The best delivery of healthcare services will not necessarily result in a "healthy population" in that the drivers of population health is primarily cultural (personal behavior) and genetic/gestational endowments. The care model to treat illnesses contributes less than 20% to the population health by all academic studies. Thus, more money should be directed toward the issue of personal responsibility for one's health by stressing the importance of eating correctly, weight control, avoidance of drugs/smoking, etc. Those personal drivers of disease should be the focus of our attention and monies—not the delivery system.
Robert Forster, M.D.
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