Cardiovascular disease (CVD) is the leading cause of death and disability in the nation. In 2010 direct medical costs and indirect costs of CVD were $450 billion. If the current rate of growth in costs persists, that figure is expected to more than double by 2030 . The federal Congressional Budget Office (CBO) analyses conducted prior to the passage of the Affordable Care Act did not give high marks to the value of prevention.
Given the desire to repeal health reform, the AHA's policy statement is a valuable source of information for prevention advocates. The policy statement, released July 25, 2011, states the following: "Although it is clear and accepted from clinical trial data thatprevention is efficacious (ie, that prevention works within thescope of the trial), it is less well accepted that preventivecommunity interventions are effective and provide value (ie, thatprevention will work in the community and is worth what wewill pay for it). This statement summarizes the rationale and available evidence that support a life-course approach to primordialand primary prevention, as well as the cost-effectiveness (ie,value) of, multilevel policy implications for, and fertile areas forfuture research of preventive intervention."
The policy statement frames prevention from the life course perspective that forces examination of health status in five life stages. The power of the life course framework is its emphasis on the cumulative impact of health care and lifestyle practices on health status in each life stage.
Thank you for sharing the AHA report. My hospital is partnering with safety net providers to educate our congressional representatives regarding the benefits of primoridal & primary prevention. We are summarizing the table of studies that provide the evidence for prevention. We are curious about data regarding transportation/walkable communities. Are you aware of a good resource that relates travel times, BMI, & general health? It would be a great help for our transit service which is facing service cuts.