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Expanding Behavioral Change

The growing cost of health care combined with an aging population experiencing health decline is creating a significant social/economic burden upon the country. Strategies to pay for our traditional approach to medicine, particularly with the current social distribution of resources, are driving forces for change. Without significant changes, it is apparent that the strategy outcomes will result in reduced markers of health for the majority of the country. It has become quite clear that the “medication generation” was not appropriately managed as pharmacological interventions have not cured any of the major risk factors associated with disease. Rather, many medications allow people to continue to function while developing other comorbities which has created the most costly group of Americans to date. Clearly, behavioral change is necessary and multifaceted, placing emphasis on physical, psycho-emotional and dietary modifications. In the current model, only those individuals who pay for one-on-one services receive some level of support and in many cases the attention is categorically specific. People hire personal trainers, dietitians, or psychologists to help them with behavior modification. Of the three professions, personal trainers as defined by the scope of the profession have the technical skills to provide assistance in several areas of behavior change and may best function to serve in the preventative care model.

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