Is Racism the cause of Health care disparity? 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. According to the institute of Medicine (IOM), racism is a problem in the health care system, that is, the difference between the quality of health care received by minorities and non-minorities is due to racism. IOM is a nonprofit organization that advises the federal government and the public on science policy. It released a report that on average, minorities receive a lower quality of care, even when factors such as income and type of health insurance are accounted for. The report by IOM states that racial stereotypes and prejudice are the cause of the health care disparities. The article by IOM points ... ... middle of paper ... ...that Satel needs to do more research. For example, in her article, she mentions that Primary-care physicians who lack board certification and who encounter obstacles to specialized services are more likely to practice in areas where blacks receive their care—namely, poorer neighborhoods, as measured by the median income, but she doesn’t back it up with research. Although some may object that health care is color blind and that doctors do their best to administer health care proportionately, I would reply that racism plays a role in the health care disparities. Racism has always been an issue and there is no way people can reject that fact. This issue is important because the health care disparity gap is large and something needs to be done about it. As IOM said, people need to be aware of what is going on so as to take appropriate steps in order to break the gap.
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
The Tuskegee study of untreated syphilis in the Negro Male population was studied to improve the health of poor African Americans. Men were recruited for this study and were promised free medical examinations, blood tests, and medicines. Bessie disliked going to the doctor, however, she would really not really seek health care knowing the circumstances of this case. Trusting the health care providers would be her biggest issue. Not being able to communicate and understand a patient, as a caregiver would make me not want to go to the doctor as well. Annette Dula would suggest that the need for dialogue with African Americans should be recognized as a serious bioethical problem. I would suggest that health care providers should know different dialogue to get a better understanding of their patients. I agree with the three health disparities: institutional racism, economic equality, and attitudinal barriers to
Does racism still exist today? Although many believe it was a problem in the past, it still exists today. Many People are still not aware that it still exists in our workforces, especially in medical field. Although racism in medicine can be very offense, it can sometimes be beneficial and help reveal differences in diseases based on genetic make up. These differences can be taken in the wrong manner and can lead to social problems especially if these distinctions are thought of as ethnic differences. In Gregg M. Bloche’s article. “Race, Money and Medicine”, he states that we should erase racial categories from medicine but only use them if they are beneficial for the patient’s health. Peter Clark, author of “Prejudice and the Medical Profession: A Five Year Update”, explains that racial categories should be understood because understand these different can be beneficial. Lynne D. Richardson and Marlaina Norris, authors of “Access to Health and Health Care: How Race and Ethnicity Matter”, also believe that these differences can be beneficial but want to improve the health are because they know a majority of minorities do not receive proper health care and treatment. Rebecca Skloot, author of “The Immortal Life of Henrietta Lacks”, pays attention to the fact that her character, Henrietta Lacks, was not given the proper treatment and care she should have. Although Henrietta’s cells were beneficial to cancer research , she never once gave consent to the doctor’s to distribute her cells. She was taken advantage of because of her race and low income. Minorities’ opinions and beliefs should be taken into perspective because they often feel neglected which causes a sense of “distrust”. There has been a vast history of racism in the ...
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...
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.
The healthcare workforce is suffering critically due to its lack in diversity. As healthcare organizations are growing and the number of patients is increasing, so is the diversity of the patients. There are more minority patients are the number of minorities increase in the United States. The need for minority employees is crucial in that they are needed to help assist patients who have the similar cultural, racial, and ethnic upbringings. There are many barriers in healthcare workforce that are keeping minorities from reaching their full potential to become employees in healthcare, particularly upper-level leadership positions; as patients continue to become more diverse, so does the need of employees.
Although ethnic minorities have access to Health Care’s such as GP’s and Hospitals, it does not mean that they get equal care to the White British groups. Pilgrim and Rogers have noted “Black People have different perceptions of services from white users, whether one of mistrust or of cynicism about the quality of treatment they might receive” (Barry,A.M and Yuill, C: 2012) Afro- Caribbean group tend to not see GP’s or other healthcare professions, men tend to just let things health and women tend to use home remedies. In Donovan’s research with Black People’s Health, Men say they do not go to GP’s because they do not like doctors and because of the waiting times. Carlton “I don’t like waitin when I’m sick, I’d rather just go home, sleep it off” (Donovan, J: 1986) Black minorities having a high percentage in mental illnesses, Black people are both over represented in admissions to psychiatric hospitals (Bhui et al. 2003), more likely to be admitted compulsorily and placed in secure units, and more likely to have been in conflict with the police (Barry, A.M and Yuill, C: 2012) Because they are seen as threatening and aggressive. As a result, ethnic minorities not just Black Minorities make less use of psychiatric services than white people. (Donovan, J:
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,
Many people believe that racism is no longer present; however, racism is subtly interconnected with many aspects of ever person’s life, including school, upper mobility, access to services and their race many times determine the proper care given by a health care professional. Based on research, racism is interconnected with mental health care. This essay will offer a theoretical explanation that allows social workers a better understanding to clinician’s misdiagnosis of ethnic minorities. Critical Race Theory permits clinicians to purposely or unintentionally misdiagnoses ethnic minorities and will be used in understanding how racism ingrained in the mental health care system.
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 the healthcare system, it is needed even more. Many healthcare facilities need to have their workforce diverse in order to reap benefits. In the 2000 U.S. Census, African Americans accounted for nearly 12.7 percent of the workforce, that number hasn’t increased exponentially today. Many minorities are underrepresented in the healthcare workforce, which can affect delivery of healthcare. Some benefits that many organizations see from a diverse work environment are: varied ideas, a larger talent pool, reduced discrimination, and more productivity. These benefits can impact the healthcare delivery system by improving quality of care and quality in the
The framework of racism has enhanced the understanding of racial inequalities in health. By racism, an ideology of inferiority that is used to justify unequal treatment (discrimination) of members of groups defined as inferior, by both individuals and societal institutions. This idea of inferiority has led to the development of negative attitudes and beliefs towards raci...
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