Infant Mortality Proposal

In the US, black women are over three times more likely to die from maternally related complications than white women, and their babies are less likely to survive their first year (Oparah & Bonparte, 2015). Birthing Justice: Black Women, Pregnancy and Childbirth, edited by Julia Chineyere Oparah and Alicia D. Bonaparte tells the stories, experiences, oppression, and subjection of black women in the maternal health care system. Each chapter in the book explained a certain key point in the experience of black women and the health care system. In the following, I will discuss how the medical industrial complex or the introduction of medical treatments has not only stripped women of color, trans women, poor and immigrant women of their autonomy, but has sustained the hierarchy of patriarchy in the health system.

Today, one of the leading problems discussed in politics is healthcare. America constantly struggles with their healthcare system to make it affordable and accessible to communities. In the twentieth century this same problem also existed, creating one of the most well-known African American activist groups in America. In the book Body and Soul by Alondra Nelson, it discusses the social inequalities of the healthcare system in America and how the Black Panther Party fought against medical discrimination for African Americans. Nelson talks about how the Black Panther Party went from the role of protecting black citizens to a larger political role in African American health care. The significance of this book applies to medical sociology in many ways and is essential to the understanding of providing better healthcare to future generations. In the following book review, it includes a summary of each chapter to highlight the main points, some of the very many medical sociology concepts that could be applied, and lastly an evaluation of the book as a whole and its significance to our course.

Black midwives were common, and carried the responsibility of delivering infants from both slave mothers and white mothers. Due to the lack of sterilization and knowledge of pathogens, the infant mortality rate was high, and physicians blamed black midwives for purposefully killing children, even though the practices of physicians were not any healthier (Kiple 2). Having the responsibility of a midwife in the Antebellum South was not an easy process since many children would die, but the process was even more difficult for the mother delivering the child. Typically, the birth of a child is seen as a wonderful occasion, however, in the South, pregnancy and childbirth caused fear, not only for the mother, but for her family as well. Many complications such as puerperal(a deadly infection in the uterus), the inability to breastfeed the child, and prolapse of the uterus were symptoms a mother could experience after childbirth, which would ultimately end with her death, or her child’s death (Sullivan 24). The medical practices in the South were inadequate and inefficient to support prenatal and birthing needs, therefore, it caused a sufficient amount of deaths between mothers and children during this period of

It is probably the worst kept secret in the United States that minorities living in low income areas have the worst access to health care in the developed nation. Oftentimes they have to choose between going to the doctor to get treatment that could potentially save their lives or risk putting their families in millions of dollars’ worth of debt. Crooked CEOS jack up the prices of insulin, EpiPen’s, and a host of other lifesaving medications just to make an extra dollar. Research on Black Americans is typically underfunded, not to mention the underlying mistrust that people of color in low income communities can occasionally exhibit to doctors, police officers, etc. It is hard to trust someone in a position of authority when historically they have oppressed and hurt your people. The Tuskegee Syphilis Study, a study where black men were used as laboratory experiments to examine the effects of syphilis, is proof enough. Therefore, I propose a 3-step plan to help people livening in these situations.

Infant mortality rate constitutes the death of a baby before their first birthday. Mortality rates around the world differ tremendously with America leading the first world countries at an alarming rate of 6.1 deaths per 1,000 births. Conversely, Finland and Japan secure the last, most desirable position, with deaths totaling 2.3 per 1,000 births, as of 2010. (Ovaska-Few, 2015) In 2014, over 23,000 babies died in the United States. (CDC, 2016) Exploring the mortality rates in America brings light to a dire need for additional interventions and research as to why this developing nation has the highest rate of infant deaths before the age of 1 year old. African Americans face the worst outcomes of infant death compared to whites, Latino, and their Native American peers in North Carolina. (Ovaska-Few, 2015) This paper will explore why African American are the leading race for infant mortality and the steps that health communities need to take to address this devastating occurrence.

The bill selected for the purpose of this legislative analysis is titled the Stop Infant Mortality and Recidivism Reduction Act of 2016, and is also recognized by the abbreviation SIMARRA Act. The bill number is 5,130 in the House of Representatives, and has no related bills in the Senate. The SIMARRA Act is a federal bill that was last referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations for further review and analysis.

