Budget proposes spending cuts in US public health programmes
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《英国医生杂志》
President Bush抯 proposed 2006 budget includes spending cuts for public health programmes, including those of the Centers for the Disease Control and Prevention.
But the new budget contains increases for some other health programmes and bodies, including Medicare, which provides healthcare insurance to elderly people, and the Food and Drug Administration. President Bush is also requesting money to boost the country抯 emergency stockpile of vaccines and drugs.
The $555m (?94m; �428m) cut in the 2006 budget for the Centers for Disease Control and Prevention (CDC) would result largely from what officials called a "pause" in new building plans and reductions in preventive health programmes. Budget summaries showed that the Atlanta based institution would be authorised to spend $7.5bn during the fiscal year that begins 1 October 2006—$491m less than it is spending this year.
When slight increases in mandatory programmes such as childhood vaccination are taken into consideration, the "discretionary spending" portion of the centres?spending goes down by $555m. The centres would absorb the third largest cut of any agency in the $642bn Department of Health and Human Services budget.
The centres would not have to cut staff under the budget proposal. The budgeted 9087 full-time equivalent employees would represent an increase of 250 over this year. The budget would reduce expenditure on buildings and facilities from $270m this year to $30m next year. "This is a pause in our master building plan," said the centres?chief operating officer, William Gimson. He insisted that the new construction plans were not being ended, however.
The $30m left in the construction budget would be used to finish work on a laboratory in Colorado Springs, Colorado, that will be used to study diseases spread by animals or insects, Mr Gimson said. President Bush also proposed that Congress eliminate a block grants programme that has sent around $131m a year to states, Native American tribes, and territories. The budget explanation said the grants programme was "often duplicative and overlaps with other CDC programs."
But other healthcare programmes and the Food and Drugs Administration would see budget increases. The FDA, part of the Department of Health and Human Services, has asked for $1.9bn for the 2006 fiscal year, a 4.5% increase over the 2005 fiscal year. The FDA requested $180m to better safeguard the nation抯 food supply, an increase of $30.1m on last 2005. It also asked for an additional $5.9m for a review of medical devices and an extra $5m for the Office of Drug Safety, whose total budget would be $33.4m.
Another $304m in increased spending is earmarked to fund community health and health among immigrant groups, including 1200 new or expanded sites serving an additional 6.1 million people. Also, $26m would go towards funding 40 new health centres in counties with high poverty levels.(New York Scott Gottlieb)
But the new budget contains increases for some other health programmes and bodies, including Medicare, which provides healthcare insurance to elderly people, and the Food and Drug Administration. President Bush is also requesting money to boost the country抯 emergency stockpile of vaccines and drugs.
The $555m (?94m; �428m) cut in the 2006 budget for the Centers for Disease Control and Prevention (CDC) would result largely from what officials called a "pause" in new building plans and reductions in preventive health programmes. Budget summaries showed that the Atlanta based institution would be authorised to spend $7.5bn during the fiscal year that begins 1 October 2006—$491m less than it is spending this year.
When slight increases in mandatory programmes such as childhood vaccination are taken into consideration, the "discretionary spending" portion of the centres?spending goes down by $555m. The centres would absorb the third largest cut of any agency in the $642bn Department of Health and Human Services budget.
The centres would not have to cut staff under the budget proposal. The budgeted 9087 full-time equivalent employees would represent an increase of 250 over this year. The budget would reduce expenditure on buildings and facilities from $270m this year to $30m next year. "This is a pause in our master building plan," said the centres?chief operating officer, William Gimson. He insisted that the new construction plans were not being ended, however.
The $30m left in the construction budget would be used to finish work on a laboratory in Colorado Springs, Colorado, that will be used to study diseases spread by animals or insects, Mr Gimson said. President Bush also proposed that Congress eliminate a block grants programme that has sent around $131m a year to states, Native American tribes, and territories. The budget explanation said the grants programme was "often duplicative and overlaps with other CDC programs."
But other healthcare programmes and the Food and Drugs Administration would see budget increases. The FDA, part of the Department of Health and Human Services, has asked for $1.9bn for the 2006 fiscal year, a 4.5% increase over the 2005 fiscal year. The FDA requested $180m to better safeguard the nation抯 food supply, an increase of $30.1m on last 2005. It also asked for an additional $5.9m for a review of medical devices and an extra $5m for the Office of Drug Safety, whose total budget would be $33.4m.
Another $304m in increased spending is earmarked to fund community health and health among immigrant groups, including 1200 new or expanded sites serving an additional 6.1 million people. Also, $26m would go towards funding 40 new health centres in counties with high poverty levels.(New York Scott Gottlieb)