🩺 Hypertension control in the U.S. has stalled—despite better meds, better evidence, and better tools. 📉 The "paradox" isn't a mystery so much as a systems problem: therapeutic inertia, fragmented care, cost barriers, and inconsistent use of validated home BP monitoring. 🧩

What works is boring (and therefore powerful): standardized treatment protocols, team-based care, rapid follow-up, combination therapy when appropriate, and performance feedback loops. 🧰📊

If we treat BP control like a reliable system—rather than a heroic, one-visit effort—we can move the curve again. 🎯❤️ #Hypertension #PrimaryCare #Cardiology #QualityImprovement #PopulationHealth