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Disparity in Health Care Between Blacks and Whites in the US
Disparity in Health Care Between Blacks and Whites in the US
Essays on assisted suicide
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Minorities, the Poor and Assisted Suicide/Euthanasia
Assisted suicide supporters claim it would offer a choice to people who want it. But it would actually victimize minorities and poor people. As disability rights activist Diane Coleman has observed, assisted suicide is primarily promoted by those who are "white, well-off, worried and well."
"Choice" is an appealing word, but inequity in health care is a harsh reality. Consider the following:
* African-American patients with a broken arm or leg are less likely to be given pain medication in emergency rooms than white patients with similar injuries and complaints of pain, according to a new study published in the Annals of Emergency Medicine. [Reuters 12/28/99]
* African-Americans with symptoms of heart trouble are only about half as likely to be referred for the best testing and treatment as are their white counterparts. [Times-Dispatch 3/31/99; NEJM 2/25/99 ]
* African-American cancer patients in nursing homes are severely undertreated for pain - some don't even get aspirin. [NY Times 6/17/98; JAMA 6/17/98]
* Black and poor Medicare patients are more likely than others to be discharged from hospitals in unstable condition. [Contra Costa Times 4/20/94; JAMA 4/20/94]
* African-American women receive less breast cancer screening than their counterparts of other races. [Annals of Internal Medicine 8/1/98]
* Despite equal Medicare coverage, affluent elderly white patients often receive better medical care than African-Americans or poor people of all races. [NEJM 9/12/96]
* Outpatients with cancer who went to clinics that served minority patients were 3 times more likely to be under-medicated for pain than were patients in other settings. [Annals of Internal Medicine 11/1/97]
* African-American academics who study bioethical issues have expressed concern that permitting assisted suicide, along with new limits on health care, presents new opportunities to victimize minorities: "People know they don't get the health care they need while they're living. So what makes them think anything's going to be more sensitive when they're dying." [Detroit Free Press 2/26/97] .
* African-Americans make up 35% of reported AIDS cases, but nearly one-half of all AIDS deaths. [Los Angeles Times 10/10/99]
* Psychiatric clinicians spend less time with African-American patients than with patients of other races. [San Francisco Chronicle 5/30/96]
* African-American women die from treatable illnesses (e.g. diabetes, hypertension, etc.) at twice the rate of white women and African-American men die at a rate almost three times greater than white men.
Throughout American history, relationships between racial and ethnic groups have been marked by antagonism, inequality, and violence. In today’s complex and fast-paced society, historians, social theorists and anthropologists have been known to devote significant amounts of time examining and interrogating not only the interior climate of the institutions that shape human behavior and personalities, but also relations between race and culture. It is difficult to tolerate the notion; America has won its victory over racism. Even though many maintain America is a “color blind nation,” racism and racial conflict remain to be prevalent in the social fabric of American institutions. As a result, one may question if issues and challenges regarding the continuity of institutional racism still exist in America today. If socialization in America is the process by which people of various ethnicities and cultures intertwine, it is vital for one to understand how the race relations shape and influence personalities regarding the perceptions of various groups. Heartbreaking as it is, racism takes a detour in acceptance of its blind side. Further, to better understand racism one must take into account how deeply it entrenched it is, not only in politics, and economics but also Health Care settings. In doing so, one will grasp a decisive understanding of "who gets what and why.” The objective of this paper is to explore and examine the pervasiveness of racism in the health care industry, while at the same time shed light on a specific area of social relations that has remained a silence in the health care setting. The turpitude feeling of ongoing silence has masked the treatment black patients have received from white health care providers...
The year of 1776 was a time of revolution, independence, and patriotism. American colonists had severed their umbilical cord to the Mother Country and declared themselves “Free and Independent States”.1 The chains of monarchy had been thrown off and a new government was formed. Shying away from a totalitarian government, the Second Continental Congress drafted a document called the Articles of Confederation which established a loose union of the states. It was an attempt at self-government that ended in failure. The Articles of Confederation had many defects which included a weak central government that lacked the power to tax, regulate trade, required equal representation and a unanimous vote to amend the Articles, and had only a legislative branch. As a result the United States lacked respect from foreign countries. These flaws were so severe that a new government had to be drafted and as a result the Constitution was born. This document remedied the weak points of the federal government and created one that was strong and fair, yet still governed by the people.
President Kennedy was informed at 9.00 AM on Tuesday, October 16, 1962 that the Soviet Union had placed nuclear missiles in Sierra del Rosario, Cuba. This confirmation was made by an authorized U-2 flight over the area on October 14. Kennedy was immediately briefed by CIA director Marshall Carter who explained what the missiles meant and how it affected the United States. By this time, Kennedy had created a council, now referred to as his Executive Committee or ExComm. Secretary of Defense, Robert McNamara and Secretary ...
Cohn, Jay N., The Use of Race and Ethnicity in Medicine: Lessons from the African-American Heart Failure Trial, J.L. Med. & Ethics, Race and Ethnicity, Fall 2006, p 552-554.
The Cuban Missile Crisis began with a set of photographs taken over Cuba by an American pilot.2 These photographs showed that Russians were building missile bases in Cuba and placing missiles and atomic weapons there that were easily within range of the United States. President JFK and Robert Kennedy were both stunned. From this point a board of advisors was created and called the Ex Comm, who met every day during those thirteen days and debated the various courses of actions, and consequences of each, that the president could take. Kennedy emphasizes the making of this board as a lesson for future government officials because he believes that it "proved conclusively how important it is that the President have the recommendations and opinions of more than one...point of view."3
Perhaps of the most obvious differences between these two civilizations was in their political beliefs. Two political forces constructed the new form of government in Western Society, known as Nationalism and Liberalism. Nationalists argued that the state should be linked to a single basic culture, and all other natio...
