DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet
Joe Biden
Donald Trump
Part 1: Agenda Comparison Grid
The Population Health Problem
Mental health issues (Depression)
The Issue
Depression is the most significant mental health issue affecting Americans across the lifespan. Studies show that depression-related suicide is among the leading causes of death among young Americans (Lu et al., 2020). In this population, depression is caused by multiple factors, including alcohol and drug abuse, persistent negative thought patterns, and social factors. Additionally, genetics predispose young adults to depression. Individuals with a close relative diagnosed with depression are more likely to develop this mental health disorder (Samari et al., 2022). Chronic or terminal illnesses also contribute to distress and depression among young adults. This mental health issue leads to undesired clinical manifestations, including persistent sadness, reduced concentration, loss of interest in activities, feeling unworthiness, and change in sleep patterns. Consequently, a person diagnosed with depression experiences difficulties in performing activities of daily life. For this reason, previous and current US presidents have introduced initiatives to fight depression within the country.
Administration
Joe Biden
Donald Trump
Agency’s goal related to increasing depression rates
President Biden is committed to fighting the US mental health crisis through his Unity Agenda (HHS, 2023). The agenda consists of policies supported by Republicans and Democrats. The Congress is advised to propose a bill that the president should sign to resolve the national mental health crisis. The new law will outline strategies for reducing anxiety and depression symptoms that remain significantly high among Americans (The White House, 2022).
President Trump had a strong desire to improve Americans’ mental health. As a result, he signed an Executive Order to resolve negative effect of prolonged mental health disorders and behavioral issues (The White House, 2020). Besides, he intended to increase measures and efforts for preventing suicide particularly among Americans diagnosed with mental health disorders. The President would achieve this goal by establishing a cabinet team that would evaluate mental health needs of vulnerable groups, including the elderly, children, minorities, people living with disabilities, and veterans (The White House, 2020).
Resources allocations
President Biden’s administration allocated approximately $206 million to initiatives designed to improve mental health among youths (HHS, 2023). Additionally, the Centers for Medicare & Medicaid Services (CMS) will allocate more funds to the Medicaid program to enhance health services in schools based in Virginia, enhancing access to health care services, including mental health care, such as depression treatment. Thus, these awards would boost students’ access to mental health care, improving mental health outcomes nationwide (HHS, 2023).
President Trump approved the budget request of $68.4 billion for the “Department of Health and Human Services” (HHS) for the FY 2019 (MHA, 2024). The budget also included approximately $10 billion that could be used to combat serious mental health disorders and opioid epidemic over five (5) years, aligning with “The 21st Century Cures Act,” (MHA, 2024). These financial resources would play a significant role in reducing the high rate of mental health issues among Americans.
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Part 2: Agenda Comparison Grid Analysis
Administration
President Biden
President Trump
Recommended administrative agency
The HRSA would be helpful in addressing the mental health crisis in the US during President Biden’s era. This administrative agency awarded approximately $55 million to enhance mental health care access among young Americans, including students (HHS, 2023). Additionally, the SAMHSA would support the government in fighting the mental health crisis within the country since it awarded about $131.7 million in an initiative to improve behavioral health services among youth and families (HHS, 2023).
· The SAMHSA would help President Trump’s administration in fighting the mental health crisis within the country. In FY 2019, the SAMHSA was allocated a budget of $68.4 billion to fight mental health crisis (The White House, 2020).
Getting increased depression rates to the agenda
The mental health issue might get on the agenda through the support of Republicans and Democrats. Congress would propose a bill to resolve the mental health crisis nationwide. This issue would remain on the government’s plan following President Joe Biden’s move to sign over 400 bipartisan bills supporting the Unity Agenda (The White House, 2024).
Legislators are responsible for policy-making in the US. Thus, the mental health crisis would be included in President Trump’s agenda through legislators’ support and continuous funding. In 2019, President Trump approved the SAMHSA budget of $68.4 billion to fight mental health crisis (The White House, 2020).
