HSC Pediatric Center: A Case Study

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.

Being a minority in the United States has and will possibly always been a struggle. With the economy being in shams and minimum wage becoming career, minorities have multiple issues that society is unaware especially in health care. A large percent of minorities are the majority of workers of America, in which requires the most of the health care distribution. But are they receiving the proper access to health care and prescription access based on their ethnicity/race? Discrimination and racism continue to be a part of the unbalancing inequality in society and have adversely affected minority populations, and the health care system in general. Analyzing some of the racial disparities in health care among Americans are modifications in both need and access. Minorities are most likely to need health care but are less likely to receive health care services, including proper drug access.

Barriers in health care can lead to disparities in meeting health needs and receiving appropriate care, including preventive services and the prevention of unnecessary hospitalizations (HealthyPeople.gov, 2012). In their 2008 annual report, the Agency for Healthcare Research and Quality lists several disparities’ in health care. They report that racial and ethnic minorities in the United States

In the field of health care there is a pervasive notion that many blacks are presumed to be low income. It is interesting to see how blackness is associated with low income and class. For example, questions regarding where black patients reside and what their current occupation is can be directly linked to racial profiling in health care. The author contends black patients are more likely to receive a lower quality of health care due to one’s insurance status and income. Here, too, one can maintain that race is deeply interwoven into the construct of class and accessibility (Smedly 2012). As a result, class serves a higher purpose of being granted access to the accessibility of better medical resources and standard of care. Conversely, the construct of class not only gives and takes away in its relation to recieving appropriate resources in

With this increased research and effort, Americans would be able to intervene and make positive impacts with the state, tribal, and local levels to best address health disparities and inequalities. In efforts to thwart ethnic and minority disparities, The Department of Health and Human Services (HHS) passed the HHS Disparities Action Plan in order to establish “a nation free of disparities in health and health care, (Cooper 97)” and to implement a series of priorities, strategies, actions, and goals to achieve this vision. States, local communities, private organizations, and providers have additionally engaged in efforts to reduce health disparities. With the HHS Disparities Action Plan, the Department continuously assess policies and programs on racial and ethnic health disparities, watching to see which policies make an impact on the level of health care received by minorities. Similarly, The Affordable Care Act (ACA) health coverage expansions significantly increase coverage options for low and moderate income populations and particularly benefit the “vulnerable populations.” The ACA also includes provisions to strengthen the safety-net delivery system, improve

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.

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.

The purpose of this paper is to exemplify the healthcare crisis of African Americans within the broader context of American healthcare reform. In order for one to appreciate the depth of necessity for healthcare reform in the African American community, he or she must have a general understanding of the history of healthcare for African Americans. As stated by the institute of medicine in a study assessing the health and mental health disparities of African Americans, “The sources of these disparities are complex, are rooted in historic and contemporary inequities, and involve many participants at several levels, including health systems, their administrative and bureaucratic processes, utilization managers, healthcare professionals, and

So some people don’t come in for preventative check-ups or unless they absolutely need to, which can turn minor health issues into more severe problems that require extensive treatment? We try to make people aware of self-pay rates and any potential discounts for routine things like flu shots Persons having a usual source of care are more likely to obtain preventive, primary, and specialty care services. Certainly, insurance coverage must be part of a comprehensive strategy to reduce inequities in health care. Asian Americans, Hispanics, Native Americans, and African Americans make up 52% of the uninsured (under-served) in the USA. Beyond insurance, other financial constraints, limited availability of providers in some locales, long waits for appointments, and limited culturally appropriate services result in vulnerable groups in rural and urban settings having a reduced level of

In 2010, the Affordable Care Act, hereafter referred to as the ACA, was signed into law. Even though the reformed healthcare system allowed more Americans to access to quality affordable health insurance, it still has many flaws. We focus on solving the problem that the current health care policies are based on a hierarchal system, where the higher one is placed in the socioeconomic status, the better quality and access to healthcare him or her will get. As a result, people who are in the lower socioeconomic status will more likely to be stuck in a cycle that continues to perpetuate itself. This group of people is most

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%

The issue with health care in the United States is similar to a domino effect. Each sociological factor such as race, ethnicity, socioeconomic status, and gender all inter twine. This domino effect occurs when one factor connects to another factor in which creates a cycle. This cycle involves inequality, discrimination, and unequal distribution of quality. According to multiple research and scholarly articles, the health care system displays many issues and flaws when it comes to the care and coverage for people depending on their social status.

Health care is necessary for single African American women. Medicaid is one of the commonly used government benefits. Health insurance is unaffordable for most individuals therefore; a family may go without healthcare insurance without a choice because of the financial burden. According to Shi (2008), “minorities may have lower expectations from the

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