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Should a Reformed System Be Prepared for Public Health Emergencies, and What Does That Mean Anyway?

Published online by Cambridge University Press:  01 January 2021

Rebecca Katz  and
Jeffrey Levi
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Extract

A typical discussion around health reform in the U.S. focuses on how the nation can most effectively and efficiently extend insurance coverage to the rising number of people who have none. Furthermore, discussions about health care reform typically are centered on times of normalcy, when the health care system is not overly taxed and there is the luxury of time to think about everyday matters of health and health care, including health care services needed to prevent illness, treat conditions, and address individual emergencies. But in light of the lessons learned over the past decade, it is also essential to consider how any reformed health care system will react to and mitigate the consequences of a public health emergency.

Type
Symposium
Information
Journal of Law, Medicine & Ethics , Volume 36 , Issue 4 , Winter 2008 , pp. 716 - 721
Copyright
Copyright © American Society of Law, Medicine and Ethics 2008

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References

Centers for Disease Control and Prevention, Public Health Preparedness: Mobilizing State by State, 2008, available at <http://emergency.cdc.gov/publications/feb08phprep/pdf/feb08phprep.pdf> (last visited September 2, 2008).+(last+visited+September+2,+2008).>Google Scholar
Rosenbaum, S., “US Health Policy in the Aftermath of Hurricane Katrina,” JAMA 295, no. 4 (2006): 437–440.CrossRefGoogle Scholar
Department of Homeland Security, National Response Framework, 2008, available at <http://www.fema.gov/emergency/nrf/> (last visited September 2, 2008).+(last+visited+September+2,+2008).>Google Scholar
Homeland Security Presidential Directive 10/National Security Presidential Directive 33, Biodefense For the 21st Century, 2004, available at <http://www.whitehouse.gov/homeland/20040430.html> (last visited September 2, 2008).+(last+visited+September+2,+2008).>Google Scholar
Homeland Security Presidential Directive 18, Medical Countermeasures against Weapons of Mass Destruction, 2007, available at <http://www.whitehouse.gov/news/releases/2007/02/20070207–2.html#> (last visited September 2, 2008).+(last+visited+September+2,+2008).>Google Scholar
Homeland Security Presidential Directive 21, Public Health and Medical Preparedness, 2007, available at <http://www.whitehouse.gov/news/releases/2007/10/20071018–10.html> (last visited September 2, 2008).+(last+visited+September+2,+2008).>Google Scholar
Pandemic and All-Hazards Preparedness Act, Pub. L. No. 109–417, §101 et seq (2006).Google Scholar
See California Department of Public Health, Standards and Guidelines for Healthcare Surge During Emergencies, available at <http://bepreparedcalifornia.ca.gov/EPO/CDPHPrograms/PublicHealthPrograms/EmergencyPreparednessOffice/EPOProgramsServices/Surge/> (last visited September 8, 2009).+(last+visited+September+8,+2009).>Google Scholar
See supra note 1.Google Scholar
Trust for America's Health, Ready or Not? Protecting the Public's Health from Disease, Disasters, and Bioterrorism. 2007 available at <http://healthyamericans.org/reports/bioter-ror07/> (last visited September 8, 2008). (last visited September 8, 2008).' href=https://scholar.google.com/scholar?q=Trust+for+America's+Health,+Ready+or+Not?+Protecting+the+Public's+Health+from+Disease,+Disasters,+and+Bioterrorism.+2007+available+at++(last+visited+September+8,+2008).>Google Scholar
Department of Health and Human Services, Budget in Brief Documents from Fiscal Year 2001–2009, available at <http://www.hhs.gov/budget/docbudget.htm> (last visited September 8, 2008).+(last+visited+September+8,+2008).>Google Scholar
See supra note 10.Google Scholar
For a full description of public health preparedness needs from HIT, see CDC, Public Health Information Technology Functions and Specifications (for Emergency Preparedness and Bioterrorism), February 14, 2002, available at <www.cdc.gov/cic/functions-specs> (last visited September 8, 2008)+(last+visited+September+8,+2008)>Google Scholar
Centers for Disease Control and Prevention, “HIPAA Privacy Rule and Pubic Health: Guidance from CDC and the U.S. Department of Health and Human Services,” MMWR Early Release 52 (2003): 1–12, available at <http://www.cdc.gov/mmwr/preview/mmwrhtml/su5201a1.htm> (last visited September 8, 2008)+(last+visited+September+8,+2008)>Google Scholar
See supra note 10.Google Scholar
Toner, et al., “Hospital Preparedness for Pandemic Influenza,” Biosecurity and Bioterrorism: Biodefense Strategy, Practice and Science 4, no. 2 (2006): 207–217.CrossRefGoogle Scholar
PricewaterhouseCoopers' Health Research Institute, Closing the Seams: Developing an Integrated Approach to Health System Disaster Preparedness, 2007, available at <http://pwchealth.com/cgi-local/hregister.cgi?link=reg/closingth-eseams.pdf> (last visited September 8, 2008). (last visited September 8, 2008).' href=https://scholar.google.com/scholar?q=PricewaterhouseCoopers'+Health+Research+Institute,+Closing+the+Seams:+Developing+an+Integrated+Approach+to+Health+System+Disaster+Preparedness,+2007,+available+at++(last+visited+September+8,+2008).>Google Scholar
Department of Health and Human Services, A Guide for Individuals and Families, 2006, available at <http://www.pandemicflu.gov/plan/individual/familyguide.html> (last visited September 8, 2008).+(last+visited+September+8,+2008).>Google Scholar
See surpa note 11.Google Scholar
The Center for Biosecurity of University of Pittsburgh Medical Center estimates that $1 million is needed per hospital simply to prepare for a pandemic influenza, or a total of $5 billion for the 5,000 general hospitals in the U.S. See Toner, et al., supra note 16.Google Scholar