People covered by Medicaid are likely to be impacted the most by social determinants of health, and data in the CO APCD does indicate that use of Z codes for the Medicaid population is higher than any other payer type and has increased the most since 2016
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This causes the lungs to produce thick and sticky mucus, and the cilia move slower and not in sync
PMID 22720071
While it might seem a little regional, the grocery chain has a vast presence, operating 1,373 stores at press time so while not national, there are many of these stores