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AASP 101- Lecture week 8 Health Policy

AASP 101- Lecture week 8 Health Policy - AASP 101 HEALTH...

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AASP 101 HEALTH POLICY
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Blacks and the U.S. Health Care System Adverse relationship between Blacks and Health Care since days of slavery; vestiges of present day patterns of health disparities Black health experience in the early colonial period was one of nascency compounded by hardship Mortality by infectious disease Nutritional deficiencies; starvation Weather- pneumonia, frostbite, heat injuries Testing of medical procedures; no treatment Assumptions that Blacks would always be sicker Present day connections-responses to poor black health status
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Blacks and the U.S. Health Care System Structural Mechanisms By 1900 White Physicians granted authority over U.S. health establishment Created racially exclusive medical educational and research infrastructure Hospital movement that was structured around race and class lines American medicine remained an individualistic commercial enterprise
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Blacks and the U.S. Health Care System Emancipation and early 1900’s 1900’s Separate Hospital Facilities 10 Black Medical Schools Black doctors served Black patients Health Outcomes for Blacks Dubois, 1950-1900 Higher infant mortality rates Higher child mortality rates Shorter life expectancy Black health defined by biological essentialism Likeness to animal physiology (apes), physiologically inferior
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Blacks and the U.S. Health Care System Open segregation of medical facilities during Jim Crow era created barriers (1930-1965) Black/white differential in mortality rates continued to climb Infant mortality rates twice rates for Whites Higher death rates for syphilis (common venereal disease) Tuskegee experiment which began in 1930’s the 40-year Tuskegee study--which allowed black men with syphilis to die untreated so their cadavers could be used for research Experiments on Black Health At the end of jim crow, social influences exerted relenting pressure on the white medical profession for health system change (racial divide)
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Blacks and the U.S. Health Care
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