Health_Exp_09 - Health Expenditures in the United States...

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Click to edit Master subtitle style Health Expenditures in  the United States and  PAM 4350 January 27, 2009
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What Does This Tell Us About the Determinants Health?
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Source: Cutler, Deaton, and Lleras-Muney, 2006. 1st Era 3rd Era 2nd Era
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Source: Cutler, Deaton, and Lleras-Muney, 2006. Summary of Important Drivers in  Reducing Mortality in the U.S. by Historical Phase       1750 – 1850 1) Improved      nutrition and     economic      growth 2) Early public      health programs 3) Medical care     1850 – 1950 1) Public health     programs  2) Nutrition and      economic     growth 3) Medical care        1950 – today 1) Medical care:      vaccinations and      antibiotics; then      expensive personal      interventions 2) Public health 3) Nutrition and      economic growth
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2 3 5 6 7 9 9 10 10 13 Stress Weight Diet Exercise Drinking Genetics Drugs Smoking Driving history Estimated Impact on Life Expectancy (in  years):  From Worst To Best Situation Modern Medical Care 5 Estimated  contribution of medical care  to life expectancy in the U.S. 1950 - 2006 to
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Trends in Other Factors 
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Source: Cutler and Meara, 2004. Role of Behaviors and Lifestyle  Choices Cigarette Use Has Fallen Sharply
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Obesity Trends* Among U.S. Adults BRFSS, 1985 Source: Mokdad A H, et al.  J Am Med Assoc  1999;282:16, 2001;286:10.  
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Obesity Trends* Among U.S. Adults BRFSS, 1990 Source: Mokdad A H, et al.  J Am Med Assoc  1999;282:16, 2001;286:10.  
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Obesity Trends* Among U.S. Adults BRFSS, 1995 Source: Mokdad A H, et al.  J Am Med Assoc  1999;282:16, 2001;286:10.  
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Obesity Trends* Among U.S. Adults BRFSS, 2000 Source: Mokdad A H, et al.  J Am Med Assoc  1999;282:16, 2001;286:10.  
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Conclusions for 1/22 Topic n Health in the U.S. has improved due to: Economic growth and improved nutrition Public health programs (largest gain) Improvements in medical care n Medicine played a larger role in health improvements  during the last 60 years: the “medicalization of health” n Per person medical spending in today’s dollars (the rest  of today’s lecture): 1950: $500 (4% of GDP) 2007: $7,421 (16.2% of GDP)
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1) Do I really need to memorize all these #@!  numbers? 1) Trouble enrolling in Blackboard: e-mail me or one of the TAs. 3) If you access Blackboard from off campus,  you may be asked to pay for the articles. Some Course  Tips
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Click to edit Master subtitle style TakeNote® Supplemental Lecture Notes, a service at    Subscribe Today at:   The Cornell Store ( Cornell Card It! ) @ the first floor registers CollegeTown Video (103 Dryden Rd.) www.tnote.com  For more information,  call 277-1892 or email info@tnote.com   TakeNote®:  The Supplemental Lecture Notes Service at Cornell University  
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This note was uploaded on 04/25/2009 for the course PAM 4350 taught by Professor Nicholson during the Spring '08 term at Cornell University (Engineering School).

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Health_Exp_09 - Health Expenditures in the United States...

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