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For nearly 60 years, public health authorities have labeled the linkage of heart disease and several cancers with cigarette smoking as a public health “crisis.”1 Noted authorities also have cited obesity as “epidemic,” and a “crisis” for the public health community resulting from some 3 decades of decline in both physical activity and wise nutritional choices.2 Furthermore, numerous scientists, physicians, and organizations call the emergence of opioid use and addiction during the past decade as America’s new “public health emergency”3 and a “public health crisis.”4-7 Even in the past year the phenomenon of vaping and the skyrocketing sales of e-cigarettes have contributed to the widespread use of the term “crisis” in the public health lexicon.8-10 It is possible that COVID-19’s emergence requires that public health officials, social scientists, elected officials, and others of influence in decision-making and policymaking reassess the definition of what constitutes a “public health crisis.” Moreover, the scourge of COVID-19 has revealed the foolhardiness of years of neglecting or underfunding health education and services in schools, the fragility of America’s education system, and the vulnerability of America’s older adult population. In this commentary, we review the consequences of inaction by policymakers for citizens of the United States (US), despite there being a rich history of evidence-based studies, recommendations, and appeals.

Years of Neglecting Young and Old: Paying the Piper during COVID-19 – A Commentary