We are learning that assumptions of benefit based on the design of the interventions or the results of pilot studies may be premature.

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Gross domestic product spending on health care is concentrated on medical areas, not on broad-based interventions that will improve things over time, such as improved social services, housing, education, parks and recreation, and safer, cleaner environments.

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It will be important to ensure that the workup and interventions recommended are judicious, evidence-based, and not prohibitively expensive once these recommendations are introduced on a very broad scale, especially if practicing physicians and payers may feel wary about exercising their judgment and overriding them.

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