Minorities feel cheated in health care

Nurses Safety

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http://www.msnbc.com/news/970053.asp?cp1=1

Minorities feel cheated in health care

Study: Blacks, Hispanics say medical treatment is not equal

WASHINGTON, Sept. 22-U.S. blacks and Hispanics feel they get worse health care than their white compatriots, according to a study published Monday-a feeling supported by scientific evidence.

THE STUDY, published in the journal Health Affairs, finds that blacks and Hispanics are up to three times more likely than whites to feel that minorities receive a lower level of care.

Just one in five whites felt minorities got shortchanged, the survey, done by the Harvard University Forums on Health, Health Affairs, The New America Foundation, and other groups, found.

"The poll findings show a persistent feeling among minorities that the care they are getting is not equal to that of whites," Dr. David Blumenthal, director of Harvard's Interfaculty Program on Health Systems Improvement, said in a statement.

"Inequality in medical access and treatment is a problem for many Americans that can no longer be ignored."

In 2002 the Institute of Medicine reported that members of racial and ethnic minorities are given lower quality health care than whites even when make as much money and carry the same insurance.

The Institute, an independent body that advises Congress and the federal government, suggested that deliberate or unconscious bias by doctors and other health care providers may worsen the problem.

The survey by Lake Snell Perry & Associates involved 806 adults and was weighted to include extra numbers of blacks and Hispanics.

Those surveyed felt that cultural and language barriers were most to blame for the disparities while more than half felt doctors and nurses treat minority patients differently than white patients.

© 2003 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.

Specializes in ICU.

I know I have noticed this before Canada and Australia have mirrored problems when it comes to healthcare of our indigenous peoples and BOTH countries have free health care. I keep thinking - if these are our statistics - how much worse in countires ( and not just America) where there is no health care???

If Mick Dodsons words are to be heeded how are we to bring social justice to the underpriveledged? How do we fulfill our responsibilities? And more how to we redress the imbalance without screams of favouritism???

Can we walk past the victim/racist accusations and look at the problem as a problem whether it be in the USA, Canada, Australia or in castes of India - how do we ensure social justice?

Originally posted by gwenith

I know I have noticed this before Canada and Australia have mirrored problems when it comes to healthcare of our indigenous peoples and BOTH countries have free health care. I keep thinking - if these are our statistics - how much worse in countires ( and not just America) where there is no health care???

If Mick Dodsons words are to be heeded how are we to bring social justice to the underpriveledged? How do we fulfill our responsibilities? And more how to we redress the imbalance without screams of favouritism???

Can we walk past the victim/racist accusations and look at the problem as a problem whether it be in the USA, Canada, Australia or in castes of India - how do we ensure social justice?

fergus51, Senior Member

"Gwenith, are you sure they didn't just cut and paste that from a Canadian report? It is exactly what you'd see here as well... i think people need to get off the race issue and look at the needs issue. Those most at risk need to be treated, and if that means a certain ethnic group, then so what? Deal with it"

Both of you make the case exactly!

We in the US often think a national health or medicare for all will solve most healthcare issues. You have shown it is much more complicated than that.

Much more complicated spacenurse! Even where their is universal healthcare, there is no guarantee to equal access and equal effectiveness for any group. Even geography is a huge issue. We call our system equal, but someone in Tuktuyuktuk doesn't have the same services available at their front door as someone in Toronto....

Gwenith, as soon as you figure all that out, let us know up here in the great white north!

Specializes in ICU.
Originally posted by fergus51

Much more complicated spacenurse! Even where their is universal healthcare, there is no guarantee to equal access and equal effectiveness for any group. Even geography is a huge issue. We call our system equal, but someone in Tuktuyuktuk doesn't have the same services available at their front door as someone in Toronto....

Gwenith, as soon as you figure all that out, let us know up here in the great white north!

LOL!!! I wish I had the answers!!! We are working on them but I think the first thing to do is to treat statistics and reports of minority discrimination the same way we treat a poor infection control report. That is we do not run around blaming everyone for making it so we sit down acknowledge we have a problem and start looking for solutions.

You are right about the ultimate minority problem being the remote areas. We instituted the Royal Flying Doctor Service to help overcome this but it is far from ideal. They do a good job, no they do a great job but the problem still is the distance.

We have had some success with instituting primary health care workers among the aboriginal population but it is almost "too little too late"

Perhaps today I am being cynical - I just sat down and watched "Rabbit Proof Fence" and I am still typing through my tears.

Sjoe is right, if there is discrimination, it exists in the penal system. If you are an inmate, you get FREE healthcare. You could be the most disgusting human being on earth, but if you are incarcerated, by golly, you'll get that heart transplant! Doesn't matter if you are sentenced to death, we have to keep you alive for the execution! Hey, are your parents having problems getting medicare to cover their Rx's? Have them attempt to rob a bank, that'll do it, everythings covered, no nursing homepayments... the government will take care of you if you are a CROOK. However, if you are a regular, hardworking, law-abiding person(black, white, hispanic) so sorry, we need a referral from your PCP, unless of course, your unconscious. I think our priorities are skewed, everyone should have access to medical care, not just the wealthy or the litigous. It's a shame... No one should be denied health care, it's becoming a CLASS problem. NOT a race problem, when are people going to wake up and see that. It should be equal for all, even the scumbags...

Just my opinion...

My thought was also that it is probably related to SES. Since you have more minorities below the poverty line, you probably have more minorities without insurance. Without insurance you're not going to get very good medical care.

I can't think of any instances where I personally witnessed a patient recieve better/worse healthcare based on their color.

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