Educational Review suggests that educational pedagogy designed to "cross-pollinate" across race and disability coalitions is an effective way to combat exclusion that particularly impacts Black disabled children. Employment According to a study published in the Journal of Disability Policy, Black people with disabilities experience significantly higher unemployment and lower monthly wages compared to the overall disabled community and general population. A research paper in the Journal of Applied Rehabilitation Counseling reported that counseling professionals identified that disability status can limit employment prospects of Black and Latino offenders seeking work opportunities. Healthcare Disabled Black Americans face barriers to receiving comprehensive medical care to address their pre-existing health conditions. In studies published in the Journals of Applied Gerontology it was noted that elderly African American women face a greater likelihood of acquiring disability in comparison their white counterparts, and additionally are more likely to rely on medicaid for coverage. The same journal articles established a correlation between being uninsured or utilizing medicaid coverage with greater levels of disability. With respect to disabled youth, it was found that when controlling for socioeconomic and insurance status, Hispanic and Black children with disabilities were less likely to have received specialty medical care in comparison to children from other racial backgrounds according to research published in the journal PEDIATRICS. Disparities Discrimination in employment The US Rehabilitation Act of 1973 requires all organizations that receive government funding to provide accessibility programs and services. A more recent law, the Americans with Disabilities Act of 1990 (ADA), which came into effect in 1992, prohibits private employers, state and local governments, employment agencies, and labor unions from discriminating against qualified individuals with disabilities in job application procedures, hiring, firing, advancement, compensation, job training, or in the terms, conditions, and privileges of employment. This includes organizations like retail businesses, movie theaters, and restaurants. They must make reasonable accommodation to people with different needs. Protection is extended to anyone with (A) a physical or mental impairment that substantially limits one or more of the major life activities of an individual, (B) a record of such an impairment, or (C) being regarded as having such an impairment. The second and third criteria are seen as ensuring protection from unjust discrimination based on a perception of risk, just because someone has a record of impairment or appears to have a disability or illness (e.g. features which may be erroneously taken as signs of an