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1

BiannualTrusteePolicySummit:

InsightSummary

Fall2024

2CEDBiannualTrusteePolicySummit:Fall2024ConferenceB

DearTrusteesoftheCommitteeforEconomicDevelopment,

OnNovember21,2024,CEDhadtheprivilegeofhostingitsannualVirtualPolicySummit,thesecondinourbiannualTrusteePolicySummitsfortheyear.Comingasitdidfollowingadecisiveelection,the

Summitfocusedbothonthedomesticeconomy,includingimportantlegislativeeffortsonnextyear’staxbill,andongeopoliticalcrisesaroundtheworld,whichposebothdangersandopportunitiesfortheUS.TheSummitalsoconsideredtheimpactofAIanditsfuturedevelopmentandthehealthcareworkforce,stillamatterofgreatconcernseveralyearsafterthepandemic.

Thisreportisintendedtocapturethemajorinsightsfromthedayandprovideaflavorofthediscussion,

whichwasheldundertheChathamHouseRuletoencourageopendiscussionamongbothspeakersandTrustees.Theseinsights,andinparticulartheTrusteediscussionattheendoftheday,willinformCED’sworknextyearinanewandchallengingpolicyenvironment.WhetherornotyouwereabletoattendtheSummit,wehopeyoufindtheseinsightsvaluableasyouconsiderthechangesahead.

CEDexpressesitssincerethankstotheSummit’ssponsors,AdtalemGlobalEducationFoundation,

AlixPartners,Fiserv,thePeterG.PetersonFoundation,RW2Enterprises,andThermoFisherScientific,alongwiththeTrusteesandourguestspeakersformakingtheSummitasuccess.

WehopeyouwillbeabletoattendCED’snextBiannualTrusteePolicySummit,tobeheldinpersoninWashingtononJune10-11,2025.

Thankyou,asalways,foryourcontinuedsupport.

Sincerely,

DavidYoungPresident

CommitteeforEconomicDevelopment(CED)ofTheConferenceBoard

3CEDBiannualTrusteePolicySummit:Fall2024ConferenceB

BiannualTrusteePolicySummit:

InsightSummary

KeyInsights

AddressingMajorGeopoliticalChallenges

?TheAdministrationhasbeensuccessfulinkeepingtogetherthecoalitionforsupporttoUkraine.TheincomingTrumpAdministrationiscommittedtonegotiationstoreachapeacedeal.TheUSwilllikelybrokerpeacenegotiations,andUkrainewillneedtobepreparedtosurrendersomeofitsterritory.RussiawilllikelydragoutthenegotiationsprocessandblameUkraine.

?OnTaiwan,China’spositionisthatitmustbepreparedtotakemilitaryactionagainstTaiwanandalsobepreparedforUSsupporttoTaiwan,buttheultimatecoursedependsonevents,includingTaiwanesepolitics.

?TheincomingTrumpAdministrationwillsubstantiallyraisetariffsonChina,butitisunlikelythattheywillreach60%.

?Afull-scaleconflictinvolvingIranremainsunlikely.Despitethecurrentconflicts,thereisasenseofoptimismaboutaneventualreturntostabilityintheMiddleEast.

?IncreasedcollaborationamongcountriesoftheGlobalSouthpointstoachangingworldorder.AmajorprioritymovingforwardiskeepingtheNATOalliancestrongandpreparedtoaddressthechanginggeopoliticalsituation.

?Today’sconflictswillbewonbyhavingtheabilitytoadaptatspeedwithsufficientmateriel;accesstothehighestleveloftechnologyislessimportant.

?ItisimportantfortheUSandUKtoengagewiththeworldsoasnottocedethegroundtoChinaanditsallies--otherwise,therewillbenegativeeffectsfortheUSanditsalliesinareassuchasglobalrulesonAIandtheinternetandaccesstosupplychainsforcriticalmaterials.

