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Seventh highest healthcare costs in the country? That seems about right given the poor ranking of IN with respect to smoking, obesity, sedentary lifestyle, maternal mortality, and education. In addition to addressing to complexities of healthcare economics (if indeed it is really a business), the State Legislature can act quickly and effectively to improve the health of Hoosiers by passing meaningful tobacco restrictions and taxes, facilitating access to maternal and post-partum care, removing costly barriers to care such as Prior Authorization requirements, and funding education to ensure physical education in our schools. The Legislature, to date, has punted on these fundamental health improvement policies influenced by special interest groups, industry, and a misunderstanding that to really reduce healthcare costs we must reduce the burden of disease which requires early intervention and a long range vision. This does not require delay or a need to reinvent the wheel. Potentially effective bills have been written and proposed. They just need to be acted upon apolitically for the betterment of Hoosier health.