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such signi cantly handicaps the domestic labor force and impedes businesses from functioning Consider that the most probable killer today is mundane chronic illness largely preventable ailments linked to smoking, inactivity, and obesity, such as heart disease, stroke, cancer, and type II diabetes As globalization and prosperity have spread, so have sedentary, overconsumptive habits and the maladies that accompany them Globally, chronic diseases are expected to increase 17 percent between 2005 and 20151 While some of this increase is the inevitable product of aging populations, many of these af ictions could be nipped in the bud through cheap and easy preventative behaviors: regular health checks, exercise, proper nutrition, and avoiding cigarettes By ignoring easy preventative xes, not only must we later spend multiples of the cost of prevention on remediation, but we re actually depleting the most valuable resource human capital Reliance on remediation results in shortened life spans and less productive people Chronic conditions cause major limitations in activity for more than one of every 10 Americans, or more than 25 million people, according to the Centers for Disease Control and Prevention (CDC)2 In addition to individual suffering, businesses saddled with huge health and pension costs also are penalized especially in the United States where employers, not the government, foot most of the bills for employee healthcare (See Table 61) To ensure a level global playing eld for US companies, we must radically shift how we think about health and health care Remember our earlier discussion about GDP as a product of population and per capita output Chronic illness affects both variables: population (better health makes for longer life spans and lower infant mortality) and per capita output (not only is a healthy worker much more effective than an unhealthy one, but a company unburdened by high costs of overspending on employee health care and sick days is also more ef cient) (See Figure 61) As President Theodore Roosevelt once said, No nation can be strong if it is comprised of citizens who are impoverished and sick It is only by combining good policies with lifestyle changes that health can be converted from a drag on the US economy into its biggest asset: healthy, productive people
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Table 61 Life Expectancy by Country (Average for the 2005 2010 Period)
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Overall Life Expectancy At Birth (Years)
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World Average 1 2 3 10 11 12 22 23 38 48 82 110 194 195 Japan Hong Kong SAR(PRC) Iceland France Canada Italy United Kingdom Germany United States Mexico China Indonesia Mozambique Swaziland
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Americans are in worse shape than most believe It should come as no surprise that as the world s richest country the United States leads the way in terms of lifestyle diseases Chronic illnesses account for roughly 70 percent of health costs and deaths in the United States,3 well above the 60 percent global average4 The nation has witnessed a quadrupling in the rate of childhood obesity and a doubling in the asthma rate over the past 30 years5 But what may come as a surprise is that the United States spends more than any other country on health care a whopping $23 trillion in 2007, or $7,600 per person yet the country still ranked only 38 out of 195 in terms of life expectancy6
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