Champion for the fight against depression
A preferred champion for the fight against depression among young Americans is Prince Harry. He would be willing to act as a champion in the battle against this mental health disorder since he has a history of depression, which he described as grief, rage, and panic.
The chairperson of the “National Institute of Mental Health” (NIMH) would sponsor the fight against depression affecting young American adults. This organization is committed to improving the management and treatment of mental health issues via clinical research, promoting prevention efforts, the recovery process, effective management, and cure (NIH, 2024).
DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet
Part 3: Fact Sheet or Talking Points
Reason for Including Depression in the Legislation Agenda
The rate of depression among young American adults has increased substantially. As a result, depression has become the leading mental health illness in multiple states across the US (Goodwin et al., 2022). Furthermore, the COVID-19 pandemic significantly exacerbated the population’s depression burden. During the COVID-19 pandemic, a rise in depression rates was highest among young adults and adolescents of almost all demographic groups, including sex, income, racial/ethnic, and education groups. Goodwin et al. (2022) reported that depression rate was highest in young adults aged 18 to 25, representing 17.2% of the US total population. Studies show that depression is the most significant contributing factor to suicide behavior among Americans (Goodwin et al., 2022). Therefore, the high prevalence of depression in young adults exposes this population to suicidal thoughts and behaviors, increasing their overall mortality rates. For this reason, the fight against depression should be included in the policy agenda to improve mental health outcomes and reduce suicide-related deaths among young American adults.
The Nurse’s Role in Setting Agenda for Healthcare Issues
Nurses are more aware of population healthcare issues than other clinicians since they interact with patients throughout the care process. As a result, nurses influence the policy-making process in the healthcare sector by presenting issues that need to be addressed through policy changes to legislators. Moreover, nurses apply their clinical expertise to propose the most effective initiative for addressing a healthcare issue of concern. In this case, nurses would propose evidence-based (EB) strategies for reducing high depression rates among young adults in the US. The government would implement proposed approaches through agenda setting, which would minimize depression rates and improve mental health outcomes in young American adults.
References
Goodwin, R. D., Dierker, L. C., Wu, M., Galea, S., Hoven, C. W., & Weinberger, A. H. (2022). Trends in US depression prevalence from 2015 to 2020: the widening treatment gap.
American Journal of Preventive Medicine
, 63(5), 726-733. Doi:
10.1016/j.amepre.2022.05.014
HHS. (2023). Biden-Harris Administration Announces More Than $200 Million To Support Youth Mental Health.
The
US Department of Health and Human Service
s.
https://www.hhs.gov/about/news/2023/09/25/biden-harris-administration-announces-more-than-200-million-support-youth-mental-health.html
Lu, C. Y., Penfold, R. B., Wallace, J., Lupton, C., Libby, A. M., & Soumerai, S. B. (2020). Increases in suicide deaths among adolescents and young adults following US Food and Drug Administration antidepressant boxed warnings and declines in depression care.
Psychiatric Research and Clinical Practice
, 2(2), 43-52.
https://psychiatryonline.org/doi/full/10.1176/appi.prcp.20200012
.
Mental Health America, Inc. (MHA) (2024). How Trump’s Budget Will Affect People with Mental Health Conditions. Mental Health America.
https://mhanational.org/blog/how-trumps-budget-will-affect-people-mental-health-conditions
National Institute of Health (NIH). (2024). National Institute of Mental Health (NIMH).
National Institute of Health
.
https://www.nih.gov/about-nih/what-we-do/nih-almanac/national-institute-mental-health-nimh#:~:text=The%20mission%20of%20the%20National,prevention%2C%20recovery%2C%20and%20cure
.
Rasheed, S. P., Younas, A., & Mehdi, F. (2020). Challenges, extent of involvement, and the impact of nurses’ involvement in politics and policy making in in last two decades: an integrative review.
Journal of Nursing Scholarship
,
52
(4), 446-455.
https://doi.org/10.1111/jnu.12567
Samari, E., Teh, W. L., Roystonn, K., Devi, F., Cetty, L., Shahwan, S., & Subramaniam, M. (2022). Perceived mental illness stigma among family and friends of young people with depression and its role in help-seeking: a qualitative inquiry.
