2. More Prevention, Less Treatment
A few centuries ago, Benjamin Franklin said, “an ounce of prevention is worth a pound of cure.” Despite his sage advice, the United States continues to spend much, much more on the cure than on the cause. The expenditures on health care squeeze out investments in other important areas, including public health, education, and social programs, all of which are more influential in producing health upstream, than treating diseases downstream.
It Has to Be More about Health than Health Care
In order to produce better health outcomes, the United States needs to have more of some things and less of others, as summarized in Figure 2.1.