scholarly journals Socioeconomic, Geospatial, and Geopolitical Disparities in Access to Health Care in the US 2011–2015

Author(s):  
Samuel D. Towne Jr.
2021 ◽  
Vol 18 (1) ◽  
pp. 35-63
Author(s):  
Miguel Cerón Becerra ◽  

The US has built the most extensive immigration detention system globally. Over the last three administrations, several organizations have noted a systemic failure in the provision of health care in detention centers, leading to the torture and death of immigrants. This essay develops the principle of the preferential option for the poor to examine the causes of deficient access to health care and solutions to overcome them. It analyzes the substandard health care in detention centers from the notion of structural violence and systematizes solutions of grassroots immigrant organizations from the idea of solidarity, understood here as a form of friendship with the poor that moves toward relational justice. Its goal is to build bridges between people so that the political will is generated to create policies to improve and enforce health care standards in detention centers and address the unjust foundations of immigration detention.


2019 ◽  
Vol 44 (6) ◽  
pp. 1224-1252 ◽  
Author(s):  
Maria E. Rodriguez-Alcalá ◽  
Hua Qin ◽  
Stephen Jeanetta

2018 ◽  
Vol 19 (4) ◽  
pp. 286-297
Author(s):  
Bret Hicken ◽  
Kimber Parry

Purpose The purpose of this paper is to provide an overview of rural older veterans in the US and discuss how the US Department of Veterans Affairs (VA) is increasing access to health care for older veterans in rural areas. Design/methodology/approach This is a descriptive paper summarizing population and program data about rural veterans. Findings VA provides a variety of health care services and benefits for older veterans to support health, independence, and quality of life. With the creation of the Veterans Health Administration Office of Rural Health (ORH) in 2006, the needs of rural veterans, who are on average older than urban veterans, are receiving greater attention and support. ORH and VA have implemented several programs to specifically improve access to health care for rural veterans and to improve quality of care for older veterans in rural areas. Originality/value This paper is one of the first to describe how VA is addressing the health care needs of older, rural veterans.


Author(s):  
Shirley A. Hill

Within the US, racial disparities in health have remained stark: Blacks have higher rates of sickness and infant mortality than other races, and the shortest life spans. Racial stereotypes, exclusion and discrimination are chronic stressors and take a toll on black health. Institutionalized racism operates in less visible ways to undermine health, such as less spending on public services in black neighbourhoods. The adverse effects of these policies are compounded in a society that emphasizes social mobility through hard work yet offers limited opportunities for the disadvantaged to achieve that mobility. The nation’s poor health outcomes reflect racial and class inequalities in access to health care and decent living conditions, and tarnishes the reputation of its medical system and its image as a world leader.


2020 ◽  
Vol 163 (1) ◽  
pp. 112-113 ◽  
Author(s):  
Taha Z. Shipchandler ◽  
B. Ryan Nesemeier ◽  
Noah P. Parker ◽  
Dominic Vernon ◽  
Vincent J. Campiti ◽  
...  

The utilization of telemedicine has seen a relatively slow progression over the past 50 years in the US health care system. Technological challenges limiting the ease of use of robust video platforms have been a major factor. Additionally, the perception by many health care providers that telehealth is reserved for only the rural population or that it provides limited value due to the inability to perform in-depth physical examinations contributes to the slow adoption. The COVID-19 pandemic, with its massive disruption in social interaction by way of “stay at home” orders, is serving as a catalyst for improving telehealth. Large health systems are investing millions of dollars and increasing telehealth visit numbers 100-fold to access patients. The “telehealth movement” is here to stay and will undoubtedly be incorporated into providers’ daily lives years after the COVID-19 pandemic. By embracing virtual access to health care, otolaryngologists will be able to influence improvements to these systems and broaden access options for patient care well into the future.


2009 ◽  
Vol 24 (4) ◽  
pp. 155-156
Author(s):  
Ralph A Manchester

Health care in the United States is beset by three critical problems: cost, quality, and coverage. We have by far the most expensive health care in the world, spending about 17% of our Gross Domestic Product, or over $7,000/person; most other developed countries spend about 8 to 10% of their GDP on health care.1 Despite spending that much money, the health status of Americans is far from the best in the world, whether one looks at infant mortality,2 life expectancy,3 or survival among people with various diseases. 4 Underlying both problems is the fact that over 15% of the US population does not have health insurance,5 which means they do not have access to health care when it can be delivered most effectively at the lowest cost. While this should be of great concern to anyone who lives in this country, those of us who are invested in the health of performing artists should be especially interested in this issue. For a variety of reasons, performing artists are probably more likely to lack health insurance than is the case for the population at large.


2011 ◽  
Vol 101 (2) ◽  
pp. 285-293 ◽  
Author(s):  
Sandra Crouse Quinn ◽  
Supriya Kumar ◽  
Vicki S. Freimuth ◽  
Donald Musa ◽  
Nestor Casteneda-Angarita ◽  
...  

Author(s):  
Pauline A. Mashima

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.


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