Forefront: Fix The CDC But Don’t Ignore Our Public Health System
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Monday, July 18, 2022 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

In conjunction with the October issue of Health Affairs, which will focus on disability and health, the Narrative Matters section is holding a poetry contest.

The winning poet will receive a $500 prize and publication in the October issue of Health Affairs. The contest is open until July 25. Learn more.
Health Spending Effectiveness
Marvia Weaver and coauthors explore how much the US spends per unit of health gained in the July 2022 issue.

To assess spending for the entire health sector, Weaver and coauthors rely on data on health care spending by cause as well as data on disability-adjusted life-years (DALYs) by cause.

With these figures, the authors estimate the amount spent per unit of health gained, which they refer to as "spending effectiveness."

Weaver and coauthors find that "the US spent $114,339 per DALY averted during the period 1996-2016." Further analysis shows that "a significant portion of the growth in health spending over time has purchased health improvements."

For future studies in health care spending, Weaver and coauthors identify Alzheimer’s disease; drug use disorders; chronic kidney disease; and endocrine, metabolic, blood, and immune disorders as areas in which spending is not associated with improving health outcomes.

Weaver will join Health Affairs Editor-in-Chief Alan Weil tomorrow on the A Health Podyssey podcast to dive deeper into this research. Subscribe today.
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Elsewhere At Health Affairs
Today in Health Affairs Forefront, Katie Keith summarizes much of the newest federal guidance and activity that relates to preserving access to reproductive services following last month's Supreme Court decision on Dobbs.

Alexander Gajewski and coauthors discuss how Congress should promulgate reimbursement for clinical teaching time in mental health. They write if we pay directly for teaching, health systems can set psychiatry and psychology trainee class sizes based on population needs.

Ronald Valdiserri argues that if we want to do a better job of responding to pandemics, the solution is bulking up the nation’s public health system.

ICYMI, last week on Health Affairs This Week, Rob Lott and Vabren Watts discus-sed the federal and state aftermath following the Supreme Court overturn of Roe v. Wade.
Paid For By The HHS Office of Minority Health (OMH)

The HHS Office of Minority Health (OMH) is currently recruiting for a Principal Deputy Director. If you want to serve as the Secretary’s primary advisor on eliminating health disparities for racial and ethnic minority and American Indian/Alaska Native populations, apply today!
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About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.  

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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