USEconomicOutlook

?TheelectionofPresident-electTrumpbringsuncertaintiesforUSfiscalandmonetarypolicy,asthePresident-electhaspromisedderegulation,taxcuts,andmassivedeportationsofmigrants.

?Debatesontaxpolicywillbekeynextyear,withRepublicandecisionsonhowmanyofthetaxcutsshouldbefundedinfluencingthedeficitandthemarketforUSTreasuries.

?Thenationaldebtcontinuestoincreaseunsustainably,andtheSocialSecurityTrustFundisapproachinginsolvency,thoughthereisnourgencytoaddresstheseissues.

?TheUSeconomicfundamentalsarestrong,withgovernmentstimulusandahighproportionoffixed-ratemortgageshelpingtheeconomyweatherthepandemicrecoveryandhighinflation.

?Nevertheless,threatsremain.Low-incomehouseholdshavestruggledwithhighinflationand

manufacturingisaweakness.ThePresident-elect’splantodeportmillionsofmigrantswillaffectsectorsoftheeconomythatrelyonthelaborofundocumentedimmigrants.

?DeregulatorypoliciescombinedwithinvestmentsinartificialintelligenceandinfrastructurecouldincreaseUSGDPgrowthto4percentinthecomingyears,approachingthelevelsofgrowthfromthe1990sandpotentiallyhelpingtoaddressdeficitspendingandthenationaldebt.

4CEDBiannualTrusteePolicySummit:Fall2024ConferenceB

TheHealthcareWorkforce

?Post-pandemicrecoveryinthehealthcareworkforceiscontinuing,withtheprimarycareworkforceasatopprioritytoaddressworkforceshortfalls.

?Nursesarethebackboneofthehealthcaresystem;whileapplicantpoolsfornursingschoolsarelarge,thereisashortageofmedicalfacultytotrainnurses,leadingtoshortages.

?Thehealthcareworkforceshortageisinpartadistributionproblem;effortssuchasencouragingmedicalresidenciesinruralareashelpwithaddressingshortagesinunderservedareas.

TheFutureofAI

?AIisatransformativetoolthatcananalyzemassivequantitiesofdata.AIdoesmakemistakes,requiringhumaninvolvementandoversight.

?Datareliabilityiskey,andtheUShasyettoadoptacomprehensivelegislativeframeworktooverseethedevelopmentofAI.

?TheUSstillleadsAIresearchanddevelopment,withChinaitsbiggestcompetitor.TheEUhasadoptedacomprehensiveregulatoryframework,whichhasimportantprinciplesyetcouldinhibitthespeedofinnovationinEurope.

?WhileinternationalcooperationanddialogueiscrucialtoavoidtheworstoutcomesofAI,thedividebetweentheUSandChinawilllikelygrowinthecomingyears.

5CEDBiannualTrusteePolicySummit:Fall2024ConferenceB

TableofContents

AWorldontheBrink:AConversationwithSirSimonGass

5

USEconomicOutlook:AConversationwithKristinaHooper

9

StrengtheningtheUSHealthcareWorkforce:AConversationwith

AdministratorJohnson

11

TheFutureofAIPolicy:AConversationwithGregoryTreverton

13

AmericainPerspective-WhatNextFollowingtheUSElections:

OpenTrusteeRoundtable

15

ListofSessions

16

ListofParticipants

17

6CEDBiannualTrusteePolicySummit:Fall2024ConferenceB

AWorldontheBrink:AConversationwithSirSimonGass

KeyInsights

?TheAdministrationhasbeensuccessfulinkeepingtogetherthecoalitionforsupporttoUkraine.TheincomingTrumpAdministrationiscommittedtonegotiationstoreachapeacedeal.TheUSwilllikelybrokerpeacenegotiations,andUkrainewillneedtobepreparedtosurrendersomeofitsterritory.RussiawilllikelydragoutthenegotiationsprocessandblameUkraine.

?OnTaiwan,China’spositionisthatitmustbepreparedtotakemilitaryactionagainstTaiwanandalsobepreparedforUSsupporttoTaiwan,buttheultimatecoursedependsonevents,includingTaiwanesepolitics.

