000			03186cam a2200397 i 4500
001			on1043052340
003			OCoLC
005			20190219142904.0
008			180612t20192019maua b 001 0 eng c
010			_a 2018024768
040			_aMH/DLC _beng _erda _cDLC _dOCLCO _dERASA _dOCLCF _dHLS _dOHI _dYDX _dQQ3 _dNCRJL _dNFG
019			_a1042081017
020			_a9780674975903 _qhardcover _qalkaline paper
020			_a0674975901 _qhardcover _qalkaline paper
035			_a(OCoLC)1043052340 _z(OCoLC)1042081017
042			_apcc
043			_an-us---
092			_a362.1097 _bK17
049			_aNFGA
100	1		_aKaplan, Robert M. _q(Robert Malcolm), _d1947- _eauthor. _9389160
245	1	0	_aMore than medicine : _bthe broken promise of American health / _cRobert M. Kaplan.
264		1	_aCambridge, Massachusetts : _bHarvard University Press, _c2019.
264		4	_c©2019
300			_a225 pages ; _billustrations ; _c22 cm
336			_atext _btxt _2rdacontent
337			_aunmediated _bn _2rdamedia
338			_avolume _bnc _2rdacarrier
520			_aAmerican science produces the best--and most expensive--medical treatments in the world. Yet U.S. citizens lag behind their global peers in life expectancy and quality of life. Robert Kaplan brings together extensive data to make the case that health care priorities in the United States are sorely misplaced. America's medical system is invested in attacking disease, but not in addressing the social, behavioral, and environmental problems that engender disease in the first place. Medicine is important, but many Americans act as though it were all important. The U.S. stakes much of its health funding on the promise of high-tech diagnostics and miracle treatments, while ignoring strong evidence that many of the most significant pathways to health are nonmedical. Americans spend millions on drugs to treat high cholesterol, for example, which increase life expectancy by six to eight months on average. But they underfund education, which might extend life expectancy by as much as twelve years. Wars on infectious disease have paid off, but clinical trials for chronic conditions--costing billions--rarely confirm that new treatments extend life. By comparison, the National Institutes of Health spends just 3 percent of its budget on research in social and behavioral determinants of health, even though these factors account for 50 percent of premature deaths. America's failure to take prevention seriously costs lives. More than Medicine argues that we need a shake-up in how we invest resources, and it offers a bold new vision for longer, healthier living.-- _cProvided by publisher.
504			_aIncludes bibliographical references and index.
505	0		_aLet's be average -- Research promise and practice -- Mistaking the meaning of health -- Making health care safe and effective -- Social determinants of health -- The act of well-being -- A way forward.
650		0	_aMedical policy _zUnited States. _9104387
650		0	_aPreventive health services _zUnited States. _9389161
650		0	_aMedicine, Preventive _zUnited States. _9389162
650		0	_aPublic health _zUnited States. _9225023
994			_aC0 _bNFG
999			_c288147 _d288147