Racial discrimination in the United States is pervasive and affects health outcomes and access to health care on multiple levels—from the interpersonal, to the institutional, to deeper structural divides. Such ingrained racism creates significant barriers for people of color, making it harder for them to get equal access to jobs, housing, education, and health care services.
Trump Administration 'Public Charge' Rule Threatens Health Care for Immigrant Families, Including U.S. Citizen Children
The impact of a proposed Trump administration rule extends well beyond the directly targeted individuals and families whose health will be at risk. A community’s overall health depends on the health of all of its members. The impact of this proposed rule will spill over to others in many ways. Without insurance, families may delay care or forego it altogether. This means there will be more children in school, and adults in the workplace, without needed preventive services and untreated illnesses. More people delaying care until the last possible moment will strain emergency resources. Hospitals’ and clinics’ uncompensated care burdens will increase.
In late January, the Trump administration quietly announced two alarming new policies that will lead to more discrimination in health care: a change in Medicaid policy made through executive order, and a proposed rule that is open for comment until March 27, 2018.
Central to our core value that every single human being deserves an equitable chance to enjoy the best health possible is that no one is excluded. Not even if they were born outside of the United States. Not even if they lack the proper paperwork.
Blueprint for Health Care Advocacy: How Community Health Workers Are Driving Health Equity and Value in New Mexico
Across the health care system, there is tremendous interest and momentum in reforming the way health care is delivered and paid for in order to improve health care quality and outcomes and at the same time, reduce costs. These reform efforts create an enormous opportunity to improve resources, infrastructure, and incentives for interventions to meaningfully reduce racial and ethnic health disparities. Yet, if these reforms are not designed and implemented carefully, they could actually end up making these disparities worse.
As health equity advocates we share a fundamental vision of a nation where every single human being has an equitable chance to enjoy the best health possible, no matter who they are—including where they were born. For us, it is not about being on the left or right of the political spectrum. Equal access to good health is an intrinsically human value.
Efforts to shift to a value-based health care system create an opportunity to improve the quality of care and health outcomes, save money for consumers and the health care system as a whole, and drive reductions in health disparities. But such positive outcomes from payment and delivery reform efforts are not guaranteed. There are some elements of this proposed rule that can help reduce health disparities, but a real commitment to health equity requires additional steps from CMS.
Connecticut just took an important step toward improving health outcomes for its most vulnerable residents. Earlier this summer, the governor signed a law that lays the foundation for the broader use and support of community health workers (CHWs).
Community health workers play a valuable role in helping people achieve better health. Because they are trusted community members, they are uniquely effective at connecting underserved communities to the health care system and helping people navigate social factors that pose barriers to good health. In doing so, CHWs help to improve health outcomes and narrow health disparities.
The House Republican bill to repeal the Affordable Care Act (ACA) and cut the Medicaid program would cause immediate and critical problems for American Indian and Alaska Native peoples. Repeal would take funding away from federally recognized tribes and tribal organizations that now provide comprehensive health services in Alaska.
On the way to repealing the Affordable Care Act (ACA), Republicans have decided to tack on a major restructure of the entire Medicaid program, capping and cutting America's health insurance program for lower-income people.