[sagarm]

The study is looking only at healthcare spending and two-year outcomes, so it doesn't really address people's intuition that healthcare spending is lower in the long term with preventative care.

That said preventative probably does result in more dollars being spent on healthcare; presumably significantly, if not completely, offset by economic benefits like increased productivity and quality-of-life benefits. Analyses that only look at the cost side of the equation IMO are unhelpful.