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Volume 357:2405-2407 December 6, 2007 Number 23
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Shattuck Lecture: Improving American Health

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by Schroeder, S. A.
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To the Editor: In his Shattuck Lecture on improving American health, Schroeder (Sept. 20 issue)1 argues that the low U.S. international ranking in health can be attributed primarily to behaviors such as tobacco use and overeating. He suggests that expanding efforts to change these behaviors represents the best hope for improving health. However, changing the policies that promote unhealthy behavior and lifestyles may be more effective than seeking to alter habits one person at a time.2 For example, each year, the tobacco, food, and alcohol industries spend billions of dollars to persuade Americans to consume their products in ways demonstrated . . . [Full Text of this Article]



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