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In this quote, Leroy Hood is providing some statistics about healthcare spending in the United States. He states that more than 86% of total healthcare dollars spent in the US go towards chronic diseases.
He also notes that out of every $5 spent in the US, $1 of that is spent on healthcare. And together, those healthcare costs related to chronic diseases total $4 trillion.
So in summary, Hood is highlighting how an enormous portion of US healthcare spending – the majority of it – goes towards treating chronic diseases, demonstrating the huge financial impact and burden that chronic conditions place on the healthcare system.