By Louis W. Sullivan (auth.), Richard Allen Williams (eds.)

Building upon the luck of Dr. Williams's greatly influential booklet doing away with Healthcare Disparities in the US: past the IOM document, this new quantity takes a clean and well timed examine the nation of healthcare reform and the development and difficulties we are facing within the pursuit of healthcare equality. This e-book specializes in how the removing of disparities should be entire via precise efforts made in the context of reform.

Comprising the mixed efforts of the nation's top future health coverage analysts, researchers, key opinion leaders and clinicians, this booklet addresses either present and drawing close laws and destiny hobbies in healthcare. With the information that the matter of disparities extends past the current political area into the bigger scope of all points of healthcare supply, the authors supply severe research of the causation of disparities, insightful examples of what has labored, and a remarkable name to motion with implementable options for advancing equality.

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In Philadelphia, James Derham was a slave who bought his freedom with the proceeds from a successful medical practice. Papan, a Virginia slave, learned medicine from his masters and became so skilled at treating skin and venereal diseases that the Virginia legislature set him free. Cesar, enslaved in South Carolina, was also rewarded with freedom because of his medical expertise. Primus, another “slave-doctor,” was a pioneer in the treatment of snakebite and rabies; when his master died, Primus took over his surgical practice.

After the Emancipation Proclamation was signed (New Year’s Day, 1863) by a less than egalitarian President Abraham Lincoln (“I will say … there is a physical difference between the white and black races which I believe will forever forbid the 2 Historical Perspectives of Healthcare Disparities 13 two races from living together on terms of social and political equality,” Lincoln had declared in his debate with Judge Douglas) [16], the nation entered what was called the Reconstruction era. The ostensible purpose was to bind up the wounds of war, which ended in 1865, and also to provide some type of health-related benefits for poor Negroes who were now on their own, away from the plantations and slave masters.

In this first quarter of the twenty-first century, we are using our new information on the structure and function of the human genome to confidently declare the beginning of a new era of “personalized medicine,” providing more individually tailored medical therapies based upon our specific genetic profile. ” Not all of our citizens have access to this abundant array of healthcare capabilities [2]. ” These barriers are often financial, but may be also the result of bias (overt and subconscious), communications difficulties due to language or cultural differences, mistrust of the system by minority populations, and underutilization, nonuse or inappropriate use of the healthcare system [3].

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Healthcare Disparities at the Crossroads with Healthcare by Louis W. Sullivan (auth.), Richard Allen Williams (eds.)
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