Correspondence

Letter in Response to FY 2002 Budget Blueprint

February 28, 2001

The President
The White House
Washington, D.C. 20500

Dear Mr. President:

The Coalition for Health Funding sincerely appreciates the need to balance response to national needs and spending controls. However, the Coalition believes that the budget blueprint released today sends a mixed message about the importance of critical federal programs to meet the nation's pressing health care needs in many areas.

The Coalition applauds your recommendations to provide significant increases in FY 2002 for the National Institutes of Health and for Community Health Centers. But these two very important entities within the U.S. Public Health Service cannot possibly meet the entire scope of health care need and health care challenges the U.S. now faces in the 21st century.

This can only be done through strong support for the entire continuum of biomedical, behavioral, and health services research; disease prevention and health promotion; targeted health care delivery for the medically underserved; and education of a health care workforce in adequate numbers to address the breadth of need. It is only when the whole continuum of public health activity is strong that the nation will reap its investment: improved health outcomes.

America continues to experience high and growing numbers of uninsured and unacceptable disparities in health. The nation faces public health threats such as antimicrobial resistance, bioterrorism, and devastating infectious diseases such as HIV/AIDS and others that travel the globe in a matter of hours. Chronic diseases and conditions such as heart disease and stroke, diabetes, asthma and birth defects continue to rob millions of Americans of normal life spans and quality of life and in some cases are assuming epidemic proportions in growth patterns. Mental illness and substance abuse problems are among the nation's most costly health concerns, but receive comparatively few resources. The safety of the nation's food, water, drugs and medical devices depends on a strong, science-based regulatory entity. As the nation ages, we are losing key members of our healthcare workforce that we all rely on, and that those in medically underserved communities absolutely depend on for any measure of healthcare delivery. Finally, undergirding all of these functions is the need to address critical shortages of public health professionals and create a strong public health infrastructure at the local, state and federal levels. This has been the subject of numerous Congressional forums, hearings, and reports in the past several years.

The Coalition for Health Funding appreciates that this first budget presentation is only the first step in the FY 2002 budget cycle. The Coalition is working with your Administration, and will be working with Congress, to increase funding in those areas of the Public Health Service that are not well supported in this first step in the process. The Coalition recommends that all health discretionary spending needs to increase by at least $7 billion in FY 2002 to begin to meet the needs and challenges before the nation. Today's budget blueprint requests only a $2.1 billion increase. This means important increases for the NIH will only be accomplished by cutting spending for many other critical health programs.

The Coalition for Health Funding is a nonprofit alliance of 40 national voluntary and professional associations comprising approximately 40 million health care professionals, lay volunteers, patients and families. The Coalition works in a nonpartisan fashion to ensure that discretionary health spending remains highly visible as Congress and the Administration set federal budget priorities. Founded in 1970, the Coalition is the oldest, most broadly based health coalitions focused on the budget and appropriations process for discretionary programs.

Sincerely,


David B. Moore
President


©2008 Coalition for Health Funding