- Andrew Wilper ([email protected]) 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. Steffie Woolhandler is an associate professor of medicine in the Department of Medicine, Cambridge Health Alliance and Harvard Medical School, in Cambridge, Massachusetts. Karen Lasser is a clinician investigator in the Section of General Internal Medicine, Boston Medical Center, in Boston, Massachusetts. Danny McCormick is an assistant professor of medicine, David Bor is chief of medicine, and David Himmelstein, an associate professor of medicine, in the Department of Medicine, Cambridge Health Alliance and Harvard Medical School.
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.