Friday, February 5, 2016

Don't Cut Public Health - It's Saving Our Lives

Public health is the main reason that life expectancy in the United States has risen from 47 years in 1900 to 78 today. And we've achieved this with only a tiny fraction of our national health budget going to public health, about three percent. Yet, many in Congress want to slash even this miniscule investment. Could anything be more shortsighted?

Don’t Cut Public Health – It’s Saving Our Lives

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Do you know anyone who died because they drank a cup of water?

If you live in America, probably not. But hundreds around the globe die every day because they did just that.

Do you know of any children who died from measles, whooping cough, or polio?

Again, as an American, you almost certainly don’t. But in many less developed countries, such tragedies are still common.

We are extremely fortunate. We can look on these and many other causes of death and disease as bizarre.

We owe this good fortune to the work of public health. It protects our health and wellbeing on a national scale.

Public health is different from health care. The latter is the range of services we receive as individuals from doctors, nurses, and other health professionals. They work with us one at a time to keep us well and treat us when we become sick.

Public health treats the entire population. It searches for underlying causes of disease, like contaminated drinking water, infected mosquitoes, and airborne germs. And it devises ways to protect us from them, like water treatment, insect control, and vaccination.

Thanks to public health, we can drink from the kitchen sink without fear of cholera, play outdoors in the summer without fear of Yellow Fever, and send our children to school without fear that a classmate’s cough will spread a fatal infectious disease.

In fact, public health does much more to keep us healthy and extend our lives than individual health care. That is true even when you consider all of the miracle treatments of modern medicine. It’s not that health care isn’t vitally important. It’s that public health is even more so.

Public health is the main reason that life expectancy in the United States has risen from 47 years in 1900 to 78 today. You may well owe your life to it. If not you, then probably someone you are close to.

You can think of public health as similar to national defense. When it is working well, it’s invisible in our daily lives, so much so that we tend to take it for granted. But if we let down our guard, we are at the mercy of forces intent on doing us tremendous harm. In the past few years, those forces have included SARS, tuberculosis, West Nile Virus, and bird flu.

It wasn’t always this way. In the nineteenth century, Americans faced many of the same disease threats as people all over the globe. By freeing us from these dangers, public health has changed our lives.

And for all of this, only a tiny fraction of our national health budget goes to public health, about three percent. Without question, this is the best bargain anywhere.

Yet, many in Congress want to slash even this miniscule investment. They are mounting a full scale assault.

The continuing resolution passed in April to keep the government from closing cut almost $2 billion from two of the most important federal public health agencies, the Centers for Disease Control and Prevention and the Health Resources and Services Administration. The budget resolution that the House of Representatives passed for next fiscal year cuts another 13.5%. And the House has voted to eliminate funding for prevention programs and school health clinics under the health reform law.

Could anything be more shortsighted? The effect of these cuts on the deficit would be infinitesimal. But we will pay for the consequences, in more sickness and higher costs for health care treatments, for many years to come.

Military threats would abound without strong national defense. Diseases and other health threats would do exactly the same without strong public health.

Think about that the next time you drink a cup of water.

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About this blog

Check Up is a blog for savvy health consumers, covering the latest developments, discoveries, and debates from the Philadelphia area and beyond.

Portions of this blog may also be found in the Inquirer's Sunday Health Section.

Robert I. Field, Ph.D., J.D., M.P.H. Professor, Drexel University Kline School of Law & Dornsife School of Public Health
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