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This analysis addresses the underfunding of diabetes prevention and its impact on amputation rates.

July 20, 2026Health Affairs ScholarOpen Access

Underinvesting in Prevention: The Costly Blind Spot in U.S. Diabetes Care

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Perspective evaluates diabetes care failures and proposes prevention strategies to reduce amputations and disparities.

This analysis addresses the underfunding of diabetes prevention and its impact on amputation rates.
Evaluated systemic failures in U.S. diabetes care financing.
Incorporated data from a five-year implementation study in a medically complex population.
Proposed a prevention-oriented framework with risk-stratified surveillance.
Achieved a diabetic foot ulcer rate of 2.8% and a major amputation rate of 0.43%.
Outperformed the federal Healthy People 2030 benchmark of 0.55%.
Suggested national replication of results through policy prioritization and expanded reimbursement codes.

Paul Y. Han (2026) studied this question.

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