Paper Example on Healthcare Issue - Opioid Epidemic

Description

The discussion will compare the impact of the previous three presidential (president Trump, president Obama, president Bush) agendas on the state of opioid epidemic

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Administration (President Name) President Trump President Obama President Bush

Describe the administrative agenda focus related to this issue President Trump has initiatives to stop the opioid use and reduce the demand and supply of drugs. However, trump has made effort to blame Obama for the opioid epidemic because the issue has been there for three president reigns and none of them tackled it fully. Experts say that Trump would probably get an F for the work on opioid epidemic. However, he would get an A for speaking the issue out.

President Obama's administration took more actions to address the opioid epidemic.

President Obama imposed a public interest principle regarding setting drug APQs and the provision of health insurance in the US. Laureate Education (Producer). (2018). Experts say that Obama would get a D for his work on the case of opioid. Opioid address was the biggest failure for him. He is remembered for his role in beginning a war on drugs that did not come to an end especially in the communities of color. This war on drugs during his reign escalated and the topic enjoyed widespread bipartisan support. The politicians were desperate to work on other issues such as urban crime which is the area that allocated resources to opioids was used.

Allocation of financial and other resources to this issue The administration secured $6 billion in new funding over two years to fight the opioid abuse

He declared the opioid crisis as a nationwide public health emergency

The administration put opioid epidemic as a priority and calls for $1.1 billion in addition to new funding BUT ONLY RECEIVED $181 Million that he used to combat the abuse of drugs. U.S. Department of State. Addressing the Opioid Crisis The federal drug control budget was $5 billion and before he left office, it had risen to $12billion. However, there was little done to alleviate the public health crisis

U.S. Department of State Addressing the Opioid Crisis

Notes on Administration's approach to the issue The initiative will ensure reduction in the demand for drugs through awareness, education and efforts for prevention

The initiative will also save lives by expanding opportunities for evidence-based treatments for addiction to opioids.

The actions taken were to expand on access to treatment, strengthen the monitoring of the drug prescription and enabling safe disposal of unneeded drug. However, so far, it still remains to be an unattained ideal but of special concern since president Trump has blamed Obama for not taking full course The role he had to play on formenting a drug war ended in harming millions of the citizens.

The reign had the instinct to punish the drug users especially the poor people and the politicians supported other tough-on-crime attitudes.

General Notes/Comments

The initiative is an excellent one in educating the dangers of opioids

The president has vowed to do away with the Affordable Care Act which is providing the drug addiction treatment to the individuals who were not covered before. President Obama was efficient in calling out for proper address on use of opioids.

Though Obama was slow to react to the opioid epidemic, the act created expanded the Medicaid which enabled the individuals battling addiction to receive treatment. President Bush failed terrible in addressing the war on opioids.

He made accusations to the American drug users because they fostered instability.

Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?

National Institute on Drug Abuse- the agency is funded by the government to deal with drug abuse cases on the threat they pose and the addiction as well. Kingdon, J. W. (2001).

How does the healthcare issue get on the agenda and how does it stay there?

Health care issues concern every citizen and it is the role of the government to make sure that it provides for their needs. Thus, the agenda on addressing opioid use is made a priority to be considered.

Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?

The U.S Department of Health-the government regards the roles of the department to lead in bringing the power of science on drug abuse and addiction.

Opioid Epidemic as A Health Care Issue

Over 20 years opioid epidemic has become prone to use in parts of the United States has spread greatly resulting in adverse effects among the citizens. Efforts and campaigns have been put forward to try ending the epidemic but to minimum success. (Madras, 2017). Having seen various governments departments trying to put forward strategies to counter the epidemic, it has been realized that those argument based of favoring opioid to be used as a treatment of non-cancer pain has been supported by solely traditions of the state medical boards leading to increasing of its use. (Murthy, 2016). Therefore, this paper is set to explain the fact on addressing the policymakers on the importance of including health care issue (campaign for prescription of the opioid epidemic) on legislation and the importance of the nurse in setting this health care issues.

Firstly, prescription on the use of opioids for years is made so as to create awareness on the adverse effects on large consumptions of it despite its advantages in curbing long-lasting pain related to malignancy and terminal disease. Secondly, mass use of opioids has led to a high increase of abandoning the use of medicine where people tend to treat themselves by use of the drug without seeking a prescription from the qualified doctor. Thirdly, it has been realized that other people are using it for recreational abuse thus need to be legislated. It has been found that opioids are as much associated with significant morbidity and mortality. In general, opioids have been misused and abused leading to addiction and high death rate (14000 died in 2008 as a result of misuse prescription medication (Nelson, 2012), thus there is a great need for it to be legislated to enhance proper control on the use of the drug.

Nurses should be included in setting this issue since they are health professionals and possesses good knowledge of the drug use and its body functionality. They are also only one who can ensure that medications are much more effective and safe (Kemppainen, 2013). Since they are the one dealing with patients some having the problems associated with opioids, the can give a clear way forward on the control or to curb its effects in case of addiction and give a clear prescription on the use of opioids in case of pain resulted from cancer related with musculoskeletal or useful pain syndrome. In conclusion, this analyses the major reasons as to why nurses should be included in the agenda of setting healthcare issues.

References

Nelson, L. S., & Perrone, J. (2012). Curbing the opioid epidemic in the United States: the risk evaluation and mitigation strategy (REMS). Jama, 308(5), 457-458. Retieved from https://jamanetwork.com/journals/jama/article-abstract/1273026

Murthy, V. H. (2016). Ending the opioid epidemic-a call to action. New England Journal of Medicine, 375(25), 2413-2415. Retrieved from https://www.nejm.org/doi/full/10.1056/NEJMp1612578

Kemppainen, J. K. (2013). The critical incident technique and nursing care quality research. Journal of advanced nursing, 32(5), 1264-1271. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.2000.01597.x

Madras, B. K. (2017). The surge of opioid use, addiction, and overdoses: responsibility and response of the US health care system. JAMA Psychiatry, 74(5), 441-442. Retrieved from https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2612443