United States

Access & coverage

Medicare/Medicaid + commercial

Fragmented: employer, Medicare, Medicaid, ACA, uninsured residual

Treatment

• Acute reperfusion / stroke pathway where indicated
• Long-term antiplatelets, statins, antihypertensives, ACE/ARB
• PCI/CABG or carotid interventions per guideline criteria

Prevention

• Population BP / cholesterol screening through primary care
• Tobacco control and salt-reduction programs
• Secondary prevention after MI/stroke (meds + rehab)

Lifestyle

• Diet pattern (less sodium, more plants), activity, weight
• Smoking cessation and alcohol limits
• Sleep and stress management as adjuncts

What stands out here

Same broad cardiovascular toolkit as peers — differences are coverage rules, wait times, prices, and follow-through.