Where people fall through the cracks

• Where are people falling through the cracks in the American healthcare system?

Asked whether the gaps are preventive care or long-term major care, Matthew names both: the tragic straightforward cases (a missed mammogram at 50, then breast cancer five years later) and the messier chronic-care cascade (untreated hypertension damaging kidneys, then the heart, then the ability to work). He says the worst gap is people dipping in and out of care with no ongoing relationship with a provider to manage long-term conditions.