Author Affiliations: Department of Health Management and Policy, Center for Law, Ethics, and Health, University of Michigan School of Public Health, Ann Arbor (Mr Jacobson); and the O’Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC (Mr Gostin).
The public health system is in serious trouble. With declining public investments and an aging workforce, the system is under severe stress. Public health services previously taken for granted, such as immunizations, surveillance, and environmental health, can no longer be guaranteed. Reforming the public health system is therefore imperative. The Patient Protection and Affordable Care Act (PPACA) (Pub L No. 111-148) will improve state and local capacity, but not nearly enough to safeguard the public's health.
Jacobson PD, Gostin LO. Restoring Health to Health Reform. JAMA. 2010;304(1):85-86. doi:10.1001/jama.2010.917