Improved control of risk factors, specifically hypertension, is an important method for eliminating racial disparities in cardiovascular health. In this report, Hertz et al analyzed data from the National Health and Nutrition Examination Surveys (NHANES) 1999-2002 and III (1988-1994). Using the most recent survey data, they confirmed higher prevalence (41.4% vs 28.1%), awareness (77.7% vs 70.4%), and treatment rates (68.2% vs 60.4%) in black patients, the latter 2 rates being driven by higher rates in black women. Although control rates among those pharmacologically treated have increased in both races since NHANES III (17.6% in blacks and 24.2% in whites), primarily as a result of increased control in black and white men, treated black patients are less likely than white patients to reach blood pressure goal. The disparity in control among those treated has increased over time, and currently 48.9% of blacks and 59.7% of whites reach treatment goal. The higher hypertension prevalence in blacks and the growing disparity in control among those treated are causes for concern.