We cannot achieve health equity for Black patients without expanding the Black physician workforce.
Medical institutions have yet to honestly examine and address how they perpetuate the problem of a White-dominated physician training system that unjustly excludes, punishes, and dismisses Black medical students, trainees, and attending physicians.
California’s rural north has significantly worse health care access than the rest of the state.
The barriers to treatment are even higher when residents try to access care from specialist physicians. When patients or families experience difficulties accessing needed medical care, it multiplies existing social needs, increasing patients’ risk of things like substance use, housing uncertainty and domestic violence.
Most older adults want to stay in their homes and communities as they age. To do that, many eventually need assistance with routine and personal care.
But 40 percent of older adults and adults with disabilities in California who need help to stay in their homes report receiving either no help at all or not enough.
Black Californians have one of the lowest life expectancies in California. This is despite the fact that the vast majority of these residents have some form of insurance coverage and consistently demonstrate a strong interest in taking care of their health.
This contradiction begs the question: What is wrong with health care for Black Californians?
The unequal impacts of COVID-19 and the ongoing crisis of police violence in communities of color have exacerbated mistrust and disconnection between these communities and the health care system. This makes achieving patient-centered care a challenge.
Studies show that brief messages and two-way communication via text builds people’s trust and engagement in health care and educational settings.
AG is a 2-month-old, healthy chubby baby with “Michelin man” rolls and pinchable cheeks, and he’s my patient. I’m a pediatric intern at Harbor-UCLA Medical Center, a safety-net hospital in Los Angeles. When AG missed his checkup in late December, I was worried.
My colleague told me that AG recently had been in our emergency room. He tested positive for COVID-19.
One third of all Californians and nearly half of California children depend on Medi-Cal, California’s public health coverage program, for health care.
With so many people relying on Medi-Cal for health care, the state must do more to protect the rights of Californians and ensure access to every service they are entitled to.
In California, 34 jurisdictions have declared racism a public health crisis. Governor Newsom, unfortunately, has failed to do so at the state level, just as he failed to support broader investments supported by the legislature to advance health equity last year.
His inaction seems to be rooted in two issues: failure to prioritize racial equity and conflating investments in health care with investments in prevention and public health.
Although California has set high standards for controlling some chemicals in water, actual enforcement and removal of contaminants is generally slow, and frequently stymied by high treatment costs and antiquated water infrastructure.
Meanwhile, polluters rarely have to answer for the health impacts their actions may have caused. Low-income communities of color are particularly hard hit, due to decades of environmental racism.
High costs, lack of clarity over which benefits are covered and limited providers, especially ones that reflect the diversity of the communities they serve, have forced historically excluded communities to delay or completely forgo oral health care.
Delayed care often leads to excruciating pain only a costly emergency room visit can fix, leaving people with thousands of dollars of medical debt.