BMC Psychiatry
, 22(1), 107.
https://link.springer.com/article/10.1186/s12888-022-03754-0
The White House. (2022). FACT SHEET: President Biden will announce a strategy to address our national mental health crisis as part of the unity agenda in his first state of the union.
The White House
.
https://www.whitehouse.gov/briefing-room/statements-releases/2022/03/01/fact-sheet-president-biden-to-announce-strategy-to-address-our-national-mental-health-crisis-as-part-of-unity-agenda-in-his-first-state-of-the-union/
The White House. (2024). FACT SHEET: President Biden’s Unity Agenda for the Nation.
The White House
.
https://www.whitehouse.gov/briefing-room/statements-releases/2024/03/08/fact-sheet-president-bidens-unity-agenda-for-the-nation/
The White House. (2020). President Donald J. Trump is Safeguarding Americans’ Mental Health and Preventing the Tragedy of Suicide.
The White House
.
https://trumpwhitehouse.archives.gov/briefings-statements/president-donald-j-trump-safeguarding-americans-mental-health-preventing-tragedy-suicide/
DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet Instructions
Parts 1 and 2: Agenda Comparison Grid and Analysis
Based on the current and past U.S. presidential terms (total of two administrations), address the following in a 2- to 3-page (total for all topics) comparison grid:
Describe the administrative agency’s focus related to this healthcare issue.
Identify the allocation of financial and other resources by the administrative agency to address this healthcare issue.
Which administrative agency was most likely responsible for helping address the chosen healthcare issue? How were they helpful?
How did the healthcare issue get on the agenda, and how does it stay there?
A minimum of 3 resources should be utilized and cited appropriately.
Part 3: Talking Points or Fact Sheet
Based on your comparison grid for the healthcare issue you selected (from Parts 1 and 2), develop a 1-page Talking Points or Fact Sheet that you could use to communicate with a policymaker/legislator or a member of the individual’s staff for this healthcare issue.
Summarize why this healthcare issue is important and should be included in the agenda for legislation.
Justify the role of the nurse in agenda setting for healthcare issues.
A minimum of 3 resources should be utilized and cited appropriately.
DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet 2
President Biden
President Trump
Part 1: Agenda Comparison Grid
The Population Health Problem
Mental health issues (Depression)
The Issue
Depression is the most significant mental health issue affecting Americans across the lifespan. Studies show that depression-related suicide is among the leading causes of death among young Americans (Lu et al., 2020). In this population, depression is caused by multiple factors, including alcohol and drug abuse, persistent negative thought patterns, and social factors. Additionally, genetics predispose young adults to depression. Individuals with a close relative diagnosed with depression are more likely to develop this mental health disorder (Samari et al., 2022). Chronic or terminal illnesses also contribute to distress and depression among young adults. This mental health issue leads to undesired clinical manifestations, including persistent sadness, reduced concentration, loss of interest in activities, feeling unworthiness, and change in sleep patterns. Consequently, a person diagnosed with depression experiences difficulties in performing activities of daily life. For this reason, previous and current US presidents have introduced initiatives to fight depression within the country.
Administration
Joe Biden
Barrack Obama
Agency’s goal related to increasing depression rates
President Biden is committed to fighting the US mental health crisis through his Unity Agenda (HHS, 2023). The agenda consists of policies supported by Republicans and Democrats. The Congress is advised to propose a bill that the president should sign to resolve the national mental health crisis. The new law will outline strategies for reducing anxiety and depression symptoms that remain significantly high among Americans (The White House, 2022).
President Obama signed the “Patient Protection and Affordable Care Act” (ACA) into law to increase medical insurance coverage nationwide. Obamacare extended the national mental parity to Medicaid, allowing Americans with various psychiatric disorders, including depression, to seek mental healthcare (DuBose & Fry-Bowers, 2021). He also introduced behavioral health policy to improve Americans’ mental health outcomes.
