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IT’S TIME TO MAKE PUBLIC HEALTH FUNDING
A NATIONAL PRIORITY
March 25, 2009
Dear Member of Congress:
Federal public health agencies and programs have never been more important as the nation struggles to overcome the devastating effects of the deepening recession. In recognition of the role public health programs and agencies have in providing safety net services, lowering health care costs, and providing skilled jobs in healthcare technology and biomedical and behavioral research, the American Recovery and Reinvestment Act (ARRA) made an impressive down payment in selected areas. The undersigned organizations deeply appreciate the actions of Congress and the Administration in this regard.
The FY 2010 budget provides an opportunity to address the ongoing needs and capacities of the entire public health service and ensure that growth in core agency missions is sustained and predictable as the recent Institute of Medicine report HHS in the 21st Century recommends. Many core activities of most of the public health agencies have been cut, flat-funded, or received smaller than inflation increases over the past four years and longer. Estimated losses total $6.8 billion, 13.5 percent, in purchasing power alone. If adequately supported, public health programs are in a position to help all Americans cope with worsening economic realities, while also providing a way forward to control health care costs by preventing disease, identifying the most effective treatments, discovering new therapies and cures, and protecting our food and drug supply.
The undersigned organizations believe that an increase of $7.4 billion is needed in FY 2010 to accomplish the core missions and activities of the major federal public health agencies. These include:
- Biomedical and Behavioral Research: Maintaining a vigorous portfolio of investigator-initiated basic research and pivotal translational and clinical studies to address the myriad health challenges that confront the American people and to develop a stable pool of talented new investigators whose ideas and fresh perspectives are vital to invigorating the research enterprise.
- Disease Prevention and Health Promotion: Improving community-based prevention and early intervention activities that address costly chronic diseases, infectious diseases, including those that are becoming increasingly drug-resistant, strengthening public health capacity and ensuring those with disabilities reach their highest potential in function and health.
- Access to Safety Net Health Care Services: Assuring access to basic and targeted health care services for the rapidly growing numbers of Americans who lack health insurance as recession-related unemployment increases.
- Health Professions Education: Assuring that there is a well-trained, diverse health and public health workforce to serve as the foundation for the nation’s health care system
- Mental Health and Substance Abuse: Assuring access to needed mental health and substance abuse services for hundreds of thousands who must wait months for care, including Veterans returning from Iraq and Afghanistan; reducing the 15-20 year lag from bench to bedside of promising new treatments.
- Health Services Research: Building the evidence needed to ensure patients get the right care at the right time, every time; providing decision makers with information that will help control unsustainable costs.
- Health care for American Indians and Alaska Natives: Reversing current health disparities for this population that now suffers a life expectancy that is four years lower than the general population.
- Food and Drug Safety: Assuring the nation has a safe food supply and a safe and effective supply of drugs and medical devices.
Our recommendation does not include, but rather is over and above, emergency funding requests.
To respond to this letter, please contact Dr. Marcia Mabee, Executive Director, Coalition for Health Funding: mmabee@ix.netcom.com; Voice – 703-709-3001; FAX – 703-709-3003; 11479 Waterview, Suite 200; Reston, VA 20190.
