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	<title>Comments on: Will More Bike Paths Lower Health Care Costs?</title>
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	<description>Health Care Policy and Reform Insights &#124; NCPA</description>
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		<title>By: Bruce</title>
		<link>http://healthblog.ncpa.org/will-more-bike-paths-lower-health-care-costs/comment-page-1/#comment-59460</link>
		<dc:creator>Bruce</dc:creator>
		<pubDate>Sat, 10 Apr 2010 11:53:56 +0000</pubDate>
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		<description>One more thought: Spending money on bike paths will probably be more productive and less harmful to health than spending it on comparative effectiveness research.</description>
		<content:encoded><![CDATA[<p>One more thought: Spending money on bike paths will probably be more productive and less harmful to health than spending it on comparative effectiveness research.</p>
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		<title>By: Bruce</title>
		<link>http://healthblog.ncpa.org/will-more-bike-paths-lower-health-care-costs/comment-page-1/#comment-59355</link>
		<dc:creator>Bruce</dc:creator>
		<pubDate>Fri, 09 Apr 2010 21:02:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=9962#comment-59355</guid>
		<description>The answer to your question is: no, is this a joke?</description>
		<content:encoded><![CDATA[<p>The answer to your question is: no, is this a joke?</p>
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		<title>By: Virginia</title>
		<link>http://healthblog.ncpa.org/will-more-bike-paths-lower-health-care-costs/comment-page-1/#comment-59310</link>
		<dc:creator>Virginia</dc:creator>
		<pubDate>Fri, 09 Apr 2010 15:42:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=9962#comment-59310</guid>
		<description>I agree with Joe.  The message isn&#039;t really about controlling costs.  It&#039;s about planning the American way of life to suit their own ideals.</description>
		<content:encoded><![CDATA[<p>I agree with Joe.  The message isn&#8217;t really about controlling costs.  It&#8217;s about planning the American way of life to suit their own ideals.</p>
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		<title>By: Joe S.</title>
		<link>http://healthblog.ncpa.org/will-more-bike-paths-lower-health-care-costs/comment-page-1/#comment-59305</link>
		<dc:creator>Joe S.</dc:creator>
		<pubDate>Fri, 09 Apr 2010 15:22:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=9962#comment-59305</guid>
		<description>In the nanny state, the government organizes your entire life. This isn&#039;t about health care or about controlling costs. This is about controlling people.</description>
		<content:encoded><![CDATA[<p>In the nanny state, the government organizes your entire life. This isn&#8217;t about health care or about controlling costs. This is about controlling people.</p>
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		<title>By: Larry C.</title>
		<link>http://healthblog.ncpa.org/will-more-bike-paths-lower-health-care-costs/comment-page-1/#comment-59303</link>
		<dc:creator>Larry C.</dc:creator>
		<pubDate>Fri, 09 Apr 2010 15:04:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=9962#comment-59303</guid>
		<description>Will bike paths lower health care costs. Not if you count the cost of the paths as health care spending. I can&#039;t believe anyone is taking this seriously.</description>
		<content:encoded><![CDATA[<p>Will bike paths lower health care costs. Not if you count the cost of the paths as health care spending. I can&#8217;t believe anyone is taking this seriously.</p>
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		<title>By: Tom H.</title>
		<link>http://healthblog.ncpa.org/will-more-bike-paths-lower-health-care-costs/comment-page-1/#comment-59300</link>
		<dc:creator>Tom H.</dc:creator>
		<pubDate>Fri, 09 Apr 2010 14:49:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=9962#comment-59300</guid>
		<description>John, when you are engaged in deadpan humor, you always show a sraight face.</description>
		<content:encoded><![CDATA[<p>John, when you are engaged in deadpan humor, you always show a sraight face.</p>
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		<title>By: Devon Herrick</title>
		<link>http://healthblog.ncpa.org/will-more-bike-paths-lower-health-care-costs/comment-page-1/#comment-59296</link>
		<dc:creator>Devon Herrick</dc:creator>
		<pubDate>Fri, 09 Apr 2010 14:41:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=9962#comment-59296</guid>
		<description>Only a handful of preventive services actually saves money. The vast majority cost more than they save -- or they shift medical costs to a future period.  After all, mortality is 100% in the long run.

I also fear mandating “preventive services” with no cost-sharing will cause a huge escalation in the number and cost of services deemed preventive.  When something is free there is a powerful incentive, both on the part of providers and patients, to over-consume it. 

New bike paths will be used primarily by people who are already motivated to walk or ride. I doubt if any overweight people will be induced to give up Big Macs for walking because calorie disclosure and bike paths.</description>
		<content:encoded><![CDATA[<p>Only a handful of preventive services actually saves money. The vast majority cost more than they save &#8212; or they shift medical costs to a future period.  After all, mortality is 100% in the long run.</p>
<p>I also fear mandating “preventive services” with no cost-sharing will cause a huge escalation in the number and cost of services deemed preventive.  When something is free there is a powerful incentive, both on the part of providers and patients, to over-consume it. </p>
<p>New bike paths will be used primarily by people who are already motivated to walk or ride. I doubt if any overweight people will be induced to give up Big Macs for walking because calorie disclosure and bike paths.</p>
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