Agenda Comparison Grids

Identify the Population Health concern you selected.

The opioid crisis and epidemic

Describe the Population Health concern you selected and the factors that contribute to it.

The issue of opioid crisis has been and had become a “public health crisis” according to the National Institute on Drug Abuse (2019) with devastating consequences including increases in opioid misuse and related overdose.

Administration (President Name)

2017-present

President Donald Trump

2009-2017

President Barack Obama

2001-2009

President George W Bush

Describe the administrative agenda focus related to this issue for the current and two previous presidents.

The Trump administration had divided it agenda into different part

Part 1 was reducing demand and over-prescription, and promoting educations to all about the dangers of opioid misuse.

Part 2 focused on reducing the supply of illicit drugs and tracking the ‘supply” from the source.

Part 3 was to implement and provide help to those with addiction through “evidence-based treatment and recovery support services”.

The Obama admistration released a guideline for prescribing opioids for chronic pain to help primary care providers ensure the safest and most effective treatment for their patients. Therefore, reducing the circulation opioid in patients.

The Administration also released an Opioid Overdose Prevention Toolkit for community members, first responders, prescribers, and patients and family members. The toolkit, developed by the Substance Abuse and Mental Health Services Administration, can be found here.

None found

Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.

In 2018 president Trump Administration had secured $6 billion in new funding over a two-year window to fight opioid abuse

Announced a new $11 million funding opportunity to States to purchase the opioid overdose reversal drug, naloxone, and train first responders and others in its use.

Furthermore, the Administration awarded $1.8 million to rural communities to expand access to naloxone.

None found

Explain how each of the presidential administrations approached the issue.

President Trump administration has implemented a prescribing plan that will cut opioid prescription fills “by one-third within three years”.

President Trump also plans to keep the illicit drugs out of the US by bringing up border security issues.

President Obama administration had released a Medicaid guidance to states identifying “Best Practices for Addressing Prescription Opioid Overdoses, Misuse and Addiction” including steps to increase the use of naloxone to reverse opioid overdose and to expand coverage of opioid use disorder treatment.

None found