NURS 6050 Discussion Presidential Agendas SAMPLE

Mental illness is a health issue whose attack is not on the body but the mind, in recent years mental illness has become an acceptable topic to discuss while in the past, having a mental illness meant suffering alone and in silence. The number of people screening with moderate to severe symptoms of depression and anxiety has continued to increase throughout 2020 and remains higher than rates prior

NURS 6050 Discussion Presidential Agendas SAMPLE

to COVID-19 (Mental Health America , 2021). People are suffering and they are finally speaking out about it and I will say that is a testament to how our Presidents have highlighted the importance of speaking out about your mental illness and getting the help that you need and providing that help. In 2013 President Obama announced that $50 million of the funding will support nearly 200 community health centers in expanding the availability of services to individuals living with mental illness and/or substance use disorders (Ingoglia, 2013). The Biden administration followed that same initiative when he took office and allocated 2.5 Billion dollars in funding for the mental illness and addiction crisis the country now faces; $1.65 billion will go toward the Substance Abuse Prevention and Treatment Block Grant, which gives the receiving states and territories money to improve already-existing treatment, and $825 million will be used by the states to deal specifically with mental health treatment services (Allen, 2021).

This nurse is an advocate for mental well-being, and believes that in order to heal the body you have to start with the mind. We learned early on in nursing school that the brain is the control station for every part of our body and in order for our different systems to complete their distinct tasks the brain must function properly. NURS 6050 Discussion Presidential Agendas SAMPLE Our thought processes affect how our brain works, neuroscience has begun to uncover some of the intricate and less obvious relations between the mind and the brain, as investigative approaches from biochemistry, psychology, and genetics converge on an understanding of the physiology of mental illness (S., 1992). As a psych nurse I believe that they did the same thing that I would have done because the issue is that there are not enough mental health providers and so you have people suffering that are unable to get the help they need because providers are booked to capacity. The one thing that I would do differently is ensure that each state send yearly summaries of exactly how they are putting that money to use, and the effectiveness of the changes they made using that money. This is purely to hold each state accountable and ensure the money is being distributed to bringing a firm foundation for the treatment of mental illness.

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References:

Allen, M. (2021, March 11). Exclusive: Biden directing $2.5B to address mental health and addiction crisis.Retrieved from AXIOS: https://www.axios.com/biden-funding-drug-mental-health-crisis-310d0250-cb6e-409c-8f30-9d73c3fd94a7.html

Ingoglia, C. (2013, December 11). Obama Administration Announces $100 Million in Mental Health Funding.Retrieved from National Council fot Mental Wellbeing : https://www.thenationalcouncil.org

Mental Health America . (2021). The State Of Mental Health In America. Retrieved from Mental Health America : https://mhanational.org/issues/state-mental-health-america

S., A. (1992). The Role of the Brain in Mental Illness. Retrieved from National Academies Press (US): https://www.ncbi.nlm.nih.gov/books/NBK234144/

RE: Discussion – Week 1

COVID-19

In January 2020, a new coronavirus hit the United States, and the World Health Organization declared coronavirus a pandemic (Sheposh, 2021). A new strain known as Delta has emerged, and the death toll is once again rising. There was a lot of confusion about how to handle the pandemic when it first started. Former President Trump first placed the responsibility for dealing with covid-19 on the states. As the number of cases increased, the White House established federal social distancing guidelines. At the same time, The Centers for Disease Control and Prevention (CDC)- NURS 6050 formed the COVID task force. Discussion Agendas of Presidents SAMPLE. President Trump declared a national emergency and directed that additional supplies and test kits be distributed throughout the United States. The president was eager to reopen the government.

President Biden put the primary responsibility on the federal government and called for states to put more strict mask mandates in place. He signed the bills for more stimulus checks and called for swift distributions on vaccines. He decided to rejoin the WHO and promised the funding. He also called for a controversial vaccine mandate for federal workers.

No one predicted that this pandemic could happen in their lifetime. However, I feel the government has done a great job against this pandemic. Covid-19 is still ongoing, and new strains are being discovered. However, things are settling down, and I feel that life is returning to normal. During this pandemic, the federal government set a goal to innoculate people as much as possible and set an agenda to do so. I cannot entirely agree with the mandate of vaccines because I think that it is a violation of our rights. I’m afraid I also have to disagree with funding the WHO. I feel that Johns Hopkins University and CDC give us better statistics and accurate numbers, and also they function way better than WHO.

