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In This Issue of JAMA
October 25, 2016


JAMA. 2016;316(16):1615-1617. doi:10.1001/jama.2015.14549

During the past decade, health care in the United States has been characterized by advances in medical science and care delivery, new forms of financing, and growing attention to wellness and prevention. However, alongside these advances are ongoing challenges of rising costs, disparities in health status and access, and health care quality that may fail to equal the quality of care in other high-income nations. To address these challenges and in anticipation of a new presidential administration, the National Academy of Medicine launched a policy initiative, Vital Directions for Health & Health Care. A steering committee identified 19 priority focus areas that reflect 3 overarching themes to guide US health care reform: better health and well-being, high-value health care, and strong science and technology. Working groups comprising more than 100 leading scientists, researchers, and policy makers compiled information and contributed expert opinion to inform debate and decisions regarding these 19 health care priorities.

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