The United States spends twice what most other industrialized nations spend on health care, yet ranks 24th out of 30 such nations in terms of life expectancy. America spends 3 percent of health care dollars on preventing diseases (as opposed to treating them), when 75 percent of costs are associated with preventable conditions. To adequately meet prevention needs, and to control unsustainable growth in health care costs, a 2012 Institute of Medicine (IOM) report recommended that the U.S. increase federal funding for public health and prevention by $12 billion annually. According to a report recently published by the American Public Health Association, a key first step toward meeting this need is the Prevention and Public Health Fund, a mandatory fund for prevention and public health programs created by the Affordable Care Act (ACA). The purpose of the Fund is to provide a stable and increased investment in activities that will enable communities to stay healthy in the first place, and it was designed to gradually build from $500 million in FY 2010 to $2 billion per year by FY 2015. Despite a recent legislative reduction of $6.25 billion over nine years to help postpone a cut in Medicare physician payments, and some use of the Fund to replace existing appropriations, the Fund still represents a crucial investment in the health of communities and in the nation’s long term fiscal health.

Although the United States spends more than any other country on health care, the country continues to lag behind the rest of the industrialized world in life expectancy and child morality. In a report commissioned by the Robert Wood Johnson Foundation and authored by Institute of Medicine (IOM), the authors argue that this discrepancy is attributable to the underfunded public health system. The report calls for...

The Affordable Care Act (ACA) created the Prevention and Public Health Fund, a 10-year, $15 billion commitment to support programs, medical screenings, and research related to public health and prevention. This national commitment to investment in preventing disease before it occurs is in line with evidence from a variety of recent reports and studies indicating that strategic investments in proven, community-based prevention programs could result in significant U.S. health care cost savings and overall economic cost savings. The Robert Wood Johnson Brief, "Return Investments in Public Health: A Summary of Groundbreaking Research Studies," summarizes the findings and recommendations from four major studies released between 2008 and 2011.