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Let's begin with a simple formula offered last week by the National Academy of Medicine: "Better health at lower cost".Costs are continuing to rise, even as public health in America declines.Health care costs are far higher in the U.S. than other developed countries, but our health is worse.Health care expenditures have risen as a percentage of GDP from 5 percent in 1960 to 17.8 percent in 2015 . The cost of government health programs has increased by an astounding 63-fold since 1974, according to the Congressional Budget Office.The Academy offers a four-point plan for altering this miserable combination of high cost and poor care.Second, incentives should empower people to take better care of themselves through wellness programs or lifestyle changes.Sick days have declined 28 percent; the percentage of eligible employees using preventive care for chronic disease has increased from 9 percent to 54 percent; employee health costs have fallen 2.2 percent since 2012 .
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