Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-05T13:08:33.742Z Has data issue: false hasContentIssue false
  • English
  • Français

Paying for Prevention: A Critical Opportunity for Public Health

Published online by Cambridge University Press:  01 January 2021

Jean C. O’Connor ,
Bruce J. Gutelius ,
Karen E. Girard ,
Danna Drum Hastings ,
Luci Longoria  and
Melvin A. Kohn
Get access Rights & Permissions [Opens in a new window]

Extract

Despite spending more on health care than every other industrialized country, the U.S. ranks 37th in health outcomes. These differences cannot be explained away with differences in age and income, or even with quality of care. And, the rate of growth in health care spending in the U.S. continues to increase. The share of the Gross Domestic Product (GDP) attributable to health care grew from 9% in 1980 to more than 17% in 2011. Health care costs are projected to account for more than one-fifth of our economy by 2021. Despite spending more and more, the U.S. does not have better health outcomes than other countries. Worse, our increasing spending is largely attributable to preventable conditions. More than 85 cents of every dollar spent on health in the U.S. are spent on the treatment and management of chronic diseases, such as those caused by preventable conditions related to obesity and tobacco use.

Type
Supplement
Information
Journal of Law, Medicine & Ethics , Volume 41 , Issue S1 , Spring 2013 , pp. 69 - 72
Copyright
Copyright © American Society of Law, Medicine and Ethics 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

