Article Critique of 'Race and Ethnicity and Breast Cancer Outcomes in an Underinsured Population'

There are many factors that contribute to the current health status of Black Americans, but “Poverty may be the most profound and pervasive determinant of health status” (Edelman & Mandle, 2010, p. 39). Health care is expensive and can only be purchased by those who can afford to pay, so those below the poverty level are those who lack insurance. Without insurance their access to healthcare is limited, especially preventative care. No preventative care means more expensive care that comes with illness.

The health of a nation plays an integral part in the overall success and economic well being of a particular country. The United Stated, while pouring more money into the healthcare system than any other country, still stands as a broken system with inadequate care for many citizens. One of the most marginalized groups of people, African American women, continually score alarmingly low on basic measures of overall health. The healthcare discrepancies between white and black women in the United States are alarming, and they reveal flaws in the American health care system as a whole.

Healthcare inequality mainly revolves around the disparity in the quality of health and health services among different population groups in the society. It touches on the accessibility of health insurance and thus the accessibility of quality healthcare services among the different population groups. There disparities in the access to quality healthcare among the different races and ethnicities, social classes and between the two genders. These disparities are mainly influenced by and are reflective of the differences in access to health insurance among these population groups. These disparities ultimately lead to similar disparities in healthcare services access, health outcomes and the presence of disease among these different population groups. There are several factors that influence access to health insurance and quality health services, referred to as determinants of health among the populations. There are cultural, environmental social and economic determinants to health which create an unfair playing ground for the different population groups in American society. This paper examines the social determinants to health, the extent to which they affect access to health insurance and quality healthcare and ways in which they can be reversed to enable equal access to health insurance and health care services among these populations. The issue of disparities in access to health insurance and by extension access to quality healthcare services is important because it affects

. Addressing health inequalities and health care is not only important from the point of view of social justice, but also to improving the health of all Americans by improving the quality of care and health of their children. People. Moreover, the difference in health is expensive. An analysis estimates that about 30% of total direct medical expenses for blacks, Hispanics and Asians are excessive costs due to inequalities in health. The difference also leads to economic losses due to indirect costs related to loss of productivity and premature mortality. (Artiga,

Although most American citizens today associate racial and ethnic disparities in public health care quality with socioeconomic status, a majority of studies performed conclude that these discrepancies are still highly prevalent when the factor of one’s socioeconomic status is taken out of the equation. Health disparities for a certain minority result in a higher number of illness, injury, and even mortality for that race or ethnicity in comparison to white Americans; therefore, health care disparities can be defined as differences between groups in health coverage, specifically focusing on both the quality and access to care. The Office of Management and Budget has created two ethnic categories for all American citizens to fit into, being either

Health Care reform is a major topic of discussion in today’s society, especially with the relatively novel release of the Patient Protection and Affordable Care Act (ACA) by the Obama administration. Historically, the health care system has disproportionally favored those of higher class and income, resulting in diminished health care for those that could not afford it. The Institute of Medicine’s (IOM) 2002 report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, states that a lack of insurance substantially contributes to the proliferation of healthcare disparities. Furthermore, racial and ethnic minorities are most subject to these healthcare disparities because they are significantly more likely to be uninsured. (1) The history of health care reform in the United States, as it pertains to under-insured urban populations, will be discussed, with a specific emphasis on its impact on African-Americans; in addition, the modern resolutions to healthcare disparities will be assessed.

Many factors can influence a person’s access to health care. Age can influence access to health care because some physicians will treat only children or only the elderly. Income can influence access to health care because specialty driven health care usually involves significant out-of-pocket expense to the patient because some procedures are not covered by health insurance. Location also can be an influence on access to health care. Many patients do not have transportation because of age, dependency on family members, health reasons, or financial reasons. According to the Journal of the National Medical Association, Access to health care can influence the prevalence of chronic disease risks and cancer screening utilization in many ways (Shavers, Shanker, Alberg, 2002, p. 955). If patients are not given

Socioeconomic status is a health disparity in the United States. In 2012, McHenry concluded that there are approximately 84,000 preventable deaths that occur each year. Although the ACA has provided accessible health care to many people that would otherwise not be able to afford health insurance there still is a large population uninsured (Brown & Divenere, 2017). African Americans have a high prevalence of

