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Previous Volume 358:2847-2848 June 26, 2008 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In the Perspective article by Cohen et al. (Feb. 14 issue),¹ a narrow construction of what constitutes prevention leads to erroneous conclusions about its potential impact and cost-effectiveness. The authors do not address preventive interventions that occur outside the doctor's office. These include basic public health services and many other policies that bear directly on health (e.g., seat-belt laws and smoke-free policies). Health gains achieved through population-based approaches often exceed those that can be accomplished clinically, and these approaches are often cost-saving or highly cost-effective.²

Even if one considers only prevention in clinical settings, many high-value services . . . [Full Text of this Article]

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