NURS 6050 Discussion Presidential Agendas SAMPLE References

Coronavirus Disease 2019 (COVID-19). By: Sheposh, Richard, Salem Press Encyclopedia of

Health, 2021

Hart, J. (2021). Did the COVID-19 pandemic help or hurt Donald Trump’s political fortunes? PLoS ONE, 16(2), 1–10. https://doi-org.ezp.waldenulibrary.org/10.1371/journal.pone.0247664

RE: Discussion – Week 1
Miki,

In my opinion, the Federal Government of the United States, ably led by President Joe Biden, made the right decision by ensuring that the majority of its population receives the covid -19 vaccine, based on the CDC recommendations. The science behind this approach is based on the age long principle of Herd immunity.

Herd immunity (population immunity) is the direct or indirect protection from an infectious disease that occurs when approximately 75 to 80% of a population is immunized, either through vaccination, as in the case of Covid -19, or through immunity developed through prior infection (WHO, 2021). Vaccines, as we all know, stimulate specific antibodies in our bodies that aid in the fight against specific infections whenever we come into contact with them. Typically, these vaccines are designed to protect us against infections or organisms with extremely high pathogenicity or virulence, which are capable of overwhelming one’s natural immunity upon first exposure, leading to severe illness or even death. When a vaccinated individual is exposed to such organisms, the fortified immune system is able to attack them.

As regards human rights, I believe the President has a constitutional obligation to protect the lives and property of all inhabitants of the United States. This, he is doing, by taking relevant steps at encouraging people to take the vaccines. Consequently, whatever he has to do to keep the people safe and in good health should not be regarded or seen as against peoples’ rights, as he can only be president over the living and not the dead. Interestingly too, our rights are not absolute under the law, if not, you could kill somebody and walk away without retribution. NURS 6050 Discussion Presidential Agendas SAMPLE

In the aspect of the US withdrawal from the WHO, the United States remains the leader of all developed nations of the world, and arguably the largest financial contributor to the WHO. As such, it has a responsibility to keep all other nations safe from disease or infirmity even as it takes care of itself. The WHO serves as a reference point in the area of Healthcare for every nation of the world. All countries make monthly contributions to this agency, for the purpose of having a collective and formidable front against diseases that affect humanity as well as drawing up universally acceptable management guidelines, which are usually sourced from medical experts all over the world. An epidemic, in any part of the world is not likely to completely isolate the US, so long as movement of humans continue to take place, just as was the case with covid -19. Even though Johns Hopkins has been doing a great job, its scope is largely limited to the US, while the WHO is global .

In conclusion, President Joe Biden, has so far shown impeccable leadership in his approach to managing the affairs of the US, especially rejoining the WHO and his strategies on vaccination.

Bernal, J. L., Andrews, N., Gower, C., Gallagher, E., Simmons, R., Thelwall, S., Stowe, J., Tessier, E., Groves, N., Dabrera, G., Myers, R., Campbell, C., Amirthalingam, G., Edmunds, M., Zambon, M., Brown, K., Hopkins, S., Chand, M., & Ramsay, M. (2021). Effectiveness of COVID-19 vaccines against the B.1.617.2 variant. https://doi.org/10.1101/2021.05.22.21257658

Coronavirus disease (COVID-19): Herd immunity, lockdowns and COVID-19. (n.d.). WHO | World Health Organization. https://www.who.int/news-room/q-a-detail/herd-immunity-lockdowns-and-covid-19

Coronavirus disease 2019 (COVID-19). (2021, August 6). Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/variants/delta-variant.html

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.

RE: Discussion – Week 1

       Each year in the U.S., millions of people are affected by mental illness. The CDC reports that 50% of Americans will at one time in their life be diagnosed with a mental disorder (CDC, 2019). As nurses, we must understand the physical, social and financial impact mental health has on our nation. We must raise awareness, reduce the negative stigma, and advocate for better health care.

I focused my post on mental health care because it is my nursing specialty. After reviewing what the last three presidents have accomplished, I was surprised and pleased with president Bush’s and Obama’s attempts to address mental health; however, I was disappointed in President Trump’s apparent lack of support.

In 2002 President Bush created the New Freedom Commission Act, which would improve mental health services for children, adolescents, and adults by coordinating treatments and services to promote their successful integration into the community (President`s New Freedom Commission on Mental Health, 2019). His support for mental health didn’t stop there. Throughout his presidency, he continued to make positive changes for those living with mental illness. In his final year as president, he signed an act establishing health insurance coverage for people with mental health disorders, seeing it as just as important as physical health (Hart, 2016). Two years later, under the Obama administration, President Obama signed the Patient Protection and Affordable Care Act, much like Bush, demonstrating that mental health is as important as physical health. In 2016, the president proposed a budget that included a new $500 million investment to increase access to mental health care (Hart, 2016). As stated above, both Presidents acknowledged mental health and the importance of treating it as equal to physical health. Conversely, during his time in office, President Trump advocated for the reduction in Medicaid funding to each state, which directly impacted the mental health services to the aged and disabled who qualified under this program (The Trump Administration and Mental Health, 2018).

