Racial Inequality in Health Continues Despite Expanded Insurance


Dr. Johnston’s hometown of St. Louis, as in other cities, there are fewer healthcare providers and specialists in low-income and minority neighborhoods, he said, a function of structural racism and a legacy of housing discrimination.

“It’s not an insurance issue – it has more to do with the supply side,” he added. “If you want access to a good specialist, your choice of cardiologist will be different if you live in poorer counties in northern St. Louis than if you live in wealthier counties.”

Another study in the journal, compared health expenditures by race and ethnicity and found it to be $8,141 a year. spending higher for white individuals of other races and ethnicities than Americans, and the portion spent on outpatient treatment is above average.

Healthcare expenditures for black individuals are $7,361 per year, and a smaller portion of the funds are spent on outpatient care. Payables for the care of blacks in the emergency room and hospital are 12 percent and 19 percent higher, respectively, than national averages.

“It’s about poverty, geography, and where people live and where primary care clinics are located, and it’s about health insurance,” said Joseph Dieleman, an associate professor at the University of Washington Health Metrics and Evaluation Institute in Seattle. author of the study.

But the difference also reflects patient behavior. Dr. “This also has to do with people’s past experience with the healthcare system and the quality of care they or their loved ones receive, leading to hesitation or resistance to early access to healthcare,” Dieleman said.

The findings may explain some of the differences in health outcomes, although social and economic factors also play a role, among them poverty, neighborhoods called food deserts that expose residents to pollution and offer little opportunity for physical exercise and recreation.


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