December 21, 2007

Who Has the Power to Improve Public Health?

To the Editor:

Philip Alcabes argues that public health has "turned to dross" because health officials have abandoned "the old model of public health [that] worked so well" ("What Ails Public Health?," The Chronicle Review, November 9). I don't buy his argument.

Few public-health officials — and no midlevel and frontline public-health workers — have the power to make policy, and policy determines what is possible in public health, at least for those who are

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