NURS 6050 Agenda Comparison Grid And Fact Sheet

Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Template for Part 1 and Part 2

The veterans’ health issue has permeated the United States politics for a long time. In the U.S., each administration comes into power with specific attention to the issue. In order understand how various administrations have handled the issue, the present paper will compare the policies of the previous three administrations. Therefore, the purpose of the present paper is to compare the policies of the administrations of Presidents Trump, Obama and Bush Jr. in relation to the veterans’ health issues in the United States.

Part 1: Agenda Comparison Grid

Identify the Population Health concern you selected.	Veterans Health Care
Describe the Population Health concern you selected and the factors that contribute to it.	Veterans: This is a special population of men and women who have served the U.S in overseas missions, such as combat. Many veterans face complex health risks during their deployments. Veterans with service-related health problems are a clinically complex and potentially vulnerable population (Duhaney, 2020).
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.	President Trump focused on improving mental health care for transitioning veterans.The Trump administration focused on expanding mental health programs and other resources to new veterans in the year after departure from uniformed service (Sisk, 2018).	The Obama administration focused on providing the resources and flexibility needed to ensure every veteran has access to timely, quality health care that they have earned and deserve (Duhaney, 2020).Obama’s administration also focused on improving the quality of care and reducing the length of time it takes to process disability claims.	President Bush focused on improving the quality and timeliness of veterans’ claims processing. The Bush administration also focused on restructuring the veterans’ health care system to improve access.It also focused on expanding veterans’ access to burial options.
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.	He signed a $55 Billion Bill to Replace VA Choice Program (Sisk, 2018).He contracted with private companies tasked with setting up provider networks that would include primary care and mental health clinics where veterans could receive care (Duhaney, 2020).	President Obama increased resources to the Department of Veteran Affairs to hire more doctors and nurses and staff more clinics (Duhaney, 2020).	President Bush added 1,000 full-time employees to the Veterans Benefits Administration (VBA) within the first 180 days of his administration.The employees were tasked with helping veterans directly or deciding their claims.He increased funding for veterans’ medical care by more than 115% since 2001.
Explain how each of the presidential administrations approached the issue.	He signed a landmark bill to replace the Veterans Choice Program and expand private health care options (Sisk, 2018).President Trump signed an order that required VA and Homeland Security departments to create a joint action plan to ensure the 60%of new veterans who did not qualify for enrollment in health care receive treatment and access to services for mental health care for one year following their separation from service (Sisk, 2018).	President Obama signed the Veterans’ Access to Care through Choice, Accountability, and Transparency Act of 2014. The law purposed to expand survivor benefits and improve care for veterans struggling with traumatic brain injuries (Duhaney, 2020).In 2014, Obama declared 19 new executive actions to improve the mental health of service members, veterans, and their families (Duhaney, 2020).Signed the Clay Hunt Suicide Prevention Act for American Veterans to enhance veterans’ mental health care and suicide prevention programs.	Called for and signed a bill for the 21st century, which increased education benefits for service members and veterans.The Bill made it easier for veterans to transfer unused education benefits to their spouses or children.Signed legislation to ensure veterans with severe disabilities receive their retired military pay and their VA disability compensation.He reduced the average period to process a veteran’s disability claim from 230 to 180 days.

