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I also got to wondering what someone with hypertension would do in a SHTF

While you brought the subject up, just imagine all those people on bug pills cut off from their supply. That'll make life unpredictable.

As for hypertension, prolly worse - though some folks might see their blood pressures drop because they're hunkered down and relieved of the responsibilities/aggravations that jacked their blood pressures up.

But in most cases, worse. Just imagine being cut off from the world. I can see a lot of younger people's BPs going sky-high as a result. Worry and stewing in one's own juice would jack up others'.

you've inspired me to at some point write my own prepping philosophy into a post.