A significant portion of the $2.8 trillion we spend on health care is allocated to direct medical care services, although the availability and quality of medical care services account for just 10 to 15 percent of health outcomes. In contrast, an estimated 40 percent of deaths are caused by behaviors that could be modified by preventive, population-based interventions, but only account for a fraction a of health spending. These include behaviors such as smoking, violence, physical inactivity, poor nutrition, and substance abuse – factors that our current health care system addresses unreliably or not at all. Recognizing this disproportionate . . .
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