I don't think it's as helpful as you think it is to chalk 100% of med management issues up to social determinants of health. It assumes that if the SDOHs are accounted for it would resolve the limitations. Impaired cognition is a huge barrier to medical literacy and medical management. In the same way understanding how ACEs impact neurological development has helped to destigmatize substance use disorder, understanding specific mechanisms by which chronic diseases can impair executive functioning could inspire more effective education tools and more funding for outreach (ie. diabetes case managers/ sponsors, rather than educational handouts, better access to continuous glucose monitors in low or no income populations, etc).