People of color face inequality and intersectionality in healthcare whether through insurance coverage, access, social economics, and quality of care. This leads to our health care system having disparities. It remains a big challenge today as 41% of people living in the United States are people of color (kff.org). People of color aren't getting the same care as someone who's white. Racial and ethnic minorities received lower care. Race also plays a role if someone will be uninsured or not. Another problem with health care is social economics which causes some race to have better care than others. There have been little improvements to address these issues. Today our society is becoming more diverse not less. In 2015 minorities represented …show more content…
Doctors under our healthcare system have come under fire for prescribing medicine based on the patients' race. That practice is called "race-based medicine". Race-based medicine is a problem as it allows the American Healthcare System to be intersectionality based on race. The first ever race based-medicine drug "BiDil' was approved by the FDA a decade ago. It was used to treat African-American with heart failure and advocates rave it as a way to stop the disparities between black and white. However there no evidence that the drug is proven to be more effective in African-Americans compares to other patients. Doctors are medically obligated to bring the best care to patients regardless of their race. Dorothy Roberts sheds light on her experienced with race-based medicine in the youtube video "The problem with race-based medicine". She found out that the issue of race in healthcare runs a lot deeper in all medical practices. Doctors have told Dorothy that they're using race as a shortcut or more important factors, like muscle mass, enzyme level, genetic traits they just don't have time to look for (nhpr.org). Race adds no relevant information at all and it's just a distraction. The issue of race also blinds doctors to patients' symptoms, family illnesses, their history, their own illnesses they might have (Dorothy Roberts). Dorothy Roberts also said doctors should increase their cultural competence to …show more content…
Roberts, Dorothy. “The Problem with Race-Based Medicine.” Dorothy Roberts: The problem with race-Based medicine | TED Talk, Nov. 2015 https://www.ted.com/talks/dorothy_roberts_the_problem_with_race_based_medicine
2. “Eliminating Racial/Ethnic Disparities in Health Care: What are the Options?” The Henry J. Kaiser Family Foundation, 20 Oct. 2008 https://www.kff.org/disparities-policy/issue-brief/eliminating-racialethnic-disparities-in-health-care-what/
3. Duke University “Moving beyond Race-Based drugs.” ScienceDaily, ScienceDaily, 26 May 2016 https://www.sciencedaily.com/releases/2016/05/160526190237.htm
4. Glied, Sherry. “The Uninsured.” PBS, Public Broadcasting Service
The public needs to address racial disparities in health which is achievable by changing policy addressing the major components of socioeconomic status (income, education, and occupation) as well as the pathways by which these affect health. To modify these risk factors, one needs to look even further to consider the factors. Socioeconomic status is a key underlying factor. Several components need to be identified to offer more options for those working on policy making. Because the issue is so big, I believe that not a single policy can eliminate health disparities in the United States. One possible pathway can be education, like the campaign to decrease tobacco usage, which is still a big problem, but the health issue has decreased in severity. The other pathway can be by addressing the income, by giving low-income individuals the same quality of care as an individual who has a high
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
Even to present day the there is still a bias among doctors when it comes to treating and diagnosing of black people.The things that kill black the most are preventable and curable Washington says“that blacks are not dying of exotic, incurable, poorly understood illness nor from a genetic disease that target them only but rather from common ailments that are more often prevented and treated among whites than among blacks”(Washington 2006). The most experiment that show how true this statement is the Tuskegee syphilis experiment sponsored by the government of the United States. In this famous experiment, black was infected with the bacteria that causes syphilis.This ...
In conclusion, It it is very necessary that our health care officials try harder to gain trust with minorities so that medicine can be focused more on equality. We all know that for decades our country was very diverse and everyone was treated differently. Although things have changed and it is sometimes important to preserve our past, past actions should not still be carried out. Even today, racism still occurs and it hard for minorities to feel safe when visiting hospitals and doctor’s offices. Minorities should be given equal medical opportunities, be given the honest truth on their diagnosis and treatments and most importantly be given some sort of health care so they can be treated.
Health disparity is one of the burdens that contributes to our healthcare system in providing equal healthcare to everyone regarding of race, age, race, sexual orientation, and socioeconomic status to achieve good health. Research reveals that racial and ethnic minorities are likely to receive lower quality of healthcare services than white Americans.
On November 11th, 2004, NitroMed, a Massachusetts based pharmaceutical company published a study on the effects of a new drug called BiDil in treating heart failure among African Americans in the New England Journal of Medicine (Taylor 2049). Since announcing the study, NitroMed’s research has sparked controversy surrounding the ethical implications and scientific evidence of race-based medicine. This study marks a breakthrough in race-based drug treatments as the first pharmaceutical ever researched, endorsed and targeted for a single ethnic group (Pollack 1). The racially-specific pharmaceutical initiative is a product of tremendous government funding allotted by the Clinton administration to the Human Genome Project at the turn of the millennium. Since then, much medical research has focused on understanding the human genome in search of genetic explanations for health problems while funding and interest have decreased in social-related health research and medical programs for poor and underserved populations (Braun 162).
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.
Therefore, considering these issues is an impediment when discussing the disparities in health. Some minorities are disadvantaged in the current healthcare while some are not. However, it is complicated to identify reasons for inequalities because health outcome is a result of numerous interactions with factors including the individual’s access to care, the quality of care provided, health behaviors such as tobacco and alcohol consumption, the presence or absence of complicating conditions, and personal attitudes toward health and medicine. Therefore, Examining existing racial and ethnic issues, developing potential solutions for current disparities, and preparing for future challenges as shifts in trends emerge are essential aspects of health care improvements” (Boslaugh,
The promotion of health has been primarily a White middle-class phenomenon (Gottlieb and Green, 1987). It is critical that minority groups are included in preventive care, particularly because racial/ethnic minority group members are likely to suffer from higher mortality and morbidity than are White Americans.
Large disparities exist between minorities and the rest of Americans in major areas of health. Even though the overall health of the nation is improving, minorities suffer from certain diseases up to five times more than the rest of the nation. President Clinton has committed the nation to eliminating the disparities in six areas of health by the Year 2010, and the Department of Health and Human Services (HHS) will be jumping in on this huge battle. The six areas are: Infant Mortality, Cancer Screening and Management, Cardiovascular Disease, Diabetes, HIV Infection and AIDS, and Child and Adult Immunizations.
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 idea that the successful health and health care organizations of the future will be those that can simultaneously deliver excellent quality of care, at lower total costs, while improving the health of their population is taking hold. The main reason is because of health disparities. Addressing health disparities has been a challenge for decades. This paper will look at a few examples of how health disparities can affect individually, thus the overall health of a population.
Despite the substantial developments in diagnostic and treatment processes, there is convincing evidence that ethnic and racial minorities normally access and receive low quality services compared to the majority communities (Lum, 2011). As such, minority groups have higher mortality and morbidity rates arising from both preventable and treatable diseases judged against the majority groups. Elimination of both racial and ethnic disparities is mainly politically sensitive, but plays an important role in the equitable access of services, including the health care ones without discrimination. In addition, accountability, accessibility, and availability of equitable health care services are crucial for the continually growing