budget cuts

In July, public health departments across the country got a letter from the Trump administration abruptly cutting off funding for teen pregnancy prevention efforts in the middle of the program’s grant cycle. The move means that many teens will miss out on receiving an education that could — quite literally — change the trajectory of their lives. The abrupt funding cut — which came down without reason or explanation, according to grantees — also cuts off research efforts right at the evaluation stage. That’s the stage when public health practitioners rigorously assess a program’s outcomes,…
In Cuyahoga County, Ohio, nearly 200 people have died from opioid-related overdoses in the first five months of this year. That means that this one U.S. county is on pace to lose more than 700 people to fatal overdoses by the end of 2017. Terry Allan, health commissioner at the Cuyahoga County Board of Health, and colleagues across the county have spent years building and scaling up a multifaceted response to the opioid addiction and overdose epidemic that includes getting people into treatment, changing clinical prescribing habits, preventing deadly overdoses, and dealing with the often-…
The House and Senate health care bills are overflowing with proposals that will strip Americans of access to quality, affordable health care. But perhaps the cruelest part is what they do to children — the most vulnerable and powerless among us. Children can’t show up at the ballot box to protect their health and so it truly is up to the rest of us. Right now, after decades of hard work, the U.S. has achieved near-universal insurance coverage of its littlest residents. About 95 percent of U.S. kids have health insurance. Unfortunately, the House and Senate proposals to replace the Affordable…
This is the harsh reality of the Senate health care bill: it provides tax cuts to the wealthiest Americans, while taking away access to timely medical care from the poorest, most vulnerable Americans. You’ve probably been hearing this point a lot about the GOP’s repeal-and-replace efforts, and it’s easy to relegate it to partisan hyperbole. But the sad truth is that, well, it’s the sad truth. The Senate’s “draft” health care bill, released this morning, proposes sweeping changes to the Medicaid system, which now provides health coverage for 76 percent of poor children, 60 percent of children…
Last year’s emergency Zika funding is about to run out and there’s no new money in the pipeline. It’s emblematic of the kind of short-term, reactive policymaking that public health officials have been warning us about for years. Now, as we head into summer, public health again faces a dangerous, highly complex threat along with an enormous funding gap. “The Zika threat will get worse,” said Claude Jacob, chief public health officer at the Cambridge Public Health Department in Massachusetts and president of the National Association of County & City Health Officials (NACCHO). “And the…
When you ask public health advocates about President Trump’s recent budget proposal, you typically get a bewildered pause. Public health people don’t like to exaggerate — they follow the science, they stay calm, they face off against dangerous threats on a regular basis. Exaggerating doesn’t help contain diseases, it only makes it harder. So it’s concerning when you hear words like this about Trump’s budget: “devastating,” “not serious,” “ludicrous,” “unfathomable.” Released in late May, Trump’s fiscal year 2018 federal budget proposal calls for cutting the budget at the Centers for Disease…
To the surprise of literally no one, President Trump’s 2018 budget proposed stripping all federal funds, including Medicaid dollars, from Planned Parenthood. Proponents of this argue that if Planned Parenthood clinics end up shuttered, women can simply access care elsewhere. But growing research shows that’s the opposite of what actually happens. We got even more evidence of this with a report on the capacity of federally qualified health centers (FQHCs) to fill the gaps left when a Planned Parenthood clinic is forced to close its doors. In a policy paper from the Guttmacher Institute…
A Zika attack rate of just 1 percent across the six states most at risk for the mosquito-borne disease could result in $1.2 billion in medical costs and lost productivity, a new study finds. That’s more than the $1.1 billion in emergency Zika funding that Congress approved last year after months of delay and which is expected to run out this summer. “One of the troubling things last year was that (Zika funding) was viewed as a cost — every week, there was another delay and more people becoming infected and more chances of birth defects,” study co-author Bruce Y. Lee, an associate professor at…
At ProPublica, Michael Grabell investigates how U.S. companies take advantage of immigrant workers, focusing on Case Farms poultry plants, which former OSHA chief David Michaels once described as “an outrageously dangerous place to work.” He reports that Case Farms built its business by recruiting some of the world’s most vulnerable immigrants, who often end up working in the kind of dangerous and abusive conditions that few Americans would put up with. Grabell chronicles the history of Case Farms and how it first began recruiting refugees from Guatemala who were fleeing a brutal civil war in…
Public health is in trouble. Last month, President Trump released his proposed budget for fiscal year 2018. It was more of an outline, really, and didn’t provide many details, but it did call for a nearly 18 percent cut to the U.S. Department of Health and Human Services and for block granting the budget at the Centers for Disease Control and Prevention. At the same time, the White House supports repealing the Affordable Care Act. That repeal would also eliminate the Prevention and Public Health Fund, which now accounts for about 12 percent of CDC’s budget and funds critical public health…
