You may not approve of how Mr. Duncan arrived in Texas, but you can join me in thanking him for exposing our disjointed public health system. He died this morning. But our collective concern about a less than impressive response to communicable disease is NOW alive and well, in part because of the risk he brought home from west Africa. Influenza (now linked to CNS damage in children), dengue fever, and yes, ebola, are all public health risks. There are many more.
The days of ‘government small enough to drown in a bathtub’ spawned mischief like the sequester cuts and the bumper sticker notion that there is ‘no such thing as a good tax’. County health departments across the nation, our first line of defense from and response to public health threats, have been cut or eliminated as a part of the clever crusade of “right sizing”. While it may be fashionable to think public health is not really a public concern worthy of public funding, the predictable outcomes are the result of neglect.
IMHO a ‘good tax’ is one that is an efficient and effective use of our collective resources. I think it is time for the no-good-tax people to ante up.