Introduction
The purpose of this series of papers is to exhibit a context of notion of the prevailing health issues facing the African-American community. Hence forth and for brevity, the term "Blacks" and/or minority will be worn interchangeably with Africa-Americans. Additionally the term "White" is or will be substituted for Caucasians or the majority.
The papers will have charts and diagrams which should be self explanatory and will attend the reader in viewing and better belief the health disparity topic.
Going forward, one must hold the following tenant to decide the health disparity or any other equality gap, "The ability to address and solve an pronounce initiates with the desire and willingness to bag knowledge and understanding; to acquire the principal action and the courage to stand firm and to remove the required action to solve the screech at hand."
The Beginning
There is an ongoing vast debate regarding the access and availability of and to healthcare. The uniqueness of the debate regarding this topic is premised upon a simple but complex seek information from, "Is healthcare a proper or a privilegeall Depending upon your economic philosophy, political orientation and social standing, the respond to the prevailing interrogate will vary. Another dependent variable is the cultural identity factors along with your overall social orientation and personal value conception system.
The preamble to the United States Constitution has the words "...that all men and (women) are created equal." Equality and parity are favorable absolute panacea thoughts. With say reference to healthcare access and/or delivery can simply is premised upon the ability to pay for the services one is seeking. For background and familiarity purposes here are some of the more popular economic, revenue and related operational terms associated with healthcare. Terms ranging from but not miniature to co-payment, deductible, reimbursement, indigent, self-pay, denial, pre-existing, etc.
Historically the majority of American citizens acquire healthcare services through their employer sponsored insurance package program offerings. These offerings vary from the so called dilapidated indemnity programs, health maintenance organizations (HMO's) and now the latest and greatest package offering health savings accounts (HSA's) . We must not forget the federal governmental programs such as Title 19 and Title 20, Medicare and Medicaid respectively. In brief Medicare is the health insurance program for "senior citizens." The Medicare offering has Parts A, B, and D. These help plans provide out-patient, in-patient and a prescription drug serve. Medicaid on the other hand is a area bustle program with a notable financial subsidy coming from the federal government. Medicaid is often identified or recognized as the health help for the indigent and for children.
Knowledge Attainment
For our and future purposes and defined by the World Health Organization, Health is a situation of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. In a careful and rapid review of the definition; everyone would desire a complete physical, mental and social well being. Since we reside in a highly structured or more so layered society, the different class, economic and social levels this "complete" social well being will be extremely difficult to finish.
mark chart (1) which presents the different spending levels within the US Healthcare system. The most important fragment of dollars spent for yelp patient care are within the hospital arena totalling 30%. The next largest percentage is Other Spending at 25%. This basically represents diagnostic services such as a CT, MRI scans, etc. Only 21% is actually disbursed on Physician and clinical services.
With a focus upon the demographics, there is no convey data which presents these expenditures of Whites versus Blacks. One could purchase based upon charts (2-3) that Whites do consume more on healthcare than Blacks solely predicated upon the life expectancy disparities between males and females from 2004.
Couple this data with the facts that the overall murky unemployment or underemployment rates are usually two and sometimes three times that of Whites. For a reflection, remember that the majority of American citizens gather access to healthcare through their employer sponsored health serve offerings. Therefore if Blacks are more than or more greater than likely not to be employed, the gloomy health position, indices and life expectancy will be great lesser than their White counterparts.
Further and it is very well-liked that sad often enter the healthcare system at a powerful latter time after the identification of diseases. In other words, dim often forego or do not have the economic means to access well-known care physicians to attach what is called a medical home.
well-known care providers conduct routine or basic screenings such as blood pressure screenings, prostate exams, well woman exams, they order mammograms to rule out breast cancer. Through these little examples, early detection of diseases often are not identified and treatment therefore cannot be initiated. notice chart (4) which depicts the matrix for the Continuum of Care.
For example a regimen of required medicines to upright hypertension or as it often labeled high blood pressure can inaugurate. The identification of other cardio vascular issues can be detected, along with the detection of "sugar." honest, many Blacks do have the financial ability to access the system, but either through social orientation or lack of knowledge or a total ignorance the decision to consume the healthcare system is ignored.
Series 2: Blacks and Medical Education
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