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Progress has been limited to many goals, resulting in considerations about the effectiveness of Healthy People in shaping outcomes within the context of a decentralized and uncoordinated US health system. Healthy People 2020 gives more prominence to health promotion and preventive approaches and provides a substantive concentrate Health news on the importance of addressing social determinants of health. A new expanded digital interface facilitates use and dissemination somewhat than cumbersome printed books as produced in the past. The impression of those adjustments to Healthy People might be decided within the coming years.