Resources allocations
President Biden’s administration allocated approximately $206 million to initiatives designed to improve mental health among youths (HHS, 2023). Additionally, the Centers for Medicare & Medicaid Services (CMS) will allocate more funds to the Medicaid program to enhance health services in schools based in Virginia, enhancing access to health care services, including mental health care, such as depression treatment. Thus, these awards would boost students’ access to mental health care, improving mental health outcomes nationwide (HHS, 2023).
Approximately $3.6 billion was allocated to fight against the mental health crisis in the US in FY 2012 (Schimmels et al., 2023). This amount was a net rise of about $67 million. Besides, PHS increased by approximately $38 million (Schimmels et al., 2023). Furthermore, about $73 million was allocated to the ACA Prevention Funds, while the Budget Authority (BA) decreased by approximately $44 million (Schimmels et al., 2023).
Part 2: Agenda Comparison Grid Analysis
Administration
President Biden
President Obama
Recommended administrative agency
The HRSA would be helpful in addressing the mental health crisis in the US during President Biden’s era. This administrative agency awarded approximately $55 million to enhance mental health care access among young Americans, including students (HHS, 2023). Additionally, the SAMHSA would support the government in fighting the mental health crisis within the country since it awarded about $131.7 million in an initiative to improve behavioral health services among youth and families (HHS, 2023).
· The SAMHSA would help President Obama’s administration in fighting the mental health crisis within the country. The SAMHSA required a change in budget structure in FY 2012 to ensure that the new budget would effectively reduce mental health disorders in the US (Schimmels et al., 2023). Additionally, the SAMHSA advocated for a change in the policy structure, with the new initiative focusing on addressing Americans’ behavioral health needs rather than concentrating on conditions afflicting them (Schimmels et al., 2023).
Getting increased depression rates to the agenda
The mental health issue might get on the agenda through the support of Republicans and Democrats. Congress would propose a bill to resolve the mental health crisis nationwide. This issue would remain on the government’s plan following President Joe Biden’s move to sign over 400 bipartisan bills supporting the Unity Agenda (The White House, 2024).
Legislators are responsible for policy-making in the US. Thus, the mental health crisis would be included in President Obama’s agenda through legislators’ support and continuous funding. In 2016, President Obama approved an increase in the SAMHSA budget by approximately $44.6 million to facilitate the fight against mental health crises nationwide (NAMI, 2024).
Champion for the fight against depression
A preferred champion for the fight against depression among young Americans is Prince Harry. He would be willing to act as a champion in the battle against this mental health disorder since he has a history of depression, which he described as grief, rage, and panic.
The chairperson of the “National Institute of Mental Health” (NIMH) would sponsor the fight against depression affecting young American adults. This organization is committed to improving the management and treatment of mental health issues via clinical research, promoting prevention efforts, the recovery process, effective management, and cure (NIH, 2024).
Part 3: Fact Sheet or Talking Points
Reason for Including Depression in the Legislation Agenda
The rate of depression among young American adults has increased substantially. As a result, depression has become the leading mental health illness in multiple states across the US (Goodwin et al., 2022). Furthermore, the COVID-19 pandemic significantly exacerbated the population’s depression burden. During the COVID-19 pandemic, a rise in depression rates was highest among young adults and adolescents of almost all demographic groups, including sex, income, racial/ethnic, and education groups. Goodwin et al. (2022) reported that depression rate was highest in young adults aged 18 to 25, representing 17.2% of the US total population. Studies show that depression is the most significant contributing factor to suicide behavior among Americans (Goodwin et al., 2022). Therefore, the high prevalence of depression in young adults exposes this population to suicidal thoughts and behaviors, increasing their overall mortality rates. For this reason, the fight against depression should be included in the policy agenda to improve mental health outcomes and reduce suicide-related deaths among young American adults.
