Scientific American July 23, 2019
Adam Myers

Looking at circumstances beyond the clinic is a key to better outcomes

In just a year and a half, the 2020 presidential election will be upon us. And as with every campaign so far this millennium, health care is sure to be a hot topic once again.

Ever-rising costs, elusive accessibility and the future of the Affordable Care Act are sure-to-be-debated health care issues. But a too-often overlooked problem is a pragmatic one: Why aren’t we getting an acceptable bang for our health care buck?

The United States spends more on health care than the rest of the top 11 industrialized countries, yet we come in at no. 11—dead last—in meaningful health outcomes, such as life expectancy. This despite spending...

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