Single-Payer Health Reform: A Step Toward Reducing Structural Racism in Health Care

Dominic Caruso, D. Himmelstein, S. Woolhandler
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Abstract

Racial and income equality are too often absent from conversations about health care financing. Research continually exposes alarming health disparities in the United States, particularly impacting African Americans and Native Americans. These groups have lower life expectancies than non-Hispanic white Americans, and experience higher rates of most major causes of death including infant mortality, trauma, heart disease, and diabetes. Yet despite their greater need, access to care is worse for minority populations by most measures.
单一付款人医疗改革:迈向减少结构性种族主义在医疗保健的一步
在关于医疗保健融资的讨论中,种族和收入平等往往被忽略。研究不断揭露美国令人震惊的健康差距,特别是对非洲裔美国人和印第安人的影响。这些群体的预期寿命比非西班牙裔美国白人要低,并且在大多数主要死因(包括婴儿死亡率、创伤、心脏病和糖尿病)上的死亡率更高。然而,尽管他们的需求更大,但从大多数措施来看,少数民族获得医疗服务的机会更差。
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