In this article, the author describes how the experience of risk has converged with the experience of chronic disease in the United States. He claims that there has been a transformation in how ill health is produced, labeled, managed and ultimately experienced. He suggests five reasons why chronic disease has become more risky:
He explains how people even at different points on the disease continuum experience risk in similar ways and use the same decision-making strategies and styles regardless of the probabilities of bad outcomes. For example, women are just as likely to opt for mastectomies whether they are at a higher risk of recurrence of breast cancer or not. The author laments the fact that there is little evidence-based scrutiny on the surveillance of existing disease and secondary prevention compared with primary prevention.