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    • AJPH research piece, Fielding and Teutsch

"Reduction in US Health Care Spending Required to Meet the Institute of Medicine’s 2030 Target"

The American Journal of Public Health published research co-authored by Dr. Jonathan Fielding, UCLA FSPH distinguished professor of health policy and management, and Dr. Steven Teutsch, professor of health policy and management at UCLA FSPH, that found unsustainable, rising health care costs are a threat to the nation’s health

Wednesday, December 30, 2020

In its 2012 report For the Public’s Health: Investing in a Healthier Future, the Institute of Medicine (IOM; now the National Academy of Medicine and the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine) recommended that the secretary of the US Department of Health and Human Services adopt an explicit life expectancy target and establish a specific per capita health expenditure target to be achieved by 2030.

The report specifically noted that efforts to reach these targets “should engage all health system stakeholders in actions intended to achieve parity with averages among comparable nations on healthy life expectancy and per capita health expenditures.”

In a recent analysis, Kindig et al. explored the plausibility of meeting the life expectancy target by 2030. They found that to achieve parity with the United Nations’ projected 2030 mortality estimates for Western Europe, US life expectancy would have to increase by 0.32% per year between 2016 and 2030.2 Although this rate is high, it does have at least some historical precedent among Organisation for Economic Co-operation and Development (OECD) nations and US states.