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  "path": "/news/2026-02-chronic-disease-stupid-central-health.html",
  "publishedAt": "2026-02-20T15:30:03.000Z",
  "site": "https://medicalxpress.com",
  "tags": [
    "Medical economics"
  ],
  "textContent": "\"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!\"",
  "title": "'It's chronic disease, stupid!' The central challenge facing health care"
}