Although the United States is a leader in healthcare innovation and spends more money on health care than any other industrialized nation, not all people in the United State benefit equally from this progress as a health care disparity exists between racial and ethnic minorities and white Americans. Health care disparity is defined as “a particular type of health difference that is closely linked with social or economic disadvantage…adversely affecting groups of people who have systematically experienced greater social and/or economic obstacles to health and/or clean environment 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” (National Partnership for Action to End Health Disparities [NPAEHD], 2011, p. 3). Overwhelming evidence shows that racial and ethnic minorities receive inferior quality health care compared to white Americans, and multiple factors contribute to these disparities, including geography, lack of access to adequate health coverage, communication difficulties between patients and providers, cultural barriers, and lack of access to providers (American College of Physicians,

The disparities are around us every day and unless we educate ourselves and our communities these disparities will continue to wreak havoc on our neighborhoods and in the future, we will just be putting our kids and their kids in a continuing cycle of ignorance when we could have done more if it’s just educating the community we leave in, that alone could be enough to turn the tides in our people favor. In turn, I would hope this paper enlighten you on what is going on in our neighborhood and what we can do to correct this issue to preserve our autonomy. Racial and ethnic health disparities undermine what a healthcare system should stand for. Although the top three causes and seven of the 10 leading causes of death are the same for African Americans and whites, the risk factors and incidence, morbidity, and mortality rates for these diseases and injuries often are greater among blacks than whites (MMWR, 2005). Health disparities refer to differences in disease risks, incidence, morbidity, and mortality but most of all for the sake of this paper unequal access to quality health insurance amongst African American in the United States, which will also go hand and hand with the social and economic disadvantages. The disadvantages of health disparities usually affect people of African American descent who have systemically experienced a greater social and economic obstacle to health care.

In the Article Socioeconomic Disparities in Breast Cancer Treatment among Older Women States, “Approximately 200,000 women are diagnosed with breast cancer and 40,500 die from the disease…White women have a higher of this disease than black women. However, black women have a higher mortality than white women (White, et al. 7)”. Breast Cancer is a health disparity to black women because they’re most likely to die from it than white women due to tumor differences. Many woman not only black women die from cancer because they chose not to go through chemotherapy, but According to the article Socioeconomic Disparities in Breast Cancer Treatment Among Older Women says, “Black women with node positive and node negative tumors were 25% and 17% less likely to receive chemotherapy than white women. Black people are more likely to die not only because they don’t receive chemotherapy but because of patient and tumor characteristic, and after adjusting for socioeconomic (White, et al.1)”. Breast Cancer is a huge health disparity to black women because most of them can’t survive with this disease than white

In the African American community, health insurance can be more frequently unaffordable due to medical history or preexisting conditions, matrimonial status, lack of education and employment in jobs that do not provide adequate health care advantages. Because of the lack health insurance, many people do not go to doctors for preventative care, thereby significantly increasing the likelihood of cancer going undiagnosed until it enters late, and even untreatable stages. African Americans also have a higher risk of vulnerability to harmful toxins such as insecticides and pesticides when they are working on farms as well as using them in the home. (Johnson, 2015). The cancer mortality rate for African American men is 33 percent and for African American women is 16 percent (DeSantis, 2013). As a result, more African Americans that are living in industrialized and work environments along with air and water pollution are revealed to toxins that can lead to cancer (Johnson,

The National Cancer Institute provides great examples of cancer health disparities and the burdens each ethnic group face. Factors such as education, living conditions, exposure to environmental toxins, workplace, and access to healthcare can influence the survival rate and mortality rate of those diagnosed with cancer. More so, medically underserved populations face the most burdens resulting in late diagnosed or no treatment at

One issue with underserved populations is an increase in health disparities, not only race and ethnicity, but also gender and age. The Centers of Disease Control and Prevention (2014) list a number of key findings from a report on underserved populations and health care. Mortality rates from certain diseases and different types of death were higher in different racial groups than Caucasians (Centers for Disease Control and Prevention, 2014). Morbidity of asthma, oral disease, tuberculosis, obesity, and diabetes were also higher in minority groups (Centers for Disease Control and Prevention, 2014). Preventive screening for the over-50 population was just over 60%

Changes in access to health care across different populations are the chief reason for current disparities in health care provision. These changes occur for several reasons, and some of the main factors that contribute to the problem in the United States are: Lack of health insurance – Several racial, ethnic, socioeconomic and other minority groups lack adequate health insurance coverage in comparison with people who can afford healthcare insurance. The majority of these individuals are likely to put off health care or go without the necessary healthcare and medication that is needed. Lack of financial resources – Lack of accessibility to funding is a barrier to health care for a lot of people living in the United States