Texas has more severe racial and ethnic health disparities than other states in the Southwest, according to a new report from the Commonwealth Fund.
Black and Hispanic Texans are more likely to be uninsured, die from avoidable causes, and lack access to health care than other racial groups.
Sarah Collins, senior research fellow in health coverage and access at the Commonwealth Fund, said one reason for the disparity was a lack of health insurance.
“Providing access to health insurance for all is the first step in addressing many of the problems we see across the country,” she said.
On average, Collins said, states that expand Medicaid coverage to low-income adults have better outcomes and narrower disparities than states that don't. Texas is one of 10 states that has not yet expanded Medicaid.
“A big barrier to accessing health care is cost,” she says. “So even if you have the financial ability to access the health care system, you lose it.”
Another reason for disparities between groups is racism and discrimination in the health care system. Patients of color receive poorer care for issues such as heart disease, pregnancy complications, and pain management, all of which are associated with preventable diseases that lead to premature death.
“There are deep-rooted problems in our health care system that stem from racism and unequal access to quality health care,” Collins said. “Addressing these types of problems, which are manifested in large disparities in health outcomes, especially preventable mortality, will require health system responsiveness and prioritization.”
The report urges lawmakers and policymakers to address these disparities through better access to health insurance, diversifying the health care workforce, and investing in social services that help people manage their health over the long term. is recommended.
Elena Rivera is a health reporter for KERA. Any tips?Email Elena erivera@kera.org
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