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COVID-19 and Health System Segregation in the US

Author: Prem Misir

Publisher: Springer Nature

Published: 2021-11-27

Total Pages: 132

ISBN-13: 3030887669

This book highlights and suggests remedies for the racial and ethnic health disparities confronting people of color amid COVID-19 in the United States. Racial and ethnic health disparities stem from social conditions, not from racial features, that are deeply grounded in systemic racism, operating through the White racial frame. Race and ethnicity are significant factors in any review of health inequity and health inequality. Hence, any realistic end to racial health disparities lies beyond the scope of the health system and health care. The book explores structuration theory, which examines the duality between agency and structure as a possibly potent pathway toward dismantling systemic racism, the White racial frame, and racialized social systems. In particular, the author examines COVID-19 with a focus on the segregated health system of the US. The US health system operates on the doctrine of ‘separate but equal’, whereby the dominant group has access to quality health care and people of color have access to a lesser quality or zero health care. ‘Separation’ implies and enforces inferiority in health care. Through the evidence presented, the author demonstrates that racial and ethnic health disparities are even worse than COVID-19. As in the past, this contagion, like other viruses, will dissipate at some point, but the disparities will persist if the US legislative and economic engines do nothing. The author also raises consciousness to demand a national commission of inquiry on the disproportionate devastation wreaked on people of color in the US amid COVID-19. COVID-19 may be the signature event and an opportunity to trigger action to end racial and ethnic health disparities. Topics covered within the chapters include: Introduction: Segregation of Health Care Systemic Racism and the White Racial Frame Dismantling Systemic Racism and Structuration Theory COVID-19 and Health System Segregation in the US is a timely resource that should engage the academic community, economic and legislative policy makers, health system leaders, clinicians, and public policy administrators in departments of health. It also is a text that can be utilized in graduate programs in Medical Education, Global Public Health, Public Policy, Epidemiology, Race and Ethnic Relations, and Social Work.

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

The Pandemic Divide

Author: Gwendolyn L. Wright

Publisher: Duke University Press

Published: 2022-08-22

Total Pages: 205

ISBN-13: 1478023139

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As COVID-19 made inroads in the United States in spring 2020, a common refrain rose above the din: “We’re all in this together.” However, the full picture was far more complicated—and far less equitable. Black and Latinx populations suffered illnesses, outbreaks, and deaths at much higher rates than the general populace. Those working in low-paid jobs and those living in confined housing or communities already disproportionately beset by health problems were particularly vulnerable. The contributors to The Pandemic Divide explain how these and other racial disparities came to the forefront in 2020. They explore COVID-19’s impact on multiple arenas of daily life—including wealth, health, housing, employment, and education—while highlighting what steps could have been taken to mitigate the full force of the pandemic. Most crucially, the contributors offer concrete public policy solutions that would allow the nation to respond effectively to future crises and improve the long-term well-being of all Americans. Contributors. Fenaba Addo, Steve Amendum, Leslie Babinski, Sandra Barnes, Mary T. Bassett, Keisha Bentley-Edwards, Kisha Daniels, William A. Darity Jr., Melania DiPietro, Jane Dokko, Fiona Greig, Adam Hollowell, Lucas Hubbard, Damon Jones, Steve Knotek, Arvind Krishnamurthy, Henry Clay McKoy Jr., N. Joyce Payne, Erica Phillips, Eugene Richardson, Paul Robbins, Jung Sakong, Marta Sánchez, Melissa Scott, Kristen Stephens, Joe Trotter, Chris Wheat, Gwendolyn L. Wright

Unequal Treatment

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-02-06

Total Pages: 781

ISBN-13: 030908265X

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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Race in the Marketplace

Author: Guillaume D. Johnson

Publisher: Springer

Published: 2019-03-26

Total Pages: 283

ISBN-13: 3030117111

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This volume offers a critical, cross-disciplinary, and international overview of emerging scholarship addressing the dynamic relationship between race and markets. Chapters are engaging and accessible, with timely and thought-provoking insights that different audiences can engage with and learn from. Each chapter provides a unique journey into a specific marketplace setting and its sociopolitical particularities including, among others, corner stores in the United States, whitening cream in Nigeria and India, video blogs in Great Britain, and hospitals in France. By providing a cohesive collection of cutting-edge work, Race in the Marketplace contributes to the creation of a robust stream of research that directly informs critical scholarship, business practices, activism, and public policy in promoting racial equity.

How Covid Crashed the System

Author: David B. Nash

Publisher: Rowman & Littlefield

Published: 2022-10-31

Total Pages: 373

ISBN-13: 1538164264

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Why America’s health care system failed so tragically during the Covid pandemic, and how the forces unleashed by the crisis could be just the medicine for its long-term cure. Covid patients overwhelmed American hospitals. The world’s most advanced and expensive health care system crumbled, short of supplies and personnel. The U.S. lost more patients than any other nation during the pandemic. How could this happen? And how could this disaster lead to a more resilient, rational and equitable health care system in the future? How Covid Crashed the System answers these questions with compelling stories and wide-angle analysis. Dr. David Nash, a founder of the discipline of population health, and Charles Wohlforth, an award-winning science writer, pick up the pieces of the Covid disaster like investigators of a crashed airliner, finding the root causes of America’s failure to cope, and delivering surprising answers that may reorient how you think about your own health. From the broadest, cultural flaws that disabled our health system to particular, institutional issues, America’s defenses fell due to racism and poverty, combined with a culture of misguided individualism that tore communities apart. We suffered from failed leadership and crippled public health agencies, and hospitals built to make money from services, not deliver health. But How Covid Crashed the System goes beyond analyzing those problems, providing hope for change and fundamental improvement in ways that will transform Americans’ health. Covid’s market disruption encouraged new technology that allows for remote health care. Integrated health organizations gained ground, working to manage clients’ total wellness from cradle to grave. Covid also accelerated changes in medical education, to make doctor training more equitable and better aligned to the skills we need. And Covid forced employers to accept responsibility for their workers’ health in a new way, making them partners in this new movement. Using systemic analysis of the Covid crash, the authors find reasons to hope. America’s health care establishment resisted reform for decades, mired in waste and avoidable errors. Now, the pandemic crisis has exposed its flaws for all to see, creating the opportunities for systemic changes. Even without new laws or government policies, America is moving toward a transformed health system responsible for our wellness. How Covid Crashed the System tells that story.

Covid-19: Health Disparities and Ethical Challenges Across the Globe

Author: H. Russell Searight

Publisher: Springer Nature

Published: 2023-04-08

Total Pages: 256

ISBN-13: 303126200X

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Internationally, marginalized populations, including indigenous people, refugees fleeing both war and the effects of climate change and people-of-color, have borne a disproportionate share of serious COVID 19 illnesses and deaths. Each contributor has a background in public health, applied psychology, and international issues, bringing a unique perspective and a valuable lens through which to view these issues. Additionally, the authors are members of the COVID-19 Ethics and Legal Issues Task Force within Division 52 (International Psychology) of the American Psychological Association. The task force has spent the last two years describing how COVID-19 has highlighted pre-existing health disparities within the U.S. and internationally. The topics investigated include strategies to manage the pandemic employed by governments in various countries as well as models of medical ethics guiding healthcare decision-making.