?TheincomingTrumpAdministrationwillsubstantiallyraisetariffsonChina,butitisunlikelythattheywillreach60%.

?Afull-scaleconflictinvolvingIranremainsunlikely.Despitethecurrentconflicts,thereisasenseofoptimismaboutaneventualreturntostabilityintheMiddleEast.

?IncreasedcollaborationamongcountriesoftheGlobalSouthpointstoachangingworldorder.AmajorprioritymovingforwardiskeepingtheNATOalliancestrongandpreparedtoaddressthechanginggeopoliticalsituation.

?Today’sconflictswillbewonbyhavingtheabilitytoadaptatspeedwithsufficientmateriel;accesstothehighestleveloftechnologyislessimportant.

?ItisimportantfortheUSandUKtoengagewiththeworldsoasnottocedethegroundtoChinaanditsallies--otherwise,therewillbenegativeeffectsfortheUSanditsalliesinareassuchasglobalrulesonAIandtheinternetandaccesstosupplychainsforcriticalmaterials.

TheWarinUkraine

Russianforcescontinuetotakealargenumberofcasualties,approximately1,500perday,totaling

around700,000overthecourseofthewar.ThereisconcernoverwhetherUkraine,runningshortof

trainedandequippedtroops,willbeabletosustainitsfightinthecomingyear.TheWestcoulddomuchmoretohelpUkraine’sabilitytostayinthefight.IfUkrainelosesWesternsupport,itwouldbedisastrousforWesterninterestsandprestige.

TheBidenAdministrationhasbeensuccessfulinkeepingtogetherthecoalitionforsupporttoUkraine.TheAdministrationrecentlyapprovedUkrane’sabilitytostrikeinRussia,whichwillhelpUkrainetargetRussianlogisticsandairfields--usefulbutnotagamechanger.Somesaythischangeshouldhave

happenedearlier,buttheAdministrationhasbeenworriedabouttheprospectofescalationandtheRussiannuclearthreat.

TheincomingTrumpAdministrationiscommittedtonegotiationsforpeace.ItisunclearwhatversionofTrumpwillemerge.OneversionsuggeststhatasbeforethefallofAfghanistan,theTrumpAdministrationwouldsimplywithdrawUSsupport.ButaparticipantbelievesthatTrumpwillwantwhateverdealhe

makestoredoundtohiscredit,sohecannotsurrendereverythingtoRussia.

ThescopeforsuccessfulnegotiationsisasmalltargetandmustaddresshowmuchterritoryUkraineispreparedtosurrender.Asofnow,Russiacontrols20%ofUkraine’sterritory.NegotiationsmustconsiderhowmuchPutiniswillingtocompromiseatatimewhenhebelieveshisarmyisdoingwell.

7CEDBiannualTrusteePolicySummit:Fall2024ConferenceB

Aparticipant’sbestguessisthatnegotiationswillinitiallybebrokeredbytheUSbutthatRussiawillkeepfighting,dialingupviolencefromtimetotimetotrytoclaimthatUkraine’sunwillingnesstocompromiseisblockingasettlement.ThisistotallyunfairbutconsistentwithRussianbehavior.

TheIndo-Pacific

RegardingapossibleChineseinvasionofTaiwan,therearetwoschoolsofthought.ThefirstisthatChinawillnotfeeltheneedtotakemilitaryactionagainstTaiwansolongasChinafeelsthatcansustainan

expectationofeventualreunification–thereisnosenseofurgency.ThesecondisthatChinaneedsto

seeactiveprogresstowardsreunificationandifthatdoesnotmaterialize,otheroptionsareonthetable.Thisisnotbinary--instead,itismorelikelytoseeChinaprogressivelytighteningthenooseonTaiwan,forinstancewithgreaterincursionsoverthemedianlineintheTaiwanStraitoradeclarationthatChinareservestherighttoinspectshipsgoingtoTaiwan.AparticipantdoubtedthatPresidentXiJinpingknowswhatcoursehewilleventuallytakeonTaiwan;politiciansrarelymakedecisionsuntilforcedtodoso.Xi’spositionisthatChinamustbepreparedtotakemilitaryactionagainstTaiwanandalsobepreparedfor

USsupporttoTaiwan,buttheultimatecoursedependsonevents,includingTaiwanesepolitics.

