“I think that the United States has reached a non-sustainable collision of progressively worsening overall health juxtaposed alongside increasing health care costs and diminishing access. Rates of preventable and manageable chronic illnesses such as heart disease and diabetes are skyrocketing at the same time as access to the primary care physicians that can most successfully manage these conditions and prevent debilitating and expensive complications is plummeting. The result is patients becoming sicker and sicker and finally presenting when they require health care services that are far more expensive and invasive than if they had been able to be appropriately managed from the start.” — 2008-09 New Hampshire/Vermont Schweitzer Fellow Liz Killien, in today’s “Five Questions for a Fellow” interview