The Coalition for Health Funding is extremely concerned about the inadequate
funding proposed in the FY 2004 Labor-HHS-Education appropriations bill
that will be considered by the Senate later this week, for programs vital
to the health of the American people.
Overall, the bill provides a less than inflationary increase for the
programs of the Public Health Service under the jurisdiction of the Labor-HHS-Education
Subcommittee at a time when the nation is faced with new and renewed threats
to health, including:
New and re-emerging infectious diseases, such as SARS, West Nile
virus, and Monkeypox;
Increased HIV infection rates among women, people of color, and
young people in the U.S. population as well as still emerging chronic
liver disease from Hepatitis C, and growing multi-drug resistant Tuberculosis;
Growing microbial resistance to drugs used to treat common infections;
Rapidly increasing numbers of individuals with chronic diseases
such diabetes, asthma, heart disease, stroke, kidney disease and cancer
-- 7 of 10 Americans, or 1.7 million people -- die of chronic diseases
each year and consume roughly 75 percent of all annual health care costs;
Persisting health disparities, for example, infant mortality rates
for African Americans are twice that of the white population and Latinos
are twice as likely to die from diabetes;
Growing shortages of pediatric dentists, pharmacists, medical laboratory
personnel, allied health,
nursing, and public health professionals throughout the country, for example,
the latest projections
from the U.S. Bureau of Labor Statistics published in November 2001, indicate
more than one
million new and replacement nurses will be needed by 2010;
54 million Americans are living with disabilities;
41 million Americans do not have health insurance.
These challenges are occurring at a time when the continued need to elevate
our national preparedness against the threat of biological, nuclear and
chemical terrorism commands a greater share of limited resources for public
health at the national, state, and local level. Indeed, the recent outbreak
of SARS demonstrates how truly strained our public health system is, even
after the increased funding post 9/11. Moreover, all of these demands
on the nations health system are occurring as states face their
greatest budget crisis since the end of World War II, eliminating the
possibility that they can make up the shortfalls created by insufficient
funding at the federal level.
The Coalition for Health Funding has determined that the Public Health
Service agencies in this bill need an additional $6 billion above what
has been proposed by the Appropriations Committee to meet the health challenges
that confront us. Recognizing that a healthy America is a strong America,
the failure to support these programs adequately jeopardizes our health,
our productivity, and our national security.
Sincerely,
AIDS Action Council
Ambulatory Pediatric Association
American Academy of Pediatrics
American Association for Dental Research
American Association for Geriatric Psychiatry
American Association of Colleges of Nursing
American Association of Colleges of Pharmacy
American Association of Physician Assistants
American College of Cardiology
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 Foundation for AIDS Research
American Heart Association
American Lung Association
American Nurses Association
American Pediatric Society
American Psychological Association
American Psychological Society
American Public Health Association
American Society for Microbiology
American Society of Nephrology
Association of American Medical Colleges
Association of Maternal and Child Health Programs
Association of Medical School Pediatric Department Chairs
Association of Public Health Laboratories
Association of State and Territorial Health Officials
Association of Teachers of Preventive Medicine
Association of University Centers on Disabilities
Association of Womens Health Obstetric and Neonatal Nurses
Cystic Fibrosis Foundation
Developmental Disabilities Research Association
March of Dimes
NAADAC, The Association for Addiction Professionals
National Association of Childrens Hospitals
National Association of County and City Health Officials
National Family Planning and Reproductive Health Association
National Mental Health Association
Society for Adolescent Medicine
Society for Neuroscience
Society for Pediatric Research