WhiletheincomingTrumpAdministrationwillsubstantiallyraisetariffsonChina,itisunlikelythattheywillreach60%.Trump’stariffsonChinawilllikelybeblunterthanBiden’swithmoretariffsacrosstheboard

ratherthanbeingsomewhatconfinedtotechproducts.

TheMiddleEast

DespitethecurrentunrestintheMiddleEast,thereisunlikelytobeafull-scaleconflictinvolvingIran.BothIsraelandtheUSdonotwantafull-scaleconflict,andneitherdoesIran.

IsraelunderPrimeMinisterNetanyahuviewsthecurrentmomentasauniqueopportunitytoeliminateitsclosestopponentsincludingHamasandHezbollahanddeterothers,includingIran.Israeldoesnothavetheappetitetoenterintoafull-scaleconflictwithIran,partiallybecausetheUSalsodoesnotwantthat.TheincomingTrumpAdministrationwantstoexertmaximumeconomicpressureonIranwithoutpullingtheUSintoacostlywarwhichwouldhaveanextensivedestabilizingeffectintheregion.

Further,theregionalgeometryhaschangedsinceTrump’sfirstterminoffice.SomeGulfstatesare

achievinganewconsensuswithIranonhowtocoexistandarenowmoreconcernedaboutmassive

destabilizationtotheirnorthinIran.Iran’sgoalinthecurrentconflictistoassertthatitisstilltheleaderoftheaxisofresistancebutnottoprovokeafull-scaleattack.Thereissomeoptimismaboutareturnto

stabilityintheMiddleEast.

TheFutureofInternationalCooperation

ManyNATOMemberStateswouldnotadmitUkraineintoNATOundercurrentconditions.Inthe

negotiationsprocessandanypeacesettlement,EuropeanswillhavetotakeongreatresponsibilityforUkraine’ssecuritybutwillneedtosustainalinkwiththeUStohavecredibilityagainstRussia.

Balancingnationalsecurityprioritieswiththeneedforinternationalcooperationisachallengeinthe

currentenvironment.Today,itlooksasthoughmanycountriesaretakinganationalistview.China,

Russia,andIranwillpointtosituationsaroundtheworldtoarguethattheUSisself-interestedandwill

followpoliciesthataredetrimentaltotherestoftheworld.YetalthoughtheWesthasnotalwaysmetthehigheststandards,thepostwarWesternapproachtoglobalaffairshasbeencharacterizedandmotivatednotjustbyself-interestbutinsteadbyabeliefthat,asPresidentJohnF.Kennedysaid,a“risingtideliftsallboats.”

TheGlobalSouthdeservesgreaterattention,astherecentBRICSSummitdemonstrates.Theserising

powerspointtoachangingglobalsituation,especiallygiventheirsupplyofcriticalminerals,andthreatentheWestern-ledworldorder.

8CEDBiannualTrusteePolicySummit:Fall2024ConferenceB

AmajorprioritymovingforwardiskeepingtheNATOalliancestrongandpreparedtoaddressthechanginggeopoliticalsituation.

DefenseModernization

Theworldisexperiencingplentyofsubnationalconflicts,suchastheHouthis’attackofshipsintheRedSea.TheHouthiswereabletomakeenormousimpactusinglowsophisticationweaponry.

Today’sconflictswillbewonbyhavingtheabilitytoadaptatspeedusingsufficientammunition.Havingthehighestleveloftechnologyislessimportantandveryexpense.TheUSneedsarethinkingofdefenseprocurement.

