1. Behavioral Health, Prevention and Primary Care: Opportunity Knocks Again Larry A. Green, MD Epperson Zorn Chair for Innovation in Family Medicine and Primary Care University of Colorado Denver No Conflicts to Declare

3. Reasons Americans Die Prematurely 3 McGinnis JM, Foege WH. Actual Causes of Death in the United States. JAMA 1993;270:2207-12. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual Causes of Death in the United States, 2000. JAMA 2004;291:1230-1245.  40% is due to health-related behaviors. Since we know that health behaviors can be changed, it follows that programs of health behavior change should be systematically incorporated into any plan for comprehensive health care

4. Top TenEstimated 2006 Annual GDP (PPP) United States$12,980,000,000,000 China$10,000,000,000,000 Japan$ 4,220,000,000,000 India$ 4,042,000,000,000 Germany$ 2,585,000,000,000 “US Health Care”$>2,000,000,000,000 United Kingdom$ 1,903,000,000,000 France$ 1,871,000,000,000 Italy$ 1,727,000,000,000 Russia$ 1,723,000,000,000 Brazil$ 1,616,000,000,000

5. Annual Health Insurance Premiums and Household Income, 1996 to 2005 (Robert Graham Center: Devoe et al)

7. Annual Medical Expenditures with Specific Chronic Conditions (Robert Graham Center) Cost Without Mental Health Condition Cost With Mental Health Condition All Adults (with and without chronic cond’) $1913$3454 Heart Condition $4697$6919 High Blood Pressure $3481$5492 Asthma $2908$4028 Diabetes $4172$5559

9. Can’t we work together?