Feb 23, 2024 Discussion: Presidential Agendas
Discussion: Presidential Agendas
Discussion: Presidential Agendas
The healthcare system is highly sensitive and that is why presidents have to make critical decisions and ensure the safety of their citizens. I agree with you that the opioid epidemic is one of the healthcare issues that rose to the presidential level. Opioid misuse presents various health risks and that is why it was necessary to engage the presidential intervention. President Bush’s administration approached the issue in three ways. First, the administration provided efforts to stop the kids from using the drug. Secondly, the treatment for those already using the drug was expanded and finally, the flow of the drug into America was controlled. The measure would be undertaken for infectious diseases that arise, Breaking the infection cycle is important in managing health crises and emergencies (Hedberg, et al., 2019).
The Obama administration approached the issue more comprehensively and approved the CAR bill to fight the epidemic. Similarly, President Donald Trump declared the epidemic a national state of emergency and this was appropriate. I agree that health issues require urgent intervention to curb the causative factors and prevent the issue from spreading further and this is what the three presidential administrations did.
The presidents must be sensitive to identify the impacts of given health issues and develop appropriate policies that will minimize the harmful effects the citizens suffer (Smith, 2020). In this case, the use of opioid drugs was on the rise and the level could have been very disastrous if the relevant measures developed were not adopted. It is important that government systems set aside funds to handle medical emergencies whenever they rise because they cannot be postponed (Katz, Attal-Juncqua & Fischer, 2017).
Struggling to Meet Your Deadline?
Get your assignment on Discussion: Presidential Agendas done on time by medical experts. Don’t wait – ORDER NOW!
Meet my deadline
Discussion: Presidential Agendas References
Hedberg, K., Bui, L. T., Livingston, C., Shields, L. M., & Van Otterloo, J. (2019). Integrating public health and health care strategies to address the opioid epidemic: the Oregon Health Authority’s Opioid Initiative. Journal of Public Health Management and Practice, 25(3), 214-220. doi: 10.1097/PHH.0000000000000849.
Katz, R., Attal-Juncqua, A., & Fischer, J. E. (2017). Funding public health emergency preparedness in the United States. American journal of public health, 107(S2), S148-S152. doi: 10.2105/AJPH.2017.303956
Smith, H. J. (2020). Ethics, Public Health, and Addressing the Opioid Crisis. AMA Journal of Ethics, 22(8), 647-650. doi: 10.1001/amajethics.2020.647.
I enjoyed reading your post and agree with your stance that as nurses we should advocate for patients to make their own choices for their personal health care. As a nurse for several years, I have always respected the choices that an individual makes for themselves, whether I agree or not. Providing security in the choice to choose is fundamental in nursing which is why we have consent, living wills, and advanced directives in place. For nurses to continue to advocate for the personal choices of our patients, our colleagues, and ourselves we should start by getting involved locally in government. Nurses who want to become involved in politics can establish connections with elected officials and legislators, share stories of those they support, establish trust, and work toward influencing policy (Milstead & Short, 2019).
I agree with natural immunity and personal choice as well. I do not support the vaccine mandate being pushed by the Biden administration. I have personally heard the perception or belief from my own friends and colleagues that “people have a choice”. The belief that it is a choice to choose between your livelihood, your career, and your personal freedom associated is unconstitutional. Savage, C. (2021) refers to statements made by Judge Engelhardt in a New Orleans court of appeals, “Of course, the principles at stake when it comes to the mandate are not reducible to dollars and cents. The public interest is also served by maintaining our constitutional structure and maintaining the liberty of individuals to make intensely personal decisions according to their own convictions — even, or perhaps particularly when those decisions frustrate government officials.” Protection for the health of our people should not involve government overreach.
References
Milstead, J., & Short, N. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones and Bartlett Learning.
Savage, C. (2021). Appeals court extends block on Biden’s vaccine mandate for employers. The New York Times. https://www.nytimes.com/2021/11/12/us/politics/court-vaccine-mandate.html
I agree with you that most people living the US and the world have had mental illness at one stage of their lives. It is absolutely true that most communities have neglected mental illness such as emotional distress, depression, and stress. Unexpected and sudden death is common among mental health patients. Persons with mental illness are known to have poor health status and considerable premature mortality. I concur with my colleague that the previous presidents, George W Bush, Barrack Obama, and Donald Trump, have made fundamental reforms to reduce the number of mental health patients in America. Bush created a commission that come up with 19 impressive recommendations to reduce mental illness. His successor, Obama, signed ACA that added mental health patients to Medicaid. Lastly, Trump supported a group of health clinics for mentally ill patients with US$700 million.
