The State of Washingtons Secretary of Health, financing appears to be the bane of virtually all Public Health Systems. Funds are generated through a
complex mix of federal, state and local funding and
almost universally are insufficient to meet the health
needs of society (Selecky 2004).
Major funding agencies, such as the federal Centers for Disease Control and Prevention (CDC),
historically appear to find public health less attractive than curative services. Although the CDC has
increased its funding for public health from approximately $4 billion in 2000 to$8.4 billion in 2006,
most of the increase was for terrorism preparedness
rather than core public health functions. A review of
CDCs appropriated funds indicates that 80% goes
to states and private partners to support categorical
health programs and services, but little is distributed
for core public health services. Even high profile
disease programs like HIV are seeing substantial decreases. (Levi, Juliano, and Richardson 2004
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