1. POLICY DECISION AND OBJECTIVE(S). In 2014, the United States (U.S.) was forced to reevaluate its position following Russia’s invasion of Ukraine and recent increase in aggressive behaviors. This new policy is oriented in the reassurance of the U.S. alliance and Russia’s compliance to abide by international law and the rules of the institutions that Russia joined at the end of the Cold War. The policy consist of four main objectives: (1) deter further aggression through the projection of strength and unity with our Allies; (2) build resilience and reduce vulnerability among friends and Allies facing Russian pressure and coercion; (3) cooperate on core national security priorities when our interests and Russia’s do align; (4) sustain ties to the Russian people and business community to preserve the potential for a more constructive relationship in the future. Given the continued tensions with Russia and its cyber activity against the U.S., the President has ordered the development of a comprehensive strategy that meets policy objectives and advance the U.S. National interests.
2. BACKGROUND / NATIONAL INTERESTS. With the end of the Cold War and collapse of the Soviet Union, U.S. changed its relations with Russia, formulating new policy away from containment. More than 25 years later, Russia’s violation of Ukraine’s sovereignty and territorial integrity, intervention in Syria, unchecked cyber-attacks, and human rights violations are undermining the U.S. security,
A policy is defined as a definite course or method of action selected from among alternatives and in light of given conditions to guide and determine present and future decisions (Miriam Webster, para. 1). Policies are used in acute settings as operational tools that give support and direction to staff, patients and the public (Collins & Patel, 2009, p.42). In nursing practice, it is important to understand these different policies as they influence our nursing practice every day. Ballarat Health Services (2011) developed a policy to provide a guideline on storage, transport and checking procedures for expressed breast milk in the scope of maternity and pediatric units (p.1). In the following paper a critique of the policy
In a survey conducted in 2003, it highlighted that the recurrent problem is the reimbursement rate from Medicaid to the physician (O’Shea, 2007). The Center for Studying Health System Change (HSC) show that 21% of physicians that state they accept Medicaid have reported they will not accept a new Medicaid patient in 2004-2005(O’Shea, 2007). This number would only logically be assumed to have risen in 2013 A survey conducted by the U.S. National Health reported that researchers have found two standout trends among Medicaid beneficiaries: they have more difficulty getting primary care and specialty care and they visit hospital emergency departments more often than those with private insurance (Seaberg, 2012). The lack of primary and specialty care access is mostly contributed to the following barriers; unable to reach the MD by phone, not having a timely appointment with the MD and lastly unable to find a specialty MD that will accept Medicaid. In a recent report released by the Partnership to Fight Chronic Disease, it stated that about 30% of Medicaid patients experience “extreme uncoordinated care”, there is a strong correlation between this situation and higher Medicaid spending and less quality of care given (Bush, 2012). After January 1st 2013, healthcare providers have experienced a 2% reduction in payments for Medicaid beneficiary, this will only create more of a problem for these patients to seek the
Patient access to affordable health care is an ongoing issue in the United States. The first portion of the policy process involves three different stages, the formulation stage, legislative stage, and the implementation stage. Three main stages exist in the process to transform a topic into a policy (Morone, J. A., Litman, T. J., & Robins, L.S., 2008). Coupled with the implementation stage is an evaluation of all the stages to determine effectiveness and gather information for use in future public health care policy making. In the formulation stage, the ideas, concepts, and information steam from this process of policy making. The
“We shall pay the price, bear any burden, to assure the survival and the success of liberty.” (John F Kennedy) Before the Cold War, Russia and the United States fought next to each other in World War II. The U.S even gave them millions of dollars worth of weapons and other support to help defeat the Nazis. But when Joseph Stalin took over, created the Soviet Union and started spreading communism the U.S had to do something about it. During the Cold War the United States and the Soviet Union were pitted against each other, each with hopes on spreading their own but very different governments and requirements, taking extreme measures like containment, the Truman Doctrine, Berlin Blockade, or the Cuban Missile Crisis.
