Hollowed-Out Public Health System Faces More Cuts Amid Virus
The U.S. public health system has been starved for decades and lacks the resources necessary to confront the worst health crisis in a century. An investigation by The Associated Press and KHN has found that since 2010, spending for state public health departments has dropped by 16% per capita and for local health departments by 18%. At least 38,000 public health jobs have disappeared, leaving a skeletal workforce for what was once viewed as one of the world’s top public health systems. That has left the nation unprepared to deal with a virus that has sickened at least 2.6 million people and killed more than 126,000.
How We Reported ‘Underfunded And Under Threat’
To assess the state of the public health system in the United States, KHN and The Associated Press analyzed data on government spending and staffing at national, state and local levels. Here’s what data we used and how we did it.
Six Takeaways Of The KHN-AP Investigation Into The Erosion Of Public Health
KHN and The Associated Press sought to understand how decades of cuts to public health departments by federal, state and local governments has affected the system meant to protect the nation’s health. Here are six key takeaways from the KHN-AP investigation.
Trabajadora esencial recibe una factura pandémica de $1,840 por COVID
Ten cuidado si tu médico te envía a la sala de emergencias para una prueba de COVID, porque cualquier atención adicional que recibas allí podría tener un alto precio.
Essential Worker Shoulders $1,840 Pandemic Debt Due To COVID Cost Loophole
Carmen Quintero had symptoms of COVID-19, couldn’t get tested and ended up with a huge bill. She also was told to self-isolate and assume she had the coronavirus — which is hard when you live with elders.
Workers Filed More Than 4,100 Complaints About Protective Gear. Some Still Died.
As health workers were dying of COVID-19, federal work-safety officials filed just one citation against an employer and rapidly closed complaints about protective gear.
Fractured Skulls, Lost Eyes: Police Often Break Own Rules Using ‘Rubber Bullets’
Around the country, police responded to protests in the wake of George Floyd’s death by shooting “less lethal” projectiles, which can seriously hurt and kill. In a joint investigation, KHN and USA TODAY found some officers appear to have violated their department’s own rules when they fired.
Public Health Officials Face Wave Of Threats, Pressure Amid Coronavirus Response
Public health officials are confronting growing pressure — and threats — across the country as the backlash to the coronavirus response continues. At least 27 state and local health leaders have resigned, retired or been fired since April across 13 states.
Exclusive: Nearly 600 — And Counting — US Health Workers Have Died Of COVID-19
The Guardian and KHN release new figures Saturday showing the harsh toll that the pandemic is taking on the front-line health workers.
COVID-Like Cough Sent Him To ER — Where He Got A $3,278 Bill
A dad in Denver tried to do everything right when COVID symptoms surfaced. Still, he ended up with a huge bill from an insurer that had said it waived cost sharing for coronavirus treatment. What gives?
Congress Said COVID-19 Tests Should Be Free — But Who’s Paying?
Some large employers interpreted themselves as exempt from new federal laws that say tests for the coronavirus should be free to patients. Large academic medical centers are holding back from sending bills to these patients to avoid a backlash over surprise billing.
COVID Tests Are Free, Except When They’re Not
Her doctor worried she had COVID-19 but couldn’t test her for it until she ruled out other things. That test cost a bundle.
Her Genetic Test Revealed A Microscopic Problem — And A Jumbo Price Tag
Molecular diagnostics are at the frontier of science, but insurance and billing questions create a minefield for patients.
Hormone Blocker Shocker: Drug Costs 8 Times More When Used For Kids
Two drug implants are nearly identical. The one for children has a list price of $37,300. For adults, the list price is $4,400. One dad fought for his daughter to be able to use the cheaper drug.
Appendicitis Is Painful — Add A $41,212 Surgery Bill To The Misery
A young man averted medical disaster after a friend took him to the nearest hospital just before his appendix burst. But more than a year later, he’s still facing a $28,000 balance bill for his out-of-network surgery.
Hospital Group Mum As Members Pursue Patients With Lawsuits And Debt Collectors
The influential trade association has said little over the years as health systems, including those of its own trustees, seized patients’ incomes and assets. Now it is reevaluating.
Electronic Health Records Creating A ‘New Era’ Of Health Care Fraud
The federal government funneled billions in subsidies to software vendors and some overstated or deceived the government about what their products could do, according to whistleblowers.
Paying It Forward: ‘Bill Of The Month’ Series, A Vital Toolkit For Patients, Wraps Year 2
In our ongoing, crowdsourced investigation with NPR and CBS, we’ve armed future health system pilgrims with the tools they need to avoid exorbitant medical bills and fight back against unfair charges. Here’s a look back at 2019’s stories.
For Her Head Cold, Insurer Coughed Up $25,865
A New York City woman, worried that her sore throat might be strep, got swabbed at her doctor’s office. The sample was sent to an out-of-network lab for sophisticated DNA tests ― with a price tag similar to a new SUV.
Medical Device Failures Brought To Light Now Bolster Lawsuits And Research
Millions of injuries and malfunctions once funneled into a hidden Food and Drug Administration database are now available.