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A Tale Of Two Cities
The twentieth century ended with an extraordinary record of achievement in improving the health of Americans and the health care system that serves them. The average life expectancy of a U.S. citizen improved from forty-nine years at the start of the century to nearly eighty years at its close. The U.S. infant mortality rate fell by more than 90 percent between 1915 and 1977. Many communicable diseases were either eradicated or greatly reduced because of the widespread availability of immunizations and improvements in sanitation. The latter half of the century witnessed equally important health improvements arising from public policy interventions
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