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Rationale for Cost Benefit Analysis

Why is proving the cost effectiveness of a program so difficult when the program concerns health promotion or disease prevention?

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All of business is about the cost benefit analysis. If a person dies from heart disease, it is easy to track the cost related. Fees would range from expenses related to EKGs, cardiac rehab, doctor visits, heart surgery, etc. But if a person knows they have a family history of heart disease and implements a good diet, cardiovascular exercise routine, and activities that promote good mental health (self-awareness about stress reduction, ...