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Previous Volume 360:421-423 January 22, 2009 Number 4 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: The Mayo Clinic's Executive Health Program was one of two programs specifically mentioned in the Perspective article by Rank (Oct. 2 issue¹) that characterized executive physicals as expensive, ineffective, and inequitable. We disagree.

An executive health evaluation is essentially a periodic health evaluation in a defined population. A recent systematic review concluded that the periodic health evaluation improves delivery of some preventive services.²

Costs vary, but executive health programs can be cost-effective.³ There is little evidence they divert resources and deprive others of appropriate medical care. Everyone in the United States should have basic preventive services . . . [Full Text of this Article]

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