Every week, CQ Roll Call takes the burning issues of healthcare straight to our experts at Thomson Reuters.

15 May 2012Thomson Reuters Healthcare
This week, CQ HeathBeat addressed the Republican-proposed slashing of the Prevention and Public Health fund. The report says draining the fund is the Republicans attempt to prevent the doubling of student loan interest rates this June. Senate Majority Leader Harry Reid (D, Nevada) has countered with preventing the hikes by closing of a corporate tax loophole.
Ray Fabius, Michael L. Taylor, Michael R. Udwin and William Bithoney of Thomson Reuters tackle this issue by fielding questions from Dena Bunis, CQ HealthBeat Managing Editor.
Q. Is the Prevention Fund as important to women’s health as the Democrats said during this debate?
Fabius. There are three levels of prevention; primary, secondary and tertiary. Primary prevention is gender balanced. Immunizations, seat belt usage and health lifestyles benefit both men and women. Tertiary prevention or chronic care management is also equally beneficial to both sexes. However, secondary prevention or health screening does serve women’s health to a greater extent. There are no equivalences for mammography and PAP smears in men’s health programs.
Taylor. A small percentage of the healthcare costs in the U.S. are spent on preventing disease; most of the dollars are spent on illness treatments. Preventing disease is more cost efficient than treating disease. Breast and cervical cancer screening are important elements of the prevention strategy. Most cervical cancer is found in women who have not had cervical cancer screening, so diverting funds from this effort is likely to decrease the screening rate. If the cancer prevalence rises, so will the overall cost of treating the cancer. Political grandstanding occurs on both sides of the isle, but cancer screening efforts need to be encouraged and funded.
Udwin. No doubt screening efforts are an integral component of any population health program. However, it is unclear whether this is the only path to both funding and implementation.
Bithoney. Student loans recently passed credit card debt as the number one source of debt in the U.S. Thus, this issue is far from trivial. Allowing student loan interest rates to increase so substantially will be problematic for future generations and for our economy. The Prevention Fund is quite important and funds prevention care and screening when other sources are unavailable. This is a crucial health need. Public health officials have requested such a program for years. However, what is truly needed is comprehensive healthcare access for those who at present lack it, so as to obviate such ongoing battles. With a one-year fix as described above, this political and fiscal problem will recur repeatedly.
Q. What would be the practical impact of the Prevention Fund being eliminated? (more…)