Health Affairs September 22, 2020
Kathleen Murphy, Keshia M. Pollack Porter

The largest gain in life expectancy in human history happened during the twentieth century and resulted from public health achievements, not medical or economic ones. This first public health revolution significantly increased lifespan through public water treatment, food inspection, waste management, motor vehicle safety, and safe workplaces. Each of these changes came from policies and practices led by public health professionals.

It is time for a second public health revolution—one that prioritizes human health, well-being, and equity when making federal laws. The significant divide in our society can be broken down by race, ethnicity, age, geography, ability, and so much more, and illustrated by health disparities. Health inequities are pervasive and evidenced by the growing disparities in life expectancy that...

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