Assignment: Comparison Grid Fact-Sheet
Assignment: Comparison Grid Fact-Sheet
The U.S. government initiates various health policies and agendas to support the care needs of citizens. In every electioneering period, politicians consider health a matter of special concern as it determines the response of the electorates. Agenda comparison grid provides a platform to evaluate the health policies of successive administrations to ascertain how the governments tackled a given health issue (Corrigan & Nieweglowski, 2018). For instance, opioid crisis has emerged to be an issue of public health concern and this rallied debates in the past three regimes in America. However, how the issue was tackled remains obscure considering the negative outcomes associated with addiction in contemporary society. In this regard, the present illustration is an agenda comparison grid to analyze how President Trump, Obama, and Bush tackled the opioid crisis during their reign. Narration will be provided to summarize the approaches used by successive administrations in addressing the issue.
Part 1: Agenda Comparison Grid
Identify the Population Health concern you selected.
Health issue is opioid misuse, overdoses and addictions as well as measures taken by successive administrations to tackle the problem.
Describe the Population Health concern you selected and the factors that contribute to it.
Compulsive use of opioids is one of the significant issue of concern in the U.S. health system. In the late 1990s, there was increased use of prescription opioid medications which not only led to increased misuse of prescription opioids but also created a loophole for the widespread use of non-prescription opioids (Rigg, Monnat & Chavez, 2018). Statistics from the National Institute of Drug Abuse (2019), indicate that 21 to 29% of all patients using prescription opioids misuse them. Besides, about 8 to 12% of patients using the drug for chronic pain management develop an addiction. Currently, opioid abuse affects more than 1.7 million Americans and about 47,000 fatalities are recorded every year due to opioid overdose. Nonetheless, the U.S. government spends an average of $78.5 billion annually on opioid addiction treatment as well as other health care costs arising from the misuse of the drug. Opioid misuse is a public health concern because it leads to neonatal abstinence syndrome in pregnant women and is also related to the increased spread of viral diseases such as HIV/AIDS and Hepatitis C (Davis & Carr, 2019).
Administration (President Name)
President Trump
President Obama
President Bush
Describe the administrative agenda focus related to this issue for the current and two previous presidents.
About 42,000 deaths were associated with opioid overdoses in 2016 and this rose to 50,000 deaths in 2019. The National Institute of Drug Abuse estimates about 40% of opioid overdose deaths to be involved with prescription opioids in America. In this regard, President Trump pronounced opioid crisis as a matter of public health concern in October 2017. The declaration led to the introduction of “Stop Opioid Abuse” program in 2018. Additionally, Trump administration initiated the Safer Prescribing Plan to reduce opioid prescription by 33% in a span of three years. The government also worked with the American Congress to pass a motion on the Support Act in 2019 (Sobotka & Stewart, 2020).
No new legislations were introduced to tackle opioid menace. However, Obama administration roused the Congress to support initiatives, interventions as well as rehabilitation efforts aimed at addressing Opioid crisis. Obama requested the Congress to provide guidelines on modalities of treating opioid misuse. Besides, the administration sensitized health care personnel to monitor prescription opioid administration so as to encourage safe pain management without opioid addiction. The government also provided funds for research on opioid addiction and overdose as well as encourage safe disposal of prescription opioids that are not needed.
Opioid crisis emerged an issue of public health concern in 2006 under Bush administration. In this period, the National Drug Control Policy singled out oxycodone as the second commonly misused opioid in America. The identification of this drug came at a time Bush prepared to leave office and therefore it did not feature in his national health agenda for a consideration (Corrigan & Nieweglowski, 2018).
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
Trump administration allocated $6 billion in October 2018 to address opioid crisis for a span of two years (Davis & Carr, 2019).
During Obama’s reign, $1.1 billion was set aside to support treatment approaches for Americans battling with opioid addiction. The funding aimed at improvement in prescription opioid monitoring, prescriber education and support on safe disposal of opioids not needed by patients. The financial incentive also aimed at providing support to those on recovery from opioid addiction (Beletsky & Davis, 2017).
No funding was set aside by the Bush’s administration since the issue of opioid misuse was on its discovery stage.
Explain how each of the presidential administrations approached the issue.
President Trump used a multidimensional approach to tackle opioid crisis. In the initial stage, the government focused on reducing demands for over-prescription of the medication by educating Americans on the dangers related to opioid use. The other method was to interrupt and limit non-prescription drugs in the supply chain in a bid to curtail misuse. In the final approach, Trump administration initiated programs to support Americans entangled with opioid addiction by providing treatment options needed during recovery (Sobotka & Stewart, 2020).
President Obama initiated support to address opioid crisis through allocating budgets and other comprehensive approaches in different perspectives. The Affordable Care Act also aimed at supporting treatment for the opioid addicts.
Bush administration did not consider opioid crisis worthy of mention because it was newly discovered as a matter of health concern and there was no anticipation that it might affect future health system.
Part 2: Agenda Comparison Grid Analysis
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Administration (President Name)
President Trump
President Obama
President Bush
Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
The executive authority of the government is to establish the need for a legislative agenda on the issue of opioid crisis. The Congress on the other hand served to actualize the proposed legislative reform to benefit Americans. As such, the two arms of governments will help address the health issue.
In the Obama’s administration, the Congress responded to opioid crisis through approving funding to support those suffering from addictions. President Obama also considered opioid crisis in his health agenda and therefore prioritized to address it (Rigg, Monnat & Chavez, 2018).
The National Drug Control Policy provided a foundation to examine opioid crisis in 2006. Bush administration was therefore pivotal in identifying opioid misuse at early stages before it was forwarded for a consideration in 2009.
