© 2009 American Public Health Association DOI: 10.2105/AJPH.2009.168500
Ano Lobb is a public health consultant in Barre, VT. Correspondence: Correspondence should be sent to Ano Lobb, 80 Lepage Rd, Barre, VT, 05641 (e-mail: ano.lobb@gmail.com). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints/Eprints" link.
Farley calls for health reform in the United States to pay increased attention to social and behavioral determinants of health, rather than the typical single-minded pursuit of health care system reform.1 He convincingly argues that addressing underlying causes or disruptions of well-being is the most effective strategy for improving population health. Outcomes from nations emphasizing social investments over medical ones strengthen that assertion, and suggest that if better health is the goal, the United States is investing too much in the wrong place. Among nations of the Organization of Economic Cooperation and Development (OECD), increased social spending is linked to
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