“Why Your Doctor Should Care About Social Justice,” is a short clip from TED featuring Mary Bassett. Throughout her time working in Africa beginning in the mid 1980’s, she became a part of a tremendously progressive public health movement, however, she also faced many challenges throughout her years there. In spite of her regrets of staying quiet about social injustices, Bassett uses this brief clip to speak out about health equality and speak out against racism as New York City’s Health Commissioner. Given Bassett’s credibility and experience, I thoroughly enjoyed the points she made and I believe her words are especially important and relevant to today’s society. (Bassett & TEDMED, 2015.) Mary Bassett begins the clip by speaking about her …show more content…
When a person is privileged and is not directly affected by these social injustice issues, it may be hard for him or her to realize that there is a problem. This is especially difficult when these unaffected people are in higher positions of power. The progress that needs to be made is slow-moving and difficult when our government officials fail to even realize the daunting statistics that occur in our own country. Many people who have the opportunity to make huge impacts regarding social injustices in health fail to see the demanding need for change, therefore, health professionals have to take matters into their own hands and speak up. This is a major point that Bassett emphasizes. (Bassett & TEDMED, 2015.) While watching Bassett’s speech, I was quickly reminded of chapter six of our book, “Health Policy for Diverse Populations”. “Why Your Doctor Should Care About Social Justice” is extremely relevant to chapter six. Chapter six goes into great detail about vulnerable populations, identifying policy issues for racial and ethnic minorities, low-income families, uninsured families, and subpopulations like the elderly, chronically ill, mentally ill, the disabled, the homeless, women and children, and also for people with HIV/AIDS. As it goes hand-in-hand with Bassett’s speech, this chapter states, “Racial and ethnic minorities experience significant problems in accessing high-quality healthcare, leading to disparities in health status compared to the white, non-Hispanic population.” (Shi, 2014.) I am appreciative that our class readings and assignments relate to each other, as it makes it easier to understand the concept. Chapter six provides us with a vast amount of informative statistics about the health disparities, whereas Mary Bassett provides us with a personal, moving story about her own experiences with the issue.
...nts of Health and the Prevention of Health Inequities. Retrieved 2014, from Australian Medical Association: https://ama.com.au/position-statement/social-determinants-health-and-prevention-health-inequities-2007
Though social problems affect a wide variety of people from all races, classes, and cultures; minorities, specifically African Americans, encounter social problems on a multi-dimensional basis. Poverty, employment rates, discrimination, and other social problems strike African Americans in such a way that it is nearly impossible to separate them; each individual has different background, socially and physically, that would determine in which order his or her social problems need to be solved. Impoverished blacks in the inner city may have difficulty finding or keeping jobs, while others may have jobs, but face troubles with work discrimination that prevent them from moving upward .Underemployment, workplace inequalities, and unbalanced medical attention are three closely related social problems that, if ameliorated together, could increase upward mobility, decrease poverty levels, and tighten the lifespan gaps for not only blacks, but also other minority groups. The purpose of this paper is to show what effects these three problems have for blacks.
Health Disparities and Racism is an ongoing problem that is reflected among society. Health is when an individual is physically, mentally and social well being is complete. However health disparities seems to be a social injustice within various ethnicities. Health disparities range from age, race, income, education and many other things. Even though we realize health disparities are more noticeable depending on the region of country where they live in. Racism is one of the most popular factors, for why it’s known that people struggle with health.
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
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.
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 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
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.
A health disparity is a term used to show that there are inequalities that occur in the healthcare system. Race, sex, age, disability, and socioeconomic status can all attribute to a person 's health outcome. According to Healthy People 2020, health disparity is defined as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.” In the United States, many ethnic minorities experience the effects of health disparities. African American, Asian American, Latinos, and Native Americans have a higher occurrence of poor health outcomes compared to the white population. Some examples of health disparities include: African American men, for instance, are more likely to die from cancer than white men. White women are more likely to develop breast cancer than African-American women. African-American men are more likely than white men to develop prostate
Therefore, considering these issues is an impediment when discussing the disparities in health. Some minorities are disadvantaged in the current healthcare while some are not. However, it is complicated to identify reasons for inequalities because health outcome is a result of numerous interactions with factors including the individual’s access to care, the quality of care provided, health behaviors such as tobacco and alcohol consumption, the presence or absence of complicating conditions, and personal attitudes toward health and medicine. Therefore, Examining existing racial and ethnic issues, developing potential solutions for current disparities, and preparing for future challenges as shifts in trends emerge are essential aspects of health care improvements” (Boslaugh,
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
Townsend, P., Whitehead, M. and Davidson, N. (eds) (1992) Inequalities in Health: the Black Report and the health divide, Harmondsworth, Penguin.
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