The burden of multiple chronic conditions is felt disproportionately among people living in low-socioeconomic status (SES) neighborhoods. This health-wealth gap is partly attributable to disease-promoting features of poorer neighborhoods (e.g. low grocery store availability) and more unhealthy behaviors (e.g. smoking) among the lower income individuals who populate them. Many disease-promoting characteristics of low-income neighborhoods could also worsen survival with chronic disease, however this relationship has not been tested in the context of a universal health care system.