Health Affairs, 28, no. 5 (2009): 1555 doi: 10.1377/hlthaff.28.5.1555 © 2009 by Project HOPE	New Online   Senate Health Reform Bill   Rewarding Providers   Public Option Policy Brief   Health Reform & Abortion   Delivery System Reform

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Letters

Prevention: Goetzel Responds

I could not agree more with Thomas Kottke and colleagues’ observations in response to my Jan/Feb 09 paper. We have medicalized prevention and health promotion in this country so that most people believe that only doctors in clinical settings can deliver these services. Although effective in many cases, this approach is the most expensive method of delivering prevention. If we expand our arsenal of potential interventions to include environmental, ecological, and policy changes, in addition to individually focused counseling and coaching programs, we can change the cost-effectiveness equation. Health promotion programs need not be confined to medical settings—they can and . . . [Full Text of this Article]

Ron Goetzel
Emory University, Atlanta, Georgia

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