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PROLOGUEThe Scope Of The Problem
In 2005, overall U.S. life expectancy hit a new high as deaths from circulatory diseases and cancer continued to drift downward. Behind those developments: advances in diagnosing and treating chronic illness—from screening tests like mammography, to widespread use of cholesterol-lowering statin drugs. Yet chronic illness remains a formidable opponent that, if anything, seems to be growing in strength.
Examining data from the Medical Expenditure Panel Survey, Kathryn Anne Paez and colleagues report sobering findings. U.S. adults in midlife and beyond are increasingly experiencing multiple chronic conditions—the patient with diabetes who also has hypertension, arthritis, and depression, for example. As a
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