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Sandra V Navarra

Aug 28, 2026

8:23
Okay.
8:25
And in terms of social determinants, particularly poverty, we know that SLE is a longstanding disease.
8:35
And in low to middle income countries, we understand that medical expenditures are largely out of pocket.
8:42
There is no minimal or very, very limited health insurance.
8:48
So what's the result? Patients would rather spend their income on basic food and shelter than their health.
8:56
Another social determinant would be education.
9:01
Per se, in low to middle income countries, we know that education is a luxury in LMICs.
13:07
So these

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