In the mid-1970s, John Knowles assembled a group of leading health thinkers whose essays were published in Daedalus and then released as a book entitled Doing Better and Feeling Worse: Health in the United States.1 In the decade between 1965 and 1975, health expenditures in the United States had more than tripled, from $39 billion (5.9% of gross domestic product) to $119 billion (8.3% of gross domestic product). The premise of the book, as Knowles explained in his introduction, was that “… there was a profound national concern that, despite a massive increase in health expenditures … the nation’s health has improved less than was promised or expected. The benefits have not appeared to justify the costs.”
Fineberg HV. The State of Health in the United States. JAMA. 2013;310(6):585–586. doi:10.1001/jama.2013.13809
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