Presidential Agenda

Presidential Agenda

Immigration is one of the social determinants of health. In the U.S., being an immigrant presents a lot of vulnerability and intricate combination with other social determinants such as

unemployment, poverty, and housing situation to increase the susceptibility of the immigrants to health issues. Essentially, it presents challenging adaptations as immigrants step into a new environment often different from their home environments (Castañeda et al., 2015). In addition, APA (2022) found that immigration-based stressors can enhance suicidal ideation due to the distress linked with intergenerational conflict, social marginalization, cultural stress, and post-traumatic stress disorders. It was reported that Americans exhibit some of the worst mental health outcomes, such as a high drug-related death rate and a high suicide rate (Nuzum & Abrams, 2020).

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Donald Trump’s administration sought to revoke the Affordable Care Act (ACA). According to Nuzum & Abrams (2020), this was expected to undo payment and coverage protections that expanded Medicaid and mental health parity requirements to the Medicaid-based markets. Revoking the ACA would reduce patients’ access to psychological health services. This negatively affects immigrants who may even have reconsidered seeking mental health aid out of their cultural beliefs. However, in the wake of the COVID-19 pandemic, Trump issued an executive order to set the pandemic-based mental health needs as a critical priority to prevent poor behavioural health outcomes, drug-related deaths, and suicide (Nuzum & Abrams, 2020).

Contrary to President Trump’s response to mental health, President Joe Biden was committed to building and protecting the ACA to realize protection for mental health services and coverage expansion (Nuzum & Abrams, 2020). As the vice president, he swore to redouble his efforts to enforce the existing mental health parity laws and scale up funding for mental health. He also promised to reunite the immigrants’ missing children with their parents during his first 100 days in office (Villarreal & Coronado, 2020). His vision was incorporated into the American Rescue Plan, providing significant investments for expanding access to mental health services (The White House Statements and Releases, 2022). I would stop the unjust deportation and detention of asylum seekers and immigrants and invest in immigrant families’ well-being, especially those affected by the DHS policy. I would do this by funding culturally and linguistically relevant mental health services for immigrant families.

References

Castañeda, H., Holmes, S. M., Madrigal, D. S., Young, M. E. D., Beyeler, N., & Quesada, J. (2015). Immigration as a social determinant of health.

Nuzum, R. & Abrams, M.K. (2020). Health Care in the 2020 Presidential Election: Mental Health and Substance Use Disorders. The Commonwealth Fund.

The White House Statements and Releases (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.

Villarreal, R. Q., & Coronado, I. (2020). The Trump Administration Generated a Public Health Crisis for Immigrant Children. Here’s How to Fix It.

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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.)

Presidential Agenda

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder that healthcare items have 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?

Reference:
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

To Prepare:

• Review the Resources and reflect on the importance of agenda setting.
• Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.

By Day 3 of Week 1

Post your response to the discussion question: 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?