Seeds of Health Improvement Fail on Barren US Soil

From the 1960s to the 1970s, many efforts to improve health, education, and community efforts were successful. Since 1980 the successes have been limited. The US soil appears to be unable to sustain the necessary growth and development to help make interventions in health, education, nutrition, and other areas more effective. In many ways the progress of recent decades has been about lasting impact from the previous decades. A generation with greater investment will benefit and will also benefit the next generation. The past investments have run their course. War on poverty, the creation and increased funding of Medicaid and Medicare, support for the National Health Service Corps, Community Health Centers, and other investments have been followed by decades of cost cutting and austerity focus. Funding for humans has been diverted to other areas and the moonshot focus continues. Once it appeared that numerous interventions worked. Even the medical education efforts seemed to work f...