Mental health disorders affect a person’s feeling, thinking, mood, or behavior, such as anxiety, depression, panic disorder, prevalence, schizophrenia, or bipolar disorder (Valentine, & Shipherd, 2018). These conditions may either be chronic (long-lasting) or occasional, affecting the person’s ability to perform their daily activities. In 2019, nearly 21% of Americans had a mental illness. The number signifies that 1 in 5 Americans experienced mental health disorders in 2019 (Czeisler et al., 2020). Mental health disorder does not discriminate, and it can affect all people regardless of their social status, income, geography, age, sexual orientation, ethnicity/race, or spirituality/religion. Unfortunately, people who are mentally ill do not want to talk about it. There is nothing to be ashamed of about this condition; it is a medical condition like diabetes, cancer, or cardiovascular diseases. Most mental disorders disorders are treatable.
I agree with you post on mental illness in the US. Mental illness is indeed a major concern in America. Persons who suffer from this condition experience stress and are unable to perform their day-to-day activities. Emotional instability also affects their general well-being. Lack of quality healthcare places these individuals to worse conditions, including premature deaths. President Bush, Obama, and Trump made health forms aimed at reducing the number of persons suffering from this condition. The overall strategies of the three presidents involved preventing, treating, and managing mental health disorders. Bush established New Freedom Commission Report Initiative in 2001, aimed at preventing mental illness. Obama signed ACA to enable persons with mental health disorders to afford health insurance. Trump donated US$700 million to certified mental health clinics.
Mental health illness are among the most common health conditions in the US. Even before the COVID-19 pandemic, the prevalence of mental health disorder among Americans has been increasing. In 2019, 21% of Americans experienced mental illness (Czeisler et al., 2020). In 2016, suicide (caused by mental illness) become the second leading cause of death among young people aged 11-34. Physical and mental health are connected. Mental health has a considerable role in people’s ability to maintain good physical health (Grob, 2019). Mental illness such as anxiety and depression increase the risk for other types of physical health issues such as cardiovascular diseases, diabetes, and stroke. Similarly, physical health, such as chronic conditions, increases the risk for mental health disorder. Factors such as trauma, substance abuse, sexual assault, biological genes, or having few friends can also contribute to mental illness. Women are twice likely to suffer depression and anxiety than men. Nonetheless, women and men are equally likely to experience bipolar disorder.
Discussion: Presidential Agendas References
Czeisler, M. É., Lane, R. I., Petrosky, E., Wiley, J. F., Christensen, A., Njai, R., … & Rajaratnam, S. M. (2020). Mental health, substance use, and suicidal ideation during the COVID-19 pandemic—United States, June 24–30, 2020. Morbidity and Mortality Weekly Report, 69(32), 1049. doi: doi: 10.15585/mmwr.mm6932a1
Grob, G. N. (2019). Mental illness and American society, 1875-1940 (Vol. 5316). Princeton University Press.
Valentine, S. E., & Shipherd, J. C. (2018). A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clinical Psychology Review, 66, 24-38. doi: 10.1016/j.cpr.2018.03.003
RE: Discussion – Week 1
Main post
An agenda is an essential guide that people uses to make informed decision. Presidents over the centuries uses Presidential Agendas as a platform to capture and retain voters’ attention. Due to the capabilities of the media the president’s agenda is captured throughout the world. Healthcare issues have made its way on all president’s agenda, including the ones we are mentioning in this discussion
. The healthcare industry is a very important contributing factor to the United States economy. Therefore, healthcare issues are handled very delicately by presidents. The topic that came to mind that rise to the presidential level is Healthcare Reform.
During George W Bush era he handled the Healthcare Reform by proposing to make insurance accessible by all Americans with the Affordable, accessible and flexible health coverage. With this meant was that insurance will be more economical with the intent that all Americans will be able to afford insurance. Instead of securing insurance through employment individuals will be able to purchase insurance independently (White House, 2007). What I would have done differently is that I would not have left that up to the citizens to figure out how to obtain insurance, but as a governing body we would create one standard health insurance that all Americans have access to regardless of socio economic status.
