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Caring for individuals with hypertension in CKD, especially those with low education. Hypertension remains prevalent worldwide. In this commentary, the need for more effective treatment of this cardiovascular and renal risk factor is discussed. We can treat hypertension more effectively by getting the blood pressure measurement right, understanding the link between albuminuria and hypertension, enabling the use of spironolactone to treat resistant hypertension through the use of drugs that bind potassium in the gut, and addressing the structural determinants of health.