KevinMD February 19, 2020
Richard S. Isaacs, MD and Chris Grant

Spiraling costs, poor quality outcomes, and inequities in access to care are driving significant and long overdue changes to the way health care is administered and managed in the United States.

And while the U.S. spends more on health care per person than other wealthy countries, its health outcomes are no better than those in other developed countries. In fact, it performs worse in several health metrics, including life expectancy, infant mortality, and unmanaged diabetes.

These types of poor clinical outcomes are often driven by inequitable access to good health care in low-income neighborhoods. And a growing body of evidence suggests that an individual’s U.S. ZIP code—where people live—is a more accurate predictor of future health outcomes than genetics...

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