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Disparity in Health Care Between Blacks and Whites in the US
Social determinants of health and the development of disease
Disparity in Health Care Between Blacks and Whites in the US
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There are many dimensions of disparity that are known to exist in the United States. According to Annals of the New York Academy of Sciences Race, Socioeconomic Status and Health contribute significantly to racial disparities. Evident has shown that when it comes to early onset of illness, severity of diseases, and poor survival rate, the minority groups appeared to be more affected than they white counterpart. This was clearly demonstrated when it came to the incident of breast cancer in some groups. Yes, it has been proven that white women have a higher overall incidence rate of breast cancer compare to blacks, but yet blacks tend to have a higher risk of early onset, and the most severe type of cancer. It is incident like these that merit
America has been thought of as a place represented by fairness, mixed culture, power and the dream of having a better life for everyone, whether a person is white, black, brown, and yellow. However, the truth is that racial groups have been segregated by the white-centric media or government of the American society, and that has widened the psychological and geographical distances between the two groups, Asian and black, and has encouraged ignorance and hatred. On the other hand, there are many conflicts between Asian and Black, due to their different cultures, experiences, and educational backgrounds. From the book Native Speaker, we can see how these different cultures, powers and identities deepen Asian-black mistrust, misunderstanding and ignorance, and sometimes these irreconcilable conflicts develop into hate-crimes.
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
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.
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.
In today’s world, the American still has barriers to overcome in the matter of racial equality. Whether it is being passed over for a promotion at the job or being underpaid, some people have to deal with unfair practice that would prevent someone of color or the opposite sex from having equal opportunity at the job. In 2004, Dukes vs. Wal-Mart Stores Incorporation was a civil rights class-action suite that ruled in favor of the women who worked and did not received promotions, pay and certain job assignments. This proves that some corporations ignore the 1964 Civil Rights Act, which protects workers from discrimination based on sex, race, religion or national origin.
Racism (n): the prejudice that members of one race are intrinsically superior to members of other race (Wordnet search, 1), a controversial topic in today’s society, a subject that many people try to sweep under the rug, but yet a detrimental problem that has been present in America since the colonial era. Will this dilemma come to a halt? Can all Americans see each other as equals despite their skin color and nationality; and what role has it played in past generations versus today’s generations and how will it affect our future? Has this on going way of thinking gotten better or worse? These are questions raised when many think about the subject; especially members of American ethnic groups and backgrounds, because most have dealt with racial discrimination in their life time.
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.
For these reasons, minorities often put off the expense of seeing a doctor until they have advanced disease and are past being easily treated. A lack of education, rural or inner city residence, unemployment, and low literacy rate may also contribute to higher cancer mortality rates for some communities. In several studies researchers investigates whether socioeconomic status is the reason for the disparity in prostate cancer incidence, where African Americans and Non- Hispanic Whites are the top two candidates for prostate cancer. Some results found that the highest level of cancer incidence was positively correlated with low socioeconomic status (Cheng, et al.,
Dating back to the beginning of times people have always been looked at different depending on the color of their skin or what your religion, race, or beliefs may be. It is in our human nature to not like people for certain things that they are. Many will argue that in this day in age we are no longer at a race war but how can you be so sure when you actually open your eyes and see reality. Rapper Kanye West once said “racism is still alive, they just be concealing it” and these words are everything but false. You must ask yourself the real question about racism and it is how could you ever cure such a thing in people’s minds? People are free to think and believe what ever they would like and old habits such as racism will never change in people.
In recent discussions of health care disparities, a controversial issue has been whether racism is the cause of health care disparities or not. On one hand, some argue that racism is a serious problem in the health care system. From this perspective, the Institute of Medicine (IOM) states that there is a big gap between the health care quality received by minorities, and the quality of health care received by non-minorities, and the reason is due to racism. On the other hand, however, others argue that health care disparities are not due to racism. In the words of Sally Satel, one of this view’s main proponents, “White and black patients, on average don’t even visit the same population of physicians” (Satel 1), hence this reduces the chances of racism being the cause of health care disparities. According to this view, racism is not a serious problem in the health care system. In sum, then, the issue is whether racism is a major cause of health care disparities as the Institute of Medicine argues or racism is not really an issue in the health care system as suggested by Sally Satel.
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
A social inequality that I would say I’m concerned with would be, racial and ethnic inequality. Racial or ethnic inequality is often established based on characteristics such as skin color and other physical characteristics, or a person’s place of origin or culture. Another meaning of racial inequality would be the advantages and disadvantages that affect different races within the Unites States. Race has become a socially constructed category capable of restricting or enabling social status. Racial inequality can lead to diminished opportunities, which can also lead to cycles of poverty and political problems. With this minority members in a society can result in discriminating actions such as; exclusion, oppression, expulsion, and extermination.
Discrimination in America is huge in the world but mainly revolves around the U.S. Because the U.S. is one of the most diverse countries in the world and and the U.S. has a lot of discrimination statistics say 27% of blacks were denied a job because of their skin color and 20% Hispanics were also denied a job too the pros to stopping discrimination the U.S. Economy would go up and more successful people and less violence would occur in black communities and Hispanic communities surveys say that more than half of blacks and a third of Hispanics say they have been treated unfairly in the past 30 days and if discrimination would stop less violence would stop in many diverse communities and if the government would fine people $100,000 and were
America has been called many names, such as the melting pot, home of the free, and land of opportunity, but are we truly are we label ourselves as. We are posed with the question as to whether we are a land of opportunity. America was built on the culturally diverse and the immigrants that arrived long ago America stood as a second chance for those who seek a different path then the ones they were on in their home countries. From the beginning, America has embodied freedom of religion and freedom for the pursuit of happiness. As we have grown as a country we no longer care about treating everyone equally as we once did, whether it be from their religion, sexuality, or color of their skin, we don’t treat everyone has they should be treated. Let’s begin with the diverse racial groups that call America home.