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Mandate for Leadership: The Conservative Promise
ENDNOTES
1. U.S. Department of Health and Human Services, Strategic Plan, FY 2018–2022, p. 50, https://aspe.hhs.gov/
sites/default/files/documents/feac346aca967bfadc446398679e14ec/hhs-strategic-plan-fy-2018-2022.pdf
(accessed February 7, 2023).
2. “Strategic Goal 1: Protect and Strengthen Equitable Access to High Quality and Affordable Healthcare” in ibid.
“In the context of HHS, this Strategic Plan adopts the definition of underserved communities listed in Executive
Order 13985: Advancing Racial Equity and Support for Underserved Communities through the Federal
Government to refer to ‘populations sharing a particular characteristic, as well as geographic communities,
who have been systematically denied a full opportunity to participate in aspects of economic, social, and civic
life’; this definition includes individuals who belong to underserved communities that have been denied such
treatment, such as Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific
Islanders and other persons of color; members of religious minorities; lesbian, gay, bisexual, transgender, and
queer (LGBTQ+) persons; persons with disabilities; persons who live in rural areas; and persons otherwise
adversely affected by persistent poverty or inequality. Individuals may belong to more than one underserved
community and face intersecting barriers. This definition applies to the terms underserved communities and
underserved populations throughout this Strategic Plan.” Ibid. Emphasis in original.
3. Karen Weintraub, “Americans’ Life Expectancy Continues to Fall, Erasing Health Gains of the Last Quarter
Century,” USA Today, December 22, 2022, https://www.usatoday.com/story/news/health/2022/12/22/us-life-
expectancy-continues-fall-erasing-25-years-health-gains/10937418002/ (accessed February 6, 2023).
4. Apoorva Mandavilli, “The C.D.C. Isn’t Publishing Large Portions of the Data It Collects,” The New York Times,
updated February 22, 2022, https://www.congress.gov/117/meeting/house/114450/documents/HHRG-117-
IF02-20220302-SD004.pdf (accessed March 22, 2023).
5. Zachary B. Sluzala and Edmund F. Haislmaier, “Lessons from COVID-19: How Policymakers Should Reform the
Regulation of Clinical Testing,” Heritage Foundation Backgrounder No. 3696, March 28, 2022, https://www.
heritage.org/public-health/report/lessons-covid-19-how-policymakers-should-reform-the-regulation-clinical.
6. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, “Centers for
Disease Control and Prevention (C),” https://www.cdc.gov/maso/pdf/cdcmiss.pdf (March 16, 2023).
7. Judith Garber, “CDC ‘Disclaimers’ Hide Financial Conflicts of Interest,” Lown Institute Accountability Blog,
November 6, 2019, https://lowninstitute.org/cdc-disclaimers-hide-financial-conflicts-of-interest/ (accessed
February 6, 2023). See also U.S. Department of Health and Human Services, Centers for Disease Control
and Prevention, “CDC Foundation Active Programs (October 1, 2014–September 30, 2015),” https://www.
cdcfoundation.org/sites/default/files/upload/pdf/CDCFoundation-ActivePrograms-FY2015.pdf (accessed
February 7, 2023); “CDC Active Programs (October 1, 2015–September 30, 2016),” https://www.cdcfoundation.
org/sites/default/files/upload/pdf/CDCFoundation-ActivePrograms-FY2016.pdf (accessed February 7, 2023);
“CDC Foundation Active Programs (October 1, 2016–September 30, 2017),” https://www.cdcfoundation.org/
sites/default/files/upload/pdf/CDCFoundation-ActivePrograms-FY2017.pdf (accessed February 7, 2023); “CDC
Foundation Active Programs (October 1, 2017–September 30, 2018),” https://www.cdcfoundation.org/sites/default/
files/upload/pdf/CDCFoundation-ActivePrograms-FY2018.pdf (accessed February 7, 2023); “CDC Foundation
Active Programs, October 1, 2018–September 30, 2019,” https://www.cdcfoundation.org/sites/default/files/upload/
pdf/CDCFoundation-ActivePrograms-FY2019.pdf (accessed February 7, 2023); “CDC Foundation Active Programs,
October 1, 2029–September 30, 2020,” https://www.cdcfoundation.org/CDCF-ActivePrograms-CDC-FY20?inline
(accessed February 7, 2023); and “CDC Foundation Active Programs, October 1, 2020–September 30, 2021,”
https://www.cdcfoundation.org/CDCF-ActivePrograms-CDC-FY21?inline (accessed February 7, 2023).
8. Joel White and Doug Badger, “In Order to Defeat COVID-19, the Federal Government Must Modernize Its
Public Health Data,” Heritage Foundation Backgrounder No. 3527, September 3, 2020, https://www.heritage.
org/sites/default/files/2020-09/BG3527_0.pdf.
9. S. 15, Ensuring Accurate and Complete Abortion Data Reporting Act of 2023, 118th Congress, introduced
January 23, 2023, https://www.congress.gov/118/bills/s15/BILLS-118s15is.pdf (accessed March 22, 2023), and
H.R. 632, Ensuring Accurate and Complete Abortion Data Reporting Act of 2023, 118th Congress, introduced
January 30, 2023, https://www.congress.gov/118/bills/hr632/BILLS-118hr632ih.pdf (accessed March 22, 2023).
10. Doug Badger, “How Congress Can Make Real Progress on Drug Prices,” Heritage Foundation Issue Brief No.
5016, December 9, 2019, https://www.heritage.org/sites/default/files/2019-12/IB5016_1.pdf.
