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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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