“Chronic underfunding” of emergency preparedness and prevention programs hurt the U.S. COVID-19 response and continues to exacerbate inequity, putting Americans at risk, says a report released by Trust for America’s Health (TFAH) yesterday.
The key finding: Since 2002, inflation-adjusted funding for CDC Public Health Emergency Preparedness Programs has declined by 50%, and for the Health and Human Services Hospital Preparedness Program by nearly two-thirds, says the report.
“As a nation, we spent $4.1 trillion on health in 2020, but only 5.4 percent of that spending targeted public health and prevention,”says TFAH. While the number doubled in the short-term during COVID-19, it’s “still grossly inadequate and likely to return to pre-pandemic levels.”
This harms the vulnerable the most: low-income communities, communities of color, and older Americans—“populations that experience higher rates of chronic disease and have fewer resources to recover from an emergency,” says TFAH.
TFAH calls for more investment—in public health infrastructure and workforce, in emergency preparedness (including immunization infrastructure and the impact of climate change), and in addressing social determinants of health and health across the lifespan.
BIO’s take: BIO’s been calling for more funding for public health infrastructure and preparedness, especially for the Biomedical Advanced Research and Development Authority (BARDA) and the Centers for Disease Control and Prevention. The FY23 spending bill for HHS making its way through Capitol Hill would allocate more than $200 billion to improve public health infrastructure and preparedness.
Read More: The Impact of Chronic Underfunding on America’s Public Health System: Trends, Risks, and Recommendations, 2022
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