Issue Category: Prevention and Public Health Policy

TFAH Statement on the Braidwood Management v. Becerra Case

 

(Washington, DC – March 30, 2023) – Trust for America’s Health (TFAH) is deeply concerned about the recent ruling in the Braidwood Management v. Becerra case. This decision could restrict millions of Americans’ access to free preventive services that save lives and reduce healthcare costs. As a non-partisan public health policy, research, and advocacy organization dedicated to health promotion and disease prevention, we know the evidence shows that access to prevention is critical for the health and well-being of individuals and families. Coverage of preventive services without patient cost sharing means doctors detect cancers earlier. It means people get the help they need to quit smoking, families receive obesity prevention counseling, and health care providers can screen for behavioral health concerns like depression. Research shows that out-of-pocket costs are a barrier for people to receive life-saving preventive services, and they are an important tool for reducing health disparities. Our nation spends trillions of dollars on treating disease, but only a small fraction of those dollars are used to prevent people from getting sick in the first place. If this decision stands, it will be a step backward for the goal of achieving optimal health for every person and community.

 

 

 

COVID-19 and Drug Overdose Deaths Drive U.S. Life Expectancy Down

(Washington, DC – January 17, 2023) — Data released by the Centers for Disease Control and Prevention in December 2022 showed that U.S. life expectancy decreased from 77 years in 2020 to 76.4 years in 2021, the second consecutive year that U.S. life expectancy decreased. The last time the U.S. experienced a two-year decrease in life expectancy was during World War II.

Age-specific death rates from 2020 to 2021 increased for all age groups other than infants less than one year old. American Indian and Alaska Native females experienced the largest increase in death rates, jumping 7.3 percent in 2021. Lower life expectancy for some populations groups, disproportionately among people of color, have been attributed to the structural inequities and barriers to optimal health that those communities experience.

Heart disease remained the leading cause of death in the U.S. during 2021 followed by cancer and COVID-19. In addition, drug overdose accounted for over a third of all unintentional deaths. During 2021, 106,699 people died in the U.S. due to a drug overdose, a 14 percent increase in the overdose death rate over 2020.

“These data underscore the importance of TFAH’s work to advance public health, prevention, and health equity,” said TFAH President and CEO J. Nadine Gracia, MD, MSCE. “The COVID-19 pandemic has highlighted the impact of social and economic conditions on people’s health and a community’s ability to be resilient during an emergency. TFAH will remain steadfast in advocating for policies that promote optimal health and well-being for every person and community. Among our priorities are supporting policies and programs that will strengthen the nation’s public health workforce and data systems; investment in substance misuse and suicide prevention including school-based mental health services and primary prevention programs; increased investments in chronic disease prevention programs including obesity prevention; and addressing the social determinants of health.”

Learn more about the causes of declining U.S. life expectancy in this TFAH issue brief: U.S. Experienced Steepest Two-year Decline in Life Expectancy in a Century – TFAH

For more on TFAH’s recommendations to improve the nation’s emergency preparedness: Ready or Not 2022: Protecting the Public’s Health from Diseases, Disasters, and Bioterrorism – TFAH

For more on TFAH’s recommendations on needed investments in the nation’s public health system: The Impact of Chronic Underfunding on America’s Public Health System: Trends, Risks, and Recommendations, 2022 – TFAH

For more on TFAH’s recommendations on addressing the nation’s drug, alcohol and suicide crisis: Pain in the Nation 2022: U.S. Experienced Highest Ever Combined Rates of Deaths Due to Alcohol, Drugs, and Suicide During the First Year of the COVID-19 Pandemic – TFAH

For more on TFAH’s recommendations to address the nation’s obesity crisis: State of Obesity 2022: Better Policies for a Healthier America – TFAH

TFAH’s Portal of COVID-19 Resources

The following is a list of TFAH resources and documents related to the novel coronavirus read of COVID-19 and better equip the nation’s public health system to deal with this and future health emergencies.

Press Releases and Statements

20 Public Health Organizations Condemn Herd Immunity Scheme for Controlling Spread of SARS-CoV-2   The virus that causes COVID-19 has infected at least 7.8 million people in the United States and 38 million worldwide. It has led to over 215,000 deaths domestically, and more than 1 million globally – with deaths continuing to climb… read more (October 14, 2020)

Newly Announced Order for Hospitals to Bypass CDC and Send Coronavirus Patient Information Directly to Washington Database Likely to Worsen Pandemic Response Rather than Improve It  The U.S. Centers for Disease Control and Prevention (CDC), as the nation’s lead public health agency, is uniquely qualified to collect, analyze and disseminate information regarding infectious diseases… read more (July 16, 2020)

Nearly 350 Public Health Organizations Implore HHS Secretary Azar to Support CDC’s Critical Role in the COVID-19 Pandemic Response  The expertise of the U.S. Centers for Disease Control and Prevention (CDC) and all public health agencies is critical to protecting Americans’ health during the COVID-19 crisis, said a letter to Health and Human Services Secretary Alex Azar from 347 health and public health organizations released today… read more (July 7, 2020)

