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Disease prevention often costs more than it saves (AP)

Instructor Gretchen Gentry, right, leads Paul Mullen, center, and Starleata Gray in a series of stretching exercises during a diabetes prevention class at a YMCA in Indianapolis, Tuesday, June 23, 2009. Mullen, 66, of Indianapolis, has lost 18 pounds and brought his blood sugar down because of lifestyle changes he learned in the program. He pays $115 for the yearlong program, on top of his Y membership fee. (AP Photo/Michael Conroy)AP - When it comes to health care spending, an ounce of prevention is seldom worth a pound of cure. Take Mrs. Jones, a hypothetical 55-year-old obese woman at risk for diabetes. It costs $900 a year to hire a personal lifestyle coach to help her lose weight and prevent diabetes. Suppose that the coaching works for Mrs. Jones, and she is spared diabetes and all the resulting health bills.


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