It is difficult to argue that high quality care has occurred if a patient learns they have CKD while in recovery from a heart attack.
Stopping CKD isn't about "who" the patient is, but about "how" their care is managed. In the absence of equity there can be no quality.
“The burden of CKD on patients and the health care system has been enormous. However, research has shown us that effective interventions and innovative payment models—if designed appropriately—have the potential to generate tremendous savings through improving care for patients with advanced CKD.”
-Lui et al, JASN 2018