Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement
As a nurse, how often have you thought to yourself,If I had anything to do about it, things would work a little differently?Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.
Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.
To Prepare:
Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.
The Assignment: (1- to 2-page Comparison Grid; 1-page Legislation Testimony/Advocacy Statement)
Part 1: Legislation Comparison Grid
Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:
Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:
Advocate a position for the bill you selected and write testimony in support of your position.
Describe how you would address the opponent to your position. Be specific and provide examples.
Title
First Name Last Name
Walden University
Policy and Advocacy for Improving Population Health
NURS 6050
Date
Title of Paper
(add an introduction in this space)
Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Template for Part 1 and Part 2
Part 1: Agenda Comparison Grid
Use this Agenda Comparison Grid to document information about the population health/healthcare issue your selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas.
You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment.
Identify the Population Health concern you selected.
Describe the Population Health concern you selected and the factors that contribute to it.
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.
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.
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue your selected
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?
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?
Narrative with the Facts
Conclusion
References
Agenda Comparison Grid Template
2020 Walden University
2 According to drugabuse.gov 2018, every day, 128 people in the United States die after overdosing on opioids. The Centers for Disease Control and Prevention estimates that the total “economic burden”of prescription opioid misuse alone in the United States is $78.5 billion a year, including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement. As a nurse with a background in corrections, I would like to talk about opioid crises knowing its importance and how it is gradually killing people in our streets.
The past few years has seen increased pressure on physicians and Nurse Practitioners to justify their administration of narcotic prescriptions. Working in a correctional center, I had physicians in the house who were victims of prescribing increased number of narcotics to patients causing death to some of the patients.
President Donald Trump in his quest to combat opioids made a declaration in 2017 that there is a public health emergency related to opioid use in America, he estimated that there were about 64,000 drug-related deaths in 2016 and three-quarters of those deaths were explicitly related to the use of opioids, Conway (2018). Through his vigorous efforts to combat the illegal use of opioid, drug overdose deaths were reduced in the most recent 12-month reporting period compared to a year ago by an estimated 13 percent in New Hampshire, 20 percent in West Virginia, 11 percent in Iowa, 21 percent in Pennsylvania, and 22 percent in Ohio. (whitehouse.gov). Also, the Support Act was launched and this act restricted providers on prescribing narcotics. According to the Support Act, any clinician who can prescribe opioids has the responsibility of promoting the safe use of the medication.The Support Act also stated that providers may only prescribe opioids if the expected benefits outweigh the risks for the patient and should consider non-opioid medications and physical therapies first. President Trump also placed restrictions on the sources of illegal drug administration and prescription to make the drug less available to users. I would not change so much on the fight in curbing opioids since President Trump has almost everything needed to fight the opioid epidemic.
President Obamas time according to The Washington Times in an article mentioned that during the Obama presidency, the Opioid crisis was the worst it had ever seen with number of death rates increasing to 71% since 2013, Dinan (2019). According to an article by Sheila Kaplan, March 29, 2016, The Obama administration unveiled a handful of measures intended to help curb the nationsopioid epidemic including a plan to permit doctors to double the number of patients who may receive a medication used to combat drug addiction. Most patients who receive numerous narcotics ends up selling them in the streets and then in turn end up abusing drugs. Opioid abuse has caused the nation harm than good. I am of the opinion Mr. Obama paid more attention to the affordable care act instead of putting in more efforts and the needed resources in fighting the epidemic. If I am in such a situation in curbing opioids, I would have attempted to not only focus on the implementation of the Affordable Care Act in which the president was so much concerned about but would have also tried to put in measures to curb opioids since Opioid addiction have made us see increase in our correctional centers and even in our mental health clinics.
President George W. Bush on February 12, 2002, in the East Room in the White House stated that a national drug control strategy was in place.It is a plan that will lay out a comprehensive strategy for our nation.We’re putting the fight against drugs in the center of our national agenda but his time was more about protecting the nation using wars instead of our health care needs.
Bush time was what they refer to as the opioid crisis. President Bush was all about the cost of addiction rather than the cost of fixing the addiction. President Bush ere required that buying anything with pseudoephedrine, one has to provide identification and there was the implementation of a cap on the amount able to be purchased by an individual in an attempt to decrease the ability of people being able to make illegal drugs such as methamphetamines. If I was in the position, I would adopt Trumps strategy in battling opioids. I would try to decrease the amount any prescriber will be able to prescribe, and I will use alternative drugs which are not narcotics to combat pain instead of narcotics.
