A second thing is that the business community is going to get increasingly involved in health promotion, self-care, and helping their employees become wiser buyers and wiser users of health-care services. The big corporations especially are feeling the pain of rising health-benefits costs. In fact, the guys bathe executive suites are hitting the ceiling. These decision-makers are suddenly realizing that health insurance premiums, disability insurance, early retirement, days lost from work due to illness, are all things they can do something about. Several companies last year paid more for health benefits than they did for any other product or service. So I think we're going to see a lot of self-care promotion on the part of industry.

Third, I think a lot of leadership in this area is going to come from senior citizens. I think that women will continue to be especially active in self-care, and I think we'll begin to see unions taking a major role.

Fourth, we're going to see school systems putting in really high-quality self-care programs running all the way from kindergarten to high school. There are some exciting things happening along such lines in Maine, Montana, and Minnesota schools already.

And finally, I think we're going to see a growing number of fitness/self-care/health-promotion groups, health-information centers, health clubs, self-care classes and study groups, alternative health centers, stop-smoking clinics, and exercise facilities, more widely available black-bag tools, and so on.