Dr. Courtney Jordan Baechler

Do you agree with all that? I do, but I don't, well, I don't want to miss Clarence's question. No, no, no, you go ahead. I can follow up. Okay. I just, I was, what I was going to say is, yes, Jim summarized the data perfectly.

Do you agree with all that? I do, but I don't, well, I don't want to miss Clarence's question. No, no, no, you go ahead. I can follow up. Okay. I just, I was, what I was going to say is, yes, Jim summarized the data perfectly.

And a couple of things that I would just add on to is number one, when we look at that data, the disparities within it of who's doing decent living with chronic disease and who's doing poorly and dying more prematurely definitely disproportionately impacts the black and brown people. Number one, that's a huge issue. It's particularly a really big issue in Minnesota.

And a couple of things that I would just add on to is number one, when we look at that data, the disparities within it of who's doing decent living with chronic disease and who's doing poorly and dying more prematurely definitely disproportionately impacts the black and brown people. Number one, that's a huge issue. It's particularly a really big issue in Minnesota.

We have some of the largest disparities based on our overall fairly great outcomes for white people. We do not see the same for our black and brown population. So that's a big issue. And then the other thing that I would just emphasize as somebody who is seeing people on the clinical side, People don't feel well.

We have some of the largest disparities based on our overall fairly great outcomes for white people. We do not see the same for our black and brown population. So that's a big issue. And then the other thing that I would just emphasize as somebody who is seeing people on the clinical side, People don't feel well.

So even though for a couple of decades, our life expectancy had been improving for folks with chronic disease, that we had been managing cardiovascular and diabetes better, people do not have a high quality of life with these coexisting diseases. And this is this, as you're talking about this inflection point of We're off the rails.

So even though for a couple of decades, our life expectancy had been improving for folks with chronic disease, that we had been managing cardiovascular and diabetes better, people do not have a high quality of life with these coexisting diseases. And this is this, as you're talking about this inflection point of We're off the rails.

We have got to do more upstream primary and secondary prevention on. And that is what the community has been asking for loud and clear. Yes, no one wants to die from heart attack, stroke or diabetes complications. But in between, they don't want to feel like they're walking through, you know, a cloud their whole life because they're on drugs.

We have got to do more upstream primary and secondary prevention on. And that is what the community has been asking for loud and clear. Yes, no one wants to die from heart attack, stroke or diabetes complications. But in between, they don't want to feel like they're walking through, you know, a cloud their whole life because they're on drugs.

15 medications to manage this disease process, which is what it is for a lot of people who have these three conditions. So we have a lot of work to do to actually, again, respond to what people are asking for versus responding to the disease process. Those are two different things. And I think challenging as someone who was trained in a Western medicine.

15 medications to manage this disease process, which is what it is for a lot of people who have these three conditions. So we have a lot of work to do to actually, again, respond to what people are asking for versus responding to the disease process. Those are two different things. And I think challenging as someone who was trained in a Western medicine.

That's not what we learned to do in medical school. So we got a lot of change that has to happen.

That's not what we learned to do in medical school. So we got a lot of change that has to happen.

And if I can just say one more thing to that, Jim, and to answer your question, Clarence, one of my favorite systems that I have seen within the U.S. is in Alaska, NUCCA or the South Central Foundation, which is a federally qualified clinic for decades, or I should say federally qualified clinics.

And if I can just say one more thing to that, Jim, and to answer your question, Clarence, one of my favorite systems that I have seen within the U.S. is in Alaska, NUCCA or the South Central Foundation, which is a federally qualified clinic for decades, or I should say federally qualified clinics.

received dollars from DC, you know, over to Alaska dictating how healthcare should be done there, as you would expect all the challenges that we face largely around cardiovascular disease. stroke and diabetes.

received dollars from DC, you know, over to Alaska dictating how healthcare should be done there, as you would expect all the challenges that we face largely around cardiovascular disease. stroke and diabetes.

And a few decades ago, they decided to actually listen to what the community said, because while the healthcare system was saying, we need better diabetes control, we need better blood pressure control, we need all, you know, all these different metrics, the community said, what we want help with is domestic violence.

And a few decades ago, they decided to actually listen to what the community said, because while the healthcare system was saying, we need better diabetes control, we need better blood pressure control, we need all, you know, all these different metrics, the community said, what we want help with is domestic violence.