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The U.S. emergency care system is "fragmented and stretched to the breaking point," "severely compromised in its ability to handle disasters," and funded in a drastically uneven manner from state to state. Such are the findings of two groups that are closely tracking the disaster response capacity of the nation's health care system.
The Institute of Medicine spent three years studying U.S. emergency care and found that "only a tiny fraction of federal funding for emergency preparedness since 9/11 has been spent on medical preparedness." Despite medical responders' crucial role in disasters, they received a scant four percent of DHS's emergency preparedness budget in 2002 and 2003, and only five percent of the funding from the Bioterrorism Hospital Preparedness Program.
IOM listed three main institutional problems that are draining hospital preparedness: the boarding of patients in emergency departments until regular beds are ...