If I were to do anything different, I would have built on the legacy of Bush and Obama to increase awareness, policies, and funds to address mental health. Mental health issues are not going away, and decreasing funding for programs that meet the needs of the mentally ill is a step in the wrong direction.

References

Data and Publications – Mental Health – CDC. (2019). CDC. https://www.cdc.gov/mentalhealth/data_publications/index.htm

Hart, J. (2016). How Presidents Have Shaped Mental Health Care | NAMI: National Alliance on Mental Illness. Nami.org. https://www.nami.org/Blogs/NAMI-Blog/February-2016/How-Presidents-Have-Shaped-Mental-Health-Care

President`s New Freedom Commission on Mental Health. (2019). Unt.edu. https://govinfo.library.unt.edu/mentalhealthcommission/

The Trump Administration and Mental Health – The Gooden Center. (2018, May). The Gooden Center. https://www.goodencenter.org/trump-administration-mental-health/

This is insightful; decision-making processes in the healthcare system often involve different stakeholders. As a result, different stakeholders often have different approaches or suggestions about the healthcare procedures and what needs to be undertaken to enhance effective patient outcomes. Mental health is one of the healthcare problems that has led to the increased legislation in the United States. As a result, different presidents have responded differently to the problem of mental health.

The nurse needs to understand both the legal and medical aspects of the healthcare process. They need to understand different approaches that have been undertaken by different legislatures, political, leaders, and presidents to reduce the cases associated with specific health conditions, in this case, mental health (Mechanic & Olfson, 2016). Mental health problem in the United States was handled differently by the previous presidents, Barrack Obama, George Bush, and Donald Trump. However, they all focused on ensuring the improvement in the mental health problems among the population. President Obama passed Affordable Care policy that catered for different patients at different levels, including those suffering from mental health problems. In other words, President Obama signed the Patient Protection and Affordable Care Act, much like Bush, demonstrating that mental health is as important as physical health.

On the other hand, President Bush created the New Freedom Commission Act, which would improve mental health services for children, adolescents, and adults by coordinating treatments and services to promote their successful integration into the community (Robertson-Preidler et al., 2020). On the other hand, Trump advocated for the reduction in Medicaid funding to each state, which directly impacted the mental health services to the aged and disabled who qualified under this program. The efforts by the three presidents have led to a significant reduction in the cases of mental health problems in the United States.

References

Mechanic, D., & Olfson, M. (2016). The relevance of the Affordable Care Act for improving mental health care. Annual review of clinical psychology12, 515-542. https://www.annualreviews.org/doi/abs/10.1146/annurev-clinpsy-021815-092936

Robertson-Preidler, J., Trachsel, M., Johnson, T., & Biller-Andorno, N. (2020). The Affordable Care Act and recent reforms: Policy implications for equitable mental health care delivery. Health Care Analysis28(3), 228-248. https://link.springer.com/article/10.1007/s10728-020-00391-0

According to the CDC, the number of drug overdose deaths increased by nearly 5% from 2018 to 2019 and has quadrupled since 1999. Over 70% of the 70,630 deaths in 2019 involved an opioid. From 2018 to 2019, there were significant changes in opioid-involved death rates (CDC, 2017).

Opioids are highly addictive, and opioid abuse has become a national crisis in the United States. Statistics highlight the severity of the epidemic, with the National Institute on Drug Abuse reporting that more than 2 million Americans abuse opioids and that more than 90 Americans die by opioid overdose every day, on average (NIH, 2020).

The U.S. presidents that have managed the abuse are President Joe Biden and Donald Trump. They both having different approaches to this matter.

Joe Biden approach is to tackle this crisis by making sure people have access to high quality health care – including substance use disorder treatment and mental health services. That’s what Obamacare did by designating substance use disorder treatment and mental health services as essential benefits that insurers must cover, and by expanding Medicaid, the nation’s largest payer for mental health services which also plays an increasingly growing role as a payer for substance use disorder services. Biden’s plan to tackle the opioid epidemic and substance use disorders is to defeat Trump and then protect and build on Obamacare (CNN, 2020).