9CEDBiannualTrusteePolicySummit:Fall2024ConferenceB

USEconomicOutlook:AConversationwithKristinaHooper

KeyInsights

?TheelectionofPresident-electTrumpbringsuncertaintiesforUSfiscalandmonetarypolicy,asthePresident-electhaspromisedderegulation,taxcuts,andmassivedeportationsofmigrants.

?Debatesontaxpolicywillbekeynextyear,withRepublicandecisionsonhowmanyofthetaxcutsshouldbefundedinfluencingthedeficitandthemarketforUSTreasuries.

?Thenationaldebtcontinuestoincreaseunsustainably,andtheSocialSecurityTrustFundisapproachinginsolvency,thoughthereisnourgencytoaddresstheseissues.

?TheUSeconomicfundamentalsarestrong,withgovernmentstimulusandahighproportionoffixed-ratemortgageshelpingtheeconomyweatherthepandemicrecoveryandhighinflation.

?Nevertheless,threatsremain.Low-incomehouseholdshavestruggledwithhighinflationand

manufacturingisaweakness.ThePresident-elect’splantodeportmillionsofmigrantswillaffectsectorsoftheeconomythatrelyonthelaborofundocumentedimmigrants.

?DeregulatorypoliciescombinedwithinvestmentsinartificialintelligenceandinfrastructurecouldincreaseUSGDPgrowthto4percentinthecomingyears,approachingthelevelsofgrowthfromthe1990sandpotentiallyhelpingtoaddressdeficitspendingandthenationaldebt.

FiscalandMonetaryPolicyUncertainty

TheelectionofPresident-electTrumpbringsuncertaintiesregardingfiscal,monetary,andtradepolicies.ThePresident-electdoesnotholdtraditionalRepublicanviewsontariffsandforeignpolicy,withthefutureofopentradewithEuropeandAsiaandUSsupportforUkraineindoubt.Centralbanksincludingthe

FederalReserve,BankofJapan,andBankofEnglandwillhavetorespondtonewpoliticalleadership

andaslowdowninthedeclineofinflation.TheUSnationaldebtremainsasignificantconcern,andthe

risksofafiscaltippingpointasexperiencedintheUKunderformerPrimeMinisterLizTrussaregrowing.

ThePresident-elect’splansforderegulationwilllikelyhelpgrowth.Republicanproposalsforsignificant

taxcutscouldalsobepro-growth,yettaxcutstohigh-incomehouseholdshaveasmallermultipliereffect

oneconomicgrowththanforlower-incomeearners.Anyreductionsincorporatetaxrateswouldbepro-growth,whichcouldleadtohigherlevelsofmergersandacquisitionsandcapitalinvestmentwhen

combinedwithderegulatorypolicies.

Nextyear’sdebateonextendingexpiringportionsoftheTaxCutsandJobsActwillcenteronthe

proportionoftaxcutsthatshouldbefundedthroughoffsetsorspendingcuts.LargerdeficitswouldimpactthemarketforUSTreasuries,withyieldsrisingtocompensateformoredebtbeingissued.Thecostsof

servicingtheUSnationaldebtexceededdefensespendingforthefirsttimein2024,demonstratingthat

thecurrentfiscaltrajectoryisnotsustainable.Regardinginterestrates,theFedwillremaindata-

dependent,withperhapsfourinterestratecutsin2025ifthecurrentdisinflationarytrendcontinues.

AparticipantnotedCED’slongstandinginterestinfiscalresponsibility,inquiringwhetherthereisawayoutofthenegativefiscaloutlook.ThemostrecentfiscalcommissionwasSimpson-Bowles,which

proposedacomprehensivefiscalpackagethatwasnotimplemented.Inthecurrentdivisivepolitical

environment,acommissionisunlikelytoachievereductionsinthedeficit.TheFedcuttinginterestrateswillprovidenear-termrelief,thoughitwouldtakeamomentakintotheUK’sexperienceunderformer

PrimeMinisterTrusstoshockthegovernmentintoactiontotacklethedebt.

