The United States of America were founded on the belief that everyone should be treated equally. A tremendous amount of progress has been made to eliminate racism and inequality over the past two centuries. Even though America has come a long way, more advances can be made and should not be stopped until racial and ethnic disparities are completely eradicated. A fundamental area that significant disparities exist in is the healthcare industry. Evidence shows medical care is not distributed equally among residents of the United States. The social ecological model will be used to investigate the existing gaps in the healthcare system in the U.S. The social ecological model is comprised of five components. Starting on the inside is the individual, which refers to a person’s knowledge, skills, and attitudes. The next layer outside of the individual is the interpersonal level, which is composed of a person’s family, friends, and social networks. After interpersonal is the organizational level, which makes up the social institutions and organizations a person belongs to. Outside of organizational is the community level, which refers to the relationships a person has among organizations. Lastly, the outside layer of the ecological model is the societal level, which refers to the public policy implemented at the national, state, and local levels (Warner, 2013, pp. 13-18). This paper will address the dissimilar access to care between the Hispanic and white non-Hispanic populations by examining the organizational, interpersonal, and societal levels of the ecological model. The dissimilar care leads to higher prevalence of certain health issues like heart disease, stroke, cancer, and many others. The term Hispanic is used to describe a perso... ... middle of paper ... ... intriguing though is the change in percentages over time. While both groups showed reduced rates for people with less than a high school education. The non-Hispanic white group was cut in half while the Hispanic group was reduced by merely 3%. A person’s level of education can be correlated to his or her health because many risk factors for health conditions are behavioral. Each ethnic group has a rich history and culture setting them apart from the others. Food is a dominant element of the Hispanic culture, which can be relevant when examining health disparities at the interpersonal level of the ecological model The well-known Affordable Care Act is currently in the process of being implemented. The Affordable Care Act falls under the societal layer of the ecological model and will attempt to abolish the high percentage of uninsured civilians that currently exist.
Throughout American history, relationships between racial and ethnic groups have been marked by antagonism, inequality, and violence. In today’s complex and fast-paced society, historians, social theorists and anthropologists have been known to devote significant amounts of time examining and interrogating not only the interior climate of the institutions that shape human behavior and personalities, but also relations between race and culture. It is difficult to tolerate the notion; America has won its victory over racism. Even though many maintain America is a “color blind nation,” racism and racial conflict remain to be prevalent in the social fabric of American institutions. As a result, one may question if issues and challenges regarding the continuity of institutional racism still exist in America today. If socialization in America is the process by which people of various ethnicities and cultures intertwine, it is vital for one to understand how the race relations shape and influence personalities regarding the perceptions of various groups. Heartbreaking as it is, racism takes a detour in acceptance of its blind side. Further, to better understand racism one must take into account how deeply it entrenched it is, not only in politics, and economics but also Health Care settings. In doing so, one will grasp a decisive understanding of "who gets what and why.” The objective of this paper is to explore and examine the pervasiveness of racism in the health care industry, while at the same time shed light on a specific area of social relations that has remained a silence in the health care setting. The turpitude feeling of ongoing silence has masked the treatment black patients have received from white health care providers...
One of the most controversial topics in the United States in recent years has been the route which should be undertaken in overhauling the healthcare system for the millions of Americans who are currently uninsured. It is important to note that the goal of the Affordable Care Act is to make healthcare affordable; it provides low-cost, government-subsidized insurance options through the State Health Insurance Marketplace (Amadeo 1). Our current president, Barack Obama, made it one of his goals to bring healthcare to all Americans through the Patient Protection and Affordable Care Act of 2010. This plan, which has been termed “Obamacare”, has come under scrutiny from many Americans, but has also received a large amount of support in turn for a variety of reasons. Some of these reasons include a decrease in insurance discrimination on the basis of health or gender and affordable healthcare coverage for the millions of uninsured. The opposition to this act has cited increased costs and debt accumulation, a reduction in employer healthcare coverage options, as well as a penalization of those already using private healthcare insurance.
The public needs to address racial disparities in health which is achievable by changing policy addressing the major components of socioeconomic status (income, education, and occupation) as well as the pathways by which these affect health. To modify these risk factors, one needs to look even further to consider the factors. Socioeconomic status is a key underlying factor. Several components need to be identified to offer more options for those working on policy making. Because the issue is so big, I believe that not a single policy can eliminate health disparities in the United States. One possible pathway can be education, like the campaign to decrease tobacco usage, which is still a big problem, but the health issue has decreased in severity. The other pathway can be by addressing the income, by giving low-income individuals the same quality of care as an individual who has a high
The aim of affordable care act (ACA) was to extend health insurance coverage to around 15% of US population who lack it. These include people with no coverage from their employers and don’t have coverage by US health programs like Medicaid (Retrieved from, https://www.healthcare.gov/glossary/affordable-care-act/). To achieve this, the law required all Americans to have health insurance which is a reason of controversy because, it was inappropriate intrusion of government into the massive health care industry and insult to personal liberty. To make health care more affordable subsidies are offered and the cost of the insurance was supposed to be reduced by bringing younger, healthier people to the health insurance system. This could be controversial, if older, sicker people who need the coverage most enter the market but younger group decline to do so. The insurance pool will be unbalanced and the cost of coverage will rise correspondingly.