Marijuana legalization has been a controversial topic requiring a public policy solution in the political realm. There have been various arguments made for and against the legalization of marijuana. There are several states that have legalized marijuana use for medicinal purposes while others have let their guards down completely allowing citizens to use it not only medicinally, but recreationally as well. While the use of marijuana is still illegal at the federal level, there is much discussion by other states regarding policies to support marijuana legalization and many policy makers proactively planning for the possibility
Childhood obesity is a global pandemic requiring prioritization in policy and health care reform. It has many effects on acute and long term health, including increasing the risk for cardiovascular disease, diabetes, osteoarthritis, and certain types of cancer. This paper addresses my personal interest in childhood obesity, the relevance to nursing, problem sources, empirical evidence critique, evidence-based practice options, sites to keep current, and prioritizing the level of action to best accomplish the goal of
The end of World War Two saw Russia and the United States as world powers, each with totally different views on how the new world should be governed.The Cold War was a fight between Communism and Capitalism; only one method could prevail. Communism, was the notion that through a class war all would become equal, all property owned publicly and each person paid equally. On the opposite end of the spectrum lay Capitalism where there is an economic and political system of a country’s trade and industry are controlled by private owners for profit; not the state. One way that America sought to protect and hopefully impede Soviet Russia was through its foreign policies. The major foreign policy act that the U.S had in place during the Cold War,
Active discretionary policymaking, all activities with respect to money related and monetary policymakers that are attempted in light of or in expectation of some adjustments in the general economy; this would be significant to me because if no move is made to change the influences then this could impact my system of living, either by watching what I spend and where I spend to facilitate spending.
DC’s Mayor Muriel Bowser is calling upon us as a policy analysis team to evaluate the Homeward DC plan. This plan is a living document that is to be continually updated with informed and comprehensive analytical feedback to bridge the gaps within the strategic plan. Through the provision of our annual policy analysis Muriel Bowser is confident that resolving homelessness in the nation’s capital within the next four years is an achievable end.
In 2006 Canada government identified the need to address the increasing among the elderly (senior) population within their government. Through the creation of the Office of the Minister of state within the Employment and social devilment Canada (ESDC) it mandates the many ministers, departments, and agencies involved in developing senior policies to cooperatively work together. These groups will work together updating and managing the Senior policy through bringing together the whole government in implementation of these policies (GOA, 2014). In the United States the government has identified similar concerns regarding their senior policies and financial funding of current programs. The US policy known as Health and Aging Policy through
A Policy and Procedure Manual is a vital to the efficiency, morale, and all overall productivity of any company. This manual informs the employees of the company’s vision and purpose and the steps needed to incorporate that vison into their everyday duties and tasks; therefore, producing continuity and efficiency within the company by eliminating confusion and empowering the employees with knowledge and a sense of belonging and pride. The company’s mission, strategy, and vision are married to a successful system of policies and procedures, thus creating a foundation for a lucrative an efficient business with employees that are equipped, informed, and happy.
California’s Soda Tax (AB 669) was presented to legislature this year by Assembly member Monning (D-27th District). AB 669 would impose a one cent tax per ounce on soda as well as other sugar enriched drinks. It is estimated that this statewide tax would bring annual revenue of 1.7 billion dollars to the state of California. Under California’s Proposition 98, a percentage of all new state tax revenue will go to K-12 schools. Of the 1.7 billion dollars, CA schools are estimated to receive 60% or $850 million dollars, 20% or $300 million will be allocated to afterschool youth sports programs, 20% or $300 million would be used to improve school lunches and
The policy process is an ongoing event according to Kronenfeld (1997). When a policy is formulated there are two major parts; agenda setting and development of legislation. After these stages then the implementation stage begins. The way issues emerge can bring public awareness to a situation, such as the need for healthcare reform in the United States and eliminating the uninsured population. There are various stages of the policy process required to address this issue which include the formulation stage, legislative stage and the implementation stage.
We have to think about the qualitative factors that are involved in our decision making too. In the decision making process, as we saw in a case called The Nancy M. Hohman, we saw that many times the numbers will not speak louder than our personal preferences. The Nancy M. Hohman was a less than one year old ship, worthy US$ 40 million, carrying 200,000 tons of crude oil and 28 crew members and had an engine malfunction 9 miles way off the coast of South Africa. However, Port Elizabeth (the nearest one) was too small for the ship and the next close one was 380 miles away.
Stephen Blank another American writer has a perspective that that US should be consistent in its process of combating against terrorism and other ills in the region with other regional organizations as he says “U.S. policy in Central Asia is embattled and under siege. Moscow and Beijing, as well as to a lesser degree Tehran, view America’s political and strategic presence in Central Asia with unfeigned alarm. Indeed, Russia and China suspect America’s desire for bases there. Despite Russo-Chinese protestations of support for the U.S. war on terrorism, in fact they wish to exclude America from the area and fear that it means to stay there militarily, and in other ways, indefinitely. In this campaign, Moscow has taken the lead, with Chinese