The story was about health cost leadership but I was thinking at a level of the individual. I think a lot of pain and subsequently disability is because patients and doctors were too short term in their thinking. E.g., you have osteoarthritis in the knee but it is still early days. If you complain of pain the doc gives you a powerful pain killing jab. Minus the pain, you go out and injure you knee without knowing. Then one day with the injury so severe the pain killers no longer work. It is perhaps knee cap replacement time, which could have been avoided if people would only pay more attention to self defeating post treatment behavior.
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