Chapter

Historical Perspectives on Structural Barriers to Prevention

Halley S. Faust

in Prevention vs. Treatment

Published in print December 2011 | ISBN: 9780199837373
Published online January 2012 | e-ISBN: 9780199919499 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199837373.003.0006
Historical Perspectives on Structural Barriers to Prevention

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Three main structural barriers limit the implementation of prevention in the US: (1) higher standards for acceptance of prevention than treatment or “cure” modalities; (2) a built environment favoring efficiency and expediency over health, and (3) lack of medical insurance coverage. In this chapter I examine the historical reasons for barriers (2) and (3), concentrating on the third, lack of medical insurance coverage. The Patient Protection and Accountable Care Act will help alleviate this barrier, but a lack of resources to implement PPACA, along with ongoing built environment issues, will continue to cause prevention to lag behind its optimal implementation.

Keywords: barriers to prevention; built environment; medical insurance; cure modalities; efficiency

Chapter.  10095 words.  Illustrated.

Subjects: Moral Philosophy

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