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Why are there ethnic inequalities in health care
Why indigenous people globally experience health disparities
Ethnic and racial disparities in health care paper
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Health status is a term used to describe a combination of issues that can affect a population comprising the accessibility and availability of health care services, the incidence of chronic diseases and/or illnesses, individual behaviors, contact with risk factors for disease and illness, and social elements such as income and education. Having the highest rates of certain health problems of all ethnic populations in the United States means that American Indians also have the highest mortality rates for certain associated conditions. Moreover, about one-fifth of American Indians have two or more chronic conditions. For example, American Indians have the highest prevalence of being overweight or obese of all ethnic groups and, as a consequence, …show more content…
the prevalence rate of diabetes among American Indians is at least twice that of all other racial and ethnic groups with the exception of blacks.
American Indians also have one of the highest reported rates of depression or anxiety and, consequently, suicide is the 8th largest cause of death among this group. More than one-quarter of American Indians are a smoker which is a higher rate than any other ethnic group, and about one-fifth of American Indians are binge drinkers. Risky health behaviors such as these can lead to health problems including cancer, chronic liver disease, unintentional injuries, diabetes and heart conditions, which are the top five leading causes of death for American Indians. Furthermore, the rate of unintentional injuries among American Indian individuals is higher than any other racial and ethnic group and constitutes the third leading cause of death. Almost half of these unintentional injuries are due to motor vehicle accidents and, of the deaths caused by motor vehicle accidents on reservations, 56% are due to alcohol-related crashes which is 15% more than the national average. The overall mortality rate is the third highest among American Indians when compared to that of other ethnic groups, and many of these deaths are from preventable conditions. In fact, American Indians are the only ethnic group for whom preventable chronic liver disease is one of the ten leading causes
of death. American Indians face a wide array of health challenges that make it imperative for them to have all-inclusive and wide-ranging health coverage that allows them to receive necessary care. Since more than half are low-income, they do not have health care coverage that protects them from high out-of-pocket costs and often forgo the care they need as a result. The cost-sharing and deductibles in most private insurance plans are too expensive for many American Indians since so many are low-income and have high rates of chronic health conditions that require continuing care. Although Medicaid does provide health care with a broad scope of benefits and limited cost sharing to a majority of low-income American Indian children, current eligibility rules have left many American Indian adults uninsured. Expanding Medicaid eligibility and ensuring that American Indians enroll in the expanded program would substantially improve access to health care for this population. As state and federal governments continue to debate health care reform, Medicare expansion under the ACA in particular, it is important that the debate includes ways to provide improved health care coverage and access for American Indians.
Pages one to sixty- nine in Indian From The Inside: Native American Philosophy and Cultural Renewal by Dennis McPherson and J. Douglas Rabb, provides the beginning of an in-depth analysis of Native American cultural philosophy. It also states the ways in which western perspective has played a role in our understanding of Native American culture and similarities between Western culture and Native American culture. The section of reading can be divided into three lenses. The first section focus is on the theoretical understanding of self in respect to the space around us. The second section provides a historical background into the relationship between Native Americans and British colonial power. The last section focus is on the affiliation of otherworldliness that exist between
In chapter 2, of Essentials of the U.S Health Care System, Shi and Singh both talk about focusing on determinants to improve health. Having adequate health insurance for everyone is a great start to improving one’s health, but the bigger issue is addressing the needs of the people who have low income or the needs for different ethnic groups. In the documentaries, Bad Sugar, Becoming American, Collateral Damage and In Sickness and In Wealth, they all touched on social determinants. It did not matter if you lived in the United States, a third world country or a reservation, they all expressed a need the can better their health.
