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Minority Youth Access to Mental Health Care: Disparities and Consequences

This analysis highlights the significant disparities that minority kids and youths face in accessing psychiatric care, leading to negative consequences for their mental health. It also exposes the higher death rates and costs associated with for-profit hospitals and dialysis clinics. The potential for reform is explored through Medicare's "software" and the expansion of Medicaid-like programs. The importance of addressing these issues is underscored by historical quotes on civil rights and hospital consolidation.

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Minority Youth Access to Mental Health Care: Disparities and Consequences

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  1. Disclosure: Dr. Steffie Woolhandler MD MPH has no relevant financial relationships with commercial interests

  2. What Dick Taught Me About Power

  3. Source: Dickman et al, Unpublished analysis of MEPS, NHES, NMES

  4. Minority Kids and Youth Get Little Psychiatric Care Outside of Prison Compared to whites kids and youths (age 0-34) • Black and Latino kids and youths make about 50%fewer visits to psychiatrists; • about 70 % fewer visits to psychologists; and • about 70% fewer visits to social workers for mental health counselling. Source: Marrast, Woolhandler, Himmelstein – Prepublication Data based on analysis of MEPS – Numbers for each race and income group are combined in this slide

  5. Investor Ownership

  6. For-Profit Hospitals’ Death Rates are 2% Higher Source: CMAJ 2002;166:1399

  7. For-Profit Hospitals Cost 19% More Source: CMAJ 2004;170:1817

  8. For-Profit Dialysis Clinics’ Death Rates are 9% Higher Source: JAMA 2002;288:2449

  9. Medicare’s “Software”18.9 Million Seniors Enrolled Within11 Months

  10. “Mandate” Model for Reform Expanded Medicaid-like program Free for poor Subsidies for low income Buy-in without subsidy for others Employer Mandate +/- Individuals Managed Care / Care Management

  11. February 16, 1971

  12. Hospital Consolidation Rising

  13. “I am firmly opposed to forced integration and I firmly believe that the doctrine of states’ rights should be maintained.” LBJ on Civil Rights, 1957 Source: Form letter to constituent, February 18, 1957

  14. LBJ Video

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