Public Health Needs Our Support “As our nation’s struggles to manage the continued surge of COVID-19 cases, we need to strengthen the public health response… read more (June 23, 2020)

Summary of CDC Morbidity and Mortality Weekly Report on COVID-19 Impact Patterns This is the first data reported on U.S. patients and is consistent with findings from other countries. Key takeaways… read more (March 31, 2020)

Trust for America’s Health Statement in Response to Congressional Passage of the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”)
“Congress took an important step today to begin giving public health the resources it needs now to respond to the COVID-19 pandemic. We are seeing in real-time the impact of the chipping away at public health budgets over the past 15 years… read more (March 27, 2020)

Cross-Sector Group of Eighty-eight Organizations Calls on Congress to Address Americans’ Mental Health and Substance Misuse Treatment Needs as Part of COVID-19 Response
A cross-sector group of 88 organizations from the mental health and substance misuse, public health and patient-advocacy sectors are jointly calling on the Trump Administration and Congress to address the immediate and long term mental health and substance misuse treatment needs of all Americans as part of their COVID-19 response… read more (March 20, 2020)

55 Organizations Call for Passage and Fast Implementation of Paid Sick Leave for all Workers as a Critical Part of COVID-19 Response
A cross-sector group of 55 public health, health, labor, business, and social policy organizations are jointly calling on the Trump Administration and Congress to pass and quickly implement a federal paid sick leave law that provides 14 days of such leave to all workers, available immediately… read more (March 13, 2020)

TFAH Applauds Passage of Supplemental Funding for COVID-19 Response: Now Funding Must Move Quickly to States and Other Entities
TFAH applauds Congress’ fast action in approving the Coronavirus Preparedness and Response Supplemental Appropriations Act (H.R 6074). We now call on the tasked federal agencies to move quickly to send the appropriated monies to the agencies and localities working at the frontlines of the COVID-19 crisis… read more (March 5, 2020)

TFAH Statement on COVID-19 Preparations
Now that the U.S. has transitioned from the planning phase to the response phase of the COVID-19 outbreak, the Federal Executive Branch and Congress as well as state and local governments and other stakeholders should prioritize… read more (March 3, 2020)

Congressional Testimony and Sign-on Letters

Commentaries and Op-Eds

Additional News Coverage We Recommend

Coronavirus in the U.S.: Latest Map and Case Count

as compiled by the New York Times

 

 

CDC COVID-19 Information Resources

COVID-19 and Response: Webinars and Briefings

Related Reports

Trust for America’s Health Applauds the Bipartisan Policy Center Report Public Health Forward: Modernizing the U.S. Public Health System

Sustained Investment in the nation’s public health system is critical to safeguarding the nation’s health security and achieving health equity

(Washington, DC – December 2, 2021) – Trust for America’s Health (TFAH) applauds and strongly endorses the Bipartisan Policy Center (BPC) report, Public Health Forward: Modernizing the U.S. Public Health System, released today. The report describes the ways COVID-19 exposed weaknesses in the nation’s public health system and pervasive disparities in conditions that affect Americans’ health. It outlines a five-year vision and actionable framework for how state, territorial and local elected and public health officials can enhance their jurisdiction’s public health infrastructure. TFAH’s President and CEO J. Nadine Gracia, M.D., MSCE and Distinguished Visiting Fellow David Fleming, M.D. served on the report’s Public Health Advisory Group.

The infusion of pandemic relief funds is an opportunity to address the community conditions that negatively impact health, according to the report.  And public health has a critical role to play by addressing health inequities, working to reverse the surge in the number of Americans living with a chronic disease, promoting healthy eating and active living, controlling infectious disease, and preventing injuries.

“BPC’s report is critical reading for policymakers. It provides a roadmap for the public health system our nation’s needs to protect everyone’s health, including communities currently at disproportionate risk due to systemic inequities,” said J. Nadine Gracia, President and CEO of Trust for America’s Health. “The report should guide immediate and sustained investment in public health.”

Many of the report’s policy recommendations align with recent Trust for America’s Health recommendations. Both BPC and TFAH are calling for the following:

  • Increase and sustain predictable and flexible public health funding. TFAH recommends an annual $4.5 billion public health infrastructure fund to support foundational public health capabilities at the federal, state, local, territorial and Tribal levels.
  • Invest in programs to address health inequities, including the root causes of disease and the impact of the social determinants of health.
  • Strengthen public health data collection and sharing. Data should be collected and disaggregated by race, ethnicity and other sociodemographic characteristics so the impacts of policies, interventions and health conditions on specific population and sub-populations groups are known.
  • Invest in the recruitment and retention of a diverse, well-trained public health workforce.
  • Protect public health departments’ ability to make science-based decisions free from inappropriate political influence.

# # #

 

Trust for America’s Health is a nonprofit, nonpartisan organization that promotes optimal health for every person and community and makes the prevention of illness and injury a national priority.