'It's chronic disease, stupid!' The central challenge facing health care
Medical Xpress - medical research advances and health news [Uno…
February 20, 2026
"It's the economy, stupid!" is an aphorism coined by James Carvill during Bill Clinton's 1992 U.S. presidential campaign to keep workers focused on a key message. It has since been adapted countless times to refocus debates over challenging situations, and it can be applied to the central challenge facing health care: our ongoing failure to address the needs of people with chronic conditions. "It's chronic disease, stupid!"
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