The burden has moved to chronic disease and mental illness: slow conditions with no single episode, no single organ, and causes outside the clinic. Less of that move is lifestyle than the story says. Much of it is people surviving acute disease and living longer, and the modifiable share, though large, is set as much by work, food, income and isolation as by individual choice. Either way it cannot be met at the bedside.

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Non-communicable diseases kill 38 million people annually, accounting for 68% of all deaths worldwide.

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GBD 2010 confirmed the ranking of mental and substance use disorders as the leading cause of disability, accounting for 23 percent of all years lived with disability.

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Although the burden of mental and substance use disorders increased by 37·6% between 1990 and 2010, for mental disorders this change was almost entirely attributable to population growth and ageing.

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One of the reasons for this increase can be the increase in life expectancy in many countries