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The Public Health System

PERSPECTIVE

The Public Health Infrastructure: Rebuild Or Redesign?

Healthy People 2010, like its predecessors, has been termed a roadmap for public health in the next decade.¹ It is ambitious, setting out some 467 objectives in twenty-eight focus areas. But in reality, it has only two overarching goals: to increase the number of years of healthy life, and to eliminate health disparities.

If, in fact, there is a roadmap for public health in the first part of the twenty-first century, it ought to be supported by an appropriate infrastructure. It is as absurd to think we can meet these public health objectives without one as it is to think . . . [Full Text of this Article]

Rebuild or redesign?Can we bring medicine and public health together?Is reliance on "the market" impeding progress?Can we build in accountability?How can we improve quality?

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