The term sovereignty is a broad topic that has many different definitions. The most common definition is a nation or groups ability or right to govern themselves. Sovereignty is a term and idea that goes hand in hand with Native Americans throughout history. Native American tribes were once considered sovereign nation until shortly after the arrival of European settlers. Native Americans lost their sovereignty due to the forceful assimilation into white culture by European settlers. The problem with this is that Native Americans have been in North American, acting as self-governing groups, since the beginning days. What sets Native Americans apart from other “minority groups” is that they have existed as self-governing peoples and are more than a group
Appalachian culture is more prone to certain health risks due to cultural beliefs and daily life. Death from cancer, heart disease, diseases of the lung and stroke have been found at significantly higher rate than national rates in Appalachia.1 The culture does not see disease as a problem unless it interacts with their daily functions. Health in this society is categorized by three levels: body, mind, and spirit.
For the past 50 years, the United States Government has been conducting disinformation campaigns against minority groups such as the Black Panther Party, Black Liberation Army and the Palestine Solidarity Committee. The American Indian Movement (AIM) was not an exception. Propaganda was only one of the many tactics adopted by the government that AIM encountered. Others include assassinations, unprovoked armed confrontations and "fabrication of evidence in criminal cases" (Churchill 219). I will be evaluating Ward Churchill's article "Renegades, Terrorists, And Revolutionaries" on the government's propaganda war against AIM and will also be analyzing his claims as well as some of his rhetorical strategies within his writing. Were the U.S. government and Federal Bureau of Investigation (FBI) really guilty of oppressing AIM as Churchill claims?
When we consider the education of our children in the United States, we must consider their health as a significant issue as it can positively or negatively impact a student’s education. It has generally been acknowledged that there is a great disparity in our country in the area of health care. Healthy People2010, a published report put out by the Health and Human Services Division of the Unites States Government (2000) has included as part of its Goals for 2010, to eliminate health disparities among different segments of the population. According to this report, health differences occur depending on a persons gender, race or ethnicity, education or income, disability, rural locality, or sexual orientation. In this paper, I will mostly concentrate on racial and ethnic differences as well as socioeconomic differences. According to the Healthy People 2010 report, biological and genetic differences do not explain the health disparities experienced by non-White populations in the United States. Besides "complex interaction among genetic variations, environmental factors, and specific health behaviors," Health and Human Services says, "inequalities in income and education underlie many health disparities in the United States." Also, "population groups that suffer the worst health status are also those that have the highest poverty rates and least education." Health, United States (1998) reported that each increase of income or education increased the likelihood of being in good health. According to this report, those with less education tend to die younger than those with more education for all major causes of death including chronic diseases, communicable diseases and injuries. There are several factors that account for differences between socioeconomic and racial and ethnic groups. These factors include a lower sedentary life style, cigarette smoking and less likely to have health insurance coverage or receive preventive care among these groups.
A major problem facing people of the United States is the increase in diabetes rates, with some of the highest rates fall upon people of Native American origin. Food, language, and traditions are three big components that define the Native American culture, but could alterations to the very components that define these indigenous people also be contributing to their demise? Many factors have contributed to the declining health of Native Americans, but most notably, changes in eating habits and inactive lifestyles are the two of the main culprits leading to the high diabetes rates among the Native American population.
American Indians once lived a prosperous and full life, relying on the bounty of land and nature. Colonization by white settlers disrupted this peaceful existence, uprooting tribes from their land and forcing them to assimilate to new cultural and religion views. Years of mistreatment and abuse led to the organization of the American Indian Movement to fight for their rights and liberty. Through the AIM, Indians attempted to gain recognition and spread knowledge of their culture and heritage to American citizens in order to attain a place in society. Leaders of the AIM created a manifesto of change in 1972 which listed goals they wanted to meet under three broad categories: economic, social and political. While the AIM was organized in response to the lack of basic rights and oppressive nature of the US government, their goals have yet to be met with any long term success.
Many people believe that Native Americans are a disadvantaged group of individuals in many ways. Culturally, in that many of the cultures of the various tribes across the Americas were taken from them by Europeans and their descendants. Socially, in that they are unlike other minorities in the United States because of their extra-constitutional status; and even medically, stemming from the general belief that Natives are at a higher risk for disease than other ethnicities due to tobacco and alcohol use, especially when used together (Falk, Hiller-Sturmhöfel, & Yi, 2006).
