Without a doubt in my mind, I strongly believe that the majority of today's health problems can be prevented in the primary setting. The majority of deaths in the US are currently associated with heart disease, smoking, and cancer. Many of these can be prevented through proper nutrition and regular exercise. While cancer is not always preventable, it can be reduced in likelihood through a healthy lifestyle.
Culturally, American's are failing in this primary setting. America is the most obese country in the world, and despite efforts of public health, it continues to maintain records of obesity far beyond 'healthy' standards. In the secondary setting of prevention persons have access to thousands of health related applications on their phones, computers, and other sources. Lacking is the motivation and the drive to continually maintain a healthy standard of living that includes proper dieting and exercise. Part of the problem is the lack of discipline, but also that the unhealthy foods available to American's are often less expensive than the healthy alternatives.
In the tertiary level of prevention most people have difficulty breaking bad habits. Smokers who suffer strokes or declines in health find them selves continuing to smoke because of the difficulty of quitting. In recent studies cigarettes were shown to be as addictive as heroin; one of the most difficult drugs to break addiction from. Many American's lose loved ones to preventable diseases, but only a portion begin to take actions at the primary level for themselves even after experiencing a loss.
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