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.
To assess the state of the public health system in the United States, KHN and The Associated Press analyzed data on government spending and staffing at national, state and local levels. Here’s what data we used and how we did it.
KHN and The Associated Press sought to understand how decades of cuts to public health departments by federal, state and local governments has affected the system meant to protect the nation’s health. Here are six key takeaways from the KHN-AP investigation.
The pandemic has been marked by a significant amount of misinformation — some spread on purpose — that could prove deadly.
Carmen Quintero had symptoms of COVID-19, couldn’t get tested and ended up with a huge bill. She also was told to self-isolate and assume she had the coronavirus — which is hard when you live with elders.
For Art Ballard, the local gym was like his second home. The 91-year-old former jeweler relied on his near-daily workouts to stay healthy and for social interaction. But when California instituted its stay-at-home order, Ballard’s physical health suffered. So did his mental health.
As health workers were dying of COVID-19, federal work-safety officials filed just one citation against an employer and rapidly closed complaints about protective gear.
At $3.6 billion a year, California spends more on prison health care than other states spend to run their entire prison systems. But despite the spending, and federal court oversight, prisons across California are struggling to contain deadly outbreaks of COVID-19.
The use of the word “always” makes this claim a stretch.
The pandemic has been marked by a significant amount of misinformation — some spread on purpose — that could prove deadly.