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US healthcare drivers in the shift towards prevention care

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I am trying to understand how/why the healthcare system has shifted more towards preventitive services in the past 25 years. Particuarly, how have cost of services rising, insurance, governemnt regulation, the aging population and chronic disease influences this? I am trying to fit this idea into an essay i am working on and dont understand what took place to change our orientation to prevention during these 25 years. (I do understand during 1900-2000) thanks!

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This solution helps to explain why the US healthcare system has shifted more towards preventative services in the past 25 years. Included are the cost of services rising, insurance, government regulation, the aging population and chronic disease influences.

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You have asked why the US healthcare system has shifted more towards preventative services in the past 25 years. First, please read the following article by William Bergman, MD.

New Notions in Medicine: Disease Preventions, Health Promotion, and the Role of Alternative Therapies

William Bergman, MD- Hahnemann Health Associates
Published on: 2002-10-02


For the first time, science can realistically envision life expectancies of over 100 years. The key to realizing longevity, however, lies with us: we can change the quality and span of our lives by controlling our diet, attitude, and lifestyle, and by using certain biochemical supplements and natural medicines proven by cutting-edge scientific study.

Recent advances in medical research have shown that the "natural" mental and physical decline associated with human aging not only can be significantly delayed, but also, in some cases, actually reversed. This has tremendous implications for our aging population, and for those in middle age who can benefit from early interventions aimed at slowing the aging process and reducing the risk of serious degenerative disease.

New Goals for Health in the 21st Century

In addition, there has been a shift from the long-accepted medical model (emphasizing the treatment and management of disease) to a prevention-oriented health care system (where disease is prevented or detected very early), a shift which has been largely driven by consumer/patient demand and the growing recognition it is a highly effective way to manage the escalating costs of complex medical treatments. And with the growing trend towards managed care, medical school curricula are increasingly focused on preparing a greater number of general physicians for the practice of primary care medicine. Primary care involves common health problems and preventive measures that account for 80-90 percent of visits to a doctor or other health professional. Secondary and tertiary care involve increasingly complex problems that require more specialized ...

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