Food insecurity is one of the major social problems that we have in our world today. The concern about this problem is the increasing number of people that are beginning to experience hunger more often. “While hunger has long been a public health concern in developing countries, it has received varying degrees of attention in the United States, most notable during the 1930s and 1960s” (Poppendieck 1992). In addition to lack of food, there are consequences that follow. People, especially children, who suffer from food deprivation also undergo some health issues such as malnutrition and obesity, which leads to more health care and hospitalizations. “In the early 1980s, most reports of hunger involved families with children, the elderly, the unskilled and unemployed youth, the mentally ill, the homeless and minorities” (Brown 1992; Nestle and Guttmacher 1992). However, a particular ethnic group that is greatly affected by food insecurities are the Hispanic...
Health disparity is one of the burdens that contributes to our healthcare system in providing equal healthcare to everyone regarding of race, age, race, sexual orientation, and socioeconomic status to achieve good health. Research reveals that racial and ethnic minorities are likely to receive lower quality of healthcare services than white Americans.
The Patient Protection and Affordable Care Act passed by President Barack Obama is a significant change of the American healthcare system since insurance plans programs like Medicare and Medicaid (“Introduction to”). As a result, “It is also one of the most hotly contested, publicly maligned, and politically divisive pieces of legislation the country has ever seen” (“Introduction to”). The Affordable Care Act should be changed because it grants the government too much control over the citizen’s healthcare or the lack of individual freedom to choose affordable health insurance.
The disparities in the healthcare system contribute to the overall health status disparities that affect ethnic and racial minorities. The sources of ethnic and racial healthcare disparities include cultural barriers, geography differences, or healthcare provider stereotyping. In addition, difficulties in communication between health care providers and patients, lack of access to healthcare providers, and lack of access to adequate health care coverage
Williams, D. R., & Jackson, P. (2014, April 1). Health Affairs. Social Sources Of Racial Disparities In Health. Retrieved April 29, 2014, from http://content.healthaffairs.org/content/24/2/325.short
Most health care plans do not collect socioeconomic or racial/ethnic data on their plan members. The recognition of disparities in health care as a quality issue has far-reaching implications for reducing socioeconomic and racial/ethnic disparities in health care. It is difficult to isolate racial/ethnic disparities in health care due to socioeconomic disparities because race and socioeconomic position are so closely intertwined, especially in the United States. However, socioeconomic position appears to be the more powerful determinant of health, as mentioned above. Fiscella et al. proposed five principles for addressing disparities, some of which were- 1) “disparities must be recognized as a significant quality problem”; and 2) “an approach to disparities should account for the relationships between both socioeconomic position and race/ethnicity and morbidity. Consideration should be given to linking reimbursement to the socioeconomic position and racial/ethnicity composition of the enrolled population.”
Socioeconomic Disparities and health are growing at a rapid rate throughout the United States of America. To further understand the meaning of Socioeconomic Disparities, Health and Socioeconomic disparities & health, this essay will assist in providing evidence. Disparities can be defined in many ways, of which include ethnic and racial background and class types that deal with it the most. Due to the low income some individuals receive, they have less access to health care and are at risk for major health issues. Although, ethnicity and socioeconomic status should not determine the level of health care one should receive or whether not the individual receives healthcare.
Williams, David R., Risa Lavizzo-Mourey, and Rueben C. Warren. "The Concept of Race and Health Status in America." Public Health Reports. 109, no. 1 (January/February 1994): 26-41.
Since being developed by Bronfenbrenner in 1979 social ecological perspectives have been widely used to formulate practice guidelines and government policies when planning service needs for children, young people and their families. This essay will discuss what a social ecological perspective consists of, what limitations it may incur and how it can assist us in developing best practice and understanding when working with children, young people and families. It will draw on examples from K218 for illustrative purposes.
In March 2010, under the Obama administration, the United States enacted major health-care reform. The Affordable Care Act (ACA) of 2010 expands coverage to the majority of uninsured Americans, through: (a) subsidies aimed at lower-income individuals and families to purchase coverage, (b) a mandate that most Americans obtain insurance or face a penalty,
Despite the substantial developments in diagnostic and treatment processes, there is convincing evidence that ethnic and racial minorities normally access and receive low quality services compared to the majority communities (Lum, 2011). As such, minority groups have higher mortality and morbidity rates arising from both preventable and treatable diseases judged against the majority groups. Elimination of both racial and ethnic disparities is mainly politically sensitive, but plays an important role in the equitable access of services, including the health care ones without discrimination. In addition, accountability, accessibility, and availability of equitable health care services are crucial for the continually growing