The management of chronic disease poses a significant healthcare challenge in the United States and elsewhere. By the year 2030, chronic disease could cost the world over 47 trillion dollars annually (Duff-Brown, 2017). Many of the factors that contribute to chronic illness—such as poor diet, lack of activity, drug and alcohol use, and smoking—are lifestyle choices. Consider, for instance, type II diabetes: The significant increase in prevalence from 1980 to 2007 is explainable almost entirely by lifestyle choices. The condition is often long term, can cause serious complications, and is responsible for 25% of all healthcare spending in the U.S. (Riddle