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Of course, these breakthroughs have also led to huge increases in healthcare costs and a widening divide in the type of treatment available to individuals based on their ability to pay. 

From a public health point of view the bottom line is: we spend more and get less. 

Spend on whom?  When?  And for what purpose/ outcome?  The amount spent on medicated survival vs. health promotion, early detection and early intervention is an outrage!