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"While heart valve surgery is typically successful with high survival rates, that is not so for consumers who continue to use IV drugs. The five-year survival rate for those consumers is only 7.0%."
The article also states:
"The Knoxville Academy of Medicine’s Endocarditis Project task force has recommended requiring a three-month commitment to inpatient rehabilitation in order to get surgery."
The cost of an education is also expensive - might there be two categories of learners? One might be "recreational" - they wish to enjoy the course and may or may not change behavior. The other is "'intentional" - they desire to change/improve behavior.
If you knew which category a learner chose - would it impact what you provided to them?