The Nurse’s Role in Setting Agenda for Healthcare Issues
Nurses are more aware of population healthcare issues than other clinicians since they interact with patients throughout the care process. As a result, nurses influence the policy-making process in the healthcare sector by presenting issues that need to be addressed through policy changes to legislators. Moreover, nurses apply their clinical expertise to propose the most effective initiative for addressing a healthcare issue of concern. In this case, nurses would propose evidence-based (EB) strategies for reducing high depression rates among young adults in the US. The government would implement proposed approaches through agenda setting, which would minimize depression rates and improve mental health outcomes in young American adults DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet.
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References
DuBose, B. M., & Fry-Bowers, E. K. (2021). Achieving access parity for inpatient psychiatric care requires repealing the Medicaid institutions for mental disease exclusion rule.
Policy, Politics, & Nursing Practice
,
22
(1), 63-72.
https://doi.org/10.1177/1527154420970928
Goodwin, R. D., Dierker, L. C., Wu, M., Galea, S., Hoven, C. W., & Weinberger, A. H. (2022). Trends in US depression prevalence from 2015 to 2020: the widening treatment gap.
American Journal of Preventive Medicine
, 63(5), 726-733. Doi:
10.1016/j.amepre.2022.05.014
HHS. (2023). Biden-Harris Administration Announces More Than $200 Million To Support Youth Mental Health.
The
US Department of Health and Human Service
s.
https://www.hhs.gov/about/news/2023/09/25/biden-harris-administration-announces-more-than-200-million-support-youth-mental-health.html
Lu, C. Y., Penfold, R. B., Wallace, J., Lupton, C., Libby, A. M., & Soumerai, S. B. (2020). Increases in suicide deaths among adolescents and young adults following US Food and Drug Administration antidepressant boxed warnings and declines in depression care.
Psychiatric Research and Clinical Practice
, 2(2), 43-52.
https://psychiatryonline.org/doi/full/10.1176/appi.prcp.20200012
.
National Alliance on Mental Illness. (NAMI) (2024). President Obama’s 2016 Budget: What Does It Mean for Mental Health?
NAMI
.
President Obama’s 2016 Budget: What Does It Mean for Mental Health?
National Institute of Health (NIH). (2024). National Institute of Mental Health (NIMH).
National Institute of Health
.
https://www.nih.gov/about-nih/what-we-do/nih-almanac/national-institute-mental-health-nimh#:~:text=The%20mission%20of%20the%20National,prevention%2C%20recovery%2C%20and%20cure
.
Rasheed, S. P., Younas, A., & Mehdi, F. (2020). Challenges, extent of involvement, and the impact of nurses’ involvement in politics and policy making in in last two decades: an integrative review.
Journal of Nursing Scholarship
,
52
(4), 446-455.
https://doi.org/10.1111/jnu.12567
Samari, E., Teh, W. L., Roystonn, K., Devi, F., Cetty, L., Shahwan, S., & Subramaniam, M. (2022). Perceived mental illness stigma among family and friends of young people with depression and its role in help-seeking: a qualitative inquiry.
BMC Psychiatry
, 22(1), 107.
https://link.springer.com/article/10.1186/s12888-022-03754-0
Schimmels, J., DeLeon, P. H., Hively, J., Arias-Reynoso, M., & Wilkniss, S. M. (2023). The Political Process: Critically Important for Behavioral Health. In
Ideological and Political Bias in Psychology: Nature, Scope, and Solutions
(pp. 493-512). Cham: Springer International Publishing.
https://link.springer.com/chapter/10.1007/978-3-031-29148-7_18
The White House. (2022). FACT SHEET: President Biden will announce a strategy to address our national mental health crisis as part of the unity agenda in his first state of the union.
The White House
.
https://www.whitehouse.gov/briefing-room/statements-releases/2022/03/01/fact-sheet-president-biden-to-announce-strategy-to-address-our-national-mental-health-crisis-as-part-of-unity-agenda-in-his-first-state-of-the-union/
The White House. (2024). FACT SHEET: President Biden’s Unity Agenda for the Nation.
The White House
.
https://www.whitehouse.gov/briefing-room/statements-releases/2024/03/08/fact-sheet-president-bidens-unity-agenda-for-the-nation/
DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet
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