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?
Opioid crisis escalated in the Trump administration due to the largest funding in managing the crisis when compared with the previous administrations. The funding is anticipated to increase in support for those recovering from addiction (Sobotka & Stewart, 2020).
Obama singled out opioid crisis in his health agenda due to rising trends of addiction. In this regard, substantial financial resources were allocated to address the issue. The health agenda continued as a priority matter for the White House as evidenced by continued support granted to those recovering from addiction.
President Bush did not consider opioid a major issue to incorporate in his health agenda.
Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?
President Trump would be the ideal initiator and sponsor for the opioid crisis. The administration realized the immense challenges associated with opioid misuse and White House was at a better position to handle the matter. As a promoter, President Trump would work hand in hand with Congress to consider it as an agenda of discussion and also to persuade politicians to address it as a matter of national concern. Health administrations, doctors, nurses and other health staff would act as champions to support the agenda and see its implementation in care facilities.
President Obama is considered as the ideal entrepreneur of the health issue. He identified it in his health agenda and supported it in good faith. Nurses and other health staff would be the champions in supporting initiatives aimed at addressing the health issue (Sobotka & Stewart, 2020).
Nurses, doctors and health workers acted as champions in providing expert opinion regarding opioid crisis (Beletsky & Davis, 2017).
Part 3: Narration
Opioid crisis emerges as a significant issue of health concern in the contemporary society. Over the past years, prescription opioids have been administered to patients in the management of chronic pain. However, the drug has not only been used for medication purposes but also for euphoria which has led to addictions (Davis & Carr, 2019). Compulsive use of the opioid has negative consequences including abuse of other drugs and can be fatal if not controlled at early stages. Besides opioid misuse is associated with neonatal abstinence syndrome in pregnant women and this affects development of children (Rigg, Monnat & Chavez, 2018). Moreover, injectable opioids can escalate the spread of viral infections such as HIV/AIDS and Hepatitis C among the addicts.
As a matter of fact, opioid crisis has rallied several debates in the national agenda of health and is a concern that should not be ignored. Other than its association with 47,000 deaths annually in the United States of America, opioid crisis also initiates continued government spending in controlling its rise (Corrigan & Nieweglowski, 2018). Besides, opioid misuse is linked with abuse of other hard drugs and therefore can emerge as a serious issue in the future if not controlled at early stages. In addition, opioid crisis should be considered in the agenda of legislation as it affects the health of populations in America.
Nurses play significant role in agenda setting for healthcare issues including opioid crisis. The professionals are frontline workers who spend the longest time with patients and therefore are able to identify emerging health issue in their clients (Sobotka & Stewart, 2020). Advanced registered nurses also provide expert opinion which can guide decision making in setting health agenda in a country (Davis & Carr, 2019). Nonetheless, nurses are champions in the implementation of legislative initiatives and agendas on health in country.
Conclusion
The opioid crisis is a matter of public health concern due to its association with abuse of hard drugs, compromised quality of health, and even death. Even though efforts have been made by successive administrations to tackle the challenge, the American health system is still overburdened by the issue considering the billions of dollars that are used to control its misuse annually. In this context, further research needs to be undertaken to find an alternative medication for chronic pain management because opioids are mainly used as analgesics. Besides, rehabilitation approaches should aim at educating the affected on the adverse outcomes of opioid misuse to avoid relapse.
References
Beletsky, L., & Davis, C. S. (2017). Today’s fentanyl crisis: Prohibition’s Iron Law, revisited. International Journal of Drug Policy, 46, 156-159. https://doi.org/10.1016/j.drugpo.2017.05.050
Corrigan, P. W., & Nieweglowski, K. (2018). Stigma and the public health agenda for the opioid crisis in America. International Journal of Drug Policy, 59, 44-49. https://doi.org/10.1016/j.drugpo.2018.06.015
Davis, C. S., & Carr, D. H. (2019). Legal and policy changes urgently needed to increase access to opioid agonist therapy in the United States. International Journal of Drug Policy, 73, 42-48. https://doi.org/10.1016/j.drugpo.2019.07.006
Rigg, K. K., Monnat, S. M., & Chavez, M. N. (2018). Opioid-related mortality in rural America: Geographic heterogeneity and intervention strategies. International Journal of Drug Policy, 57, 119-129. https://doi.org/10.1016/j.drugpo.2018.04.011.
Sobotka, T. C., & Stewart, S. A. (2020). Stereotyping and the opioid epidemic: A conjoint analysis. Social Science & Medicine, 255, 113018. https://doi.org/10.1016/j.socscimed.2020.113018.
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Assignment: 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 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.
To Prepare:
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.
(A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Discussion Board by Day 3 of Week 1.)
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
Based on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.
Then, using the information recorded on the template in Parts 1 and 2, 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. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. 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.
Important:
*******The response needs to fully integrate at least 2 outside resources and 2-3 course specific resources that fully supports the summary provided. I would recommend combining your Agenda Grid Comparison and Fact Sheet together in one document. If you upload separately, be sure to attach to the assignment link at the same time********
***Final Agenda Grid Comparison, Analysis, and Fact Sheet Required References****
Be sure to answer all the questions associated with the Agenda Comparison Grid for your final assignment:
-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?
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Name: NURS_6050_Module01_Week02_Assignment_Rubric
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Part 1: Agenda Comparison Grid-
-Identify a population health concern
-Describe the Population Health concern you selected and the factors that contribute to it.
Points Range: 5 (5%) – 5 (5%)
The response clearly and accurately identifies and describes a population health concern.
Points Range: 4 (4%) – 4 (4%
