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Health Services Disparities. Wolran Kim (a) Why is change needed? Work Cited UCLA Center for Health Policy Research U.S. Department of Health & Human Services Contra Costa Health Services Department of Health and Human. U.S. Health Care System.
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Health Services Disparities Wolran Kim (a) Why is change needed? Work Cited UCLA Center for Health Policy Research U.S. Department of Health & Human Services Contra Costa Health Services Department of Health and Human
U.S. Health Care System • The most serious problem in American capitalism • Developed with PRIVATE health insurance companies • Low income (15%) Medicaid (public assistance) • The elderly & disabled (19%) Medicare (public insurance beneficiaries) • Over 15% of population No health insurance • Individual health care consumption is higher than others Expensive cost reinvested in research & development
How is the U.S. health care dollar spent ? Total = $2.3 Trillion
Need Change • Debate: reform of system, accessibility, fairness, efficiency, cost and the right to equality • Obama Care: expanding Medicaid for low-income, subsidize for the middle class 95% health coverage, control more medical cost • Urgent need: The ideal health care system to social stability & integration of individuals/families, insurance companies, employers, doctors & hospitals
Health Insurance Coverage by Race/EthnicityAges 0-64, U.S. 1997
AAPI’s Barriers • Heterogeneous: highly diverse group language, cultural, socio-economy, citizenship status, immigration circumstances, generation differences • Disadvantaged in health services compared to whites • Job-based insurance 64% (vs. 73% of whites) • Uninsured 21% (vs. 14% of whites) • Noncitizens 33% (vs. 2% of whites)
Sicko • 2007 documentary film by Michael Moore • Investigates health care in the United States • Compares the for-profit, non-universal U.S. system with the non-profit universal health care systems of Canada, the United Kingdom, France and Cuba. • Fifty million Americans are uninsured while the remainder, who are covered, are often victims of insurance company fraud and red tape.
Why is change needed? • Health insurance coverage is central to reducing financial barriers & promoting access • Disparities should be a concern to the entire nation growing proportion (2000:28%, 2025:38%, 2050:47%) • Compared to whites, all have lower rates of coverage • Lack of coverage results in weak connections to the systems • Medicaid or alternative program could provide more • States have many options to expand coverage • Local jurisdictions could help expand coverage