Access & coverage
SSN tax-funded
SSN tax-funded; regional variation in quality/wait
Treatment
- Metformin / newer agents (SGLT2, GLP-1) where funded
- Insulin pathways; dialysis / transplant for ESRD
- Complication screening (eyes, feet, kidneys)
Prevention
- Obesity / diabetes screening in primary care
- CKD screening in diabetes and hypertension
- School / workplace nutrition environments (weak but present)
Lifestyle
- Calorie balance, diet quality, walking / resistance training
- Glucose and BP self-management education
- Sodium and protein guidance in CKD
What stands out here
Same broad metabolic / renal toolkit as peers — differences are coverage rules, wait times, prices, and follow-through.
vs master: -0.1 percentage points vs Top 20 average share.