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Today, an estimated 129 million Americans are living with at least one major chronic disease, with approximately 42 percent managing two or more chronic conditions and 12 percent coping with five or more.[152] Chronic diseases now account for 5 of the 10 leading causes of death in the United States and are responsible for nearly 90 percent of the nations $4.1 trillion in annual health care expenditures.[153] Estimates suggest that poor health reduces U.S
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