I think in the grand scale the reason health care is going broke is because mainly of non-compliance across the country. Additionally our system is backwards, many prevention programs are not backed by insurance companies but tertiary care is. I recently was hired at a new hospital, which had the choice between starting an open-heart program or a Diabetes Education Center. The open heart program was going to make them $$$$ but help approximately 50 people a year, whereas the Diabetes Education Center would cost them $, insurance didn't cover it, but it could help 50,000 people a year.
What do you think it's going to choose?
Oddly enough, they decided to take the lost of funds, and open the Diabetes Center anyway, but most hospitals aren't going to do that. They need to make money.
We have to change our entire healthcare system, and the way we think about things. But for the most part, most individuals are not going to change their lifestyle choices. I did a research paper on the obesity epidemic and in it, I compared the amount of food commercials present in the media to that of commercials that could be ran on crack for a crack addict. Even with will power, who can resist when they seen all these fantastic looking cheeseburgers flashing across the screen? McDonalds spend 100 million on advertising compared to the "5 a day veggie/fruit campaign's measly 1 million dollars for funding. Not stating that people aren't responsible for their decisions, but they are definitely harder to make than some people think. Convenience and want have become standard in our lifestyle, and frankly, the alcoholic in AA usually has to drop his friends since they are at the bar, but you cant typically drop society's standards and lifestyle. People will say I am wrong to compare the obese to an addict, but most people in our society are strongly addicted to sugar and salt, why else would they add all this sugar to hamburger buns? No one wants to be obese and no one wants to die at a young age because they are so overweight, but they do.