Social Inequalities In Health Care

“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,

The Health and Wealth connection distilled is our health will most commonly reflect from our amount of wealth. The wealthy can afford the cost of quality care and the time to take care of themselves. Within the textbook, Dimensions of Human Behavior Hutchison writes. Public health experts have long noted the association of poor clinical outcomes, in all body systems, with low income, low education, unsanitary housing, poor healthcare, on stable employment, and uncertain physical environment (Hutchison, 2015). Easily demonstrated throughout American society the rather dubious and is a somewhat perplexing phenomenon of the Health-and-Wealth connection theory. The gap between the haves and have-nots are ever expanding. Those who have the funding to pay for resources will pay to get those resources. And those who do not have sufficient funds to pay for said resources will, unfortunately, have to stand in the long lines to receive seemingly, deceptively, scarce resources.

Public health as it is implicated in the lives of the community – it is important to conceptualise what this might mean. Moreover, public health has seen as a multidiscipline perspective in which it can be defined on many levels, and I find that it could be elusive to understand its meaning. By simple understanding of public health, I refer to an approach derived by Winslow (1920) and Baggott (2000).

In today’s society, there is still a great struggle with health care disparities and many lives are affected by the lack of this fundamental program in our society. There are millions of people who die each year because they are unable to afford quality healthcare. The debate still continues about healthcare inequalities, what causes this disparity and who are affected by it. Health care is more of a necessity rather than a luxury and even though skeptics may argue to the latter, it only underlines the importance of the need for the wellbeing and care of individuals. There are several factors that could contribute to the lack of health care in the United States which ranges from but not limited to race, gender, socio- economic status, and lack of insurance coverage. The truth is there is a great disproportion between who can really afford quality healthcare as appose to individuals who have it. One would imagine that an employed individual would easily afford quality healthcare but we could be no further from the truth, since one’s economic status is an essential determinant to its affordability.

I am writing to you mainly because I am alarmed about the health care system for minorities and their access to it. Health care access and insurance coverage are main causes that contributed to racial and ethnic differences before the ACA success. Most healthcare systems are recognized that black and minority populations have always experienced low wellbeing and difficulties in improving undeniable services. Securing the health gap for people in these population groups is now an important primacy. Groups such as African Americans, American Indians, in addition to other groups like Asians and Hispanics, are in jeopardy of inappropriate benefits of health-care. Health insurance expansions under the ACA, however, have resulted in a net increase of 16.9 million people gaining insurance between 2013 and 2015, allowing millions of previously uninsured individuals to access and utilize health care.

“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).

Social determinants of health inequity reflect deeper social divisions, which generate multiple risks that are reproduced over time. Hierarchies of power must be critiqued through the lenses of class and race to make tangible the seemingly abstract connections between social and economic determinants and distribution of health inequity. Racism finds refuge in various forms of material exploitation; narrow interventions that fail to address the root causes that undermine the health and well-being of members of the community will ultimately fail.1 The treatment of Mexican immigrants with tuberculosis (TB) by health officials in Los Angeles from 1914 to 1940 is a telling story that made salient the insidious impact of poverty and race on health, and it provides an important lesson for public health officials.

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

The Health and wealth connection distilled is our health will most commonly reflect from our amount of wealth. The wealthy can afford the cost of quality care and the time to take care of them selves. Within the textbook, Dimensions of Human Behavior Hutchison writes. Public health experts have long noted the association of poor health outcomes, in all body systems, with low income, low education, unsanitary housing, in adequate healthcare, on stable employment, and unsafe physical environment (Hutchison, 2015). Easily demonstrated throughout American society the rather dubious and is somewhat perplexing phenomenon of the Health-and-Wealth connection theory. The gap between the haves and have-nots are ever expanding. Those who have the funding to pay for resources will pay to get those resources. And those who do not have adequate funding to pay for said resources will unfortunately have to stand in the long lines to receive seemingly, deceptively, scarce resources.

One in five US citizens are struggling to cope with medical debts and an ‘alarming high’ proportion of adults with chronic illness regularly skip their medication because they can’t afford it, according to a new study conducted by the Commonwealth Fund (Royal Society for the Promotion of Health, 1996). The study, which surveyed 4,350 adults across the country, also found that two out of five uninsured adults who reported debt were unable to pay for basic necessities like food, heat or rent because of mounting medical bills (Royal Society for the Promotion of Health, 1996). The uninsured are more likely to go without preventative care or screening tests that could prevent more serious and costly health problems (Royal Society for the Promotion of Health, 1996). For an uninsured person who is unlucky enough to get sick, it is easy to see how quickly they can fall into a downward spiral of debt, forgone care and poorer health (Royal Society for the Promotion of Health, 1996). Individual income impacts health status, but it is confounded by variables such as education and social capital. Social capital theory describes social relationships and their impact on health. Income distribution, the gap between the wealthiest and poorest, also affects health (Sistrom, Hale, 2006).

Social determinants of health are social, economic and physical factors that affect the health of individuals in any given population. There are fourteen social determinants of health but Income is perhaps the most important of these because it shapes living conditions, influences health related behaviors, and determines food security. In Canada, people with lower incomes are more susceptible to disease/ conditions, higher mortality rate, decreased life expectancy and poorer perceived health than people with high incomes. In numerous Canadian studies and reports, there has been more emphasis on health being based on an individual’s characteristics, choices and behaviours, rather than the role that income plays as a social determinant of health. Although Canada has one of the highest income economies in the world and is comprised of a free health care system, many low income families are a burden on the system because of the physical and mental health issues influenced by income insecurity. Low income individuals are heavier users of health care services because they have lower levels of health and more health problems than do people with higher incomes. This essay will address income as a social determinant of health in three key sections: what is known on the issue, why the issue is important and how can health and public policies address the issue. The main theme that runs through the essay is the income related health inequalities among low income groups compared to

Health inequalities are preventable and unjust differences in health status experienced by certain population groups. People in lower socio-economic groups are more likely to experience health inequalities than people in higher socio-economic classes. Health inequalities are not only found between people of different

The United States is world renowned for having the best health care if not the most accessible. Citizens have at their disposal a plethora of hospitals, physicians, and therapists to improve their well-being. Statistical data was taken back in 2010 under the Central Texas Region and studied health care coverage and income in regards to the community. The data displayed in the surveys heavily suggest that income/ health in general have a high correlation. The issue that arose with the given data imply that those who are on the lower end of the income spectrum subsequently have no health care coverage and poorer health than those with higher income. In any case with high correlation there are a number of factors influencing the statistical evidence, and in this case sociological barriers are present in regards of inequality and health care.

The Behavioural or Cultural Explanation: places emphasis on the individuals and the consequences of their behaviour, when they choose to eat, drink and live healthily the inequalities will be reduced.

Some social inequality indicators such as income and education have effects on access to healthcare from a quality of healthcare to the utilization of healthcare. An individual from a marginalized community may not be able to afford healthcare because of limited incomes (Von dem Knesebeck 357). As such, high morbidity and mortality rates are recorded among this group of people. This is however different among the rich who can easily afford, access and utilize the healthcare services. Education is also another indicator which determines whether an individual will seek healthcare services or not.