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The Latest Research, Commentary, And News From Health Affairs

Thursday, March 25, 2021

Dear John,

Public health funding affects which communities are able to respond to
COVID-19 and other complex public health threats. However, funding for
public health has not increased in over a decade.

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Negative Trends In Public Health Spending Leading Up To COVID-19

The COVID-19 pandemic revealed the vulnerabilities among state and local
public health systems. Disparities in public health funding contribute
to some of the variation in health outcomes and limit the ability of
agencies to coordinate with each other to address complex health threats
like a pandemic.

To better understand public health spending in the US leading up to the
COVID-19 pandemic, Natalia Alfonso and coauthors assessed total spending
and spending for specific public health categories at the state level
from 2008 to 2018
,
capturing state spending trends both during and after the Great
Recession.

They observed flat or downward trends for total state public health
spending and for spending in each of the categories of public health
activities, except for an increase in spending for injury prevention.
Maternal, child, and family health saw the largest drop in spending of
all the categories.

The authors point out, "This stagnation in public health spending
occurred despite a 4.3 percent annual average rise in national health
care expenditures for disease care and overall annual average economic
growth of 3.3 percent during the same period."

Check out our COVID-19 Resource Center
for free
content about the pandemic, including journal articles, blog posts,
podcasts, and an event.

In their new Health Affairs Blog post, Katie Sellers and coauthors
discuss the revised 10 Essential Public Health Services framework
,
which now includes a focus on health equity and an updated emphasis on
the importance of public health in light of COVID-19. In a new
GrantWatch blog post, M. Gabriela Alcalde and Barbara Leonard discuss a
culture shift that has occurred within philanthropy in Maine, where
funders are deepening their commitment to, and capacity for, racial
equity
.
Alcalde and Leonard share the experiences of their health and well-being
foundations on the journey toward racial equity.

Elevating Voices In Women's History Month: Health economist Sherry
Glied shared her views on why value-based care isn't transforming
health spending

in a recent Health Affairs podcast episode. Glied is dean and professor
of public service at New York University's Robert F. Wagner Graduate
School of Public Service.

If you are learning from our free, timely COVID-19 content and are able,
please consider supporting our work
.

Your Daily Digest

US Public Health Neglected: Flat Or Declining Spending Left States Ill
Equipped To Respond To COVID-19

Y. Natalia Alfonso, Jonathon P. Leider, Beth Resnick, J. Mac McCullough,
and David Bishai

Meet The Revised 10 Essential Public Health Services: Developed By The
Field, Centering Equity

Katie Sellers, Jessica Solomon Fisher, Paul Kuehnert, and Brian C.
Castrucci

Two Maine Health Foundation Leaders Discuss Their Organizations' Racial
Equity Journeys

M. Gabriela Alcalde and Barbara Leonard

Podcast: Value-Based Care Isn't Transforming Health Care Spending

Alan Weil and Sherry Glied

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