Sincerely,
AaVHpNmhvaYEziJhl Academy of Radiology Research AIDS Action Alliance for Aging Research Alzheimer's Association American Academy of Child and Adolescent Psychiatry American Academy of Family Physicians American Academy of Neurology Professional Association American Academy of Nursing American Academy of Nursing American Academy of Pediatrics American Academy of Physician Assistants American Association for Dental Research American Association for Geriatric Psychiatry American Association for Health Education American association for Marriage and Family Therapy American Association for the Study of Liver Diseases American Association for the Surgery of Trauma American Association of Anatomists American Association of Colleges of Nursing American Association of Colleges of Osteopathic Medicine American Association of Colleges of Pharmacy American Association of Colleges of Pharmacy American Association of Colleges of Podiatric Medicine American Association of Critical-Care Nurses American Association of Neurological Surgeons American Association of Nurse Anesthetists American Association on Intellectual and Developmental Disabilities American College of Clinical Pharmacology American College of Clinical Pharmacy American College of Obstetricians and Gynecologists American College of Physicians American College of Preventive Medicine American College of Rheumatology American Dental Association American Dental Education Association American Diabetes Association American Heart Association American Lung Association American Medical Women's Association American Music Therapy Association American Osteopathic Association American Pain Foundation American Pediatric Society American Physiological Society American Podiatric Medical Association American Psychiatric Association American Psychological Association American Public Health Association American School Health Association American Social Health Association American Society for Microbiology American Society for Reproductive Medicine American Society of Hematology American Society of PeriAnesthesia Nurses American Society of Tropical Medicine and Hygiene American Statistical Association American Thoracic Society AO North America APIC-Association for Professionals in Infection Control & Epidemiology Arkansas 5 A Day Coalition Arthritis Foundation Association for Clinical Research Training Association for Prevention Teaching and Research Association for Psychological Science Association for Research in Vision and Ophthalmology Association of Academic Health Sciences Libraries Association of Independent Research Institutes Association of Maternal and Child Health Programs Association of Medical School Pediatric Department Chairs Association of Minority Health Professions Schools Association of Public Health Laboratories Association of Rehabilitation Nurses Association of Reproductive Health Professionals Association of Schools of Public Health Association of State & Territorial Dental Directors Association of State and Territorial Health Officials Association of University Centers on Disabilities Association of Women's Health, Obstetric & Neonatal Nurses Autism Society of America aWyhWqeBaXMBDJg Bazelon Center for Mental Health Law Be Active New York State Biophysical Society Boys Town National Research Hospital Brain Injury Association of America California Center for Public Health Advocacy California Food Policy Advocates CDC Coalition CDC Coalition Center for Behavioral Epidemiology and Community Health, San Diego State University Center for Science in the Public Interest Charles Drew University of Medicine and Science cHgLEZofiovXhL Child Welfare League of America CJocfwPtVIQZcDV CJocfwPtVIQZcDV CJocfwPtVIQZcDV CJocfwPtVIQZcDV CJocfwPtVIQZcDV CJocfwPtVIQZcDV CJocfwPtVIQZcDV CJocfwPtVIQZcDV CJocfwPtVIQZcDV CJocfwPtVIQZcDV Coalition for American Trauma Care Coalition for Health Funding Coalition for Health Services Research Coalition for the Advancement of Health Through Behavioral and Social Sciences Research Coalition of Urban Serving Universities Coalition to Protect Research Columbia University Medical Center Congenital Adrenal Hyperplasia Research Education and Support (CARES) Foundation, Inc. Congress of Neurological Surgeons Consortium of Social Science Associations Cooley's Anemia Foundation Coulee Region Childhood Obesity Coalition Council of Accredited MPH Programs Council of State and Territorial Epidemiologists Critical Illness and Trauma Foundation Crohn's and Colitis Foundation of America csszPlFRZ ctwJwCgvMBXEZi Cystic Fibrosis Foundation daDUgDVQW Digestive Disease National Coalition Directors of Health Promotion and Education DqTamxrbEbmqKsROmp Dystonia Medical Research Foundation Easter Seals Eastern Association for the Surgery of Trauma Emergency Nurses Association eOOjoqOKScbYGiZ Epilepsy Foundation Families USA