Braverman Health Care

Education is closely tied to socioeconomic status, and effective education for children and lifelong learning for adults are key contributors to health and prosperity for individuals, and for the country. Education contributes to health and prosperity by equipping people with knowledge and skills for problem solving, and helps provide a sense of control and mastery over life circumstances. It increases

The need to distribute wealth amongst the population is another way to promote health equity as it pertains to ensuring that the balance of power is not too one-sided by the rich. Another example of improving the health state is to improve the gap of economic levels by making sure that the poor does not get poorer and the middle class does not become too strained. Lastly, health is dependent on the resources available. If communities are empowered and advocate for change in their health, there is a better chance of improving the health disparities within communities (Adelman, 2008).

As Americans we should all be afforded access to healthcare. Access to healthcare is an individual right according to the human rights amendment. The human right to health guarantees a system of health protection for all. The human right to health means that everyone has the right to the highest attainable standard of physical and mental health, which includes access to all medical services, sanitation, adequate food, decent housing, healthy working conditions and a clean environment (What is the Human Right to Health and Health Care, 2015). However there are strengths and weaknesses to every healthcare system and the U.S. Healthcare system is not exempt. I plan to discuss the strengths and weaknesses of the U. S. Healthcare system (What is the Human Right to Health and Health Care, 2015).

Education is an important social determinant of health because it affects many other determinants. Generally, people with worst health status have low education levels. Furthermore, people with low levels of education are more likely to have lifestyles which can lead to a chronic illness. Education empowers people with skills to

“Health is a state of complete physical, mental, spiritual and social wellbeing, and not just the absence of disease” (WHO, 1974). Health inequalities are the differences in health or healthcare opportunities in different societies this may be due to income,

I assume that in today’s world, there is a lot of information and scholarly research available that shows factors such as economic status, income, social situations, education, ethnicity, employment, availability of affordable housing and geographical (place where one was born and lives) conditions have a tremendous impact on the health and well-being of individuals, countries and communities (Amaro, 2014). Inequalities in health and well-being are created by social determinants and economic conditions for many in our community (Brannigan &Boss). The people that are affected the most are people with low income and minority groups here in the United States. This creates health disparities and unequal care (Brannigan &Boss). In many developing and under-developed countries, the situation is dire: lack of modern health services, illiteracy, poor economic conditions has created a cultural situation of desperation and unhealthy behaviors. Corruption by African governments is rampant. To improve the health and wellbeing of communities, we need to start thinking of how we can create a culture of health.

“We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights that among these are Life, Liberty, and the Pursuit of Happiness.” If these words are true then why should we segregate one another by a precondition such as Universal Health care? A system that should allow residents of a specific region the opportunity to have healthcare coverage. This paper argues stipulations that all residents should be given the opportunities stated in the founding documents as well as the right to suitable healthcare, economic productivity and, a base for a just nation. In 2014 according to the US Census Bureau 33 million people in the United States which equates to 10.4% did not have health insurance. Thus, possibly assisting with the inability to provide residents with lifesaving treatments and accurate care for those in dire need but were unable to receive certain previsions due to not having health care.

The role of education in society has proven to service the people through the spreading of information, teaching of lessons and simply giving the gift of knowledge. With the gift of knowledge, we ultimately give the other the right and the ability, more importantly, to make their own informed choices. An educated mind can go beyond the limits set out by society and can make wise decisions regarding their health, success and general well being by simply using rationale. The level of education one obtains is directly related to the health of that individual, whereby it determines the person’s quality of life and life expectancy. Further more, one may be lead to believe that education is the most

This paper will include definitions of health equity and health inequity, steps to reduce health inequity, and two important decisions used to decrease in health inequity and why this reduction in health inequity occurs. It will also include further discussion on certain steps and decisions used to decrease health inequity.

“Among all the known contributors to health, access to health care plays a minor role. Until the United States definitively addresses inequities in those social and economic domains that are key to health, such as behaviors, education, income, and environment, inequalities in health will persist” (Lyon, et. al, 2014).

Healthy People 2020 is a promotion to help raise public awareness by providing measureable objectives and goals for individuals to obtain higher qualities of lives, decrease premature deaths, and promote a higher quality of life (US Department of Health and Human Services, 2014). Healthy People 2020 has monitored its progress for over three decades between communities over the nation to understand where prevention measures are needed most. Fielding, Teutsch, & Koh (2012) projected that Healthy People 2020 will project a greater emphasis on social needs when it comes to health care disparities and will focus on education and income across the reform. One strength I noticed, when navigating through U.S. Department of Health and Human Services

It is important to understand determinants such as poverty, lack in health care access, exposure to disease early in life, social positions, gender, race/ethnicity will all effect communities who receive health inequalities. Organizations such as WHO, National Institute of Health (NIH), and Centers of Disease Control and Prevention (CDC) have been working to provide the best quality of care for urban/rural populations. An adjustment in policies is needed to protect access to health, education, and employment for disadvantaged populations. Even though governments have made policies to provide health to all, we can see urban/rural populations are in a lack of quality of care. Health needs to be a right for all, and not based on whether in urban area or socioeconomic status they are in. Individuals’ irrespective of socioeconomic class or race should have the same rights and

He states that “it doesn’t matter how you achieve it but that you do” (2011). No one pathway taken to greater equality will be the same for differing countries but there are lessons to be learned regarding how similar countries were able to be successful. Sweden was able to attain greater equality by closing the income gap through taxation, having a generous welfare state and benefits for its citizens; on the other hand, Japan was able to do it by having smaller income gaps before taxes and a smaller welfare state (Wilkinson, 2011). What was eye-opening and previously not considered by me was that the same contrasts were seen among states in the U.S. according to Wilkinson. The relationship between justice and health goes beyond health, and includes the structural and political institutions that are intertwined with health as well. Both avenues to greater equality discussed above contained some type of structural or political change that produced an outcome beneficial to all most likely in the areas of health, education, occupation, and improved social conditions. Having this information can direct actions towards looking at all possible approaches to combating inequalities, even those that seem out of the norm or have not been a part of the conversation in the past. Exploring options such as focusing on reducing health inequalities on a small scale (i.e. state level) instead of on the national level; how this looks and what results could potentially come from it are considerations of justice in our healthcare system. Inequalities, whether income, racial, or health based did not spring up overnight; they are the result of historical, political, and economic policies and decision making that shaped the landscape of countries where inequality

Worldwide, approximately 1.3 billion people do not have access to affordable and efficient healthcare and out of those who have access, almost 170 million are forced to spend around 40 % of their income on medical treatment (Asante et al,2016).In low and middle income countries (LMICs), the major constraint to the access of healthcare is financial burden, where out-of-pocket payments (OPP) contribute to approximately 50 % of total health expenditure (WHO, 2010). As a result, in these countries there is high probability of many households being pushed into poverty due to high medical expenses (McIntyre,2006).The matter of concern in LMICS is that poor and disadvantaged groups of population do not have access to adequate quality of healthcare.For instance, according to WHO (2010) up to 20 % of women in rich population are more likely to have a birth attended by skilled health worker than a poor woman. Therefore, taking an action to address health inequities faced in these countries would save up to 700,000 women.

Paula Braveman’s education is as follows: MD, MPH is Professor of Family and Community Medicine and