TY - CHAP M1 - Book, Section TI - Introduction: The Paradox of Excess and Deprivation A1 - Bodenheimer, Thomas A1 - Grumbach, Kevin Y1 - 2020 N1 - T2 - Understanding Health Policy: A Clinical Approach, 8e AB - Louise Brown was an accountant with a 25-year history of diabetes. Her physician taught her to monitor her glucose at home, and her health coach helped her follow a diabetic diet. Her diabetes was brought under good control. Diabetic retinopathy was discovered at yearly eye examinations, and periodic laser treatments of her retina prevented loss of vision. Ms. Brown lived to the age of 92, a success story of the US health care system.Angela Martini grew up in an inner-city housing project, never had a chance for a good education, became pregnant as a teenager, and has been on public assistance while caring for her four children. Her Medicaid coverage allows her to see her family physician for yearly preventive care visits. A mammogram ordered by her family physician detected a suspicious lesion, which was found to be cancer on biopsy. She was referred to a surgical breast specialist, underwent a mastectomy, was treated with a hormonal medication, and has been healthy for the past 15 years. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1171158044 ER -