The accuracy of the Public Health Activity Estimate is in question. Those and other data quality issues have impeded accurate accounting of public health expenditures. Enhancements are needed for how public health expenditure data are defined and tracked.
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Relatively little of our national conversation on health is about public health, which is right in line with our spending on public health; less than 3% of that spending goes toward governmental public health, ie public spending through federal, state, and local agencies and services provided by them. This post is also available on the Region V Public Health Training
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City and county governments play a major role in the funding and provision of a broad array of health, public safety, and social services in their communities. Although there is substantial federal and state spending in support of local activities, local governments are a main source of government spending in the US. Local government spending allocations reflect local political priorities
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