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Effects of socioeconomic on healthcare of african american
Major issue with the American health system
Health care problems in america
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Section I: One of Laurie Abraham goals was to present an accurate reflection of what poor and chronically ill African Americans encounter when they do not have access to the best health care our society has to offer. She wanted to report the most accurate story of the impact that social policy had once it hit the street level operations. She also wanted to provide a qualitative description of the problems linked to the lack of access to care by deeply illustrating a deeper understanding of what it really meant to the poor when they lacked adequate access to care. Abraham wanted to provide criticism of our social policies such as Medicaid and Medicare and how they affect individuals such as the Barnes family. She also wanted to translate the …show more content…
Both of these books are a socio-anthropological insight, which offers analyses of the people represented. They challenge common perceptions against the author’s findings throughout their books. Checker gives us detailed accounts to help us fully understand environmental injustice, and what can be done to combat it. She is hopeful that the readers will not only be inspired to change but to engage in some activism of their …show more content…
She demonstrated the inaccuracies and restrictions that each individual program provided to individuals who were not always poor enough to have access to them. She also compared immunization rates among poor minorities in Chicago with immunization records in Third World nations, which illuminated the weaknesses and lack of effectiveness of preventive measures across our nation based on the daunting facts in the city of Chicago. Preventive health was the most severe thing she reported as more care and resources were provided to individuals in their deathbeds instead of simple proactive measures that could prevent diseases and reduce overall cost. Across each example she was able to demonstrate the four separate levels of inadequate health care that are major determinants of poor health for many African American
For instance, many were chronically unemployed or unpaid, lived in unbearable conditions in shacks, exposed to malnutrition, and had severe health diseases, which include tuberculosis, syphilis, hookworm, pellagra, and high death rate (Jones, Bad blood: The Tuskegee syphilis experiment, 1993). According to Jones (2008), “Syphilis is a highly contagious disease caused by the Treponema pallidum, a delicate bacterium that is microscopic in size and resembles a corkscrew in shape. Three stages mark the development of the disease: primary, secondary, and tertiary” (p. 2). In the author’s book, it identified the struggles that African Americans faced on a daily basis. For instance, the author revealed the most prominent time of history was during the Great Depression, Progressive era and other eras. This population in particular had limited access to health care. Only a few of this population had access to adequate medical care; however, majority of them never saw a physician. In fact, the African American physicians were limited, but the whites refused to treat or provide services. During the 1930s, the Depression Era was one of the eras that had the greatest impact on this population. This is the time when whites dominated the United States, exploitation with racism, poverty, and health care was a fee for services, making it
Chapter 10 of Laurie Kaye Abraham’s Mama Might Be Better Off Dead mainly discusses the spread of preventable illnesses and the possible reasons poor areas have low immunization rates. Child immunization clinics fail to reach poor children because they are overburdened with patients, leading to long wait times. These clinics often require doctors to give a complete physical before giving shots and do not track children’s immunization records. Little effort goes into case management, which could assist in ensuring that vulnerable populations come in for preventative care. The author condemns Medicaid as a culprit for these other factors since states curtail expenses by creating barriers for poor families that would benefit from its programs. The argument about the majority of Medicaid spending going to nursing-home care versus to care for poor children and women is compelling and upsetting. How could a program designed primarily for the protection of poor children and mothers neglect to provide families with preventative care?
In this paper, I examine the ways in which living in poverty negatively impacts the health of African-Americans, based on the ethnographic family history and study of health care policy recounted by Laurie Kaye Abraham in Mama Might Be Better Off Dead: The Failure of Health Care in Urban America. I will focus first on the barriers that poverty creates to health care on a structural and personal level. I will then discuss how the unique stresses of poverty construct specific behavioral and emotional patterns which reinforce systemic problems to exacerbate poor health outcomes.
11) Washington, Harriet A. Medical apartheid: The dark history of medica experimentation on Black Americans from colonial times to the present. Random House LLC, 2006.
Dressler, W. W. (1993). Health in the african american community: Accounting for health inequalities. Medical anthropology quarterly, 7(4), 325-345.