World Health Organization, Health Systems: Improving Performance Report, 2000, Switzerland, Geneva, available at <http://www.who.int/whr/2000/en/whr00_en.pdf> (last visited January 10, 2013).+(last+visited+January+10,+2013).>Google Scholar
Kaiser Family Foundation, “Health Care Spending in the United States and Selected OECD Countries,” available at <http://www.kff.org/insurance/snapshot/oecd042111.cfm> (last visited.+(last+visited.>Google Scholar
Kaiser Family Foundation, “Health Care Costs to Reach One-Fifth of GDP by 2021,” available at <http://www.kaiserhealthnews.org/Home/Daily-Reports/2012/June/13/health-care-costs.aspx> (last visited January 10, 2013).+(last+visited+January+10,+2013).>Google Scholar
See Kaiser Family Foundation, supra note 2.Google Scholar
Oregon Public Health Division, Strategic Plan: 2012-2017, available at <http://public.health.oregon.gov/about/documents/phd-strategic-plan.pdf> (last visited January 10, 2013).+(last+visited+January+10,+2013).>Google Scholar
Patient Protection and Affordable Care Act, Public Law 111–148.Google Scholar
McGinnis, J. M. Williams-Russo, P. and Knickman, J. R. “The Case for More Active Policy Attention to Health Promotion” Health Affairs 21, no. 2(2002): 78–93.CrossRefGoogle Scholar
Frieden, T. R. “A Framework for Public Health Action: The Health Impact Pyramid” American Journal of Public Health 100, no. 4(2010):590–595; and Turnock, B., Public Health: What It Is and How It Works (New York, NY: Jones and Bartlett, 2009).CrossRefGoogle Scholar
Oregon Health Policy Board, “Oregon's Medicaid Demonstration,” available at <http://www.oregon.gov/oha/OHPB/Pages/health-reform/cms-waiver.aspx> (last visited January 10, 2013). (last visited January 10, 2013).' href=https://scholar.google.com/scholar?q=Oregon+Health+Policy+Board,+“Oregon's+Medicaid+Demonstration,”+available+at++(last+visited+January+10,+2013).>Google Scholar
See Turnock, , supra note 8.Google Scholar
National Research Council, The Future of Public Health (Washington, D.C.: The National Academies Press, 1988).Google Scholar
Public Health Accreditation Board website, available at <http://www.phaboard.org/> (last visited January 10, 2013).+(last+visited+January+10,+2013).>Google Scholar
Network for Public Health Law, Issue Brief: New Requirements for Non-Profit Hospitals Provide Opportunities for Health Department Collaboration, available at <http://www.networkforphl.org/_asset/fqmqxr/CHNAFINAL.pdf> (last visited January 10, 2013); Folkemer, D. C. Spicer, L. A. Mueller, C. H. Somerville, M. H. Brow, A. L. R. Milligan, C. R. and Willis, C. L. Boddie, Hospital Community Benefits after the ACA: The Emerging Federal Framework, available at <http://www.hilltopinstitute.org/publications/HospitalCommunityBenefitsAfterTheACA-HCBPIssueBrief-January2011.pdf> (last visited January 10, 2013); Internal Revenue Services, Notice 2011–52. Notice and Request for Comments Regarding the Community Health Needs Assessment Requirements for Tax-exempt Hospitals, available at <http://www.irs.gov/pub/irs-drop/n-11-52.pdf> (last visited January 10, 2013).+(last+visited+January+10,+2013);+Folkemer,+D.+C.+Spicer,+L.+A.+Mueller,+C.+H.+Somerville,+M.+H.+Brow,+A.+L.+R.+Milligan,+C.+R.+and+Willis,+C.+L.+Boddie,+Hospital+Community+Benefits+after+the+ACA:+The+Emerging+Federal+Framework,+available+at++(last+visited+January+10,+2013);+Internal+Revenue+Services,+Notice+2011–52.+Notice+and+Request+for+Comments+Regarding+the+Community+Health+Needs+Assessment+Requirements+for+Tax-exempt+Hospitals,+available+at++(last+visited+January+10,+2013).>Google Scholar
See Turnock, , supra note 8.Google Scholar
Tobacco Prevention and Education Program, Oregon Tobacco Facts & Laws, Oregon Department of Human Services, Oregon Public Health Division, 2010, available at <http://public.health.oregon.gov/PreventionWellness/TobaccoPrevention/Documents/tobfacts.pdf> (last visited January 10, 2013).+(last+visited+January+10,+2013).>Google Scholar
Oregon Public Health Division, Reversing the Trend of Diabetes in Oregon, 2008. available at <http://public.health.oregon.gov/DiseasesConditions/ChronicDisease/Diabetes/Documents/hb3486/diabstratgicplnsm.pdf> (last visited January 10, 2013).+(last+visited+January+10,+2013).>Google Scholar
Dilley, J. J. A. Harris, J. R. Boysun, M. J. and Reid, T. R. “Program, Policy, and Price Interventions for Tobacco Control: Quantifying the Return on Investment of a State Tobacco Control Program” American Journal of Public Health 102, no. 2(2011): e22–e28.CrossRefGoogle Scholar
National Prevention Council, National Prevention Strategy, U.S. Department of Health and Human Services, Office of the Surgeon General, Washington, D.C., 2011, available at <http://www.healthcare.gov/prevention/nphpphc/strategy/report.pdf> (last visited January 10, 2013).+(last+visited+January+10,+2013).>Google Scholar
United Health Group, CDC Awards Grant to Diabetes Prevention and Control Alliance to Expand National Program to Prevent Type 2 Diabetes, News Release, available at <http://www.unitedhealthgroup.com/newsroom/news.aspx?id=02f4ab16-bf68-487f-9f03-451ef2bbbfc9> (last visited January 10, 2013).+(last+visited+January+10,+2013).>Google Scholar
Personal communication with Danna Hastings, Oregon Health Promotion and Chronic Disease Prevention Section, November 16, 2012.Google Scholar
Trust for America's Health, Prevention for a Healthier America: Investments in Disease Prevention Yield Significant Savings, Stronger Communities, 2008, available at <http://healthyamericans.org/reports/prevention08/Prevention08.pdf> (last visited January 10, 2013). (last visited January 10, 2013).' href=https://scholar.google.com/scholar?q=Trust+for+America's+Health,+Prevention+for+a+Healthier+America:+Investments+in+Disease+Prevention+Yield+Significant+Savings,+Stronger+Communities,+2008,+available+at++(last+visited+January+10,+2013).>Google Scholar