In troubling public health news, the Centers for Disease Control and Prevention reported just yesterday that combined cases of gonorrhea, syphilis and chlamydia in the U.S. have climbed to the highest number on record. With the release of its “Sexually Transmitted Disease Surveillance 2015” report, the agency documented more than 1.5 million cases of chlamydia, nearly 400,000 cases of gonorrhea and about 24,000 cases of primary and secondary syphilis. Syphilis clocked the largest increase from 2014 to 2015 at 19 percent, gonorrhea increased by nearly 13 percent and chlamydia rose by nearly 6…
“In my darker hours when I’m sleeping at night, that’s where I go.” Those are words from Eric Blank, senior director for public health systems at the Association of Public Health Laboratories (APHL), talking about the enormous difficulties that public health labs faced in confronting the 2009 H1N1 flu pandemic. Now he fears that without emergency federal funds and in the face of new funding cuts, Zika virus will force the nation’s critical public health lab network into that same scenario — or into something even worse. “(Public health labs) know what they need and when they need it and yet…
With near constant news on the threat of Zika virus and a quickly growing evidence base detailing the virus’ devastating impact on fetal brain development, you’d think Congress could get its act together to make sure our public health system is fully prepared and equipped to confront the mosquito-borne disease. Sadly, you’d be wrong. It’s been nearly three months since the White House submitted a request to Congress proposing $1.9 billion in emergency funding to support a full range of activities needed to prepare for, prevent, detect and respond to Zika in the United States. As of today, May…
President Obama released his 2017 federal budget proposal yesterday, recommending funding boosts for a number of public health priorities. And even though his presidency is coming to an end and so this budget is probably dead on arrival in the Republican-controlled Congress, it’s worth a peek inside. Here are some of the highlights that seem particularly relevant to public health, health care and working families: Health care access: The Obama budget would expand federal financing to cover the costs of state Medicaid eligibility expansions. That means the federal government would fully cover…
For public health workers, it’s no surprise that social, economic and political conditions shape the distribution and burden of disease. They’ve always known that it takes much more than medicine to keep people healthy. Still, when public health scientist Kristina Talbert-Slagle decided to study the impact of social and public health spending on HIV/AIDS, she wasn’t sure what she’d uncover. “We thought that maybe there would be a connection, but we didn’t really know what to expect,” said Talbert-Slagle, a senior scientific officer at the Yale Global Health Leadership Institute and a lecturer…
It’s not surprising that food insecurity has a negative health and academic impact on young children — numerous studies have come to that conclusion. However, a new study has begun to dig a little deeper into the topic, zeroing in on the lingering aftermath of the Great Recession, when food insecurity and child poverty reached record levels, and examining the particular effects of transitioning from not worrying about having enough food to living in a household with limited or uncertain access to food. Published this month in Health Affairs, the study looked at transitions in food security…
Sociologist Jennifer Laird was researching unemployment among Mexican immigrants when she came upon some interesting numbers on black workers in the public sector and employment effects of the Great Recession. It piqued her interest and so she decided to keep digging. She found that while public sector employment had long served as a source of stable employment among black Americans, often enabling mobility into the middle class, downsizing during the Great Recession disproportionately hurt black workers and resulted in greater racial disparities in the public sector. Specifically, Laird, a…
The U.S. Occupational Safety and Health Administration is no stranger to budget cuts — the agency is already so underfunded that it would take its inspectors nearly a century, on average, to visit every U.S. workplace at least once. In some states, it would take two centuries. Unfortunately, appropriations bills now making their way through Congress don’t bode much better for OSHA. Earlier this month, the National Council for Occupational Safety and Health (National COSH) and Public Citizen, along with 74 fellow organizations that care about worker health and safety, sent a letter to…
Even though farmworkers face serious hazards on the job and work in one of the most dangerous industries in the country, most young farmworkers in a recent study rated their work safety climate as “poor.” In fact, more than a third of those surveyed said their managers were only interested in getting the job done as quickly as possible. Recently published in the American Journal of Public Health, the study was designed to capture perceptions of work safety climates on North Carolina farms that employ children and teens and the association with occupational safety and injuries. In partnering…
“All response is local” is a commonly heard phrase among public health practitioners who serve on the front lines of disease outbreaks, emergencies and disasters. Whether it’s a measles outbreak, a terrorist attack or a hurricane, public health agencies are at the ready to deploy an emergency response infrastructure designed for one overriding purpose: to protect their communities against preventable disease and injury. That kind of preparedness takes an enormous amount of planning, training, practice and collaboration. It also requires sustained funding support — something that’s all too…