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top two big killers and the report shows the death rates have come down for cancer and heart disease. we diagnosis patients with cancer earlier and the treatments have improved but we know with heart disease in particular, the time from the door to treatment for patients is much quicker so when you go to the hospital you get the help quickly and health care is improving. as well as the treatment. trace: but fewer of us die from heart disease and cancer but we keep getting heavier and heavier. we have this epidemic obesity in this country like never before. guest: but this particular report is looking at death rates with things like chronic conditions we also need to look at mortality and the effect on quality of life and not jest just death rates. we could see significant changes