eliminating profligate spending on ineffective medical interventions by US doctors is only part of the solution to US health woes. Changing citizens' behaviour so that they eat less and exercise more will be vital, both to improve health and reduce costs. "One of the main reasons that US healthcare is so expensive is that we are sicker than other people," says Preston.
Jeroen Brouwer, who lives in the Bay Area and works for Philips directlife program in the US, recently told me that during a regular work day his Netherlands-based colleagues spend 40% more calories in physical activities than he does. Jeroen goes to the gym, they don't; Jeroen runs for exercise, they don't. Why the difference? It seems to be in lifestyle choices. The Dutch bike to work, we drive; the Dutch walk around the town, we drive; the Dutch drink beer, we drive.
To improve the US health care system, the government should impose heavy taxes on driving! (smile).