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.
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...
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.
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 ...
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
A health disparity is a term used to show that there are inequalities that occur in the healthcare system. Race, sex, age, disability, and socioeconomic status can all attribute to a person 's health outcome. According to Healthy People 2020, health disparity is defined as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.” In the United States, many ethnic minorities experience the effects of health disparities. African American, Asian American, Latinos, and Native Americans have a higher occurrence of poor health outcomes compared to the white population. Some examples of health disparities include: African American men, for instance, are more likely to die from cancer than white men. White women are more likely to develop breast cancer than African-American women. African-American men are more likely than white men to develop prostate
The disparities in the healthcare system contribute to the overall health status disparities that affect ethnic and racial minorities. The sources of ethnic and racial healthcare disparities include cultural barriers, geography differences, or healthcare provider stereotyping. In addition, difficulties in communication between health care providers and patients, lack of access to healthcare providers, and lack of access to adequate health care coverage
Many Americans pretend that the days of racism are far behind; however it is clear that institutional racism still exists in this country. One way of viewing this institutional racism is looking at our nation’s prison system and how the incarceration rates are skewed towards African American men. The reasons for the incarceration rate disparity are argued and different between races, but history points out and starts to show the reason of why the disparity began. Families and children of the incarcerated are adversely affected due to the discrimination as well as the discrimination against African American students and their likelihood of going to prison compared to the white student. African American women are also affected by the discrimination in the incarceration rate. Many white Americans don’t see how racism affects incarceration rates, and that African Americans are more likely to face discrimination from the police as well as being falsely arrested.
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
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.
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 purpose of this essay is to firstly give an overview of the existence of inequalities of health related to ethnicity, by providing some evidence that ethnic inequality in health is a reality in the society and include definitions of keywords. Secondly, I will bring forward arguments for and against on the major sociological explanations (racial discrimination, arefact, access to and quality of care) for the existence of health inequalities related to ethnicity. Thirdly, I would also like to take the knowledge learnt for this topic and brief outline how this may help me in future nursing practice.
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.
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