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The time has come to accept the fundamental reality that the impending budgetary squeeze, the current health crisis and the workplace are inextricably linked. The workforce is the engine that drives the economy and supports the financial underpinnings of the health care system. The working-age population is, therefore, the key to assuring the future availability of health care in the United States. Fiscal soundness can be advanced through strategic investment in the health and productivity of the working-age population through a new preventive-based paradigm centered in the workplace.