BACKGROUND The Homeland Security Act (HSA) of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care, the extent to which federal funding has addressed disaster preparedness will be examined. DISCUSSION After 9/11, federal plans, procedures and benchmarks were mandated to assure a unified, comprehensive disaster response, ranging from local to federal activation of resources. Nevertheless, insufficient federal funding has contributed to a long-standing counter-trend which has eroded emergency medical care. The causes are complex and multifactorial, but they have converged to present a severely overburdened system that regularly exceeds emergency capacity and capabilities. This constant acute overcrowding, felt in communities all across the country, indicates a nation at risk. Federal funding has not sufficiently prioritized the improvements necessary for an emergency care infrastructure that is critical for an all hazards response to disaster and terrorist emergencies. SUMMARY Currently, the nation is unable to meet presidential preparedness mandates for emergency and disaster care. Federal funding strategies must therefore be re-prioritized and targeted in a way that reasonably and consistently follows need.

中文翻译：

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当前紧急护理危机及其对备灾的影响。

背景 2002 年的国土安全法案 (HSA) 规定了关键基础设施保护计划的指定。这最终导致紧急服务被指定为有针对性的关键基础设施。在以医院为基础的紧急护理危机不断演变的背景下，将审查联邦资金在多大程度上解决了备灾问题。讨论 9/11 之后，联邦计划、程序和基准被授权以确保统一、全面的灾难响应，范围从地方到联邦资源的激活。然而，联邦资金不足导致了长期的反趋势，这种趋势已经侵蚀了紧急医疗服务。原因是复杂和多因素的，但它们汇合在一起，形成了一个严重负担过重的系统，经常超出应急能力和能力。全国各地社区都感受到这种持续严重的过度拥挤，表明一个国家处于危险之中。联邦资金没有充分优先考虑紧急护理基础设施的必要改进，该基础设施对于应对灾难和恐怖主义紧急情况的所有危害至关重要。总结 目前，国家无法满足总统对紧急和灾难护理的准备要求。因此，必须以合理且始终如一地满足需求的方式重新确定联邦资助战略的优先级和针对性。联邦资金没有充分优先考虑紧急护理基础设施的必要改进，该基础设施对于应对灾难和恐怖主义紧急情况的所有危害至关重要。总结 目前，国家无法满足总统对紧急和灾难护理的准备要求。因此，必须以合理且始终如一地满足需求的方式重新确定联邦资助战略的优先级和针对性。联邦资金没有充分优先考虑紧急护理基础设施的必要改进，该基础设施对于应对灾难和恐怖主义紧急情况的所有危害至关重要。总结 目前，国家无法满足总统对紧急和灾难护理的准备要求。因此，必须以合理且始终如一地满足需求的方式重新确定联邦资助战略的优先级和针对性。