1. UT Symposium on Wellness March 20, 2007 Paul B. Handel, M.D. VP/ Chief Medical Officer BlueCrossBlueShield of Texas

2. Our Most Important Our Greatest The Most Essential, Vital ASSET

3. PEOPLE

4. Personal Health = Economic Health

5. General Health Statistics Economic Health and Burden of Chronic Disease a 2000, b 2002, c 2003. Categories may overlap. *Direct Costs: Costs that can be traced to or identified with a specific product or procedure. **Indirect Costs: Costs that cannot specifically be traced to an individual service or procedure. Source: Centers for Disease Control and Prevention, 2004d Total CostDirect Cost*Indirect Cost** Diabetes$132 billion b $91.8 billion b $39.8 billion b Heart Disease and Stroke$351.8 billion c $209.3 billion c $142.5 billion c Cancer$171.6 billion b $60.9 billion b $110.7 billion b Tobacco$150 billion$75 billion $80 billion Obesity – Physical Activity - Nutrition $117 billion a $61 billion a $56 billion a

6. 1% decrease in death due to cancer equals $500 billion in value Kevin Murphy, U of Chicago Graduate School of Business

7. 50% of all cancer deaths could be avoided by American Cancer Society WSJ April 6,2006 Stopping smoking Eating healthy

8. Elder care will add 25% to US health bill by 2030 unless Tomorrow’s senior adopt healthier lifestyles NOW! CDC, WSJ March 9, 2007

9. Costs of Obesity to US Business $8 Billion Healthcare costs $2.4 Billion Paid sick leave $1.8 Billion Life Insurance $1 Billion Disability Department of HHS, 2003

10. Hidden Costs of Obesity to US Business 30 Million lost work days 239 Million restricted activity days 90 Million bed days 63 Million physician visits Obesity Research, 1998

11. Quick answers Avoid all tobacco Weight control Physical activity

12. “The most enduring stupidity of man is forgetting what he is trying to do.” – Nietzsche