Health Policy in Perspective |
N.L. Stout, MPT, CLT-LANA, is a practicing clinician and clinical researcher at the National Naval Medical Center, Breast Care Center, Bethesda, Maryland.
| Because this article has no abstract, we have provided an extract of the full text and any section headings. |
In the United States, 34% of cancers in 12 sites (mouth, larynx, and pharynx; esophagus; lung; stomach; pancreas; gall bladder; liver; colorectum; breast post-menopause; endometrium; prostate; kidney) are attributed to obesity, reduced physical activity, and poor nutrition.1(p17) In other words, these cancers are preventable. Traditional preventive efforts, founded in the public health arena, have contributed to an overall decrease in cancer mortality rates and improvement in cancer screening rates during the last quarter century.2 Cancer incidence rates are decreasing; however, the absolute number of cancer cases is increasing.3 The current health care delivery system virtually neglects the provision of and payment for preventive care. Approximately 90% of health care resources continue to focus on treating and managing chronic diseases, including cancer.4
In their study of disease prevention published by Trust for America's Health, Levi et al5 concluded that a paradigm shift away from merely treating the disease and toward
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