evidence: A review of public health funding in the United States, before and after the release of the 2002 IOM report, does not project confidence in a country committed to reducing preventable deaths. Using the OECD model for public health funding, the U.S. allots approximately three percent of total national health spending for nonclinical health or "public health" improvement efforts. Matters deteriorate further at the state level; according to a 2016 report from the Trust for America’s Health, Missouri ranks 49th out of 50 states, with a per capita public health spending of $5.90 per person.