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Instigating Public Health Set-Asides: Deepwater Horizon as a Model

机译:煽动公共卫生集 - 依据:深水地平线作为模型

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摘要

It has often been stated emphatically that you cannot solve problems simply by throwing money at them. Yet that aphorism may not hold true for public health—since it has seldom been tested. On a grander scale, perhaps the best example has been the Tobacco Master Settlement Agreement, which led to the formation of the American Legacy Foundation. Pointedly, even this exemplar must be qualified, given its underlying basis was premised upon Medicaid costs to care for smokers, and that only $25 million of the $25 billion settlement went to Legacy, or 0.1%. Moreover, the vast majority of state dollars derived from the agreement have gone to roads, bridges, and tax reductions, with literally 2% directed at preventing the impact of tobacco.3 Arguably, this makes the medical settlement stemming from the Deepwater Horizon disaster stand out, with $105 million dedicated to building resilience among underserved communities severely impacted by the oil spill—populations already adversely affected by Hurricane Katrina and countless less well-known environmental catastrophes and economic setbacks that were superimposed on long-standing poor health outcomes including high rates of cancer, heart disease, stroke, obesity, and diabetes.
机译:它经常着重说明你不能只是通过扔钱来解决问题。然而,对于公共卫生而言,口动可能不会持有真实 - 因为它很少被测试。在较大的规模,也许最好的例子是烟草大师和解协议,导致了美国遗产基础的形成。据点,即使这一示例也必须有资格,鉴于其基础是在医疗补助金额对吸烟者照顾吸烟者的基础上,而且只有250亿美元的250亿美元的定居点遗产,或0.1%。此外,源于该协议的绝大多数州美元已经达到道路,桥梁和税收,从实际上是2%的指导,在防止烟草的影响方面可以说,这使得医学结算源于深水地平线灾难站竭尽全力致力于在由飓风泄露的漏洞群体受到飓风群体和无数众所周知的环境灾难和经济挫折的不受欢迎的社区之间致力于建立韧性,这些灾难性受到严重影响,这些灾难性较为困扰,包括高差价癌症,心脏病,中风,肥胖症和糖尿病。

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