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Previous Volume 353:1513-1515 October 6, 2005 Number 14 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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The remarkable reduction of 50 percent or more in the age-adjusted mortality rate from coronary heart disease over the past four decades in the United States¹ has been driven by three parallel phenomena: an understanding of the risk factors that influence the likelihood and presentation of coronary events, the use of randomized trials to create an indisputable evidence base on which to make decisions, and the flexibility to change systems of care to incorporate new knowledge into practice. Despite the failure of some physicians to adopt proven interventions² and substantial disparities in the U.S. health care system,³ the reduction in . . . [Full Text of this Article]

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From the Department of Medicine, University of California, San Francisco, San Francisco.

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Medicare and Cost-Effectiveness Analysis
Schulman K. A., Smolkin M. T., Berger M., Honig P., Spatz I., Neumann P. J., Rosen A. B., Weinstein M. C., Goldman L.
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N Engl J Med 2006; 354:207-209, Jan 12, 2006. Correspondence

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