![]() ![]() 2 College graduation rates have also improved among African Americans. According to the Economic Policy Institute, educational attainment has greatly increased, with more than 90 percent of African Americans aged 25–29 having graduated from high school. 1 Over the span of several decades, namely since the Civil Rights Acts of 19, they have been able to make notable strides in American society. African Americans bear the brunt of these health care challenges.Īfrican Americans comprise 13.4 percent of the U.S. These inequalities contribute to gaps in health insurance coverage, uneven access to services, and poorer health outcomes among certain populations. The American health care system is beset with inequalities that have a disproportionate impact on people of color and other marginalized groups. The nation is at a moment when more progressive health care reform might be possible any health care reform needs to take these inequities into account in recreating a health care system that will serve all Americans.Another important social factor leading to poor health outcomes and economic disadvantage among African Americans is racism, because not only is it a stressor, leading to wear and tear on the body, but it also impacts who gets what in America, particularly health care. ![]() Certain social determinants of health, such as poverty, income inequality, wealth inequality, food insecurity, and the lack of safe, affordable housing have important implications for health risk and the ability to attain health insurance coverage for African Americans.African-American women are three times more likely to die of pregnancy-related causes than white women, for example, and the African-American infant mortality rate is twice the rate for white infants. Even with improved access to medical care under the ACA, the disparities in health outcomes between African Americans and whites are stark.Because African Americans tend to be poorer than other demographic groups on average, public health insurance programs such as Medicaid are vital to ensure affordable health care and healthier outcomes-yet fourteen states have resisted Medicaid expansion, mostly in the South.The average American family spends around 11 percent of household income on health care premiums and out-of-pocket costs, but that amount approaches 20 percent for African American households.Of the more than 20 million people who have gained coverage under the ACA, 2.8 million of them are African-American-and yet, this population is still more likely to be uninsured than white Americans.5Ensuring Health Care Access and Affordable Coverage for African Americans.3Important Considerations for Health Care Specific to African Americans.2Systemic Health Care Challenges That Reform Must Address.1Coverage Gains-and Obstacles-for African Americans Under the ACA. ![]()
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