Austin Frakt, The New York Times, January 13
Racial discrimination has shaped so many American institutions that perhaps it should be no surprise that health care is among them. Put simply, people of color receive less care — and often worse care — than white Americans. Reasons include lower rates of health coverage; communication barriers; and racial stereotyping based on false beliefs. African-American men, in particular, have the worst health outcomes of any major demographic group. In part, research shows, this is a result of mistrust from a legacy of discrimination.
Jenna Carlesso, The Connecticut Mirror, January 15
While Connecticut has led national efforts in public insurance reform, significant health disparities persist between the state’s residents of color and white residents, two research and advocacy groups concluded in reports released this week. Both reports provided areas of improvement for the state and included recommendations aimed at insurers, state agencies, lawmakers and health providers.
The Commonwealth Fund released a new report
on the impact of the Affordable Care Act on health disparities that finds that the coverage gains made in the early years of the health law are slipping. Researchers blame the shift largely on continued lack of coverage for adults in the 15 states that haven’t expanded Medicaid.
"Kama ilivyoelezwa katika makala ya kwanza ya gazeti la The New York Times, ""Ubaguzi wa rangi umesababisha kuundwa kwa taasisi nyingi za Marekani hivi kwamba labda haipaswi kushangaza kwamba huduma za afya ziko miongoni mwao.""" Kwa ufupi, watu wa rangi hupokea utunzaji mdogo <unk> na mara nyingi utunzaji mbaya <unk> kuliko Wamarekani weupe. Sababu hizo zinatia ndani viwango vya chini vya chanjo ya afya; vizuizi vya mawasiliano; na maoni ya kikabila yanayotegemea itikadi bandia. Wanaume wa Kiafrika-Wamarekani, hasa, wana matokeo mabaya zaidi ya afya ya kikundi chochote kikubwa cha idadi ya watu. Kwa sehemu, utafiti unaonyesha, hilo ni tokeo la kutokuwa na imani kutokana na urithi wa ubaguzi. "Jenna Carliso, mwandishi wa gazeti la The Connecticut Mirror, alisema: ""Wakati Connecticut imesababisha juhudi za kitaifa katika mageuzi ya bima ya umma, tofauti kubwa za afya zinabaki kati ya wakazi wa rangi na wakazi weupe, makundi mawili ya utafiti na utetezi yalimalizia katika ripoti zilizotolewa wiki hii." Ripoti zote mbili zilitoa maeneo ya uboreshaji kwa serikali na zilijumuisha mapendekezo yaliyolenga wawekezaji wa bima, mashirika ya serikali, wabunge na watoa huduma za afya. Kwa mujibu wa ripoti ya Shirika la Affordable Care Act (ACA) ya mwaka huu, idadi ya watu wanaopata huduma za afya katika miaka ya kwanza ya sheria hiyo imepungua. Watafiti wanalaumu mabadiliko hayo kwa sababu ya ukosefu wa chanjo kwa watu wazima katika majimbo 15 ambayo hayajaongeza Medicaid.