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“If I’m a lucky American who has employer-based healthcare, and I go to a doctor who every year says, ‘OK, here’s what's on the list of things you need to know and that we need to check on,’ I’m going to have a much better chance of doing the preventive measures, or identifying a risk factor, or treating it early and avoiding worse outcomes,” says Kathryn Kietzman, Ph.D., director of the Health Equity Program at the UCLA Center for Health Policy Research, in Los Angeles. “But, if someone without healthcare has something like hepatitis B or hypertension, which can go undetected for years, they