Health spending and political influence: The case of earmarks and health care facilities

Jonathon P. Leider, Greg Tung, Brian Castrucci, James B. Sprague

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Earmarks, otherwise known as Congressionally directed spending requests, are a historically significant means of political influence over budgets. In this brief, we report on the results of a longitudinal study of federal earmarks affecting health care facilities and public health. We analyzed 10 years of earmark for health care facilities and examined the correlates of being in the top 50% of earmark recipients for each year. Having representatives or senators serving on the respective Appropriations committees were shown to have increased odds of being a top earmark recipient, as was being in jurisdictions with greater poverty. However, health-related measures of need were not significantly associated with being a top earmark recipient.

Original languageEnglish (US)
Pages (from-to)161-166
Number of pages6
JournalJournal of Public Health Management and Practice
Issue number2
StatePublished - Feb 6 2015
Externally publishedYes


  • earmarks
  • health care finance
  • political influence
  • public health finance


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