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Cost & Quality

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The U.S. public health system has been starved for decades and lacks the resources necessary to confront the worst health crisis in a century. An investigation by The Associated Press and KHN has found that since 2010, spending for state public health departments has dropped by 16% per capita and for local health departments by 18%. At least 38,000 public health jobs have disappeared, leaving a skeletal workforce for what was once viewed as one of the world’s top public health systems. That has left the nation unprepared to deal with a virus that has sickened at least 2.6 million people and killed more than 126,000.

While federal and state officials continue to wrangle over coronavirus testing, the population testing positive is skewing younger. Meanwhile, the Trump administration wins a round in court over its requirements for hospitals to publicly reveal their prices, and the fight over the fate of the Affordable Care Act heats up once again. Margot Sanger-Katz of The New York Times, Paige Winfield Cunningham of The Washington Post and Kimberly Leonard of Business Insider join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews former Obama administration health aide Dr. Ezekiel Emanuel, who has written a new book comparing international health systems.