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For example, smoking and obesity are heavily influenced by the environment and policy decisions see Chapters 5 and 7. Physicians play an important, but marginal, role in screening for unhealthy behaviors, measuring body weight, prescribing adjunctive pharmacotherapy to support smoking cessation or weight management, performing bariatric surgery for morbid obesity, and referring patients to telephone quit lines and other intensive behavioral counseling programs Fielding and Teutsch, ; Ogden et al.

Physicians can write prescriptions for antihypertensive drugs, statins, oral contraceptives, and antibiotics and antiretroviral agents for sexually transmitted infections and HIV my insurance info. They can encourage healthy behaviors, but other factors exert greater influences on learn more here, physical activity, sexual habits, alcohol and other drug use, and needle exchange practices Woolf et al.

Pediatricians can remind parents to secure their children in car seats, but they cannot control motor vehicle crashes. Physicians can screen for and treat depression and be alert for suicidal ideation and signs of family violence but they have limited influence on the prevalence of firearms or the societal conditions that precipitate crime and violence.

One difficulty in attributing the U. In some countries, patients are more likely to report problems. For example, Sweden consistently ranks among the healthiest countries in the OECD, but, in the Commonwealth Fund surveys, its patients were more likely than U. Sweden has benefits health insurance hospitalization rates for uncontrolled diabetes Click here In benefits health insurance, Switzerland had the highest male life expectancy benefits health insurance the 17 peer countries see Tablein Chapter 1but the availability of general practitioners is benefits health insurance second lowest see Figure Australia has the second highest male life expectancy of the peer countries see Tablein Chapter 1but it has the fifth highest case-fatality rate for ischemic stroke OECD, benefits health insurance. The Netherlands, which ranks highly on many surveys by the Commonwealth Fund, has historically had benefits health insurance life expectancy than some other comparable countries.

Various potential explanations could account for these inconsistencies.

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