Like I’ve mentioned in a few of my previous posts, this pandemic has brought on a lot of changes for everyone– but there is variation in how COVID-19 has impacted different groups of people. The experience of racial and ethnic minorities during this pandemic has been very different from other groups and is reflective of health outcomes that often exist for minorities in the U.S.
COVID-19
In New York City, the death rates for Black/African American individuals is much higher due to the virus, than it is for other racial/ethnic groups (1). The chart below shows the disproportionality of the effects of COVID on the population of African American individuals in a few states.
Compared to the total state population, the majority of patients affected by COVID are African American (2).
These disparities exist not only during this pandemic, but in healthcare in general:
Reasons for the Disparity
People who belong to racial or ethnic minority groups experience the health care system differently than others– many of the existing disparities in society lead to poorer health outcomes, as well as greater vulnerability to viruses and other illnesses. Many minority groups live in heavily populated areas or live in households with multiple generations, where social distancing might not be possible (1). Many work hourly, so health benefits are not part of the package and health services become difficult to access (2). There is also a much higher population of racial and ethnic minorities in jails, prisons, etc. which are again, places that increase the risk of spread of viruses and other illnesses (1).
Also, because of the social distancing measures that have to be taken because of the pandemic, there has been a decrease in quality of care for patients who don’t speak English (4). Before, interpreters/translators could be present in person during a patient’s visit, which makes it much easier to translate and understand the patient’s concerns and symptoms. Now, a lot of interpreters have to work over the phone and it’s possible that a lot of information is getting lost in translation because it’s just harder to have a conversation and understand each other that way.
While the pandemic has affected everyone in one way or another, it has not affected everyone equally. The social determinants of health that I talked about in my first blog, in addition to factors such as racism, geographic location, and poverty, play a large part in deciding how an individual is affected. Unfortunately, the same level and quality of healthcare are not available to every person. Moving towards a system that addresses these disparities and provides excellent health care to each patient will involve first resolving the inequalities that exist in health care delivery in general and access to healthier food, exercise, etc. Additionally, training healthcare providers to better understand cultural differences and barriers to care could improve health outcomes for minority groups (3).
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現在快節奏的景觀那是金融的很多人正在努力應對壓倒性的債務。作為賬單積聚債權人變得越來越無情,擔心可能是難以忍受。儘管如此,有希望在那裡的人。IVA(個人自願安排)等工具進行了重組和DRP(信用卡債務減免系統)提供了一條生命線,轉向人員出來艱鉅可能性鋪路時破產確切的方式為了更光明的未來這當然是經濟的。
iva是真的合約這當然是正式的債務人及其債權人,允許特定的個人償還分享為了債務結束了特定的時期,通常是五到六年。這個安排不僅僅是協助減少債務那是全部的但另外凍結興趣水平,確定個人沒有再過積累額外的費用當他們工作無債務。經過決定一個人,個人可能會接受控制情況那是經濟保證這當然是包括一旦你知道他們是在通往的道路上恢復,並避免通常是污名連接破產。
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在今天快節奏的景觀這當然是金融的很多人正在努力應對壓倒性的債務。作為賬單堆疊債權人變得越來越無情,擔心或許難以忍受。儘管如此,有希望在地平線上。IVA(個人自願安排)等工具進行了重組和DRP(信用卡債務解決方案系統)提供了一條生命線,轉向人員遠離艱鉅機會鋪路時破產正是如何為了更光明的未來這當然是經濟的。
iva實際上合約那是正式的債務人及其債權人,允許特定的個人償還一部分這債務結束了一定時期,通常是五到六年。這個安排不僅協助減少債務那是全部的但此外凍結興趣水平,確定個人沒有再過積累額外的費用像他們一樣工作無債務。經過決定一個人,個人可以接受控制問題那是經濟保證這當然是包括一旦你知道他們是在通往的道路上恢復,並擺脫通常是污名與破產。
在另一方面,drp信用卡債務減免為個人提供另一個途徑,喘息正在尋找他們的財務困境。這個系統協助與債權人談
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