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Published 4 March 2009, doi:10.1136/bmj.b898
Cite this as: BMJ 2009;338:b898
Bob Roehr
1 Washington, DC
| The first 150 words of the full text of this article appear below. |
Any new bill that greatly extends health insurance coverage but does nothing to implement a national prevention and wellness agenda would fail the American people, US senator Tom Harkin argued at a conference on public health in Washington, DC, on 25-27 February.
He castigated the current US healthcare system for spending "trillions for surgery, pills, hospitalisation, and disability, but peanuts for prevention—less than 5 cents on the dollar."
He told the summit on integrative medicine and the health of the public, which was sponsored by the Institute of Medicine: "[The system] is perfectly happy to reimburse $10 000 toward the cost of amputating a diabetic foot but refuses to spend several hundred dollars for nutrition counselling that might prevent diabetes.
"It is time to stop reimbursing on the basis of quantity and start reimbursing on the basis of quality."
Senator Harkin said it is essential that reform does not simply
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