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NURS 6050 week 1 Discussion: Presidential Agendas
Initial Post
The health care topic that I’ve chosen to explore that has reached the Presidential level is the Opioid epidemic. Health care disparities seem to arise daily. Opioid abuse /addiction occurs from the use of prescription drugs, none prescription drugs as well as illegal drugs. Drug abuse has been an ongoing challenge in years past and present. According to (Murray 2019) “Millions of Americans are impacted by the opioid crises”. People are dying at alarming rates due to opioid over doses. Drug abuse has crippled our neighborhoods and communities for decades and continues to be on the rise.” The misuse of and addiction to opioids including prescription opioids, heroin, and synthetic opioids such as Fentanyl, is a serious problem that affects not only the health of many Americans but social and economic welfare of our country” (National Institute on Drug Abuse [NIDA,2018]). In this forum I will explore the stance of President Bush, Obama, and Trump and their strategic efforts to address this epidemic which continues to be an ongoing concern to date.
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Presidential Agendas
According to (Ending America’s Opioid Crises, The White House) “President Trump’s Initiative to Stop Opioid Abuse, unveiled in 2018, confronting the driving forces behind the opioid crises”. The first part of his plan was to educate American’s on the the dangerousness of abusing opioids. Secondly, he wanted to get better control on how drugs were being imported into the United States. To date the President plans to build a wall on the Mexican boarder, who tends to be a heavy supplier. He also, plans to rid the state of illegal immigrant drug traffickers. His final efforts are to aid those who struggle with addiction with more treatment options. President Trump has allocated billions of funds to address the ongoing concerns of the opioid crises. I agree with his on going efforts to limit access to these drugs both legally and illegally. My only opposition is that I would place more treatment centers in those areas that are largely affected, giving equal access to all that has fallen victim.
President Obama signed a Bipartisan Bill to Combat Opioid Epidemic. According to (Reilly, 2016) “On July 22, President Barrack Obama signed into law the Comprehensive Addiction and Recovery Act, legislation that is the first of its kind to offer a multifaceted federal response to the prescription opioid and heroin epidemic ravaging communities across the United States”. The purpose of this bill will be to combat the misuse of opioids and ensure that people have access to effective treatment. This plan includes proper surveillance by Medicare prescription drug plans to oversee safe prescribing. According to (Reily,2016) “In 2011, more than 1.7 million Medicare beneficiaries received an opioid dose that put them at increased risk of overdose; nearly a quarter million of them received these high doses for 90 or more consecutive days”. Expanding treatment options is also at the forefront of this plan as well. Commonly compared to President Trump’s plan the Comprehensive Addiction and Recovery Act also addresses the intricate concern of ensuring proper treatment.
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In 2002 President Bush announced his drug control strategy. President Busch stated ” We’re determined to limit drug supply, to reduce demand and to provide addicts with effective and compassionate drug treatment” (Bush, 2002). Bush also vowed to fight drug use and substantially those who dealt in drugs. Another effort was to target drug supply, by calling on the coast guards to increase security at the boarders to limit drugs from coming in overseas. The president also sought help from our Homeland Security Director to examine ways to improve our national boarder management system. President Bush urged Americans to do their part as well and to not misuse and abuse drugs in any way. He also urged parents to do their jobs by educating their children on the importance of staying clear of drugs. I also agree with Presidents Bush’s efforts as well, and although the drug crises has continued to arise I believe with every effort put into place we become a step closer in bridging this problem. My only draw back is that president Bush did not implement in his plan how he would combat the control of prescription opioids which continues to be on the rise.
While opioid addiction continues to be a common place among American’s, as a health care professional I am grateful that this is not only viewed as an addiction but also an illness that requires proper treatment. I believe that it is also important to educate our patients after major surgeries the potential risk of becoming addicted to prescription pain medications. As health care providers we really need to encourage patients to choose the least addictive form of medications possible. I also believe that its important to place treatment centers in the most affected areas and in places were patients can easily access them. I commend all three presidents for their conscious efforts to combat this epidemic. Although American’s continue to struggle with this issue, I believe with the strategies that have been put into place Americans have a greater chance at being liberated from this deadly addiction.