10CEDBiannualTrusteePolicySummit:Fall2024ConferenceB

TheparticipantwasalsoconcernedwiththeimpendinginsolvencyofSocialSecurity’sTrustFund,whichcouldputpressureonCongresstobackfillSocialSecuritywithgeneralfundrevenues.Intheviewofa

participant,vestingaportionofthereservesoftheSocialSecurityTrustFundinequitysecuritiesin

additiontoUSTreasuriescouldhelpaddressthisissue,andremovingthecaponwagessubjecttotheSocialSecuritypayrolltaxwouldalsohelpaddresstheTrustFund’supcominginsolvency.

AnotherparticipantaskedabouttheTreasuryissuingshort-termdebtsecurities,withroughly$9trillionsettoberefinancedin2025.Whilethismaycausesomenear-termmarketturbulencetoabsorbthehigh

levelofUSTreasuries,themarketshouldbeabletofullybuythisdebt.

USEconomicFundamentalsAreSolid,withPocketsofWeaknesses

TheUSeconomyisresilientandfundamentallysolid,withrecentGDPgrowthof2.8percentandastrongservicessector.Nevertheless,pocketsofweaknessremain,suchasmanufacturing.UShouseholdshave

bifurcatedintoaffluenthouseholdswhichhavedonewelloverthepastfewyearsandlower-income

householdsstrugglingwithhighinflation,asevidencedbybrandswitchingandreducedconsumption.Inthecomingyears,theUSeconomycouldseewagegrowthforlow-incomeworkerstocounteractthe

effectsofinflation.

GovernmentstimulusandthenatureoftheUShousingmarketeachplayedanimportantroleintheUS’post-pandemiceconomicrecovery.Governmentstimulushelpedtheeconomycopewiththeeffectsofthepandemic,thoughhouseholdsavingsbuiltupfromgovernmentcashtransfershavelargelybeen

depleted.TheUSalsohasaveryhighproportionoflong-term,fixed-ratemortgagesthathelpedthe

housingmarketweatherhighinterestrates,withover90percentofmortgagesbeingfixed-ratewith

averageinterestratesofbetween3and4percent,incontrasttothesituationbothbeforetheUSfinancialcrisisandthecurrentsituationincountriessuchasCanadawhichhaveahighpercentageofvariableratemortgages.

ThePresident-elect’simmigrationpolicieswillbecrucialtotheUSeconomy.Planstodeport15-20millionmigrantswouldcreatechallengesforindustriesrelyingonundocumentedimmigrants,suchasagriculture,meatpacking,andjanitorialservices,whichcouldbeparticularlyacuteinanalreadytightlabormarket.Areductioninlegalimmigrationwouldalsohurtsectorssuchashealthcarethatrelyonforeign-born

workers.However,itisunclearwhetherthenewAdministrationcanovercomethelogistical,funding,andlegalhurdlestodeportthatmanymigrants,withtheAdministrationlikelytotargetthosechargedor

convictedofcrimesintheUSfirst.Alegislativedealtolegalizethecurrentundocumentedpopulationishighlyunlikely.

Throughderegulationandinvestmentsinartificialintelligence,technology,manufacturing,and

productivitygrowth,theUScouldexperienceGDPgrowthatthe4%levelofthemid-1990s.InfrastructureandmanufacturinginvestmentsintheCHIPSandScienceAct,theInfrastructureInvestmentandJobs

Act,andtheInflationReductionActwilltakelongertodemonstrateareturnoninvestment.Nevertheless,theUSmayexperience4%economicgrowthoverthecomingyears,whichwouldalsohelpaddressthegrowingnationaldebtthroughhigherrevenues.

11CEDBiannualTrusteePolicySummit:Fall2024ConferenceB

StrengtheningtheUSHealthcareWorkforce:AConversationwithAdministratorJohnson

KeyInsights

?Post-pandemicrecoveryinthehealthcareworkforceiscontinuing,withtheprimarycareworkforceasatopprioritytoaddressworkforceshortfalls.

