Health

Racial disparities in health constitute a national crisis. Equalizing mortality rates between African Americans and whites alone would have saved five times as many lives as all advances in medical technology between 1991 and 2000.

Though national in scope, the response to this crisis has been ineffective at best. At worst, public policies have actually exacerbated health disparities. Within the health care field, national conversations have focused on prescription drugs for seniors, tort reform, and cuts to critical public health care programs like Medicaid. Eliminating inequities in access to quality of care has barely registered on the national agenda. Policies that favor businesses have eliminated environmental protections and workplace regulations, and school funding for health has focused more on mandatory testing than physical and health education. The health implications of such government priorities are considerable to all Americans, particularly people of color.

Research in the field highlights two fundamental causes of health disparities: failures in the health care system and persistent economic, environmental, and social inequities.

People of color are underserved by the health care system because it is 1) inaccessible, due to financial or geographic barriers, 2) provides a lower quality of care to people of color, due to discrimination, cultural incompetence, a focus on individuals rather than communities families, or financing constraints, 3) unable to meet the of limited-English speakers, and 4) disregards or misunderstands the role and benefits of alternative medicine.

Racial disparities in health constitute the nation’s greatest public health challenge, and real solutions must target these disparities, the function of historical and present-day injustices, at their roots.

10 Key Recommendations for Addressing Racial and Ethnic Disparities in Health.
From Closing the Gap: Solutions to Race-Based Health Disparities

1. Eliminate disparities in access to health insurance.
Expand public health programs such as Medicaid and work toward a universal health care system guaranteeing basic access.

2. Improve health care in medically underserved areas, which are often communities of color.
Support community health clinics that provide high-quality care to underinsured and uninsured patients.

3. Develop health care institutions that are welcoming and respectful to people of differentraces and ethnicities.
Improve access to quality care for people of color by minimizing financial barriers to patient/doctor communication, training staff in culturally appropriate care, and building a diverse workforce.

4. Track racial disparities in health care provision.
With proper data collection, health care institutions can be held accountable for eliminating these disparities and meeting high quality-of care standards for all patients.

5. Provide medical interpretation services for all clinical encounters.
Federal, state, and local governments, as well as insurers and health care providers, should fund language services as a medical necessity.

6. Improve access to traditional and non-Western treatments.
Insurers should be required to cover alternative and culturally appropriate health care. Health care providers should be provided training and access to research about alternative and non-Western medical practices.

7. Adopt and enforce policies that promote safety and health.
The adoption of worker protections and environmental standards are necessary to address root causes of health inequality.

8. Include public health experts and community organizations in community development and planning processes.
Health concerns must be at the forefront in discussions about housing, transportation, and economic development.

9. Provide funding and support for improved nutrition, physical education, and health education in schools.
School environments that emphasize health can lead to improved health outcomes and higher academic achievement.

10. Support programs that incorporate cultural traditions.
Connecting people to their cultural heritage can be an effective way to improve individual and community health.

 



Why Universal Health Care is a Women’s Issue

For millions of Californians, the issue of accessible quality health care is a matter of life or death.

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