In Madison Symmetric Torus [Dexter et al., Fusion Technol. 19, 131 (1991)] discharges where improved confinement is brought about by modification of the current profile, pellet injection has quadrupled the density, reaching ne=4×1019m−3. Without pellet injection, the achievable density in improved confinement discharges had been limited by edge-resonant tearing instability. With pellet injection, the total beta has been increased to 26%, and the energy confinement time is comparable to that at low density. Pressure-driven local interchange and global tearing are predicted to be linearly unstable. Interchange has not yet been observed experimentally, but there is possible evidence of pressure-driven tearing, an instability usually driven by the current gradient in the reversed-field pinch.