November 22, 2024

 

Why Don't We Have a Better Health Care System

Black Americans Continue to Pay the Price

 

Dr. Mike's Report

When assessing the performance of a health system, the true measure lies in the outcomes for its citizens. Sadly, the United States stands out for all the wrong reasons among Western nations. The stark data speaks volumes: the U.S. has the lowest life expectancy, lagging an alarming four years behind the average. It also ranks dead last in preventable and treatable mortality, underscoring the tragic loss of lives due to conditions like hypertension, diabetes, and heart disease. Covid-19 death rates soared, alongside alarming statistics on self-harm and gun violence. When it comes to access to care, the U.S. fails to provide equitable healthcare for people of color, ranking at the bottom.


The issues are glaring, with cost-related challenges stemming from a high number of uninsured residents being a significant factor. Even with the recent lows in the uninsured population, the U.S. still outpaces other high-income countries with universal coverage.


Navigating healthcare can feel like a maze, even for those with insurance—high deductibles and copayments make it tricky to find a primary care doctor. The disparities in access and health outcomes between lower and higher-income individuals, regardless of race, are more pronounced in the U.S. than anywhere else. For instance, a Black male in Oakland's Flat Lands could expect to live four years less than those in wealthier neighborhoods.


These systemic issues cry out for urgent attention and action. It’s crucial to champion health equity and strive for a more accessible and efficient healthcare system for everyone. The first article in our newsletter offers small steps we can take toward this goal, but whether these steps will materialize hinges on the upcoming election results. Let’s be the change we wish to see!


Stay Healthy,

Dr. Mike


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AND BLACK AMERICA

 

THE FAILING US HEALTH SYSTEM


A study uses 70 measures of health system performance across five domains: access to care, care process, administrative efficiency, equity of care, and population health outcomes. Data is from 2020 or later and includes publicly available sources like the OECD, Our World in Data, and the World Health Organization, along with Commonwealth Fund surveys of doctors and residents in the participating countries.


Why Is This Important: The United States ranks last overall on these performance measures.

BURNOUT, DEPRESSION, AND DIMINISHED WELL-BEING AMONG PHYSICIANS

DISPROPORTIONATELY IMPACTS BLACK COMMUNITIES BY WORSENING HEALTHCARE DISPARITIES AND LIMITING ACCESS TO CULTURALLY COMPETENT CARE.

Concerns are rising about the well-being of physicians and the ripple effects of poor mental health on doctors, their patients, and the entire healthcare system. In this review, they dive into several key areas.

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BLACK WOMEN DYING AT INCREASED RATES FROM BREAST CANCER - SOCIOECONOMIC STATUS DOES NOT CHANGE THAT


Social and economic challenges within a community have been associated with increased breast cancer mortality among White women, but findings are inconsistent among Black women, who experience different neighborhood contexts. Accounting for interactions among neighborhood deprivation, race, and other neighborhood characteristics may enhance understanding of the association.

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VALIDATION OF A MOBILE APP FOR REMOTE AUTISM SCREENING IN TODDLERS

THE DIAGNOSIS OF AUTISM IS MADE LATER IN BLACK FAMILIES, PERHAPS THIS WILL HELP


Early detection of autism is crucial for ensuring timely access to diagnostic evaluations and early intervention services, significantly improving outcomes for children. While clinicians can reliably diagnose autism in toddlers, many still face delays. Enter SenseToKnow—a groundbreaking mobile autism screening app available on smartphones and tablets. This innovative tool uses computer vision and machine learning to provide an objective, quantitative assessment of early behavioral signs of autism.

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HOW TO DEAL WITH EAR PAIN IN A CHILD WITHOUT ANTIBIOTICS

UNDERSTANDING NON-ANTIBIOTIC APPROACHES TO MANAGING EAR PAIN IN CHILDREN IS CRUCIAL FOR THE BLACK COMMUNITY AS IT EMPOWERS PARENTS TO MAKE INFORMED HEALTHCARE DECISIONS, REDUCES UNNECESSARY ANTIBIOTIC USE AND ITS HARMFUL SIDE EFFECTS, AND ADDRESSES DISPARITIES IN TREATMENT.


When a child complains of ear pain, it’s common for doctors to quickly reach for antibiotics, but this isn’t always the best solution. Surprisingly, many cases of acute otitis media can resolve on their own! Many of these infections are viral.



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For more information, go to our website at www.aawellnessproject.org. or listen to our podcast at Blackdoctorsspeak.org on any podcast platform.

 
 

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