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Discussion: Presidential Agendas – References
Murray, K., (2019).Racial Disparities in Opioid Addiction Treatment in Black and White Populations. Retrieved June,1,2020 from https.//www.addictioncenter.com/news/2019/10/racial-disparities-opioid-addiction-treatment/
Ending America’s Opioid Crises|The White House,(2020). The White House. Retrieved June, 1, 2020, from https://www.whitehouse.gov/opioids/
Reilly, K., (2016). President Obama Signes Bipartisan Bill to Combat Opioid Epidemic . Retrieved on June, 1, 2020, from https://www.pewtrusts.org/en/research-and-analysis/articles/2016/07/22/president-obama-signs-bipartisan-bill-to-combat-opioid-epedimic
President Bush Announces Drug Control Strategy (2002). Retrieved June, 2, 2020, from https://2001-2009.state.gov/p/inl/rls/rm/8451.htm.
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.
Discussion: Presidential Agendas -Discussion – Week 1
After reading the discussion question, I had a lot of topics that came to mind. I work in the Emergency Department and we receive a lot of patients who has narcotic addiction and are mentally disabled. So instantly, I wanted to choose between the two but I think that health insurance is a bigger topic and so I decided on that. I have been in this country for 20 plus years and I can say that I have been lucky and blessed that I never had to worry about having insurance. The hospital I currently work at is located in a underserved community where a high percentage of our patients are homeless. Our hospital was built to provide care to these communities and we are able to do so with the help of the government. Yes, we are funded by the government. Due to the pandemic, our hospital is facing a budget cut and we are not really sure whats going to happen to these communities who have leaned on us for support. We have never turned anybody away. We don’t ask if you have money to pay or if you are legal in this country. We serve everyone equally. In my opinion, this is how it should be. We should be a country where we can take care of our people, not based on what insurance they have or if they have papers. With that thought, I will discuss what President Bush, Obama and Trump have done regarding this topic.
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President Bush was believed to have strengthened America’s health care system (The white house, n.d.). The president enacted policies that helped more than 40 million Americans get better access to prescription drugs (The white house, n.d.). He also ensured healthcare was affordable, transparent, portable and efficient by empowering Americans to take charge of their health care decision making, helped provide treatment to nearly 17 million people, increased funding at the National Institutes of health and expanded the trade adjustment assistance program add a tax credit to help lower the price (The white house, n.d.). He also made sure the veterans were included in his policies. He increased funding for their medical care, created a program for seriously-injured members, provided money to support traumatic brain injury patients, and he created the defense center for psychological health (The white house, n.d.).
During the Obama administration, he created Affordable Care Act, also known as Obamacare, which ensures all Americans has health insurance (Health for California, n.d.) During this time, everyone had to have health insurance or you might be subjected to a penalty (Health for California, n.d.) With Obamacare, businesses who has more than 50 employees have to provide health care insurance (Health for California, n.d.) Health insurance also cannot deny a person based on their pre-existing conditions (Health for California, n.d.). More advantages include covering adults over 65 years of age, young adults are added to their parents until age of 26 and the premium is based on your income to ensure they are affordable.
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During Trump’s campaign, he already mentioned asking Congress to immediately repeal Obamacare (Atkinson, 2017). On the official white house website (n.d.), it stated:
“Obamacare is hurting American families, farmers, and small business with skyrocketing health insurance cost. Moreover, soaring deductibles and copays have made already unaffordable plans unusable. Close to half of U.S. counties are projected to have only one health insurer on their exchanges in 2018. Replacing Obamacare will force insurance companies for their customers with lower costs and higher-quality service. In the meantime, the President is using his executive authority to reduce barriers to more affordable options for Americans and U.S. businesses.”
What do you think Trump has done?
Discussion: Presidential Agendas – References
Atkinson, J. (2017). The health care policies of President Trump. Retreived from https://journal.practicelink.com/reform-recap/the-health-care-policies-of-president-trump/
Health for California (n.d.) Obama Care California. Retreived from https://www.healthforcalifornia.com/obamacare#:~:text=Obama%20Care%20California,Affordable%20Care%20Act%20(PPACA).&text=Obamacare%20ensures%20all%20Americans%20in,of%20money%20in%20the%20process.
The White House: President George W. Bush. (n.d.) The Bush Record. Retreived from https://georgewbush-whitehouse.archives.gov/infocus/bushrecord/factsheets/healthcare.html
White house (n.d.). Healthcare. Retrieved from https://www.whitehouse.gov/issues/healthcare/
