Even though America spends more than $2 trillion annually on health care, tens of millions of Americans suffer every day from preventable diseases. The current public health (PH) system is broken. It is chronically underfunded and outdated. Modernizing public health is urgently needed. This Blueprint is a fed. policy guide with expert recommend. to revitalize the nation¿s ability to protect the health of all Americans. It contains: A vision statement that outlines principles to make disease and injury prevention a cornerstone of America¿s health policies; Recommend. to improve the infrastructure of America¿s PH system; Recommend. for ongoing initiatives and projects; and a Paper that defines the need and scope for a policy agenda to modernize PH. Illus.
Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
During the past decade, tremendous growth has occurred in the use of nutrition symbols and rating systems designed to summarize key nutritional aspects and characteristics of food products. These symbols and the systems that underlie them have become known as front-of-package (FOP) nutrition rating systems and symbols, even though the symbols themselves can be found anywhere on the front of a food package or on a retail shelf tag. Though not regulated and inconsistent in format, content, and criteria, FOP systems and symbols have the potential to provide useful guidance to consumers as well as maximize effectiveness. As a result, Congress directed the Centers for Disease Control and Prevention (CDC) to undertake a study with the Institute of Medicine (IOM) to examine and provide recommendations regarding FOP nutrition rating systems and symbols. The study was completed in two phases. Phase I focused primarily on the nutrition criteria underlying FOP systems. Phase II builds on the results of Phase I while focusing on aspects related to consumer understanding and behavior related to the development of a standardized FOP system. Front-of-Package Nutrition Rating Systems and Symbols focuses on Phase II of the study. The report addresses the potential benefits of a single, standardized front-label food guidance system regulated by the Food and Drug Administration, assesses which icons are most effective with consumer audiences, and considers the systems/icons that best promote health and how to maximize their use.
The American ability to inspire—which we call exceptionalism—is not automatic. It takes continued efforts to be realized in a changing world. In this book, scholars at the Hoover Institution—professors, thinkers, and practitioners of global renown in their respective fields—offer a series of accessible policy ideas for civic, economic, and security architecture that would shore up the long-term foundations of American strengths. Blueprint for America takes a beyond-the-Beltway look at the basic policies that should be prioritized by the next president and Congress. Economists Michael Boskin, John Cogan, John Cochrane, and John Taylor address questions of entitlement reform, deficits, monetary reform, national debt, and regulatory and tax reform. Scott Atlas draws on his experience in the practice of medicine to tackle the Affordable Care Act and propose incentive-based health care reforms. Cochrane returns to reframe the hot-button political discourses on immigration and international trade. Eric Hanushek addresses the current performance--and reform--of K–12 education. Retired admiral James Ellis, retired general Jim Mattis, and Kori Schake offer their visions of how to restore America's national security through proactive and realistic agenda setting. Ellis follows with a rethink of energy security strategy in an era of abundance and James Goodby expounds on the country's practice of diplomacy in a time of turbulent transition. George Shultz draws from his experiences in government, industry, and academia to lead off each section with a range of clear-eyed observations on spending, human resources, foreign policy, and, in conclusion, the art of governance. The spirit of Blueprint for America is positive and grounded in first principles, offering ideas, diagnoses, solutions, and road maps for the long view.
Author: United States. Congress. House. Committee on Appropriations. Subcommittee on the Departments of Labor, Health and Human Services, Education, and Related Agencies
Author: United States. Congress. House. Committee on Appropriations. Subcommittee on the Departments of Labor, Health and Human Services, Education, and Related Agencies
In October 2016, the National Academies of Sciences, Engineering, and Medicine's Roundtable on Population Health Improvement hosted a workshop to explore sustainable financing structures that reflect a recognition of the health and non-health factors that shape the well-being of U.S. communities. The goals of the workshop were to learn from the long-term, sustainable financing strategies used in other sectors, to explore how those approaches could be applied to population health, and to consider structures that work across sectors. This publication summarizes the presentations and discussions from the workshop.
