ways that we can continue to help combat these issues from the inside out like you mentioned.

References

Centers for Disease Control and Prevention. (2022, June 1). Fentanyl. Centers for Disease Control and Prevention. Retrieved August 30, 2022, from https://www.cdc.gov/opioids/basics/fentanyl.html

Vashishtha, D., Mittal, M. L., & Werb, D. (2017, May 12). The North American opioid epidemic: Current challenges and a call for treatment as prevention – harm reduction journal. BioMed Central. Retrieved August 30, 2022, from https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-017-0135-4

I also chose the Opioid Crisis for my initial discussion. Re your point in your post regarding stopping production; I feel this is not a feasible solution as there would be too many patients who would not have access to pain medication they desperately need to control chronic pain issues. I do agree that money drives these businesses and this does not benefit our patients.

Heather Pfeifer