During President Barak Obama tenure, he too had to address Healthcare Reform. His way of handling the issue at hand was he came up with the Affordable Care Act/Obamacare. This Affordable Care Act would allow uninsured American to be able to afford insurance coverage, prevent insurance companies from refusing to insured individuals because of comorbidities. He also proposed to manage the rise in drug cost (Bauchner, 2016). This virtually is the exact proposal that President George W Bush made and President Obama just renamed it. What I would have done differently was to remove the penalty that was implemented on the individual tax return if that person chooses to remain uninsured.
On President Donald Trump’s agenda was also Affordable Care Act. How he handled this issue was to revoke and replace crucial parts of the Affordable Care Act, by so doing the fine for individuals who choose to remain uninsured was removed from their tax return, Medicaid was downsized and balanced out with government assisted insurance coverage (Kaplan & Pear, 2017). What I would have done differently is instead of repealing the existing bill that was benefiting the middle and low- income class make amendment to ensure that Americans can afford insurance coverage and create an insurance coverage system that would benefit the American people getting medical and prescription coverage at an affordable rate.
Discussion: Presidential Agendas References
Baucher, H. (2016). The Affordable Care Act and the Future of US Health Care. JAMA, 6(316),
492-493. doi:10.100/jama.2016.9872
Kaplan, T., Pear, R. (2017). House Passes Measure to Repeal and Replace the Affordable Care
Act. The New York Times. Retrieved November 30, 2020, from https://smith4nj.com/wp-content/uploads/2020/10NY-Times-5.14.2007-article-on-obamacare-vote.pdf
White House. (2007). State of the Union: Affordable, accessible, and flexible health coverage.
Retrieved November 30, 2020, from http://www.whitehouse.gov/stateoftheunion/2007/
initiatives/healthcare.html
Click here to ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Discussion: Presidential Agendas
Discussion: 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.
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?
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?
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.
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.Required ReadingsMilstead, 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.2014.04.002Note: 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.2015.06.003Note: 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:10.1177/1527154417728514Note: 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.Note: You will access this article from the Walden Library databases.USA.gov. (n.d.). A-Z index of U.S. government departments and agencies. Retrieved September 20, 2018, from https://www.usa.gov/federal-agencies/aUSA.gov. (n.d.). Executive departments. Retrieved September 20, 2018, from https://www.usa.gov/executive-departmentsThe White House. (n.d.). The cabinet. Retrieved September 20, 2018, from https://www.whitehouse.gov/the-trump-administration/the-cabinet/Document: Agenda Comparison Grid Template (Word document)
RE: Discussion – Week 1
COLLAPSE
Main post
An agenda is an essential guide that people uses to make informed decision. Presidents over the centuries uses Presidential Agendas as a platform to capture and retain voters’ attention. Due to the capabilities of the media the president’s agenda is captured throughout the world. Healthcare issues have made its way on all president’s agenda, including the ones we are mentioning in this discussion. The healthcare industry is a very important contributing factor to the United States economy. Therefore, healthcare issues are handled very delicately by presidents. The topic that came to mind that rise to the presidential level is Healthcare Reform.
During George W Bush era he handled the Healthcare Reform by proposing to make insurance accessible by all Americans with the Affordable, accessible and flexible health coverage. With this meant was that insurance will be more economical with the intent that all Americans will be able to afford insurance. Instead of securing insurance through employment individuals will be able to purchase insurance independently (White House, 2007). What I would have done differently is that I would not have left that up to the citizens to figure out how to obtain insurance, but as a governing body we would create one standard health insurance that all Americans have access to regardless of socio economic status.
During President Barak Obama tenure, he too had to address Healthcare Reform. His way of handling the issue at hand was he came up with the Affordable Care Act/Obamacare. This Affordable Care Act would allow uninsured American to be able to afford insurance coverage, prevent insurance companies from refusing to insured individuals because of comorbidities. He also proposed to manage the rise in drug cost (Bauchner, 2016). This virtually is the exact proposal that President George W Bush made and President Obama just renamed it. What I would have done differently was to remove the penalty that was implemented on the individual tax return if that person chooses to remain uninsured.
On President Donald Trump’s agenda was also Affordable Care Act. How he handled this issue was to revoke and replace crucial parts of the Affordable Care Act, by so doing the fine for individuals who choose to remain uninsured was removed from their tax return, Medicaid was downsized and balanced out with government assisted insurance coverage (Kaplan & Pear, 2017). What I would have done differently is instead of repealing the existing bill that was benefiting the middle and low- income class make amendment to ensure that Americans can afford insurance coverage and create an insurance coverage system that would benefit the American people getting medical and prescription coverage at an affordable rate.
