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Correspondence
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Volume 328:213-214 January 21, 1993 Number 3
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Predisposing Factors for Severe, Uncontrolled Hypertension in an Inner-City Minority Population

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To the Editor: Shea et al. (Sept. 10 issue)1 identify several factors associated with uncontrolled hypertension, including the lack of a primary care physician, the lack of insurance, and noncompliance, and they note that the cost of medications has been identified as an obstacle to compliance. I think physicians should be cognizant of the part we often play in noncompliance and in the lack of a primary care physician. Patients for whom expensive, proprietary drugs are prescribed for chronic conditions, such as hypertension, may find their medicines unaffordable if they lose their insurance coverage (which is quite common among Medicaid . . . [Full Text of this Article]

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