?Nursesarethebackboneofthehealthcaresystem;whileapplicantpoolsfornursingschoolsarelarge,thereisashortageofmedicalfacultytotrainnurses,leadingtoshortages.

?Thehealthcareworkforceshortageisinpartadistributionproblem;effortssuchasencouragingmedicalresidenciesinruralareashelpwithaddressingshortagesinunderservedareas.

Post-pandemicHealthCareWorkforceRecovery

HRSAandtheAdministrationworkedwithhealthcareprovidersacrossthecountrytoassessimpactandhelprecoveryfromthepandemic,includingbyimplementingsupportsfromFederalrelieffunding.The

healthcareworkforceexperiencedagreatdealofburnoutduringthepandemic.Manyhealthcareworkersarepursuingearlyretirementormovingfromclinicaltoadministrativejobs.Thereisnotableturnover

amongyounghealthcareworkerswhofeellesssupportedintheworkforce.Inresponse,HRSAisincreasinginvestmentsinmentoringandwraparoundsupportsfornewprofessionalsenteringtheworkforce.

Inaddition,thereisadistributionproblemintheUShealthcareworkforce,withconcentrationsof

providersinlargemetroareasandsurroundingsuburbsbutshortagesinareaswithhighneeds.To

addressthisissue,HRSAiscoveringstart-upcostsofbuildingfacilitiesinruralcommunitiesand

establishingresidenciesthereforphysiciansatthisstageoftheirtraining;practitionersarelikelyto

remaininthelocationwheretheycompletetheirresidency.HRSAhasaloanforgivenessprogramforservinginhigh-needscommunities,andtheretentionrateofthosetakingadvantageoftheprogramisnear85percent,Additionally,throughtheAmericanRescuePlan,HRSAinvestsinconnectingyoungpeopletothehealthareworkforceasearlyaspossible,includingtraininghighschoolstudentstobe

dentalassistantsandcommunityhealthworkers,providinghands-onexperienceofhealthcare

professions,andsupportforpre-medicalstudents.Thesetypesofinvestmentsarekey,especiallytosupportunderservedcommunities.

Twoareasoffocus:theprimarycareworkforceandnursing

Theprimarycareworkforceisatopprioritytoaddresshealthcareworkforceshortfalls.Thenurse

practitionerprofessionhasgrownsignificantly,whichhelpsfillthegapswherephysicianshortagesexist.Inruralareas,anursepractitionermaybetheonlyprimarycareprofessional.HRSAisalsohelpingtrainmoreprimarycareprofessionalsingeriatrics,givingthemtargetedanduser-friendlywaystogettraining.Theagencyisalsoprovidingeldercaretrainingforfamilycaregivers.

Nursesarethebackboneofthehealthcaresystem.InaFederalsurveyadministeredeveryfouryears,nurses’satisfactionremainedhigh(80percent),thoughdissatisfactiongrewby11percent.The

professionneedstheprestigeandrecognitionofotherclinicalprofessions.Duringthepandemic,

compensationlevelsfortravelingnursespresentedavisiblesignofwhatnursesareworth.HRSAhasalsoexploredbuildinganurseresidentmodelsimilartophysicianresidenciessothatnursesfeelmoresupportedandbettertrainedanddonotfeeltheneedforadditionaltraining.

Itisimportanttorecognizenurses’mentalhealthneeds.HRSAinvestmentsinthementalhealthand

wellnessofthecommunityreceivedapositiveresponsefromnurses.Aparticipantcommentedthatjust

12CEDBiannualTrusteePolicySummit:Fall2024ConferenceB

asaFederallawwaspassedtoprotectflightattendantsfromviolence,sonursesneedthesameprotection.

AddressingShortagesofMedicalFaculty

Aparticipantnotedthatthereiscurrentlyanoversupplyofnursepractitionersandadecreasingnumberofbedsidenurses.Trainingprogramsforbedsidenurses,however,havelimitedslotsbecauseoffacultyshortages.Ho

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