Get in the Game to
Redirect the U.S. Health System
Materials on this website are not for public
Play the HealthBound game to discover the possibility of transforming our troubled U.S. health
system. You have the tools to navigate trends toward greater levels of
health, equity, and cost-effectiveness, if only you can discover how.
Score as high as possible on
four goals simultaneously. You must
Start where the U.S. was
around the year 2003, with all outcomes sitting in an undesirable “status
quo” equilibrium. Identify the most powerful drivers of system behavior and
use that knowledge to move toward a situation that is healthier, more
equitable, and less costly.
Intervene by enacting one or
more options from a list of national programs or policies. After a 5-year
comparison period, you may intervene every five years over the next 25
Chart Progress by reviewing
results on the four scorecard variables—and dozens more. You can even
compare different scenarios to examine where the leverage lies and how to
Learn the reasons for your
results by studying the game’s
causal pathways and tracing through the
reasons for your successes or failures. The goals are difficult to achieve,
in part, because the game includes resource constraints, time delays, and
side effects of intervention similar to those of the actual health system.
Those complicating features must be understood in order to succeed.
Take Action in the real
world by first testing and refining your ideas in this realistic, but
simplified version of the U.S. health system. Play out popular proposals,
explore new ideas, rule out ineffective strategies, and gather support for
more promising scenarios. Discover what you can do to help steer a course
toward a healthier, more equitable, and more prosperous future.
Then get in the game, for real!
NOTICE: This game is designed for
training purposes only. It is intended to be used—with a trained
facilitator—as a resource for multi-stakeholder visioning, strategy design,
and leadership development Simulated scenarios highlight health system
dynamics, but cannot be interpreted as predictions for the future. The
findings are those of the developers and do not necessarily represent the
official position of the Centers for Disease Control and Prevention.
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Page last reviewed: January 30, 2008
Page last modified: January 30, 2008
Content source: Division of Adult
and Community Health,
National Center for Chronic Disease Prevention and Health Promotion