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PerspectiveFundamentals of Public HealthFree Preview

The Patchwork U.S. Public Health System

List of authors.
  • Megan Wallace, Dr.P.H.,
  • and Joshua M. Sharfstein, M.D.

The U.S. public health system is an uneven patchwork. In the shadow of a pandemic, understanding this haphazard architecture is a step toward elucidating the U.S. paradox of enormous health expenditures but poor outcomes for population health.

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Funding and Disclosures

Disclosure forms provided by the authors are available at

This article was published on January 1, 2022, at

Author Affiliations

From the Department of Epidemiology (M.W.) and the Department of Health Policy and Management (J.M.S.), Johns Hopkins Bloomberg School of Public Health, Baltimore.

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