There isn’t a complete information on authorities public well being spending and staffing within the U.S., and KHN and the Related Press spent months gathering totally different datasets, every measuring a barely totally different idea of “public well being,” into a singular repository of public well being information on the native, county and state ranges.
Now, we’re releasing our public well being infrastructure information on Github for journalists, researchers and readers to make use of.
The U.S. public well being system has been starved for many years and lacks the assets to confront the worst well being disaster in a century. Since 2010, spending for state public well being departments has dropped by 16% per capita and spending for native well being departments has fallen by 18%, in line with a KHN and AP evaluation of presidency spending on public well being. At the least 38,000 state and native public well being jobs have disappeared for the reason that 2008 recession, leaving a skeletal workforce for what was as soon as seen as one of many world’s prime public well being programs.
Learn the total story and methodology behind this investigation.
Some datasets observe solely state public well being programs, not businesses that function at a county, metropolis or regional stage. Different information, together with some from the U.S. Census Bureau, covers spending on all non-hospital well being care. Public well being efforts are blended in with the prices of offering native medical transportation, operating group clinics and providing psychological well being companies.
Many states don’t observe native well being division spending and staffing in any respect, however we gathered it from a number of states that had it out there in PDF stories, Excel information and on-line dashboards. We’re making this cleaned and standardized information out there so native journalists and others can dig into their public well being programs with out having to repeat the identical information janitorial work.
To obtain the information and browse the total technical methodology, go to our ‘Underfunded and Below Risk’ Github repository.