Health Affairs

Health Affairs, doi: 10.1377/hlthaff.28.6.w1151 (Published online October 20, 2009) © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Hypertension, Diabetes, And Elevated Cholesterol Among Insured And Uninsured U.S. Adults

Andrew P. Wilper ^1*, Steffie Woolhandler ², Karen E. Lasser ³, Danny McCormick ⁴, David H. Bor ⁵, David U. Himmelstein ⁶

¹ Andrew Wilper is an instructor in medicine in the Department of Medicine, University of Washington; he is located at the Veterans Affairs Medical Center in Boise, Idaho.
² Steffie Woolhandler is an associate professor of medicine in the Department of Medicine, Cambridge Health Alliance and Harvard Medical School, in Cambridge, Massachusetts.
³ Karen Lasser is a clinician investigator in the Section of General Internal Medicine, Boston Medical Center, in Boston, Massachusetts.
⁴ Danny McCormick is an assistant professor of medicine in the Department of Medicine, Cambridge Health Alliance and Harvard Medical School.
⁵ David Bor is chief of medicine in the Department of Medicine, Cambridge Health Alliance and Harvard Medical School.
⁶ David Himmelstein is an associate professor of medicine in the Department of Medicine, Cambridge Health Alliance and Harvard Medical School.

^*Corresponding author.

Abstract

In this paper we explore whether uninsured Americans with three chronic conditions were less likely than the insured to be aware of their illness or to have it controlled. Among those with diabetes and elevated cholesterol, the uninsured were more often undiagnosed. Among hypertensives and people with elevated cholesterol, the uninsured more often had uncontrolled conditions. Undiagnosed and uncontrolled chronic illness, which is common among insured people, is even more frequent among the uninsured. [Health Aff (Millwood). 2009;28(6):w1151-9 (published online 20 October 2009; 10.1377/ hlthaff.28.6.w1151)]

Key Words: Access To Care, Chronic Care, Consumer Issues, Demography, Health Reform, Insurance Coverage, Medicaid, State/Local Issues, Health Spending, Variations

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