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While Im a long-time advocate of people taking on consumer-style habits for health and well-being, as a health economist and long-time analyst of and advisor to the ecosystem of stakeholders, Ive always been a realist about the shortcomings of assuming health care consumerism was a unified field theory for all health citizens in the U.S

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The widespread use and enormous expense of blockbuster drugs like Wegovy are forcing state governments to make painful choices.