Treatment of chronic disease, policies that influence population health tend to emphasize prevention and wellness;

 

 

Rather than focus on the treatment of chronic disease, policies that influence population health tend to emphasize prevention and wellness; the reduction or elimination of waste and the eradication of health disparities based on race, ethnicity, language, income, gender, sexual orientation, disability and other factors. The reasoning is that good health belongs to the whole, not just an individual. (New York State Dept. of Health, n.d.)  
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 (mental health, HIV, opioid epidemic, pandemics, obesity, prescription drug prices, or many others) that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently?

New York State Department of Health. (n.d.). Making New York the healthiest state: Achieving the triple aim . Retrieved June 21, 2021 from https://www.health.ny.gov/events/population_health_summit/docs/what_is_population_health.pdf
Consider a topic (mental health, HIV, opioid epidemic, pandemics, obesity, prescription drug prices, or many others) that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently?


Consider a population health topic that rises to the presidential agenda level. Which social determinant most affects this health issue? How did two recent presidents handle the problem? What would you do differently?

 

Access to Treatment: Economic instability directly limits access to quality addiction treatment, including medication-assisted treatment (MAT) like buprenorphine, and behavioral therapies, as these services are often prohibitively expensive or not covered by inadequate public insurance plans.

 

🏛️ Presidential Responses

 

I will examine the approaches of the Trump Administration (2017-2021) and the Biden Administration (2021-Present).

 

The Trump Administration (2017-2021)

 

The Trump administration formally declared the opioid crisis a public health emergency in 2017, focusing heavily on supply reduction and enforcement.

Handling of the Problem:

Funding: Authorized significant federal funding (e.g., billions through the CARES Act and Substance Abuse and Mental Health Services Administration (SAMHSA) grants) to states for treatment and prevention.

Enforcement: Emphasized law enforcement strategies, including prosecuting doctors and pharmacists involved in illegal prescription practices and increasing border security measures to stop fentanyl trafficking.

Sample Answer

 

 

 

 

 

 

The Opioid Epidemic and Social Determinants

 

 

Social Determinant Most Affecting the Opioid Epidemic

 

The social determinant that most profoundly affects the opioid epidemic is Economic Stability and Resource Availability, specifically poverty and unemployment.

Poverty and Despair: Areas with high unemployment and low economic opportunity often experience high rates of "deaths of despair," including drug overdose. Economic decline leads to increased stress, hopelessness, and lack of future orientation, making individuals more vulnerable to substance misuse.

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