Tag Archives: health-care disparities

Two counties illustrate health care disparities

Pia Christensen

About Pia Christensen

Pia Christensen (@AHCJ_Pia) is the managing editor/online services for AHCJ. She manages the content and development of healthjournalism.org, coordinates AHCJ's social media efforts and edits and manages production of association guides, programs and newsletters.

Anna Tong and Phillip Reese of The Sacramento Bee write about health care disparities. They use two local counties to explain many of the issues that are central to the debate over changing the nation’s health care system.

In Yolo County, where many people are uninsured, the residents are diverse in occupation and age. Placer County’s “demographics makes it one of the best for insurance coverage: wealthier, older residents employed by large companies.”

Tong and Reese explain the ties between being uninsured and health outcomes, as well as the cost to society. They also look at the types of businesses that dominate the two counties and point out that employers in Yolo County, where many people are work in agriculture, service and food industries, are less likely to offer insurance than in Placer County, where many people work in the financial industry, professional and business services and high tech.

Other factors they look at include the links between income, ethnicity, age and insurance coverage.

The package includes an interactive graphic that shows California’s counties and how many people in each are uninsured and a series of graphics that breaks down the number of uninsured based on race, income, age, education, employment status and place of birth.

Homeless man teaches MD about inequalities

Andrew Van Dam

About Andrew Van Dam

Andrew Van Dam of The Wall Street Journal previously worked at the AHCJ offices while earning his master’s degree at the Missouri School of Journalism.

The Chicago Tribune‘s Judith Graham tells the story of a doctor who befriended a homeless man who sold StreetWise magazine at a local pharmacy, then offered him a place to live. As the doctor has worked to help his friend achieve financial independence, he has learned to view health care inequalities from a different perspective.

Now (Dr. Allen) Goldberg uses insights from (Everett) Atkinson — for example, how African-Americans in poor communities can distrust white doctors — in his volunteer work in tough city neighborhoods. “He helps me understand a lot because who knows better about being disadvantaged?” Goldberg said.

Goldberg said he’d never been exposed to true poverty before, and that the exposure has changed his thinking and informed his approach to medical outreach.

The doctor said he’s learned the need to listen to other people deeply, carefully and without judgment — a lesson he’s using in volunteer work with the Chicago Asthma Consortium. The group plans “listening sessions” with residents of poor neighborhoods this year about ways to reduce asthma’s burden.

L.A. doctors go to barber shops to reach black men

Andrew Van Dam

About Andrew Van Dam

Andrew Van Dam of The Wall Street Journal previously worked at the AHCJ offices while earning his master’s degree at the Missouri School of Journalism.

Los Angeles Times reporter Mary Engel follows the Black Barbershop Health Outreach Program founded by Dr. Bill Releford in December 2007. According to Engel, “African Americans have the highest rates of diabetes and heart disease of any group, yet black men are among the least likely to see a doctor regularly. So if the men wouldn’t come to a doctor, he would bring a cadre of volunteer doctors and nurses to the barbershop.”

The response was so enthusiastic that Releford expanded the program to 50 other L.A. barbershops, and then to barbershops in other states. This year, at 750 shops in 50 cities across 13 states, men who ordinarily would go nowhere near a doctor’s office will be offered a health checkup in a setting so familiar that it will seem as routine as a haircut.

Engel found the problems addressed by the program to be both urgent and under-funded.

At almost every screening, at least one person’s blood pressure or blood sugar is so high he’s sent straight to a hospital emergency room.