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Ruth is a 76-year-old biracial female of Latino and Caucasian decent living in the East Lake community of Jefferson County. She is married, and her husband is disabled. She has COPD, Hypertension, Type II Diabetes, and Diabetic Retinopathy. She is prescribed daily insulin injections, lisinopril, inhaled albuterol, and hydrochlorothiazide. There is no primary care provider in her community. When she has an appointment with the doctor, she will take a two-hour bus ride to the Copper Green Clinic. The wait time for appointments in the clinic averages 3 months. If she misses an appointment, she runs out of her medications, as they are provided at the clinic dispensary.

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