Medicare could have saved almost a billion dollars ($925 million, to be exact) in 2016 if it had substituted brand-name combination drugs with cheaper generic versions, according to a JAMA study.
The caveats: Most of the evidence involves routine care. It is uncertain whether nurse practitioners will be willing to work in rural areas to fill the primary care void.
The caveats: They may need to be part of larger programs to be effective. And smoking rates have fallen but remain stubbornly high among people without privilege.