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The Oregon Health Care Study followed patients for 2 years initially, then it was expanded out to 3 years. That's an absurdly short interval.

The idea is that increased primary care services will have benefits 10 or 15 years down the line by preventing chronic disease from reaching a critical state. For example, preventing prediabetes from reaching diabetes and then diabetic end stage renal disease (which would require dialysis at a cost of 5 figures per person per month). You're not going to see that over 2 to 3 years.



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