Via the Trust for America's Health: A Funding Crisis for Public Health and Safety: State-by-State Public Health Funding and Key Health Facts, 2017. Click or tap through to download the full report. Excerpt:
A Funding Crisis for Public Health and Safety: State-by-State Public Health Funding and Key Health Facts, 2017 found that core funding for disease prevention and health promotion programs has declined by around $580 million federally and has remained flat in states since 2010 (adjusting for inflation).
The annual review demonstrates that cuts to federal funds have not been offset by increases to state and local funding. Adjusting for inflation:
• The Centers for Disease Control and Prevention’s (CDC) core budget has decreased by more than $580 million since 2010. In fiscal year 2016, the agency’s budget was $7.17 billion ($22.26 per person).
• State public health spending has remained relatively level since 2010 ($11.5 billion total in 2015-2016, median spending $31.62 per capita).
The President’s proposed FY 2018 budget blueprint would include a nearly 18 percent cut to the U.S. Department of Health and Human Services (HHS). The full budget detail is expected to be released later this Spring. Budget sequestration – which requires reductions in the rate of increase in federal spending – is scheduled to go back into effect in FY 2018 and would lead non-defense spending, including at CDC, to fall 16 percent below 2010 spending rates (adjusting for inflation).
“Major budgetary cuts have hampered the ability of public health agencies to protect and improve the nation’s health – impeding the response to pressing health concerns and the rising costs of treating preventable illnesses and injuries,” said John Auerbach, president and CEO, of TFAH. “It is painfully clear that the decrease in federal spending has not led to higher state spending for public health. Rather, the nation has doubled down on cuts at both levels, leaving us vulnerable to the next public health crisis. Cutting public health programs is shortsighted – and we will all pay the price over time.”
The Funding Crisis brief also found that:
• Around 75 percent of CDC’s funds go to support state and local programs – but this support ranges from a low of $15.39 per person in Virginia to a high of $49.67 per person in Alaska – with differences due to competitive grant awards and some targeted-need programs;
• Public Health Emergency Preparedness (PHEP) core funding for states and local communities – with the exception of the one-time, short-term funding for Ebola and Zika response needs – has been cut by more than one-third (from $940 million to $651 million) per year since the program was established in the wake of the 9/11 and anthrax attacks. CDC has responded to more than 750 emergencies in the past two years; and
• Only $4 per person per year is spent on chronic disease prevention activities at CDC ($1.2 billion total). Nearly half of all Americans have one or more chronic disease – a majority of which are preventable – and more than 80 percent of healthcare spending is for chronic conditions.