President Trump wants to repeal Obamacare, including its Medicaid expansion. Repeal would be disastrous for communities and families combating the opioid crisis (CNN, 2020)

As president, I would invest in making sure that primary care providers are prescribing opioids to patient that .have chronic issues, drug testing monthly to make sure patients are not using other drugs. I have patient to give feedback as in if the prescribed dose is helping.

References:

Centers for Disease Control and Prevention. (2021, March 17). Understanding the epidemic. Centers for Disease Control and Prevention. Retrieved November 29, 2021, from https://www.cdc.gov/opioids/basics/epidemic.html.

U.S. Department of Health and Human Services. (n.d.). National Institutes of Health. Retrieved November 29, 2021, from https://www.nih.gov/.

Vazquez, M. (2020, February 2). What Trump’s drug policies have meant for America’s opioid epidemic. CNN. Retrieved November 29, 2021, from https://www.cnn.com/2020/02/02/politics/opioid-epidemic-donald-trump-drug-policy/index.html.

One of the global pandemics that has reached the presidential level is COVID-19. This is a viral infection that started in Wuhan, China, in 2019. It is caused by SARS-COV-2, and its symptoms include fever, tiredness, sore throat, loss of sense of taste, among others (Shereen et al., 2020). The two U.S. presidents that have managed the pandemic are former President Trump and President Biden. These two presidents had two different management strategies ranging from communication to the use of masks.

Instead of a coordinated national plan to implement public health preventive measures to curb the spread of COVID-19, the Trump Administration rested the primary responsibility of corresponding to COVID-19 with the states. The federal government came in as a backup plan. This was a downside since a lack of a coordinated national plan led to worsening community spread, lack of supplies, and ineffective policies. During the early stages of the pandemic, the President focused on closing U.S. borders to prevent the virus’s entry. However, the community spread the virus, and this policy was not effective.

After taking office from Donald Trump, President Biden focused on consistent information to restore trust and credibility. He shifted into a national COVID-19 emergency response plan and eliminated cost barriers in COVID-19 care. He scaled up COVID-19 testing, contact tracing, and distribution of critical COVID-19 supplies. The President focused on mask-wearing as a preventive measure. He called on governors and mayors to oversee mask-wearing campaigns. Biden has also focused on mass vaccinations to prevent severe COVID-19. Currently, 70% of adult Americans are fully vaccinated.

Primary prevention measures are essential in the control of COVID-19. These measures include hand washing, wearing a mask, and social distancing (Sellner et al., 2021). As a president, I would have invested in primary prevention measures to slow down community spread at the beginning of the pandemic.

References

Sellner, J., Jenkins, T. M., Von Oertzen, T. J., Bassetti, C. L., Beghi, E., Bereczki, D., Bodini, B., Cavallieri, F., Di Liberto, G., Helbok, R., Macerollo, A., Maia, L. F., Oreja‐Guevara, C., Özturk, S., Rakusa, M., Sauerbier, A., Soffietti, R., Taba, P., & Pisani, A. (2021). Primary prevention of COVID‐19: Advocacy for vaccination from a neurological perspective. European Journal of Neurology28(10), 3226-3229.  

Shereen, M. A., Khan, S., Kazmi, A., Bashir, N., & Siddique, R. (2020). COVID-19 infection: Emergence, transmission, and characteristics of human coronaviruses. Journal of Advanced Research24, 91-98.  

Brenda,

Jane Roe filed a lawsuit in 1970 arguing that the abortion law was against her rights. (Oyez, 2021) This was the beginning of a very controversial medical change. Most facilities will not perform an abortion unless it is in the first trimester. However, it is not able to be performed after 24 weeks unless there is a rare medical reason. President Trump was the first president since Roe v. Wade who was pro life. Thus his reasoning for pushing to make it more difficult to receive an abortion. President Biden ended the “gag rule” (Title X) restoring services for medical equity and reproductive health. (Johnson, 2019) Providers can still refuse to provide counseling or refer women to abortion clinics based off of their personal beliefs. Great post.

Johnson, A. (2019). In a huge victory for sexual and reproductive health, Biden-Harris Administration announces end to Title X gag rule. Retrieved  December 3, 2021, from https://www.plannedparenthood.org/about-us/newsroom/press-releases/in-huge-victory-for-sexual-and-reproductive-health-care-biden-harris-administration-announces-end-to-title-x-gag-rule

Oyez. (2021). Roe v. Wade. Retrieved December 3, 2021, from https://www.oyez.org/cases/1971/70-18

Holly