Part 2: Agenda Comparison Grid Analysis

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 Veterans Health Administration (VHA) provides primary care, specialized care, and related medical and social support services to American veterans.	The Veterans Health Administration (VHA) provides primary care, specialized care, and related medical and social support services to American veterans.	The Veterans Health Administration (VHA) provides primary care, specialized care, and related medical and social support services to American veterans.
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?	President Trump’s veterans’ health agenda was to improve mental health care for transitioning veterans.The healthcare issue might get on this agenda as it touches on healthcare services provided to veterans.In addition to mental health, other health aspects such as physical health and chronic illnesses can be incorporated into the agenda to provide holistic care.Provision of holistic care can be made sustainable by having insurance programs dedicated to providing affordable care to veterans.	The healthcare agenda for President Obama was to make quality and affordable health care, not a privilege but a right.The veteran healthcare issue might get on Obama’s agenda by developing a federal-funded insurance program for veterans to enable veterans to access affordable care.The insurance program should include all healthcare aspects to provide quality mental care, which is a major issue among veterans.The program can be made sustainable by having a funding system that finances the health services.	President Bush’s healthcare agenda was to make health care more affordable, transparent, portable, and efficient. The healthcare issue on veterans’ healthcare might get on President’s Bush healthcare agenda by identifying sustainable ways that veterans can access affordable and quality healthcare.
Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?	U.S Department of Veterans Affairs would be chosen to champion veterans’ healthcare.I selected the Department of VA because it administers programs to benefit veterans and members of their families.	U.S Department of Veterans Affairs would be chosen to champion veterans’ healthcare.I selected the Department of VA because it administers programs to benefit veterans and members of their families.	U.S Department of Veterans Affairs would be chosen to champion veterans’ healthcare.I selected the Department of VA because it administers programs to benefit veterans and members of their families.

Part 3: Narrative

Veterans are at risk of complex conditions and are vulnerable to service-related conditions such as mental illnesses. Despite veterans having served the country on overseas missions, they encounter challenges accessing affordable and quality healthcare. Veterans’ healthcare is an issue that has reached the presidential level, and the current and former presidents have signed laws to improve healthcare access and mental health services for this population (Hester, 2017). Improving access and quality of healthcare to veterans is important because this population experiences substance use disorders, mental health disorders, post-traumatic stress, chronic pain, amputations, and traumatic brain injury at disproportionate rates compared to their non-veteran counterparts (Oster et al., 2017). Besides, a large fraction of veterans commits suicide secondary to mental health issues.

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It is crucial that the national and state governments enact laws that increase access to affordable healthcare to reduce morbidity and mortality rates associated with these conditions. For instance, laws on mental health can be legislated, requiring that the federal government fund mental health services for veterans in both public and private facilities (Oster et al., 2017). Legislations can also be enacted that require the federal government to fund medical expenses for veterans who develop work-related disorders.

The nurse has a major role in setting healthcare agendas since nurses are involved in direct patient care and are significantly affected by health policies. Nurses can significantly influence healthcare policies through their daily healthcare delivery role. Since nurses understand the issue affecting healthcare delivery and the best ways to address them, they can best advise policymakers on laws that can improve healthcare systems and increase access to healthcare services (Milstead & Short, 2019). Besides, the nurse has a role in agenda-setting of proposing strategies that will benefit the communities based on their comprehensive understanding and specialization in particular areas of health care.

Conclusion

Therefore, veterans suffer from various complex issues ranging from mental matters to physical conditions. As such, it becomes the responsibility of the government of the day to ensure that their welfares are well addressed. The administrations of President’s Bush, Obama and Trump adopted various policies to mitigate the suffering of the veterans.

References

Duhaney, T. (2020). How veteran utilization of the Veterans Health Administration could impact privatization. Public Policy & Aging Report, 30(1), 29-35.https://doi.org/10.1093/ppar/prz032

Hester, R. D. (2017). Lack of access to mental health services contributing to the high suicide rates among veterans. International journal of mental health systems, 11, 47. https://doi.org/10.1186/s13033-017-0154-2

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

Oster, C., Morello, A., Venning, A., Redpath, P., & Lawn, S. (2017). The health and wellbeing needs of veterans: a rapid review. BMC psychiatry, 17(1), 1-14. https://doi.org/10.1186/s12888-017-1547-0

Sisk, R. (2018). Trump signs a $55 billion bill to replace VA Choice Program. Military. Com, 6.

The White House. (2009, January 12). The Bush record – Fact sheet: The Bush administration has provided unprecedented support for our veterans. Welcome to the White House. https://georgewbush-whitehouse.archives.gov/infocus/bushrecord/factsheets/veterans.html

NURS 6050 Agenda Comparison Grid And Fact Sheet