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How long have you lived here? viagra in pakistan “Our findings at least raise the possibility that not all chronic diseases are the same and that CCM may not have the same effect across conditions for which complexity varies, a possibility that should be part of the conversation when models of care are implemented widely,” the report says. “Even though CCM is effective for a number of chronic conditions, it may be premature to assume that CCM will be the solution to improve the quality of care for and reduce costs of patients with addiction.”