Years of lean state budgets may be threatening Minnesota's national reputation for a sterling public health system, according to a report released Monday by two leading health organizations.
Minnesota ranked 43rd nationally in state funding for public health, with per capita spending of $14.62, about half the national average, according to the analysis conducted by the Trust for America's Health, a nonprofit health advocacy group.
The report came as no surprise to county public health leaders, who described recent austerity measures ranging from layoffs to reassigning restaurant inspectors to help with flu shots.
Between 2008 and 2009 public health spending in the state dropped by $6.5 million to $77 million, the report said.
"That is significant," said Jeffrey Levi, executive director of the group and an associate professor at George Washington University. "That translates into real jobs lost and real services not being delivered."
Minnesota is nationally known for its public health system and for the work of the Minnesota Department of Health. The department has received national recognition for its disease investigations, and the state is known for its high vaccination rates and generally healthy population.
But Levi warned that those could slip as funding slips. "To a lot of folks, the Minnesota public health is a model of how things should be done," he said. "But you can't maintain that if you are cutting budgets."
He also said Minnesotans' robust health is in part due to the state's low rates of uninsurance and good access to health care. But these, too, have been slipping in recent years.