The move to pay for the "value" of health services has brought the issue of social determinants of health (SDH) and the value of social services to the discussion. On a macro-level, while the U.S. spends far more per capita than other industrialized countries on health care, spending on social services is far less (see Health Care Spending Vs. Social Service Spending and The U.S. Social Services Market: Almost 50 Million Receive Social Support & Over $318 Billion In Spending). And, the resulting health outcomes are mediocre at best (see Health And Social Services Expenditures: Associations With . . .

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