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Commentary: A New Frontier but the Same Old Problem

Published online by Cambridge University Press:  01 January 2021

Extract

As during other eras of American history, both the current debate and attempts to reform the health care system are fraught with vested interests and conflict among policy makers, consumers, the health and medical complex, insurers, and the business community. The process reflects both the strengths and the limitations of our democratic system, and demonstrates the factional battles that must be waged to attain fundamental social change in American society.

Although racial justice is not the dominant issue, the parallels between the present congressional deliberations and polemics and the passage of civil rights legislation in the 1960s are inescapable. For one, a major goal is to codify the basic human right of health care for all, regardless of medical or socioeconomic condition—that is, universal health insurance. Second, although a general feeling exists among the public that considerable change is needed in our health care system, elected representatives cannot agree on an appropriate course of action.

Type
Article
Copyright
Copyright © American Society of Law, Medicine and Ethics 1994

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References

Chapman, C.B., Talmadge, John M., “The Evolution of the Right to Health Concept in the United States,” in McKenzie, Nancy F., ed., The Crisis in Health Care: Ethical Issues (New York: Penguin, 1990), pp. 127–86; and “Health Insurance in the United States: 1910–1920,” J. of History Medicine and Allied Science, 5 (1950): 363-96.Google Scholar
Morais, H.M., The History of the Afro-American in Medicine (Cornwells Heights, Pennsylvania: The Publishers Agency, 1978); Krieger, Nancy, “Shades of Difference: Theoretical Underpinnings of the Medical Controversy on Black/White Differences in the United States, 1830–1870,” International J. of Health Services, 17 (1987): 259-78; and McBride, D., Integrating the City of Medicine: Blacks in Philadelphia Health Care, 1910–1965 (Philadelphia: Temple University Press, 1989).Google Scholar
Wenneker, M.B., Epstein, A.M., “Racial Inequalities in the Use of Procedures for Patients with Ischemic Heart Disease in Massachusetts,” JAMA, 261 (1989): 253–57; Hannan, E.L., Kilburn, H., O'Donnell, J.F., Lukacik, G., Shields, E.P., “Interracial Access to Selected Cardiac Procedures for Patients Hospitalized with Coronary Artery Disease in New York State,” Med. Care, 29 (1991): 430-41; and Escarce, J.J., Epstein, K.R., Colby, D.C., Schwartz, J.S., “Racial Differences in the Elderly's Use of Medical Procedures and Diagnostic Tests,” Am. J. Public Health, 83 (1993): 948-54.Google Scholar
“Two Hospitals Are Accused of Segregating By Race,” The New York Times, May 20, 1994, sec. B3.Google Scholar
“Black Professionals Outraged by ‘Racist’ Invite from Indiana Medical Group (Indiana State Medical Association),” Jet, 85 (1994): 46.Google Scholar
Watson, Sidney Dean, “Minority Access and Health Reform: A Civil Right to Health Care,” J. of Law, Medicine & Ethics, 22 (1994): At 129.CrossRefGoogle Scholar