budget cuts

by Kim Krisberg Joy Jay has the sweetest Southern accent you'll ever hear. It's the kind of accent that makes her news about the state of mental health services in South Carolina harder to hear than usual. "Mental health has taken some of the biggest (funding) cuts of any agency in the state," said Jay, executive director of Mental Health America of South Carolina. "It's really affected the number of people who can be served -- the door is very narrow now for people with chronic, persistent (mental) illness. And for people with temporary problems, they can't even get into the system; there's…
by Kim Krisberg It only takes a few minutes of talking with Scott Becker to realize just how passionate he is about public health. In fact, his enthusiasm is contagious. Maybe that's why he isn't mincing his words. "What keeps me up at night is how we are going to maintain the core and critical services we have," said Becker, executive director of the Association of Public Health Laboratories. "If the question is 'how low can we go?' My answer is 'we're there.' I used to be on a more hopeful note, but I can't do that anymore." Becker is talking about the worrisome state of public health…
by Kim Krisberg It's too early to tell just how many families Elizabeth Frerking and her colleagues at the Saline County Health Department in Marshall, Mo., will have to turn away, but it's likely to be too many. As of Oct. 1 and due to cuts in federal immunization funding, Frerking can only administer vaccines to children with no insurance at all or those with Medicaid coverage. However, it wasn't always like that. "Previously, any family could come here and get immunizations -- we didn't turn anybody away," Frerking, the department's vaccine coordinator, told me. "Now, we get to be the ones…
By Kim Krisberg Public health director Kerran Vigroux sounds almost matter-of-fact when she talks about having to shut down her department's screening services for sexually transmitted diseases. As she talks about the prevention and education opportunities that packed up and left along with the testing services, there's that familiar, barely audible public health tone to her voice -- the one that says "this makes no sense at all." Vigroux directs public health services in the New Hampshire city of Nashua, and she isn't alone in having to shutter her department's STD services. New Hampshire…
Sharon Astyk at Casaubon's Book has a great post up about the Women, Infants, and Children nutrition program, or WIC, which is now on the budgetary chopping block. The Center for Budget and Policy Priorities estimates that an appropriations bill approved by the House would result in WIC turning away 300,000 - 450,000 low-income women and children eligible for its assistance next year. WIC serves groups that are at nutritional risk and at a stage when proper nutrition is especially important: children up to age five and women who are pregnant, breastfeeding, and non-breastfeeding postpartum.…
Far be it from me to laud cuts in spending on critical things like energy analysis...but I admit I can't work up a good head of steam about the cuts in the EIA budget. After all, the EIA has managed to consistently get it wrong on oil reserves. Here's what happened: The final fiscal year (FY) 2011 budget provides $95.4 million for the U.S. Energy Information Administration (EIA), a reduction of $15.2 million, or 14 percent, from the FY 2010 level. "The lower FY 2011 funding level will require significant cuts in EIA's data, analysis, and forecasting activities," said EIA Administrator…
New York Times columnist Mark Bittman (famous for his writing on food) reported on Tuesday that he was joining more than 4,000 others who've been fasting to call attention to House legislation's proposed cuts to programs for the poor and hungry. He explains: [The poor] are -- once again -- under attack, this time in the House budget bill, H.R. 1. The budget proposes cuts in the WIC program (which supports women, infants and children), in international food and health aid (18 million people would be immediately cut off from a much-needed food stream, and 4 million would lose access to malaria…
Earlier this week, the Geiger Gibson/ RCHN Community Health Foundation Research Collaborative released a policy research brief that estimates the impact of the House of Representatives' proposed reduction in funding to community health centers. (Full disclosure: the Geiger Gibson program is part of the George Washington University's School of Public Health & Health Services, where I work, and I've taken classes taught by Sara Rosenbaum, one of the authors of the brief.) I'm sure most readers won't be surprised to learn that cuts to community health center funding won't really save money…
Reaching the hellacious end-of-book period where I do nothing but merge endlessly with my computer. Thus, low on new content. So you can read this stuff instead. First, check out "Little House in the Ghetto" which will be going on my blogroll just as soon as I figure out how to change my blogroll. Waking up from this entrancement and becoming aware that options exist has given me opportunity and motivation in my own life. As hobo poet Vachel Lindsay remarked, "I am further from slavery than most men." This has been an unexpected gift from downshifting (dropping out) from mainstream…