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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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