— 499 —
Department of Health and Human Services
11. Sluzala and Haislmaier, “Lessons From COVID-19: How Policymakers Should Reform the Regulation of
Clinical Testing.”
12. Ibid.
13. H.R. 5471, Clinical Laboratory Improvement Amendments of 1988, Public Law No. 100-578, 100th Congress,
October 31, 1988, https://uscode.house.gov/statutes/pl/100/578.pdf (accessed March 17, 2023).
14. Sluzala and Haislmaier, “Lessons From COVID-19: How Policymakers Should Reform the Regulation of
Clinical Testing.”
15. Edmund F. Haislmaier, “Ensuring Americans’ Access to Pharmaceuticals: A Primer and Road Map for
Policymakers,” Heritage Foundation Backgrounder No. 3545, October 20, 2020, https://www.heritage.org/
sites/default/files/2020-10/BG3545.pdf.
16. 18 U.S.C. 1461, https://www.law.cornell.edu/uscode/text/18/1461 (accessed March 16, 2023), and 18 U.S.C. 1462,
https://www.law.cornell.edu/uscode/text/18/1462 (accessed March 16, 2023).
17. H.R. 1308, Religious Freedom Restoration Act of 1993, Public Law No. 103-141, 103rd Congress, November 16,
1993, https://www.congress.gov/103/statute/STATUTE-107/STATUTE-107-Pg1488.pdf (accessed March 18, 2023).
18. Charles Piller, “Is FDA’s Revolving Door Open Too Wide?” Science, Vol. 361, No. 6397 (July 6, 2018), p. 21,
https://www.science.org/doi/epdf/10.1126/science.361.6397.21 (accessed February 6, 2023).
19. Joel Achenbach, “NIH Halts $100 Million Study of Moderate Drinking That Is Funded by Alcohol Industry,” The
Washington Post, May 17, 2018, https://www.washingtonpost.com/news/to-your-health/wp/2018/05/17/nih-
halts-controversial-study-of-moderate-drinking/ (accessed February 6, 2023).
20. Alexander Tin, “Moderna Offers NIH Co-ownership of COVID Vaccine Patent amid Dispute with Government,”
CBS News, November 15, 2021, https://www.cbsnews.com/news/moderna-covid-vaccine-patent-dispute-
national-institutes-health/ (accessed February 6, 2023).
21. Informed Consent Action Network, “NIH Officials Profiting from COVID-19 Vaccine,” June 3, 2021, https://www.
icandecide.org/nih-officials-profiting-from-covid-19-vaccine/ (accessed February 6, 2023).
22. Adam Andrzejewski, “Substack Investigation: Fauci’s Royalties and the $350 Million Royalty Payment
Stream HIDDEN by NIH,” Open the Books Substack, May 9, 2022, https://openthebooks.substack.
com/p/faucis-royalties-and-the-350-million?utm_source=/profile/24758236-adam-andrzejewski&utm_
medium=reader2&s=w (accessed February 6, 2023).
23. Robert E. Moffit, “Time to Reverse Hospital Market Consolidation,” Heritage Foundation Commentary, January 5,
2022, https://www.heritage.org/health-care-reform/commentary/time-reverse-hospital-market-consolidation.
24. H.R. 3590, Patient Protection and Affordable Care Act, Public Law No. 111-148, 111th Congress, March 23, 2021,
https://www.congress.gov/111/plaws/publ148/PLAW-111publ148.pdf (accessed March 16, 2023).
25. Brian J. Miller, Robert E. Moffit, James Ficke, Joseph Marine, and Jesse Ehrenfeld, “Reversing Hospital
Consolidation: The Promise of Physician-Owned Hospitals,” Health Affairs Forefront, April 12, 2021, https://
www.healthaffairs.org/do/10.1377/forefront.20210408.980640/ (accessed February 13, 2023).
26. Robert E. Moffit, “Medicare’s Future: Challenges and Opportunities,” testimony before the Special Committee
on Aging, U.S. Senate, November 21, 2022, https://www.heritage.org/testimony/medicares-future-challenges-
and-opportunities.
27. 42 U.S. Code § 256b, https://www.law.cornell.edu/uscode/text/42/256b (accessed March 16, 2023).
28. H.R. 3590, Patient Protection and Affordable Care Act, § 3022.
29. H.R. 5376, Inflation Reduction Act of 2022, Public Law No. 117-169, 117th Congress, August 16, 2022, https://
www.congress.gov/117/plaws/publ169/PLAW-117publ169.pdf (accessed March 16, 2023).
30. Robert E. Moffit, “Reducing Patient Access to New Medications Is the Left’s Latest Medicare Price-Fixing
Scheme,” Heritage Foundation Commentary, July 22, 2022, https://www.heritage.org/medicare/commentary/
reducing-patient-access-new-medications-the-lefts-latest-medicare-price-fixing, and Badger, “How Congress
Can Make Real Progress on Drug Prices.”
31. Nina Owcharenko Schaefer, “Medicaid at 55: Understanding the Design, Trends, and Reforms Needed to
Improve the Health Care Safety Net,” Heritage Foundation Backgrounder No. 3604, April 14, 2021, https://
www.heritage.org/sites/default/files/2021-04/BG3604_0.pdf, and Brian C. Blase, “Punishing Conservative
States: Payment Cuts to Hospitals Where Federal Spending Is Already Low,” Paragon Health Institute,
December 2021, https://paragoninstitute.org/wp-content/uploads/2022/06/Punishing-Conservative-States-
HTML.html (accessed February 13, 2023).