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The Latest Research, Commentary, And News From Health Affairs

Tuesday, April 27, 2021

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Dear John,

Although public health funding allows communities to respond to COVID-19
and other complex health threats, new research shows public health
funding has not increased in over a decade.

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

Low levels of public health funding, and public health funding
disparities between states, can impact the ability of state and local
agencies to address complex health threats like a pandemic.

To better understand public health spending in the US leading up to the
COVID-19 pandemic, Y. 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."

Visit our entire April 2021 issue
for content about the
Affordable Care Act, spending, and more.

In a new Health Affairs Blog post, Nora D. Volkow of the National
Institute on Drug Abuse discusses how drug criminalization harms
communities of color
,
and how a public health approach to drug addiction is critical for both
population well-being and health equity.

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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

Addiction Should Be Treated, Not Penalized

Nora D. Volkow

Podcast:
Should
Social Risks Factor Into Health Care Quality Measures?

Alan Weil and David R. Nerenz

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Should Social Risks Factor Into Health Care Quality Measures?

Listen to Health Affairs Editor-in-Chief Alan Weil interview David
Nerenz from the Henry Ford Health System about social risk factors and
their controversial inclusion as a measure of health care quality.

Listen Here

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About Health Affairs

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Affairs Today , and Health
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