Health Affairs June 21, 2024
A 67-year-old man with diabetes and chronic obstructive pulmonary disease (COPD) returns to the clinic for a repeat check of his oxygen saturation and blood sugar. Over the past year, he has managed to stay out of the hospital or emergency department, but today his blood sugar is 300 (very high), his oxygen saturation is 88 percent (low), and he reports shortness of breath. He also reports food insecurity: His rent has increased, but his disability check has not, so his diet now consists primarily of pre-packaged ramen noodles to make ends meet. His provider gives a treatment plan including prescribing a GLP-1 (glucagon-like peptide 1 receptor agonist), home oxygen, and healthy food. His GLP-1 prescription costs about $915 per...
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