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
Studies have analyzed how African Americans deal with an enormous amount of disease, injury, death, and disability compared to other ethnic group, and whites, Utilization of health services by African Americans is less frequent than other ethnic groups in the country. This non utilization of services contributes to health disparities amongst African Americans in the United States. Current and past studies have shown that because of discrimination, medical mistrust, racial/ethnic background, and poor communication African Americans tend to not seek medical care unless they are in dire need or forced to seek professional care. African Americans would rather self –medicate than to trust a doctor who might show some type of discriminatory
Large disparities exist between minorities and the rest of Americans in major areas of health. Even though the overall health of the nation is improving, minorities suffer from certain diseases up to five times more than the rest of the nation. President Clinton has committed the nation to eliminating the disparities in six areas of health by the Year 2010, and the Department of Health and Human Services (HHS) will be jumping in on this huge battle. The six areas are: Infant Mortality, Cancer Screening and Management, Cardiovascular Disease, Diabetes, HIV Infection and AIDS, and Child and Adult Immunizations.
Healthcare disparities are when there are inequalities or differences of the conditions of health and the quality of care that is received among specific groups of people such as African Americans, Caucasians, Asians, or Hispanics. Not only does it occur between racial and ethnic groups, health disparities can happen between males and females as well. Minorities have the worst healthcare outcomes, higher death rates, and are more prone to terminal diseases. For African American men and women, some of the most common health disparities are diabetes, cancer, hypertension, cardiovascular disease, and HIV infections. Some factors that can contribute to disparities are healthcare access, transportation, specialist referrals, and non-effective communication with patients. There is also much racism that still occurs today, which can be another reason African Americans may be mistreated with their healthcare. “Although both black and white patients tended not to endorse the existence of racism in the medical system, African Americans patients were more likely to perceive racism” (Laveist, Nickerson, Bowie, 2000). Over the years, the health care system has made improvements but some Americans, such as African Americans, are still being treating unequally when wanting the same care they desire as everyone else.
The growing number of uninsured and underinsured is on the rise. In 1979, 11 million African americans were uninsured (Jaffe 10). Today, the number is 15 million and it is increasing every year (Jaffe 11). According to the Department of Health and Human Services, thirteen million blacks in America have health care and fourteen million do not (Fitzgerald 31). Also, those who are insured today may be at risk tomorrow if their employer drops coverage, or the head of the household changes or loses their job. Most blacks in the United States who are uninsured simply cannot receive health care at an affordable price because their employer does not offer it and self-insurance cost much more. The lack of adequate insurance can be devastating to families both in financial terms and in terms of timely access to needed health care (Jaffe 12). Altogether, collection agencies report every year that most blacks are in debt due to unpaid medical bills, because they are not insured or they are underinsured.
No citizen shale ever be ignored no matter their race, state of health, or class. In the US “barriers generally stem from forces within the organizational environment of the health care delivery system or within the broader social system itself” (Barr, 2011, p. 273). This is why health policy scholars need to study health disparities so that equal care can ultimately be reached. Currently some disparities that are obvious in society are unequal dispersion and quality of care between racial groups, genders, and those with low middle class income. The health care system needs to be fixed and in order for that to happen health scholars must study better procedures so that the best possible outcome can be reached for the American
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.
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
Seeking to position lower socioeconomic status above racial/ethnic biases or vice versa is irresponsible to the goal of eliminating healthcare delivery differences at large. Both these are realities of a group of people who are not receiving the same level of care from the healthcare professionals although they exist within one of the most resource rich countries in the world, the United States. According to House & Williams (2000), “racism restricts and truncates socioeconomic attainment” (page, 106). This alone will hinder good health and spur on disparities as racism reduces the level of education and income as well as the prospect of better jobs. Blacksher (2008) cites the nation’s institutionalized racism as one of the leading factors
The living environments for African-Americans and Hispanics are major factors to consider when examining the health of them. Most African-Americans and Hispanics live in rural areas that do not have much access to health care compared to those in urban areas (Caldwell, Ford, Wallace, Wang, & Takahashi, 2016). Urban areas have more access to health care and other resources. This an advantage that the Caucasian population has over the African-American and Hispanic population (Caldwell et al., 2016). The African-American and Hispanic population are affected deeply because of this. With that being stated, they are less likely to have health insurance, make doctor visits, and have good quality access to medical care compared to the Caucasian population (Caldwell et al., 2016). This puts the African-American and