Federation of Behavioral, Psychological, and Cognitive Sciences fojudyZf fpYoVKbN Friends of AHRQ Friends of NCHS Friends of the Health Resources and Services Administration fszBJEyJP fVahqnxY Gay and Lesbian Medical Association Gerontological Advanced Practice Nurses Association GgpcPDNxcrrNpsJxPF gHcrZJNXV GOXScAWtUwqBamw GTFHYaISQDkwygYQxyM HAmvWmXDNEFfT Hepatitis Foundation Intermational Hepatitis Foundation International HIV Medicine Association hjztYIsUz hSEqoFdgFDTBkHsClK iAjwfwxr IBEXcqNJYYjs Infectious Diseases Society of America International Foundation for Functional Gastrointestinal Disorders International Myeloma Foundation IQCnWZlyGzzDCxnxccY IUCUIHzYhOKog Jeffrey Modell Foundation JvzlPIjvGzKfc kAdhcFlfIJwN KTZNiZUDFEVyvqEkAob Langlade County Healthy Ways Coaltion ltFvdgcuuXHOMoKnU Lupus Research Institute luWEIDjkrLXf LYyTNaqSw March of Dimes Foundation Maryland Patient Advocacy Group MbMrtkkhAzxbm Medical Library Association Meharry Medical College Mental Health America Michigan Fitness Foundation MlEGWBARpbK Morehouse School of Medicine mVvaYkeiFDMjsmt National AHEC Organization National AHEC Organization National Alliance of State and Territorial AIDS Directors National Alliance on Mental Illness National Alliance to End Homelessness National Assoc. Neonatal Nurse Practitioners National Association for Biomedical Research National Association of Children's Hospitals National Association of Chronic Disease Directors National Association of Clinical Nurse Specialists National Association of County and City Health Officials National Association of Neonatal Nurses National Association of Pediatric Nurse Practitioners National Association of School Psychologists National Association of State Alcohol and Drug Abuse Directors (NASADAD) National Association of State EMS Officials National Association of State Head Injury Administrators National Association of State Head Injury Administrators National Caucus of Basic biomedical Science Chairs National Coalition for Cancer Research (NCCR) National Coalition for the Homeless National Council for Community Behavioral Healthcare National Council of State Boards of Nursing National Council on Diversity in the Health Professions National Down Syndrome Society National Environmental Health Association National Episcopal AIDS Coalition National Foundation for Trauma Care National Gerontological Nursing Association National Health Council National Hispanic Medical Association National Law Center on Homelessness & Poverty National League for Nursing National Marfan Foundation National Network of Health Career Programs in Two-Year Colleges (NN2) National Nursing Centers Consortium National Organization for Associate Degree Nursing National Organization for Rare Disorders (NORD) National Primate Research Centers National Respite Coalition National Rural Health Association National Rural Health Association National Violence Prevention Network Natl Found for Mental Health NlOtKxjEiIsX nXvxeFlKLU nyWOHOXuhRxx nzxipOwqz Ohio Public Health Association OlpQFLdVHUoGANIlJ Oncology Nursing Society Oregon Health & Science University ossmYXsaiDBKH PATH PBuwrGPLpBFPuk PDCYSzlOWrGBHRXjjTI piMcPvtEd Planned Parenthood Federation of America Population Association of America/Association of Population Centers Preventive Cardiovascular Nurses Association PRSVkiFDJgVvxtbej Pulmonary Hypertension Association pZkVEWzhIIUWA QDLwvBwbwtGt Renal Physicians Association Researchers against Inactivity-related Disorders (RID) rjXbiKwRVf rsQkoBVoKCj rYEWqatBPSMZXblSWxh Scleroderma Foundation Shape Up America! sHPMZoepmVyTZHqMjd Society for Adolescent Medicine Society for Healthcare Epidemiology of America (SHEA) Society for Maternal Fetal Medicine Society for Neuroscience Society for Nutrition Education Society for Pediatric Research Society for Public Health Educaiton Society for Research in Child Development Society for Women's Health Research Society of General Internal Medicine Society of Gynecologic Oncologists Spina Bifida Association Suicide Prevention Action Network USA SvScHMuYWGSEgis The AIDS Institute The American College of Surgeons The American Institute for Medical and Biological Engineering The Endocrine Society The Shock Society Trust for America's Health TYDSVqNqicqlFKmVGZ UEvyeAjkiVwlxoinV UiUuUUiSfS United Jewish Communities United Spinal Association University of Pittsburgh Office of Health Sciences Diversity UNM Health Sciences Center Office of Diversity vseAqvSDd VyBksfsKE Washington Coalition for Promoting Physical Activity wkfQXpFLQFoWLZhvB wmkQrTHf WomenHeart: The National Coalition for Women with Heart Disease WruaawoI WRxofijDcMQ xFtZquFK XMAoEaFLWDXx XOFcdAXspTogbu XSPlWcMFrIEScmesu YKYRNzmPtApfpUc Young People's Healthy Heart Program at Mercy Hospital YstCzBuRdajWh YVjOSekY zllOHIdc zRDsakEe
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