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Preventable usually refers to diseases with a known cause which are as a result of exposure to a known causative agent or avoidable lifestyle factors.

However preventing people from getting sick 30 years from now by implementing broad sweeping changes to healthcare, social welfare, public education, and a myriad other fields, while ultimately achievable, admirable and in the long run, cost effective, won't win anybody votes in the short term, thus won't happen.

However providing affordable, quality healthcare to all citizens of a country isn't such a pipe dream and does in fact occur right now, in many countries.