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The U.S. Department of Health and Human Services (HHS) profoundly
affects the lives of all Americans. Its agencies and programs
protect against domestic and global health threats, assure the
safety of food and drugs, advance the science of preventing and
conquering disease, provide safeguards for America's vulnerable
populations, and improve health for everyone. However, the
department faces serious and complex obstacles, chief among them
rising health care costs and a broadening range of health
challenges. Over time, additional responsibilities have been
layered onto the department, and other responsibilities removed,
often without corresponding shifts in positions, procedures,
structures, and resources.
At the request of the U.S. House of Representatives Committee on
Oversight and Government Reform, HHS in the 21st Century assesses
whether HHS is "ideally organized" to meet the enduring and
emerging health challenges facing our nation. The committee
identifies many factors that affect the department's ability to
address its range of responsibilities, including divergence in the
missions and goals of the department's agencies, limited
flexibility in spending, impending workforce shortages, difficulty
in retaining skilled professionals, and challenges in effectively
partnering with the private sector.
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