Discussion: Presidential Agendas References
Baucher, H. (2016). The Affordable Care Act and the Future of US Health Care. JAMA, 6(316),
492-493. doi:10.100/jama.2016.9872
Kaplan, T., Pear, R. (2017). House Passes Measure to Repeal and Replace the Affordable Care
Act. The New York Times. Retrieved November 30, 2020, from https://smith4nj.com/wp-content/uploads/2020/10NY-Times-5.14.2007-article-on-obamacare-vote.pdf
White House. (2007). State of the Union: Affordable, accessible, and flexible health coverage.
Retrieved November 30, 2020, from http://www.whitehouse.gov/stateoftheunion/2007/initiatives/healthcare.html
RE: Discussion – Week 1
Collapse
There has been progress toward this end through Centers for Medicare and Medicaid Services (CMS) value-based programs, where provider payments are tied to performance of quality measures. These programs are intended to improve the quality of care patients receive by incentivizing and penalizing service providers for patient outcomes. The Hospital Readmission Reduction Program (HRRP), for example, is aimed at ensuring that patient care is provided with increased consideration given to patient outcomes, as poor outcomes may mean significant penalties for providers. According to CMS.gov website “HRRP is a Medicare value-based purchasing program that encourages hospitals to improve communication and care coordination to better engage patients and caregivers in discharge plans and, in turn, reduce avoidable readmissions”.
Ultimately, no provider can ensure positive patient outcomes all the time, but this program can benefit health care consumers and payors by encouraging providers to prioritize patient outcomes. The premise being that having poor outcomes effect profits, will force providers to work to better ensure positive outcomes and thereby reduce health care costs for patients and payors alike. So, through the HRRP “CMS incentivizes hospitals to improve communication and care coordination efforts to better engage patients and caregivers on post-discharge planning”, with certain readmissions having a negative impact on profits. (CMS.gov)
Hosp. Readmission reduction. (2020, August 11). https://www.cms.gov/Medicare/Quality-Initiatives-
Patient-Assessment-Instruments/Value-Based-Programs/HRRP/Hospital-Readmission-
Reduction-Program
Discussion: Presidential Agendas
Syllabus
Student Support and Calendar Information
So you have all key information available to you off-line, it is highly recommended that you print the following items for your reference:
This Syllabus, including the Course Schedule that is linked on this page as a PDFCourse CalendarSupport, Guidelines, and PoliciesPhoto Credit: Sam Edwards / Caiaimage / Getty Images
Credit Hours5 credits in 11 weeks
Walden University assigns credit hours based on the number and type of assignments that enable students to achieve the course learning objectives. In general, each semester credit equals about 42 hours of total student work and each quarter credit equals about 28 hours of total student work. This time requirement represents an approximate average for undergraduate work and the minimum expectations for graduate work. The number and kind of activities estimated to fulfill time requirements will vary by degree level and student learning style, and by student familiarity with the delivery method and course content.
Course Description
In today’s rapidly changing healthcare delivery system, decisions made within the political arena impact the future of health delivery systems, healthcare professionals, and the populations they serve. In this course, students examine the policy process and its impact on healthcare delivery, cost, quality, and access. Students examine the importance of getting healthcare issues on federal and state agenda, investigate governmental response through legislation and regulation, and identify where they can advocate for positive outcomes in program/policy design, implementation, and evaluation. Global health issues are examined for their relevance and impact on the development of the nurse advocate. Through discussions, reflection, case studies, and the application of professional communications techniques as political tactics to influence policy outcomes, students demonstrate integration of policy decision-making into professional nurse practice for the benefit of individuals and populations.
Course Learning Outcomes
By the conclusion of this course, you should be able to:
Evaluate factors that affect nursing practice (such as socioeconomic, political, legal/regulatory, ethical, and global factors).Evaluate factors that affect healthcare delivery systems (such as socioeconomic, political, legal/regulatory, ethical, and global factors).Evaluate factors that affect population health (such as socioeconomic, political, legal/regulatory, ethical, and global factors).Analyze the influence of policy and politics on the cost, quality, and access to healthcare delivery systems.Apply policy processes including political advocacy skills into professional nursing practice.Assess tradeoffs between cost, quality, and access inherent in a complex healthcare delivery system.
Order a similar assignment, and have writers from our team of experts write it for you, guaranteeing you an A
