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12/17/2005

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ther diseases, to replace and repair hips and other parts of the body, and simply to keep people alive. A reasonable question would be why complain since the value placed on advances in both the quantity and quality of life at older (and younger) ages have far exceeded the increased spending on medical care- my colleagues Kevin Murphy and Robert Topel have demonstrated this in important studies. But the system can be made much better, as long as changes bolster the weak parts of the American medical system, and do not tear down the many strong parts. I concentrate these brief comments on one problem only, the excessive use of hospitalization and expensive surgeries under both private and public systems of payment. One

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dvertising of goods like Big Macs and Coke Cola has less influence over the consumption of adults, particularly that of older men and women. Moreover, obesity has grown in all developed countries, even those with much sharper controls over advertising. Obesity in the United States and elsewhere started increasing particularly rapidly in the early 1980's. Studies by economists, especially those by Richard Posner and Tomas Philipson, Jesse Shapiro, David Cutler, and Edward Glaeser

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