The national dialogue on how best to promote health in the United States, and doing so as efficiently as possible, is changing. The United States spends more on health care than other high-income countries but achieves similar or worse outcomes on key health indicators.1 While increased access to high-quality, cost-effective care may be a necessary condition for resolving this paradox, it is clearly not sufficient. Indeed, a wide range of social, economic, and environmental factors may exert a more powerful influence on health and health outcomes.
Shrank WH, Keyser DJ, Lovelace JG. Redistributing Investment in Health and Social Services—The Evolving Role of Managed Care. JAMA. 2018;320(21):2197–2198. doi:10.1001/jama.2018.14987
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