Good health is vital to economic prosperity. As North Carolina continues to grow, the state must adequately invest in health both inside and outside of clinic walls. This includes funding social, economic, and environmental factors like affordable housing, nutritious schools, and quality education. This project examines how North Carolina invests in health, how those investments have changed over time, and what opportunities lie ahead for North Carolina to better support the health and well-being of all residents.

  • REPORT: Falling public health investments show health is not a priority for N.C.
    This report gives a breakdown of how state investments in the North Carolina Department of Health and Human Services have changed since 2008. It then takes a deeper look at how the state has failed to adequately invest in public health and continues to limit the ability of our local health departments to keep communities healthy. The report concludes by identifying the need to focus on equitable health outcomes to create a culture of health where every North Carolinian can reach their full potential.
  • Report: State EITC could improve the health of North Carolinians
    Reinstating North Carolina’s Earned Income Tax Credit (EITC) as a refundable credit at the national average of 20 percent of the federal credit has the potential to improve life for the 900,000 North Carolinians who are working for low wages that erect barriers to their economic security and health. The link between poverty and poor health is well established. Generous and fully refundable state-level EITCs, together with their federal counterpart, are associated with improved physical and mental health, maternal and infant health, enhanced nutrition, and community well-being.
  • BTC Policy Basic: A Culture of Health for Everyone
    As the state continues to grow, North Carolina cannot afford to leave behind the health of entire communities. By means of the state budget, North Carolina has the tools to invest equitably in systems that ensure all North Carolinians can achieve the highest level of health and wellbeing. Addressing health equity through public investments means focusing spending efforts on communities that face the most significant barriers to achieving good health. The state can support a comprehensive set of investments that serve as the foundation for healthy communities.
  • Health Note: Unemployment Insurance Changes
    This document provides summaries of evidence analyzed by the North Carolina Budget & Tax Center while creating a health note for North Carolina House Bill 713. House Bill 713 has the potential to affect connections to the labor force, employment outcomes, and financial stability. Research has consistently demonstrated a strong link between unemployment and negative health outcomes.
  • Health Note: Modify Homestead Circuit Breaker
    This document provides summaries of evidence analyzed by the North Carolina Budget & Tax Center while creating a health note for North Carolina House Bill 692. House Bill 692 has the potential to affect opportunities to age in place, reduce community harm from foreclosures or displacement, stabilize neighborhoods, and improve the well-being of current residents.
  • Health Note: Education Bond Act of 2019
    This document summarizes evidence analyzed by the North Carolina Budget & Tax Center (BTC) while creating a Health Note for North Carolina House Bill 241. HB 241 presented an opportunity to closely examine the potential effects of school capital funding on health.

Trends in health outcomes and state investments

These infographics take a closer look at trends in health outcomes and state investments over the past decade. They provide a snapshot of the status of health in North Carolina and provide specific reasons why improving health with better investments matters to NC. Download them here:

How to use these infographics

  • Supplement advocacy efforts for comprehensive and sustainable investments in health.
  • Document how funding and health outcomes in North Carolina have changed over the last decade.
  • Share with partners to start or continue the conversation around how public investments play a role in health and wellbeing.
  • Inform lawmakers at all levels of government where North Carolina stands with investments in health and health outcomes.
  • Explain specific reasons why North Carolina would benefit from better investments that improve health and wellbeing.