References:
https://www.whitehouse.gov/briefings-statements/president-donald-j-trump-fighting-end-opioid-crisis-devastated-many-american-communities/
https://www.drugabuse.gov/drug-topics/opioids/opioid-overdose-crisis
Bush, G. (2002). President Bush announces drug control strategy. U.S. Department of State. 2001-2009.state.gov/p/inl/rls/rm/8451.htm
Conway, K. (2018). Ending Americas opioid crisis. Counselor to the White House. Whitehouse.gov/opioids/
Dinan, S. (2019). Obama administration bungled opioid crisis response. The Washington Times. Washingtontimes.com/news/2019/oct/1/Obama-administration-bungled-crisis-response/
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Federal and State Legislation
Part 1: Legislation Comparison Grid
Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:
Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
32(32%)- 35(35%)
The response clearly and accurately summarizes in detail the legislative intent of the health-related bill.
The response accurately identifies in detail the proponents and opponents of the health-related bill.
The response accurately identifies in detail the populations targeted by the health-related bill.
The response clearly and thoroughly describes in detail the current status of the health-related bill.
28(28%)- 31(31%)
The response accurately summarizes the legislative intent of the health-related bill.
The response accurately identifies the proponents and opponents of the health-related bill.
The response accurately identifies the populations targeted by the health-related bill.
The response accurately describes the current status of the health-related bill.
25(25%)- 27(27%)
The response vaguely or inaccurately summarizes the legislative intent of the health-related bill.
The response vaguely or inaccurately identifies the proponents and opponents of the health-related bill.
The response vaguely or inaccurately identifies the populations targeted by the health-related bill.
The response vaguely or inaccurately describes the current status of the health-related bill.
0(0%)- 24(24%)
Summary of the legislative intent of the health-related bill is vague and inaccurate or is missing.
Identification of the proponents and opponents of the health-related bill are vague and inaccurate or is missing.
Identification of the populations targeted by the health-related bill is vague and inaccurate or is missing.
The description of the current status of the health-related bill is vague and inaccurate or is missing.
Advocating for Legislation
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:
Advocate a position for the bill you selected and write testimony in support of your position.
Describe how you would address the opponent to your position. Be specific and provide examples.
45(45%)- 50(50%)
Testimony clearly and thoroughly provides statements that fully justifies a position for a health-related bill.
Response provides a detailed, thorough, and logical explanation of how to address opponents to the position for the health-related bill and includes one or more clear and accurate supporting examples.
A complete, detailed, and specific synthesis of two outside resources is provided. The response fully integrates at least 2 outside resources and 2-3 course specific resources that fully supports the responses provided.
40(40%)- 44(44%)
Testimony clearly and accurately provides statements that somewhat justifies a position for a health-related bill.
Response provides an accurate explanation of how to address opponents to the position for the health-related bill and may include at least one supporting example.
An accurate synthesis of at least one outside resource is provided. The response integrates at least 1 outside resource and 2-3 course specific resources that may support the responses provided.
35(35%)- 39(39%)
Testimony used to justify a position for a health-related bill is vague or inaccurate.
Explanation of how to address the opponents to the position for the health-related bill is vague or inaccurate, lacks logic, and/or the supporting examples are vague or inaccurate.
A vague or inaccurate synthesis of outside resources is provided. The response minimally integrates resources that may support the responses provided.
0(0%)- 34(34%)
Testimony used to justify a position for a health-related bill is vague and inaccurate, incomplete, or is missing.
Explanation of how to address the opponents to the position for the health-related bill is vague and inaccurate, or is missing.
A vague and inaccurate synthesis of no outside resources is provided, or is missing. The response fails to integrate any resources to support the responses provided.
The recommendation of an amendment to the bill in support of the position is inaccurate and incomplete, or is missing.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5(5%)- 5(5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
4(4%)- 4(4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.
3.5(3.5%)- 3.5(3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
Purpose, introduction, and conclusion of the assignment is vague or off topic.
0(0%)- 3(3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting - English writing standards:
Correct grammar, mechanics, and proper punctuation
5(5%)- 5(5%)
Uses correct grammar, spelling, and punctuation with no errors.
4(4%)- 4(4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
3.5(3.5%)- 3.5(3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
0(0%)- 3(3%)
Contains many ( 5) grammar, spelling, and punctuation errors that interfere with the readers understanding.
Written Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing,margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
5(5%)- 5(5%)
Uses correct APA format with no errors.
4(4%)- 4(4%)
Contains a few (1-2) APA format errors.
3.5(3.5%)- 3.5(3.5%)
Contains several (3-4) APA format errors.
0(0%)- 3(3%)
Contains many ( 5) APA format errors.
Total Points: 100
