Our Health Policy Matters

More than 11 million American adults with mental illnesses – 4.5 million of them with serious mental illnesses – are not receiving care today.  So it may not be unreasonable to conclude that the history of public mental health services over the last century can be summed up in a single brief sentence.  We replaced the chains of institutions with a chain of neglect. I have argued that this chain of neglect typically begins when children with mental health needs are still young, and continues throughout their lives.  And that it often has tragic consequences. Why is it so important that we talk about breaking it now, the month after Sandy Hook and almost exactly two years since the mass shooting in Tucson? It is because tragedies like those in Sandy Hook and Tucson remind us that it is wrong to balance budgets on the backs of children and young adults with mental illness and expect that there will be no consequences. This is a sensitive, and even com...

More than 11 million American adults with mental illnesses – 4.5 million of them with serious mental illnesses – are not receiving care today.  So it may not be unreasonable to conclude that the history of public mental health services over the last century can be summed up in a single brief sentence.  We replaced the chains of institutions with a chain of neglect. I have argued that this chain of neglect typically begins when children with mental health needs are still young, and continues throughout their lives.  And that it often has tragic consequences. Why is it so important that we talk about breaking it now, the month after Sandy Hook and almost exactly two years since the mass shooting in Tucson? It is because tragedies like those in Sandy Hook and Tucson remind us that it is wrong to balance budgets on the backs of children and young adults with mental illness and expect that there will be no consequences. This is a sensitive, and even com...

The next time Florida’s Governor tells you that the only way to create private sector jobs is to cut public sector health spending, don’t believe him.   According to news reports , the Governor’s Office is already warning state health agencies to expect more budget cuts in 2012.   He wants the dollars to implement his 7-7-7 plan to create 700,000 jobs in 7 years. source: US DOL data, 2011 How’s the plan working out for Florida so far? Dismally, by two different measures.   The first is the 2011 state unemployment claims data.   The second is the story of why Florida just lost another 7,500 jobs in health research. The 2011 unemployment data show that Florida’s Governor has been more effective at killing jobs than creating them.   The week before Governor Scott took office, 14,139 Floridians lost their jobs and filed new unemployment claims.   In 36 of the 37 weeks since then, the number has been higher than that.   Another 15,713 Florid...

The next time Florida’s Governor tells you that the only way to create private sector jobs is to cut public sector health spending, don’t believe him.   According to news reports , the Governor’s Office is already warning state health agencies to expect more budget cuts in 2012.   He wants the dollars to implement his 7-7-7 plan to create 700,000 jobs in 7 years. source: US DOL data, 2011 How’s the plan working out for Florida so far? Dismally, by two different measures.   The first is the 2011 state unemployment claims data.   The second is the story of why Florida just lost another 7,500 jobs in health research. The 2011 unemployment data show that Florida’s Governor has been more effective at killing jobs than creating them.   The week before Governor Scott took office, 14,139 Floridians lost their jobs and filed new unemployment claims.   In 36 of the 37 weeks since then, the number has been higher than that.   Another 15,713 Florid...