Inequality Within Healthcare – Annotated Bibliography

Citations:

Press release new HHS data show more Americans than ever have health coverage through the Affordable Care Act. CMS. (2021, June 5). Retrieved April 13, 2022, from https://www.cms.gov/newsroom/press-releases/new-hhs-data-show-more-americans-ever-have-health-coverage-through-affordable-care-act

-This source is a news release from the Centers for Medicare and Medicaid Services (CMS), and it discusses the rising trend of more individuals obtaining insurance as a result of the Affordable Care Act, often known as Obamacare. This source is beneficial because the ACA is most credited when the discussion of recent healthcare access is the topic of conversation. Since our presentation relies on influencing more people to vote on issues that are aided by programs like the ACA this source fits our criteria.

Khullar, D., & Chokshi, D. A. (2018, October 4). Health, income, & poverty: Where we are & what could help: Health Affairs Brief. Health, Income, & Poverty: Where We Are & What Could Help | Health Affairs. Retrieved April 13, 2022, from https://www.healthaffairs.org/do/10.1377/hpb20180817.901935/

-This source is an article about the poverty divide and how it affects healthcare affordability. It discusses how the Affordable Care Act is directly contributing to more people being covered, as well as how the EITC is assisting those who cannot afford healthcare financially, and how this has resulted in a decrease in newborn mortality and low-birthweight infants. This source is helpful to our topic as it discusses how the ACA has helps reduce infant mortality and as such can aid us in providing valuable information to the audience as to why projects such as the ACA are helpful to the people.

Neilson, S. 2019, June 28. The Gap Between Rich and Poor Americans’ Health Is Widening. NPR

https://www.npr.org/sections/health-shots/2019/06/28/736938334/the-gap-between-rich-and-poor-americans-health-is-widening

-This article discusses how much wider the gap is between rich and poor Americans within the healthcare system. It goes over how the gaps between black and white are narrower and gender as well.  The less education you receive the more likely it is that you will receive health care as you’re more likely to not have a good job. It also talks of solutions such as attacking the reasons for poor health in the first place.

Source: Bureau of Vital Statistics, NYC DOHMH, April 2010. Health Disparities

in New York City. New York City Department of Health and Mental Hygiene.

https://www1.nyc.gov/assets/doh/downloads/pdf/episrv/disparitiesonesum.pdf

-This source is a summary of health disparities from race to economic and gender inequalities. It shows graphs and discusses how death rates are higher amongst poor and black people than compared among white and wealthy people. It also gives solutions and ways to fix this problem by contacting the city agencies, health professionals, academic/research institutions, policy-makers, community organizations, businesses, and individuals to make this health change together.

Steffie Woolhandler. “Inequality and the health-care system in the USA”. VOLUME 389, ISSUE 10077, P1431-1441. The Lancet. (2017, April 8). Retrieved April 14, 2022. From https://pubmed.ncbi.nlm.nih.gov/28402825/ 

-In this article, Woolhandler relates how the economic inequality in the USA has been accompanied by increasing disparities in health outcomes. The life expectancy of the wealthiest Americans now exceeds that of the poorest by 10-15 years. This article will help as part of a series on health and inequality in NYC, focuses on the healthcare system, which could reduce income-based disparities in health, instead of often exacerbating them. This article shares the data of the high inequality in the healthcare system. For this reason, our group wants to show to the public how this problem has been affecting our society.

Beth C. Truesdale. “The Health Effects of Income Inequality: Averages and Disparities”. Volume 37. Annual Review Magazine. 2016, January 6). Retrieved April 14, 2022. From https://www.annualreviews.org/doi/10.1146/annurev-publhealth-032315-021606

-Truesdale relates an investigation of the association between income inequality with average life expectancy, usually finding negative correlations that are not very robust. This investigation found socioeconomic disparities in life expectancy, which have widened in many countries since 1980. Although most theories imply long and variable lags between changes in income inequality and changes in health, empirical evidence is confined largely to short-term effects.

Published: Oct 20, 2008. (2008, October 20). Eliminating racial/ethnic disparities in health care: What are the options? KFF. Retrieved April 13, 2022, from https://www.kff.org/racial-equity-and-health-policy/issue-brief/eliminating-racialethnic-disparities-in-health-care-what/

-The goal of this resource is to identify ways to reduce health inequalities. Extending healthcare coverage, boosting knowledge, and raising awareness are just a few examples. It demonstrates how they are people who live longer than others due to higher health advantages and resources. Some individuals just cannot afford it, and this article helps to increase awareness and ensure that all people, regardless of race, skin color, or money, have access to equitable healthcare.

Published: Jan 9, 2004. (2004, January 9). The poor-rich health divide. PRB. Retrieved April 13, 2022, from https://www.prb.org/resources/the-poor-rich-health-divide/ 

-This article includes graphs that show how children are dying as a result of the health disparities between the wealthy and the poor. Not only children but individuals from all around the world who cannot afford healthcare.  Children in the richest income group are twice as likely as those in the lowest income classes to have had all of the basic vaccinations. It is no secret that individuals born into a wealthy family have more advantages and greater access to healthcare, but healthcare should be the same for everyone, and this article demonstrates the gaps in healthcare access between the rich and the poor.

Subramanian, S. V., & Kawachi, I. (2004). Gale – product login. Retrieved April 13, 2022, from https://go.gale.com/ps/i.do?p=GVRL&sw=w&u=lap17be&v=2.1&subject=Cameron’s%20Collection&pg=BooksForSubject&it=static 

-This article discusses that income is related to an individual’s level of health. Higher-income enables individuals to afford the goods and services necessary to promote health. In other words, poor health leads to loss of income, because of extra expenditures on medical care or because of loss of employment. This source analyzes the various alternative hypotheses linking income to health outcomes as well as income inequality and health theory that suggest a more consistent effect of income inequality at larger units of aggregation than at smaller units. Most studies on income inequality and health have paid less attention to other substantive issues such as the potential lag period between exposure to income inequality and health outcomes. The potential for a threshold effect of income inequality on population health, as well as the potential for cross-level interactions whereby state income inequality may affect the health of different population groups differently.  

Navarro, V. (2004). The Politics of Health Inequalities Research … – jstor.org. Retrieved April 13, 2022, from https://www.jstor.org/stable/45131277 

-In this article, based on a speech to the European Association of Health Policy, the author discusses the political context in which health inequalities research has historically operated in the United States. The discussion focuses on the limitations of research that uses income, consumption, and status as the primary categories of research practice, and demonstrates these limitations by critically analyzing The Health of Nations by Kawachi and Kennedy. The author concludes that it is essential to use categories of analysis that focus on class relations as well as race and gender relations and their reproduction through the international and national institutions, to study their impact on the health and well-being of populations.