I follow Atul Gawande in the New Yorker and his books, particularly his advocacy for checklists (an indispensable tool for bureaucrats). The new print issue of the New Yorker has an article by him concerning health in Costa Rica.
Costa Rica has longer life spans than the US while spending much less on health care. Gawande credits the way in which they have done public health, a systematic way of having health care professional interact with everyone in their district.
To my mind it's another example of the benefits of government focusing on the "last mile", the connection between government and the citizen. FSA does it well for its clientele and programs but the US pattern is to have government work through states and localities.
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