Though it has been apparent that people of color have been treated as a subclass within the medical field for centuries; as was brought to light in The Tuskegee Syphilis Study, the recognition of forced hysterectomies and sterilizations of African American women in the 20th century and, to “The Negro Project” which worked to reduce the African American population through eugenics (Feagin & Bennefield, 2014). With even these three examples it is clear that the medical field has played a large role in creating both psychological and physical disadvantages and trauma for minority groups in America. Yet, it seems to be a subject that many professionals refuse to address. A meta-analysis conducted by Mayberry, Mili and Ofili found that,

In our community, disparities in mortality rates have been shown to be influenced by the unequal distribution of resources such as adequate income, quality nutrition, jobs, transportation, insurance enrollment, stable housing and education level. In Columbus, black families are more likely to be affected by poverty, joblessness and education deficits and in turn are more likely to experience an infant death. Considering this information, city government should enact laws, write policy, and develop programs that would decrease the infant mortality disparities in the black community and improve social and economic conditions (Greater Columbus Infant Mortality Task Force,

The third piece for evidence is a book solely based on minorities and health disparities. This book discusses racial and cultural issues in relation to medical disparities, this is not generalized amongst racial groups, the text dives into specifics. I plan to use this text to discuss the different perspectives on race and health disparities in various cultural groups. My two final pieces of evidence will be used to provide the audience with real world examples of how race causes health disparities in modern America. The first article is about how black women face health disparities, the article does dive into women’s healthcare, “Black women are three times more likely to experience an unintended pregnancy than white women. These higher rates in unexpected pregnancy reflect a disparity in access to quality affordable contraceptive services along with other quality women’s health care services” (1). The second article is geared towards ethic groups over the age of 65 who are impacted by health disparities in the form of

“Compared with European Americans, African American infants experience disproportionately high rates of low birth weight (LBW) and preterm delivery and are more than twice as likely to die during their 1st year of life”(Giscombé, C. L., & Lobel, M., 2005). The infant mortality rate for African Americans is 13.7 deaths per 1000 live births, more than twice the rate (5.7) for White Americans in the U.S. (Kung, Hoyert, Xu, & Murphy, 2008). A lot of the racial disparity in infant mortality can be explained by low birthweight and preterm delivery, which are also disproportionately and often experienced by African Americans (Martin et al., 2007).

When it comes to healthcare racial disparities continue to be an ongoing issue. In fact racial disparities have been a topic of discussion since desegregation. The US Department of Health and Human Services, in 1984 published a report that called attention to the healthcare disparities. The report was called Heath, United States 1983(Dougher, 2015). Within the context of the report there lies a passage that describes the major disparities that are within the burden of illness and death that is experienced by African Americans and other minorities, “despite significant progress in the overall health of the nation” (Dougher, 2015). It was evident that there was a serious lack of health care minorities.

In looking on the subject of race you realize there is a racial stigma when it comes to health care. The American health care system is geared to treat the majority, while the minority suffers. As one looks at the African American society we see the racial discrimination in the health care system. According to the American heart association, “African Americans are 28% more likely

As a complimentary form of inquiry, I will also be looking at a series of interviews conducted by the Bio Med Center, a clinical health organization that focuses on prenatal health. In 2016, they interviewed 39 pregnant African American

In doing so, he pays particularly close attention to black patients and their relations with health care policies and practices. Smedly maintains that blacks are not only the victims of, inpatient and outpatient treatment, racial policies, and other services but also the victims of its consequences. He argues that many health care administrators are agents to a system of inequality that support provider and administrator biases, geographical inequalities, and racial stereotypes (Smedly 2012).

This program has been an idea circulating around the American political system since the early decades of the twentieth century. Since then the concept has been stigmatized as a left-wing liberal view. However, many people do not know that the lack of public health insurance in the United States stems from a heavy racism within our country and the concept of conserving the “southern way of life”. In the early twentieth century Southern legislators had a great influence in the Supreme Court. With 17 southern states, the south had the ability to block any legislation of their choosing (23) They had considerable control over the house and senate and adopted many new programs that increased the power of white Americans in the south. Congress began to design policies that were racially based and excluded African Americans. Health services throughout the United States adopted new forms of racial segregation as well. Many white Americans were not in favor of the idea of public health care because it meant hospital integration. President Truman took a unique stance on public health insurance and tied the movement into the civil rights movement. Race relations and health insurance were woven together. Opposition to healthcare was seen as a way of promoting segregation. The American Medical Association played an important part in stopping America from adopting national healthcare. Their opposition was due to their