In a poor, inland, gang-infested part of Los Angeles, there is a clinic for people with type 1 diabetes. As part of the county health care system, it serves persons who have fallen through all other safety-net options, the poorest of the poor. Although type 2 diabetes is rampant in this part of town, type 1 diabetes exists as well. Yet these latter individuals generally lack access to any specialty care—a type of treatment they desperately need due to the complexity of dealing with type 1 diabetes in the setting of poverty and psychosocial stress.
Peters A. Clinic of Tears. JAMA. 2009;301(22):2309. doi:10.1001/jama.2009.806