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From the Editor

The Challenges Of Chronic Disease


Chronic health conditions—alcoholism, AIDS, blindness, disabling arthritis, cancer, dementia, diabetes, emphysema, mental illness, spina bifida, and other problems—afflict an estimated 100 million Americans. But, ironically, chronic illness is largely absent from the national health policy agenda. With this thematic issue, our goal is to provide a range of papers dealing with the many issues that surround the chronically ill and how to provide for their care. Chronic disorders account for a significant percentage of our national health care expenditure, perhaps as high as a quarter.

Our partner in this venture is the Robert Wood Johnson Foundation (RWJF), which has remained a generous supporter of Health Affairs throughout our twenty-year history. A decade ago the Johnson foundation, under the leadership of its chief executive officer, Steven A. Schroeder, identified improving the way services are organized and provided to those with chronic conditions as one of its principal program goals. In 2000 the RWJF earmarked 21 percent of its grant making, which totaled $399.5 million, to programs that improve care and support for persons with chronic health conditions.

On another subject, Health Affairs will be unveiling a redesigned Web site in January 2002. The site will be considerably more user-friendly than our current site, allowing more direct access to our archive of published papers, and will offer several new features, including the opportunity to submit a letter to the editor via the Internet. Over the past year readers have retrieved 95,000 papers through our Web site; a notable percentage of these readers have been from abroad. These numbers are certainly testimony to the reach of the Internet and the new world of publishing that it has wrought.

John K. Iglehart

Founding Editor


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