Prevention

by Kim Krisberg Just a few years ago in Butte County, Calif., it wasn't unusual for public health workers to administer more than 1,000 free HIV tests every year. In true public health fashion, they'd bring screening services to the people, setting up in neighborhoods, parks and bars, at special community events and visiting the local drug treatment facility and jail. The goal was prevention and education, and no one got turned away. That was before 2009, which is when California state legislators cut millions in HIV prevention and education funds from the state budget. The cut meant that…
I wondered how long it would take for someone critical of current cancer care to capitalize on the recently reported health misfortune of a celebrity. The answer, unfortunately, is "not long at all." I will admit, however, that the source of that use and abuse of the misfortune of a celebrity was not the usual suspect; i.e., Mike Adams, whom I've taken to task on many occasions for gloating over celebrity deaths and illnesses, such as those of Tony Snow, Patrick Swayze, and Elizabeth Edwards, as "evidence" that conventional medicine either doesn't work or kills. The celebrity to whom I am…
by Kim Krisberg "We will pay for this by taking money from one of the slush funds in the president's health care law." That's an April quote from U.S. House Speaker John Boehner, R-Ohio, on how Republicans plan to offset the cost of stopping scheduled hikes in student loan interest rates. And the "slush fund" in question? The Prevention and Public Health Fund, the historic $15 billion investment in prevention authorized via the Affordable Care Act (ACA). The April move by House Republicans wasn't the first attempt to raid the fund. Several tries have been made to repeal the fund entirely or…
by Kim Krisberg A couple weeks ago on the southern-most tip of the continental United States in Key West, nearly 70 residents gathered at a town hall meeting to talk about mosquitoes. And not just any mosquito. A special, genetically modified mosquito designed to protect people's health. While the modified mosquito has yet to make the two-mile wide island its home, local mosquito control officials are busy making the case that its intentional release will help safely contain the risk of mosquito-borne dengue fever, which made a startling reappearance in Key West in 2009. The male mosquito is…
By Anthony Robbins According to the New York Times, President Obama will create an Atrocities Prevention Board. You might well ask, what has this to do with public health? I might have had the same thought except for a Commentary that my co-editor and I published in the Journal of Public Health Policy. Elihu Richter, an old friend and colleague in environmental health - a mentee of the late Irving Selikoff, in fact - first explained why genocide prevention is public health. It was a struggle to get him to write on the topic, so we designed a harmless ruse. How about a book review of Paul…
At her Washington Post blog 2chambers, Felicia Sonmez reports that the House has passed legislation repealing the section of the Affordable Care Act that created the Prevention and Public Health Fund, which gives the Department of Health and Human Services $15 billion over the next 10 years to fund prevention and public health. The Republican complaint? Sonmez reports, "Republicans have criticized the account as a "slush fund" that gives Health and Human Services Secretary Kathleen Sebelius wide latitude in administering federal money without congressional oversight." This is an odd critique…
Exactly one year ago, President Obama signed into law the Patient Protection and Affordable Care Act - the most sweeping change to US healthcare since the legislation that created Medicare and Medicaid in 1965. The law's most important achievement is its creation of a system that will slash our nation's shameful uninsurance rate by an estimated two-thirds once it's fully implemented. Public opinion on the law is still mixed, and that's likely due to two things. First, many of the law's provisions won't kick in until 2014. Second, for those of us with a reliable source of affordable health…
Karen Starko writes: When the "financial crisis" started and the news media started throwing around numbers in the trillions and projected fixes in the billions, I realized I just didn't get it. So I got a little yellow post-it, labeled it "understanding trillions," and started a list of examples. And when I learned that the US GDP in 2006 was 13T and the derivative market, estimated in June 2007, was valued at 500T, I quickly got a sense of the potential drain of the derivative market (in which money is spent on items without real value...my definition, please correct me if I am wrong). I…
Karen Starko writes: When the "financial crisis" started and the news media started throwing around numbers in the trillions and projected fixes in the billions, I realized I just didn't get it. So I got a little yellow post-it, labeled it "understanding trillions," and started a list of examples. And when I learned that the US GDP in 2006 was 13T and the derivative market, estimated in June 2007, was valued at 500T, I quickly got a sense of the potential drain of the derivative market (in which money is spent on items without real value...my definition, please correct me if I am wrong). I…
Liz Borkowski writes: Mark Pendergrast wrote yesterday about how politics plays into the work of the EIS, and it's something that I kept noticing as I read Inside the Outbreaks. As he points out, my post last week highlighted the solution to the Reye's Syndrome puzzle - which was solved by Karen Starko, who's also one of the Book Club bloggers! - but didn't get into the larger issue: there can be a big difference between solving the puzzle and solving the problem. In yesterday's post, Mark writes: Although Karen's and subsequent CDC studies clearly demonstrated that giving children aspirin…