In recent discussions of health care disparities, a controversial issue has been whether racism is the cause of health care disparities or not. On one hand, some argue that racism is a serious problem in the health care system. From this perspective, the Institute of Medicine (IOM) states that there is a big gap between the health care quality received by minorities, and the quality of health care received by non-minorities, and the reason is due to racism. On the other hand, however, others argue that health care disparities are not due to racism. In the words of Sally Satel, one of this view’s main proponents, “White and black patients, on average don’t even visit the same population of physicians” (Satel 1), hence this reduces the chances of racism being the cause of health care disparities. According to this view, racism is not a serious problem in the health care system. In sum, then, the issue is whether racism is a major cause of health care disparities as the Institute of Medicine argues or racism is not really an issue in the health care system as suggested by Sally Satel.
The Middle East has historically rebuked Western influence during their process of establishing independence. When Britain and France left the Middle East after World War II, the region saw an unprecedented opportunity to establish independent and self-sufficient states free from the Western influence they had felt for hundreds of years. In an attempt to promote nationalistic independence, the states of the region immediately formed the League of Arab States in 1945. The League recognized and promoted the autonomy of its members and collaborated in regional opposition against the West until 1948 when Israel declared independence. Israel represented then and now an intrusive Western presence in the Arab world. The ongoing Arab-Israeli conflict typifies this cultural antagonism. The Cold War refocused attention to the Middle East as a site of economic and strategic importance for both sides, yet the two hegemons of the Cold War now needed to recognize the sovereignty of the Middle Eastern states. With their statehood and power cemented, the Middle Easte...
America’s role in the establishing of Israel marked the beginning of resentment among many Arabs and Muslims communities (Evara, Stratmann & Natta 2007). With this political stand, the US was forced to adopt policies that conflicted with major political movements in the region, namely secular pan-Arabism and Islamic fundamentalism. Egypt was on the forefront pushing for the first movement; it described its position on the Middle East and the rest of the world. Both the movements called for unity among the Muslim and Arabic community. Consequently they alienated the western countries, to an extent of advocating for violence. In 1991 the relationship was complicated further when the US led the gulf war against Iraq. However the more recent September 11, 2001 terrorist attack on America soil hig...
Race-based medicine is not meant to divide people, but rather to give better medical help to people of a certain demographic. Race-based medicine is created based on knowledge of predispositions of any given race. For example, it is a fact that heart disease is the leading cause of death for racial groups including African-Americans, Hispanics, and whites in the United States. When medical experts have this knowledge, the process of making diagnoses is
Healthcare disparities are when there are inequalities or differences of the conditions of health and the quality of care that is received among specific groups of people such as African Americans, Caucasians, Asians, or Hispanics. Not only does it occur between racial and ethnic groups, health disparities can happen between males and females as well. Minorities have the worst healthcare outcomes, higher death rates, and are more prone to terminal diseases. For African American men and women, some of the most common health disparities are diabetes, cancer, hypertension, cardiovascular disease, and HIV infections. Some factors that can contribute to disparities are healthcare access, transportation, specialist referrals, and non-effective communication with patients. There is also much racism that still occurs today, which can be another reason African Americans may be mistreated with their healthcare. “Although both black and white patients tended not to endorse the existence of racism in the medical system, African Americans patients were more likely to perceive racism” (Laveist, Nickerson, Bowie, 2000). Over the years, the health care system has made improvements but some Americans, such as African Americans, are still being treating unequally when wanting the same care they desire as everyone else.
The growing number of uninsured and underinsured is on the rise. In 1979, 11 million African americans were uninsured (Jaffe 10). Today, the number is 15 million and it is increasing every year (Jaffe 11). According to the Department of Health and Human Services, thirteen million blacks in America have health care and fourteen million do not (Fitzgerald 31). Also, those who are insured today may be at risk tomorrow if their employer drops coverage, or the head of the household changes or loses their job. Most blacks in the United States who are uninsured simply cannot receive health care at an affordable price because their employer does not offer it and self-insurance cost much more. The lack of adequate insurance can be devastating to families both in financial terms and in terms of timely access to needed health care (Jaffe 12). Altogether, collection agencies report every year that most blacks are in debt due to unpaid medical bills, because they are not insured or they are underinsured.
Seeking to position lower socioeconomic status above racial/ethnic biases or vice versa is irresponsible to the goal of eliminating healthcare delivery differences at large. Both these are realities of a group of people who are not receiving the same level of care from the healthcare professionals although they exist within one of the most resource rich countries in the world, the United States. According to House & Williams (2000), “racism restricts and truncates socioeconomic attainment” (page, 106). This alone will hinder good health and spur on disparities as racism reduces the level of education and income as well as the prospect of better jobs. Blacksher (2008) cites the nation’s institutionalized racism as one of the leading factors
The article, “Why Is There So Much Conflict in the Middle East?” written by Mirjam E. Sørli et. al corresponds a great deal with the text Politics and Change in the Middle East as far as the reasons for conflict in the Middle East. Sørli et. al disputes the idea of “Middle East exceptionalism,” which says that there is something different about Middle Easterners that make them prone to violence and conflict (142). Sørli et. al says this is not true, but rather there are very simple reasons as to why there has been conflict in the Middle East. As stated, the lack of regional natural resources such as water, oil, and arable la...
Nathan, James A. "Chapter 9: The Kennedy-Khrushchev Letters: An Overview." The Cuban Missile Crisis Revisited. New York: St. Martin's, 1992. 281.