Health Promotion Among the Hispanic Minority Health is determined in the nation by the minority health. "Approximately 36 percent of the population belongs to a racial or ethnic minority group" (CDC, 2015).One of these are the "Hispanics or Latinos are the largest racial/ethnic minority population in the United States" (CDC, 2015). "About 1 in 6 people living in the US are Hispanic" (CDC, 2015). Therefore, this student will make the comparison between the status of the health of Hispanic minority and the nations ,barriers of health behavior This paper will compare the health status of the Hispanic minority with the nations, barriers to health seeking behaviors, and methods of promoting health among this population. Status of Health Among Hispanic Minority "Heart disease and cancer in Hispanics are the two leading causes of death, accounting for about 2 of 5 deaths, which is about the same for whites" (CDC, 2015). "Hispanics have more deaths from diabetes and chronic liver disease than whites, and similar numbers of deaths from kidney disease" (CDC, 2015). Even though the percentage of Hispanics suffering from high blood pressure are17% in comparison to 20% of whites. Hispanics are 68% that suffered poorly controlled high blood pressure compare to whites which are 54%. Even though Health risks may vary among Hispanic subgroup and whether they are US born or not. Lower death rate is suffered by the Hispanic than whites .But Hispanic has about 50% higher death rate from diabetes. Many deaths may be prevented within the Hispanic population with an increase in education and health screening . Barriers to Health Promotion in the Hispanic Minority "Social factors may play a major role in Hispanic health" (CDC, 2015). According to the art...
Looking back on the Native American time period, I've come to a realization that the way all of them adapted to life with how they lived was much different then than how things are today. Going from the way they talked, how they dressed, how education was done, to how they live everyday, etc. I think it's all somewhat different with how people are today in those categories. But some of those things that the Native Americans were used to doing everyday, were being forced to change by different kinds of people. The Native American experience was a genocide act.
Many people today know the story of the Indians that were native to this land, before “white men” came to live on this continent. Few people may know that white men pushed them to the west while many immigrants took over the east and moved westward. White men made “reservations” that were basically land that Indians were promised they could live on and run. What many Americans don’t know is what the Indians struggled though and continue to struggle through on the reservations.
This research paper is going to study and analyze health related issues among the American Indian and Alaska Native population in the United States. The report will start by presenting an overview of this racial group, and then it will go more into depth about specific health aspects. It will examine concerning chronic diseases, health disparities, smoking- related mortality, the relation between poverty and health problems of the children, the effects of grandparents raising their grandchildren, and suicide. This research paper will conclude by explaining some recommendations for health planning and promotion for American Indians and Alaska Natives.
Studies have shown there has been an increased prevalence of diabetes in the Native American culture. There has been a correlation with the rise of diabetes in American Indians and the Westernization of Native Americans. During Westernization, there was a gradual reduction in native foods. Because of this, Native Americans started incorporating foods that were high in fat and sugar, and low in whole grains and fiber. (Yracheta, Joseph M, MS; Lanaspa, Miguel A, PHD; Le, MyPhuong T, PHD; Abdelmalak, Manal F, MD; Alfonso, Javier, MD., Jun 2015, p. 815). By the 1930s, obesity and diabetes, were more common in the Pima than in other American Indian tribes. (Yracheta, Joseph M, MS; Lanaspa, Miguel A, PHD; Le, MyPhuong T, PHD; Abdelmalak, Manal F, MD; Alfonso, Javier, MD., Jun 2015, p. 816).
India is a vast developing country in the world and people of many different communities and religious live together in unity. Tribal study is not new to this present research world. There are many studies already done on this topic. Many scholars have paid their attention on it and contributed very much to the field of tribal studies. Most of the scholars were studied about indigenous features of tribes especially their cultures before independence. They emphasized the point that tribal people were kept away from the main stream society. But after independence a number of Indian scholars got involved in the study of tribal issues. They were used modern methods and approaches for research. These researches revealed the realities of tribal life and truths and facts relating to their unsecured life.