Benjamin Franklin's adage that an ounce of prevention is worth a pound of cure is worth remembering at this worrisome time for health care and the economy. The prevalence of chronic illnesses in the United States is projected to increase, from 133 million persons in 2005 to 171 million in 2030.1 Health care spending accounts for 16% of the gross domestic product and may reach 25% by 2025.2 Rising health care costs are eroding corporate profits and threaten Medicare solvency, state budgets, pensions, and the viability of employer-sponsored health insurance. Family medical bills, insurance premiums, and the number of uninsured persons are increasing. Policy makers have proposed solutions (eg, value-based purchasing, consumer-directed plans, information technology), but whether these are enough to alter the spending trajectory or can overcome the political challenges remains unclear.3
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 35
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
All results at
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.