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Ethnicity and discrimination in america
Health care and socioeconomic status
Health disparities literature review
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There continues to be racial and ethnic disparities in the United States, and these problems need to be addressed since the rate of racial/ethnic populations in the country are steadily rising. According to the 2001 United States Census, “racial/ethnic minority populations are growing at such a fast rate that by 2050 more than 50% of the population will belong to a minority group” (Weech-Maldonado, Al-Amin, Nishimi, Salam, 2011). Race and ethnicity should not determine the levels of health care people receive. Certain races have genetic predispositions for certain diseases and that fact cannot be changed. However, the differences among race for things such as treatment, access to health care, and availability of medicine should not be as great as they are. One of the most important disparities that exists between racial/ethnic groups is access to care, specifically how access to care is limited due to treatment not being tailored to the needs of different minorities. A key factor affecting access to care is economic inequality. Many racial/ethnic groups are considered to be of low socioeconomic status in the United States. When one has to worry about food and housing, health is not considered a priority. Lack of health insurance is a huge problem that many people face. The inequalities in income means less money can be put towards doctor’s visits and medications. Research done by Shi, LeBrun, Zhu, and Tsai (2011) shows that while some minorities ordered less screening tests than others, the uninsured continued to be at a disadvantage for cervical, breast, and colorectal cancer screening. In the United States, one of every three African American children and one of every four Latino children live in poverty—two times higher than... ... middle of paper ... ...erty: Why racial and ethnic disparities persist. (Policy brief 16). Retrieved from http://www.npc.umich.edu/publications/policy_briefs/brief16/PolicyBrief16.pdf Richards, C., Kerker, B., Thorpe, L., Olson, C., Krauskopf, M., Silver, L., . . . Winawer, S. (2011). Increased screening colonoscopy rates and reduced racial disparities in the New York citywide campaign: An urban model. American Journal of Gastroenterology, 106(11), 1880-6. Shi, L., Lebrun, L., Zhu, J., & Tsai, J. (2011). Cancer screening among racial/ethnic and insurance groups in the United States: A comparison of disparities in 2000 and 2008. Journal of Health Care for the Poor and Underserved, 22(3), 945-61. Weech-Maldonado, R., Al-Amin, M., Nishimi, R., & Salam, F. (2011). Enhancing the cultural competency of health-care organizations. Advances in Health Care Management, (10), 43-67.
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
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.
Health Disparities and Racism is an ongoing problem that is reflected among society. Health is when an individual is physically, mentally and social well being is complete. However health disparities seems to be a social injustice within various ethnicities. Health disparities range from age, race, income, education and many other things. Even though we realize health disparities are more noticeable depending on the region of country where they live in. Racism is one of the most popular factors, for why it’s known that people struggle with health.
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.
Studies have analyzed how African Americans deal with an enormous amount of disease, injury, death, and disability compared to other ethnic group, and whites, Utilization of health services by African Americans is less frequent than other ethnic groups in the country. This non utilization of services contributes to health disparities amongst African Americans in the United States. Current and past studies have shown that because of discrimination, medical mistrust, racial/ethnic background, and poor communication African Americans tend to not seek medical care unless they are in dire need or forced to seek professional care. African Americans would rather self –medicate than to trust a doctor who might show some type of discriminatory
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,
For these reasons, minorities often put off the expense of seeing a doctor until they have advanced disease and are past being easily treated. A lack of education, rural or inner city residence, unemployment, and low literacy rate may also contribute to higher cancer mortality rates for some communities. In several studies researchers investigates whether socioeconomic status is the reason for the disparity in prostate cancer incidence, where African Americans and Non- Hispanic Whites are the top two candidates for prostate cancer. Some results found that the highest level of cancer incidence was positively correlated with low socioeconomic status (Cheng, et al.,
According to the U.S. Census Bureau, in 2014 African Americans held the highest poverty rate of 26%, with Hispanics holding the second highest rate at 24% (DeNavas-Walt & Proctor, 2015). When comparing this to the poverty rates of Whites at 10% and Asians at 12% in 2014, we see that in America, racial and ethnic minorities are more vulnerable to experiencing poverty (DeNavas-Walt & Proctor, 2015). In addition, discrimination is seen between genders among those living in poverty. Family households of a single adult are more likely to be headed by women and are also at a greater risk for poverty (DeNavas-Walt & Proctor, 2015). In 2014, 30.6% of households headed by a single woman were living below the poverty line compared to 15.7% for households headed by a single male (DeNavas-Walt & Proctor, 2015). Many factors such as poor wages for women, pregnancy associations, and the increase of single-woman parented families have impacted the increase of women in poverty. Children are most harshly affected by poverty because for them the risks are compounded, as they lack the defenses and supports needed to combat the toxicity surrounding them. According to the U.S. Census Bureau, 21% of all U.S. children (73.6 million children) under 18 years old lived in poverty in 2014 (DeNavas-Walt & Proctor,
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.
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.
Racial disparities in The United States health care system are widespread and well documented. Social and economic inequalities between racial minorities and their white counter parts have lead to lower life expectancy rates, higher infant mortality rates, and overall poorer health for people of color. As the nation’s population continues to become increasingly diverse, these disparities are likely to grow if left unaddressed. The Affordable Care Act includes various provisions that specifically aim to reduce inequalities for racially and ethnically marginalized groups. These include provisions in the Senate bill and House bill that aim to expand coverage, boost outreach and education programs, establish standards for culturally and linguistically appropriate practices, and diversify the health care workforce. The ACA, while not a perfect solution for eliminating health disparities, serves as an important first step and an unprecedented opportunity to improve health equity in the United States.
Today’s society protects against discrimination through laws, which have been passed to protect minorities. The persons in a minority can be defined as “a group having little power or representation relative to other groups within a society” (The Free Dictionary). It is not ethical for any person to discriminate based on race or ethnicity in a medical situation, whether it takes place in the private settings of someone’s home or in a public hospital. Racial discrimination, in a medical setting, is not ethical on the grounds of legal statues, moral teachings, and social standings.
Approximately 1 in 5 Americans do not have medical insurance and are more likely to lack a usual source of medical care, and more likely to skip routine medical care because of the very high costs, increasing their risk for serious health conditions. For the program, increasing the access to routine medical care and medical insurance are very important steps to achieve their goal of improving America’s health. The access to health services leading health indicators are those with medical insurance and a usual primary care provider. The access to health services in a regular basis can prevent disease and disability, detect and treat health conditions, increase quality of life, decrease the probability of premature death, and increase life
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