0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Medical News & Perspectives |

Shutdown Underscored Vulnerability of US Public Health and Biomedical Research to Political Wrangling

Bridget M. Kuehn, MSJ
JAMA. 2013;310(18):1907-1909. doi:10.1001/jama.2013.281654.
Text Size: A A A
Published online

Extract

The federal shutdown in October left US public health and biomedical research systems reeling and exposed their vulnerability to national politics. The shutdown reduced staffing at the federal health agencies, crippling many programs and cutting off funding for health services, research laboratories, and other efforts that depend on federal support.

The interruption of public health efforts raised major concerns as the nation entered peak seasons for influenza and other communicable diseases. Troubling stories emerged in the media about hundreds of patients who could not enroll in cancer clinical trials at the National Institutes of Health (NIH) Clinical Center because new trials had been stopped (http://wapo.st/1glMSxk) and about vulnerable families at risk of losing their federal food aid (http://onforb.es/18sraDB).

Figures in this Article

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption

Graphic Jump LocationImage not available.

The 16-day federal shutdown caused both immediate and long-term problems for US public health and biomedical research.

Place holder to copy figure label and caption

Graphic Jump LocationImage not available.

About half of the US Department of Health and Human Services staff were furloughed (based on the agency’s contingency plan), but some of the agency’s units were hit harder than others.

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();