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Invited Commentary
Nov 28, 2011

Being Successful at Prevention: Making It Easy to Do the Right ThingComment on “Improving Care After Myocardial Infarction Using a 2-Year Internet-Delivered Intervention”

Author Affiliations

Author Affiliations: Department of Cardiology (Dr Steinhubl), Geisinger Health System (Drs Steinhubl, Bloom, and Darer), Danville, Pennsylvania.

Arch Intern Med. 2011;171(21):1917-1919. doi:10.1001/archinternmed.2011.532

Superior doctors prevent disease.” While this may seem like a timely catchphrase in an era of accountable care organizations and medical homes, this adage is anything but new. In fact, it was a central theme of The Yellow Emperor's Classic of Medicine,1 penned more than 2 millennia ago, and it most assuredly has been asserted in some form or another by every generation of health care instructors since then. The prevention of cardiovascular (CV) disease is a particularly critical target for implementing optimal preventive strategies. Not only is CV disease the leading cause of death, but it also is the most costly disease in the United States. Currently, it accounts for 17% of all US health care expenditures.2 By 2030, barring substantial improvements in disease prevention, the combined direct and indirect cost of CV disease in the United States is projected to top $1 trillion dollars.2

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