Prevention and Medicare Costs

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Abstract
Once viewed as an inevitable consequence of aging, cardiovascular disease is now known to be related to modifiable risk factors, especially smoking, elevated blood pressure, and elevated cholesterol. Numerous preventive interventions have been developed in recent decades to combat these risk factors. The issue now is how best to allocate resources among these interventions in order to prevent disease.Antihypertensive drugs, for example, though effective, vary widely in their cost effectiveness. Propranolol costs $20,000 to save a year of life (life-year) for adults 35 to 64 years of age, and captopril costs $130,0001 (the medical component of the Consumer Price . . .

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