“…3,7 Meanwhile, other scientific voices argue that public health spending is essential for the equity and affordability of health service and thus that public health spending is necessary. 8,9 Regarding the outcomes of public health spending, some studies use single indicators like mortality (eg, all-cause mortality, infant mortality, maternal mortality) or life expectancy, 3,4,[10][11][12] while others focus on public health expenditure's effects of curbing epidemics because the epidemics have the nature of being "public." [13][14][15] In this article, we use tuberculosis (TB), a severe and prevalent disease, as the key indicator of health outcomes to evaluate the costeffectiveness of public health expenditure.…”