Professional Documents
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Reducing Health Care Costs by Reducing the Need and Demand For Medical Services
Overall costs were $838 billion in 1992, or more than $3,000 per person. More than 30 million Americans are uninsured, partly because of rising premium costs. The approach largely ignored focuses on reducing the need and demand for medical services.
The main reason to invest in prevention is to promote health and extend life, improve functioning and prevent suffering.
"The Role of Prevention in Health Reform", Russell, Louise B., Ph.D., The New England Journal of Medicine, July 29, 1993;329 (5):352-354.
Cardiovascular disease
The estimated cost for cardiovascular disease in 1994 by the American Heart Association is 128 billion dollars.
Moderately easily achieved lifestyle intervention* results in 82% reduction risk of coronary artery disease. This is much more important than Statins
*No cigarette smoking, moderate physical activity and easy diet changes
Mediterranean dietary pattern in a randomized trial: prolonged survival and possible reduced cancer rate
During a follow-up of 4 years. reduction of risk in experimental subjects compared with control subjects was:
56% (P=.03) for total deaths 61% (P=.05) for cancers 56% (P=.01) for the combination of deaths and cancers.
Arch Intern Med 1998 Jun 8;158(11):1181-7
Exercise
Americans would pay almost any price for a pill that contained all the benefits associated with exercise: increased life expectancy, improved mental health, and decreased disability. Scientific research has shown repeatedly that exercise can benefit both the body and mind.
Statement of Dr. Terrie Wetle Deputy Director, National Institute on Aging
Senate Special Committee on Aging Hearing on Healthy Aging September 14, 1999
Psychosocial Components
psychosocial treatment can improve survival. Those who had a mild or moderate depression had a risk-adjusted 6.5-fold higher likelihood of death compared to MI patients who were not depressed. Those who had psychological stress upon entry into the program had a 3.5-fold increase in the risk of a subsequent cardiac event in the next 2 years.
"hostility" is cardio-toxic
Large National Institute of Health studies ultimately demonstrated that it is this "hostility" component of Type-A behavior which is cardio-toxic and coronary-prone
Mark Goodman, Ph.D., M.A. "Pilot Findings of a Percutaneous Transluminal Coronary Angioplasty Restenosis Prone Prevention Program," Mayo Clinic Proceedings, May, 1997;172:487
Moderately easily achieved lifestyle intervention* results in 82% reduction risk of coronary artery disease. This is much more important than Statins
*No cigarette smoking, moderate physical activity and easy diet changes
Survival curves
100
% survival
Reducing Health Care Costs by Reducing the Need and Demand For Medical Services
Widespread implementation of preventive strategies requires a collaboration among business, labor, the insurance industry, government and universities. Reducing the need and demand for medical services is a positive solution bringing better health for the individual and ultimately lowering health care costs.
Fries, James F., et al, The New England Journal of Medicine, July 29, 1993;329(5):321-325.