Personal Comment : The Decision-Making Organ Of The World Health Organization

Unhealthy lifestyle behaviors account for 50 percent of preventable death in the US. As the diversity of the US population increases, health care providers are expected to provide services that are reasonable and responsive to the unique cultural and ethnic identity, socio-economic condition, emotional and spiritual needs, and values of patients and the population. In this class, I have learned various diseases and conditions of all ages and ethnicities (American Association of Colleges of Nursing, 2017). Through case studies, I was able to apply broad, organizational, client-centered, and culturally appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical prevention and population care and services to individuals, families, and aggregates/identified

Everyone should have the opportunity to achieve a healthy life and have comprehensive health care services available to them. To achieve this healthy life, people need to have access to the health care system and to a health care provider with whom they can develop a trusting relationship. However, existing barriers to attaining health care services often lead to disparities which in turn lead to differences in life expectancy, health status and a higher prevalence of certain chronic diseases (HealthyPeople.gov, 2012).

Since 1980, the United States has taken on 10-year plans that outline certain key national health objectives set to be accomplished during a 10-year timeframe (Shi & Singh, 2015). These initiatives are founded on medical care with prevention services, health promotion, education, community health care, and increased access to integrated services. The initiative, Healthy People 2010: Healthy People in Healthy Communities, launched in 2000. The initiative emphasizes the role of community partners such as

Health disparities endure tenacious issues in the United States of America, setting certain groups at higher risk of being uninsured, limited access to care, facing a poorer quality of care, and overall negative health outcomes. The high incidence of health disparities reflects the range of individual, social, economic, racial/ethnic and environmental magnitudes. Among the minority groups, African-Americans disproportionately access health care and the health disparities clearly glow in the nationwide.

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.

Healthy communities depend on the promotion of collaboration between health care providers, equitable utilization of health care resources and access to care for disease prevention. The Affordable Care Act (ACA) has increased access to insurance, but has not necessarily contributed to increased access to care (Lane et al., 2012). Limited access to health care and insurance, along with socioeconomic status, ethnicity, race, gender, sexual identity, and age contribute to health care disparities in the United States ("Disparities," 2014). The Appalachian Region has many factors that increase the risk of health disparities among this population, including poverty, unemployment, limited access to care,

In the United States, many Americans can argue that we are facing a drug epidemic whether it is alcohol or illicit drugs other than medicinal marijuana. In response to this drug epidemic, organizations were created that are supported by the government and law enforcement in an effort to give addicts a chance to get clean. For example, Alcoholics Anonymous and Narcotic Anonymous are two organizations that focus on helping people who struggle from alcoholism or any addiction cope with the symptoms of withdrawal in efforts to stay clean with the support of their organization’s community. Although these two organization’s goals are similar, they attack these problems differently beginning with step one out of their twelve step program to help addicts get clean.

Alabama ranks poorly on many health indicators. It is ranked 47th out of 50 in the nation in overall health; 43rd in cancer deaths, 2nd in deaths from cardiovascular disease and 3rd in the incidence of diabetes (Healthy People 2010). Also, Alabama is ranked 5th in the number of residents without health insurance. In my opinion, I believe the greatest challenge that these health disparities present is that very often socioeconomic status determines an individual’s health status. Growing up in Birmingham, Alabama, I witnessed many people in my community suffer from health issues because compared to other ethnic groups, African Americans, tend to be far less trusting of physicians and their medical advice. Notably, the distrust is rooted in pass corrupt cases, such as, the 40 year Tuskegee syphilis study and the case of Henrietta Lacks. The lack of minority representation in health professions is my motivation for pursuing a career in a health-related profession.

Health disparities are present in our health care system. Whether it be racial, educational, or environmental, these disparities exist and are detrimental to health care outcomes. While there have been recent advancements in how to eliminate or reduce these disparities, there is still a major inequity in health care for all individuals.

People often interpret the word disparities as only having to do with race or ethnicity, however the term goes beyond that and includes sex, sexual identity, age, disability, socioeconomic status, and geographic location (“U.S. Department of Health,” 2011). The goal of Healthy People has changed over the decades, at first it was to reduce health disparities, then it was to eliminate disparities, and now for 2020 it is to achieve health equality, eliminate disparities, and improve the health of all groups of people (“U.S. Department of Health,” 2011).

The research on health disparities across the United States is still relatively new. For many within the medical field there are still many who focus on issues of disparities without addressing the structural issues at the base of those disparities. When it comes to interventions to address these disparities and inequalities, research is focused on the role of medical professionals with little research on community engagement and empowerment.

As populations around the world continue to grow, it becomes more evident that health services provided worldwide are not growing at the same rate and instead will continue to put further strain on existing health disparities, and create new ones. In the United States alone, access to healthcare is a crucial topic of discussion principally as the American government continues to create initiatives and legislation such as the 2010 Affordable Care Act. Although, the United States has come a long way to legally create access to care to all its citizens, there is a disparity in the number of individuals that in actuality receive healthcare due to the geography of cities and the nation.

In public health, as in many fields there are a set of conundrums that practitioners, leaders and law makers have to address in order to provide the most appropriate service to their populations. One of these conundrums is the battle between what is good for the community vs. what is good for the individual. This topic will be broken up to the community vs. the individual, and discussed based on research done by Kass et al, and Oriola, and will be concluded by presenting possible solutions.

"The failure to engage in the fight to anticipate, prevent, and ameliorate global health problems would diminish America's stature in the realm of health and jeopardize our own 
health, economy, and national security, " stated by The Institute of Medicine. Global health refers to health phenomenon that transcends across national borders. For instance, global health would address predicaments such as: infectious and insect-borne diseases that can spread from one country to another. Thus, global health should be addressed by collaborative actions and solutions. On the other hand, countries tend to focus on other essential issues that are occurring in the present day and therefore, overlook the global health issue. Some issues that countries