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Public health's falling share of US health spending

Author

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  • Himmelstein, D.U.
  • Woolhandler, S.

Abstract

We examined trends in US public health expenditures by analyzing historical and projected National Health Expenditure Accounts data. Percapita public health spending (inflation-adjusted) rose from 39 in 1960 to 281 in 2008, and has fallen by 9.3% since then. Public health's share of total health expenditures rose from 1.36% in 1960 to 3.18% in 2002, then fell to 2.65% in 2014; it is projected to fall to 2.40% in 2023. Public health spending has declined, potentially undermining prevention and weakening responses to health inequalities and new health threats.

Suggested Citation

  • Himmelstein, D.U. & Woolhandler, S., 2016. "Public health's falling share of US health spending," American Journal of Public Health, American Public Health Association, vol. 106(1), pages 56-57.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302908_6
    DOI: 10.2105/AJPH.2015.302908
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    Cited by:

    1. Salma M. Abdalla & Nason Maani & Catherine K. Ettman & Sandro Galea, 2020. "Claiming Health as a Public Good in the Post-COVID-19 Era," Development, Palgrave Macmillan;Society for International Deveopment, vol. 63(2), pages 200-204, December.
    2. Julie M. Carter & Patricia D. Koman & Lorraine Cameron & Aaron Ferguson & Patrick Jacuzzo & Jason Duvall, 2021. "Assessing perceptions and priorities for health impacts of climate change within local Michigan health departments," Journal of Environmental Studies and Sciences, Springer;Association of Environmental Studies and Sciences, vol. 11(4), pages 595-609, December.
    3. Vijay S. Limaye, 2021. "Making the climate crisis personal through a focus on human health," Climatic Change, Springer, vol. 166(3), pages 1-11, June.
    4. Rechel, Bernd, 2019. "Funding for public health in Europe in decline?," Health Policy, Elsevier, vol. 123(1), pages 21-26.
    5. Evan Mallen & Heather A. Joseph & Megan McLaughlin & Dorette Quintana English & Carmen Olmedo & Matt Roach & Carmen Tirdea & Jason Vargo & Matt Wolff & Emily York, 2022. "Overcoming Barriers to Successful Climate and Health Adaptation Practice: Notes from the Field," IJERPH, MDPI, vol. 19(12), pages 1-19, June.
    6. Stephenie C. Lemon & Heather A. Joseph & Samantha Williams & Claudia Brown & Semra Aytur & Katherine Catalano & Stacey Chacker & Karin V. Goins & Linda Rudolph & Sandra Whitehead & Sara Zimmerman & Pa, 2023. "Reimagining the Role of Health Departments and Their Partners in Addressing Climate Change: Revising the Building Resilience against Climate Effects (BRACE) Framework," IJERPH, MDPI, vol. 20(15), pages 1-12, July.

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